CN103948689A - Medicinal composition for treating non-small cell lung cancer and application thereof - Google Patents
Medicinal composition for treating non-small cell lung cancer and application thereof Download PDFInfo
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Abstract
本发明公开一种用于治疗非小细胞肺癌的药物组合物,包括靶向药物,化疗药物和中药,其中靶向药物选自硼替佐米、伊马替尼、吉非替尼和舒尼替尼中的一种或多种;化疗药物选自5-氟尿嘧啶、卡铂、表柔比星、阿霉素和氟达拉滨中的一种或多种;中药选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。本发明所述药物组合物用于治疗非小细胞肺癌均具有显著的协同治疗作用,相对于单一的药物治疗能够显著的增强抑癌效果,减少药物用量,降低化疗药物的毒副作用。The invention discloses a pharmaceutical composition for treating non-small cell lung cancer, including targeted drugs, chemotherapy drugs and traditional Chinese medicines, wherein the targeted drugs are selected from bortezomib, imatinib, gefitinib and sunitinib One or more of Nigeria; chemotherapy drugs are selected from one or more of 5-fluorouracil, carboplatin, epirubicin, doxorubicin and fludarabine; Chinese medicine is selected from Danshen, Astragalus, Sappan One or more of Pulsatilla, Pulsatilla and Purslane. The pharmaceutical composition of the present invention has a significant synergistic therapeutic effect when used for the treatment of non-small cell lung cancer, can significantly enhance the tumor suppressing effect, reduce the dosage of drugs, and reduce the toxic and side effects of chemotherapy drugs compared with single drug treatment.
Description
技术领域technical field
本发明属于药物技术领域,具体涉及用于治疗非小细胞肺癌的药物组合物及其在治疗非小细胞肺癌方面的应用。The invention belongs to the technical field of medicines, and in particular relates to a pharmaceutical composition for treating non-small cell lung cancer and its application in treating non-small cell lung cancer.
背景技术Background technique
肺癌是肺组织内细胞生长失去控制而导致的一种疾病。近50年来,肺癌的发病率和死亡率逐年增长,已经从20世纪的一种罕见疾病发展为当今的全球头号癌症杀手。据统计,在工业化国家和我国许多城市中,肺癌的发病率位列男性常见肿瘤第一位和女性常见恶性肿瘤第二位,并且成为恶性肿瘤中最常见的死亡原因。预计到2025年,我国每年仅死于肺癌的人数将接近100万,成为世界第一肺癌大国。Lung cancer is a disease that results from the uncontrolled growth of cells in the lung tissue. In the past 50 years, the incidence and mortality of lung cancer have increased year by year, and it has developed from a rare disease in the 20th century to the number one cancer killer in the world today. According to statistics, in industrialized countries and many cities in my country, the incidence of lung cancer ranks first among common tumors in men and second in common malignant tumors in women, and it has become the most common cause of death among malignant tumors. It is estimated that by 2025, the number of people dying of lung cancer alone in my country will be close to 1 million each year, becoming the world's largest lung cancer country.
根据肺癌细胞的分化程度和形态特征,临床上主要将肺癌分为小细胞肺癌(small cell lung cancer,SCLC)和非小细胞肺癌(non-small cell lung cancer,NSCLC)两大类,其中非小细胞肺癌占到85%左右。在全球范围NSCLC导致的死亡人数比前列腺癌、乳腺癌和结肠癌的总和还多。由于NSCLC患者早期无明显特征,尽管诊断方法和治疗手段已经有了很大的进步,70%的NSCLC癌患者初次确诊时仍已处于癌症晚期,其中约40%的患者失去手术治疗的机会。因此,化疗和靶向治疗对于晚期NSCLC癌患者至关重要。According to the degree of differentiation and morphological characteristics of lung cancer cells, lung cancer is mainly divided into two categories: small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). Cell lung cancer accounts for about 85%. Worldwide, NSCLC causes more deaths than prostate, breast, and colon cancer combined. Because NSCLC patients have no obvious features in the early stage, although diagnostic methods and treatment methods have been greatly improved, 70% of NSCLC cancer patients are still at an advanced stage when they are first diagnosed, and about 40% of them lose the opportunity for surgical treatment. Therefore, chemotherapy and targeted therapy are crucial for patients with advanced NSCLC cancer.
然而由于化疗不具选择性,难于在肿瘤局部形成有效药物浓度或治疗剂量,现行的化疗方法只对不到50%的NSCLC病人有一定作用,几乎所有的病人在化疗过程中都会转变为耐药性肺癌,导致治疗失效。单纯的提高化疗药物浓度又受到全身毒性反应的限制。However, due to the non-selectivity of chemotherapy, it is difficult to form an effective drug concentration or therapeutic dose in the local tumor. The current chemotherapy method has a certain effect on less than 50% of NSCLC patients, and almost all patients will become drug-resistant during chemotherapy. Lung cancer, leading to failure of treatment. Simply increasing the concentration of chemotherapy drugs is limited by systemic toxicity.
