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CN117562904A - Application of vilazodone in preparing medicament for preventing or treating NLRP3 inflammatory small body related diseases - Google Patents

Application of vilazodone in preparing medicament for preventing or treating NLRP3 inflammatory small body related diseases Download PDF

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CN117562904A
CN117562904A CN202311693866.0A CN202311693866A CN117562904A CN 117562904 A CN117562904 A CN 117562904A CN 202311693866 A CN202311693866 A CN 202311693866A CN 117562904 A CN117562904 A CN 117562904A
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vilazodone
nlrp3
nlrp3 inflammasome
inflammasome
related diseases
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徐文
周妍
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Anhui Children's Hospital Anhui Xinhua Hospital Anhui Institute Of Pediatrics Anhui Hospital Of Pediatrics Affiliated To Fudan University
Anhui Provincial Hospital First Affiliated Hospital Of Ustc
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Anhui Children's Hospital Anhui Xinhua Hospital Anhui Institute Of Pediatrics Anhui Hospital Of Pediatrics Affiliated To Fudan University
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Abstract

本发明属于药物领域,具体涉及药物新用途领域,具体涉及维拉唑酮在制备预防或治疗NLRP3炎症小体相关疾病的药物中的应用。本发明以维拉唑酮为研究对象,首先考察维拉唑酮对巨噬细胞NLRP3炎症小体的活化的影响,结果显示维拉唑酮加入后可有效抑制caspase‑1和IL‑1β成熟和分泌,并且这种抑制效果是剂量依赖的。最终明确维拉唑酮抑制NLRP3的作用机制和结合位点,提供了一种临床药理作用清晰、临床安全性较高的NLRP3抑制剂。

The invention belongs to the field of medicines, specifically relates to the field of new uses of medicines, and specifically relates to the application of vilazodone in the preparation of medicines for preventing or treating NLRP3 inflammasome-related diseases. The present invention takes vilazodone as the research object and first examines the effect of vilazodone on the activation of NLRP3 inflammasome in macrophages. The results show that the addition of vilazodone can effectively inhibit the maturation and activation of caspase-1 and IL-1β. secretion, and this inhibitory effect is dose-dependent. Finally, the mechanism of action and binding site of vilazodone in inhibiting NLRP3 was clarified, providing an NLRP3 inhibitor with clear clinical pharmacological effects and high clinical safety.

Description

维拉唑酮在制备预防或治疗NLRP3炎症小体相关疾病的药物 中的应用Verazodone in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases Applications in

技术领域Technical field

本发明属于药物新用途领域,具体涉及维拉唑酮在制备预防或治疗NLRP3炎症小体相关疾病的药物中的应用。The invention belongs to the field of new uses of drugs, and specifically relates to the application of vilazodone in preparing drugs for preventing or treating NLRP3 inflammasome-related diseases.

背景技术Background technique

NOD样受体(NLR)家族NLRP3炎性小体是由NLRP3蛋白、连接蛋白ASC和半胱氨酸蛋白酶caspase-1组成的细胞内蛋白复合物。NLRP3作为一种先天免疫传感器,可以检测多种刺激,如病毒RNA、微生物毒素、尿酸晶体以及环境和宿主因素。NLRP3在激活后招募ASC和pro-caspase-1组装NLRP3炎性体,导致pro-caspase-1的自我蛋白水解。caspase-1的主要功能是诱导促炎细胞因子IL-1β和IL-18的成熟和产生,并介导细胞焦亡。The NOD-like receptor (NLR) family NLRP3 inflammasome is an intracellular protein complex composed of NLRP3 protein, connexin ASC and cysteine protease caspase-1. NLRP3 serves as an innate immune sensor that can detect a variety of stimuli such as viral RNA, microbial toxins, uric acid crystals, and environmental and host factors. Upon activation, NLRP3 recruits ASC and pro-caspase-1 to assemble the NLRP3 inflammasome, leading to autoproteolysis of pro-caspase-1. The main function of caspase-1 is to induce the maturation and production of pro-inflammatory cytokines IL-1β and IL-18 and mediate pyroptosis.

研究表明,NLRP3炎性小体的异常激活与多种人类炎性疾病的发病机制有关,包括败血症、腹膜炎、冷冻素相关周期性综合征、阿片类镇痛耐受、痛风、动脉粥样硬化、2型糖尿病等。特别是神经炎性疾病,如多发性硬化症、阿尔茨海默病、中风和抑郁症也与NLRP3炎性小体失调有关。因此,靶向NLRP3代表了治疗这些炎症驱动疾病的有希望的策略。Studies have shown that abnormal activation of the NLRP3 inflammasome is related to the pathogenesis of a variety of human inflammatory diseases, including sepsis, peritonitis, cryogen-related periodic syndrome, opioid analgesia tolerance, gout, atherosclerosis, Type 2 diabetes, etc. In particular, neuroinflammatory diseases such as multiple sclerosis, Alzheimer's disease, stroke, and depression have also been linked to NLRP3 inflammasome dysregulation. Therefore, targeting NLRP3 represents a promising strategy for treating these inflammation-driven diseases.

近年来,一些以NLRP3炎性小体为靶点的药物已通过动物实验证明可有效减少炎性疾病。这些药物包括MCC950、CY-09、曲尼司特、OLT177、oridonin等。但其临床药理作用和特异性尚不清楚,临床安全性有待进一步评价。MNS、CY-09、oridonin等许多药物尚未进入临床试验阶段。尽管对NLRP3炎性小体靶点的研究正在迅速发展,但这些药物在治疗人类NLRP3相关疾病中的应用仍不确定。因此,我们仍然需要更接近临床应用、安全性好的NLRP3抑制剂。In recent years, some drugs targeting the NLRP3 inflammasome have been proven to be effective in reducing inflammatory diseases through animal experiments. These drugs include MCC950, CY-09, tranilast, OLT177, oridonin, etc. However, its clinical pharmacological effects and specificity are still unclear, and its clinical safety needs further evaluation. Many drugs, such as MNS, CY-09, oridonin, have not yet entered the clinical trial stage. Although research on NLRP3 inflammasome targets is rapidly evolving, the utility of these drugs in treating NLRP3-related diseases in humans remains uncertain. Therefore, we still need NLRP3 inhibitors that are closer to clinical application and have good safety profile.

