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CN101829103B - Application of flavonoid quercetin dimmer as medicament for treating viral hepatitis B - Google Patents

Application of flavonoid quercetin dimmer as medicament for treating viral hepatitis B Download PDF

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CN101829103B
CN101829103B CN2010101818692A CN201010181869A CN101829103B CN 101829103 B CN101829103 B CN 101829103B CN 2010101818692 A CN2010101818692 A CN 2010101818692A CN 201010181869 A CN201010181869 A CN 201010181869A CN 101829103 B CN101829103 B CN 101829103B
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hepatitis
hbeag
hbsag
hbv dna
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CN101829103A (en
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王国富
施树云
郭美仙
伍义行
张水利
巫秀美
赵昱
谭仁祥
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Dali University
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Abstract

本发明涉及槲皮素二聚体黄酮作为治疗病毒性乙肝药物的用途,具体涉及一种槲皮素二聚体黄酮素或其可药用盐用于制备清除HBsAg和HBeAg药物、抑制HBV DNA复制药物的用途,其具有显著的抑制HBsAg和抑制HBeAg活性,在100微克/毫升浓度下其清除HBsAg和HBeAg的强度分别为65.7%和44.8%,超过阳性对照药物α-干扰素4.1倍和2.7倍;同时,在该浓度时其对HBV DNA显示出44.8%的抑制率,且是α-干扰素在最高测试浓度时之抑制率的117%。以上表明该槲皮素二聚体黄酮或其可药用盐可预期用于制备清除HBsAg和HBeAg、抑制HBV DNA复制、治疗乙型肝炎病毒感染疾病之非核苷类药物的用途。The present invention relates to the use of quercetin dimer flavone as a drug for treating viral hepatitis B, in particular to a quercetin dimer flavone or a pharmaceutically acceptable salt thereof for preparing a drug for removing HBsAg and HBeAg and inhibiting HBV DNA replication The use of the drug, which has significant inhibition of HBsAg and inhibition of HBeAg activity, at a concentration of 100 micrograms per milliliter, the intensity of clearing HBsAg and HBeAg is 65.7% and 44.8%, respectively, 4.1 times and 2.7 times more than the positive control drug α-interferon ; Simultaneously, it shows 44.8% inhibition rate to HBV DNA at this concentration, and is 117% of the inhibition rate of alpha-interferon at the highest test concentration. The above shows that the quercetin dimer flavone or its pharmaceutically acceptable salt can be expected to be used in the preparation of non-nucleoside drugs for eliminating HBsAg and HBeAg, inhibiting HBV DNA replication, and treating hepatitis B virus infection diseases.

Description

槲皮素二聚体黄酮作为治疗病毒性乙肝药物的用途Use of quercetin dimer flavone as a drug for treating viral hepatitis B

技术领域 technical field

本发明涉及医药技术领域,具体而言,本发明涉及一种槲皮素二聚体黄酮或其可药用盐用于制备降低乙肝病毒表面抗原HBsAg和乙肝e抗原HBeAg、抑制HBV DNA复制、治疗乙型肝炎病毒感染疾病药物的用途。该二聚体黄酮具有相当显著的抑制HBsAg和HBeAg活性,在100微克/毫升浓度下其清除HBsAg和HBeAg的强度分别为65.7%和44.8%,分别超过阳性对照药物(10000单位/毫升的α-干扰素)4.1倍和2.7倍;同时,在该浓度时其对HBV DNA显示出44.8%的抑制率,且是α-干扰素在最高测试浓度时之抑制率的117%。以上药效学结果表明该槲皮素二聚体黄酮或其可药用盐可预期用于制备清除HBsAg和HBeAg、抑制HBV DNA复制、治疗乙型肝炎病毒感染疾病非核苷类药物的用途。The present invention relates to the technical field of medicine, specifically, the present invention relates to a kind of quercetin dimer flavone or its pharmaceutically acceptable salt, which is used to prepare and reduce hepatitis B virus surface antigen HBsAg and hepatitis B e antigen HBeAg, inhibit HBV DNA replication, treat Use of medicines for hepatitis B virus infection. This dimer flavonoid has quite significant activity of inhibiting HBsAg and HBeAg, and its intensity of removing HBsAg and HBeAg is respectively 65.7% and 44.8% under the concentration of 100 micrograms/milliliter, surpasses positive control drug (10000 units/milliliter α- Interferon) 4.1 times and 2.7 times; Simultaneously, it shows 44.8% inhibitory rate to HBV DNA at this concentration, and is 117% of the inhibitory rate of alpha-interferon when the highest test concentration. The above pharmacodynamic results show that the quercetin dimer flavone or its pharmaceutically acceptable salt can be expected to be used in the preparation of non-nucleoside drugs for eliminating HBsAg and HBeAg, inhibiting HBV DNA replication, and treating hepatitis B virus infection.

背景技术 Background technique

乙型肝炎(乙肝)是由乙型肝炎病毒HBV引起的传染病。HBV是嗜肝DNA病毒科hepadnaviridae的一员,其形状为直径42纳米的球形颗粒。HBV是奇特的病毒,在其它动物中较少有传染性,唯有在人体或者灵长类动物黑猩猩体内才能得以复制。该病毒通过乙肝病毒携带者和乙肝病人的血液、唾液、精液、阴道分泌物进行传播,具有慢性携带状态。乙肝在我国广泛流行,因其分为垂直传播、水平传播、家庭内传播、医源性传播和性传播等多种方式,对人群感染率高,在某些地区感染率达到35%以上。据有关资料,肝炎检测阳性的患者已经达到1.89亿,而应就诊未就诊人数(携带者)将近4亿,是当前危害人民健康最严重的传染病之一。乙肝临床表现多样化,易发展为慢性乙型肝炎(CHB)和肝硬化,少数病人可转变为原发性肝癌。Hepatitis B (HBV) is an infectious disease caused by the hepatitis B virus, HBV. HBV is a member of the hepadnaviridae family of hepadnaviridae, and its shape is a spherical particle with a diameter of 42 nanometers. HBV is a peculiar virus that is less contagious in other animals and can only replicate in humans or the primate chimpanzee. The virus is transmitted through the blood, saliva, semen, and vaginal secretions of hepatitis B virus carriers and hepatitis B patients, and has a chronic carrier state. Hepatitis B is widely prevalent in my country, because it can be divided into vertical transmission, horizontal transmission, family transmission, iatrogenic transmission and sexual transmission, etc. It has a high infection rate among the population, and the infection rate in some areas reaches more than 35%. According to relevant data, the number of patients who tested positive for hepatitis has reached 189 million, and the number of people who should seek medical treatment but have not (carriers) is nearly 400 million. It is one of the most serious infectious diseases that endanger people's health. The clinical manifestations of hepatitis B are diverse, and it is easy to develop into chronic hepatitis B (CHB) and liver cirrhosis, and a small number of patients can be transformed into primary liver cancer.

乙肝表面抗原(HBsAg)是乙肝病毒的外壳蛋白,HBsAg阳性是判断HBV感染的金标准。HBsAg阳性、但无肝炎症状出现者成为HBV病毒携带者。HBsAg滴度越大,其合并乙肝核心抗原HBeAg、HBV DNA阳性和DNA多聚酶活性升高的几率就越大,因而传染性越强。同理,抑制HBsAg的分泌和复制也是研发抗乙肝病毒药物中的一个重要靶标和检测标的。北京地坛医院吴淑云等报告:乙肝HBsAg清除和乙肝闭环共价DNA(cccDNA)存在一定相关性,清除HBsAg是cccDNA水平显著降低的标志。2002年,在《新英格兰医学杂志》发表研究结果之研究者认为:对于CHB患者,如在肝硬化前获HBsAg清除,则其肝硬化和肝细胞癌发生率将降低60倍。美国肝病研究协会AASLD、亚太肝脏研究协会APASL和欧洲肝脏研究协会EASL的指南中均将HBsAg血清清除作为治疗终点判定标准之一。Hepatitis B surface antigen (HBsAg) is the coat protein of hepatitis B virus, and HBsAg positive is the gold standard for judging HBV infection. Those who are positive for HBsAg but have no symptoms of hepatitis become carriers of HBV virus. The greater the titer of HBsAg, the greater the probability of combining hepatitis B core antigen HBeAg, HBV DNA positive and elevated DNA polymerase activity, and thus the stronger the infectivity. Similarly, inhibiting the secretion and replication of HBsAg is also an important target and detection target in the development of anti-HBV drugs. Wu Shuyun from Beijing Ditan Hospital reported that there is a certain correlation between the clearance of hepatitis B HBsAg and closed-circle covalent DNA (cccDNA), and the clearance of HBsAg is a sign of a significant decrease in the level of cccDNA. In 2002, researchers who published research results in the "New England Journal of Medicine" believed that for CHB patients, if HBsAg was cleared before liver cirrhosis, the incidence of liver cirrhosis and hepatocellular carcinoma would be reduced by 60 times. The guidelines of the American Association for the Study of Liver Diseases (AASLD), Asia Pacific Association for the Study of the Liver (APASL), and European Association for the Study of the Liver (EASL) all use HBsAg serum clearance as one of the treatment endpoint criteria.

