CN112274525B - A kind of chemotherapeutic composition and its application - Google Patents
A kind of chemotherapeutic composition and its application Download PDFInfo
- Publication number
- CN112274525B CN112274525B CN202011411820.1A CN202011411820A CN112274525B CN 112274525 B CN112274525 B CN 112274525B CN 202011411820 A CN202011411820 A CN 202011411820A CN 112274525 B CN112274525 B CN 112274525B
- Authority
- CN
- China
- Prior art keywords
- epirubicin
- fenugreek
- cells
- group
- drug
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 230000000973 chemotherapeutic effect Effects 0.000 title claims abstract 6
- 239000000203 mixture Substances 0.000 title abstract description 12
- AOJJSUZBOXZQNB-VTZDEGQISA-N 4'-epidoxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-VTZDEGQISA-N 0.000 claims abstract description 137
- HTIJFSOGRVMCQR-UHFFFAOYSA-N Epirubicin Natural products COc1cccc2C(=O)c3c(O)c4CC(O)(CC(OC5CC(N)C(=O)C(C)O5)c4c(O)c3C(=O)c12)C(=O)CO HTIJFSOGRVMCQR-UHFFFAOYSA-N 0.000 claims abstract description 123
- 229960001904 epirubicin Drugs 0.000 claims abstract description 123
- 238000011282 treatment Methods 0.000 claims abstract description 24
- YVPXVXANRNDGTA-WDYNHAJCSA-N cepharanthine Chemical compound C1C(C=C2)=CC=C2OC(=C2)C(OC)=CC=C2C[C@H](C2=C3)N(C)CCC2=CC(OC)=C3OC2=C(OCO3)C3=CC3=C2[C@H]1N(C)CC3 YVPXVXANRNDGTA-WDYNHAJCSA-N 0.000 claims abstract description 8
- VQAWRQZAAIQXHM-UHFFFAOYSA-N Cepharanthine Natural products O1C(C=C2)=CC=C2CC(C=23)N(C)CCC3=CC=3OCOC=3C=2OC(=CC=23)C(OC)=CC=2CCN(C)C3CC2=CC=C(O)C1=C2 VQAWRQZAAIQXHM-UHFFFAOYSA-N 0.000 claims abstract description 7
- 239000002246 antineoplastic agent Substances 0.000 claims description 17
- 229940044683 chemotherapy drug Drugs 0.000 claims description 15
- 208000003721 Triple Negative Breast Neoplasms Diseases 0.000 claims description 11
- 208000022679 triple-negative breast carcinoma Diseases 0.000 claims description 11
- 229940041181 antineoplastic drug Drugs 0.000 claims description 5
- 238000002360 preparation method Methods 0.000 claims description 3
- 206010028980 Neoplasm Diseases 0.000 abstract description 34
- 230000000694 effects Effects 0.000 abstract description 34
- 239000003814 drug Substances 0.000 abstract description 29
- 229940079593 drug Drugs 0.000 abstract description 25
- 201000011510 cancer Diseases 0.000 abstract description 23
- 230000002401 inhibitory effect Effects 0.000 abstract description 19
- 206010059866 Drug resistance Diseases 0.000 abstract description 8
- 206010067484 Adverse reaction Diseases 0.000 abstract description 6
- 230000006838 adverse reaction Effects 0.000 abstract description 6
- 230000007774 longterm Effects 0.000 abstract description 2
- 235000001484 Trigonella foenum graecum Nutrition 0.000 description 100
- 244000250129 Trigonella foenum graecum Species 0.000 description 100
- 235000001019 trigonella foenum-graecum Nutrition 0.000 description 100
- 210000004027 cell Anatomy 0.000 description 87
- AOJJSUZBOXZQNB-TZSSRYMLSA-N Doxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-TZSSRYMLSA-N 0.000 description 26
- 239000000243 solution Substances 0.000 description 19
- 238000002474 experimental method Methods 0.000 description 16
- 238000011580 nude mouse model Methods 0.000 description 16
- 206010006187 Breast cancer Diseases 0.000 description 15
- 208000026310 Breast neoplasm Diseases 0.000 description 15
- 241000699660 Mus musculus Species 0.000 description 15
- 239000002609 medium Substances 0.000 description 15
- 229960004679 doxorubicin Drugs 0.000 description 13
- 210000004881 tumor cell Anatomy 0.000 description 13
- 239000000890 drug combination Substances 0.000 description 12
- 229940090044 injection Drugs 0.000 description 12
- 238000002347 injection Methods 0.000 description 12
- 239000007924 injection Substances 0.000 description 12
- WHTVZRBIWZFKQO-AWEZNQCLSA-N (S)-chloroquine Chemical compound ClC1=CC=C2C(N[C@@H](C)CCCN(CC)CC)=CC=NC2=C1 WHTVZRBIWZFKQO-AWEZNQCLSA-N 0.000 description 11
- 229960003677 chloroquine Drugs 0.000 description 11
- WHTVZRBIWZFKQO-UHFFFAOYSA-N chloroquine Natural products ClC1=CC=C2C(NC(C)CCCN(CC)CC)=CC=NC2=C1 WHTVZRBIWZFKQO-UHFFFAOYSA-N 0.000 description 11
- 230000037396 body weight Effects 0.000 description 10
- 238000012795 verification Methods 0.000 description 10
- 241000699670 Mus sp. Species 0.000 description 9
- 239000007788 liquid Substances 0.000 description 9
- 238000000034 method Methods 0.000 description 9
- 208000032839 leukemia Diseases 0.000 description 8
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 7
- 201000005202 lung cancer Diseases 0.000 description 7
- 208000020816 lung neoplasm Diseases 0.000 description 7
- 231100000331 toxic Toxicity 0.000 description 7
- 230000002588 toxic effect Effects 0.000 description 7
- 208000000461 Esophageal Neoplasms Diseases 0.000 description 6
- 206010030155 Oesophageal carcinoma Diseases 0.000 description 6
- 238000006243 chemical reaction Methods 0.000 description 6
- 201000004101 esophageal cancer Diseases 0.000 description 6
- 230000002147 killing effect Effects 0.000 description 6
- 238000002835 absorbance Methods 0.000 description 5
- 230000003833 cell viability Effects 0.000 description 5
- 229940000425 combination drug Drugs 0.000 description 5
- 229940077365 epirubicin injection Drugs 0.000 description 5
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 4
- 201000006585 gastric adenocarcinoma Diseases 0.000 description 4
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Chemical compound OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 3
- 241001465754 Metazoa Species 0.000 description 3
- 208000005718 Stomach Neoplasms Diseases 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 230000005907 cancer growth Effects 0.000 description 3
- 238000002512 chemotherapy Methods 0.000 description 3
- 206010017758 gastric cancer Diseases 0.000 description 3
- 229940093181 glucose injection Drugs 0.000 description 3
- 238000010253 intravenous injection Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 201000011549 stomach cancer Diseases 0.000 description 3
- 230000004083 survival effect Effects 0.000 description 3
- AZKSAVLVSZKNRD-UHFFFAOYSA-M 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide Chemical compound [Br-].S1C(C)=C(C)N=C1[N+]1=NC(C=2C=CC=CC=2)=NN1C1=CC=CC=C1 AZKSAVLVSZKNRD-UHFFFAOYSA-M 0.000 description 2
- 108020004414 DNA Proteins 0.000 description 2
- 241000196324 Embryophyta Species 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000004900 autophagic degradation Effects 0.000 description 2
- 239000012822 autophagy inhibitor Substances 0.000 description 2
- 230000004071 biological effect Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 102000015694 estrogen receptors Human genes 0.000 description 2
- 108010038795 estrogen receptors Proteins 0.000 description 2
- 230000002700 inhibitory effect on cancer Effects 0.000 description 2
- 230000005764 inhibitory process Effects 0.000 description 2
- 239000007928 intraperitoneal injection Substances 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- 231100000053 low toxicity Toxicity 0.000 description 2
- 238000013392 nude mouse xenograft model Methods 0.000 description 2
- 239000002504 physiological saline solution Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 102000003998 progesterone receptors Human genes 0.000 description 2
- 108090000468 progesterone receptors Proteins 0.000 description 2
- 238000010200 validation analysis Methods 0.000 description 2
- 108091032973 (ribonucleotides)n+m Proteins 0.000 description 1
- 101100314454 Caenorhabditis elegans tra-1 gene Proteins 0.000 description 1