为了克服化疗药物的缺陷,人们开始发展以细胞受体,关键基因和调控分子为靶点的分子靶向治疗。目前应用于临床治疗的分子靶向药物已有十多种。例如,靶向在慢性髓性白血病的发展中起重要作用的Abl激酶的伊马替尼,以及靶向于表皮生长因子受体相关酪氨酸激酶的伊马替尼和舒尼替尼,和通过靶向抑制蛋白酶体来阻止细胞凋亡相关蛋白质代谢的硼替佐米。相对于传统的化疗手段,靶向药物治疗具有选择性强,副作用小的特点,在肿瘤治疗中的应用已经变得越来越广泛。然而,靶向药物的临床应用也遇到许多困难。靶向药物的费用十分高昂,其有效性因个人体质不同差异非常巨大,所以并不是每个人在花费了想当昂贵的治疗费用之后都能收获满意的效果。另外靶向药物在使用过程中也不可避免的会出现耐药性现象。In order to overcome the defects of chemotherapy drugs, people began to develop molecular targeted therapy targeting cell receptors, key genes and regulatory molecules. At present, there are more than ten kinds of molecular targeted drugs used in clinical treatment. For example, imatinib, which targets the Abl kinase that plays an important role in the development of chronic myeloid leukemia, and imatinib and sunitinib, which target the epidermal growth factor receptor-associated tyrosine kinase, and Bortezomib prevents apoptosis-associated protein metabolism by targeting the proteasome. Compared with traditional chemotherapy, targeted drug therapy has the characteristics of strong selectivity and few side effects, and its application in tumor treatment has become more and more extensive. However, the clinical application of targeted drugs also encounters many difficulties. The cost of targeted drugs is very high, and its effectiveness varies greatly depending on individual constitutions, so not everyone can get satisfactory results after spending expensive treatment costs. In addition, drug resistance will inevitably appear during the use of targeted drugs.
相对于西药治疗,中医药在癌症治疗中同样不可或缺。中药可以提高患者免疫功能以及抗癌能力,有助于患者顺利度过康复期.然而,单纯的中药治疗存在见效慢、疗效不确切等劣势,很少作为癌症治疗的主要手段。Compared with Western medicine treatment, Chinese medicine is also indispensable in cancer treatment. Traditional Chinese medicine can improve the immune function and anti-cancer ability of patients, and help patients survive the recovery period smoothly. However, simple traditional Chinese medicine treatment has disadvantages such as slow effect and inaccurate curative effect, and it is rarely used as the main means of cancer treatment.
因此,当前癌症综合治疗的主要目标之一就是寻找一种能够显著提高疗效同时也有效的减少已有药物用量并降低癌细胞药物耐受性的治疗策略。Therefore, one of the main goals of the current comprehensive cancer treatment is to find a treatment strategy that can significantly improve the curative effect while effectively reducing the amount of existing drugs and reducing the drug resistance of cancer cells.
发明内容Contents of the invention
本发明针对现有技术的不足,提供一种包含靶向药物、化疗药物和中药的抗癌药物组合物。具体而言,本发明的药物组合物是以特定的比例混合靶向药物、化疗药物和中药,所述的的靶向和化疗药物同时给药,优选的,所述的靶向药、化疗药和中药同时给药。The invention aims at the deficiencies of the prior art, and provides an anticancer drug composition comprising targeted drugs, chemotherapeutic drugs and traditional Chinese medicines. Specifically, the pharmaceutical composition of the present invention is a mixture of targeted drugs, chemotherapeutic drugs and traditional Chinese medicines in a specific ratio, and the targeted and chemotherapeutic drugs are administered at the same time. Preferably, the targeted drugs, chemotherapeutic drugs Administered with traditional Chinese medicine at the same time.
所述药物组合对NSCLC具有特异的协同治疗作用。The drug combination has a specific synergistic therapeutic effect on NSCLC.
在本发明中,“靶向药物”指针对肿瘤的特异性分子靶点设计的抗肿瘤治疗特异性强、治疗效果明显,同时对正常组织细胞损伤较小,不良反应较轻的化合物。本发明中优选的靶向药物选自硼替佐米、伊马替尼、吉非替尼和舒尼替尼中的一种或多种。硼替佐米是一种诱导细胞凋亡的蛋白酶体抑制剂,能够阻止癌细胞分解细胞凋亡相关蛋白。主要用于治疗多发性骨髓瘤。伊马替尼是一种Abl-Ber酪氨酸激酶抑制剂,主要用于治疗在慢性粒细胞性白血病。吉非替尼是一种表皮细胞生长因子受体抑制剂,主要用于治疗晚期NSCLC。舒尼替尼作用于血小板衍化生长因子和血管内皮生长因子受体,主要用于治疗胃肠道基质肿瘤和转移性肾细胞癌。In the present invention, "targeted drug" refers to a compound designed for a specific molecular target of a tumor with strong anti-tumor treatment specificity, obvious therapeutic effect, less damage to normal tissue cells, and less adverse reactions. The preferred targeted drug in the present invention is selected from one or more of bortezomib, imatinib, gefitinib and sunitinib. Bortezomib is an apoptosis-inducing proteasome inhibitor that prevents cancer cells from breaking down apoptosis-related proteins. Mainly used in the treatment of multiple myeloma. Imatinib is an Abl-Ber tyrosine kinase inhibitor, mainly used in the treatment of chronic myelogenous leukemia. Gefitinib is an epidermal growth factor receptor inhibitor, mainly used in the treatment of advanced NSCLC. Sunitinib acts on platelet-derived growth factor and vascular endothelial growth factor receptors and is mainly used to treat gastrointestinal stromal tumors and metastatic renal cell carcinoma.