据2008年欧洲肝脏研究学会年会报道:聚乙二醇干扰素α-2a治疗CHB患者48周后停药,随访1、2、3、4年,其HBsAg清除率分别为3%、6%、8%和11%,而单独用拉米夫定者对HBsAg清除率于停药后1、2、3、4年仅为0%、0%、0%和3%。因而该干扰素被认为是治疗HBeAg阴性CHB患者最佳治疗选择。可见发现能够高效清除HBsAg的药物具有重大的社会和经济效益。According to the 2008 European Society for the Study of the Liver report: Pegylated interferon α-2a treatment of CHB patients stopped after 48 weeks, followed up for 1, 2, 3, and 4 years, and the HBsAg clearance rates were 3% and 6% respectively. , 8% and 11%, while those who used lamivudine alone had only 0%, 0%, 0% and 3% of the HBsAg clearance rate in 1, 2, 3, and 4 years after drug withdrawal. Therefore, this interferon is considered to be the best treatment option for HBeAg-negative CHB patients. It can be seen that the discovery of drugs that can efficiently remove HBsAg has significant social and economic benefits.

乙肝e抗原HBeAg是乙肝病毒HBV内核的结构蛋白,在乙肝病毒繁殖时大量产生。乙肝病毒HBV具有所有已知DNA病毒中最小的基因组(仅3.2kb),其基因主要编码五种蛋白(S、C、E、P、X)。C蛋白为病毒核心蛋白,而E蛋白是C蛋白的一部分,成为乙肝e抗原(HBeAg),其是已经编码好但未组装到病毒颗粒中的蛋白,在病毒复制时会分泌到患者血液中去。临床上,通常将血清HBeAg作为HBV复制、传染性、病情严重程度以及对其进行治疗应答进行评价的重要标志物。该抗原与HBV DNA密切相关,是临床上表达病毒复制非常实用的血清标志物。血清标志物HBeAg阳性患者说明其体内有HBV复制,故而有较高的传染性。患者HBeAg表达越高说明该患者传染性越强。同理,抑制HBeAg的分泌和复制也是研发抗乙肝病毒药物中的一个重要靶标和检测标的。HBeAg清除说明体内有着持续的HBV抑制,ALT正常,组织炎症坏死减轻,肝硬化发生的几率降低。因此,血清HBeAg被认为能够反映更为稳定的治疗效果,HBeAg血清清除标志着患者免疫系统开始发挥作用。2002年,在《新英格兰医学杂志》发表研究结果之研究者认为:对于CHB患者,如在肝硬化前获HBeAg清除,则其肝硬化和肝细胞癌发生率将降低10倍。美国肝病研究协会AASLD、亚太肝脏研究协会APASL和欧洲肝脏研究协会EASL的指南中均将HBeAg血清清除作为治疗终点判定标准之一。所以,能够抑制、降低HBeAg表达或活性的药物也即属于治疗乙肝病毒感染有效药物。Hepatitis B e antigen HBeAg is the structural protein of the core of hepatitis B virus HBV, which is produced in large quantities during the reproduction of hepatitis B virus. Hepatitis B virus HBV has the smallest genome (only 3.2kb) among all known DNA viruses, and its genes mainly encode five proteins (S, C, E, P, X). Protein C is the core protein of the virus, and protein E is a part of protein C, which becomes hepatitis B e antigen (HBeAg), which is a protein that has been encoded but not assembled into the virus particle, and will be secreted into the blood of the patient when the virus replicates . Clinically, serum HBeAg is usually used as an important marker for the evaluation of HBV replication, infectivity, disease severity and response to treatment. This antigen is closely related to HBV DNA and is a very practical serum marker for clinically expressed virus replication. Serum marker HBeAg-positive patients indicate that there is HBV replication in their bodies, so they have higher infectivity. The higher the expression of HBeAg in a patient, the stronger the infectivity of the patient. Similarly, inhibiting the secretion and replication of HBeAg is also an important target and detection target in the development of anti-HBV drugs. The removal of HBeAg shows that there is continuous HBV suppression in the body, ALT is normal, tissue inflammation and necrosis are reduced, and the probability of liver cirrhosis is reduced. Therefore, serum HBeAg is considered to reflect a more stable therapeutic effect, and HBeAg serum clearance marks the beginning of the patient's immune system. In 2002, the researchers who published their research results in the "New England Journal of Medicine" believed that for CHB patients, if HBeAg is cleared before liver cirrhosis, the incidence of liver cirrhosis and hepatocellular carcinoma will be reduced by 10 times. The guidelines of the American Association for the Study of Liver Diseases (AASLD), Asia Pacific Association for the Study of the Liver (APASL), and European Association for the Study of the Liver (EASL) all use HBeAg serum clearance as one of the criteria for judging treatment endpoints. Therefore, drugs that can inhibit or reduce the expression or activity of HBeAg are also effective drugs for treating hepatitis B virus infection.

目前,对乙肝患者的用药主要分为保肝降酶、抗病毒、抗肝纤维化和调节免疫等数个大类。抗病毒是根本方法,而保肝降酶只是辅助治疗,多治标而鲜见治本。近些年来取得进展的还是在于抗病毒药物治疗方面的研究。然而,目前对于病毒性乙肝临床上的治疗方案只能达到抑制HBV复制和继发感染,最主要药物仍是核苷类药物如拉米呋啶(3-TC)、恩替卡韦、阿德福韦(ADV)、替比夫定等,还有处于临床试验期中的emtricitabine、tenofovir、clevuding等。在我国,拉米呋啶已经成为医保用药,应用于大批HBV患者。核苷类药物部分优点为:生物利用度高,口服较安全。然而,它们虽然能有效地控制病情,但一则售价昂贵;二则长期使用均可出现耐药性,以及停药后出现HBV DNA、ALT及肝组织学的不同程度的反弹;三是长期使用核苷类药物出现的较为明显的众所周知的不良作用,例如肾脏损伤、婴儿致畸等。最为头痛的是:病毒耐药的出现大大降低了治愈率,因为核苷类药物对病毒复制是可逆的,所以对大部分患者若欲达到最大疗效,疗程必须在一年以上,如此其耐药性随之出现,就达不到预期之效果。核苷类药物还有难以清除cccDNA、治疗一年后HBsAg难以阴转等不足之处。At present, the drugs for hepatitis B patients are mainly divided into several categories such as liver protection and enzyme reduction, anti-virus, anti-hepatic fibrosis and immune regulation. Anti-virus is the fundamental method, while protecting the liver and reducing enzymes is only an adjuvant treatment, which mostly treats the symptoms but rarely cures the root cause. What has made progress in recent years is the research on antiviral drug treatment. However, the current clinical treatment options for viral hepatitis B can only achieve inhibition of HBV replication and secondary infection, and the most important drugs are still nucleoside drugs such as lamivudine (3-TC), entecavir, adefovir ( ADV), telbivudine, etc., as well as emtricitabine, tenofovir, clevuding, etc. that are in clinical trials. In my country, lamivudine has become a medical insurance drug and is used in a large number of HBV patients. Some advantages of nucleoside drugs are: high bioavailability and relatively safe oral administration. However, although they can effectively control the disease, they are expensive on the one hand; drug resistance can appear after long-term use, and HBV DNA, ALT and liver histology rebound in varying degrees after drug withdrawal; The relatively obvious and well-known adverse effects of nucleoside drugs, such as kidney damage, infant teratogenicity, etc. The most troublesome thing is: the emergence of viral drug resistance greatly reduces the cure rate, because nucleoside drugs are reversible to virus replication, so if most patients want to achieve the maximum curative effect, the course of treatment must be more than one year, so that drug resistance Sexuality then appears, and the desired effect cannot be achieved. Nucleoside drugs also have the disadvantages that it is difficult to remove cccDNA, and HBsAg is difficult to turn negative after one year of treatment.

干扰素(α、β-干扰素)以及重组干扰素类等来源于人白细胞的生物工程类抗病毒药物近期成为研究和治疗CHB热点药物,其具有抗病毒和免疫调节双重作用。其既可通过抗病毒作用抑制病毒复制从而减轻肝脏细胞炎症反应,减少肝细胞损害,延缓病情发展从而起到改善病人临床症状和肝脏生理功能;又可以增强免疫作用,通过加强体内自然杀伤细胞和辅助性T细胞的作用,尤其是可以促进杀伤T细胞去杀伤被病毒感染细胞,因此间接起到抗病毒作用。干扰素治疗CHB患者获得的HBsAg血清学转换比拉米呋啶更为持久,2003年《消化道》杂志上一项研究显示:干扰素治疗组HBsAg的3年复发率显著低于拉米呋啶组;且长效干扰素可以每周使用一次,较为方便。因此,干扰素日渐成为临床上用于治疗慢性乙肝病毒的首选药物之一,但其副作用和不良反应报道较多,总有效率不高,价格昂贵,患者经济负担大,因而造成临床上难以广泛使用,且对失代偿肝硬化患者不适宜应用。Bioengineered antiviral drugs derived from human leukocytes, such as interferon (α, β-interferon) and recombinant interferon, have recently become hot research and treatment drugs for CHB, which have dual functions of antiviral and immune regulation. It can not only inhibit virus replication through antiviral effect, so as to reduce the inflammatory response of liver cells, reduce liver cell damage, delay the progression of the disease, thereby improving the patient's clinical symptoms and liver physiological functions; it can also enhance immune function, by strengthening natural killer cells and The role of helper T cells, in particular, can promote killer T cells to kill virus-infected cells, thus indirectly playing an antiviral role. The HBsAg seroconversion obtained by interferon treatment in CHB patients is more durable than that of lamivudine. A study in the Journal of Gastrointestinal Tract in 2003 showed that the 3-year recurrence rate of HBsAg in the interferon treatment group was significantly lower than that of lamivudine group; and peginterferon can be used once a week, which is more convenient. Therefore, interferon has gradually become one of the first-selected drugs for clinical treatment of chronic hepatitis B virus, but its side effects and adverse reactions are reported more, the total effective rate is not high, the price is expensive, and the patient's economic burden is large, thus causing it to be difficult to be widely used clinically. It is not suitable for use in patients with decompensated cirrhosis.

