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CN112472718A - Composition for improving side effect of electrolyte disorder of oral intestinal tract cleaning or preparation agent - Google Patents

Composition for improving side effect of electrolyte disorder of oral intestinal tract cleaning or preparation agent Download PDF

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Publication number
CN112472718A
CN112472718A CN202011391356.4A CN202011391356A CN112472718A CN 112472718 A CN112472718 A CN 112472718A CN 202011391356 A CN202011391356 A CN 202011391356A CN 112472718 A CN112472718 A CN 112472718A
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intestinal
parts
agent
sodium
weight
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CN112472718B (en
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林卫军
石国良
王羽娟
蔡许斌
郭志坚
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Thomson Biotech Xiamen Pte Ltd
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Thomson Biotech Xiamen Pte Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/14Alkali metal chlorides; Alkaline earth metal chlorides
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/125Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives containing carbohydrate syrups; containing sugars; containing sugar alcohols; containing starch hydrolysates
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/16Inorganic salts, minerals or trace elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7004Monosaccharides having only carbon, hydrogen and oxygen atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/04Sulfur, selenium or tellurium; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/06Aluminium, calcium or magnesium; Compounds thereof, e.g. clay
    • 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
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/12Drugs for disorders of the metabolism for electrolyte homeostasis
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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Abstract

The present invention relates to a composition for ameliorating the side effects of electrolyte disorders in oral bowel cleansing or bowel preparation agents. Specifically, the invention provides a composition which comprises arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate. According to the invention, arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate can be taken orally, so that the side effects of electrolyte disorder, intestinal mucosa permeability increase, intestinal mucosa injury, intestinal mucosa barrier damage and the like caused by the intestinal tract preparation process of the intestinal tract preparation agent or the intestinal tract preparation agent can be effectively improved, the side effects caused by the intestinal tract preparation agent or the intestinal tract preparation agent taken orally are improved, and the health recovery of the intestinal tract preparation of a patient is improved.

Description

Composition for improving side effect of electrolyte disorder of oral intestinal tract cleaning or preparation agent
Technical Field
The invention relates to the field of medicines, in particular to a composition for improving electrolyte disturbance side effects of an oral intestinal tract cleaning or intestinal tract preparation agent.
Background
Electrolytes are widely distributed inside and outside cells, participate in various important metabolic activities in vivo, and play a very important role in maintaining normal life activities. The disturbance of electrolyte metabolism can cause corresponding obstacles to the physiological functions of all organ systems of the whole body, particularly cardiovascular system and nervous system and the metabolism of the substances of the body, and serious conditions can lead to the death of animals. Potassium ions in serum electrolytes can maintain normal physiological activities of organisms, ensure cell metabolism, and particularly have important physiological effects in the aspects of electrical activity of cardiac muscle cells, normal functions of nerves and muscles, normal acid-base balance maintenance, stable cell osmotic pressure and the like. The most common manifestation of electrolyte disturbance is a decrease in the concentration of potassium and sodium ions in the blood.
Magnesium sulfate is a commonly used effective bowel clearing or preparation agent for use in enteroscopy or bowel surgery. However, magnesium sulfate often causes rapid loss of electrolytes from digestive juices during bowel preparation, while reducing effective absorption of supplemental electrolytes and presenting electrolyte disturbances such as low blood sodium and low blood potassium, which can be detrimental to the health of the patient undergoing bowel preparation. And studies have also shown that intestinal mucosal permeability is often increased, intestinal mucosal damage and barrier disruption during intestinal tract preparation with bowel clearing agents such as magnesium sulfate. Therefore, electrolyte disorder, permeability increase of intestinal mucosa, injury of intestinal mucosa and barrier damage of intestinal mucosa caused by preparation of intestinal tract of the bowel clearing agent seriously affect the psychology of the intestinal tract preparation before enteroscopy detection of patients, greatly reduce the compliance of the patients and have adverse effect on the health recovery of the patients.
Therefore, there is a need in the art to develop a drug for improving side effects such as electrolyte disturbance, increased permeability of intestinal mucosa, damage to intestinal mucosa, and barrier disruption of intestinal mucosa, which are caused during preparation of intestinal tract by a bowel cleansing agent or an intestinal tract preparation agent.