“化疗药物”指通过阻断细胞分裂以抑制癌细胞的生长的化学药物。本发明中优选的化疗药物选自5-氟尿嘧啶、氟达拉滨、卡铂、阿霉素和表柔比星中的一种或多种。5-氟尿嘧啶和氟达拉滨属于抗代谢类药物。卡铂是一种DNA交联剂。阿霉素和表柔比星属于拓扑酶抑制剂类药物。"Chemotherapy drug" refers to a chemical drug that inhibits the growth of cancer cells by blocking cell division. The preferred chemotherapeutic drugs in the present invention are selected from one or more of 5-fluorouracil, fludarabine, carboplatin, doxorubicin and epirubicin. 5-Fluorouracil and fludarabine are antimetabolites. Carboplatin is a DNA cross-linking agent. Doxorubicin and epirubicin belong to the class of topoase inhibitors.
“中药”指能够体现中医药抗癌防癌传统治则扶正固本、清热解毒、行气活血、软坚化坚的中草药。本发明中优选的中药选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。"Chinese medicine" refers to Chinese herbal medicines that can embody the traditional Chinese medicine anti-cancer and anti-cancer principles of strengthening the body, strengthening the body, clearing away heat and detoxification, promoting qi and blood circulation, and softening and resolving hardness. The preferred Chinese medicine in the present invention is selected from one or more of Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
丹参,本品为唇形科植物丹参Salvia miltiorrhiza Bunge.的干燥根及根茎。春、秋二季采挖,除去泥沙,干燥。味苦,微寒;归心、肝经。具有祛瘀止痛,活血通经,清心除烦的功能。Salvia, this product is the dry root and rhizome of Salvia miltiorrhiza Bunge. Excavated in spring and autumn, removed the sediment and dried. Bitter in the mouth, slightly cold; GUIXIN, Liver Channel. It has the functions of dispelling blood stasis and relieving pain, promoting blood circulation and promoting menstrual flow, clearing away heart-fire and relieving restlessness.
黄芪,本品为豆科植物蒙古黄芪Astragalus membranaceus(Fisch.)Bge.var.mongholicus(Bge.)Hsiao或膜荚黄芪Astragalus membranaceus(Fisch.)Bge.的干燥根。春、秋二季采挖,除去须根及根头,晒干。味甘,温;归肺、脾经。具有补气固表,利尿托毒,排脓,敛疮生肌的功能。Astragalus, this product is the dried root of Astragalus membranaceus (Fisch.) Bge.var.mongholicus (Bge.) Hsiao or Astragalus membranaceus (Fisch.) Bge. Excavated in spring and autumn, remove fibrous roots and roots, and dry in the sun. Sweet in taste, warm; returns lung, spleen meridian. It has the functions of invigorating qi and solidifying the exterior, diuresis and detoxification, evacuating pus, suppressing sores and promoting granulation.
苏木,本品为豆科云实属植物苏木Caesalpinia sappan L.的干燥心材。多于秋季采伐,除去白色边材,干燥。味甘咸,平,无毒;归心、肝、脾经。具有活血祛瘀,消肿定痛的功能。Sumac, this product is the dry heartwood of Caesalpinia sappan L., a plant of the genus Fabaceae. More harvested in autumn, remove the white sapwood and dry. Sweet and salty in taste, flat, non-toxic; Guixin, liver, spleen meridian. It has the functions of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain.
白头翁,茛科植物白头翁Pulsatilla chinensis(Bge.)Regel的干燥根。春、秋二季采挖,除去泥沙,干燥。味苦,寒;归胃、大肠经。具有清热解毒,凉血止痢的功能。Pulsatilla, the dry root of Pulsatilla chinensis (Bge.) Regel, a plant of the Ranunculaceae family. Excavated in spring and autumn, removed the sediment and dried. Bitter in the mouth, cold; Return stomach, large intestine meridian. There is heat-clearing and toxic substances removing, the function of cooling blood and stopping dysentery.
马齿笕,本品为马齿苋科植物马齿苋Portulaca oleracea L.,以全草入药。味酸,寒;入大肠,肝、脾经。具有清热利湿,凉血解毒的功能。Purslane, this product is Portulaca oleracea L., a plant of the family Portulaca oleracea, which is used as medicine with the whole herb. Sour in taste, cold; enters large intestine, liver, spleen meridian. It has the functions of clearing away heat and promoting dampness, cooling blood and detoxifying.
在上述药物组合物中,优选的,所述靶向药物为硼替佐米,所述化疗药物为5-氟尿嘧啶。In the above pharmaceutical composition, preferably, the targeted drug is bortezomib, and the chemotherapeutic drug is 5-fluorouracil.
作为一种优选实施例,本发明的药物组合物中的靶向药物为吉非替尼,化疗药物为5-氟尿嘧啶。As a preferred embodiment, the targeted drug in the pharmaceutical composition of the present invention is gefitinib, and the chemotherapy drug is 5-fluorouracil.
优选的,所述靶向药物为硼替佐米,所述化疗药物为卡铂。Preferably, the targeted drug is bortezomib, and the chemotherapy drug is carboplatin.