- 206010009944 Colon cancer Diseases 0.000 description 1
- 208000030453 Drug-Related Side Effects and Adverse reaction Diseases 0.000 description 1
- 239000006144 Dulbecco’s modified Eagle's medium Substances 0.000 description 1
- 206010025323 Lymphomas Diseases 0.000 description 1
- 238000000134 MTT assay Methods 0.000 description 1
- 231100000002 MTT assay Toxicity 0.000 description 1
- 206010033128 Ovarian cancer Diseases 0.000 description 1
- 206010061535 Ovarian neoplasm Diseases 0.000 description 1
- 102000052575 Proto-Oncogene Human genes 0.000 description 1
- 108700020978 Proto-Oncogene Proteins 0.000 description 1
- 239000012980 RPMI-1640 medium Substances 0.000 description 1
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- 206010070834 Sensitisation Diseases 0.000 description 1
- 102000001742 Tumor Suppressor Proteins Human genes 0.000 description 1
- 108010040002 Tumor Suppressor Proteins Proteins 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000001093 anti-cancer Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 238000004113 cell culture Methods 0.000 description 1
- 208000029742 colonic neoplasm Diseases 0.000 description 1
- 230000002301 combined effect Effects 0.000 description 1
- 208000035250 cutaneous malignant susceptibility to 1 melanoma Diseases 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000009982 effect on human Effects 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 235000013305 food Nutrition 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 230000002055 immunohistochemical effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 229930013397 isoquinoline alkaloid Natural products 0.000 description 1
- 238000011866 long-term treatment Methods 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 230000010534 mechanism of action Effects 0.000 description 1
- 230000007721 medicinal effect Effects 0.000 description 1
- 201000001441 melanoma Diseases 0.000 description 1
- 108020004999 messenger RNA Proteins 0.000 description 1
- 244000000010 microbial pathogen Species 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229940026778 other chemotherapeutics in atc Drugs 0.000 description 1
- 239000008055 phosphate buffer solution Substances 0.000 description 1
- 230000005195 poor health Effects 0.000 description 1
- 238000010837 poor prognosis Methods 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 206010038038 rectal cancer Diseases 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 230000008313 sensitization Effects 0.000 description 1
- 230000001235 sensitizing effect Effects 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 230000002195 synergetic effect Effects 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 238000013518 transcription Methods 0.000 description 1
- 230000035897 transcription Effects 0.000 description 1
- JFJZZMVDLULRGK-URLMMPGGSA-O tubocurarine Chemical compound C([C@H]1[N+](C)(C)CCC=2C=C(C(=C(OC3=CC=C(C=C3)C[C@H]3C=4C=C(C(=CC=4CCN3C)OC)O3)C=21)O)OC)C1=CC=C(O)C3=C1 JFJZZMVDLULRGK-URLMMPGGSA-O 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 230000035899 viability Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic 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
- A61K31/47—Quinolines; Isoquinolines
- A61K31/4738—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4741—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having oxygen as a ring hetero atom, e.g. tubocuraran derivatives, noscapine, bicuculline
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7028—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
- A61K31/7034—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
- A61K31/704—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin attached to a condensed carbocyclic ring system, e.g. sennosides, thiocolchicosides, escin, daunorubicin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Chemical & Material Sciences (AREA)
- Epidemiology (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Dermatology (AREA)
- Molecular Biology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
技术领域technical field
本发明涉及生物医药技术领域,具体涉及一种化疗药物组合物及其应用。The invention relates to the technical field of biomedicine, in particular to a chemotherapeutic drug composition and application thereof.
背景技术Background technique
化疗是治疗恶性肿瘤(癌症)方法之一,它是利用化学药物来阻止癌细胞的增殖、浸润、转移,直至最终杀灭癌细胞的一种治疗方式。表柔比星(Epirubicin)也称表阿霉素,与多柔比星(Doxorubicin)相比,疗效更高,但对心脏的毒性较小,是目前临床应用的化疗药物之一。临床上采用表柔比星注射液,用于治疗乳腺癌、卵巢癌、消化道癌(如晚期胃癌、晚期直肠结肠癌)、恶性淋巴瘤、肺癌及恶性黑色素瘤等疗效显著。只是,表柔比星与其他化疗药物一样,由于其选择性不强,在杀灭癌细胞的同时也会不可避免地损伤人体的正常细胞,从而出现药物的不良反应。治疗恶性肿瘤时间毕竟相对较长,而在长时间治疗过程中,必然会逐渐产生抗药性或耐药性。如何能够在不增加表柔比星的用量的前提下,提高表柔比星的疗效,从而降低表柔比星的不良反应,并同时防止耐药性的出现,这是使用表柔比星等化疗药物治疗癌症的待克服的难点。Chemotherapy is one of the methods for the treatment of malignant tumors (cancer). Epirubicin (Epirubicin), also known as epirubicin, compared with doxorubicin (Doxorubicin), higher efficacy, but less toxicity to the heart, is one of the currently clinically used chemotherapy drugs. Epirubicin injection is clinically used for the treatment of breast cancer, ovarian cancer, digestive tract cancer (such as advanced gastric cancer, advanced rectal and colon cancer), malignant lymphoma, lung cancer and malignant melanoma. However, epirubicin, like other chemotherapeutics, due to its weak selectivity, will inevitably damage normal cells of the human body while killing cancer cells, resulting in adverse drug reactions. After all, the treatment time for malignant tumors is relatively long, and in the long-term treatment process, drug resistance or drug resistance will inevitably develop gradually. How to improve the curative effect of epirubicin without increasing the dosage of epirubicin, thereby reducing the adverse reactions of epirubicin, and preventing the emergence of drug resistance at the same time, this is the use of epirubicin etc. Difficulties to be overcome in the treatment of cancer with chemotherapeutic drugs.
发明内容SUMMARY OF THE INVENTION
本发明意在提供一种化疗药物组合物,以解决表柔比星疗效有限、癌症患者长期使用表柔比星易产生不良反应和耐药性的技术问题。The present invention is intended to provide a chemotherapeutic drug composition to solve the technical problems of limited curative effect of epirubicin and long-term use of epirubicin in cancer patients prone to produce adverse reactions and drug resistance.
为达到上述目的,本发明采用如下技术方案:To achieve the above object, the present invention adopts the following technical solutions:
一种化疗药物组合物,包括千金藤素和表柔比星。A chemotherapeutic drug composition comprising fenugreek and epirubicin.
本方案的原理及优点是:表柔比星(Epirubicin,cas:56390-09-1)是临床上常用的抗癌化疗药物,在表柔比星给药之前,先给予千金藤素,可协同增效表柔比星的癌细胞抑制作用。千金藤素(Cepharanthine,CEP,cas:481-49-2)是从防己科植物千金藤根部提取的异喹啉生物碱,目前已用于临床,主要用于升白细胞,毒副作用小。在正常剂量情况下,千金藤素是基本没有毒副的药品,在临床上也只是偶见胃肠道反应,未见显著的毒副反应。千金藤素的使用,可在保证表柔比星的药效的基础上减少表柔比星的给药量,减少过量使用表柔比星带来的不良反应或者避免人体产生表柔比星耐药性。The principle and advantages of this program are: Epirubicin (Epirubicin, cas: 56390-09-1) is a commonly used anticancer chemotherapy drug in clinical practice. Enhancement of the cancer cell inhibitory effect of epirubicin. Cepharanthine (Cepharanthine, CEP, cas: 481-49-2) is an isoquinoline alkaloid extracted from the roots of the plant of the fangchiaceae plant, Cepharanthine. Under normal doses, fenugreek is a drug with basically no toxic side effects, and only occasional gastrointestinal reactions have been seen in clinical practice, and no significant toxic and side effects have been seen. The use of fenugreek can reduce the dosage of epirubicin on the basis of ensuring the efficacy of epirubicin, reduce the adverse reactions caused by excessive use of epirubicin, or prevent the human body from producing epirubicin resistance. Medicinal properties.