Disclosure of Invention
The invention aims to provide a composition for improving side effects of electrolyte disorder, permeability increase of intestinal mucosa, intestinal mucosa injury, barrier damage of the intestinal mucosa and the like caused by an intestinal tract preparation process of a bowel clearing agent or an intestinal tract preparation agent.
In a first aspect, the present invention provides a composition comprising arabinose, sodium sulphate, sodium chloride, potassium chloride and sodium bicarbonate.
Preferably, the arabinose is L-arabinose.
Preferably, the sodium sulfate is anhydrous sodium sulfate.
Preferably, the arabinose is 200-400 parts by weight, preferably 250-350 parts by weight, more preferably 270-330 parts by weight.
Preferably, the weight part of the sodium sulfate is 40 to 80 parts, preferably 50 to 70 parts, and more preferably 54 to 62 parts.
Preferably, the sodium chloride is present in an amount of 5 to 25 parts by weight, preferably 10 to 20 parts by weight, more preferably 13 to 17 parts by weight.
Preferably, the weight part of the potassium chloride is 2 to 20 parts, preferably 2 to 15 parts, and more preferably 5 to 10 parts.
Preferably, the sodium bicarbonate is present in an amount of 5 to 30 parts by weight, preferably 10 to 20 parts by weight, more preferably 14 to 18 parts by weight.
Preferably, the composition comprises 250-350 parts by weight of arabinose, 50-70 parts by weight of sodium sulfate, 10-20 parts by weight of sodium chloride, 2-15 parts by weight of potassium chloride and 10-20 parts by weight of sodium bicarbonate.
Preferably, the composition comprises 270-330 parts by weight of arabinose, 54-62 parts by weight of sodium sulfate, 13-17 parts by weight of sodium chloride, 5-10 parts by weight of potassium chloride and 14-18 parts by weight of sodium bicarbonate.
Preferably, the composition comprises 290-310 parts by weight of arabinose, 54-58 parts by weight of sodium sulfate, 13-16 parts by weight of sodium chloride, 6-9 parts by weight of potassium chloride and 15-19 parts by weight of sodium bicarbonate.
Preferably, the composition further comprises magnesium sulfate.
Preferably, the weight part of the magnesium sulfate is 400-600 parts, preferably 450-550 parts, more preferably 480-520 parts.
Preferably, the composition is a pharmaceutical composition, a food composition or a health care composition.
Preferably, the composition further comprises a pharmaceutically, food or nutraceutical acceptable carrier.
Preferably, the composition is in a solid or liquid form.
Preferably, the composition is in the form of oral preparation or injection preparation.
Preferably, the composition is in the form of tablets, capsules, oral liquid, granules, powder or syrup.
Preferably, the unit of parts by weight is grams (g).
In a second aspect, the present invention provides the use of a composition according to the first aspect of the invention for the manufacture of a medicament for one or more uses selected from the group consisting of: (i) improving electrolyte disturbance; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
Preferably, the electrolyte disorder comprises an electrolyte disorder caused by an oral bowel cleansing agent or an intestinal tract preparation agent.
Preferably, the electrolytes include electrolytes in blood, plasma or serum.
Preferably, the blood comprises peripheral blood.
Preferably, the electrolyte is selected from the group consisting of: sodium ions, potassium ions, or a combination thereof.
Preferably, the electrolyte disturbance comprises a decrease in the amount or level.
Preferably, the electrolyte disturbance comprises a decrease in the electrolyte content of the blood.
Preferably, the electrolyte disturbance comprises a reduction in the sodium and/or potassium ion content of the blood.
Preferably, the improvement comprises an increase.
Preferably, said ameliorating electrolyte disturbance comprises increasing the sodium and/or potassium ion content of blood.
Preferably, the diamine oxidase level comprises a plasma, serum or whole blood level of diamine oxidase.
Preferably, the prevention and/or treatment of damage to the intestinal mucosa comprises prevention and/or treatment of damage to the intestinal mucosa by inhibiting an increase in permeability of the intestinal mucosa.
Preferably, said improving gut mucosal barrier damage comprises improving gut mucosal barrier by inhibiting increased gut mucosal permeability and/or improving gut mucosal damage.
Preferably, the increase in permeability of the intestinal mucosa comprises an increase in permeability of the intestinal mucosa caused by oral administration of a bowel cleansing agent or a bowel preparation agent.