优选的,所述靶向药物为伊马替尼,所述化疗药物为5-氟尿嘧啶。Preferably, the targeted drug is imatinib, and the chemotherapy drug is 5-fluorouracil.
优选的,所述靶向药物为舒尼替尼,所述化疗药物为5-氟尿嘧啶。Preferably, the targeted drug is sunitinib, and the chemotherapy drug is 5-fluorouracil.
优选的,所述靶向药物为硼替佐米,所述化疗药物为表柔比星。Preferably, the targeted drug is bortezomib, and the chemotherapy drug is epirubicin.
优选的,所述靶向药物为舒尼替尼,所述化疗药物为阿霉素。Preferably, the targeted drug is sunitinib, and the chemotherapy drug is doxorubicin.
优选的,所述靶向药物为伊马替尼,所述化疗药物为阿霉素。Preferably, the targeted drug is imatinib, and the chemotherapy drug is doxorubicin.
优选的,所述靶向药物为吉非替尼,所述化疗药物为阿霉素。Preferably, the targeted drug is gefitinib, and the chemotherapy drug is doxorubicin.
优选的,所述靶向药物为舒尼替尼,所述化疗药物为表柔比星。Preferably, the targeted drug is sunitinib, and the chemotherapy drug is epirubicin.
优选的,所述靶向药物为硼替佐米,所述化疗药物为氟达拉滨。Preferably, the targeted drug is bortezomib, and the chemotherapy drug is fludarabine.
优选的,所述靶向药物为硼替佐米,所述化疗药物为5-氟尿嘧啶,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。Preferably, the targeted drug is bortezomib, the chemotherapeutic drug is 5-fluorouracil, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为吉非替尼,所述化疗药物为5-氟尿嘧啶,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种。Preferably, the targeted drug is gefitinib, the chemotherapeutic drug is 5-fluorouracil, and the traditional Chinese medicine is one selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为硼替佐米,所述化疗药物为卡铂,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种。Preferably, the targeted drug is bortezomib, the chemotherapeutic drug is carboplatin, and the traditional Chinese medicine is one selected from Danshen, Astragalus, Sumac, Pulsatilla and Purslane.
优选的,所述靶向药物为伊马替尼,所述化疗药物为5-氟尿嘧啶,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种或多种。Preferably, the targeted drug is imatinib, the chemotherapeutic drug is 5-fluorouracil, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为舒尼替尼,所述化疗药物5-氟尿嘧啶,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种或多种。Preferably, the targeted drug is sunitinib, the chemotherapeutic drug 5-fluorouracil, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为硼替佐米,所述化疗药物为表柔比星,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种或多种。Preferably, the targeted drug is bortezomib, the chemotherapeutic drug is epirubicin, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为舒尼替尼,所述化疗药物为阿霉素,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中一种或多种。Preferably, the targeted drug is sunitinib, the chemotherapeutic drug is doxorubicin, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为伊马替尼,所述化疗药物为阿霉素,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。Preferably, the targeted drug is imatinib, the chemotherapeutic drug is adriamycin, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为吉非替尼,所述化疗药物为阿霉素,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。Preferably, the targeted drug is gefitinib, the chemotherapeutic drug is adriamycin, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为舒尼替尼,所述化疗药物为表柔比星,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。Preferably, the targeted drug is sunitinib, the chemotherapeutic drug is epirubicin, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
优选的,所述靶向药物为硼替佐米,所述化疗药物为氟达拉滨,所述中药为选自丹参、黄芪、苏木、白头翁和马齿笕中的一种或多种。Preferably, the targeted drug is bortezomib, the chemotherapeutic drug is fludarabine, and the traditional Chinese medicine is one or more selected from Danshen, Astragalus, Sappan, Pulsatilla and Purslane.
本发明的药物组合物在用于制备非小细胞肺癌药物中的应用。The application of the pharmaceutical composition of the present invention in the preparation of non-small cell lung cancer medicine.
本发明通过系统的研究不同抗癌药物组合对NSCLC的组合治疗作用。发现特定的靶向药物、化疗药物和中药具有不同程度的协同增效作用。细胞实验证明本发明所述药物组合可有效的杀死肺癌细胞,抑制肺癌细胞增殖。本方法可以有效的减少药物用量,降低药物毒性,克服单一药物抗性。The present invention systematically studies the combined therapeutic effects of different anticancer drug combinations on NSCLC. Specific targeted drugs, chemotherapy drugs and traditional Chinese medicines were found to have different degrees of synergistic effect. Cell experiments prove that the drug combination of the present invention can effectively kill lung cancer cells and inhibit the proliferation of lung cancer cells. The method can effectively reduce drug dosage, reduce drug toxicity, and overcome single drug resistance.
附图说明Description of drawings
图1:不同药物单独作用下A549细胞的生长曲线。(A)硼替佐米作用下A549细胞的生长曲线;(B)吉非替尼作用下A549细胞的生长曲线;(C)伊马替尼作用下A549细胞的生长曲线;(D)舒尼替尼作用下A549细胞的生长曲线;(E)5-氟尿嘧啶作用下A549细胞的生长曲线;(F)氟达拉滨作用下A549细胞的生长曲线;(G)表柔比星作用下A549细胞的生长曲线;(H)阿霉素作用下A549细胞的生长曲线;(I)卡铂作用下A549细胞的生长曲线。Figure 1: The growth curve of A549 cells under the single action of different drugs. (A) Growth curve of A549 cells under the action of bortezomib; (B) Growth curve of A549 cells under the action of gefitinib; (C) Growth curve of A549 cells under the action of imatinib; (D) Sunitinib The growth curve of A549 cells under the action of nil; (E) the growth curve of A549 cells under the action of 5-fluorouracil; (F) the growth curve of A549 cells under the action of fludarabine; (G) the growth curve of A549 cells under the action of epirubicin Growth curve; (H) growth curve of A549 cells under the action of doxorubicin; (I) growth curve of A549 cells under the action of carboplatin.