发明内容Contents of the invention

(一)解决的技术问题(1) Technical problems solved

本发明要解决的技术问题是寻找一种接近临床应用、安全性好的NLRP3抑制剂,用于NLRP3炎症小体相关疾病的预防、治疗。The technical problem to be solved by the present invention is to find an NLRP3 inhibitor that is close to clinical application and has good safety, and can be used for the prevention and treatment of NLRP3 inflammasome-related diseases.

(二)技术方案(2) Technical solutions

为实现以上目的,本发明在一方面提供了维拉唑酮或其药学上可接受的盐、晶型、溶剂化物在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。In order to achieve the above objects, the present invention provides in one aspect the use of vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases; The NLRP3 inflammasome-related diseases described above do not include depression.

在一个实施例中,所述的NLRP3炎症小体相关疾病包括痛风、腹膜炎、阿尔茨海默病、肠炎、肌萎缩侧索硬化、肥胖、II型糖尿病、代谢综合征、败血症、脓毒血症、脂肪肝、肝炎、关节炎、动脉粥样硬化、帕金森病、心肌梗死、石棉肺、硅肺和矽肺、哮喘或急性呼吸窘迫综合征、感染引起的急、慢性组织损伤、紫外线诱导的皮肤晒伤、接触性超敏反应或穆-韦氏综合征或者冷卟啉相关周期性综合征(CAPS)、阿片类镇痛耐受、中风、多发性硬化症、脑卒中。In one embodiment, the NLRP3 inflammasome-related diseases include gout, peritonitis, Alzheimer's disease, enteritis, amyotrophic lateral sclerosis, obesity, type II diabetes, metabolic syndrome, sepsis, and sepsis. , fatty liver, hepatitis, arthritis, atherosclerosis, Parkinson's disease, myocardial infarction, asbestosis, silicosis and silicosis, asthma or acute respiratory distress syndrome, acute and chronic tissue damage caused by infection, ultraviolet-induced skin damage Sunburn, contact hypersensitivity or Muhl-Weil syndrome or cold porphyrin-associated periodic syndrome (CAPS), opioid analgesic tolerance, stroke, multiple sclerosis, stroke.

在一个实施例中,所述的NLRP3炎症小体相关疾病为多发性硬化症。In one embodiment, the NLRP3 inflammasome-related disease is multiple sclerosis.

在一个实施例中,所述的NLRP3炎症小体相关疾病为脑卒中。In one embodiment, the NLRP3 inflammasome-related disease is stroke.

第二方面,本发明提供了含维拉唑酮或其药学上可接受的盐、晶型、溶剂化物的药物组合物在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。In a second aspect, the present invention provides the use of a pharmaceutical composition containing vilazodone or a pharmaceutically acceptable salt, crystal form, or solvate thereof in the preparation of a drug for preventing or treating NLRP3 inflammasome-related diseases; The NLRP3 inflammasome-related diseases do not include depression.

优选地,所述的NLRP3炎症小体相关疾病包括痛风、腹膜炎、阿尔茨海默病、肠炎、肌萎缩侧索硬化、肥胖、II型糖尿病、代谢综合征、败血症、脓毒血症、脂肪肝、肝炎、关节炎、动脉粥样硬化、帕金森病、心肌梗死、石棉肺、硅肺和矽肺、哮喘或急性呼吸窘迫综合征、感染引起的急、慢性组织损伤、紫外线诱导的皮肤晒伤、接触性超敏反应或穆-韦氏综合征或者冷卟啉相关周期性综合征(CAPS)、阿片类镇痛耐受、中风、多发性硬化症、脑卒中。Preferably, the NLRP3 inflammasome-related diseases include gout, peritonitis, Alzheimer's disease, enteritis, amyotrophic lateral sclerosis, obesity, type II diabetes, metabolic syndrome, sepsis, sepsis, and fatty liver. , hepatitis, arthritis, atherosclerosis, Parkinson's disease, myocardial infarction, asbestosis, silicosis and silicosis, asthma or acute respiratory distress syndrome, acute and chronic tissue damage caused by infection, ultraviolet-induced skin sunburn, Contact hypersensitivity or Muhlwehr syndrome or cryoporphyrin-associated periodic syndrome (CAPS), opioid analgesia tolerance, stroke, multiple sclerosis, stroke.

在一个实施例中,所述的NLRP3炎症小体相关疾病为多发性硬化症。In one embodiment, the NLRP3 inflammasome-related disease is multiple sclerosis.

在一个实施例中,所述的NLRP3炎症小体相关疾病为脑卒中。In one embodiment, the NLRP3 inflammasome-related disease is stroke.

在一个实施例中,所述的药物组合物还包含药学上可接受的载体。In one embodiment, the pharmaceutical composition further includes a pharmaceutically acceptable carrier.

第三方面,本发明提供了含维拉唑酮或其药学上可接受的盐、晶型、溶剂化物的药物制剂在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。In a third aspect, the present invention provides the use of pharmaceutical preparations containing vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases; The NLRP3 inflammasome-related diseases described above do not include depression.

优选地,所述的NLRP3炎症小体相关疾病包括痛风、腹膜炎、阿尔茨海默病、肠炎、肌萎缩侧索硬化、肥胖、II型糖尿病、代谢综合征、败血症、脓毒血症、脂肪肝、肝炎、关节炎、动脉粥样硬化、帕金森病、心肌梗死、石棉肺、硅肺和矽肺、哮喘或急性呼吸窘迫综合征、感染引起的急、慢性组织损伤、紫外线诱导的皮肤晒伤、接触性超敏反应或穆-韦氏综合征或者冷卟啉相关周期性综合征(CAPS)、阿片类镇痛耐受、中风、多发性硬化症、脑卒中。Preferably, the NLRP3 inflammasome-related diseases include gout, peritonitis, Alzheimer's disease, enteritis, amyotrophic lateral sclerosis, obesity, type II diabetes, metabolic syndrome, sepsis, sepsis, and fatty liver. , hepatitis, arthritis, atherosclerosis, Parkinson's disease, myocardial infarction, asbestosis, silicosis and silicosis, asthma or acute respiratory distress syndrome, acute and chronic tissue damage caused by infection, ultraviolet-induced skin sunburn, Contact hypersensitivity or Muhlwehr syndrome or cryoporphyrin-associated periodic syndrome (CAPS), opioid analgesia tolerance, stroke, multiple sclerosis, stroke.

在一个实施例中,所述的NLRP3炎症小体相关疾病为多发性硬化症或脑卒中。In one embodiment, the NLRP3 inflammasome-related disease is multiple sclerosis or stroke.