Preferably, the damage to the intestinal mucosa comprises damage to the intestinal mucosa caused by oral administration of a bowel clearing agent or a bowel preparation agent.
Preferably, the damage to the intestinal mucosal barrier comprises damage to the intestinal mucosal barrier caused by oral administration of a bowel clearing agent or a bowel preparation agent.
Preferably, the bowel clearing or preparation agent comprises magnesium sulfate and/or PEG.
Preferably, the bowel cleansing agent comprises magnesium sulfate and/or PEG.
Preferably, the bowel preparation agent comprises magnesium sulfate and/or PEG.
Preferably, the PEG comprises PEG 4000.
Preferably, said improving the damage of the intestinal mucosal barrier comprises alleviating the damage of the intestinal mucosal barrier and/or restoring the intestinal mucosal barrier.
In a third aspect, the present invention provides the use of arabinose, for the preparation of a composition for one or more of the uses selected from the group consisting of: (i) improving electrolyte disorder caused by oral intestinal cleaning agent or intestinal tract preparation agent; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
Preferably, the arabinose is L-arabinose.
In a fourth aspect, the present invention provides an intestine clearing agent or an intestine preparation agent, wherein the intestine clearing agent or the intestine preparation agent comprises magnesium sulfate, arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate.
Preferably, the arabinose is L-arabinose.
Preferably, the sodium sulfate is anhydrous sodium sulfate.
Preferably, the weight part of the magnesium sulfate is 400-600 parts, preferably 450-550 parts, more preferably 480-520 parts.
Preferably, the bowel clearing agent or the intestinal tract preparation agent comprises 550 parts by weight of magnesium sulfate of 450-.
Preferably, the bowel clearing agent or the intestinal tract preparation agent comprises 480-520 parts by weight of magnesium sulfate, 270-330 parts by weight of arabinose, 54-62 parts by weight of sodium sulfate, 13-17 parts by weight of sodium chloride, 5-10 parts by weight of potassium chloride and 14-18 parts by weight of sodium bicarbonate.
Preferably, the bowel clearing agent or the intestinal tract preparation agent comprises 490-510 parts by weight of magnesium sulfate, 290-310 parts by weight of arabinose, 54-58 parts by weight of sodium sulfate, 13-16 parts by weight of sodium chloride, 6-9 parts by weight of potassium chloride and 15-19 parts by weight of sodium bicarbonate.
Preferably, the dosage form of the bowel clearing agent or the intestinal tract preparation agent is a solid preparation, a liquid preparation or a semisolid preparation.
Preferably, the intestinal tract clearing agent or the intestinal tract preparation agent is in the form of an oral preparation or an injection preparation.
Preferably, the formulation of the intestine clearing agent or the intestinal tract preparation agent is tablets, capsules, oral liquid, granules, powder or syrup.
Preferably, the intestine clearing agent also comprises other pharmaceutically acceptable carriers.
In a fifth aspect, the present invention provides the use of a bowel cleanser or an intestine preparer according to the fourth aspect of the invention, for the manufacture of a medicament for bowel cleansing and/or intestine preparer.
It is to be understood that within the scope of the present invention, the above-described features of the present invention and those specifically described below (e.g., in the examples) may be combined with each other to form new or preferred embodiments.
Detailed Description
The invention finds that arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate can effectively improve the side effects of electrolyte disorder, intestinal mucosa permeability increase, intestinal mucosa injury, intestinal mucosa barrier damage and the like caused by the intestinal tract preparation process of an intestinal tract clearing agent or an intestinal tract preparation agent (such as magnesium sulfate) by oral administration, thereby improving the side effects caused by the oral intestinal tract clearing agent or the intestinal tract preparation agent and improving the health recovery of the intestinal tract preparation of a patient.
Term(s) for
As used herein, the terms "comprising," including, "and" containing "are used interchangeably and include not only open-ended definitions, but also semi-closed and closed-ended definitions, and include" consisting of … …, "" consisting essentially of … ….
The following description of the exemplary embodiments of the present application, including various details of the embodiments of the present application to assist in understanding, should be taken as exemplary only. Accordingly, those of ordinary skill in the art will recognize that various changes and modifications of the embodiments described herein can be made without departing from the scope and spirit of the present application. Also, descriptions of well-known functions and constructions are omitted in the following description for clarity and conciseness.
Composition comprising a metal oxide and a metal oxide
The invention provides a composition which comprises arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate.