图2:不同药物组合作用下A549细胞的Fa-CI曲线。(A)硼替佐米和5-氟尿嘧啶的组合作用下A549细胞的Fa-CI曲线;(B)吉非替尼和5-氟尿嘧啶的组合作用下A549细胞的Fa-CI曲线;(C)硼替佐米和卡铂的组合作用下A549细胞的Fa-CI曲线;(D)伊马替尼和5-氟尿嘧啶的组合作用下A549细胞的Fa-CI曲线;(E)舒尼替尼和5-氟尿嘧啶的组合作用下A549细胞的Fa-CI曲线;(F)硼替佐米和表柔比星的组合作用下A549细胞的Fa-CI曲线;(G)舒尼替尼和阿霉素的组合作用下A549细胞的Fa-CI曲线;(H)伊马替尼和阿霉素的组合作用下A549细胞的Fa-CI曲线;(I)吉非替尼和阿霉素的组合作用下A549细胞的Fa-CI曲线;(J)舒尼替尼和表柔比星的组合作用下A549细胞的Fa-CI曲线;(K)硼替佐米和氟达拉滨的组合作用下A549细胞的Fa-CI曲线;Figure 2: Fa-CI curves of A549 cells under the action of different drug combinations. (A) Fa-CI curve of A549 cells under the combined action of bortezomib and 5-fluorouracil; (B) Fa-CI curve of A549 cells under the combined action of gefitinib and 5-fluorouracil; (C) Bortezole The Fa-CI curve of A549 cells under the combination of rice and carboplatin; (D) the Fa-CI curve of A549 cells under the combination of imatinib and 5-fluorouracil; (E) the combination of sunitinib and 5-fluorouracil The Fa-CI curve of A549 cells under the combined action of ; (F) the Fa-CI curve of A549 cells under the combined action of bortezomib and epirubicin; (G) the combined action of sunitinib and doxorubicin Fa-CI curve of A549 cells; (H) Fa-CI curve of A549 cells under the combined action of imatinib and doxorubicin; (I) Fa-CI curve of A549 cells under the combined action of gefitinib and doxorubicin -CI curve; (J) Fa-CI curve of A549 cells under the combination of sunitinib and epirubicin; (K) Fa-CI curve of A549 cells under the combination of bortezomib and fludarabine ;
具体实施方式Detailed ways
下面结合图表和实施例对本发明做进一步说明。The present invention will be further described below in conjunction with diagram and embodiment.
实施例1:评估了不同靶向药物与化疗药物的组合对NSCLC细胞系的作用。Example 1: The effects of different combinations of targeted drugs and chemotherapeutic drugs on NSCLC cell lines were evaluated.
细胞培养:实验中所测试的NSCLC细胞系为获自ATCC的A549细胞。所用细胞培养基为补充有10%胎牛血清(FBS)、100U/mL盘尼西林和100μg/mL链霉素的RPMI medium1640培养液,在37℃、体积分数为5%的CO2培养箱中培养,细胞呈贴壁生长,实验时均取对数生长期细胞。Cell Culture: The NSCLC cell line tested in the experiments was A549 cells obtained from ATCC. The cell culture medium used was RPMI medium 1640 medium supplemented with 10% fetal bovine serum (FBS), 100 U/mL penicillin and 100 μg/mL streptomycin, and cultured in a CO2 incubator with a volume fraction of 5% at 37 °C. The cells grew adherently, and the cells in the logarithmic growth phase were used in the experiments.
筛选分两部分进行:Screening is done in two parts:
a.在第一组实验中,测定暴露于NSCLC细胞系中72小时之后各药物的半数抑制浓度(IC50)值。具体步骤如下:a. In the first set of experiments, the median inhibitory concentration (IC 50 ) value of each drug was determined after 72 hours of exposure to NSCLC cell lines. Specific steps are as follows:
收集对数期细胞,接种于96孔板,每孔加入100μL,调整细胞悬液浓度使得每孔含有2000-4000个细胞。培养24小时后,将细胞暴露于不同浓度的药物中。药物浓度保持7-8个浓度梯度,并设空白组和阳性对照组,每浓度设5个复孔。培养72小时后,每孔加入20μL MTT溶液(5mg/ml,即0.5%MTT),继续培养4h,2000r/min离心96孔板,利用虹吸原理弃去培养液。每孔加入150μL二甲基亚砜,置摇床上振荡10min。在酶标仪490nm波长处测量各孔的吸光值(OD值)。按下列公式计算细胞生长抑制率:生长抑制率=(1-实验组吸光度值/对照组吸光度值)×100%。实验重复三次。绘制剂量效应曲线(图1)并计算每种药物的IC50值如表1所示。Collect logarithmic phase cells, inoculate in 96-well plate, add 100 μL to each well, adjust the concentration of cell suspension so that each well contains 2000-4000 cells. After 24 hours of culture, the cells were exposed to different concentrations of the drug. The drug concentration was maintained at 7-8 concentration gradients, and a blank group and a positive control group were set up, and 5 replicate wells were set for each concentration. After culturing for 72 hours, add 20 μL of MTT solution (5 mg/ml, ie 0.5% MTT) to each well, continue culturing for 4 hours, centrifuge the 96-well plate at 2000 rpm, and discard the culture solution using the siphon principle. Add 150 μL dimethyl sulfoxide to each well and shake on a shaker for 10 min. The absorbance value (OD value) of each well was measured at a wavelength of 490 nm on a microplate reader. The cell growth inhibition rate was calculated according to the following formula: growth inhibition rate=(1-absorbance value of the experimental group/absorbance value of the control group)×100%. Experiments were repeated three times. Draw the dose-effect curve (Fig. 1) and calculate the IC50 value of each drug as shown in Table 1.