近几年随着肝病的研究,发展了标准化的HBV DNA的分析,大大推进了对乙肝患者病情的了解。HBV DNA的定量分析能预测乙肝的严重性及其预后,因为HBV DNA持续阳性(即持续病毒血症)容易使乙肝病情进展和加重;高乙肝病毒(HBV DNA)含量容易促进肝硬化的形成;HBV DNA持续存在是肝细胞癌(HCC)发生的高危因素,特别是病毒含量较高、病程较长、年龄较大或合并其它肝病者;持续高浓度的HBV DNA存在,可导致失代偿性肝硬化及原发性肝重症的死亡率明显增加。同时必须认识到,HBV DNA水平与肝脏组织学的关系极其密切:文献报道经抗病毒治疗,肝脏纤维化的改善和消除明显;近期国际肝病会议报导,强效和低耐药性的抗病毒治疗,随着HBV DNA的降低和转阴,而观察到肝硬化可出现不同程度的逆转,因此现在主张肝硬化也应进行抗病毒治疗。In recent years, with the study of liver disease, the development of standardized HBV DNA analysis has greatly promoted the understanding of the condition of hepatitis B patients. Quantitative analysis of HBV DNA can predict the severity and prognosis of hepatitis B, because continuous positive HBV DNA (i.e. persistent viremia) is likely to make the progression and aggravation of hepatitis B; high content of hepatitis B virus (HBV DNA) is likely to promote the formation of liver cirrhosis; The persistent presence of HBV DNA is a high-risk factor for the occurrence of hepatocellular carcinoma (HCC), especially in patients with high viral content, long course of disease, older age or other liver diseases; persistent high concentration of HBV DNA can lead to decompensated The mortality rate of liver cirrhosis and primary hepatic severe disease increased significantly. At the same time, it must be recognized that the level of HBV DNA is closely related to liver histology: it has been reported in the literature that liver fibrosis can be significantly improved and eliminated after antiviral treatment; the recent International Liver Disease Conference reported that strong and low drug resistance antiviral treatment , With the decrease and negative of HBV DNA, it was observed that liver cirrhosis can be reversed to varying degrees, so it is now advocated that liver cirrhosis should also be treated with antiviral therapy.

因此,HBV DNA指标在抗病毒治疗中的应用也起着举足轻重的作用:HBV DNA的水平是决定慢性乙型肝炎是否需要抗病毒治疗的重要指标;根据HBV DNA的不同情况分别制定出HBeAg阳性或HBeAg阴性的不同治疗标准和要求;在抗病毒治疗中,根据HBVDNA的治疗反应,判断是否病毒学早期应答进而决定长期用药的策略以取得持续性的病毒学应答,达到持续病毒抑制的目的;根据HBVDNA的病毒学的应答情况,创造HBeAg血清学的转换基础和条件,以达到其良好的中间治疗目标;根据HBV DNA持续抑制情况争取病毒持续阴性,以争取达到抗病毒最终治疗目标;根据HBV DNA持续完全受到抑制,也显示出了cccDNA的不同程度好转和消失;在抗病毒治疗中,以HBV DNA的变化来评估和预防抗病毒药物所引起的病毒变异及耐药发生的风险;一旦发生病毒变异或耐药时,HBV DNA的变化是唯一的最先的信号和诊断依据,也是治疗耐药和改变治疗策略的指导和依据。综上所述,对HBV DNA的抑制程度在乙肝的进一步诊断和治疗上有着新的重大意义,对疗效的观察,对评估乙肝预后及耐药危险性均有较大的指导作用。Therefore, the application of HBV DNA indicators in antiviral treatment also plays a pivotal role: the level of HBV DNA is an important indicator to determine whether chronic hepatitis B requires antiviral treatment; Different treatment standards and requirements for HBeAg negative; in antiviral treatment, according to the treatment response of HBVDNA, judge whether there is an early virological response and then determine the strategy of long-term medication to achieve a sustained virological response and achieve the purpose of sustained viral suppression; The virological response of HBV DNA creates the basis and conditions for HBeAg seroconversion so as to achieve its good intermediate treatment goal; according to the continuous suppression of HBV DNA, strive for continuous negative virus, so as to achieve the ultimate goal of antiviral treatment; according to HBV DNA Sustained complete suppression also showed varying degrees of improvement and disappearance of cccDNA; in antiviral treatment, changes in HBV DNA were used to evaluate and prevent the risk of virus mutation and drug resistance caused by antiviral drugs; In the case of mutation or drug resistance, the change of HBV DNA is the only initial signal and diagnostic basis, and it is also the guidance and basis for treating drug resistance and changing treatment strategies. In summary, the degree of inhibition of HBV DNA is of great significance in the further diagnosis and treatment of hepatitis B, and the observation of curative effect has a great guiding role in evaluating the prognosis of hepatitis B and the risk of drug resistance.

由上述因素可知:抑制乙肝病毒在体内增殖的另外一个根本环节在于抑制HBV DNA的复制。HBV DNA水平的降低或者低于检测水平是检验抗病毒药物的另外一把金钥匙。所以,亚太肝脏研究学会和欧洲肝脏研究学会均将HBV DNA检测不到作为乙型肝炎病毒患者治疗终点之一。我国新药开发指南中也将受测化合物对于HBV DNA的抑制强度视为必须完成的测试项目之一。拉米呋啶之所以能够成为首选核苷类药物便是因为其具有强效的抑制HBV DNA复制之活性。因此既能抑制HBV DNA复制又能抑制HBsAg的化合物将更有希望成为治疗乙肝患者的创新性药物。From the above-mentioned factors, it can be seen that another fundamental link for inhibiting the proliferation of hepatitis B virus in vivo is to inhibit the replication of HBV DNA. The reduction of HBV DNA level or below the detection level is another golden key to test antiviral drugs. Therefore, both the Asia-Pacific Society for the Study of the Liver and the European Society for the Study of the Liver regard undetectable HBV DNA as one of the treatment endpoints for patients with HBV. In my country's new drug development guidelines, the inhibitory strength of the tested compound to HBV DNA is also regarded as one of the test items that must be completed. The reason why lamivudine can become the preferred nucleoside drug is because of its potent activity of inhibiting HBV DNA replication. Therefore, compounds that can inhibit both HBV DNA replication and HBsAg will be more promising as innovative drugs for treating hepatitis B patients.

必须说明的是:目前使用的抗病毒药物其实只是病毒复制的抑制剂,并不能直接杀灭病毒和破坏病毒体,否则就会损伤宿主细胞。这些抗病毒药物(多为核苷类药物)还存在上述毒副作用大、易引起病毒基因突变、停药后易反跳等缺点,因此开发新型抗病毒药物是当今药物研发领域的当务之急。其对于治疗我国大量的乙肝患者和病毒携带者、控制传染源等都有着极其重要的社会意义和经济意义。所以,从民族民间长期使用的天然药物中发现新的非核苷类乙肝病毒抑制剂及此类能够降低HBsAg、HBeAg或抑制HBV DNA复制的先导化合物有着很大的指导性意义,并有着辽阔的发展前景。It must be explained that the antiviral drugs currently used are actually only inhibitors of virus replication, and cannot directly kill the virus and destroy the virion, otherwise it will damage the host cell. These antiviral drugs (mostly nucleoside drugs) also have the above-mentioned disadvantages such as high toxicity and side effects, easy mutation of viral genes, and easy rebound after drug withdrawal. Therefore, the development of new antiviral drugs is an urgent task in the field of drug research and development today. It has extremely important social and economic significance for treating a large number of hepatitis B patients and virus carriers in my country and controlling the source of infection. Therefore, the discovery of new non-nucleoside hepatitis B virus inhibitors and such lead compounds that can reduce HBsAg, HBeAg or inhibit HBV DNA replication from the natural medicines that have been used for a long time in the folk has great guiding significance and has a vast development prospect.