Preferably, the arabinose is L-arabinose. L-arabinose (L-arabinosine, C5H10O5) is an aldopentose, also known as L (+) -arabinose.
Preferably, the sodium sulfate is anhydrous sodium sulfate.
Preferably, the arabinose is 200-400 parts by weight, preferably 250-350 parts by weight, more preferably 270-330 parts by weight.
Preferably, the weight part of the sodium sulfate is 40 to 80 parts, preferably 50 to 70 parts, and more preferably 54 to 62 parts.
Preferably, the sodium chloride is present in an amount of 5 to 25 parts by weight, preferably 10 to 20 parts by weight, more preferably 13 to 17 parts by weight.
Preferably, the weight part of the potassium chloride is 2 to 20 parts, preferably 2 to 15 parts, and more preferably 5 to 10 parts.
Preferably, the sodium bicarbonate is present in an amount of 5 to 30 parts by weight, preferably 10 to 20 parts by weight, more preferably 14 to 18 parts by weight.
Typically, the composition comprises 250-350 parts by weight of arabinose, 50-70 parts by weight of sodium sulfate, 10-20 parts by weight of sodium chloride, 2-15 parts by weight of potassium chloride and 10-20 parts by weight of sodium bicarbonate.
Typically, the composition comprises 270-330 parts by weight of arabinose, 54-62 parts by weight of sodium sulfate, 13-17 parts by weight of sodium chloride, 5-10 parts by weight of potassium chloride and 14-18 parts by weight of sodium bicarbonate.
Typically, the composition comprises 290-310 parts by weight of arabinose, 54-58 parts by weight of sodium sulfate, 13-16 parts by weight of sodium chloride, 6-9 parts by weight of potassium chloride and 15-19 parts by weight of sodium bicarbonate.
Preferably, the composition further comprises magnesium sulfate.
Preferably, the weight part of the magnesium sulfate is 400-600 parts, preferably 450-550 parts, more preferably 480-520 parts.
Preferably, the composition is a pharmaceutical composition, a food composition or a health care composition.
Preferably, the composition further comprises a pharmaceutically, food or nutraceutical acceptable carrier.
Preferably, the composition is in a solid or liquid form.
Preferably, the composition is in the form of oral preparation or injection preparation.
Preferably, the composition is in the form of tablets, capsules, oral liquid, granules, powder or syrup.
Typically, the compositions of the present invention are bowel cleansers or bowel preparations.
Preferably, the bowel cleansing or preparation comprises magnesium sulfate, arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate.
Preferably, the weight part of the magnesium sulfate is 400-600 parts, preferably 450-550 parts, more preferably 480-520 parts.
Typically, the bowel clearing agent or the intestinal tract preparation agent comprises 550 parts by weight of magnesium sulfate of 450-.
Typically, the bowel clearing agent or the intestinal tract preparation agent comprises 480-520 parts by weight of magnesium sulfate, 270-330 parts by weight of arabinose, 54-62 parts by weight of sodium sulfate, 13-17 parts by weight of sodium chloride, 5-10 parts by weight of potassium chloride and 14-18 parts by weight of sodium bicarbonate.
Typically, the bowel clearing agent or the intestinal tract preparation agent comprises 490-510 parts by weight of magnesium sulfate, 290-310 parts by weight of arabinose, 54-58 parts by weight of sodium sulfate, 13-16 parts by weight of sodium chloride, 6-9 parts by weight of potassium chloride and 15-19 parts by weight of sodium bicarbonate.
Preferably, the dosage form of the bowel clearing agent or the intestinal tract preparation agent is a solid preparation, a liquid preparation or a semisolid preparation.
Preferably, the intestinal tract clearing agent or the intestinal tract preparation agent is in the form of an oral preparation or an injection preparation.
Preferably, the formulation of the intestine clearing agent or the intestinal tract preparation agent is tablets, capsules, oral liquid, granules, powder or syrup.
As used herein, the term "pharmaceutically, comestibly or nutraceutically acceptable carrier" refers to: one or more compatible solid, semi-solid, liquid or gel fillers suitable for human or animal use and of sufficient purity and sufficiently low toxicity.
