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CN103130854A - Vitamin E succinic acid esterification gemcitabine prodrug and application - Google Patents

Vitamin E succinic acid esterification gemcitabine prodrug and application Download PDF

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CN103130854A
CN103130854A CN2013100368080A CN201310036808A CN103130854A CN 103130854 A CN103130854 A CN 103130854A CN 2013100368080 A CN2013100368080 A CN 2013100368080A CN 201310036808 A CN201310036808 A CN 201310036808A CN 103130854 A CN103130854 A CN 103130854A
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gemcitabine
vitamin
dfdc
prodrug
succinate
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罗宇
杜芳
余家会
吕伟
杨波
何俏军
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Zhejiang University ZJU
East China Normal University
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Zhejiang University ZJU
East China Normal University
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Abstract

The invention discloses a vitamin E succinic acid esterification gemcitabine prodrug which is characterized in that vitamin E succinic acid ester is connected with N4-amino of gemcitabine through an amido bond and the vitamin E succinic acid esterification gemcitabine prodrug has the following formula structure. By means of the vitamin E succinic acid esterification gemcitabine prodrug, the defect that gemcitabine (dFdC) is fast in metabolism is overcome, cycling time of the dFdC is a human body is prolonged, the mode in which the dFdC entering a cell is changed, namely the dFdC no longer enters into the cell relying on a nucleoside transport protein carrier, thus generation of drug resistance is avoided, meanwhile toxic and side effects of the dFdC are reduced furthest, curative effects and bioavailability are improved notably, and the bottleneck that the clinical effect of the dFdC on pancreatic is non-ideal at present is broken.

Description

维生素E琥珀酸酯化吉西他滨前药及应用Prodrug of vitamin E succinate gemcitabine and its application

技术领域 technical field

本发明涉及抗肿瘤药物研发领域,具体地说是一种维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药及应用。 The invention relates to the field of research and development of antitumor drugs, in particular to a prodrug of vitamin E succinate gemcitabine (VES-dFdC) and its application.

背景技术 Background technique

吉西他滨(Gemcitabine,dFdC),化学名称为(+)2‵-脱氧-2‵, 2‵-二氟胞嘧啶,是一种新型嘧啶类脱氧核苷类似物,能插入至DNA链中脱氧胞苷的位点,并允许鸟苷与其配对,鸟苷的"掩蔽"使其免受核糖核酸外切酶的移除修复,然后导致DNA链合成停止,进而DNA断裂、细胞调亡。临床实践证明dFdC具有抗癌谱广,能与多种抗肿瘤药物有协同作用等特点,为当前联合化疗中常用的药物之一,尤其对治疗胰腺癌、乳腺癌、非小细胞肺癌等恶性肿瘤有较好的疗效。然而dFdC 4’位上的氨基极易被脱氧胞苷脱氨酶代谢为羰基而失活,导致其体内半衰期短(仅有32~94分钟)。因此为了达到治疗肿瘤所需要的最佳浓度,必须持续静脉注射给药,而这种持续性给药不仅仅给病患带来疼痛,同时也大大增加了毒副作用,严重影响治疗效果。此外,临床实践表明:dFdC治疗胰腺癌等肿瘤很容易产生耐药性,耐药性的产生通常导致治疗效果不理想,甚至治疗失败。dFdC耐药性的产生与其化学结构及理化性质密切相关。水溶性的dFdC必须通过特定的核苷转运蛋白载体进入细胞,当这种核苷转运蛋白缺失,肿瘤极易产生耐药性。因此,寻找新型高效,低毒副作用,对肿瘤组织或细胞有高渗透性的dFdC前体药物成为提高其治疗指数的有效措施。 Gemcitabine (Gemcitabine, dFdC), the chemical name is (+) 2‵-deoxy-2‵, 2‵-difluorocytosine, is a new type of pyrimidine deoxynucleoside analogs, which can be inserted into the DNA chain deoxycytidine The site of guanosine and allows guanosine to pair with it, and the "masking" of guanosine prevents it from being removed and repaired by exoribonuclease, which then leads to the cessation of DNA chain synthesis, resulting in DNA fragmentation and cell apoptosis. Clinical practice has proved that dFdC has a broad anti-cancer spectrum and can have synergistic effects with a variety of anti-tumor drugs. It is one of the commonly used drugs in combination chemotherapy, especially for the treatment of malignant tumors such as pancreatic cancer, breast cancer, and non-small cell lung cancer. Have better curative effect. However, the amino group at the 4' position of dFdC is easily metabolized to a carbonyl group by deoxycytidine deaminase and inactivated, resulting in a short half-life in vivo (only 32-94 minutes). Therefore, in order to achieve the optimal concentration required for the treatment of tumors, continuous intravenous administration is necessary, and this continuous administration not only brings pain to patients, but also greatly increases toxic and side effects, seriously affecting the therapeutic effect. In addition, clinical practice has shown that: dFdC treatment of pancreatic cancer and other tumors is prone to drug resistance, and the generation of drug resistance usually leads to unsatisfactory treatment effects or even treatment failure. The generation of dFdC drug resistance is closely related to its chemical structure and physical and chemical properties. Water-soluble dFdC must enter cells through a specific nucleoside transporter carrier. When this nucleoside transporter is missing, tumors are prone to drug resistance. Therefore, finding new dFdC prodrugs with high efficiency, low toxicity and high permeability to tumor tissues or cells has become an effective measure to improve their therapeutic index.