在一个实施例中,所述药物制剂的类型包括固体制剂、半固体制剂、液体制剂、气体制剂。In one embodiment, the types of pharmaceutical preparations include solid preparations, semi-solid preparations, liquid preparations, and gas preparations.

在一个实施例中,所述液体剂型包括溶液剂、注射剂;所述固体剂型包括片剂、颗粒剂、胶囊剂;所述半固体剂型包括软膏剂、凝胶剂;所述气体剂型包括气雾剂、喷雾剂。In one embodiment, the liquid dosage forms include solutions and injections; the solid dosage forms include tablets, granules, and capsules; the semi-solid dosage forms include ointments and gels; and the gas dosage forms include aerosols. agents, sprays.

(三)有益效果(3) Beneficial effects

维拉唑酮是一种5-羟色胺部分激动剂-再摄取抑制剂(SPARI),用于治疗重度抑郁症。本发明以维拉唑酮为研究对象,首先考察维拉唑酮对巨噬细胞NLRP3炎症小体的活化的影响。结果显示维拉唑酮加入后可有效抑制caspase-1和IL-1β成熟和分泌,并且这种抑制效果是剂量依赖的,最终明确维拉唑酮抑制NLRP3的作用机制和结合位点,提供了一种临床药理作用清晰、临床安全性较高的NLRP3抑制剂。同时,本发明选用EAE、脑卒中等,明确维拉唑酮改善上述动物模型的病症,表明应用维拉唑酮或其药学上可接受的盐、晶型、溶剂化物可以改善上述疾病的病症。Verazodone is a serotonin partial agonist-reuptake inhibitor (SPARI) used to treat major depressive disorder. The present invention takes vilazodone as the research object, and first examines the effect of vilazodone on the activation of NLRP3 inflammasome in macrophages. The results show that the addition of vilazodone can effectively inhibit the maturation and secretion of caspase-1 and IL-1β, and this inhibitory effect is dose-dependent. Finally, the mechanism and binding site of vilazodone for inhibiting NLRP3 were clarified, and provided An NLRP3 inhibitor with clear clinical pharmacological effects and high clinical safety. At the same time, the present invention selects EAE, stroke, etc. to confirm that vilazodone improves the symptoms of the above-mentioned animal models, indicating that the application of vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates can improve the symptoms of the above-mentioned diseases.

附图说明Description of the drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings in the following description are only These are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without exerting creative efforts.

图1本发明实施例1中维拉唑酮抑制Nigericin诱导的NLRP3炎症小体活化的作用;图1A:维拉唑酮结构式;图1B:ELISA结果提示维拉唑酮抑制Nigericin诱导的IL-1β的成熟和分泌;图1C:WB结果提示维拉唑酮抑制Nigericin诱导的p20及IL-1β的成熟和分泌;Figure 1 The effect of velazodone on inhibiting Nigericin-induced NLRP3 inflammasome activation in Example 1 of the present invention; Figure 1A: Structural formula of velazodone; Figure 1B: ELISA results suggest that velazodone inhibits Nigericin-induced IL-1β The maturation and secretion of p20 and IL-1β; Figure 1C: WB results suggest that vilazodone inhibits the maturation and secretion of p20 and IL-1β induced by Nigericin;

图2本发明实施例1中维拉唑酮抑制多种激动剂诱导的NLRP3炎症小体活化的作用;图2A:ELISA结果提示维拉唑酮抑制多种NLRP3炎症小体激动剂诱导的IL-1β的成熟和分泌;图2B:WB结果提示维拉唑酮抑制多种NLRP3炎症小体激动剂诱导的NLRP3炎症小体活化;Figure 2 In Example 1 of the present invention, vilazodone inhibits the activation of NLRP3 inflammasome induced by multiple agonists; Figure 2A: ELISA results suggest that vilazodone inhibits IL- Maturation and secretion of 1β; Figure 2B: WB results suggest that vilazodone inhibits NLRP3 inflammasome activation induced by multiple NLRP3 inflammasome agonists;

图3本发明实施例1中维拉唑酮抑制胞转脂多糖(cLPS)诱导的非经典NLRP3炎症小体活化的作用;图3A:ELISA结果提示维拉唑酮可以抑制胞转LPB诱导的炎症小体活化;图3B:WB结果提示维拉唑酮可以抑制胞转LPB诱导的炎症小体活化;Figure 3 In Example 1 of the present invention, vilazodone inhibits the activation of non-classical NLRP3 inflammasome induced by transcytosed lipopolysaccharide (cLPS); Figure 3A: ELISA results suggest that velazodone can inhibit inflammation induced by transcytosed LPB Activation of corpuscles; Figure 3B: WB results suggest that vilazodone can inhibit inflammasome activation induced by transcytosis of LPB;

图4图4A:ELISA结果提示维拉唑酮不能抑制PolyA:T活化的AIM2炎症小体;图4B:WB结果提示维拉唑酮不能抑制PolyA:T活化的AIM2炎症小体;图4C:ELISA结果提示维拉唑酮不能抑制C3毒素活化的pyrin炎症小体;图4D:WB结果提示维拉唑酮不能抑制C3毒素活化的pyrin炎症小体;图4E:ELISA结果提示维拉唑酮不能抑制沙门氏菌活化的NLRC4炎症小体;图4F:WB结果提示维拉唑酮不能抑制沙门氏菌活化的NLRC4炎症小体;Figure 4 Figure 4A: ELISA results indicate that vilazodone cannot inhibit PolyA:T-activated AIM2 inflammasome; Figure 4B: WB results indicate that vilazodone cannot inhibit PolyA:T-activated AIM2 inflammasome; Figure 4C: ELISA The results indicate that vilazodone cannot inhibit the pyrin inflammasome activated by C3 toxin; Figure 4D: WB results indicate that vilazodone cannot inhibit the pyrin inflammasome activated by C3 toxin; Figure 4E: ELISA results indicate that vilazodone cannot inhibit the pyrin inflammasome activated by C3 toxin Salmonella-activated NLRC4 inflammasome; Figure 4F: WB results indicate that vilazodone cannot inhibit Salmonella-activated NLRC4 inflammasome;