综上,千金藤素具有能够协同临床化疗药物表柔比星,以提高其抑制和杀灭多种肿瘤细胞之效果的作用。实验表明,对乳腺癌MDA-MB-231细胞、MCF-7细胞、BT549细胞,白血病K562、U937细胞,胃癌SGC-7901细胞,肺癌A549细胞,食管癌Eca109细胞,在使用千金藤素的情况下,表柔比星抑制和杀灭这些肿瘤细胞的效果均得到了很大提高,且千金藤素联合表柔比星的效果明显优于千金藤素联合多柔比星,表柔比星联合氯喹的效果。In conclusion, fenugreek can synergize with the clinical chemotherapeutic drug epirubicin to improve its effect of inhibiting and killing various tumor cells. Experiments have shown that breast cancer MDA-MB-231 cells, MCF-7 cells, BT549 cells, leukemia K562, U937 cells, gastric cancer SGC-7901 cells, lung cancer A549 cells, esophageal cancer Eca109 cells, in the case of using fenugreek , the effect of epirubicin in inhibiting and killing these tumor cells has been greatly improved, and the effect of fenugreek combined with epirubicin is significantly better than that of fenugreek combined with doxorubicin, epirubicin combined with chloroquine Effect.
进一步,千金藤素和表柔比星的质量比为0.97∶0.032。Further, the mass ratio of fenugreek and epirubicin was 0.97:0.032.
采用上述技术方案,采用上述质量比的千金藤素和表柔比星可对肿瘤细胞形成有效的抑制作用。使用千金藤素和表柔比星组合对肿瘤进行治疗的时候,千金藤素的用药总量和表柔比星的用药总量的质量比为0.97∶0.032。By adopting the above technical scheme, the above mass ratio of fenugreek and epirubicin can effectively inhibit the formation of tumor cells. When the combination of fenugreek and epirubicin is used to treat tumors, the mass ratio of the total amount of fenugreek and the total amount of epirubicin is 0.97:0.032.
进一步,千金藤素的人体单次剂量为0.97mg/kg·bw。Further, the single dose of fenugreek in human body is 0.97 mg/kg·bw.
进一步,表柔比星的人体单次剂量为0.16mg/kg·bw。Further, the single human dose of epirubicin is 0.16 mg/kg·bw.
采用上述技术方案,经动物实验结果并换算获得千金藤素和表柔比星的人体单次剂量。实验例2中,千金藤素的裸鼠单次剂量为12mg/kg·bw,表柔比星的裸鼠单次剂量为2mg/kg·bw。换算依据是美国食品药品监督管理局(FDA)在《药物临床实验中健康成人受试对象安全给药剂量的估算》(Estimating the Safe Starting Dose in Clinical Trialsfor Therapeutics in Adult Healthy Volunteers)中给出的,达到相同生物学效应所需的人体与小鼠(即实验验证中的裸鼠)的注射剂量换算比(1∶12.3)。By adopting the above technical scheme, the human single dose of fenugreek and epirubicin is obtained through the results of animal experiments and conversion. In Experimental Example 2, the single dose of fenugreek in nude mice was 12 mg/kg·bw, and the single dose of epirubicin in nude mice was 2 mg/kg·bw. The conversion basis is given by the U.S. Food and Drug Administration (FDA) in Estimating the Safe Starting Dose in Clinical Trials for Therapeutics in Adult Healthy Volunteers. The conversion ratio (1:12.3) of the injection dose between human and mice (that is, nude mice in experimental validation) required to achieve the same biological effect.
进一步,在一个疗程中,千金藤素和表柔比星的给药次数之比为5:1。Further, in a course of treatment, the ratio of the times of administration of fenugreek to epirubicin is 5:1.
采用上述技术方案,低毒性千金藤素的使用可减少表柔比星的给药次数,减少化疗药物对人体伤害。By adopting the above-mentioned technical scheme, the use of low-toxic fenugreek can reduce the administration frequency of epirubicin and reduce the harm of chemotherapy drugs to the human body.
进一步,千金藤素和表柔比星的给药途径均为静脉注射给药。Further, the administration routes of fenugreek and epirubicin are both intravenous administration.
采用上述技术方案,静脉注射给药是千金藤素和表柔比星的常规给药方式。在注射本发明组合药物中的表柔比星注射液时,实际上还是与单用表柔比星注射液一样的非连续用药方式。因为药物表柔比星在人体内的代谢时间较长,非连续用药方式能够减小毒副反应。即便用了千金藤素协同而组成了药物组合之后本来就已经能够减少一些表柔比星的使用剂量了,但仍沿用这样的用药方式,符合传统用药习惯,更为方便。在应用本发明的药物组合时,只是多了注射千金藤素注射液这一步骤,没有其他的特别操作方法。本发明药物组合中千金藤素的实际药量远比表柔比星的多得多。结合实验验证,不仅能够说明使用千金藤素协同表柔比星抑制和杀灭各种恶性肿瘤细胞,可以减少用药量、缩短治疗周期,减少毒副反应发生。甚至可以反过来讲,在现有临床化疗药物表柔比星媒介作用下,本申请发明人发现的具有能有效地阻断多种肿瘤细胞的自噬降解作用的千金藤素,也具有了效果可靠且具有实用价值的杀灭各种恶性肿瘤细胞的作用。By adopting the above technical scheme, intravenous injection is the conventional mode of administration of fenugreek and epirubicin. When injecting the epirubicin injection in the combination medicine of the present invention, it is actually the same discontinuous administration method as the single epirubicin injection. Because the drug epirubicin is metabolized for a long time in the human body, discontinuous administration can reduce the toxic and side effects. Even if the drug combination is formed by synergy with fenugreek, the dosage of epirubicin can already be reduced, but this method of medication is still used, which is in line with traditional medication habits and is more convenient. When applying the drug combination of the present invention, only the step of injecting fenugreek injection is added, and there is no other special operation method. The actual dosage of fenugreek in the pharmaceutical combination of the present invention is much more than that of epirubicin. Combined with the experimental verification, it can not only show that the use of fenugreek in conjunction with epirubicin to inhibit and kill various malignant tumor cells can reduce the dosage of drugs, shorten the treatment period, and reduce the occurrence of toxic and side effects. Even conversely, under the mediation of the existing clinical chemotherapeutic drug epirubicin, the fenugreek found by the inventors of the present application, which can effectively block the autophagic degradation of various tumor cells, also has an effect. Reliable and practical value in killing various malignant tumor cells.
进一步,一种化疗药物组合物作为抗癌药物的应用,所述化疗药物组合物包括千金藤素和表柔比星。Further, the application of a chemotherapeutic drug composition as an anticancer drug, the chemotherapeutic drug composition comprising fenugreek and epirubicin.
采用上述技术方案,由于千金藤素和表柔比星具有协同增强癌细胞杀伤效果的作用,可将其应用于抗癌药物的制备中。By adopting the above technical solution, since fenugreek and epirubicin have the effect of synergistically enhancing the killing effect of cancer cells, they can be used in the preparation of anticancer drugs.
进一步,所述抗癌药物用于治疗三阴性乳腺癌。Further, the anticancer drug is used for the treatment of triple negative breast cancer.
采用上述技术方案,千金藤素和表柔比星联合使用对人三阴性乳腺癌细胞MDA-MB-231、BT549细胞有显著的抑制作用,而对非三阴性乳腺癌细胞MCF-7细胞增敏效果较弱,故可将千金藤素和表柔比星的用于治疗三阴性乳腺癌中。千金藤素和表柔比星的组合物显示出了良好的三阴性乳腺癌细胞抑制效果。三阴性乳腺癌是指癌组织免疫组织化学检查结果为雌激素受体(ER)、孕激素受体(PR)和原癌基因Her-2均为阴性的乳腺癌,本病预后较差,死亡风险较高。Using the above technical solution, the combined use of fenugreek and epirubicin has a significant inhibitory effect on human triple-negative breast cancer cells MDA-MB-231 and BT549 cells, while sensitizing non-triple-negative breast cancer cells MCF-7 cells The effect is relatively weak, so fenugreek and epirubicin can be used in the treatment of triple negative breast cancer. The combination of fenugreek and epirubicin showed a good inhibitory effect on triple-negative breast cancer cells. Triple-negative breast cancer refers to breast cancer whose cancer tissue immunohistochemical examination results are negative for estrogen receptor (ER), progesterone receptor (PR) and proto-oncogene Her-2. The disease has a poor prognosis and death. Higher risk.
进一步,在一个疗程中,千金藤素的给药次数为20次,表柔比星的给药次数为4次。Further, in a course of treatment, the administration frequency of fenugreek was 20 times, and the administration frequency of epirubicin was 4 times.