对水溶性抗肿瘤药物而言,对其进行脂质化改造后不仅可以提高药物分子在体内的理化性质,药代动力学和药效动力学性质,而且因其结构与体内大部分膜组成成分类似,使其具有更好的膜渗透能力;此外,肿瘤生长需要大量的脂质作为能量来源,这就使得脂质化后的前药能在肿瘤组织中选择性聚集,从而产生更好地治疗效果,并降低对正常组织的毒副作用。专利(CN 102617679 A)用共轭亚油酸修饰dFdC的氨基,发现可以通过改变dFdC的脂溶性影响其跨细胞膜转运机制,以达到克服dFdC因核苷转运蛋白缺失而引起的耐药性。Zhengrong Cui等将dFdC的氨基用硬脂酸修饰得硬脂酸化吉西他滨,并进一步制成固体脂质纳米粒,发现硬脂酸化dFdC纳米粒对裸鼠肺癌肿瘤具有良好的抑制生长活性(Journal of Controlled Release, 157 (2012), 132–140)。 For water-soluble antineoplastic drugs, lipid modification can not only improve the physical and chemical properties, pharmacokinetics and pharmacodynamic properties of drug molecules in vivo, but also because of their structure and most of the membrane components in the body Similarly, it has better membrane penetration; in addition, tumor growth requires a large amount of lipids as an energy source, which allows lipidated prodrugs to selectively aggregate in tumor tissues, resulting in better therapeutic effect, and reduce the toxic side effects on normal tissues. The patent (CN 102617679 A) uses conjugated linoleic acid to modify the amino group of dFdC, and found that it can change the lipid solubility of dFdC to affect its transmembrane transport mechanism, so as to overcome the drug resistance of dFdC caused by the lack of nucleoside transporter. Zhengrong Cui et al. modified the amino group of dFdC with stearic acid to obtain stearated gemcitabine, and further made solid lipid nanoparticles, and found that stearated dFdC nanoparticles had good growth inhibitory activity on lung cancer tumors in nude mice (Journal of Controlled Release, 157 (2012), 132–140).

维生素E是一种脂溶性维生素,它的衍生物维生素E琥珀酸酯(VES)具有诱导多种肿瘤细胞凋亡的作用。值得一提的是,VES具有良好的抗肿瘤选择性,在杀死癌细胞的同时,对正常组织不会产生毒副作用。 Vitamin E is a fat-soluble vitamin, and its derivative vitamin E succinate (VES) can induce apoptosis of various tumor cells. It is worth mentioning that VES has good anti-tumor selectivity, while killing cancer cells, it will not produce toxic side effects on normal tissues.

发明内容 Contents of the invention

本发明的目的是提供一种脂质化的吉西他滨前药,即针对dFdC和现有dFdC前体药物的不足,并充分考虑其产生抗肿瘤活性的机制,设计、合成了维生素E琥珀酸酯化吉西他滨酰胺(VES-dFdC)前药,并将该前药用作制备治疗胰腺癌等恶性肿瘤的药物。 The purpose of the present invention is to provide a lipidated gemcitabine prodrug, which aims at dFdC and the deficiencies of existing dFdC prodrugs, and fully considers the mechanism of its anti-tumor activity, designs and synthesizes vitamin E succinate The gemcitabine amide (VES-dFdC) prodrug is used as a drug for the preparation of malignant tumors such as pancreatic cancer.