图5本发明实施例2中维拉唑酮抑制NLRP3和丝氨酸/苏氨酸蛋白激酶NEK7相互作用并抑制NLPR3炎症小体组装的作用;图5A:维拉唑酮抑制NLRP3炎症小体活化过程中ASC的寡聚;图5B:维拉唑酮抑制了内源NLRP3和NEK7的相互作用;图5C:维拉唑酮抑制了内源NLRP3和ASC的相互作用;Figure 5 In Example 2 of the present invention, vilazodone inhibits the interaction between NLRP3 and serine/threonine protein kinase NEK7 and inhibits the assembly of NLPR3 inflammasome; Figure 5A: During the process of vilazodone inhibiting the activation of NLRP3 inflammasome Oligomerization of ASC; Figure 5B: Verazodone inhibits the interaction between endogenous NLRP3 and NEK7; Figure 5C: Verazodone inhibits the interaction between endogenous NLRP3 and ASC;

图6本发明实施例3中维拉唑酮直接结合NLPR3蛋白的作用;图6A:维拉唑酮不抑制NEK7、ASC、pro-caspase-1和β-actin的降解,但抑制NLRP3的降解;图6B:维拉唑酮不抑制过表达NLRP1b蛋白的降解;图6C:维拉唑酮抑制了过表达NLRP3蛋白的降解;图6D:维拉唑酮不抑制过表达NLRC4蛋白的降解;图6E:维拉唑酮不抑制过表达AIM2蛋白的降解;Figure 6: The effect of vilazodone directly binding to NLPR3 protein in Example 3 of the present invention; Figure 6A: Verazodone does not inhibit the degradation of NEK7, ASC, pro-caspase-1 and β-actin, but inhibits the degradation of NLRP3; Figure 6B: Verazodone does not inhibit the degradation of overexpressed NLRP1b protein; Figure 6C: Verazodone inhibits the degradation of overexpressed NLRP3 protein; Figure 6D: Verazodone does not inhibit the degradation of overexpressed NLRC4 protein; Figure 6E : Verazodone does not inhibit the degradation of overexpressed AIM2 protein;

图7本发明实施例3中维拉唑酮特异性结合NLRP3的NACHT结构域;图7A:维拉唑酮不抑制过表达LRR的蛋白降解,图7B:维拉唑酮不抑制过表达PYD的蛋白降解,图7C:维拉唑酮抑制了过表达NACHT的蛋白降解;Figure 7 In Example 3 of the present invention, vilazodone specifically binds to the NACHT domain of NLRP3; Figure 7A: Verazodone does not inhibit protein degradation of overexpressed LRR, Figure 7B: Verazodone does not inhibit overexpressed PYD. Protein degradation, Figure 7C: Verazodone inhibits protein degradation of overexpressed NACHT;

图8图8A:维拉唑酮可显著抑制EAE的发生发展;图8B:维拉唑酮改善了EAE小鼠的体重下降;图8C:流式结果代表图提示维拉唑酮抑制EAE小鼠的中枢浸润;图8D:柱状图提示维拉唑酮可抑制EAE小鼠的中枢浸润;图8E:QPCR结果提示维拉唑酮可抑制EAE小鼠的中枢炎症水平。Figure 8 Figure 8A: Verazodone can significantly inhibit the occurrence and development of EAE; Figure 8B: Verazodone improves the weight loss of EAE mice; Figure 8C: Representative flow cytometry results suggest that vilazodone inhibits EAE mice Figure 8D: Histogram suggests that vilazodone can inhibit central infiltration in EAE mice; Figure 8E: QPCR results indicate that vilazodone can inhibit central inflammation levels in EAE mice.

图9图9A:脑卒中造模后维拉唑酮给药示意图;图9B:切片染色显示维拉唑酮减轻脑卒中梗死体积;图9C:维拉唑酮改善脑卒中后神经功能评分;图9D:维拉唑酮改善脑卒中后小鼠体重;图9E:维拉唑酮改善脑卒中后转棒抓握时间;图9F:QPCR结果提示维拉唑酮可抑制脑卒中小鼠的中枢炎症水平。Figure 9 Figure 9A: Schematic diagram of vilazodone administration after stroke modeling; Figure 9B: Slice staining shows that vilazodone reduces stroke infarct volume; Figure 9C: Verazodone improves neurological function scores after stroke; Figure 9 9D: Verazodone improves body weight of mice after stroke; Figure 9E: Verazodone improves rotarod grasping time after stroke; Figure 9F: QPCR results suggest that vilazodone can inhibit central inflammation in mice with stroke level.

具体实施方式Detailed ways

为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments These are some embodiments of the present invention, rather than all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without making creative efforts fall within the scope of protection of the present invention.

下面通过具体的实施例进行详细的说明。Detailed description is provided below through specific embodiments.

本发明中使用的仪器和试剂、材料均是本领域技术人员公知的,可通过商业机构购买获得。The instruments, reagents, and materials used in the present invention are all well known to those skilled in the art and can be purchased through commercial institutions.

实施例1:维拉唑酮对NLRP3炎症小体抑制作用的体外研究Example 1: In vitro study on the inhibitory effect of vilazodone on NLRP3 inflammasome

一、维拉唑酮抑制Nigericin诱导的P20和IL-1β分泌和成熟1. Verazodone inhibits Nigericin-induced P20 and IL-1β secretion and maturation

1、小鼠骨髓来源的巨噬细胞(BMDM)的分化:取8周龄左右大小的C57BL/6小鼠骨髓,取骨髓细胞,裂解红细胞后,用DMEM培养基(含10%胎牛血清和25ng/ml M-CSF(巨噬细胞集落刺激分子)分化4-5天。1. Differentiation of mouse bone marrow-derived macrophages (BMDM): Take the bone marrow of C57BL/6 mice about 8 weeks old, take the bone marrow cells, lyse the red blood cells, and use DMEM culture medium (containing 10% fetal bovine serum and Differentiation with 25ng/ml M-CSF (macrophage colony-stimulating molecule) for 4-5 days.

2、将分化好的BMDM细胞分至12孔板中,每孔5×105个细胞。第二天,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理细胞3小时。然后,分别加入不同浓度(0μM、0.5μM、1μM、2μM)的维拉唑酮处理半小时,再加入5μM尼日利亚菌素(Nigericin)刺激细胞15分钟。2. Distribute the differentiated BMDM cells into a 12-well plate, with 5×10 5 cells in each well. The next day, cells were pretreated with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours. Then, different concentrations (0 μM, 0.5 μM, 1 μM, 2 μM) of vilazodone were added for half an hour, and then 5 μM nigericin was added to stimulate the cells for 15 minutes.