表1:单一药物的作用于NSCLC细胞系IC50值Table 1: IC 50 values of single drugs in NSCLC cell lines
b.在第二组实验中,测定了以上提及的各种抗癌药物组合对NSCLC细胞系的抑制作用。实验中药物以固定剂量比例组合,该固定剂量比例对应于单独每种药物的单一IC50值。药物浓度保持78个浓度梯度。最终以Chou-Talalay方程计算联合指数(CI)来评价药物组合的增效作用:b. In the second set of experiments, the inhibitory effects of various anticancer drug combinations mentioned above on NSCLC cell lines were determined. Drugs are combined in experiments at fixed dose ratios that correspond to a single IC50 value for each drug alone. The drug concentration was maintained in 78 concentration gradients. Finally, the combination index (CI) was calculated by the Chou-Talalay equation to evaluate the synergistic effect of the drug combination:
在公式中,(Dx)1和(Dx)2表示两种药物单独存在时抑制率达到x%的浓度。(D)1和(D)2表示两种药物同时存在时抑制率达到x%的浓度。CI<1、=1、和>1分别表示协同、累加和拮抗作用(Chou TC and Talalay P.Adv.EnzymeRegul.1984,22,27-55)。CompuSyn软件(ComboSyn,Inc,Paramus,NJ)用于CI联合指数分析(图2)。由于在细胞毒性实验中,高抑制率时的组合效应相对于低抑制率更加重要,因此我们定义了一个加权的CI来量化组合效应:CIwt=[CI50+2CI75+3CI90+4CI95]/10,下标代表不同的抑制率。表2提供了不同剂量组合作用于A549细胞系时所获得的的联合指数(CI)。In the formula, (D x ) 1 and (D x ) 2 represent the concentration at which the inhibition rate of the two drugs is x% when the two drugs exist alone. (D) 1 and (D) 2 indicate the concentration at which the inhibition rate reaches x% when the two drugs are present at the same time. CI<1, =1, and >1 indicate synergistic, additive, and antagonistic effects, respectively (Chou TC and Talalay P. Adv. EnzymeRegul. 1984, 22, 27-55). CompuSyn software (ComboSyn, Inc, Paramus, NJ) was used for CI Combination Index analysis (Figure 2). Since the combined effect at high inhibition rate is more important than at low inhibition rate in cytotoxicity experiments, we defined a weighted CI to quantify the combined effect: CI wt = [CI 50 + 2CI 75 + 3CI 90 + 4CI 95 ]/10, the subscripts represent different inhibition rates. Table 2 provides the Combination Index (CI) obtained when different dose combinations were applied to the A549 cell line.
表2:药物组合作用于A549细胞系时所获得的CI值Table 2: CI values obtained when the drug combination was applied to the A549 cell line
实验结果显示:experiment result shows:
硼替佐米和5-氟尿嘧啶的组合具有极强的协同作用(CI<0.1)。The combination of bortezomib and 5-fluorouracil has a strong synergistic effect (CI<0.1).
吉非替尼和5-氟尿嘧啶,硼替佐米和卡铂,伊马替尼和5-氟尿嘧啶三个组合具有强的协同作用(0.1<CI<0.3)。Gefitinib and 5-fluorouracil, bortezomib and carboplatin, and imatinib and 5-fluorouracil had strong synergistic effects (0.1<CI<0.3).
舒尼替尼和5-氟尿嘧啶,硼替佐米和表柔比星,舒尼替尼和阿霉素,伊马替尼和阿霉素,吉非替尼和阿霉素,舒尼替尼和表柔比星六个组合具有协同作用(0.3<CI<0.7)。sunitinib and 5-fluorouracil, bortezomib and epirubicin, sunitinib and doxorubicin, imatinib and doxorubicin, gefitinib and doxorubicin, sunitinib and Six combinations of epirubicin had synergistic effect (0.3<CI<0.7).
硼替佐米和氟达拉滨的组合具有弱的协同作用(0.85<CI<0.9)。The combination of bortezomib and fludarabine was weakly synergistic (0.85<CI<0.9).
实施例2:评估了丹参对靶向药及化疗药组合抗癌作用的影响。Example 2: The influence of Salvia miltiorrhiza on the anti-cancer effect of targeted drug and chemotherapeutic drug combination was evaluated.