本发明的目的是这样实现的: The purpose of the present invention is achieved like this:

一种维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药,特点是:维生素E琥珀酸酯(VES)与吉西他滨(dFdC)的N4位氨基通过酰胺键相连,其具有以下结构: A prodrug of vitamin E succinate gemcitabine (VES-dFdC), which is characterized in that vitamin E succinate (VES) is connected to the N4 amino group of gemcitabine (dFdC) through an amide bond, and has the following structure:

Figure 2013100368080100002DEST_PATH_IMAGE002
 
Figure 2013100368080100002DEST_PATH_IMAGE002
 

一种维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药的制备方法,该方法包括以下具体步骤: A preparation method of vitamin E succinate gemcitabine (VES-dFdC) prodrug, the method comprising the following specific steps:

a)氮气保护下,取维生素E琥酯、三乙胺溶于无水四氢呋喃中,将氯甲酸异丁酯溶于四氢呋喃滴加入反应体系,-15℃搅拌10~30 min形成混合酸酐溶液;其中:维生素E琥酯、氯甲酸异丁酯与三乙胺的投料摩尔比为1:1:1.2,维生素E琥酯的最优反应浓度为20-200 mM; a) Under nitrogen protection, dissolve vitamin E succinate and triethylamine in anhydrous tetrahydrofuran, dissolve isobutyl chloroformate in tetrahydrofuran and add dropwise to the reaction system, and stir at -15°C for 10 to 30 minutes to form a mixed anhydride solution; : The molar ratio of vitamin E succinate, isobutyl chloroformate and triethylamine is 1:1:1.2, and the optimal reaction concentration of vitamin E succinate is 20-200 mM;

b) 将吉西他滨溶于无水N,N-二甲基甲酰胺,于-15℃滴加入混合酸酐溶液,氮气保护下室温搅拌48~72 h;其中:吉西他滨与维生素E琥酯的投料摩尔比为1:0.5~2,吉西他滨的最优反应浓度为20-200 mM; b) Dissolve gemcitabine in anhydrous N,N-dimethylformamide, add the mixed anhydride solution dropwise at -15°C, and stir at room temperature for 48-72 h under nitrogen protection; wherein: the molar ratio of gemcitabine to vitamin E succinate The optimal reaction concentration of gemcitabine is 20-200 mM;

c) 将步骤b)的反应液浓缩,粗产物分别用饱和碳酸氢钠和纯水洗涤,并用乙酸乙酯萃取,将有机相合并,加入无水MgSO4充分干燥,柱层析法提纯,旋转蒸发除掉溶剂,真空干燥,得到所述维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药;其中:柱层析使用的洗脱剂为乙酸乙酯和石油醚的混合溶剂,乙酸乙酯和石油醚的体积比为1~3:1。 c) Concentrate the reaction solution of step b), wash the crude product with saturated sodium bicarbonate and pure water respectively, and extract with ethyl acetate, combine the organic phases, add anhydrous MgSO4 fully dry, purify by column chromatography, spin The solvent was evaporated and dried in vacuo to obtain the vitamin E succinate-esterified gemcitabine (VES-dFdC) prodrug; wherein: the eluent used in column chromatography was a mixed solvent of ethyl acetate and petroleum ether, ethyl acetate The volume ratio with petroleum ether is 1-3:1.

一种维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药的应用,特点是该前药在制备治疗胰腺癌、乳腺癌、非小细胞肺癌、膀胱癌、白血病药物上的应用。 The application of a prodrug of vitamin E succinate gemcitabine (VES-dFdC) is characterized in that the prodrug is used in the preparation of drugs for treating pancreatic cancer, breast cancer, non-small cell lung cancer, bladder cancer and leukemia.

本发明的前药依照现有技术,将VES-dFdC前药溶于乙二醇乙醚,加入表面活性剂,制成淡黄色澄清溶液;该溶液用生理盐水或5%的葡萄糖注射液稀释,制成针剂。 According to the prior art, the prodrug of the present invention dissolves the VES-dFdC prodrug in ethylene glycol ether, adds a surfactant, and makes a light yellow clear solution; the solution is diluted with normal saline or 5% glucose injection to prepare Injection.