3、收集细胞上清液和细胞裂解液,WB和ELISA分别检测上清中IL-1β和p20的分泌。3. Collect the cell supernatant and cell lysate, and detect the secretion of IL-1β and p20 in the supernatant by WB and ELISA respectively.

如图1A、1B、1C所示,在图1B中,ELISA结果提示维拉唑酮抑制Nigericin诱导的IL-1β的成熟和分泌;图1C中,WB结果提示维拉唑酮抑制Nigericin诱导的p20及IL-1β的成熟和分泌。上述结果说明:维拉唑酮剂量依赖地抑制Nigericin诱导的p20及IL-1β的成熟和分泌。As shown in Figures 1A, 1B, and 1C, in Figure 1B, the ELISA results suggest that vilazodone inhibits the maturation and secretion of IL-1β induced by Nigericin; in Figure 1C, the WB results suggest that vilazodone inhibits Nigericin-induced p20 and the maturation and secretion of IL-1β. The above results indicate that vilazodone dose-dependently inhibits the maturation and secretion of p20 and IL-1β induced by Nigericin.

二、维拉唑酮抑制多种激动剂活化的炎症小体2. Verazodone inhibits the inflammasome activated by multiple agonists

1、将分化好的BMDM细胞分至12孔板中,每孔5×105个细胞。1. Distribute the differentiated BMDM cells into a 12-well plate, with 5 × 10 5 cells in each well.

2、次日,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理细胞3小时。然后分成两大组,第一大组加入2μM的维拉唑酮,第二大组加入等体积的DMSO处理半小时,第一大组再分为四小组,每小组分别加入5μM Nigericin刺激细胞15分钟、5mM ATP刺激细胞30分钟、700ug/ml尿酸盐结晶(MSU)刺激细胞4小时,最后一组为阴性对照。第二大组也分为四小组,每小组分别加入5μM Nigericin刺激细胞15分钟、5mM ATP刺激细胞30分钟、700μg/ml尿酸盐结晶(MSU)刺激细胞4小时,最后一组为阴性对照。2. The next day, pretreat the cells with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours. Then they were divided into two groups. The first group added 2 μM vilazodone, and the second group added an equal volume of DMSO for half an hour. The first group was further divided into four groups, and each group added 5 μM Nigericin to stimulate the cells for 15 seconds. minutes, 5mM ATP to stimulate cells for 30 minutes, 700ug/ml urate crystals (MSU) to stimulate cells for 4 hours, and the last group is a negative control. The second largest group was also divided into four groups. Each group added 5 μM Nigericin to stimulate the cells for 15 minutes, 5 mM ATP to stimulate the cells for 30 minutes, and 700 μg/ml urate crystals (MSU) to stimulate the cells for 4 hours. The last group was a negative control.

3、收集细胞上清液和细胞裂解液,WB和ELISA分别检测上清中IL-1β和p20的分泌。3. Collect the cell supernatant and cell lysate, and detect the secretion of IL-1β and p20 in the supernatant by WB and ELISA respectively.

如图2A、2B所示,图2A中,ELISA结果提示维拉唑酮抑制多种NLRP3炎症小体激动剂诱导的IL-1β的成熟和分泌;图2B中,WB结果提示维拉唑酮抑制多种NLRP3炎症小体激动剂诱导的NLRP3炎症小体活化。上述结果表明,维拉唑酮抑制多种NLRP3炎症小体激动剂诱导的NLRP3炎症小体活化。As shown in Figure 2A and 2B, in Figure 2A, the ELISA results indicate that vilazodone inhibits the maturation and secretion of IL-1β induced by multiple NLRP3 inflammasome agonists; in Figure 2B, the WB results indicate that vilazodone inhibits NLRP3 inflammasome activation induced by multiple NLRP3 inflammasome agonists. The above results indicate that vilazodone inhibits NLRP3 inflammasome activation induced by multiple NLRP3 inflammasome agonists.

三、维拉唑酮抑制非经典炎症小体活化3. Verazodone inhibits non-classical inflammasome activation

1、将分化好的BMDM细胞分至12孔板中,每孔5×105个细胞。1. Distribute the differentiated BMDM cells into a 12-well plate, with 5 × 10 5 cells in each well.

2、第二天,用opti-MEM培养基(含1%胎牛血清和200ng/ml Pam3CSK4)预处理细胞3小时。然后,分别加入不同浓度(0μM、0.5μM、1μM、2μM)的维拉唑酮处理半小时,再用Lipo2000转染1μg LPS处理细胞16小时。2. The next day, pretreat the cells with opti-MEM medium (containing 1% fetal calf serum and 200ng/ml Pam3CSK4) for 3 hours. Then, different concentrations of vilazodone (0 μM, 0.5 μM, 1 μM, and 2 μM) were added for half an hour, and then the cells were transfected with Lipo2000 and treated with 1 μg LPS for 16 hours.

3、收集细胞上清液和细胞裂解液,WB和ELISA分别检测上清中IL-1β和p20的分泌。3. Collect the cell supernatant and cell lysate, and detect the secretion of IL-1β and p20 in the supernatant by WB and ELISA respectively.

如图3所示,图3A中,ELISA结果提示维拉唑酮可以抑制胞转LPB诱导的炎症小体活化;图3B中,WB结果提示维拉唑酮可以抑制胞转LPB诱导的炎症小体活化。上述结果表明,维拉唑酮剂量依赖地抑制非经典炎症小体活化。As shown in Figure 3, in Figure 3A, the ELISA results suggest that vilazodone can inhibit the activation of inflammasomes induced by transcytosis of LPB; in Figure 3B, the WB results suggest that vilazodone can inhibit the inflammasome activation induced by transcytosis of LPB. activation. The above results indicate that vilazodone inhibits non-classical inflammasome activation in a dose-dependent manner.

四、维拉唑酮对Poly(dA:dT)激活的AIM2炎症小体及沙门氏菌激活的IPAF炎症小体无抑制效果4. Verazodone has no inhibitory effect on the AIM2 inflammasome activated by Poly(dA:dT) and the IPAF inflammasome activated by Salmonella.

1、将分化好的BMDM细胞分至12孔板中,每孔5×105个细胞。1. Distribute the differentiated BMDM cells into a 12-well plate, with 5 × 10 5 cells in each well.