It is to be understood that, in the present invention, the carrier is not particularly limited and may be selected from materials commonly used in the art, or prepared by a conventional method, or commercially available. Examples of the pharmaceutically acceptable carrier moiety are cellulose and its derivatives (e.g., methylcellulose, ethylcellulose, hydroxypropylmethylcellulose, sodium carboxymethylcellulose, etc.), gelatin, talc, solid lubricants (e.g., stearic acid, magnesium stearate), calcium sulfate, vegetable oils (e.g., soybean oil, sesame oil, etc.), polyols (e.g., propylene glycol, glycerin, sorbitol, etc.), emulsifiers (e.g., tween), wetting agents (e.g., sodium laurylsulfate), buffers, chelating agents, thickeners, pH adjusters, transdermal enhancers, colorants, flavors, stabilizers, antioxidants, preservatives, bacteriostats, pyrogen-free water, etc.
Use of
The present invention provides a composition according to the invention for one or more uses selected from the group consisting of: (i) improving electrolyte disturbance; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
The present invention also provides a use of arabinose for one or more uses selected from the group consisting of: (i) improving electrolyte disorder caused by oral intestinal cleaning agent or intestinal tract preparation agent; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
The invention also provides the application of the bowel clearing agent or the intestinal tract preparation agent in preparing the medicines for clearing the bowel and/or preparing the intestinal tract.
Preferably, the electrolyte disorder comprises an electrolyte disorder caused by an oral bowel cleansing agent or an intestinal tract preparation agent.
Preferably, the electrolytes include electrolytes in blood, plasma or serum.
Preferably, the blood comprises peripheral blood.
Preferably, the electrolyte is selected from the group consisting of: sodium ions, potassium ions, or a combination thereof.
Preferably, the electrolyte disturbance comprises a decrease in the amount or level.
Preferably, the electrolyte disturbance comprises a decrease in the electrolyte content of the blood.
Preferably, the electrolyte disturbance comprises a reduction in the sodium and/or potassium ion content of the blood.
Preferably, the improvement comprises an increase.
Preferably, said ameliorating electrolyte disturbance comprises increasing the sodium and/or potassium ion content of blood.
Preferably, the diamine oxidase level comprises a plasma, serum or whole blood level of diamine oxidase.
Preferably, the prevention and/or treatment of damage to the intestinal mucosa comprises prevention and/or treatment of damage to the intestinal mucosa by inhibiting an increase in permeability of the intestinal mucosa.
Preferably, said improving gut mucosal barrier damage comprises improving gut mucosal barrier by inhibiting increased gut mucosal permeability and/or improving gut mucosal damage.
Preferably, the increase in permeability of the intestinal mucosa comprises an increase in permeability of the intestinal mucosa caused by oral administration of a bowel cleansing agent or a bowel preparation agent.
Preferably, the damage to the intestinal mucosa comprises damage to the intestinal mucosa caused by oral administration of a bowel clearing agent or a bowel preparation agent.
Preferably, the damage to the intestinal mucosal barrier comprises damage to the intestinal mucosal barrier caused by oral administration of a bowel clearing agent or a bowel preparation agent.
Preferably, the bowel clearing or preparation agent comprises magnesium sulfate and/or PEG.
Preferably, the bowel cleansing agent comprises magnesium sulfate and/or PEG.
Preferably, the bowel preparation agent comprises magnesium sulfate and/or PEG.
Preferably, the PEG comprises PEG 4000.
Preferably, said improving the damage of the intestinal mucosal barrier comprises alleviating the damage of the intestinal mucosal barrier and/or restoring the intestinal mucosal barrier.
The main technical effects obtained by the invention comprise:
the invention finds that arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate can effectively improve the side effects of electrolyte disorder, intestinal mucosa permeability increase, intestinal mucosa injury, intestinal mucosa barrier damage and the like caused by the intestinal tract preparation process of an intestinal tract clearing agent or an intestinal tract preparation agent (such as magnesium sulfate) by oral administration, thereby improving the side effects caused by the oral intestinal tract clearing agent or the intestinal tract preparation agent and improving the health recovery of the intestinal tract preparation of a patient.
The invention will be further illustrated with reference to the following specific examples. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention.
Example 1
This example 1 examines the ameliorating effect of L-arabinose and electrolytes on electrolyte disorders caused by the preparation of magnesium sulfate for the intestinal tract
Laboratory animal
Experimental animals and their rearing: KM mice, Specific Pathogen Free (SPF) grade, male, 6 weeks old; the common feed is D12450-B feed: 67.35 wt% carbohydrate, 19.2 wt% crude protein, 4.3 wt% fat. The temperature of the room is kept at 24-26 ℃ and the humidity is 40-60%.