基于此目的,发明人以前曾完成多项抗乙肝病毒天然产物及其结构改造衍生物的专利和文章,发现了多种抑制乙肝病毒表面抗原HBsAg或乙肝病毒e抗原HBeAg活性、抑制HBV DNA复制的化合物,从而说明从天然产物及其合成衍生物中筛选出能够降低HBsAg或HBeAg、防治乙肝病毒感染的创新性药物是可行的[参见:“一类对映桉烷醇类倍半萜抑制乙肝病毒的医药用途”(赵昱、刘光明、于荣敏、李海波等;ZL 200610053827.4);“2β-羟基冬青酸抑制乙肝病毒的医药用途”(李校堃、赵昱、黄可新、李海波等;ZL200610053749.8);“2α,3β-二羟基-5,11(13)-二烯桉烷-12-酸抑制乙肝病毒的医药用途”(赵昱、张礼和、孙汉董、李海波等;ZL200610053601.4);“艾里莫芬烷内酯抑制乙肝病毒的用途及其药物组合物”(赵昱、李海波、杨雷香、周长新等;ZL 03153691.3);“一种艾里莫芬内酯酸天然产物及其应用”(赵昱、周长新、施树云、王晓雨等;ZL 200610053575.5);“一种桉烷型倍半萜酸及其用途”(赵昱、刘光明、李海波、巫秀美等;ZL 200610053579.3);“六棱菊属植物提取物抑制单纯疱疹病毒及乙肝病毒的用途”(赵昱、周长新、于荣敏、白骅;CN 1989989A);“1β-氧代-5,11(13)-二烯桉烷-12-酸抑制乙肝病毒的医药用途”(赵昱、李校堃、黄可新、李海波等;CN 1927197A);“1β-羟基冬青酸抑制乙肝病毒的医药用途”(赵昱、李校堃、黄可新、巫秀美等;CN 1935131A);“对映艾里莫芬烷酸及其抑制乙肝表面抗原的医药用途”(黄可新、李校堃、王晓雨、赵昱等;CN 101239054);“1-氧-取代苯甲酰奎尼酸化合物及其抑制乙肝病毒用途”(李校堃、胡利红、巫秀美、赵昱等;CN101293836);发明人已发表之抑制HBsAg、HBeAg以及HBV DNA等活性文章参见:“In Vitro Antiviral Activity of Three EnantiomericSesquiterpene Lactones from Senecio Species Against Hepatitis B Virus”,Haibo Li(李海波),Changxin Zhou(周长新),Xiumei Wu(巫秀美),Yu Zhao*(赵昱)等,Antiviral Chemistry&Chemotherapy,2005,16,277-282;“Evaluation of Antiviral Activity of Compounds Isolated fiomRanunculus sieboldii Miq.and Ranunculus sceleratus L”,Haibo Li(李海波),Changxin Zhou(周长新),Xiumei Wu(巫秀美),Yu Zhao*(赵昱)等,Planta Medica,2005,71(12),1128-1133;“Application ofhigh-speed counter-current chromatography for the isolation of antiviraleremophilenolides from Ligularia atroviolacea”,Shi,Shu-Yun(施树云),Hai-Bo(李海波),Zhao,Yu(赵昱)等,Biomedical Chromatography,2008,22(9),985-991;“Purification and identification of antiviralcomponents from Laggera pterodonta by high-speed counter-currentchromatography”,Shuyun Shi(施树云),Yu Zhao(赵昱)等,Journalof Chromatography B,2007,859,119-124]。毋庸置疑,继续从天然产物及其结构改造衍生物中寻找能够清除HBsAg或HBeAg、抑制HBVDNA复制的先导化合物是非常有必要性和紧迫性的,也因此被国家科技部列为新药研制重大专项之一。Based on this purpose, the inventor has previously completed a number of patents and articles on anti-hepatitis B virus natural products and their structurally modified derivatives, and discovered a variety of anti-hepatitis B virus surface antigen HBsAg or hepatitis B virus e-antigen HBeAg activity, inhibiting HBV DNA replication Compounds, so that it is feasible to screen out innovative drugs that can reduce HBsAg or HBeAg and prevent and treat hepatitis B virus infection from natural products and their synthetic derivatives "The medical application of 2β-hydroxypectic acid in inhibiting hepatitis B virus" (Zhao Yu, Liu Guangming, Yu Rongmin, Li Haibo, etc.; ZL 200610053827.4); ); "2α, 3β-dihydroxy-5, 11(13)-diene eucalyptus-12-acid inhibits the medical application of hepatitis B virus" (Zhao Yu, Zhang Lihe, Sun Handong, Li Haibo, etc.; ZL200610053601.4 ); "The use of erimoferne lactone to inhibit hepatitis B virus and its pharmaceutical composition" (Zhao Yu, Li Haibo, Yang Leixiang, Zhou Changxin, etc.; ZL 03153691.3); "A natural product of erimoferne lactone and its Application" (Zhao Yu, Zhou Changxin, Shi Shuyun, Wang Xiaoyu, etc.; ZL 200610053575.5); "A eucalyptane-type sesquiterpene acid and its application" (Zhao Yu, Liu Guangming, Li Haibo, Wu Xiumei, etc.; ZL 200610053579.3); The use of Chrysanthemum plant extracts to inhibit herpes simplex virus and hepatitis B virus” (Zhao Yu, Zhou Changxin, Yu Rongmin, Bai Hua; CN 1989989A); The medical use of 12-acid to inhibit hepatitis B virus” (Zhao Yu, Li Xiaokun, Huang Kexin, Li Haibo, etc.; CN 1927197A); Wu Xiumei et al.; CN 1935131A); "Enanti-erimofantanoic acid and its medicinal application for inhibiting hepatitis B surface antigen" (Huang Kexin, Li Xiaokun, Wang Xiaoyu, Zhao Yu, etc.; CN 101239054); "1-oxo-substituted Benzoylquinic acid compound and its use for inhibiting hepatitis B virus” (Li Xiaokun, Hu Lihong, Wu Xiumei, Zhao Yu, etc.; CN101293836); the inventor’s published articles on inhibiting the activities of HBsAg, HBeAg and HBV DNA can be found in: “In Vitro Antiviral Activity of Three Enantiomeric Sesquiterpene Lactones from Senecio Species Against Hepatitis B Virus", Haibo Li(李海波), Changxin Zhou(周长新), Xiumei Wu(吴秀美), Yu Zhao*(赵玉) et al., Antiviral Chemistry&Chemotherapy, 2005, 16, 277-282; Wu (Wu Xiumei), Yu Zhao* (Zhao Yu), etc., Planta Medica, 2005, 71(12), 1128-1133; "Application of high-speed counter-current chromatography for the isolation of antiviraleremophilenolides from Ligularia atroviolacea", Shi, Shu-Yun (Shi Shuyun), Hai-Bo (Li Haibo), Zhao, Yu (Zhao Yu), etc., Biomedical Chromatography, 2008, 22(9), 985-991; "Purification and identification of antiviral components from Laggera pterodonta by high-speed counter-current chromatography", Shuyun Shi (Shi Shuyun), Yu Zhao (Zhao Yu), etc., Journal of Chromatography B, 2007, 859, 119-124]. Undoubtedly, it is very necessary and urgent to continue to search for lead compounds that can clear HBsAg or HBeAg and inhibit HBV DNA replication from natural products and their structurally modified derivatives. one.

槲皮素是一种黄酮醇,Hirose等发现槲皮素可以形成二聚体[Hirose等,Chemistry Letters,1999,8,775-776]。由于其比槲皮素分子量大几乎一倍,分子中含有更多羟基等活性基团,其或许会有不同于槲皮素的抗病毒能力。左国营等(左国营,刘树玲,徐贵丽,世界华人消化杂志,2006年14卷13期,1241-1246页)综述了近20年来药用植物成分体外抗HBV活性的研究进展,文中论及多种天然产物,其中并没有报道任何槲皮素二聚体黄酮化合物具有抗HBV活性的相关记录,仅由发明人团队对其进行了前人未加注意的新合成方法的制备和抗HBV活性研究。我们的目的之一是:希望发现能降低HBsAg或HBeAg、抑制HBV DNA复制的二聚体黄酮先导化合物,从而将其进一步开发成具有能清除HBsAg或HBeAg、抑制HBV DNA复制、治疗CHB的创新性药物。据此完成本发明。Quercetin is a flavonol, and Hirose et al found that quercetin can form dimers [Hirose et al, Chemistry Letters, 1999, 8, 775-776]. Since it has almost twice the molecular weight of quercetin and contains more reactive groups such as hydroxyl groups, it may have different antiviral abilities than quercetin. Zuo Guoying et al. (Zuo Guoying, Liu Shuling, Xu Guili, World Chinese Journal of Digestion, 2006, Vol. 14, No. 13, pp. 1241-1246) reviewed the research progress of the anti-HBV activity of medicinal plant ingredients in vitro in the past 20 years. For natural products, there is no record that any quercetin dimer flavonoids have anti-HBV activity, and only the inventor team has carried out a new synthesis method and research on anti-HBV activity that have not been noticed before. One of our purposes is: hope to find dimeric flavonoid lead compounds that can reduce HBsAg or HBeAg and inhibit HBV DNA replication, so as to further develop them into innovative drugs that can clear HBsAg or HBeAg, inhibit HBV DNA replication, and treat CHB drug. Based on this, the present invention has been completed.

发明内容 Contents of the invention

本发明的目的是提供式(1)所示的槲皮素二聚体黄酮或其可药用盐用于制备清除HBsAg或HBeAg、抑制HBV DNA复制、治疗乙型病毒性肝炎药物中之新用途。The purpose of the present invention is to provide quercetin dimer flavonoids shown in formula (1) or its pharmaceutically acceptable salts for the preparation of new applications in the preparation of HBsAg or HBeAg, inhibition of HBV DNA replication, and treatment of hepatitis B drugs .

Figure GSA00000134379000071
Figure GSA00000134379000071

式(1)化合物的名称为:1,3,11a-三羟基-9-(3,5,7-三羟基-4H-1-苯并吡喃-4-酮-2)-5a-(3,4-二羟基苯基)-5,6,11-六氢-5,6,11-三氧-并四苯-12-酮。The name of the compound of formula (1) is: 1,3,11a-trihydroxyl-9-(3,5,7-trihydroxyl-4H-1-benzopyran-4-ketone-2)-5a-(3 , 4-dihydroxyphenyl)-5,6,11-hexahydro-5,6,11-trioxo-tetracen-12-one.

