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CN107550915A - A kind of Ivabradine and rolipram composition and its application in pharmacy - Google Patents

A kind of Ivabradine and rolipram composition and its application in pharmacy Download PDF

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Publication number
CN107550915A
CN107550915A CN201711053791.4A CN201711053791A CN107550915A CN 107550915 A CN107550915 A CN 107550915A CN 201711053791 A CN201711053791 A CN 201711053791A CN 107550915 A CN107550915 A CN 107550915A
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China
Prior art keywords
rolipram
ivabradine
pressure
pharmaceutical composition
volume
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CN201711053791.4A
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Chinese (zh)
Inventor
陈龙
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TAIZHOU CHINA MEDICINE CITY TRADITIONAL CHINESE MEDICINE RESEARCH INSTITUTE
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TAIZHOU CHINA MEDICINE CITY TRADITIONAL CHINESE MEDICINE RESEARCH INSTITUTE
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Abstract

The present invention provides a kind of pharmaceutical composition, its active component is made up of Ivabradine and rolipram, is also aided with pharmaceutically acceptable auxiliary material, and any pharmaceutically acceptable formulation is made, described formulation is injection, and discloses its application in treatment, prevention heart failure drugs are prepared.

Description

A kind of Ivabradine and rolipram composition and its application in pharmacy
Technical field
The invention belongs to field of medicaments, is related to Ivabradine and shares application of the rolipram in pharmacy, and in particular to Ivabradine shares application of the rolipram in treatment, prevention heart failure drugs are prepared.
Background technology
Inotropic agent is widely used in the treatment of congestive heart failure, particularly when the deterioration rank in disease Section, by inotropic agent come to improve myocardium shrinkage function be a kind of very important treatment method.
At present, conventional inotropic agent mainly has:First, the inotropic agent that cAMP is relied on, including:1. beta-receptor is exciting Agent:Such medicine includes dopamine, dobutamine and norepinephrine, for improving heart failure patient myocardial function barrier Hinder the hemodynamic parameter in acute exacerbation stage.Due to the semiotic function obstacle of congestive heart failure early stage or late period occurs (mediation signal uncoupling under beta receptor), it is relatively poor using the such congestive heart failure curative effect of beta receptor agonist treatment.Also There is Denopamine, be new oral β1receptor partial agonist.2. the inhibitor of phosphodiesterase (PDE) III:CAMP can be direct The shrinkage and diastolic of normal myocardium are adjusted, produces the effect of positive inotropic and positivity slackness.Such medicine passes through suppression The degraded that PDE III reduces cAMP increases cAMP, such as Amrinone (amrinone), rolipram (Rolipram), Olprinone And Vesnarinone (vesnarinone) etc. (olprinone).3. adenyl cyclase activator:Such medicine has Forskolin (forskolin) and up to general sour colforsin (colforsin daropate, Adehl, NKH477) etc..2nd, cAMP is non-dependent Inotropic agent, mainly have:1.Na+/K+-ATP enzyme inhibitors:Flowed by suppressing Na+/K+-ATP enzymes so as to increase in Ca2+, Such as digitalis cardiac glycoside digoxin (digoxin), foxalin (digotoxin) and Lanatoside C (lantoside).2. Calcium sensitizer:Such as Pimobendan (pimobendam), Sulmazole (sulmazole) and thiazole piperazine ketone (thiadizinone), make For myocardium excitation-contraction coupling process, cause the transient increases of Ca2+, so as to increase the sensitiveness of myofilament or to the anti-of Ca2+ Ying Xing.Over the past several decades come, progress is achieved in terms of the research of positive inotropic medicament, then medicine with various degree Side effect, particularly more obvious in arrhythmia cordis etc., therapeutic effect is not fully up to expectations, and room for improvement is still very big.
Ivabradine (Ivabradine) is global first selective If channel inhibitor, has been obtained early in 1992 Compound patent.In October, 2005 Europe Drug Administration office approval Ivabradine lists and is clinically used for treatment with Dou Xingxin It is dynamic to overrun, but ARBs is not resistant to or the patients with stable angina pectoris in the presence of taboo;2015, U.S. FDA approval Ivabradine is used for the treatment of chronic heart failure, reduces the risk that patients with heart failure is in hospital again because sb.'s illness took a turn for the worse.
The structural formula of Ivabradine is as follows:
Rolipram (Rolipram) is phosphodiesteraseⅳ inhibitor (PDE IV), and suppressing phosphodiesterase has raising Norepinephrine, isoprel, histamine, adenosine etc. largely gather in cerebral cortex area and cerebellum region.It is existing Show rolipram for pharmaceutical research, to the nervous system disease, such as PD, depression and anxiety disorder have certain treatment Value, and there is nootropic effect.The structural formula of rolipram is as follows:
The positive inotropic activity for sharing rolipram to relevant Ivabradine at present has no report.
The content of the invention
The technical problems to be solved by the invention are that providing Ivabradine (Ivabradine) shares rolipram (Rolipram) application in treatment, prevention heart failure drugs are prepared.
To reach above-mentioned purpose, technical scheme is as follows:
A kind of pharmaceutical composition, it contains Ivabradine and rolipram.
Described pharmaceutical composition, its active component are made up of Ivabradine and rolipram.
Described pharmaceutical composition, the weight ratio of its contained Ivabradine and rolipram is 1:0.5-1.5.
Described pharmaceutical composition, the weight ratio of its contained Ivabradine and rolipram is 1:1.
Described pharmaceutical composition, also it is aided with pharmaceutically acceptable auxiliary material, any pharmaceutically acceptable formulation is made.
Described pharmaceutical composition, it is characterised in that described formulation is injection.
The application of Ivabradine and rolipram as active component in treatment, prevention heart failure drugs are prepared.
Beneficial effect:Test result indicates that:Ivabradine (Ivabradine) (1mg/kg) and rolipram (Rolipram) (1mg/kg) significantly reduces the rhythm of the heart, dramatically increases end-systolic pressure, LVEF, puts out work(after sharing, together When Ivabradine share rolipram shorten left ventricular pressure recover 50% time and systolic pressure reply 50% time, show Ivabradine, which shares rolipram, has the function that positive inotropic.
Brief description of the drawings
Fig. 1 is respectively that independent rolipram (1mg/kg) and Ivabradine (1mg/kg) share rolipram (1mg/kg) The representative curve influenceed on rat in vivo left ventricular pressure-volume ring.
Fig. 2 is respectively that independent rolipram (1mg/kg) and Ivabradine (1mg/kg) share rolipram (1mg/kg) Representative curve is acted on to rat in vivo ESPVR and EDPVR relation curve.
Fig. 3 is respectively that independent rolipram (1mg/kg) and Ivabradine (1mg/kg) share rolipram (1mg/kg) Representative curve is influenceed on rat in vivo angiosthenia.
Embodiment
Form is described in further detail again to the above of the present invention by the following examples, but should not manage this The scope solved as the above-mentioned theme of the present invention is only limitted to following embodiment, and all technologies for being realized based on the above of the present invention are equal Belong to the scope of the present invention.
Embodiment 1:10g Ivabradines, 10g roliprams are mixed plus physiological saline, obtain Ivabradine and cough up The composition of sharp Pulan, formulation are injection.
Embodiment 2:10g Ivabradines, 10g roliprams are mixed plus physiological saline, obtain Ivabradine and cough up The composition of sharp Pulan, formulation are injection.
Embodiment 3:10g Ivabradines, 10g roliprams are mixed plus physiological saline, obtain Ivabradine and cough up The composition of sharp Pulan, formulation are injection.
Embodiment 4:Ivabradine shares the positive inotropic activity pharmacodynamic study of rolipram
1. instrument:PowerLab polygraphs (Australian AD Instruments, model PowerLab8/ 35);Millar amplifiers (MILLAR companies of the U.S., model:735-2083Rev.F);Millar intraventricular pressures and P-V Conduit (model:SPR-901)
2. method:20% urethane 5ml/kg is given in healthy cleaning grade male SD rat, 250-300 grams of weight, abdominal cavity Row anesthesia.Right carotid and left side vena jugularis externa are separated under narcosis, calibrates pressure-volume catheter pressure.She cuts down Mine-laying fixed (1mg/kg) is dissolved in 0.2mL DMSO respectively with rolipram (1mg/kg), is slowly injected through left side vena jugularis externa Rolipram (1mg/kg), after recording its effect 30min;Again Ivabradine (1mg/ is slowly injected through left side vena jugularis externa Kg), the effect 30min that both continuous records share.Test and carry out body with 30% (g/100mL) salt solution and self-blood after terminating Product calibration.The experimental result AD Instruments software analysis of Labchart 8, index include:Heart rate (heart rate, HR), end-systolic volume (end-systolic volume, Ves), end-diastolic volume (end-diastolic volume, Ved), end-systolic pressure (end-systolic pressure, Pes), diastasis pressure (end-diastolic Pressure, Ped), stroke output (Stroke volume, SV), LVEF (Ejection fraction, EF), the heart Output quantity (Cardiac output, CO), maximal