2、次日,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理细胞3小时。然后分成两大组,第一大组加入2μM的维拉唑酮,第二大组加入等体积的DMSO处理半小时,第一组再分为四小组,每小组分别加入5μM尼日利亚菌素(Nigericin)刺激细胞15分钟、1μg的poly(dA:dT)刺激细胞2小时、鼠伤寒沙门氏菌(Salmonella)刺激细胞4小时,最后一组为阴性对照。第二大组也分为四小组,每小组分别加入5μM尼日利亚菌素(Nigericin)刺激细胞15分钟、1μg的poly(dA:dT)刺激细胞2小时、鼠伤寒沙门氏菌(Salmonella)刺激细胞4小时,最后一组为阴性对照。2. The next day, pretreat the cells with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours. Then it was divided into two large groups. The first large group added 2 μM vilazodone, and the second large group added an equal volume of DMSO for half an hour. The first group was further divided into four small groups, and each group added 5 μM nigericin. ) stimulated cells for 15 minutes, 1 μg of poly(dA:dT) stimulated cells for 2 hours, Salmonella typhimurium (Salmonella) stimulated cells for 4 hours, and the last group was a negative control. The second largest group was also divided into four subgroups. Each group added 5 μM nigericin to stimulate the cells for 15 minutes, 1 μg of poly(dA:dT) to stimulate the cells for 2 hours, and Salmonella typhimurium to stimulate the cells for 4 hours. The last group is a negative control.

3、收集细胞上清液和细胞裂解液,WB和ELISA分别检测上清中IL-1β和p20的分泌量3. Collect the cell supernatant and cell lysate, and detect the secretion of IL-1β and p20 in the supernatant by WB and ELISA respectively.

如图4所示,图4A中,ELISA结果提示维拉唑酮不能抑制PolyA:T活化的AIM2炎症小体;图4B中,WB结果提示维拉唑酮不能抑制PolyA:T活化的AIM2炎症小体;图4C中,ELISA结果提示维拉唑酮不能抑制C3毒素活化的pyrin炎症小体;图4D中,WB结果提示维拉唑酮不能抑制C3毒素活化的pyrin炎症小体;图4E中,ELISA结果提示维拉唑酮不能抑制沙门氏菌活化的NLRC4炎症小体;图4F中,WB结果提示维拉唑酮不能抑制沙门氏菌活化的NLRC4炎症小体。As shown in Figure 4, in Figure 4A, the ELISA results indicate that vilazodone cannot inhibit the PolyA:T-activated AIM2 inflammasome; in Figure 4B, the WB results indicate that vilazodone cannot inhibit the PolyA:T-activated AIM2 inflammasome. In Figure 4C, the ELISA results indicate that vilazodone cannot inhibit the pyrin inflammasome activated by C3 toxin; in Figure 4D, the WB results indicate that vilazodone cannot inhibit the pyrin inflammasome activated by C3 toxin; in Figure 4E, The ELISA results indicate that vilazodone cannot inhibit the NLRC4 inflammasome activated by Salmonella; in Figure 4F, the WB results indicate that vilazodone cannot inhibit the NLRC4 inflammasome activated by Salmonella.

上述结果表明:维拉唑酮特异性抑制NLRP3炎症小体活化,不影响AIM2炎症小体和IPAF炎症小体的活化。The above results show that vilazodone specifically inhibits the activation of NLRP3 inflammasome and does not affect the activation of AIM2 inflammasome and IPAF inflammasome.

实施例2:维拉唑酮抑制NLRP3炎症小体活化的机制Example 2: Mechanism of vilazodone inhibiting NLRP3 inflammasome activation

一、维拉唑酮抑制ASC寡聚1. Verazodone inhibits ASC oligomerization

1、将分化好的BMDM细胞分至6孔板中,每孔1×106个细胞。1. Distribute differentiated BMDM cells into a 6-well plate, 1×10 6 cells per well.

2、第二天,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理细胞3小时。然后,分别加入不同浓度(0μM、1μM、2μM)的维拉唑酮先处理半小时,再加入5μM尼日利亚菌素(Nigericin)刺激细胞15分钟。收集每孔培养上清,抽提蛋白,WB检测维拉唑酮对NLRP3炎症小体活化的抑制效果。每孔加入等体积的含蛋白酶抑制剂的NP-40,冰上裂解30分钟,收集裂解液,离心沉淀,去上清,加入终浓度为2mM的交联剂DSS,室温交联30分钟,预冷的PBS洗涤沉淀物两次,离心沉淀,加入蛋白裂解缓冲液,100℃加热10分钟。2. The next day, pretreat the cells with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours. Then, vilazodone of different concentrations (0 μM, 1 μM, 2 μM) was added for half an hour, and then 5 μM nigericin was added to stimulate the cells for 15 minutes. The culture supernatant from each well was collected, the protein was extracted, and the inhibitory effect of vilazodone on the activation of NLRP3 inflammasome was detected by WB. Add an equal volume of NP-40 containing protease inhibitor to each well, lyse on ice for 30 minutes, collect the lysate, centrifuge to precipitate, remove the supernatant, add cross-linking agent DSS with a final concentration of 2mM, cross-link at room temperature for 30 minutes, pre- Wash the pellet twice with cold PBS, centrifuge the pellet, add protein lysis buffer, and heat at 100°C for 10 minutes.

3、WB检测ASC聚合。3. WB detects ASC aggregation.

如图5A所示,维拉唑酮剂量依赖地抑制NLRP3炎症小体活化过程中ASC的寡聚。As shown in Figure 5A, vilazodone dose-dependently inhibited ASC oligomerization during NLRP3 inflammasome activation.

二、维拉唑酮抑制内源NEK7(NIMArelated kinase 7)与NLRP3相互作用和ASC与NLRP3的相互作用。2. Verazodone inhibits the interaction between endogenous NEK7 (NIMArelated kinase 7) and NLRP3 and the interaction between ASC and NLRP3.

1、将分化好的BMDM细胞分至6孔板中,每孔1×106个细胞。1. Distribute differentiated BMDM cells into a 6-well plate, 1×10 6 cells per well.