本发明还提供了一种制备式(1)所示的槲皮素二聚体黄酮类化合物的方法,其特征是:用市售或者自制的槲皮素在无水条件下,有银盐催化进行自由基偶合反应偶联而得。The present invention also provides a method for preparing quercetin dimer flavonoids represented by formula (1), which is characterized in that: commercially available or self-made quercetin is used under anhydrous conditions to be catalyzed by silver salts It is obtained by free radical coupling reaction coupling.

本发明的另一个目的是提供了一种用于制备清除HBsAg或HBeAg、抑制HBV DNA复制、治疗乙型病毒性肝炎的药物组合物,其特征为由含有治疗有效量的作为活性成分的式(1)化合物或者它的可药用盐和可药用辅料组成的混合物。其药物剂型可以是片剂、胶囊剂、注射剂、气雾剂、栓剂、膜剂、滴丸剂、贴片剂、皮下植埋剂、外用搽剂、口服液或软膏剂,还可以采用现代制药界所公知的控释或缓释剂型或纳米制剂。Another object of the present invention is to provide a pharmaceutical composition for preparing HBsAg or HBeAg, inhibiting HBV DNA replication, and treating viral hepatitis B, which is characterized by containing a therapeutically effective amount of the formula ( 1) A mixture of a compound or its pharmaceutically acceptable salt and pharmaceutically acceptable excipients. Its dosage form can be tablets, capsules, injections, aerosols, suppositories, films, dripping pills, patches, subcutaneous implants, liniments for external use, oral liquids or ointments. Known controlled-release or sustained-release dosage forms or nano-formulations.

本发明的槲皮素二聚体黄酮化合物(1)与天然黄酮木脂素类化合物槲皮素相比较,具有诸多结构和物化性质上差异化的特征,包括其疏水性、芳香性、吉布斯自由能、氢键受体、电性、分子间范德华力、以及3D构象、伸展方向、分子重心、共轭程度、电性分布中心等特质均与槲皮素有着明显不同;且化合物(1)分子量比槲皮素增大了300个质量单位。上述特征都决定了式(1)所示化合物之三维构象与HBsAg或HBeAg乃至HBV DNA之3D空间结构相结合之配体-受体结合复合物形态和结合方式都可能产生较大的差别,其结合位点和结合模式、其结合自由能等均会产生较大的改变,因而可能在清除HBsAg或HBeAg、抑制HBV DNA复制方面有着意想不到的效果。Compared with the natural flavonoid lignan compound quercetin, the quercetin dimer flavonoid compound (1) of the present invention has many different characteristics in structure and physicochemical properties, including its hydrophobicity, aromaticity, Gibb The free energy, hydrogen bond acceptor, electrical property, intermolecular van der Waals force, and 3D conformation, stretching direction, molecular center of gravity, conjugation degree, electrical distribution center and other properties are significantly different from quercetin; and the compound (1 ) molecular weight increased by 300 mass units than quercetin. The above-mentioned characteristics have all determined that the three-dimensional conformation of the compound shown in formula (1) is combined with the 3D space structure of HBsAg or HBeAg or even HBV DNA. The ligand-receptor binding complex morphology and binding mode may have larger differences. The binding site, binding mode, and its binding free energy will all change greatly, so it may have unexpected effects in clearing HBsAg or HBeAg and inhibiting HBV DNA replication.

我们测试了该化合物对HepG2.2.15细胞的生长抑制作用,同时测试了其对HepG2.2.15细胞分泌的乙型HBsAg、HBeAg及对HBVDNA复制的抑制活性。试验结果发现:本发明中合成得到的槲皮素二聚体黄酮对HepG2.2.15细胞分泌的HBsAg和HBeAg具有极其显著的抑制活性,在100微克/毫升浓度下其清除HBsAg和HBeAg的强度分别为65.7%和44.8%,分别超过阳性对照药物(10000单位/毫升的α-干扰素)4.1倍和2.7倍;同时,在该浓度时其对HBV DNA显示出44.8%的抑制率,且是α-干扰素在最高测试浓度时之抑制率的117%。以上均说明式(1)化合物有着意想不到的抗HBV效果,从而可以预期其可以作为清除HBsAg或HBeAg、抑制HBV DNA复制、治疗乙型病毒性肝炎之活性先导化合物继续开发。We tested the growth inhibitory effect of the compound on HepG2.2.15 cells, and tested its inhibitory activity on beta HBsAg, HBeAg secreted by HepG2.2.15 cells and HBV DNA replication. Test result finds: the quercetin dimer flavone synthesized in the present invention has extremely significant inhibitory activity to HBsAg and HBeAg secreted by HepG2. 65.7% and 44.8%, 4.1 times and 2.7 times more than the positive control drug (10000 units/ml of α-interferon) respectively; at the same time, it showed a 44.8% inhibitory rate to HBV DNA at this concentration, and it was α- The inhibition rate of interferon at the highest tested concentration was 117%. All the above shows that the compound of formula (1) has unexpected anti-HBV effect, so it can be expected that it can continue to be developed as an active lead compound for removing HBsAg or HBeAg, inhibiting HBV DNA replication, and treating hepatitis B.

经本发明人详细的文献查阅,到目前为止,尚无有关该化合物治疗乙肝病毒感染性疾病和制备抗乙肝病毒药物的报道。式(1)化合物槲皮素二聚体黄酮对于HBsAg、HBeAg和HBV DNA强效抑制均属于意想不到的发现,有着确切的原创性。综上所述,我们合成的该槲皮素二聚体黄酮既有结构上的独特性,又有抗病毒作用方面研究的新颖性,并在抗乙肝病毒活性测试中既发现了极为强效的抑制HBsAg的活性,又发现了显著的抑制HBeAg之活性,还发现其具有极强效的抑制HBV DNA复制活性;有望成为强效清除HBsAg或HBeAg、抑制HBV DNA复制及治疗CHB之非核苷类药物之先导化合物。According to the inventor's detailed literature review, so far, there is no report about the compound for treating hepatitis B virus infectious diseases and preparing anti-hepatitis B virus drugs. The discovery that the compound quercetin dimer flavonoids of formula (1) can effectively inhibit HBsAg, HBeAg and HBV DNA is an unexpected discovery, and has exact originality. In summary, the quercetin dimer flavone we synthesized has both structural uniqueness and novelty in the study of antiviral effects, and found extremely potent anti-HBV activity tests. Inhibit the activity of HBsAg, found significant inhibition of HBeAg activity, and found that it has a very strong inhibitory activity of HBV DNA replication; it is expected to become a non-nucleoside drug that can effectively eliminate HBsAg or HBeAg, inhibit HBV DNA replication and treat CHB the lead compound.

本发明有益之处在于:首次发现式(1)所示之槲皮素二聚体黄酮具有清除HBsAg或HBeAg、抑制HBV DNA复制的功效,以及其并在防治乙肝病毒感染疾病方面的成药潜力,为开发成为治疗乙肝病毒创新药物、开发清除乙型肝炎表面抗原HBsAg或乙肝e抗原HBeAg、抑制HBV DNA复制之非核苷类创新药物提供了新的物质基础。具有潜在巨大的社会效益和经济效益。本发明再一特点为:本发明之合成起始物来源方便,合成方便。其制备方法简单易行,原料来源方便易得,成本低,污染小,利于节能减排条件下的大规模生产。产业化前景十分明确。The present invention is beneficial in that it is first discovered that the quercetin dimer flavone shown in formula (1) has the effect of removing HBsAg or HBeAg, inhibiting HBV DNA replication, and its potential as a drug in the prevention and treatment of hepatitis B virus infection, It provides a new material basis for the development of innovative drugs for the treatment of hepatitis B virus, the development of non-nucleoside innovative drugs that clear hepatitis B surface antigen HBsAg or hepatitis B e antigen HBeAg, and inhibit HBV DNA replication. It has potentially huge social and economic benefits. Another feature of the present invention is: the source of the synthetic starting material of the present invention is convenient, and the synthesis is convenient. The preparation method is simple and easy, the raw material source is convenient and easy to obtain, the cost is low, the pollution is small, and it is beneficial to large-scale production under the condition of energy saving and emission reduction. The prospect of industrialization is very clear.