采用上述技术方案,低毒性千金藤素的使用可减少表柔比星的给药次数。By adopting the above technical scheme, the use of the low toxicity fenugreek can reduce the administration frequency of epirubicin.
进一步,在一个疗程中,千金藤素的给药频率为每日一次,表柔比星的给药频率为每5日一次。Further, in a course of treatment, the dosing frequency of fenugreek is once a day, and the dosing frequency of epirubicin is once every 5 days.
采用上述技术方案,低毒性千金藤素的使用可减少表柔比星的给药频率。By adopting the above-mentioned technical scheme, the use of low toxicity fenugreek can reduce the administration frequency of epirubicin.
附图说明Description of drawings
图1为实验例1的表柔比星单用以及表柔比星联合千金藤素的癌细胞抑制曲线(实验对象为乳腺癌细胞,且千金藤素的浓度为定值)。FIG. 1 is the cancer cell inhibition curve of epirubicin alone and epirubicin combined with fenugreek in Experimental Example 1 (the experimental object is breast cancer cells, and the concentration of fenugreek is a fixed value).
图2为实验例1的千金藤素单用以及千金藤素联合表柔比星的癌细胞抑制曲线(实验对象为乳腺癌细胞,且表柔比星的浓度为定值)。FIG. 2 is the cancer cell inhibition curve of fenugreek alone and fenugreek combined with epirubicin in Experimental Example 1 (the experimental object is breast cancer cells, and the concentration of epirubicin is a fixed value).
图3为实验例1的表柔比星和多柔比星分别联合千金藤素的癌细胞抑制效果统计图。FIG. 3 is a statistical graph of the cancer cell inhibitory effect of epirubicin and doxorubicin in experimental example 1 in combination with fenugreek, respectively.
图4为实验例1的千金藤素和氯喹分别联合表柔比星的癌细胞抑制效果统计图。Figure 4 is a statistical graph of the inhibitory effect of fenugreek and chloroquine in Experimental Example 1 in combination with epirubicin, respectively.
图5为实验例1的表柔比星联合千金藤素的癌细胞抑制效果统计图(针对除乳腺癌细胞以外的其他细胞)。5 is a statistical graph of the cancer cell inhibitory effect of epirubicin combined with fenugreek in Experimental Example 1 (for cells other than breast cancer cells).
图6为实验例2的不同实验组小鼠照片(展示肿瘤体积)。FIG. 6 is a photograph of mice in different experimental groups of Experimental Example 2 (showing tumor volume).
图7为实验例2的实验小鼠肿瘤体积变化曲线图。FIG. 7 is a graph showing the change in tumor volume of experimental mice in Experimental Example 2. FIG.
图8为实验例2的实验小鼠体重变化曲线图。FIG. 8 is a graph showing the change in body weight of experimental mice in Experimental Example 2. FIG.
具体实施方式Detailed ways
下面通过具体实施方式进一步详细说明:The following is further described in detail by specific embodiments:
实施例1:Example 1:
本方案的一种化疗药物组合物是由千金藤素和表柔比星组成,更具体地,该药物组合包括千金藤素和化疗药物表柔比星。千金藤素的结构式参见式(Ⅰ),表柔比星的结构式参见式(Ⅱ)。A chemotherapeutic drug composition of the present scheme is composed of septilaginine and epirubicin, more specifically, the drug combination includes septilaginine and chemotherapeutic drug epirubicin. See formula (I) for the structural formula of fenugreek, and see formula (II) for the structural formula of epirubicin.
在了解到本发明提供的药物组合能够提高疗效和降低不良反应之后,为避免抗药性或耐药性而采用本发明的药物组合时,对本领域的技术人员来讲,完全有能力针对具体的恶性肿瘤,仅仅只通过有限的常规试验,就确定下千金藤素和表柔比星这两种组分之间的配比。针对本发明做实验验证时所选择的几种恶性肿瘤细胞而言,该药物组合采用这样的配比为宜,一个疗程中,千金藤素的总药量∶表柔比星总药量=0.97∶0.032。上述剂量比例是根据动物实验剂量(实验例2)换算。换算依据是美国食品药品监督管理局(FDA)在《药物临床实验中健康成人受试对象安全给药剂量的估算》(Estimating the Safe StartingDose in Clinical Trials for Therapeutics in Adult Healthy Volunteers)中给出的,达到相同生物学效应所需的人体与小鼠(即实验验证中的裸鼠)的注射剂量换算比(1∶12.3)。After knowing that the drug combination provided by the present invention can improve the curative effect and reduce adverse reactions, when the drug combination of the present invention is used to avoid drug resistance or drug resistance, those skilled in the art are fully capable of targeting specific malignant For tumors, the ratio between the two components, fenugreek and epirubicin, was determined only through limited routine experiments. For the several malignant tumor cells selected in the experimental verification of the present invention, it is appropriate to adopt such a ratio for the drug combination. In a course of treatment, the total dose of fenugreek: the total dose of epirubicin=0.97 : 0.032. The above-mentioned dose ratios are converted based on the animal experimental doses (Experimental Example 2). The conversion basis is given by the U.S. Food and Drug Administration (FDA) in Estimating the Safe StartingDose in Clinical Trials for Therapeutics in Adult Healthy Volunteers. The conversion ratio (1:12.3) of the injection dose between human and mice (that is, nude mice in experimental validation) required to achieve the same biological effect.
在应用本方案的药物组合进行治疗的时候,千金藤素和表柔比星均分次给药(但总药量之比保持为0.97∶0.032),具体的应用方法如下:When using the drug combination of this scheme for treatment, fenugreek and epirubicin are administered in divided doses (but the ratio of the total doses is maintained at 0.97:0.032), and the specific application methods are as follows:
①按照千金藤素∶患者体重=0.97mg/kg的剂量(需使用生理盐水或者5%葡萄糖注射液将千金藤素配制为千金藤素注射液,本实施例使用的是生理盐水),通过静脉每日注射一次千金藤素注射液;①According to the dose of fenugreek: patient body weight = 0.97mg/kg (it is necessary to use normal saline or 5% glucose injection to prepare fenugreek into fenugreek injection, this example uses physiological saline), through intravenous Inject fenugreek injection once a day;
②在按照步骤①注射千金藤素注射液的当日,按照表柔比星∶患者体重=0.16mg/kg的剂量(需使用生理盐水或者5%葡萄糖注射液将表柔比星配制为表柔比星注射液,本实施例使用的葡萄糖注射液),通过静脉注射一次表柔比星注射液;②On the day of injection of fenugreek injection according to step ①, according to the dose of epirubicin: patient weight = 0.16 mg/kg (physiological saline or 5% glucose injection should be used to prepare epirubicin as epirubicin Star injection, the glucose injection used in the present embodiment), by intravenous injection of epirubicin injection once;
③到第六日时,按照步骤②所述剂量,通过静脉再注射一次同剂量表柔比星注射液;按照步骤①~③循环;③ On the sixth day, according to the dose described in
④从第二十一日起,根据患者身体的承受能力和治疗效果,确定是否再按照步骤①~③的方法循环,以及循环次数和中间停药时间。④From the 21st day, according to the patient's body's ability to bear and the treatment effect, determine whether to follow the steps ① to ③ again, as well as the number of cycles and the intermediate withdrawal time.
本领域的技术人员十分清楚,注射液的浓度应当根据患者身体的承受能力等因素确定,在步骤④中所说的“循环次数”通常可以为1~4遍,“中间停药时间”通常可以为1~2周;对于身体特别差的患者,甚至可以只以步骤①和②为一用药周期或一个疗程(即从第六日起就暂停用药)。Those skilled in the art are very clear that the concentration of the injection should be determined according to factors such as the patient's body's ability to withstand. It is 1 to 2 weeks; for patients with particularly poor health, steps ① and ② can even be used as a medication cycle or a course of treatment (that is, the medication is suspended from the sixth day).