本发明的维生素E琥珀酸酯化吉西他滨(VES-dFdC)前药,改善了dFdC代谢快的缺陷,延长了它在体内的循环时间,改变其进入细胞的模式,不再依赖核苷转运蛋白载体进入细胞,因此克服了耐药性的产生,同时最大限度降低其毒副作用,显著提高了疗效和生物利用度,突破了目前dFdC治疗胰腺癌临床效果不理想的瓶颈。 The vitamin E succinate gemcitabine (VES-dFdC) prodrug of the present invention improves the defect of fast metabolism of dFdC, prolongs its circulation time in the body, changes its mode of entering cells, and no longer relies on nucleoside transporter carriers Entering cells, thus overcoming the generation of drug resistance, while minimizing its toxic and side effects, significantly improving the curative effect and bioavailability, breaking through the bottleneck of the current unsatisfactory clinical effect of dFdC in the treatment of pancreatic cancer.

附图说明 Description of drawings

图1为本发明前药的化学结构图; Fig. 1 is the chemical structure figure of prodrug of the present invention;

图2为本发明前药的核磁谱图; Fig. 2 is the NMR spectrum of prodrug of the present invention;

图3为本发明前药的红外谱图; Fig. 3 is the infrared spectrogram of prodrug of the present invention;

图4为本发明前药VES-dFdC的细胞毒性图; Fig. 4 is the cytotoxicity figure of prodrug VES-dFdC of the present invention;

图5为本发明前药针剂对移植瘤体积的影响曲线图;其中:曲线1为生理盐水组;曲线2为市售吉西他滨盐酸盐组;曲线3为实验合成吉西他滨盐酸盐组;曲线4为本发明的VES-dFdC组; Fig. 5 is the influence curve figure of prodrug injection of the present invention on transplanted tumor volume; Wherein: Curve 1 is normal saline group; Curve 2 is commercially available gemcitabine hydrochloride group; Curve 3 is experimentally synthesized gemcitabine hydrochloride group; Curve 4 is the VES-dFdC group of the present invention;

图6为本发明前药针剂对移植瘤的相对瘤体积的影响曲线图;其中:曲线1为生理盐水组;曲线2为市售吉西他滨盐酸盐组;曲线3为实验合成吉西他滨盐酸盐组;曲线为本发明的VES-dFdC组; Fig. 6 is a graph showing the influence of the prodrug injection of the present invention on the relative tumor volume of transplanted tumors; wherein: curve 1 is the normal saline group; curve 2 is the commercially available gemcitabine hydrochloride group; curve 3 is the experimentally synthesized gemcitabine hydrochloride group ; The curve is the VES-dFdC group of the present invention;

图7为本发明前药针剂对移植瘤的实验治疗作用效果图;其中:控制组为生理盐水组;G阳性为市售吉西他滨盐酸盐组;G受试为实验合成吉西他滨盐酸盐组;VE-G为本发明的VES-dFdC组。 Fig. 7 is the effect diagram of the experimental therapeutic effect of the prodrug injection of the present invention on transplanted tumors; wherein: the control group is the normal saline group; G positive is the commercially available gemcitabine hydrochloride group; G is tested as the experimentally synthesized gemcitabine hydrochloride group; VE-G is the VES-dFdC group of the present invention.

具体实施方式 Detailed ways

下面用实施例来进一步说明本发明,但本发明并不仅限于此。 Further illustrate the present invention with embodiment below, but the present invention is not limited thereto.