具体实施方式 Detailed ways

本发明人通过化学合成,并通过多种层析手段纯化得到该既能强效抑制乙肝HBsAg和HBeAg的分泌又能有效抑制HBV DNA复制活性的一个槲皮素二聚体黄酮类活性化合物,又经质谱和核磁共振波谱等综合解析推导出其化学结构。本发明人发现,式(1)化合物对HepG2.2.15细胞的生长无明显抑制作用,而对HepG2.2.15细胞分泌的乙肝HBsAg和HBeAg的分泌以及HBV DNA的复制具有显著的抑制作用,提示该化合物具有用药安全、强效清除HBsAg或HBeAg、及抑制HBV DNA复制高效的特点。因此,根据本发明人的研究,发明人所设计并合成的式(1)所示之槲皮素二聚体黄酮化合物可以用于制备治疗乙肝病毒感染性疾病的非核苷类药物和用于治疗乙肝病毒感染性疾病。The present inventor obtained a quercetin dimer flavonoid active compound that can effectively inhibit the secretion of hepatitis B HBsAg and HBeAg and effectively inhibit HBV DNA replication activity through chemical synthesis and purification by various chromatographic means. Its chemical structure was deduced by comprehensive analysis of mass spectrometry and nuclear magnetic resonance spectrum. The inventors have found that the compound of formula (1) has no significant inhibitory effect on the growth of HepG2.2.15 cells, but has significant inhibitory effect on the secretion of hepatitis B HBsAg and HBeAg secreted by HepG2.2.15 cells and the replication of HBV DNA, suggesting that the compound It has the characteristics of safe medication, powerful removal of HBsAg or HBeAg, and high efficiency in inhibiting HBV DNA replication. Therefore, according to the inventor's research, the quercetin dimer flavonoid compound shown in the formula (1) designed and synthesized by the inventor can be used for the preparation of non-nucleoside drugs for the treatment of hepatitis B virus infectious diseases and for the treatment of HBV infectious disease.

为了更好地理解本发明的实质,下面分别用式(1)化合物的制备及其对HepG2.2.15细胞生长抑制作用以及对HepG2.2.15细胞分泌的HBsAg、HBeAg及HBV DNA复制之抑制作用试验的结果,说明其在制药领域中的新用途。实施例给出了式(1)化合物的部分合成、结构鉴定、和活性数据。必须说明,本发明的实施例是用于说明本发明而不是对本发明的限制。根据本发明的实质对本发明进行的简单改进都属于本发明要求保护的范围。In order to better understand the essence of the present invention, the preparation of the compound of formula (1) and its inhibitory effect on HepG2.2.15 cell growth and the inhibitory effect test on HBsAg, HBeAg and HBV DNA replication of HepG2.2.15 cell secretion are respectively below As a result, its new use in the pharmaceutical field is illustrated. The examples give partial synthesis, structure identification, and activity data of compounds of formula (1). It must be noted that the embodiments of the present invention are used to illustrate the present invention rather than limit the present invention. The simple improvements made to the present invention according to the essence of the present invention all belong to the protection scope of the present invention.

实施例1:式(1)化合物的制备 Embodiment 1: the preparation of formula (1) compound

1.1仪器与试剂:1.1 Instruments and reagents:

紫外光谱用Shimadzu UV-240紫外分光光度计测定;核磁共振氢谱1H-NMR由INOVA型超导核磁共振波谱仪(VARIAN INOVA-400MHz)测定(四甲基硅醚TMS为内标);电喷雾质谱ESI-MS由BrukerEsquire 3000+质谱仪测定,柱层析用硅胶(100-200,200-300和300-400目)以及薄层层析用硅胶GF254(10-40目)均由青岛海洋化工厂生产;所用试剂均为分析纯,薄层制备层析(PTLC)用Merck公司的铝箔硅胶板;柱色谱用葡聚糖凝胶Sephadex LH-20采用瑞典Amersham Pharmacia Biotech AB公司产品;反相硅胶RP-18采用日本Fuji Silysia Chemical公司的Chromatorex产品;MCI为日本三菱化工公司产品,薄板(TLC)检测用254nm和365nm的紫外灯;显色剂用碘蒸气、10%硫酸-乙醇以及磷钼酸溶液。The ultraviolet spectrum was measured with a Shimadzu UV-240 ultraviolet spectrophotometer; the hydrogen nuclear magnetic resonance spectrum 1 H-NMR was measured by an INOVA superconducting nuclear magnetic resonance spectrometer (VARIAN INOVA-400MHz) (tetramethylsilyl ether TMS was used as internal standard); Spray mass spectrometry ESI-MS was determined by BrukerEsquire 3000+ mass spectrometer, silica gel for column chromatography (100-200, 200-300 and 300-400 mesh) and silica gel GF254 for thin layer chromatography (10-40 mesh) were all provided by Qingdao Marine Produced in a chemical factory; all reagents used were of analytical grade, and thin-layer preparative chromatography (PTLC) used aluminum foil silica gel plates from Merck Company; Sephadex LH-20 used for column chromatography was produced by Amersham Pharmacia Biotech AB in Sweden; reverse phase Silica gel RP-18 adopts the Chromatorex product of Fuji Silysia Chemical Company of Japan; MCI is the product of Mitsubishi Chemical Company of Japan, and thin plate (TLC) detection uses 254nm and 365nm ultraviolet lamps; Color developer uses iodine vapor, 10% sulfuric acid-ethanol and phosphorus molybdenum acid solution.

1.2式(1)化合物的制备:1.2 Preparation of formula (1) compound:

Figure GSA00000134379000101
Figure GSA00000134379000101

在干燥的反应瓶中加入343毫克槲皮素(本室自行制备,HPLC检测纯度98%),550毫克碳酸银,于氮气保护下加入20毫升干燥过的丙酮和60毫升无水苯溶液,在55-60℃之间搅拌20小时。混合物静置,滤除不溶物。母液减压浓缩,得黄色固体。以200~300目硅胶柱层析,以氯仿/甲醇(20∶1)洗脱。得黄色固体182毫克。Rf(氯仿∶甲醇=10∶1)=0.18;红外IR(KBr压片)cm-1:3195,1689,1647,1588,1495;核磁共振氢谱1H NMR(400MHz,氘代丙酮):6.05(双峰,J=2.0Hz,1H,H-6′),6.10(双峰,J=2.0Hz,1H,H-8′),6.28(双峰,J=2.0Hz,1H,H-6),6.62(双峰,J=2.0Hz,1H,H-8),6.81(双峰,J=8.4Hz,1H,H-13),7.16(双双峰,J=2.4,8.4Hz,1H,H-14′),7.29(双峰,J=8.0Hz,1H,H-13′),7.35(双峰,J=2.4Hz,H-10′),7.96(双峰,J=2.0Hz,1H,H-10),8.00(双双峰,J=2.0,8.8Hz,1H,H-14);核磁共振碳谱13C NMR(100MHz,氘代丙酮,δppm):91.4(C-3′),94.6(C-8),97.3(C-8′),98.0(C-6′),99.3(C-6),100.9(C-4′a),101.6(C-2′),104.2(C-4a),115.4(C-9′),116.5(C-14′),117.7(C-10),118.2(C-13),121.1(C-10′),123.4(C-14),126.2(C-9′),126.9(C-13),137.6(C-3),141.8(C-11),143.0(C-12),145.4(C-2,C-11′),147.6(C-12′),157.8(C-8a),160.7(C-8′a),162.3(C-4a),165.1(C-5′),165.2(C-7),169.2(C-7′),176.7(C-4),189.0(C-4′);电喷雾质谱ESI-MS:m/z 603[M+H]+(100)。Add 343 milligrams of quercetin (prepared by ourselves, HPLC detection purity 98%), 550 milligrams of silver carbonates in the dry reaction bottle, add 20 milliliters of dried acetone and 60 milliliters of anhydrous benzene solution under nitrogen protection, in Stir between 55-60°C for 20 hours. The mixture was left standing, and insoluble matter was filtered off. The mother liquor was concentrated under reduced pressure to obtain a yellow solid. It was chromatographed on a 200-300 mesh silica gel column and eluted with chloroform/methanol (20:1). 182 mg of a yellow solid was obtained. R f (chloroform:methanol=10:1)=0.18; Infrared IR (KBr tablet) cm -1 : 3195, 1689, 1647, 1588, 1495; 1 H NMR (400MHz, deuterated acetone): 6.05 (doublet, J=2.0Hz, 1H, H-6'), 6.10 (doublet, J=2.0Hz, 1H, H-8'), 6.28 (doublet, J=2.0Hz, 1H, H- 6), 6.62 (double peak, J=2.0Hz, 1H, H-8), 6.81 (double peak, J=8.4Hz, 1H, H-13), 7.16 (double double peak, J=2.4, 8.4Hz, 1H, H-14'), 7.29 (doublet, J=8.0Hz, 1H, H-13'), 7.35 (doublet, J=2.4Hz, H-10'), 7.96 (doublet, J=2.0 Hz, 1H, H-10), 8.00 (double doublet, J=2.0, 8.8Hz, 1H, H-14); 13 C NMR (100MHz, deuterated acetone, δppm): 91.4 (C- 3'), 94.6(C-8), 97.3(C-8'), 98.0(C-6'), 99.3(C-6), 100.9(C-4'a), 101.6(C-2') , 104.2(C-4a), 115.4(C-9′), 116.5(C-14′), 117.7(C-10), 118.2(C-13), 121.1(C-10′), 123.4(C- 14), 126.2 (C-9′), 126.9 (C-13), 137.6 (C-3), 141.8 (C-11), 143.0 (C-12), 145.4 (C-2, C-11′) , 147.6(C-12'), 157.8(C-8a), 160.7(C-8'a), 162.3(C-4a), 165.1(C-5'), 165.2(C-7), 169.2(C -7'), 176.7 (C-4), 189.0 (C-4'); Electrospray mass spectrometry ESI-MS: m/z 603 [M+H] + (100).