实验例1:细胞实验Experimental Example 1: Cell Experiment
1.细胞选择与活性培养1. Cell Selection and Viability Culture
实验选择有,人乳腺癌细胞MDA-MB-231、MCF-7、BT549,人白血病细胞K562、U937,人胃腺癌细胞SGC-7901,人肺癌细胞A549,人食管癌细胞Eca109。其中,人乳腺癌细胞MDA-MB-231、MCF-7、BT549细胞及人胃腺癌SGC-7901细胞、人肺癌A549细胞活性培养在DMEM+10%FBS完全培养基中;人白血病细胞K562、U937细胞、人食管癌细胞Eca109培养在RPMI1640+10%FBS完全培养基中。以上细胞均在37℃,5%浓度的CO2,饱和湿度的细胞培养箱中培养。The experimental selections include human breast cancer cells MDA-MB-231, MCF-7, BT549, human leukemia cells K562, U937, human gastric adenocarcinoma cells SGC-7901, human lung cancer cells A549, and human esophageal cancer cells Eca109. Among them, human breast cancer cells MDA-MB-231, MCF-7, BT549 cells, human gastric adenocarcinoma SGC-7901 cells, and human lung cancer A549 cells were actively cultured in DMEM+10% FBS complete medium; human leukemia cells K562, U937 Cells, human esophageal cancer cells Eca109 were cultured in RPMI1640+10% FBS complete medium. The above cells were cultured in a cell culture incubator at 37°C, 5% CO 2 , and saturated humidity.
2.实验方法以及结果2. Experimental methods and results
各肿瘤细胞系状态稳定后,将细胞铺于96孔板中,每孔5000个细胞,每孔含完全培养基90μL,然后使用药物处理细胞。对处理后的细胞进行MTT法检测,以确定药物对细胞活性的影响:加药处理48小时后,每孔中加入20μL磷酸盐缓冲溶液(PBS溶液)配制的5mg/mL的噻唑蓝(MTT)溶液继续培养4小时。吸走上层培养基(人白血病K562、U937细胞用平板离心机先将悬浮的细胞离心至孔底),每孔中加入150μL二甲亚砜(DMSO)进行溶解,振荡器上溶解10分钟后,用酶标仪在A495处检测吸光度值,细胞存活率根据以下公式计算:After each tumor cell line was stabilized, the cells were plated in 96-well plates with 5000 cells per well, and each well contained 90 μL of complete medium, and then the cells were treated with drugs. MTT assay was performed on the treated cells to determine the effect of drugs on cell viability: 48 hours after drug addition, 5 mg/mL of thiazolyl blue (MTT) prepared in 20 μL of phosphate buffer solution (PBS solution) was added to each well. The solution was incubated for an additional 4 hours. Aspirate the upper medium (human leukemia K562 and U937 cells were first centrifuged to the bottom of the well for human leukemia K562 and U937 cells), add 150 μL of dimethyl sulfoxide (DMSO) to each well to dissolve, and dissolve on the shaker for 10 minutes. The absorbance value was detected at A495 with a microplate reader, and the cell viability was calculated according to the following formula:
细胞存活百分率=(处理组吸光度-空白孔吸光度)÷(对照组吸光度-空白孔吸光度)×100%。Percentage of cell survival=(absorbance of treatment group-absorbance of blank well)÷(absorbance of control group-absorbance of blank well)×100%.
具体的实验分组方式如下:The specific experimental grouping method is as follows:
人乳腺癌细胞MDA-MB-231、MCF-7、BT549细胞按以下方式分组并处理:Human breast cancer cells MDA-MB-231, MCF-7, BT549 cells were grouped and processed as follows:
(1)对照组:完全培养基溶液10μL处理。(1) Control group: 10 μL of complete medium solution was treated.
(2)表柔比星组:用完全培养基配制浓度为0、1、2、4、6、8μM(μmol/L)的表柔比星溶液,每孔中加10μL处理,使其作用终浓度为0、0.1、0.2、0.4、0.6、0.8μM。实验结果参见图1。(2) Epirubicin group: Epirubicin solutions with concentrations of 0, 1, 2, 4, 6, and 8 μM (μmol/L) were prepared in complete medium, and 10 μL was added to each well to make the effect final. Concentrations were 0, 0.1, 0.2, 0.4, 0.6, 0.8 μM. The experimental results are shown in Figure 1.
(3)千金藤素组:用完全培养基配制浓度为0、10、20、40、60、80μM(μmol/L)的千金藤素溶液,每孔中加10μL处理,使其作用终浓度为0、1、2、4、6、8μM。实验结果参见图2。(3) The fenugreek group: the complete medium was used to prepare the fenugreek solution with the concentration of 0, 10, 20, 40, 60, 80 μM (μmol/L), and 10 μL was added to each well to make the final concentration of 0, 1, 2, 4, 6, 8 μM. The experimental results are shown in Figure 2.
(4)联合用药组:表柔比星和千金藤素组合药物组(4) Combination drug group: epirubicin and fenugreek combination drug group
表柔比星和千金藤素联合用药采用两种实验方案:Two experimental protocols were used for the combination of epirubicin and fenugreek:
方案一:用完全培养基配制浓度为0、1、2、4、6、8μM的表柔比星溶液及20μM的千金藤素混合药液,每孔中加混合药液10μL处理,使表柔比星作用终浓度分别为0、0.1、0.2、0.4、0.6、0.8μM,千金藤素的作用终浓度为2μM。实验结果参见图1,表柔比星本身具有一定的浓度依赖的癌细胞抑制效果,并且在千金藤素的作用下,同一浓度的表柔比星的癌细胞抑制效果增强。Scheme 1: Prepare epirubicin solution with concentration of 0, 1, 2, 4, 6, 8 μM and 20 μM fenugreek mixed liquid in complete medium, and add 10 μL of mixed liquid to each well to make the epirubicin soft. The final concentration of bicin was 0, 0.1, 0.2, 0.4, 0.6, 0.8 μM, and the final concentration of fenugreek was 2 μM. The experimental results are shown in Figure 1. Epirubicin itself has a certain concentration-dependent inhibitory effect on cancer cells, and under the action of fenugreek, the inhibitory effect of epirubicin at the same concentration is enhanced.
方案二:用完全培养基配制浓度为0、10、20、40、60、80μM的千金藤素溶液及2μM的表柔比星混合药液,每孔中加混合药液10μL处理,使千金藤素的作用终浓度分别为0、1、2、4、6、8μM,表柔比星的作用终浓度为0.2μM。实验结果参见图2,千金藤素本身不具有显著的癌细胞抑制效果,随着千金藤素的用量增加,千金藤素也没有显示出癌细胞抑制作用。但在加入0.2μM的表柔比星之后,组合物具有显著的抑制癌细胞的效果,这种抑制效应不是仅仅只通过表柔比星产生,而是通过表柔比星和千金藤素的协同效应实现。结合图1和图2,千金藤素单用时对细胞存活率无明显影响。千金藤素协同表柔比星组与单独使用表柔比星组相比较,千金藤素协同表柔比星组的肿瘤细胞存活率均不同程度地低于单独使用表柔比星组,两者联用的效果不是相加,而是1+1大于2的效果。Option 2: Prepare 0, 10, 20, 40, 60, 80 μM solution of fenugreek and a mixture of 2 μM epirubicin in complete medium, and add 10 μL of the mixed liquid to each well to make fenugreek. The final concentration of epirubicin was 0, 1, 2, 4, 6, and 8 μM, and the final concentration of epirubicin was 0.2 μM. The experimental results are shown in FIG. 2 , fenugreek itself does not have a significant inhibitory effect on cancer cells, and with the increase in the amount of fenugreek, fenugreek does not show a cancer cell inhibitory effect. However, after adding 0.2 μM epirubicin, the composition has a significant effect of inhibiting cancer cells. This inhibitory effect is not only produced by epirubicin, but through the synergy of epirubicin and fenugreek effect realized. Combining Fig. 1 and Fig. 2, the single use of fenugreek has no obvious effect on the cell viability. Compared with the epirubicin group combined with epirubicin and the epirubicin group alone, the survival rate of tumor cells in the fenugreek combined with epirubicin group was lower than that in the epirubicin group alone. The effect of the combination is not additive, but the effect of 1+1 greater than 2.
综合图1和图2的实验结果,千金藤素和表柔比星联合使用对人三阴性乳腺癌细胞MDA-MB-231、BT549细胞有显著的抑制作用,而对非三阴性乳腺癌细胞MCF-7细胞增敏效果较弱,故可将千金藤素和表柔比星的用于治疗三阴性乳腺癌中。千金藤素和表柔比星的组合物显示出了良好的三阴性乳腺癌细胞抑制效果。Combining the experimental results of Figure 1 and Figure 2, the combination of fenugreek and epirubicin has a significant inhibitory effect on human triple-negative breast cancer cells MDA-MB-231 and BT549 cells, while on non-triple-negative breast cancer cells MCF The sensitization effect of -7 cells is weak, so fenugreek and epirubicin can be used in the treatment of triple-negative breast cancer. The combination of fenugreek and epirubicin showed a good inhibitory effect on triple-negative breast cancer cells.
