CN115991758B - Pearl powder polypeptide for promoting diabetic wound healing and application thereof - Google Patents
Pearl powder polypeptide for promoting diabetic wound healing and application thereof Download PDFInfo
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- Y—GENERAL 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
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against 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
Description
技术领域Technical field
本发明属于医药技术领域,具体而言,涉及一种来源于珍珠粉的小分子多肽及其在制备促进糖尿病创面愈合药物或外用敷料中的应用。The invention belongs to the field of medical technology. Specifically, it relates to a small molecule polypeptide derived from pearl powder and its application in the preparation of drugs or external dressings for promoting diabetic wound healing.
背景技术Background technique
在糖尿病的诸多并发症中,糖尿病患者伤口愈合能力受损是糖尿病一个典型的并发症,也是导致非创伤性下肢截肢的主要原因。该并发症导致糖尿病患者罹患慢性足溃疡的终生风险可高达32%。在过去的数十年间,随着各种新药物、新技术和新治疗策略的不断发展,特别是近年来多学科综合治疗模式的兴起,糖尿病创面的治疗效果获得一定改善,但治疗周期长,短期创面愈合率低等问题任然无法得到根本性解决。因此,积极探寻新的治疗药物和治疗方法以缩短创面愈合时间,这对于提高患者生活质量、降低医疗成本具有重要意义。Among the many complications of diabetes, impaired wound healing in diabetic patients is a typical complication of diabetes and the main cause of non-traumatic lower limb amputation. This complication increases the lifetime risk of chronic foot ulcers in diabetics to as high as 32%. In the past few decades, with the continuous development of various new drugs, new technologies and new treatment strategies, especially the rise of multidisciplinary comprehensive treatment models in recent years, the therapeutic effect of diabetic wounds has been improved to some extent, but the treatment cycle is long and Problems such as low short-term wound healing rates still cannot be fundamentally solved. Therefore, actively exploring new therapeutic drugs and methods to shorten wound healing time is of great significance for improving patients' quality of life and reducing medical costs.
珍珠粉作为一味传统中药,在中国民间应用数千年。在传统应用中,珍珠粉局部外用可治疗多种急慢性创面不愈,目前被收载于《中华人民共和国药典》。现代临床观察表明,珍珠粉单用或联合使用可显著促进各种类型的急慢性皮肤创面和粘膜溃疡愈合,包括消化性溃疡、口腔溃疡、皮肤损伤、创面溃疡、褥疮压疮、烫伤。体内外动物细胞实验结果显示,珍珠粉水溶性成分对于动物创面损伤模型具有显著的促进愈合作用,可通过调节ROS水平发挥抗氧化作用,促进皮肤成纤维细胞迁移,从而加速创面愈合作用。此外,珍珠粉参与调控与创面愈合密切相关的细胞生长和修复相关信号,包括刺激成纤维细胞有丝分裂,增强细胞粘附,促进胶原沉积和抑制金属蛋白酶(TIMP)-1活性等。As a traditional Chinese medicine, pearl powder has been used among Chinese people for thousands of years. In traditional applications, the topical use of pearl powder can treat a variety of acute and chronic wounds that do not heal. It is currently included in the "Pharmacopoeia of the People's Republic of China". Modern clinical observations show that pearl powder alone or in combination can significantly promote the healing of various types of acute and chronic skin wounds and mucosal ulcers, including peptic ulcers, oral ulcers, skin injuries, wound ulcers, bedsores, and burns. In vivo and in vitro animal cell experiment results show that the water-soluble components of pearl powder have a significant healing effect on animal wound injury models. They can exert antioxidant effects by regulating ROS levels and promote the migration of skin fibroblasts, thereby accelerating wound healing. In addition, pearl powder is involved in regulating cell growth and repair-related signals that are closely related to wound healing, including stimulating fibroblast mitosis, enhancing cell adhesion, promoting collagen deposition, and inhibiting metalloproteinase (TIMP)-1 activity.