实施例2:化合物(1)对HepG2.2.15细胞分泌的乙型肝炎表面抗原(HBsAg)的抑制作用 Embodiment 2: Compound (1) inhibits the hepatitis B surface antigen (HBsAg) secreted by HepG2.2.15 cells

2.1细胞培养:2.1 Cell culture:

将HepG2.2.15细胞培养于含10%灭活胎牛血清,100U/毫升青霉素和100U/毫升链霉素,100微克/毫升G418的DMEM培养基中,置37℃,5%CO2,100%相对湿度的培养箱中培养。Culture HepG2.2.15 cells in DMEM medium containing 10% inactivated fetal bovine serum, 100 U/ml penicillin and 100 U/ml streptomycin, 100 μg/ml G418 at 37°C, 5% CO 2 , 100% cultured in a relative humidity incubator.

2.2采用MTT法测定式(1)化合物对HepG2.2.15细胞生长的抑制作用:2.2 The inhibitory effect of the compound of formula (1) on HepG2.2.15 cell growth was measured by MTT method:

取对数生长期的HepG2.2.15细胞,用培养基将细胞稀释成1×105个/毫升,接种于96孔细胞培养板,每孔100微升,在37℃,5%CO2,100%相对湿度的培养箱中培养24小时后加入用培养基稀释的化合物(1),浓度分别为1000、200、40和8微克/毫升,每孔200微升,每个浓度设三个复孔,置于37℃,5%CO2,100%相对湿度的培养箱中培养,培养72小时后,每孔加入MTT试剂10微升,继续培养4小时,弃去培养基,每孔加入DMSO 200微升,用振荡器振荡20分钟,在570nm波长下用酶标仪测定OD值。以只加培养基的培养孔为对照孔。抑制率(%)=对照孔OD值-实验组OD值)/对照孔OD值×100%。Take HepG2.2.15 cells in the logarithmic growth phase, dilute the cells to 1×10 5 cells/ml with medium, inoculate in 96-well cell culture plate, 100 microliters per well, at 37°C, 5% CO 2 , 100 After culturing in an incubator with % relative humidity for 24 hours, add compound (1) diluted with medium, the concentrations are 1000, 200, 40 and 8 micrograms/ml respectively, 200 microliters per hole, and three duplicate holes are set for each concentration , placed in an incubator at 37°C, 5% CO 2 , and 100% relative humidity. After culturing for 72 hours, add 10 microliters of MTT reagent to each well, continue culturing for 4 hours, discard the medium, and add 200 DMSO to each well. Microliter, shake with a shaker for 20 minutes, and measure the OD value with a microplate reader at a wavelength of 570nm. The wells in which only medium was added were used as control wells. Inhibition rate (%)=OD value of control well-OD value of experimental group)/OD value of control well×100%.

测定化合物1对乙型肝炎表面抗原(HBsAg)的抑制作用:取对数生长期的HepG2.2.15细胞,用培养基将细胞稀释成1×105/毫升,接种于96孔细胞培养板,每孔100毫升,在37℃,5%CO2,100%相对湿度的培养箱中培养24小时后加入用培养基稀释的样品,浓度分别为100、20和4微克/毫升,每孔200微升,每个浓度设三个复孔,置于37℃,5%CO2,100%相对湿度的培养箱中培养,每4天换含相同浓度样品的培养基,将同一样品同一浓度的换出的培养基等体积混匀,作为待测样品。用ELISA试剂盒测定培养基中HBsAg浓度,以P/N表示;以拉米呋啶(3-TC)为阳性对照1(测试浓度为100、20和4微克/毫升);以α-干扰素为阳性对照2(测试浓度为10000、5000和1000单位/毫升)。实验重复三次。Determination of the inhibitory effect of compound 1 on hepatitis B surface antigen (HBsAg): Take the HepG2.2.15 cells in the logarithmic growth phase, dilute the cells to 1×10 5 /ml with culture medium, and inoculate them in 96-well cell culture plates. Wells of 100 ml were cultured in an incubator at 37°C, 5% CO 2 , and 100% relative humidity for 24 hours, and then samples diluted with medium were added at concentrations of 100, 20 and 4 μg/ml, 200 μl per well , set three duplicate wells for each concentration, culture in an incubator at 37°C, 5% CO 2 , and 100% relative humidity, change the medium containing the same concentration of samples every 4 days, and replace the same sample with the same concentration Mix equal volumes of culture medium and use it as the sample to be tested. Measure the HBsAg concentration in the culture medium with an ELISA kit, expressed as P/N; take lamivudine (3-TC) as positive control 1 (the test concentration is 100, 20 and 4 μg/ml); use α-interferon It is positive control 2 (test concentration is 10000, 5000 and 1000 units/ml). Experiments were repeated three times.

2.3实验结果:2.3 Experimental results:

实验结果如表1所示,式(1)化合物有显著的抑制乙型肝炎表面抗原(HBsAg)的作用。其对HepG2.2.15细胞的生长无明显抑制作用,但对HepG2.2.15细胞分泌的HBsAg在第八天时高剂量下抑制活性高于拉米呋啶和α-干扰素。The experimental results are shown in Table 1, the compound of formula (1) has a significant effect of inhibiting hepatitis B surface antigen (HBsAg). It has no obvious inhibitory effect on the growth of HepG2.2.15 cells, but its inhibitory activity on HBsAg secreted by HepG2.2.15 cells is higher than that of lamivudine and α-interferon at high doses on the eighth day.

表1.样品第八天时对HepG2.2.15分泌的乙型肝炎表面抗原抑制率Table 1. The inhibition rate of hepatitis B surface antigen secreted by HepG2.2.15 on the eighth day of the sample

2.4结果说明:2.4 Result description:

该实施例结果说明:式(1)所示之槲皮素二聚体黄酮化合物对HepG2.2.15细胞分泌的乙型肝炎表面抗原(HBsAg)具有显著的抑制作用,在100微克/毫升浓度下其清除HBsAg的强度为65.7%,超过阳性对照药物(10000单位/毫升的α-干扰素)4.1倍;也超过阳性对照2拉米呋啶4.1倍;可见该槲皮素二聚体黄酮有很强的抑制病毒分泌表面抗原活性。The results of this example illustrate: the quercetin dimer flavonoid compound shown in formula (1) has a significant inhibitory effect on the hepatitis B surface antigen (HBsAg) secreted by HepG2.2.15 cells. The intensity of removing HBsAg is 65.7%, 4.1 times more than the positive control drug (10000 units/ml of α-interferon); also 4.1 times more than the positive control 2 lamivudine; it can be seen that the quercetin dimer flavone has a strong Inhibition of viral secreted surface antigen activity.

HBsAg清除是临床上最接近治愈的状态,对于乙肝患者,其HBsAg清除成为非常有价值的CHB治疗终点。因而式(1)所示之槲皮素二聚体黄酮化合物可预期发展为降低乙型肝炎表面抗原、控制病毒性乙型肝炎症状的非核苷类创新药物。HBsAg clearance is the closest clinical state to cure. For hepatitis B patients, HBsAg clearance has become a very valuable end point of CHB treatment. Therefore, the quercetin dimer flavonoid compound represented by formula (1) can be expected to be developed into a non-nucleoside innovative drug that reduces hepatitis B surface antigen and controls the symptoms of viral hepatitis B.

实施例3:化合物(1)对HepG2.2.15细胞分泌的乙型肝炎e抗原(HBeAg)的抑制作用 Embodiment 3: Compound (1) inhibits the hepatitis B e antigen (HBeAg) secreted by HepG2.2.15 cells

3.1细胞培养:方法同实施例2。3.1 Cell culture: the method is the same as in Example 2.

3.2采用MTT法测定由式(1)化合物对HepG2.2.15细胞生长的抑制作用:方法同实施例2。3.2 Determination of the inhibitory effect of the compound of formula (1) on the growth of HepG2.2.15 cells by MTT method: the method is the same as in Example 2.

3.3测定化合物对乙型肝炎e抗原(HBeAg)的抑制作用:取对数生长期的HepG2.2.15细胞,用培养基将细胞稀释成1×105/毫升,接种于96孔细胞培养板,每孔100毫升,在37℃,5%CO2,100%相对湿度的培养箱中培养24小时后加入用培养基稀释的样品,浓度分别为100微克/毫升,20微克/毫升和4微克/毫升,每孔200微升,每个浓度设三个复孔,置于37℃,5%CO2,100%相对湿度的培养箱中培养,每4天换含相同浓度样品的培养基,将同一样品同一浓度的换出的培养基等体积混匀,作为待测样品。用ELISA试剂盒测定培养基中HBeAg浓度,以P/N表示;以拉米呋啶(3-TC)为阳性对照1(注:拉米夫啶测试浓度为100微克/毫升,20微克/毫升和4微克/毫升);以α-干扰素为阳性对照2(注:α-干扰素测试浓度为10000单位/毫升,5000单位/毫升和1000单位/毫升)。3.3 Determination of the inhibitory effect of the compound on hepatitis B e antigen (HBeAg): Take the HepG2.2.15 cells in the logarithmic growth phase, dilute the cells to 1×10 5 /ml with medium, and inoculate them in a 96-well cell culture plate. Wells of 100 ml were cultured in an incubator at 37°C, 5% CO 2 , and 100% relative humidity for 24 hours, and then samples diluted with medium were added at concentrations of 100 μg/ml, 20 μg/ml and 4 μg/ml , 200 microliters per well, set three duplicate wells for each concentration, culture in an incubator at 37°C, 5% CO 2 , and 100% relative humidity, change the medium containing the same concentration of samples every 4 days, and mix the same The exchanged culture medium with the same concentration as the sample was mixed in equal volume and used as the sample to be tested. Measure the HBeAg concentration in the medium with an ELISA kit, and express it with P/N; take lamivudine (3-TC) as positive control 1 (note: the test concentration of lamivudine is 100 micrograms/ml, 20 micrograms/ml and 4 micrograms/ml); take α-interferon as positive control 2 (Note: α-interferon test concentration is 10000 units/ml, 5000 units/ml and 1000 units/ml).