(5)多柔比星和千金藤素组合药物组(5) Combination drug group of doxorubicin and fenugreek
用完全培养基配制浓度为2μM的多柔比星溶液及20μM的千金藤素混合药液,每孔中加混合药液10μL处理,使其作用终浓度分别为0.2μM与2μM。实验结果如图3所示,千金藤素组的终浓度为2μM;表柔比星组的终浓度为0.2μM;表柔比星+千金藤素组中,表柔比星的终浓度为0.2μM,千金藤素的终浓度为2μM;多柔比星组的终浓度为0.2μM;多柔比星+千金藤素组中,多柔比星的终浓度为0.2μM,千金藤素的终浓度为2μM。多柔比星和表柔比星是同分异构体,作用机制是直接嵌入DNA核碱对之间,干扰转录过程,阻止mRNA的形成,从而抑制DNA和RNA的合成。发明人研究发现,多柔比星和表柔比星分别单用时,对癌细胞的抑制效果相当,但是千金藤素和表柔比星的组合效果明显优于多柔比星联合千金藤素的效果。Doxorubicin solution with a concentration of 2 μM and a mixed liquid of 20 μM fenugreek were prepared in complete medium, and 10 μL of the mixed liquid was added to each well to make the final concentrations of 0.2 μM and 2 μM, respectively. The experimental results are shown in Figure 3. The final concentration of the fenugreek group is 2 μM; the final concentration of the epirubicin group is 0.2 μM; in the epirubicin + fenugreek group, the final concentration of epirubicin is 0.2 μM, the final concentration of fenugreek was 2 μM; the final concentration of doxorubicin group was 0.2 μM; in the doxorubicin + fenugreek group, the final concentration of doxorubicin was 0.2 μM, and the final concentration of fenugreek was 0.2 μM. The concentration is 2 μM. Doxorubicin and epirubicin are isomers, and the mechanism of action is to directly intercalate between DNA nucleobase pairs, interfere with the transcription process, prevent the formation of mRNA, and thereby inhibit the synthesis of DNA and RNA. The inventor's research found that when doxorubicin and epirubicin were used alone, the inhibitory effects on cancer cells were equivalent, but the combined effect of doxorubicin and epirubicin was significantly better than that of doxorubicin combined with fenugreek. Effect.
(6)表柔比星和氯喹组合药物组(6) Combination drug group of epirubicin and chloroquine
用完全培养基配制浓度为2μM的表柔比星溶液及40、200μM的氯喹混合药液,每孔中加混合药液10μL处理,在单独用药和组合用药中,均使表柔比星作用终浓度为0.2μM,氯喹的作用终浓度分别为4和20μM,千金藤素的作用终浓度为2μM。实验结果参见图4,4μM的氯喹和0.2μM的表柔比星联合使用,并不能显著抑制癌细胞的生长;而2μM的千金藤素和0.2μM的表柔比星联合使用,已经可以显著地抑制癌细胞的生长;将氯喹的用量增加至20μM,氯喹和表柔比星的协同抑制癌细胞的效果仍然不如千金藤素和表柔比星的组合。千金藤素和氯喹(CQ)同为自噬抑制剂,且氯喹是目前FDA批准的唯一临床使用的自噬抑制剂。虽然两者都具有抑制自噬的作用,但是当两者分别与表柔比星联用的时候,他们对表柔比星的抑癌效果的促进作用具有非常显著的差距。The epirubicin solution with a concentration of 2 μM and the mixed liquid of 40 and 200 μM chloroquine were prepared in complete medium, and 10 μL of the mixed liquid was added to each well. The concentration is 0.2 μM, the final concentration of chloroquine is 4 and 20 μM, and the final concentration of fenugreek is 2 μM. The experimental results are shown in Figure 4. The combined use of 4 μM chloroquine and 0.2 μM epirubicin cannot significantly inhibit the growth of cancer cells; while the combined use of 2 μM fenugreek and 0.2 μM epirubicin can significantly inhibit the growth of cancer cells. Inhibit the growth of cancer cells; increasing the dosage of chloroquine to 20 μM, the synergistic effect of chloroquine and epirubicin in inhibiting cancer cells is still not as good as the combination of fenugreek and epirubicin. Chloroquine (CQ) is an autophagy inhibitor, and chloroquine is the only autophagy inhibitor approved by the FDA for clinical use. Although both have the effect of inhibiting autophagy, when the two are used in combination with epirubicin, they have a very significant gap in promoting the tumor suppressor effect of epirubicin.
人胃腺癌SGC-7901细胞、人肺癌A549细胞、人白血病细胞K562、U937细胞、人食管癌细胞Eca109按以下方式分组并处理:Human gastric adenocarcinoma SGC-7901 cells, human lung cancer A549 cells, human leukemia cells K562, U937 cells, and human esophageal cancer cells Eca109 were grouped and processed as follows:
(1)对照组:完全培养基溶液10μL处理;(1) Control group: 10 μL of complete medium solution was treated;
(2)表柔比星组:用完全培养基配制浓度为2μM(μmol/L)的表柔比星溶液,每孔中加10μL处理,使其作用终浓度为0.2μM;(2) Epirubicin group: use complete medium to prepare epirubicin solution with a concentration of 2 μM (μmol/L), and add 10 μL to each well to make the final concentration of 0.2 μM;
(3)千金藤素组:用完全培养基配制浓度为20μM(μmol/L)的千金藤素溶液,每孔中加10μL处理;使其作用终浓度为2μM;(3) The fenugreek group: prepare the fenugreek solution with a concentration of 20 μM (μmol/L) in complete medium, and add 10 μL to each well for treatment; the final concentration is 2 μM;
(4)表柔比星和千金藤素组合药物组:用完全培养基配制浓度为2μM的表柔比星溶液及20μM的千金藤素混合药液,每孔中加混合药液10μL处理,使其作用终浓度分别为0.2μM与2μM。(4) Combination drug group of epirubicin and fenugreek: the complete medium was used to prepare a solution of epirubicin with a concentration of 2 μM and a mixed liquid of fenugreek at a concentration of 20 μM, and 10 μL of the mixed liquid was added to each well. Its final concentrations were 0.2 μM and 2 μM, respectively.
实验结果如图5所示,表柔比星和千金藤素联用可以显著抑制人胃腺癌SGC-7901细胞、人肺癌A549细胞、人白血病细胞K562、U937细胞和人食管癌细胞Eca109的活性。The experimental results are shown in Figure 5. The combination of epirubicin and fenugreek can significantly inhibit the activity of human gastric adenocarcinoma SGC-7901 cells, human lung cancer A549 cells, human leukemia cells K562, U937 cells and human esophageal cancer cells Eca109.
另外,在图3-图5中,纵坐标表示细胞存活率,即处理组相对于对照组的细胞存活率。横坐标为各种人肿瘤细胞株(注:仅由对应肿瘤细胞的区别符号表示)。图柱对应的值为各组的平均值,图中“Ⅰ”形符号指出了上下偏差。In addition, in Figs. 3 to 5, the ordinate represents the cell viability, that is, the cell viability of the treated group relative to the control group. The abscissa is various human tumor cell lines (Note: only indicated by the distinguishing symbols of the corresponding tumor cells). The value corresponding to the bar is the average value of each group, and the "I" symbol in the figure indicates the upper and lower deviation.
针对图1-图5的实验结果,为证明这一验证结论是准确而可靠的,验证时同时还对样本进行了统计学的计算与分析。图中“**”表示p<0.01,其中“p”为统计学上可接受错误的边界符号,其值为p≤0.05。在计算出p<0.01的情况下,即可认定使用千金藤素协同表柔比星组的肿瘤细胞存活率小于单独使用表柔比星的肿瘤细胞存活率之结论,出现错误的可能性小,自然说明了这一验证结果是准确而可靠的。In view of the experimental results in Figures 1-5, in order to prove that the verification conclusion is accurate and reliable, statistical calculation and analysis of the samples were also performed during verification. In the figure, "**" means p<0.01, where "p" is the boundary symbol of statistically acceptable error, and its value is p≤0.05. In the case of calculating p<0.01, it can be concluded that the survival rate of tumor cells in the group using fenugreek in combination with epirubicin is lower than that in the group using epirubicin alone, and the possibility of error is small. Naturally, this verification result is accurate and reliable.