The experimental method comprises the following steps:
KM mice were randomly divided into a blank control group, experimental group 1, experimental group 2, experimental group 3, experimental group 4, experimental group 5, experimental group 6 and experimental group 7, 40 mice per group, male and female halves.
The mice of each group are fasted and are not forbidden to drink water at 12 pm in the day, and the mice of each group are respectively subjected to intragastric administration as follows at 8 pm;
blank control group: irrigating the stomach with water;
experimental group 1: magnesium sulfate was administered by gavage with water at a dose of 0.5 g/kg.bw;
experimental group 2: gavage with water magnesium sulfate (dose 0.5g/kg.bw) and L-arabinose (dose 0.3 g/kg.bw);
experimental group 3: intragastrically administering magnesium sulfate (dose 0.5g/kg.bw) and an electrolyte powder (dose: anhydrous sodium sulfate (56mg/kg.bw) + sodium chloride (14.6mg/kg.bw) + potassium chloride (7.5mg/kg.bw) + sodium bicarbonate (16.8mg/kg.bw)) with water;
experimental group 4: intragastrically administering magnesium sulfate (dose 0.5g/kg.bw) and L-arabinose electrolyte (dose: L-arabinose (0.1g/kg.bw) + sodium sulfate anhydrous (56mg/kg.bw) + sodium chloride (14.6mg/kg.bw) + potassium chloride (7.5mg/kg.bw) + sodium bicarbonate (16.8 mg/kg.bw));
experimental group 5: intragastrically administering magnesium sulfate (dose 0.5g/kg.bw) and L-arabinose electrolyte (dose: L-arabinose (0.3g/kg.bw) + sodium sulfate anhydrous (56mg/kg.bw) + sodium chloride (14.6mg/kg.bw) + potassium chloride (7.5mg/kg.bw) + sodium bicarbonate (16.8 mg/kg.bw));
experimental group 6: intragastrically administering magnesium sulfate (dose 0.5g/kg.bw) and L-arabinose electrolyte (dose: L-arabinose (1g/kg.bw) + sodium sulfate anhydrous (56mg/kg.bw) + sodium chloride (14.6mg/kg.bw) + potassium chloride (7.5mg/kg.bw) + sodium bicarbonate (16.8 mg/kg.bw));
experimental group 7: magnesium sulfate (dose 0.5g/kg.bw) and L-arabinose electrolyte (dose: L-arabinose (2g/kg.bw) + sodium sulfate anhydrous (56mg/kg.bw) + sodium chloride (14.6mg/kg.bw) + potassium chloride (7.5mg/kg.bw) + sodium bicarbonate (16.8mg/kg.bw)) were administered by gavage with water.
After gavage, the mice in each group continued to fast without water deprivation. At 8 am, each group of mice is administered with gastric lavage again according to the administration mode, after fasting and water-deprivation for 2h, each group of mice is cut off the tail and blood is taken, and blood is obtained by centrifugationCleaning, measuring Na in serum by full-automatic biochemical analyzer+、K+The ion concentration.
Na in serum of blank control group mouse measured by full-automatic biochemical analyzer+The content is 158.47 +/-2.58 mmol/L, and K in serum+The content is 8.01 plus or minus 0.33mmol/L, and the serum Na is measured by a full-automatic biochemical analyzer+The content of less than 143.0mmol/L is defined as low blood sodium, and the serum K is+A content of less than 7.2mmol/L is defined as hypokalemia.
The serum electrolyte status of the mice of different groups is shown in the following table 1:
TABLE 1 serum electrolyte status in different groups of mice
Group of Low blood sodium (only) Hypokalemia (only)
Blank control group 0 0
Experimental group 1 26 27
Experimental group 2 29 31
Experimental group 3 18 17
Experimental group 4 14 13
Experimental group 5 7 6
Experimental group 6 11 13
Experimental group 7 15 16
As can be seen from table 1, oral magnesium sulfate bowel cleansing can lead to low blood sodium and low blood potassium side effects, leading to electrolyte disturbances. As can be seen from comparison of experimental groups 1-7, after arabinose, anhydrous sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate with specific proportions are orally taken together with magnesium sulfate, the occurrence probability of electrolyte disturbance of low blood sodium and low blood potassium can be remarkably reduced, and the arabinose, anhydrous sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate with specific proportions can improve the side effect of electrolyte disturbance of low blood sodium and low blood potassium caused by orally taken bowel clearing agent magnesium sulfate.