实施例1、VES-dFdC前药的合成 Embodiment 1, the synthesis of VES-dFdC prodrug

取VES(530 mg, 1mmol),三乙胺(0.17 mL,1.2 mmol)溶于15 mL无水四氢呋喃(THF),冷却至-15℃。待温度恒定后,将0.13 mL氯甲酸异丁酯溶于5 mL THF 滴加入反应体系中,氮气保护下-15℃反应30 min。取dFdC(263mg,1mmol)溶于15 mL N, N-二甲基甲酰胺(DMF),逐滴加入反应体系。滴加完毕后,室温搅拌72 h。将反应液浓缩,得到淡黄色油状液体,用饱和碳酸氢钠溶液和纯水先后洗涤数次,乙酸乙酯萃取,合并乙酸乙酯相,无水MgSO4充分干燥,过滤,浓缩,得到白色粘稠固体。以乙酸乙酯和石油醚为洗脱剂,柱层析法分离得到纯净产物为白色固体粉末,产率:53%,液相色谱纯度为99.4%;结构及结构表征见图1、图2及图3。 Dissolve VES (530 mg, 1 mmol) and triethylamine (0.17 mL, 1.2 mmol) in 15 mL of anhydrous tetrahydrofuran (THF) and cool to -15°C. After the temperature was constant, 0.13 mL of isobutyl chloroformate dissolved in 5 mL of THF was added dropwise into the reaction system, and reacted at -15°C for 30 min under nitrogen protection. Dissolve dFdC (263 mg, 1 mmol) in 15 mL N, N-dimethylformamide (DMF), and add it to the reaction system dropwise. After the dropwise addition, it was stirred at room temperature for 72 h. Concentrate the reaction solution to obtain a light yellow oily liquid, wash it several times with saturated sodium bicarbonate solution and pure water, extract with ethyl acetate, combine the ethyl acetate phases, fully dry with anhydrous MgSO 4 , filter, and concentrate to obtain a white viscous Thick solid. Using ethyl acetate and petroleum ether as eluents, the pure product was separated by column chromatography as a white solid powder, with a yield of 53% and a liquid chromatography purity of 99.4%; the structure and structural characterization are shown in Figure 1, Figure 2 and image 3.

实施例2、VES-dFdC细胞毒性 Example 2, VES-dFdC cytotoxicity

将处在对数生长期BxPC-3细胞悬浮于新鲜的含有1%双抗和10%小牛血清的RPMI1640 培养基中,并接种于96 孔板中(5×103 个细胞/孔),于37℃和含有5%浓度的CO2 细胞培养箱中培养24 h,弃除该培养液,每孔加入溶有不同浓度的dFdC或VES-dFdC的新鲜培养基100 μL,继续培养24 h后,每孔再加入溶有5 mg/mL噻唑蓝的磷酸缓冲溶液10 μL,在37 oC和5% CO2浓度的环境下继续培养4 h,吸出培养液,于每孔加入100 μL的二甲亚砜溶解甲臜,采用酶标仪(波长570 nm处)测定该甲臜溶液的吸光度(OD值),并应用如下公式计算BxPC-3细胞的相对存活率。 BxPC-3 cells in the logarithmic growth phase were suspended in fresh RPMI1640 medium containing 1% double antibody and 10% calf serum, and seeded in 96-well plates (5×10 3 cells/well), Cultivate at 37°C for 24 h in a CO 2 cell incubator containing 5% concentration, discard the culture medium, add 100 μL of fresh medium dissolved in different concentrations of dFdC or VES-dFdC to each well, and continue to culture for 24 h Add 10 μL of phosphate buffer solution containing 5 mg/mL thiazolyl blue to each well, continue to incubate for 4 h at 37 oC and 5% CO2 concentration, suck out the culture medium, and add 100 μL of dimethylformazol to each well Dissolve formazan in sulfoxide, measure the absorbance (OD value) of the formazan solution with a microplate reader (at a wavelength of 570 nm), and use the following formula to calculate the relative survival rate of BxPC-3 cells.

细胞存活率(%)=(OD实验组/OD对照组)× 100% Cell survival rate (%) = (OD experimental group /OD control group ) × 100%

其结果见图4。 The results are shown in Figure 4.

实施例3、VES-dFdC针剂抑制胰腺癌生长活性评价 Example 3, Evaluation of VES-dFdC Injection Inhibiting Pancreatic Cancer Growth Activity