2、第二天,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理细胞3小时。然后,分别加入不同浓度(0μM、2μM)的维拉唑酮先处理半小时,再加入5μM尼日利亚菌素(Nigericin)刺激细胞15分钟。去上清,NP-40裂解细胞,离心取上清,一部分作为细胞裂解液,WB检测NLRP3和NEK7或ASC的表达情况,一部分加入Protein G包被的珠子和NEK7或ASC的抗体,4℃旋转孵育2小时,离心,NP-40清洗珠子,去上清,加入蛋白裂解缓冲液。2. The next day, pretreat the cells with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours. Then, different concentrations (0 μM, 2 μM) of vilazodone were added for half an hour, and then 5 μM nigericin was added to stimulate the cells for 15 minutes. Remove the supernatant, lyse the cells with NP-40, centrifuge and take the supernatant. A part of it is used as cell lysate. WB detects the expression of NLRP3 and NEK7 or ASC. A part of it is added with Protein G-coated beads and NEK7 or ASC antibodies. Rotate at 4°C. Incubate for 2 hours, centrifuge, wash the beads with NP-40, remove the supernatant, and add protein lysis buffer.

3、WB检测NLRP3和NEK7、NLRP3和ASC的相互作用。3. WB detects the interaction between NLRP3 and NEK7, NLRP3 and ASC.

如图5B、5C所示,图5B中,维拉唑酮抑制了内源NLRP3和NEK7的相互作用;图5C中,维拉唑酮抑制了内源NLRP3和ASC的相互作用。上述结果表明,维拉唑酮抑制了内源NLRP3和NEK7、NLRP3和ASC的相互作用,从而抑制了NLRP3炎症小体的组装。As shown in Figures 5B and 5C, in Figure 5B, vilazodone inhibits the interaction between endogenous NLRP3 and NEK7; in Figure 5C, vilazodone inhibits the interaction between endogenous NLRP3 and ASC. The above results indicate that vilazodone inhibits the interaction between endogenous NLRP3 and NEK7, NLRP3 and ASC, thereby inhibiting the assembly of NLRP3 inflammasome.

实施例3:维拉唑酮与NLRP3的结合方式和结合位点的研究Example 3: Study on the binding mode and binding site of vilazodone and NLRP3

一、维拉唑酮可以直接结合NLRP31. Verazodone can directly bind to NLRP3

1、将分化好的BMDM细胞分至6孔板中,每孔1×106个细胞。1. Distribute differentiated BMDM cells into a 6-well plate, 1×10 6 cells per well.

2、第二天,BMDM细胞用,用opti-MEM培养基(含1%胎牛血清和50ng/ml LPS)预处理3h,用NP-40裂解液裂解细胞,将细胞裂解液与不同剂量(0mM、0.2mM、1mM)的维拉唑酮共同4℃孵育过夜。用链霉蛋白酶(25ng/μg of protein)室温孵育30min,进行药物亲和反应的靶点稳定性实验(Chen,Y.,He,H.,Lin,B.et al.RRx-001ameliorates inflammatorydiseases by acting as a potent covalent NLRP3 inhibitor.Cell Mol Immunol 18,1425–1436(2021).)。2. On the next day, BMDM cells were pretreated with opti-MEM medium (containing 1% fetal calf serum and 50ng/ml LPS) for 3 hours, lysed the cells with NP-40 lysis buffer, and mixed the cell lysate with different doses ( 0mM, 0.2mM, 1mM) vilazodone were incubated overnight at 4°C. Incubate with pronase (25ng/μg of protein) at room temperature for 30 minutes to perform target stability experiments of drug affinity reactions (Chen, Y., He, H., Lin, B. et al. RRx-001ameliorates inflammatorydiseases by acting as a potent covalent NLRP3 inhibitor. Cell Mol Immunol 18,1425–1436(2021).).

3、WB检测细胞裂解液中NLRP3、NEK7、ASC、pro-caspase-1和β-actin的表达水平。3. WB detected the expression levels of NLRP3, NEK7, ASC, pro-caspase-1 and β-actin in the cell lysate.

如图6A所示,维拉唑酮不能抑制NEK7、ASC、pro-caspase-1和β-actin的降解,但可以抑制NLRP3的降解。证实维拉唑酮可以直接结合NLRP3。As shown in Figure 6A, vilazodone cannot inhibit the degradation of NEK7, ASC, pro-caspase-1, and β-actin, but can inhibit the degradation of NLRP3. Verazodone was confirmed to bind directly to NLRP3.

二、维拉唑酮可以直接结合NLRP32. Verazodone can directly bind to NLRP3

a)将NLRP3、AIM2、NLRC4、NLRP1b质粒分别转入293T细胞24h;a) Transfer NLRP3, AIM2, NLRC4, and NLRP1b plasmids into 293T cells for 24 hours respectively;

b)将获得的分别过表达相应质粒的293T细胞用NP-40裂解液裂解细胞,b) Use NP-40 lysis buffer to lyse the obtained 293T cells that overexpress the corresponding plasmids.

将细胞裂解液与不同剂量(0mM、1mM)的维拉唑酮共同4℃孵育过夜。用链霉蛋白酶(25ng/μg of protein)室温孵育30min,进行药物亲和反应的靶点稳定性实验。The cell lysate was incubated with different doses (0mM, 1mM) of vilazodone at 4°C overnight. Incubate with pronase (25ng/μg of protein) at room temperature for 30 minutes to perform a target stability experiment for drug affinity reaction.

c)WB检测细胞裂解液中相应蛋白的表达水平。c) WB detects the expression level of the corresponding protein in the cell lysate.

如图6B-6E所示,从图6B中可以看到,维拉唑酮不抑制过表达NLRP1b蛋白的降解;图6C中可以看到,维拉唑酮抑制了过表达NLRP3蛋白的降解;图6D中可以看到,维拉唑酮不抑制过表达NLRC4蛋白的降解;图6E中可以看到,维拉唑酮不抑制过表达AIM2蛋白的降解。维拉唑酮不能抑制过表达AIM2、NLRC4、NLRP1b蛋白的降解,但可以抑制NLRP3的降解。As shown in Figures 6B-6E, it can be seen from Figure 6B that vilazodone does not inhibit the degradation of overexpressed NLRP1b protein; it can be seen from Figure 6C that vilazodone inhibits the degradation of overexpressed NLRP3 protein; Figure As can be seen in 6D, vilazodone does not inhibit the degradation of overexpressed NLRC4 protein; as can be seen in Figure 6E, vilazodone does not inhibit the degradation of overexpressed AIM2 protein. Verazodone cannot inhibit the degradation of overexpressed AIM2, NLRC4, and NLRP1b proteins, but it can inhibit the degradation of NLRP3.