已有的研究表明,珍珠粉中除含有大量的碳酸钙和微量元素等无机成分外,尚含有丰富活性肽等有机成分。CN113559240A公开了一种珍珠多肽液及其促进伤口愈合的应用,该珍珠多肽液的分离提取工艺包括如下步骤:将珍珠超细粉与1±0.5wt%PBS溶液混合,珍珠超细粉与PBS溶液的用量比为1∶(4±0.5)g/mL,采用超临界二氧化碳萃取仪进行珍珠粉中小分子肽提取,收集萃取后混合液,于5000±1000rpm高速离心机离心10-15min,收集上层液体,即为珍珠多肽液。然而,该专利技术虽然通过提取分离技术获得了珍珠粉多肽液,但是该多肽液是多种小分子肽的混合物,其中包含了无活性或活性低的小分子肽。基于此,我们开展了促进糖尿病慢性创面活性的珍珠粉多肽的筛选研究,结果发现珍珠粉来源的小分子多肽Na-1具有良好的促进糖尿病创面愈合的效果。Existing research shows that in addition to containing a large amount of inorganic components such as calcium carbonate and trace elements, pearl powder also contains rich organic components such as active peptides. CN113559240A discloses a pearl polypeptide liquid and its application in promoting wound healing. The separation and extraction process of the pearl polypeptide liquid includes the following steps: mixing pearl ultrafine powder with 1±0.5wt% PBS solution, pearl ultrafine powder and PBS solution The dosage ratio is 1: (4±0.5)g/mL. Use a supercritical carbon dioxide extraction instrument to extract small molecule peptides from pearl powder. Collect the extracted mixture and centrifuge it in a high-speed centrifuge at 5000±1000rpm for 10-15min to collect the upper liquid. , which is pearl peptide liquid. However, although this patented technology obtains a pearl powder polypeptide liquid through extraction and separation technology, the polypeptide liquid is a mixture of multiple small molecule peptides, including inactive or low-activity small molecule peptides. Based on this, we conducted a screening study on pearl powder peptides that promote the activity of chronic diabetic wounds. The results found that the small molecule peptide Na-1 derived from pearl powder has a good effect on promoting the healing of diabetic wounds.
发明内容Contents of the invention
鉴于现有技术的不足,本发明的第一个目的在于提供一种来源于珍珠粉且具有促进糖尿病创面愈合的高活性多肽。In view of the shortcomings of the existing technology, the first object of the present invention is to provide a highly active polypeptide derived from pearl powder and capable of promoting diabetic wound healing.
本发明的上述目的是通过如下技术方案予以实现的:一种多肽,所述多肽的氨基酸序列如SEQ ID NO.1所示;或所述多肽是在SEQ ID NO.1所示的氨基酸序列基础上通过缺失、替换、插入或/和添加一个至几个氨基酸的保守性突变而获得的保守性变异体。The above objects of the present invention are achieved through the following technical solutions: a polypeptide, the amino acid sequence of which is shown in SEQ ID NO.1; or the polypeptide is based on the amino acid sequence shown in SEQ ID NO.1 Conservative variants obtained by deletion, substitution, insertion or/and addition of conservative mutations of one to several amino acids.
SEQ ID NO.1的氨基酸序列为ISKCFIACGIGQRQSPINIV,将该多肽命名为Na-1。本发明提供的所述多肽Na-1可以直接向商业肽合成公司定制获得,也可以采用可商购的自动合成仪、根据制造商的操作规程合成。The amino acid sequence of SEQ ID NO. 1 is ISKCFIACGIGQRQSPINIV, and the polypeptide is named Na-1. The polypeptide Na-1 provided by the present invention can be customized directly from a commercial peptide synthesis company, or can be synthesized using a commercially available automatic synthesizer according to the manufacturer's operating procedures.
另一方面,本发明还提供了所述的多肽在制备促进糖尿病创面愈合的药物或外用敷料中的应用。On the other hand, the present invention also provides the use of the polypeptide in preparing drugs or external dressings for promoting diabetic wound healing.