将24只肿瘤生长均匀的裸鼠随机分为4组:(1)Control组,6只,每周一次尾静脉注射给予0.9% NaCl溶液0.1 mL/10g;(2)吉西他滨(上市药品)阳性组(50 mg/kg),6只,每周一次尾静脉注射给予5.0 mg/mL的吉西他滨溶液 0.1 mL/10g;(3)吉西他滨受试组(50 mg/kg),6只,每周一次尾静脉注射给予5 mg/ml的吉西他滨受试溶液 0.1 mL/10g;(4)VES-dFdC针剂组(50 mg/kg),6只,每周一次尾静脉注射给予5 mg/mL的VES-dFdC针剂0.1 mL/10g。每周测量肿瘤体积及体重两次,于第15天称量体重,测量肿瘤体积,处死裸小鼠后取瘤块称量瘤重,计算相对肿瘤体积(RTV)、相对肿瘤增值率(T/C)和肿瘤抑制百分率,做统计学分析。按下式计算肿瘤体积V: 24 nude mice with uniform tumor growth were randomly divided into 4 groups: (1) Control group, 6 mice were given 0.9% NaCl solution 0.1 mL/10g by tail vein injection once a week; (2) Gemcitabine (marketed drug) positive group (50 mg/kg), 6 rats, administered 5.0 mg/mL gemcitabine solution 0.1 mL/10g by tail vein injection once a week; (3) Gemcitabine test group (50 mg/kg), 6 rats, once a week Intravenous injection of 5 mg/ml gemcitabine test solution 0.1 mL/10g; (4) VES-dFdC injection group (50 mg/kg), 6 rats, 5 mg/mL VES-dFdC by tail vein injection once a week Injection 0.1 mL/10g. The tumor volume and body weight were measured twice a week, and the body weight was weighed on the 15th day to measure the tumor volume. After the nude mice were sacrificed, the tumor block was taken to weigh the tumor weight, and the relative tumor volume (RTV) and relative tumor growth rate (T/ C) and tumor inhibition percentage, for statistical analysis. The tumor volume V was calculated according to the following formula:

V = 3.14 (a × b2) / 6 V = 3.14 (a × b 2 ) / 6

式中a, b分别为肿瘤最大和最小尺寸,结果见图5、图6及图7。 In the formula, a and b are the largest and smallest size of the tumor, respectively, and the results are shown in Fig. 5, Fig. 6 and Fig. 7.

Claims (3)

1. a VE-succinate gemcitabine prodrug, is characterized in that VE-succinate is connected by amido linkage with the N4 bit amino of gemcitabine, and it has following structure:
Figure 345638DEST_PATH_IMAGE001
2. the preparation method of the described prodrug of claim 1 is characterized in that the method comprises following concrete steps:
A) under the nitrogen protection, get vitamin-E amber ester, triethylamine is dissolved in anhydrous tetrahydro furan, isobutyl chlorocarbonate is dissolved in anhydrous tetrahydro furan is added dropwise to reaction system ,-15 ℃ are stirred 10~30 min and form the mixed acid anhydride solution; Wherein: the molar ratio of vitamin-E amber ester, isobutyl chlorocarbonate and triethylamine is 1:1:1.2, and the reaction density of vitamin-E amber ester is 20~200 mM;
B) gemcitabine is dissolved in anhydrous DMF, is added dropwise to mixed acid anhydride solution, stirring at room 48~72 h under nitrogen protection in-15 ℃; Wherein: the molar ratio of gemcitabine and vitamin-E amber ester is 1:0.5~2, and the reaction density of gemcitabine is 20~500 mM;
C) with step b) reaction solution concentrated, crude product is respectively with saturated sodium bicarbonate and pure water washing, and use ethyl acetate extraction, with the organic phase merging, adds anhydrous MgSO 4Fully dry, column chromatography is purified, and rotary evaporation is removed solvent, and vacuum-drying obtains described VE-succinate gemcitabine prodrug; Wherein: the eluent that column chromatography uses is the mixed solvent of ethyl acetate and sherwood oil, and the volume ratio of ethyl acetate and sherwood oil is 1~3:1.
3. the application of the described VE-succinate gemcitabine of claim 1 prodrug is characterized in that the application of this prodrug on preparation treatment carcinoma of the pancreas, mammary cancer, nonsmall-cell lung cancer, bladder cancer and leukemia medicament.
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CN108341798A (en) * 2017-01-23 2018-07-31 沈阳药科大学 Rotigotine derivative and its preparation and application
CN108341798B (en) * 2017-01-23 2021-05-25 沈阳药科大学 Rotigotine derivatives and their preparation and application
CN113307838A (en) * 2021-05-11 2021-08-27 中国医学科学院医药生物技术研究所 Hybrid molecular compound and application thereof in treating tumors

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