本领域的技术人员十分清楚,在细胞实验中,药物作用效果只与药物浓度存在对应关系,而不是与药物的总量,同时,细胞层面的药物浓度不能够与动物实验的浓度进行换算,因此,细胞层面实验只能够验证千金藤素协同表柔比星的药物组合与单独使用表柔比星相比较有没有显著差异。当然,通过这一验证也充分证明了本发明药物组合的有效性和可靠性。再通过裸鼠实验进一步验证本发明药物组合的效果时,仅只针对一种肿瘤细胞进行研究。Those skilled in the art are very clear that in cell experiments, the effect of drugs only has a corresponding relationship with the drug concentration, rather than the total amount of the drug. At the same time, the drug concentration at the cell level cannot be converted with the concentration in animal experiments. Therefore, , cell-level experiments can only verify whether there is a significant difference between the drug combination of fenugreek and epirubicin compared with epirubicin alone. Of course, this verification also fully proves the effectiveness and reliability of the drug combination of the present invention. When further verifying the effect of the drug combination of the present invention through nude mouse experiments, only one tumor cell was studied.
实验例2:裸鼠移植瘤模型实验(仅以移植人乳腺癌MDA-MB-231细胞为例)Experimental Example 2: Nude mouse xenograft model experiment (only taking human breast cancer MDA-MB-231 cells as an example)
在本实验过程中,是通过腹腔向裸鼠体内注射各种药物以进行比较的(即并不是通过静脉注射)。During this experiment, various drugs were injected intraperitoneally into nude mice for comparison (ie not by intravenous injection).
1.裸鼠的选择1. Selection of nude mice
取6~8周龄无特异病原微生物(SPF)级裸鼠24只,体重范围为20±2g,在昼夜交替、室温(20℃~23℃)环境饲养,自由饮水、进食。Twenty-four 6-8-week-old nude mice with no specific pathogenic microorganisms (SPF), with a weight range of 20 ± 2 g, were reared in an environment of alternating day and night at room temperature (20 ℃ ~ 23 ℃) with free access to water and food.
2.实验分组及给药剂量(共4组)2. Experimental grouping and dosage (4 groups in total)
所有裸鼠随机分为四组,每组6只,每只右大腿外侧接种1×107个用人乳腺癌MDA-MB-231细胞所制悬液0.2mL(人乳腺癌MDA-MB-231细胞的培养与前述“细胞实验”相同),待瘤体形成后开始按以下方式给药。All nude mice were randomly divided into four groups, 6 mice in each group, and 1×10 7 mice were inoculated with 0.2 mL of suspension prepared with human breast cancer MDA-MB-231 cells (human breast cancer MDA-MB-231 cells) on the outside of each right thigh. The culture is the same as the aforementioned "cell experiment"), and the drug is administered in the following manner after the tumor is formed.
(1)对照组:与处理组体积相同的生理盐水腹腔注射,1次/日;(1) Control group: intraperitoneal injection of normal saline with the same volume as the treatment group, once a day;
(2)千金藤素组:按裸鼠体重12mg/kg的剂量,腹腔注射千金藤素,1次/日;(2) The fenugreek group: the nude mice were injected intraperitoneally with fenugreek at a dose of 12 mg/kg body weight, once a day;
(3)表柔比星组:按裸鼠体重2mg/kg的剂量,腹腔注射表柔比星,1次/5日(即间隔4日注射1次);(3) Epirubicin group: According to the dose of nude
(4)千金藤素和表柔比星的药物组合组:按裸鼠体重12mg/kg的剂量,腹腔注射千金藤素,1次/日;在第一次注射千金藤素的同日,按裸鼠体重2mg/kg的剂量,腹腔注射表柔比星,间隔4日注射1次。(4) The drug combination group of fenugreek and epirubicin: according to the dose of nude mice body weight of 12 mg/kg, intraperitoneal injection of fenugreek, once a day; on the same day as the first injection of fenugreek At a dose of 2 mg/kg of body weight of mice, epirubicin was injected intraperitoneally, once every 4 days.
上述表柔比星剂量中的0.16mg,是根据前述的本发明药物组合中表柔比星的配比(0.03~0.04)的中间值,以1次/5日注射表柔比星来换算出的。The 0.16 mg in the above-mentioned epirubicin dose is the middle value of the ratio (0.03~0.04) of epirubicin in the aforementioned pharmaceutical combination of the present invention, and is calculated by injecting epirubicin once/5 days of.
上述各组中千金藤素和表柔比星的剂量中,均只是指药物本身的剂量。配制成注射针剂时应当达到的浓度,对本领域的技术人员而言,应当是十分清楚的,至多经过有限的常规实验也能够确定下来,故不详述。The doses of fenugreek and epirubicin in the above groups only refer to the doses of the drugs themselves. The concentration that should be achieved when it is formulated into injection injection should be very clear to those skilled in the art, and at most can be determined through limited routine experiments, so it will not be described in detail.
3.测量与记录3. Measurement and recording
(1)每六天后测量、记录一次各组裸鼠的体重;(1) Measure and record the body weight of each group of nude mice every six days;
(2)每六天后用游标卡尺测量肿瘤的长度和宽度、记录一次各组裸鼠肿瘤体部分的体积;肿瘤体积按照以下公式计算:(2) After every six days, measure the length and width of the tumor with a vernier caliper, and record the volume of the tumor body of each group of nude mice; the tumor volume is calculated according to the following formula:
肿瘤体积(mm3)=肿瘤长度(mm)×肿瘤宽度的平方(mm2)Tumor volume (mm 3 ) = tumor length (mm) × tumor width squared (mm 2 )
实验结果参见图6-8,图6为实验结束之后(36天)再进行拍照,在图7中纵坐标表示各组裸鼠的肿瘤体积;横坐标表示测量时间点;各种线条节点表示各处理组;各点的数值为各组肿瘤体积的平均值(图中“Ⅰ”形符号指出了上下偏差)。在图8中纵坐标表示各组裸鼠的平均体重;横坐标表示测量时间点;各种线条节点表示各处理组;各点的数值为各组平均体重。The experimental results are shown in Figures 6-8. Figure 6 is taken after the end of the experiment (36 days). In Figure 7, the ordinate represents the tumor volume of each group of nude mice; the abscissa represents the measurement time point; Treatment group; the value of each point is the average value of tumor volume in each group (the "I" symbol in the figure indicates the upper and lower deviation). In Figure 8, the ordinate represents the average body weight of nude mice in each group; the abscissa represents the measurement time point; various line nodes represent each treatment group; the value of each point is the average body weight of each group.
由图7可见,千金藤素协同表柔比星组与单独使用表柔比星和单独使用千金藤素组相比较,千金藤素协同表柔比星组的肿瘤体积在治疗12天至18天后显著低于各单独使用药物组。图7中的“**”同样表示p<0.01,同样可以认定使用千金藤素协同表柔比星组的肿瘤体积小于单独药物组和对照组出现错误的可能性小,这一验证结果也是准确而可靠。As can be seen from Figure 7, compared with the epirubicin alone and the separatine alone group, the fenugreek in combination with epirubicin group, the tumor volume of the fenugreek in combination with epirubicin group was 12 to 18 days after treatment. Significantly lower than each drug alone group. The "**" in Figure 7 also means p<0.01, and it can also be determined that the tumor volume of the fenugreek combined with epirubicin group is less likely to cause errors than the single drug group and the control group. This verification result is also accurate. And reliable.
由图8可见,千金藤素协同表柔比星组与单独使用表柔比星,单独使用千金藤素组和对照组相比较,千金藤素协同表柔比星组的小鼠体重与其他各单独使用药物组及对照组比较未见显著差异。n.s代表p>0.05,即认定千金藤素协同表柔比星组的体重与单独药物组或对照组有差异而出现错误的可能性大于0.05,因p=0.05是统计学中可接受最大出错概率,所以本处大于0.05的出错概率是不能认定千金藤素协同表柔比星组的体重与单独药物组或对照组有差异的,即未见显著差异。As can be seen from Figure 8, compared with epirubicin alone, fenugreek combined with epirubicin group and control group, the weight of mice in fenugreek combined with epirubicin group was significantly higher than that of other groups. There was no significant difference between the drug alone group and the control group. n.s represents p>0.05, that is to say, the probability of error is greater than 0.05 because the weight of the fenugreek combined with epirubicin group is different from that of the single drug group or the control group, because p=0.05 is the maximum acceptable error probability in statistics , so the error probability here is greater than 0.05, it cannot be determined that the body weight of the fenugreek combined with epirubicin group is different from that of the single drug group or the control group, that is, there is no significant difference.
