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CN110664814A - Application of FG-4592 in preparation of medicines for treating inflammatory bowel diseases - Google Patents

Application of FG-4592 in preparation of medicines for treating inflammatory bowel diseases Download PDF

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CN110664814A
CN110664814A CN201911111833.4A CN201911111833A CN110664814A CN 110664814 A CN110664814 A CN 110664814A CN 201911111833 A CN201911111833 A CN 201911111833A CN 110664814 A CN110664814 A CN 110664814A
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mice
inflammatory bowel
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施赟杰
王颢
刘聪
蔡建明
郭芳琪
刘小双
梅祖兵
高福
杜继聪
程赢
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Shanghai Changhai Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants

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Abstract

本发明涉及生物医药领域,具体涉及FG‑4592在制备治疗炎性肠病药物中的用途。

Figure 201911111833

The invention relates to the field of biomedicine, in particular to the use of FG-4592 in the preparation of a medicine for treating inflammatory bowel disease.

Figure 201911111833

Description

FG-4592在制备治疗炎性肠病药物中的用途Use of FG-4592 in the preparation of medicaments for the treatment of inflammatory bowel disease

技术领域technical field

本发明涉及生物医药领域,具体涉及FG-4592在制备治疗炎性肠病药物中的用途。The invention relates to the field of biomedicine, in particular to the use of FG-4592 in the preparation of a medicine for treating inflammatory bowel disease.

背景技术Background technique

炎性肠病(inflammatory bowel disease,IBD)是以肠道非特异性炎症损伤为特征的慢性复发性疾病,包括溃疡性结肠炎(ulcerative colitis,UC)和克罗恩病(Crohn'sdisease)。通过肠镜检查,可以观察到肠粘膜充血、水肿、颗粒样改变甚至溃疡形成;在组织病理学上病变区域广泛溃疡形成伴有大量中性粒细胞浸润和肠粘膜坏死。然而,炎性肠病的发病机理目前并没有明确的定论,可能与基因易感性、外界环境刺激、自身免疫以及肠道菌群失调有关。Inflammatory bowel disease (IBD) is a chronic relapsing disease characterized by nonspecific inflammatory damage to the intestine, including ulcerative colitis (UC) and Crohn's disease. Through colonoscopy, intestinal mucosal congestion, edema, granular changes and even ulceration can be observed; histopathologically, extensive ulceration in the lesion area is accompanied by a large number of neutrophil infiltration and intestinal mucosal necrosis. However, the pathogenesis of inflammatory bowel disease has not yet been definitively concluded, and it may be related to genetic susceptibility, external environmental stimuli, autoimmunity, and intestinal flora imbalance.

FG-4592是一种HIFα脯氨酰羟化酶抑制剂,并能稳定HIF-2,同时诱导EPO产生,其对TBHP诱导的细胞死亡具有显著的保护作用,此外在脊髓损伤小鼠模型中,给予FG-4592促进损伤修复,同时增加脊髓病变部位神经元的存活率。该药于2014年以1.1类新药向中国申报开展临床试验,中文名为可博美胶囊,现已在我国开展Ⅲ期临床研究。FG-4592 is a HIFα prolyl hydroxylase inhibitor and stabilizes HIF-2 while inducing EPO production, which has a significant protective effect against TBHP-induced cell death, in addition, in a mouse model of spinal cord injury, Administration of FG-4592 promotes injury repair while increasing neuronal survival at the site of spinal cord lesions. In 2014, the drug was declared for clinical trials in China as a class 1.1 new drug. The Chinese name is Kebomei Capsules. Phase III clinical studies have been carried out in my country.

发明内容SUMMARY OF THE INVENTION

本发明要解决的技术问题是:提供一种FG-4592的新用途。The technical problem to be solved by the present invention is to provide a new application of FG-4592.

在本发明的第一方面,提供了FG-4592或其药学上可接受的盐在制备治疗炎性肠病药物中的用途。In the first aspect of the present invention, there is provided the use of FG-4592 or a pharmaceutically acceptable salt thereof in the preparation of a medicament for the treatment of inflammatory bowel disease.