丹参水提液的制备:80g丹参3次煎煮药液经真空抽滤器过滤,浓缩成约40ml药液,放入真空干燥箱中干燥,按100%浓度计算得率。取lg水提物,加入10ml超纯水,溶解、离心,取上清液,再经0.22μm微孔滤膜除菌,制成母液浓度100mg/ml,置-20℃冰箱备用。Preparation of Salvia miltiorrhiza water extract: 80g of Salvia miltiorrhiza was decocted for 3 times, filtered through a vacuum filter, concentrated into about 40ml of medicinal solution, put into a vacuum drying oven to dry, and the yield was calculated as 100% concentration. Take 1g of the water extract, add 10ml of ultrapure water, dissolve, centrifuge, take the supernatant, and then sterilize it through a 0.22μm microporous membrane to make a mother liquor with a concentration of 100mg/ml, and store it in a -20°C refrigerator for later use.
细胞实验步骤和方法均和实施例1相同,不同点在于增加了一组加药组,其中靶向和化疗药物组合的量不变,但增加了10mg/ml的丹参水提液。结果如表3所示,在加入丹参水提液后,靶向和化疗药物组合作用于A549细胞的IC50值均有一定程度的下降,表明丹参水提物能够增强靶向和化疗药物组合的抗癌作用。The steps and methods of the cell experiment were the same as those in Example 1, except that a drug-dosing group was added, in which the combined amount of targeting and chemotherapy drugs remained unchanged, but 10 mg/ml of Danshen water extract was added. The results are shown in Table 3. After adding Danshen water extract, the IC 50 values of targeting and chemotherapeutic drug combinations on A549 cells all decreased to a certain extent, indicating that Danshen water extract can enhance the combination of targeting and chemotherapeutic drugs. Anticancer effect.
实施例3:评估了黄芪对靶向药及化疗药组合抗癌作用的影响。Example 3: The effect of Astragalus membranaceus on the anti-cancer effect of targeted drug and chemotherapeutic drug combination was evaluated.
黄芪水提液的制备:80g黄芪3次煎煮药液经真空抽滤器过滤,浓缩成约40ml药液,放入真空干燥箱中干燥,按100%浓度计算得率。取lg水提物,加入10ml超纯水,溶解、离心,取上清液,再经0.22μm微孔滤膜除菌,制成母液浓度100mg/ml,置-20℃冰箱备用。Preparation of astragalus water extract: 80g of astragalus was decocted for 3 times and the medicinal liquid was filtered through a vacuum filter, concentrated into about 40ml of medicinal liquid, put into a vacuum drying oven for drying, and the yield was calculated as 100% concentration. Take 1g of the water extract, add 10ml of ultrapure water, dissolve, centrifuge, take the supernatant, and then sterilize it through a 0.22μm microporous membrane to make a mother liquor with a concentration of 100mg/ml, and store it in a -20°C refrigerator for later use.
细胞实验步骤和方法均和实施例1相同,不同点在于增加了一组加药组,其中靶向和化疗药物组合的量不变,但增加了10mg/ml的黄芪水提液。结果如表3所示,在加入黄芪水提液后,靶向和化疗药物组合作用于A549细胞的IC50值均有一定程度的下降,表明黄芪水提物能够增强靶向和化疗药物组合的抗癌作用。The steps and methods of the cell experiment were the same as those in Example 1, except that a drug-dosing group was added, in which the combined amount of targeting and chemotherapy drugs remained the same, but 10 mg/ml of astragalus water extract was added. The results are shown in Table 3. After adding the water extract of Astragalus membranaceus, the IC 50 values of the combination of targeting and chemotherapy drugs on A549 cells decreased to a certain extent, indicating that the water extract of Astragalus membranaceus can enhance the combination of targeting and chemotherapy drugs. Anticancer effect.
实施例4:评估了苏木对靶向药及化疗药组合抗癌作用的影响。Example 4: The influence of sumac on the anti-cancer effect of targeted drug and chemotherapeutic drug combination was evaluated.
苏木水提液的制备:80g苏木3次煎煮药液经真空抽滤器过滤,浓缩成约40ml药液,放入真空干燥箱中干燥,按100%浓度计算得率。取lg水提物,加入10ml超纯水,溶解、离心,取上清液,再经0.22μm微孔滤膜除菌,制成母液浓度100mg/ml,置-20℃冰箱备用。Preparation of Sappan water extract: 80g Sappan decocted for 3 times, filtered through a vacuum filter, concentrated into about 40ml of liquid, put into a vacuum oven for drying, and calculate the yield as 100% concentration. Take 1g of the water extract, add 10ml of ultrapure water, dissolve, centrifuge, take the supernatant, and then sterilize it through a 0.22μm microporous membrane to make a mother liquor with a concentration of 100mg/ml, and store it in a -20°C refrigerator for later use.
细胞实验步骤和方法均和实施例1相同,不同点在于增加了一组加药组,其中靶向和化疗药物组合的量不变,但增加了10mg/ml的苏木水提液。结果如表3所示,在加入苏木水提液后,靶向和化疗药物组合作用于A549细胞的IC50值均有一定程度的下降,表明苏木水提物能够增强靶向和化疗药物组合的抗癌作用。The steps and methods of the cell experiment were the same as those in Example 1, except that a drug-dosing group was added, in which the combination of targeting and chemotherapeutic drugs remained unchanged, but 10 mg/ml hematoxylin water extract was added. The results are shown in Table 3. After adding hematoxylin water extract, the IC50 values of targeting and chemotherapeutic drug combination on A549 cells all decreased to a certain extent, indicating that sumac water extract can enhance the anticancer effect of targeting and chemotherapeutic drug combination. effect.