图7记载的验证结果证明了,千金藤素协同表柔比星化疗的药物组合,抑制和杀灭人乳腺癌MDA-MB-231细胞的确优于单独使用表柔比星,自然可以减少用药量、缩短治疗周期,减少毒副反应发生。由于在图3的记载未见明显毒副反应,其验证结果证明,千金藤素协同表柔比星化疗的药物组合,至少不会有单独使用表柔比星那样明显的毒副反应。The verification results recorded in Figure 7 prove that the combination of fenugreek and epirubicin chemotherapy is indeed superior to the use of epirubicin alone in inhibiting and killing human breast cancer MDA-MB-231 cells, which can naturally reduce the dosage , Shorten the treatment period and reduce the occurrence of toxic and side effects. Since no obvious toxic and side effects were found in the record in Figure 3, the verification results prove that the drug combination of fenugreek and epirubicin chemotherapy will at least not have as obvious toxic and side effects as epirubicin alone.
本领域的技术人员清楚,在通过了前述细胞实验的验证之后,现经过针对人乳腺癌MDA-MB-231细胞的裸鼠移植瘤模型实验,就完全能够说明,千金藤素协同表柔比星化疗的药物组合对人乳腺癌BT549细胞、人白血病K562、U937细胞、胃癌SGC-7901细胞、肺癌A549细胞、食管癌Eca109细胞也有同样的效果(有差别,也极其微小)。It is clear to those skilled in the art that after passing the verification of the aforementioned cell experiments, and now through the nude mouse xenograft model experiment on human breast cancer MDA-MB-231 cells, it can be fully demonstrated that fenugreek synergizes with epirubicin The chemotherapeutic drug combination has the same effect on human breast cancer BT549 cells, human leukemia K562, U937 cells, gastric cancer SGC-7901 cells, lung cancer A549 cells, and esophageal cancer Eca109 cells (there are differences, but also extremely small).
以上所述的仅是本发明的实施例,方案中公知的具体技术方案和/或特性等常识在此未作过多描述。应当指出,对于本领域的技术人员来说,在不脱离本发明技术方案的前提下,还可以作出若干变形和改进,这些也应该视为本发明的保护范围,这些都不会影响本发明实施的效果和专利的实用性。本申请要求的保护范围应当以其权利要求的内容为准,说明书中的具体实施方式等记载可以用于解释权利要求的内容。The above are only examples of the present invention, and common knowledge such as well-known specific technical solutions and/or characteristics in the solutions are not described too much here. It should be pointed out that for those skilled in the art, some modifications and improvements can be made without departing from the technical solution of the present invention, which should also be regarded as the protection scope of the present invention, and these will not affect the implementation of the present invention. effect and the applicability of the patent. The scope of protection claimed in this application should be based on the content of the claims, and the descriptions of the specific implementation manners in the description can be used to interpret the content of the claims.
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202011411820.1A CN112274525B (en) | 2020-12-04 | 2020-12-04 | A kind of chemotherapeutic composition and its application |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202011411820.1A CN112274525B (en) | 2020-12-04 | 2020-12-04 | A kind of chemotherapeutic composition and its application |
Publications (2)
Publication Number | Publication Date |
---|---|
CN112274525A CN112274525A (en) | 2021-01-29 |
CN112274525B true CN112274525B (en) | 2022-04-08 |
Family
ID=74426812
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN202011411820.1A Active CN112274525B (en) | 2020-12-04 | 2020-12-04 | A kind of chemotherapeutic composition and its application |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN112274525B (en) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113018415B (en) * | 2021-03-17 | 2022-07-01 | 遵义医科大学 | A drug combination and its application |
CN113456643B (en) * | 2021-08-11 | 2022-04-01 | 遵义医科大学 | Pharmaceutical composition containing plinabulin and application thereof |
CN114699410A (en) * | 2022-01-19 | 2022-07-05 | 四川大学华西医院 | Application of cepharanthine in preparing medicine for treating rheumatoid arthritis |
CN116059359A (en) * | 2023-01-17 | 2023-05-05 | 河北医科大学第四医院 | Application of Stephalin in Preparation of Drugs for Treating Esophageal Cancer and Esophageal Cancer Radiotherapy Sensitization |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TW200716141A (en) * | 2005-05-05 | 2007-05-01 | Combinatorx Inc | Compositions and methods for treatment for neoplasms |
DE102005039579B4 (en) * | 2005-08-19 | 2022-06-30 | Magforce Ag | Method for introducing therapeutic substances into cells |
AU2014101153A4 (en) * | 2014-01-03 | 2014-10-23 | Macau University Of Science And Technology | A Group of Alkaloids, the Novel Autophagic Enhancers for Treatment of Cancers and Neurodegenerative Conditions Thereof |
TW201615186A (en) * | 2014-10-24 | 2016-05-01 | 朗齊生物醫學股份有限公司 | The new cancer therapy indication of the cinacalcet HCl |
CN108703968B (en) * | 2018-08-28 | 2021-04-13 | 北京大学 | Application of levo-stepholidine for inhibiting or treating metastatic breast cancer |
-
2020
- 2020-12-04 CN CN202011411820.1A patent/CN112274525B/en active Active
Also Published As
Publication number | Publication date |
---|---|
CN112274525A (en) | 2021-01-29 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN112274525B (en) | A kind of chemotherapeutic composition and its application | |
US11938123B2 (en) | Use of 2,3,5-substituted thiophene compound to prevent, ameliorate, or treat breast cancers | |
CN111228287A (en) | Application of epimedium flavone glycoside compound in preparing medicine for treating melanoma | |
TWI486172B (en) | Drug for nasopharyngeal carcinoma therapy | |
WO2023092943A1 (en) | Use of dronedarone hydrochloride in combination with 5-fluorouracil in preparation of anti-tumor drug | |
CN114522158A (en) | Metabolite for preparing medicine for treating liver cancer and application thereof | |
KR101895418B1 (en) | Composition for improving anticancer efficacy of sorafenib containing emodin | |
CN105476996A (en) | Application of curcumin and afatinib for combined treatment of non-small cell lung cancer | |
CN107349426B (en) | Aspirin is combined with Herceptin or cooperates with the application in oncotherapy | |
CN108295085B (en) | Application of protodioscin in preparation of drug-resistant osteosarcoma drug | |
CN107583054A (en) | Cryptotanshinone pharmaceutical composition and its application in treatment chronic myelocytic leukemia medicine is prepared | |
CN112089710A (en) | Application of 4-hydroxyisoleucine in preparation of antitumor drugs | |
CN111888370A (en) | Anti-liver cancer medicine prepared from astaxanthin and ginsenoside Rg3 combined composition | |
CN116370476B (en) | Chemotherapy drug composition and application thereof | |
CN110638802A (en) | Application of ATCA in preparation of medicine for treating tumors | |
CN108503676B (en) | Fructose analogs and compositions thereof for cancer treatment | |
US12048711B2 (en) | Composition and use thereof in the manufacture of medicament for treating cancer | |
CN111249274B (en) | Application of ginkgolide B in preparation of glioma cell activity inhibitor | |
EP3964217A1 (en) | Use of compound or pharmaceutically acceptable salt, dimer or trimer thereof in preparation of drug for treating cancer | |
EP3441067A1 (en) | Anti-tumor cocktail comprising an anti-tumor agent selective for tumor acidity, an antioxidant, and a p-glycoprotein inhibitor | |
CA3037836C (en) | Combined composition for preventing or treating cancer comprising a benzophenone thiazole derivatives as a vda and topoisomerase inhibitor | |
CN112190573A (en) | Combined medicine for treating liver cancer | |
CN111544580B (en) | An anti-cancer pharmaceutical composition | |
CN114642675B (en) | Application of L-sorbose in preparing medicine for treating tumor | |
CN110876803B (en) | A pharmaceutical composition comprising milk protein and oleic acid |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
GR01 | Patent grant | ||
GR01 | Patent grant |