药学上可接受的盐,例如,可以提及金属盐、接盐、与有机碱形成的盐、与无机酸形成的盐、与有机酸形成的盐、与碱性或者酸性氨基酸形成的盐等。金属盐的非限制性实例包括但不限于碱金属的盐,例如钠盐、钾盐等;碱土金属的盐,例如钙盐、镁盐、钡盐、铝盐等。与无机酸形成的盐的非限制性实例包括但不限于与盐酸、氢溴酸、硝酸、硫酸、磷酸等形成的盐。与有机酸形成的盐的非限制性实例包括但不限于与甲酸、乙酸、三氟乙酸、富马酸、草酸、苹果酸、马来酸、酒石酸、柠檬酸、琥珀酸、甲磺酸、苯磺酸、对甲基苯磺酸等形成的盐。As the pharmaceutically acceptable salts, for example, metal salts, halide salts, salts with organic bases, salts with inorganic acids, salts with organic acids, salts with basic or acidic amino acids and the like can be mentioned. Non-limiting examples of metal salts include, but are not limited to, alkali metal salts, such as sodium, potassium, and the like; alkaline earth metal salts, such as calcium, magnesium, barium, aluminum, and the like. Non-limiting examples of salts formed with inorganic acids include, but are not limited to, salts formed with hydrochloric acid, hydrobromic acid, nitric acid, sulfuric acid, phosphoric acid, and the like. Non-limiting examples of salts with organic acids include, but are not limited to, formic acid, acetic acid, trifluoroacetic acid, fumaric acid, oxalic acid, malic acid, maleic acid, tartaric acid, citric acid, succinic acid, methanesulfonic acid, benzene Salts formed from sulfonic acid, p-toluenesulfonic acid, etc.

FG-4592作为一种HIFα脯氨酰羟化酶抑制剂,发明人在筛选过程中意外发现,其具有治疗炎性肠病的新用途。FG-4592, as a HIFα prolyl hydroxylase inhibitor, was unexpectedly discovered by the inventors during the screening process, and it has a new use in the treatment of inflammatory bowel disease.

本发明的第二方面提供了一种药物组合物,其特征在于含有治疗量的FG-4592或其药学上可接受的盐及药学上可接受的辅料。The second aspect of the present invention provides a pharmaceutical composition, which is characterized in that it contains a therapeutic amount of FG-4592 or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient.

本发明的有益效果在于首次发现并证实了FG-4592对DSS诱导的小鼠肠炎具有良好的治疗效果。The beneficial effect of the present invention lies in finding and confirming for the first time that FG-4592 has a good therapeutic effect on DSS-induced enteritis in mice.

附图说明Description of drawings

图1为对照组(n=11)与处理组(n=12)小鼠从开始口服DSS饮用水后的生存期折线图;Fig. 1 is a line chart of the survival period of mice in the control group (n=11) and the treatment group (n=12) after oral administration of DSS drinking water;

图2为对照组(n=6)与处理组(n=6)小鼠口服DSS饮用水7天后小鼠外周血中红细胞数量对比散点图;Figure 2 is a scatter diagram showing the comparison of the number of erythrocytes in the peripheral blood of mice in the control group (n=6) and the treatment group (n=6) after oral administration of DSS drinking water for 7 days;

图3为对照组(n=6)与处理组(n=6)小鼠口服DSS饮用水7天后小鼠外周血中红细胞比容对比散点图;Figure 3 is a scatter diagram showing the comparison of hematocrit in peripheral blood of mice in the control group (n=6) and the treatment group (n=6) after 7 days of oral administration of DSS drinking water;

图4为对照组(n=6)与处理组(n=6)小鼠口服DSS饮用水7天后的典型结肠照片对比图。Figure 4 is a comparison of typical colon photographs of mice in the control group (n=6) and the treatment group (n=6) after 7 days of oral administration of DSS drinking water.

具体实施方式Detailed ways

以下结合实例说明本发明,但不限制本发明。在本领域内,技术人员对本发明所做的简单替换或改进均属于本发明所保护的技术方案内。The following examples illustrate the present invention, but do not limit the present invention. In the art, simple replacements or improvements made by a skilled person to the present invention all belong to the technical solutions protected by the present invention.

材料与方法:Materials and Methods:

小鼠:雄性野生型C57小鼠(6-8周)购于中国科学院(上海)。所有小鼠均饲养于第二军医大学(上海)动物实验中心无特殊病原体(SPF)实验室。处理组小鼠连续3天给予25mg/kg FG-4592(Medchemexpress,MCE,USA)腹腔注射,后给予1.5%DSS(40,000kDa;ICNBiochemicals)饮用水口服7天后转为正常饮用水。对照组小鼠与处理组小鼠同一时间给予1.5%DSS饮用水口服7天后转为正常饮用水。Mice: Male wild-type C57 mice (6-8 weeks) were purchased from the Chinese Academy of Sciences (Shanghai). All mice were housed in the Special Pathogen Free (SPF) laboratory of the Second Military Medical University (Shanghai) Animal Experiment Center. Mice in the treatment group were given intraperitoneal injection of 25 mg/kg FG-4592 (Medchemexpress, MCE, USA) for 3 consecutive days, and then given 1.5% DSS (40,000 kDa; ICNBiochemicals) drinking water orally for 7 days and then returned to normal drinking water. The mice in the control group and the mice in the treatment group were given 1.5% DSS drinking water orally for 7 days and then changed to normal drinking water.