另一方面,本发明还提供了一种促进糖尿病创面愈合的组合物,该组合物包含上述的多肽。On the other hand, the present invention also provides a composition for promoting diabetic wound healing, which composition contains the above-mentioned polypeptide.
进一步优选地,如上所述促进糖尿病创面愈合的组合物,其为凝胶剂。再进一步优选地,所述的凝胶剂包括所述多肽、胶凝基质、保湿剂、促渗剂、pH调节剂和水。Further preferably, the composition for promoting diabetic wound healing as described above is a gel. Still further preferably, the gel agent includes the polypeptide, a gel matrix, a moisturizing agent, a penetration enhancer, a pH adjuster and water.
需要说明的是,所述的胶凝基质选自卡波姆、羟丙甲基纤维素、透明质酸钠的一种或两种以上的混合物;所述的保湿剂为甘油;所述的促渗剂为氮酮;所述的pH调节剂为氢氧化钠。另外,所述凝胶剂中还可以含有防腐剂,所述的防腐剂选自山梨酸钾、对羟基苯甲酸乙酯、对羟基苯甲酸丙酯和苯甲酸钠中的一种或两种以上。It should be noted that the gelling matrix is selected from one or a mixture of two or more carbomers, hydroxypropyl methylcellulose, and sodium hyaluronate; the moisturizing agent is glycerin; the accelerator The penetrating agent is azone; the pH regulator is sodium hydroxide. In addition, the gel may also contain a preservative, and the preservative may be one or more selected from the group consisting of potassium sorbate, ethyl parahydroxybenzoate, propyl parahydroxybenzoate and sodium benzoate.
与现有技术相比,本发明提供的多肽具有促进急慢性皮肤创面和粘膜溃疡愈合的生物活性,具有良好的应用前景,可以将它们用于制备促进糖尿病创面愈合的外用药物或外用敷料。Compared with the existing technology, the polypeptides provided by the present invention have biological activity that promotes the healing of acute and chronic skin wounds and mucosal ulcers, and have good application prospects. They can be used to prepare external drugs or external dressings that promote diabetic wound healing.
附图说明Description of the drawings
图1为糖尿病大鼠全皮层切除创面愈合过程图,在第0、2、4、6、8、10、12和14d记录创面愈合情况。Figure 1 shows the healing process of total skin resection wound in diabetic rats. The wound healing status was recorded on days 0, 2, 4, 6, 8, 10, 12 and 14 days.
图2为糖尿病大鼠全皮层切除创面愈合率时间进程曲线图。Figure 2 is a time course graph of the healing rate of total skin resection wounds in diabetic rats.
图3为造模后14天时各组创面H&E和Masson染色图。Figure 3 shows the H&E and Masson staining pictures of wounds in each group 14 days after modeling.
图4为Na-1外用凝胶剂图片。Figure 4 is a picture of Na-1 external gel.
具体实施方式Detailed ways
为了更好地说明本发明的特点和实质,下面用实施例的形式提供Na-1在促进糖尿病大鼠全皮层切除创面愈合的药理试验结果,说明其在医药技术领域的用途。但本领域技术人员将会理解,下列实施例仅用于说明本发明,而不应视为限定本发明的范围。另外,实施例中未注明具体技术操作步骤或条件者,均按照本领域内的文献所描述的技术或条件或者按照产品说明书进行。所用试剂或仪器未注明生产厂商者,均为可以通过市购获得的常规产品。In order to better illustrate the characteristics and essence of the present invention, the pharmacological test results of Na-1 in promoting the healing of total thickness resection wounds in diabetic rats are provided below in the form of examples to illustrate its use in the field of medical technology. However, those skilled in the art will understand that the following examples are only used to illustrate the present invention and should not be regarded as limiting the scope of the present invention. In addition, if the specific technical operation steps or conditions are not specified in the examples, the techniques or conditions described in the literature in the field or the product instructions shall be followed. If the manufacturer of the reagents or instruments used is not indicated, they are all conventional products that can be purchased commercially.