3.4实验结果:实验结果如表2所示,式(1)化合物显示出非常显著的抑制乙型肝炎e抗原(HBeAg)的作用。其于40微克/毫升浓度下对HepG2.2.15细胞的生长无明显抑制作用,但在100微克/毫升浓度下其清除HBeAg的强度为44.8%,超过阳性对照药物2(10000单位/毫升的α-干扰素)2.7倍;而阳性对照1拉米呋啶在最高浓度(100微克/毫升)时对HBeAg抑制活性为零。3.4 Experimental results: The experimental results are shown in Table 2, the compound of formula (1) showed a very significant inhibitory effect on hepatitis B e antigen (HBeAg). It has no obvious inhibitory effect on the growth of HepG2.2.15 cells at a concentration of 40 micrograms/ml, but at a concentration of 100 micrograms/ml, the intensity of its removal of HBeAg is 44.8%, exceeding the positive control drug 2 (α- interferon) 2.7 times; and the positive control 1 lamivudine is zero to HBeAg inhibitory activity when the highest concentration (100 micrograms/ml).

表2.样品第八天时对HepG2.2.15分泌的乙型肝炎e抗原抑制率Table 2. The inhibition rate of Hepatitis B e antigen secreted by HepG2.2.15 on the eighth day of the sample

Figure GSA00000134379000141
Figure GSA00000134379000141

3.5结果说明:式(1)所示之槲皮素二聚体黄酮化合物其于40微克/毫升浓度下对HepG2.2.15细胞的生长无明显抑制作用,但其具有非常显著的抑制HBeAg活性,但在100微克/毫升浓度下其清除HBeAg的强度为44.8%,超过阳性对照药物2(10000单位/毫升的α-干扰素)2.7倍;更超过未显示抑制活性的阳性对照拉米呋啶。可见该槲皮素二聚体黄酮有显著的抑制乙肝病毒分泌HBeAg活性,因而可预期发展为降低乙型肝炎e抗原、控制病毒性乙型肝炎症状的药物。3.5 The result shows: the quercetin dimer flavonoid compound shown in formula (1) has no obvious inhibitory effect on the growth of HepG2.2.15 cells at a concentration of 40 micrograms per milliliter, but it has very significant inhibition of HBeAg activity, but At 100 micrograms/ml concentration, its HBeAg removal intensity is 44.8%, 2.7 times higher than the positive control drug 2 (10000 units/ml alpha-interferon); more than the positive control lamivudine that does not show inhibitory activity. It can be seen that the quercetin dimer flavone has significant activity of inhibiting the secretion of HBeAg by hepatitis B virus, and thus can be expected to be developed as a drug for reducing hepatitis B e antigen and controlling the symptoms of viral hepatitis B.

实施例4:式(1)化合物对HepG2.2.15细胞分泌的乙型肝炎病毒脱氧核糖核酸(HBV DNA)复制的抑制作用 Embodiment 4: formula (1) compound is to HepG2.2.15 cell secreted hepatitis B virus deoxyribonucleic acid (HBV DNA) replication inhibitory effect

4.1细胞培养:方法同实施例2。4.1 Cell culture: the method is the same as in Example 2.

4.2采用MTT法测定式(1)所示之黄酮木脂素化合物对HepG2.2.15细胞生长的抑制作用:方法同实施例2。4.2 MTT method was used to measure the inhibitory effect of the flavonoid lignan compound represented by formula (1) on the growth of HepG2.2.15 cells: the method was the same as in Example 2.

4.3测定式(1)所示之槲皮素二聚体黄酮化合物对乙型肝炎病毒脱氧核糖核酸(HBV DNA)复制的抑制作用:取对数生长期的HepG2.2.15细胞,用培养基将细胞稀释成1×105个/毫升,接种于96孔细胞培养板,每孔100微升,在37℃,5%CO2,100%相对湿度的培养箱中培养24小时后加入用培养基稀释的式(1)所示之槲皮素二聚体黄酮化合物,浓度分别为100微克/毫升,20微克/毫升和4微克/毫升,每孔200微升,每个浓度设三个复孔,置于37℃,5%CO2,100%相对湿度的培养箱中培养,每4天换含相同浓度样品的培养基,将同一样品同一浓度的换出的培养基等体积混匀,作为待测样品。第8天时用HBV DNA定量PCR试剂盒测定培养基中HBV DNA浓度。以拉米呋啶(3-TC)为阳性对照1(注:拉米呋啶测试浓度为100微克/毫升,20微克/毫升和4微克/毫升),以α-干扰素为阳性对照2(注:α-干扰素测试浓度为10000单位/毫升,5000单位/毫升和1000单位/毫升)。4.3 The inhibitory effect of the quercetin dimer flavonoid compound shown in the assay formula (1) on the replication of hepatitis B virus deoxyribonucleic acid (HBV DNA): get the HepG2.2.15 cells in the logarithmic growth phase, and use the culture medium to divide the cells Diluted to 1× 105 cells/ml, inoculated in 96-well cell culture plate, 100 microliters per well, cultured in an incubator at 37°C, 5% CO 2 , 100% relative humidity for 24 hours, then added diluted with medium The quercetin dimer flavonoid compound shown in the formula (1), the concentration is respectively 100 micrograms/ml, 20 micrograms/ml and 4 micrograms/ml, 200 microliters in every hole, each concentration establishes three duplicate holes, Place it in an incubator at 37°C, 5% CO 2 , and 100% relative humidity. Change the culture medium containing the same sample concentration every 4 days. Test samples. On the 8th day, the HBV DNA concentration in the culture medium was measured with a HBV DNA quantitative PCR kit. With lamivudine (3-TC) as positive control 1 (note: the test concentration of lamivudine is 100 micrograms/ml, 20 micrograms/ml and 4 micrograms/ml), with α-interferon as positive control 2 ( NOTE: α-interferon tested at concentrations of 10,000 units/mL, 5,000 units/mL, and 1,000 units/mL).

4.4实验结果:实验结果举例说明如表3所示,槲皮素二聚体黄酮式(1)化合物具有强效的抑制乙型肝炎病毒脱氧核糖核酸复制的作用。4.4 Experimental results: Examples of experimental results As shown in Table 3, the compound of quercetin dimer flavone formula (1) has a strong effect of inhibiting the replication of hepatitis B virus DNA.

表3样品第8天时对HepG2.2.15细胞的HBV DNA复制的抑制率The inhibiting rate of the HBV DNA replication of HepG2.2.15 cells in the 8th day of table 3 sample

Figure GSA00000134379000151
Figure GSA00000134379000151

4.5结果说明:式(1)所示之槲皮素二聚体黄酮化合物对乙型肝炎病毒脱氧核糖核酸(HBV DNA)的复制具有极为强效的抑制作用,在100微克/毫升浓度下其对HBV DNA显示出44.8%的抑制率,且是α-干扰素在最高测试浓度时之抑制率的117%。因此,该槲皮素二聚体黄酮化合物属于显著有效的非核苷类抑制乙肝病毒天然产物,非常值得进一步关注和深入研究,并可预期进一步优化发展为抑制HBVDNA复制的非核苷类创新药物。4.5 Result shows: the quercetin dimer flavonoid compound shown in formula (1) has extremely potent inhibition to the replication of hepatitis B virus deoxyribonucleic acid (HBV DNA), at 100 micrograms/ml concentration its to HBV DNA showed an inhibition rate of 44.8%, which was 117% of that of alpha-interferon at the highest tested concentration. Therefore, this quercetin dimer flavonoid compound is a significant and effective non-nucleoside natural product for inhibiting hepatitis B virus, which is worthy of further attention and in-depth research, and can be expected to be further optimized and developed as an innovative non-nucleoside drug that inhibits HBV DNA replication.

在上述说明书阐述本发明时,同时提供了实施例的目的是举例说明本发明的实际操作过程和本发明的意义。在进入本发明权利要求和其等同物范围内时,本发明的实际应用包括所有一般变化、配合,或改进。When the above description explains the present invention, the purpose of providing examples is to illustrate the practical operation process of the present invention and the significance of the present invention. The practice of the present invention includes all common changes, adaptations, or improvements when coming within the scope of the claims of the present invention and their equivalents.

Claims (4)

1. the flavonoid quercetin dimmer that has structure shown in the formula (1) is used for the purposes of preparation treatment hepatitis B medicine;
Figure FSB00000627185700011
2. the flavonoid quercetin dimmer that has structure shown in the formula (1) is used for the purposes that preparation reduces hepatitis B virus surface antigen HBsAg medicine,
3. the flavonoid quercetin dimmer that has structure shown in the formula (1) is used for the purposes that hepatitis B virus e antigen HBeAg medicine is removed in preparation,
Figure FSB00000627185700013
4. the flavonoid quercetin dimmer that has structure shown in the formula (1) is used for the purposes that preparation suppresses hepatitis B virus DNA HBV dna replication dna medicine,
Figure FSB00000627185700014
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