生存期实验:记录对照组(n=11)与处理组(n=12)小鼠从开始口服DSS饮用水后的生存期。Survival period experiment: The survival period of mice in the control group (n=11) and the treatment group (n=12) was recorded after oral administration of DSS drinking water.

外周血分析:对照组(n=6)与处理组(n=6)小鼠饮1.5%DSS水第7天,小鼠在麻醉状态下,使用毛细管对小鼠进行眼球去除取血,将血置入带有K2-EDTA的离心管(EP管)。通过第二军医大学动物实验中心实验室的标准血液学分析仪确定红细胞和血细胞压积。Analysis of peripheral blood: the mice in the control group (n=6) and the treatment group (n=6) drank 1.5% DSS water. On the 7th day, the mice were under anesthesia. A centrifuge tube (EP tube) with K2-EDTA was placed. Red blood cells and hematocrit were determined by a standard hematology analyzer in the laboratory of the Animal Experiment Center, Second Military Medical University.

肠道标本损伤分析:对照组(n=6)与处理组(n=6)小鼠饮1.5%DSS水第7天,颈椎脱臼处死小鼠,取两组小鼠结肠进行对比分析。Intestinal damage analysis: mice in the control group (n=6) and treatment group (n=6) drank 1.5% DSS water on the 7th day, the mice were killed by cervical dislocation, and the colons of the two groups of mice were collected for comparative analysis.

结果:FG-4592小鼠生存期好于对照组小鼠(图1),具体的,FG-3592小鼠观察了15天,10天死一只,12天死2只,一共死了3只,别的全活,对照组平均生存天数是9.09天。对照组小鼠贫血症状比FG-4592小鼠更严重,并且FG-4592小鼠外周血RBC和HCT均高于对照组小鼠(图2、3)。对照组小鼠肠道损伤比FG-4592小鼠更加严重,肠道缩短,明显血便(图4)。综上,FG-4592对DSS所导致的小鼠肠道炎性损伤中具有明显的保护作用。Results: The survival period of FG-4592 mice was better than that of control mice (Figure 1). Specifically, FG-3592 mice were observed for 15 days, one died at 10 days, 2 died at 12 days, and a total of 3 mice died , the other all alive, the average survival days of the control group was 9.09 days. The anemia symptoms of the control mice were more severe than those of the FG-4592 mice, and the peripheral blood RBC and HCT of the FG-4592 mice were higher than those of the control mice (Figures 2 and 3). The intestinal damage of the control mice was more severe than that of the FG-4592 mice, with shortened intestines and obvious bloody stools (Figure 4). In conclusion, FG-4592 has obvious protective effect on DSS-induced intestinal inflammatory injury in mice.

以上所述的仅是本发明的优选实施方式,应当指出,对于本领域的普通技术人员来说,在不脱离本发明创造构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those of ordinary skill in the art, some modifications and improvements can be made without departing from the inventive concept of the present invention, which belong to the present invention. The scope of protection of the invention.

Claims (2)

1.FG-4592或其药学上可接受的盐在治疗炎性肠病中的用途。1. Use of FG-4592 or a pharmaceutically acceptable salt thereof in the treatment of inflammatory bowel disease. 2.一种药物组合物,其特征在于含有治疗量的FG-4592或其药学上可接受的盐及药学上可接受的辅料。2. A pharmaceutical composition, characterized in that it contains a therapeutic amount of FG-4592 or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable adjuvant.
CN201911111833.4A 2019-10-24 2019-11-14 Application of FG-4592 in preparation of medicines for treating inflammatory bowel diseases Pending CN110664814A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105377242A (en) * 2013-06-06 2016-03-02 菲布罗根有限公司 Pharmaceutical formulations of HIF hydroxylase inhibitor
CN108451954A (en) * 2018-02-02 2018-08-28 中国人民解放军军事科学院军事医学研究院 The new application and drug and health products of FG-4592 or its salt
CN110638803A (en) * 2019-10-24 2020-01-03 上海长海医院 Use of Dencichine in the preparation of medicaments for the treatment of inflammatory bowel disease

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105377242A (en) * 2013-06-06 2016-03-02 菲布罗根有限公司 Pharmaceutical formulations of HIF hydroxylase inhibitor
CN108451954A (en) * 2018-02-02 2018-08-28 中国人民解放军军事科学院军事医学研究院 The new application and drug and health products of FG-4592 or its salt
CN110638803A (en) * 2019-10-24 2020-01-03 上海长海医院 Use of Dencichine in the preparation of medicaments for the treatment of inflammatory bowel disease

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
SOPHIE VAN WELDEN等: "Intestinal hypoxia and hypoxia-induced signalling as therapeutic targets for IBD", 《NAT REV GASTROENTEROL HEPATOL》 *

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