实施例1:Na-1来源和人工合成Example 1: Source and artificial synthesis of Na-1
Na-1氨基酸序列:ISKCFIACGIGQRQSPINIVNa-1 amino acid sequence: ISKCFIACGIGQRQSPINIV
Na-1为多个珍珠蛋白共有的一段多肽序列,详细信息如表1所示。委托上海生工对Na-1进行合人工合成,用于糖尿病创面愈合效果观察。Na-1 is a polypeptide sequence shared by multiple pearl proteins. The detailed information is shown in Table 1. Shanghai Sangon was commissioned to synthesize Na-1 for observation of the healing effect of diabetic wounds.
表1:Na-1在珍珠蛋白序列中的位置信息Table 1: Position information of Na-1 in the pearlin sequence
实施例2:Na-1外用凝胶剂的制备Example 2: Preparation of Na-1 external gel
称取卡波姆(0.4051g)和羟丙甲基纤维素(0.1031g)缓缓加入到60mL蒸馏水中,边加边搅拌,至完全溶解。称取氢氧化钠适量加入上述溶液中,边加边搅拌,调节pH为10,得到无色透明的卡波姆羟丙甲基纤维素凝胶。之后加入甘油(5.2g),搅拌均匀,得凝胶基质。称取Na-1(0.12496g),加水20mL使分散,得到Na-1溶液。将Na-1溶液加入凝胶基质,搅拌均匀,最后加入氮酮(1.1g),蒸馏水补足重量至100g,搅拌均匀,即得Na-1外用凝胶剂。本品为乳白色凝胶,性状稳定,无分层,无冒油,质感细腻,无色透明,粘度适宜,易涂布易清洗,无油腻感(图4)。Weigh carbomer (0.4051g) and hydroxypropyl methylcellulose (0.1031g) and slowly add them to 60 mL of distilled water, stirring while adding, until completely dissolved. Weigh an appropriate amount of sodium hydroxide and add it to the above solution, stir while adding, adjust the pH to 10, and obtain a colorless and transparent carbomer hydroxypropyl methylcellulose gel. Then add glycerin (5.2g) and stir evenly to obtain a gel matrix. Weigh Na-1 (0.12496g), add 20 mL of water to disperse, and obtain a Na-1 solution. Add the Na-1 solution to the gel matrix and stir evenly. Finally, add azone (1.1g) and make up the weight to 100g with distilled water. Stir evenly to obtain Na-1 external gel. This product is a milky white gel with stable properties, no stratification, no oil leakage, fine texture, colorless and transparent, suitable viscosity, easy to apply and clean, and no greasy feeling (Figure 4).
实施例3:Na-1对糖尿病大鼠全皮层切除创面愈合的影响实验Example 3: Experiment on the effect of Na-1 on wound healing after total skin resection in diabetic rats
1.糖尿病大鼠的制备1. Preparation of Diabetic Rats
雄性SD大鼠腹腔注射1%链脲佐菌素(链脲佐菌素于pH为4.5的柠檬酸缓冲液中溶解)65mg/kg,6mL/kg,并于注射完链脲佐菌素的72h后第一次尾尖取血检测大鼠随机血糖值,血糖值超过16.7mmol/L作为糖尿病大鼠成模的标准,选取其中血糖值大于16.7mmol/L的大鼠作为实验对象,稳定5d后制作创面。Male SD rats were intraperitoneally injected with 1% streptozotocin (streptozotocin dissolved in citric acid buffer with pH 4.5) 65mg/kg, 6mL/kg, and 72 hours after the injection of streptozotocin. For the first time, blood was taken from the tip of the tail to detect the random blood sugar value of the rats. The blood sugar value exceeded 16.7mmol/L as the standard for diabetic rats. Rats with blood sugar values greater than 16.7mmol/L were selected as experimental subjects. After stabilization for 5 days, Make wounds.