实施例5:评估了白头翁对靶向药及化疗药组合抗癌作用的影响。Example 5: The effect of Pulsatilla pulsatillae on the anticancer effect of the combination of targeted drugs and chemotherapeutic drugs was evaluated.
白头翁水提液的制备:80g白头翁3次煎煮药液经真空抽滤器过滤,浓缩成约40ml药液,放入真空干燥箱中干燥,按100%浓度计算得率。取lg水提物,加入10ml超纯水,溶解、离心,取上清液,再经0.22μm微孔滤膜除菌,制成母液浓度100mg/ml,置-20℃冰箱备用。Preparation of water extract of Pulsatilla pulsatillae: 80g of Pulsatilla pulsatillae was decocted for 3 times, filtered through a vacuum filter, concentrated into about 40ml of liquid medicine, dried in a vacuum drying oven, and the yield was calculated as 100% concentration. Take 1g of the water extract, add 10ml of ultrapure water, dissolve, centrifuge, take the supernatant, and then sterilize it through a 0.22μm microporous membrane to make a mother liquor with a concentration of 100mg/ml, and store it in a -20°C refrigerator for later use.
细胞实验步骤和方法均和实施例1相同,不同点在于增加了一组加药组,其中靶向和化疗药物组合的量不变,但增加了10mg/ml的白头翁水提液。结果如表3所示,在加入白头翁水提液后,靶向和化疗药物组合作用于A549细胞的IC50值均有一定程度的下降,表明白头翁水提物能够增强靶向和化疗药物组合的抗癌作用。The steps and methods of the cell experiment were the same as those in Example 1, except that a drug-dosing group was added, in which the amount of the combination of targeting and chemotherapy drugs remained unchanged, but 10 mg/ml of Pulsatillae water extract was added. The results are shown in Table 3. After the water extract of Pulsatillae was added, the IC50 values of the combination of targeting and chemotherapy drugs on A549 cells decreased to a certain extent, indicating that the water extract of Pulsatillae can enhance the combination of targeting and chemotherapy drugs. Anticancer effect.
实施例6:评估了马齿笕对靶向药及化疗药组合抗癌作用的影响。Example 6: The effect of purslane on the anticancer effect of targeted drug and chemotherapeutic drug combination was evaluated.
马齿笕水提液的制备:80g马齿笕3次煎煮药液经真空抽滤器过滤,浓缩成约40ml药液,放入真空干燥箱中干燥,按100%浓度计算得率。取lg水提物,加入10ml超纯水,溶解、离心,取上清液,再经0.22μm微孔滤膜除菌,制成母液浓度100mg/ml,置-20℃冰箱备用。Preparation of Purslane water extract: 80g Purslane decocted for 3 times, filtered through a vacuum filter, concentrated into about 40ml medicinal liquid, put into a vacuum oven for drying, and calculate the yield by 100% concentration. Take 1g of the water extract, add 10ml of ultrapure water, dissolve, centrifuge, take the supernatant, and then sterilize it through a 0.22μm microporous membrane to make a mother liquor with a concentration of 100mg/ml, and store it in a -20°C refrigerator for later use.
细胞实验步骤和方法均和实施例1相同,不同点在于增加了一组给药组,其中靶向和化疗药物组合的量不变,但增加了10mg/ml的马齿笕水提液。结果如表3所示,在加入马齿笕水提液后,靶向和化疗药物组合作用于A549细胞的IC50值均有一定程度的下降,表明马齿笕水提物能够增强靶向和化疗药物组合的抗癌作用。The steps and methods of the cell experiment were the same as those in Example 1, except that a group of drug administration groups was added, in which the combination of targeting and chemotherapy drugs remained unchanged, but 10 mg/ml of purslane water extract was added. The results are shown in Table 3. After the water extract of purslane was added, the IC50 values of the combination of targeting and chemotherapeutic drugs for A549 cells all decreased to a certain extent, indicating that the water extract of purslane can enhance the targeting and chemotherapeutic effects. Anticancer effects of chemotherapeutic drug combinations.
表3:不同中药对靶向和化疗药物组合作用于NSCLC细胞系的影响Table 3: Effects of different traditional Chinese medicines on the combination of targeted and chemotherapeutic drugs on NSCLC cell lines
以上对本发明的具体实施例进行了详细描述,但其只是作为范例,本发明并不限制于以上描述的具体实施例。对于本领域技术人员而言,任何对本发明进行的等同修改和替代也都在本发明的范畴之中。因此,在不脱离本发明的精神和范围下所作的均等变换和修改,都应涵盖在本发明的范围内。The specific embodiments of the present invention have been described in detail above, but they are only examples, and the present invention is not limited to the specific embodiments described above. For those skilled in the art, any equivalent modifications and substitutions to the present invention are also within the scope of the present invention. Therefore, equivalent changes and modifications made without departing from the spirit and scope of the present invention shall fall within the scope of the present invention.
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