Serum from each group of low blood sodium mice was assayed for diamine oxidase (DAO) using a spectrophotometer, and the DAO absorbance a value was read at 436 nm.
Serum diamine oxidase (DAO) levels of different groups of low blood sodium mice are shown in table 2:
TABLE 2 serum diamine oxidase (DAO) levels in different groups of mice
Figure BDA0002811033190000111
Figure BDA0002811033190000112
Note: p < 0.05, ", P < 0.01 was compared to the blank control group.
Diamine oxidase (DAO), a highly active intracellular enzyme, is present in the mucous membrane or upper villus layer of mammals, and when the permeability is increased due to the damage of the epithelial barrier of the intestinal mucosa, DAO is released into the blood to increase the content of DAO in the peripheral blood, and thus, serum diamine oxidase (DAO) is an indicator of the increase in permeability of the intestinal mucosa, the damage of the intestinal mucosa, and the barrier of the intestinal mucosa. As can be seen from table 2, magnesium sulfate, used as an intestinal tract preparation agent in the gut purge process, was able to disrupt the intestinal mucosal permeability and intestinal mucosal barrier. From the data of experimental groups 2-7, it can be seen that L-arabinose and its combined anhydrous sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate can reduce intestinal mucosa permeability and reduce the damage of oral magnesium sulfate to intestinal mucosa, thereby protecting intestinal mucosa barrier.
The above description is only a preferred embodiment of the present application and is not intended to limit the present application, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present application shall be included in the protection scope of the present application.

Claims (10)

1. A composition comprising arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate.
2. The composition of claim 1, wherein the composition comprises about 350 parts by weight of arabinose, about 50 to about 70 parts by weight of sodium sulfate, about 10 to about 20 parts by weight of sodium chloride, about 2 to about 15 parts by weight of potassium chloride, and about 10 to about 20 parts by weight of sodium bicarbonate.
3. Use of a composition according to claim 1 for the preparation of a medicament for one or more uses selected from the group consisting of: (i) improving electrolyte disturbance; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
4. The use of claim 3, wherein the electrolyte disorder comprises an electrolyte disorder caused by an oral bowel cleansing agent or an intestinal tract preparation agent.
5. The use of claim 3, wherein the electrolyte disturbance comprises a reduction in the level of sodium and/or potassium ions in the blood.
6. The use of claim 3, wherein said amelioration of electrolyte disturbance comprises an increase in the level of sodium and/or potassium ions in the blood.
7. The use of claim 3, wherein said increased permeability of the intestinal mucosa comprises an increase in permeability of the intestinal mucosa resulting from oral administration of a bowel clearing or preparation agent;
the damage of the intestinal mucosa comprises the damage of the intestinal mucosa caused by oral intestinal cleaning agent or intestinal tract preparation agent; and/or
The damage of the intestinal mucosa barrier comprises the damage of the intestinal mucosa barrier caused by oral intestinal cleaning agent or intestinal tract preparation agent.
8. Use of arabinose, characterized in that it is used for the preparation of a composition for one or more of the uses selected from the group consisting of: (i) improving electrolyte disorder caused by oral intestinal cleaning agent or intestinal tract preparation agent; (ii) reducing diamine oxidase levels; (iii) for the prevention and/or treatment of damage to the intestinal mucosa; (iv) for inhibiting an increase in intestinal mucosal permeability; (v) improving the damage of the intestinal mucosa barrier.
9. An intestine clearing agent or an intestine preparation agent, which is characterized by comprising magnesium sulfate, arabinose, sodium sulfate, sodium chloride, potassium chloride and sodium bicarbonate.
10. Use of a bowel clearing agent or bowel preparation according to claim 9 for the preparation of a medicament for bowel clearing and/or preparation.
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CN118477085A (en) * 2024-05-16 2024-08-13 中国人民解放军总医院第七医学中心 Syrup for preparing intestinal tract and improving electrolyte and intestinal flora disorder caused by intestinal tract preparation and application thereof

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