2.糖尿病大鼠创面的制备2. Preparation of wounds in diabetic rats
大鼠乙醚麻醉,俯卧位固定于操作台,用电动推把大鼠背部长毛脱去,然后涂上脱毛膏,6min后将脱毛膏刮下,温水擦拭脱毛区残留的脱毛膏,后用纱布擦干,碘伏消毒,铺手术巾,将高压灭菌消毒后的1角硬币(直径1.8cm)盖于手术区,加压力形成圆形的痕迹,用手术剪按痕迹剪下圆形皮肤至深筋膜层。由于每只大鼠背部各处皮肤的厚度和张力不同,为避免因各创面间差异造成的实验结果误判,设计每只大鼠制备创面的数量和位置:每只大鼠制备2个创面,位于脊柱左右两侧1.5cm处,同侧创面连线的中心距颈部距离为背部总长的一半。The rat was anesthetized with ether and fixed on the operating table in a prone position. Use an electric pusher to remove the long hair on the back of the rat, and then apply depilatory cream. After 6 minutes, scrape off the depilatory cream, wipe the remaining depilatory cream in the depilated area with warm water, and then use gauze. Dry, disinfect with iodine, lay out a surgical towel, cover the surgical area with a 10-cent coin (diameter 1.8cm) that has been sterilized by autoclaving, apply pressure to form a circular trace, use surgical scissors to press the trace and cut out the circular skin to Deep fascial layer. Since the thickness and tension of the skin on the back of each rat are different, in order to avoid misjudgment of the experimental results due to differences between the wounds, the number and location of the wounds prepared for each rat were designed: 2 wounds were prepared for each rat, It is located 1.5cm on the left and right sides of the spine. The distance between the center of the wound line on the same side and the neck is half the total length of the back.
3.创面分组及给药3. Wound grouping and drug administration
正常大鼠2只,共4个创面,设定为非糖尿病创面空白组(Normal组),为大鼠创面自然愈合组,不做任何处理。糖尿病大鼠8只,共16个创面,对创面进行编号,按随机数字表分组,分为糖尿病创面空白组(Model组)、糖尿病创面给表皮生长因子组(EGF组,阳性对照)、糖尿病创面给Na-1组(Na-1组)共3组;其中:Model组,4个创面,为糖尿病大鼠创面自然愈合组,不做任何处理;EGF组,4个创面,为阳性对照药物EGF干预组,创面造成当天即开始给药,将一定量的EGF凝胶(商品名易孚,规格为5万IU(100μg)/10g/支,桂林华诺威基因药业有限公司生产,国药准字S20020112)均匀涂抹于糖尿病大鼠创面直至创面刚好被完全覆盖;Na-1组,4个创面,为小分子多肽Na-1干预组,创面造成当天即开始给药,将一定量的Na-1凝胶(实施例2制备)均匀涂抹于糖尿病大鼠创面直至创面刚好被完全覆盖。每日于早上10:00-12:00给药1次,自由饮水进食。术后第0、2、4、6、8、10、12、14天拍照并计算各时间点创面面积,根据如下公式计算愈合率:愈合率(%)=(创面原始面积-各时间点面积)÷创面原始面积×100%。14d后,取各组创面组织,4%多聚甲醛固定,然后进行H&E和Masson染色。在显微镜下伤口组织纵切面上的炎症细胞的浸润和成纤维细胞的数量可以评价伤口愈合情况。There were 2 normal rats with a total of 4 wounds, which were set as the non-diabetic wound blank group (Normal group), which was the natural wound healing group of rats without any treatment. There were 8 diabetic rats with a total of 16 wounds. The wounds were numbered and grouped according to the random number table, and were divided into diabetic wound blank group (Model group), diabetic wound treated with epidermal growth factor group (EGF group, positive control), and diabetic wound. A total of 3 groups were given to the Na-1 group (Na-1 group); among them: Model group, 4 wounds, which were the natural wound healing group of diabetic rats, without any treatment; EGF group, 4 wounds, were the positive control drug EGF In the intervention group, medication was started on the day the wound was created. A certain amount of EGF gel (trade name: Yifu, specification: 50,000 IU (100 μg)/10g/tube, produced by Guilin Huanovi Gene Pharmaceutical Co., Ltd., approved by the National Drug Administration S20020112) was evenly applied to the wounds of diabetic rats until the wounds were completely covered; the Na-1 