ascending rate of internal pressure of left ventricle (Peak rate of rise of left Ventricular pressure ,+dP/dtmax), bulk of left ventricle maximum climbing speed (Peak rate of rise of Left volume ,+dP/dtmax) and put out work((Stroke work, SW), end systolic pressure-volume relations curve (End- Systolic pressure-volume relationship, ESPVR) and diastasis pressure-PRESSURE-VOLUME RELATION curve (End- Diastolic pressure-volume relationship, EDPVR), systolic pressure (Systolic blood pressure, SBP), diastolic pressure (Diastolic blood pressure, DBP), pulse pressure difference (Pulse Pressure, PP), left ventricular pressure Recover 50% time (Left ventricular pressure durations at 50%full recovery Level, LVPD50), systolic pressure recover 50% time (Systolic blood pressure durations at 50% Full recovery level, SBPD50) and the aortic valve closing time (Aortic valve closing time, AVCT)。
Blank control (Control):Independent 1mL physiological saline is slowly injected through left side vena jugularis externa.Blank control is tested Show:Independent 1mL physiological saline is slowly injected through left side vena jugularis externa not to be influenceed the above-mentioned left ventricular pressure-PRESSURE-VOLUME RELATION of rat and moves Mechanics parameter (n>20).
3. result:Drawn from above-mentioned experiment:Fig. 1 is respectively independent rolipram (1mg/kg) and Ivabradine (1mg/ Kg the representative curve that rolipram (1mg/kg) influences on rat in vivo left ventricular pressure-volume ring) is shared, data are shown in Table 1- 2;Fig. 2 is respectively that independent rolipram (1mg/kg) and Ivabradine (1mg/kg) share rolipram (1mg/kg) in body Rat ESPVR and EDPVR relation curve act on representative curve, and data are shown in Table 1-2;Fig. 3 is respectively independent rolipram (1mg/ Kg) share rolipram (1mg/kg) with Ivabradine (1mg/kg) and representative curve, number are influenceed on rat in vivo angiosthenia According to being shown in Table 3-4.
The rolipram of table 1 influences (mean ± SE, n=6) to normal rat in vivo left ventricle-volume ring
Note:Compared with blank control,*Represent P<0.05**Represent P<0.01
ESPVR:End systolic pressure-volume relations curve;EDPVR:Diastasis pressure-PRESSURE-VOLUME RELATION curve table 2 she Cut down mine-laying and share rolipram surely to normal rat in vivo left ventricle-volume ring influence (mean ± SE, n=6)
Note:Compared with blank control,*Represent P<0.05**Represent P<0.01
ESPVR:End systolic pressure-volume relations curve;EDPVR:Diastasis pressure-PRESSURE-VOLUME RELATION curve
Influence of the rolipram of table 3 to normal rat in vivo ventricle and arterial pressure and its contraction rate
Note:Compared with blank control,*Represent P<0.05**Represent P<0.01
The Ivabradine of table 4 shares rolipram to normal rat in vivo ventricle and the shadow of arterial pressure and its contraction rate Ring
Note:Compared with blank control,*Represent P<0.05**Represent P<0.01
Single rolipram (Rolipram) (1mg/kg) dramatically increases the rhythm of the heart (HR), Ivabradine (Ivabradine) (1mg/kg) shares with rolipram (Rolipram) (1mg/kg) significantly reduces the rhythm of the heart (HR).
Single rolipram and Ivabradine share to dramatically increase with rolipram puts out work((SW), and she Mine-laying is cut down to share with rolipram calmly and had more 40.6% than independent rolipram.
Single rolipram and Ivabradine share with rolipram can dramatically increase end-systolic pressure (Pes), and Ivabradine and rolipram share and have had more 19.5% than independent rolipram.
Single rolipram and Ivabradine share with rolipram can dramatically increase LVEF (EF), and Ivabradine shares with rolipram and has had more 13.8% than independent rolipram.
Single rolipram and Ivabradine are shared with rolipram when can significantly slow down aortic valve closing Between (AVCT), and Ivabradine and rolipram share and have slowed down 30.7% than independent rolipram.
Single rolipram and Ivabradine share with rolipram can significantly slow down left ventricular pressure recovery 50% time (LVPD50), and Ivabradine shares with rolipram and has slowed down 22.3% than independent rolipram.
Show that Ivabradine shares rolipram and has the function that positive inotropic.
Conclusion:Illustrate that Ivabradine shares the effect of rolipram better than the effect that rolipram is used alone.
Obviously, the above embodiment of the present invention is only intended to clearly illustrate example of the present invention, and is not pair The restriction of embodiments of the present invention.For those of ordinary skill in the field, may be used also on the basis of the above description To make other changes in different forms.There is no necessity and possibility to exhaust all the enbodiments.And these The obvious changes or variations that the connotation for belonging to of the invention is extended out still falls within protection scope of the present invention.