group, with 4 wounds, was the small molecule peptide Na-1 intervention group. Administration began on the day the wounds were created, and a certain amount of Na- 1. Gel (prepared in Example 2) was evenly applied to the wound surface of diabetic rats until the wound surface was just completely covered. Administer once a day at 10:00-12:00 in the morning, with free access to water and food. Take photos on days 0, 2, 4, 6, 8, 10, 12 and 14 after surgery and calculate the wound area at each time point. Calculate the healing rate according to the following formula: Healing rate (%) = (original area of the wound - area at each time point) )÷original wound area×100%. After 14 days, wound tissues from each group were taken, fixed with 4% paraformaldehyde, and then stained with H&E and Masson. Wound healing can be evaluated by the infiltration of inflammatory cells and the number of fibroblasts in the longitudinal section of the wound tissue under a microscope.
4.实验结果4.Experimental results
结果显示,与Normal组创面比较,模型组愈合速度显著减慢(P<0.05),说明本次实验所用动物模型造模成功,能有效保证研究的准确性。与模型组比较,EGF组和Na-1组糖尿病创面愈合速度均显著加快(P<0.05),创面第0-14天代表性图像和愈合率时间进程曲线分别如图1和图2所示。在造成创面后第14天,H&E病理学观察结果如图3所示,与正常组比较,模型组炎症细胞浸润很明显,EGF组炎症略有炎症浸润,Na-1组未见明显炎症浸润。胶原蛋白的形成在创面愈合过程中起着关键作用,其可促进细胞迁移,并在创面愈合增殖阶段作为细胞外基质沉积的基础,Masson染色可应用于评估胶原蛋白的形成,其中胶原蛋白被染色为蓝色,而细胞体、肌肉和角蛋白被染色为红色。如图3中,模型组胶原纤维较少,网状结构疏松,表皮成溃疡状态;而Na-1组中胶原纤维结构、表皮完好,胶原纤维有序堆积,表明Na-1对创面愈合有积极作用,这与图1和图2药效结果一致。The results showed that compared with the wounds in the Normal group, the healing speed of the model group was significantly slower (P<0.05), indicating that the animal model used in this experiment was successfully modeled and could effectively ensure the accuracy of the research. Compared with the model group, the healing speed of diabetic wounds in the EGF group and Na-1 group was significantly accelerated (P<0.05). The representative images of the wound from 0 to 14 days and the time course curve of the healing rate are shown in Figure 1 and Figure 2 respectively. On the 14th day after the wound was caused, the H&E pathological observation results are shown in Figure 3. Compared with the normal group, the inflammatory cell infiltration was obvious in the model group, there was slight inflammatory infiltration in the EGF group, and there was no obvious inflammatory infiltration in the Na-1 group. The formation of collagen plays a key role in the wound healing process. It can promote cell migration and serve as the basis for extracellular matrix deposition during the proliferation phase of wound healing. Masson staining can be applied to evaluate the formation of collagen, in which collagen is stained. is blue, while cell bodies, muscle, and keratin are stained red. As shown in Figure 3, the model group has fewer collagen fibers, a loose network structure, and the epidermis is in an ulcerated state; while in the Na-1 group, the collagen fiber structure and epidermis are intact, and collagen fibers are accumulated in an orderly manner, indicating that Na-1 has a positive effect on wound healing. effect, which is consistent with the efficacy results in Figures 1 and 2.
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