Claims (7)

1. a kind of pharmaceutical composition, it is characterised in that it contains Ivabradine and rolipram.
2. pharmaceutical composition according to claim 1, it is characterised in that its active component is by Ivabradine and rolipram Composition.
3. pharmaceutical composition according to claim 2, it is characterised in that the weight of its contained Ivabradine and rolipram Than for 1:0.5-1.5.
4. pharmaceutical composition according to claim 3, it is characterised in that the weight of its contained Ivabradine and rolipram Than for 1:1.
5. pharmaceutical composition according to claim 2, it is characterised in that be also aided with pharmaceutically acceptable auxiliary material, be made and appoint What pharmaceutically acceptable formulation.
6. pharmaceutical composition according to claim 5, it is characterised in that it is characterized in that described formulation is injection.
7. the application of Ivabradine and rolipram as active component in treatment, prevention heart failure drugs are prepared.
CN201711053791.4A 2017-10-31 2017-10-31 A kind of Ivabradine and rolipram composition and its application in pharmacy Pending CN107550915A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5296482A (en) * 1991-09-27 1994-03-22 Adir Et Compagnie (Benzocycloalkyl) alkylamines
CN102284060A (en) * 2010-06-15 2011-12-21 瑟维尔实验室 Use of the association of a sinus node if current inhibitor and an angiotensin-converting enzyme inhibitor in the treatment of heart failure
CN102304088A (en) * 2011-07-07 2012-01-04 石药集团欧意药业有限公司 Ivabradine compound, preparation method and pharmaceutical composition thereof
CN102379877A (en) * 2011-09-13 2012-03-21 南京正宽医药科技有限公司 Western medicinal compound for preventing or treating myocardial ischemic chronic heart failure and application thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5296482A (en) * 1991-09-27 1994-03-22 Adir Et Compagnie (Benzocycloalkyl) alkylamines
CN102284060A (en) * 2010-06-15 2011-12-21 瑟维尔实验室 Use of the association of a sinus node if current inhibitor and an angiotensin-converting enzyme inhibitor in the treatment of heart failure
CN102304088A (en) * 2011-07-07 2012-01-04 石药集团欧意药业有限公司 Ivabradine compound, preparation method and pharmaceutical composition thereof
CN102379877A (en) * 2011-09-13 2012-03-21 南京正宽医药科技有限公司 Western medicinal compound for preventing or treating myocardial ischemic chronic heart failure and application thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
COSKUN USTA等: "Comparision of the inotropic effects of levosimendan rolipram, and dobutamine on human atrial trabeculae", 《J.CARDIOVASC PHARMACOL》 *

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