上述结果证实了维拉唑酮可特异性结合NLRP3。The above results confirmed that vilazodone can specifically bind to NLRP3.

三、维拉唑酮特异性结合NLRP3的NACHT结构域3. Verazodone specifically binds to the NACHT domain of NLRP3

1、将Flag-NACHT、Flag-LRR、Flag-PYD质粒分别转入293T细胞24h(质粒来自于J.Tschopp教授(洛桑大学)课题组惠赠,质粒构建方法也可参见Chen Y,He H,Lin B,etal.RRx-001 ameliorates inflammatory diseases by acting as a potent covalentNLRP3 inhibitor[J].Cellular&Molecular Immunology,2021,18(6):1425-1436.);1. Transfer the Flag-NACHT, Flag-LRR, and Flag-PYD plasmids into 293T cells for 24 hours respectively (the plasmids were donated by the research group of Professor J. Tschopp (University of Lausanne). For plasmid construction methods, please see Chen Y, He H, Lin B,etal.RRx-001 ameliorates inflammatory diseases by acting as a potent covalentNLRP3 inhibitor[J].Cellular&Molecular Immunology, 2021,18(6):1425-1436.);

2、将获得的分别过表达相应质粒的293T细胞用NP-40裂解液裂解细胞,将细胞裂解液与不同剂量的维拉唑酮共同4℃孵育过夜。用链霉蛋白酶(25ng/μg of protein)室温孵育30min,进行药物亲和反应的靶点稳定性实验。2. Lyse the obtained 293T cells that overexpress the corresponding plasmids with NP-40 lysis buffer, and incubate the cell lysate with different doses of vilazodone at 4°C overnight. Incubate with pronase (25ng/μg of protein) at room temperature for 30 minutes to perform a target stability experiment for drug affinity reaction.

3、WB检测细胞裂解液中相应蛋白的表达水平。3. WB detects the expression level of the corresponding protein in the cell lysate.

如图7A-7C所示,从图7A中可以看到,维拉唑酮不抑制过表达LRR的蛋白降解,图7B中可以看到,维拉唑酮不抑制过表达PYD的蛋白降解,图7C中可以看到,维拉唑酮抑制了过表达NACHT的蛋白降解。As shown in Figures 7A-7C, it can be seen from Figure 7A that vilazodone does not inhibit the protein degradation of overexpressed LRR. It can be seen from Figure 7B that vilazodone does not inhibit the protein degradation of overexpressed PYD. Figure As can be seen in 7C, vilazodone inhibited protein degradation of overexpressed NACHT.

上述结果表明,维拉唑酮不能抑制过表达LRR、PYD的蛋白降解,但可以抑制NACHT的降解,证实维拉唑酮可结合NACHT结构域。实施例4:维拉唑酮抑制NLRP3炎症小体的体内研究The above results show that vilazodone cannot inhibit the protein degradation of overexpressed LRR and PYD, but can inhibit the degradation of NACHT, confirming that vilazodone can bind to the NACHT domain. Example 4: In vivo study of vilazodone inhibiting NLRP3 inflammasome

一、维拉唑酮抑制EAE(实验性变态反应性脑脊髓炎)的发生发展1. Verazodone inhibits the occurrence and development of EAE (experimental allergic encephalomyelitis)

1、8周龄雄性C57BL/6J鼠20只,分成2组,每组10只。1. Twenty 8-week-old male C57BL/6J mice were divided into 2 groups, with 10 mice in each group.

2、每组处理方式如下:2. Each group is processed as follows:

第一组:Day0皮下注射MOG肽,Day0和Day2静脉注射PTX,诱导EAE,Day0开始每天腹腔注射与维拉唑酮等体积的溶剂(90%的PBS和10%的DMSO)。Group 1: MOG peptide was injected subcutaneously on Day0, PTX was injected intravenously on Day0 and Day2 to induce EAE, and an equal volume of solvent (90% PBS and 10% DMSO) with vilazodone was injected intraperitoneally every day starting from Day0.

第二组:Day0皮下注射MOG肽,Day0和Day2静脉注射PTX,诱导EAE,自Day0开始每天腹腔注射10mg/kg的维拉唑酮(溶解于90%的PBS和10%的DMSO)。Group 2: MOG peptide was injected subcutaneously on Day 0, PTX was injected intravenously on Day 0 and Day 2 to induce EAE, and 10 mg/kg vilazodone (dissolved in 90% PBS and 10% DMSO) was injected intraperitoneally every day starting from Day 0.

3、每天对小鼠进行EAE疾病打分,第14天每组各牺牲5只小鼠,剩余小鼠观察发病全程。取小鼠脊髓组织进行切片染色,并利用流式细胞仪小鼠脑和脊髓中枢浸润的情况。分析脊髓浸润的免疫细胞情况。3. Score the mice for EAE disease every day. On the 14th day, 5 mice from each group were sacrificed, and the remaining mice were observed throughout the disease process. Mouse spinal cord tissue was taken for section staining, and flow cytometry was used to measure central infiltration in the mouse brain and spinal cord. Analyze the immune cells infiltrating into the spinal cord.

如图8所示,从图8A中可以看到,维拉唑酮可显著抑制EAE的发生发展;图8B中可以看到,维拉唑酮改善了EAE小鼠的体重下降;图8C中,流式结果代表图提示维拉唑酮抑制EAE小鼠的中枢浸润;图8D中,柱状图提示维拉唑酮可抑制EAE小鼠的中枢浸润;图8E中,QPCR(QPCR参照“二、维拉唑酮抑制脑卒中小鼠模型的进展”部分)结果提示维拉唑酮可抑制EAE小鼠的中枢炎症水平。As shown in Figure 8, it can be seen from Figure 8A that vilazodone can significantly inhibit the occurrence and development of EAE; it can be seen from Figure 8B that vilazodone improved the weight loss of EAE mice; in Figure 8C, The representative diagram of the flow cytometry results shows that vilazodone inhibits the central infiltration of EAE mice; in Figure 8D, the bar chart shows that vilazodone can inhibit the central infiltration of EAE mice; in Figure 8E, QPCR (QPCR refers to "2. "Lazodone inhibits the progression of stroke mouse model" section) The results suggest that vilazodone can inhibit the central inflammation level in EAE mice.

上述结果表明,维拉唑酮可显著抑制EAE的发生发展,抑制小鼠脊髓的病变和免疫细胞浸润。The above results show that vilazodone can significantly inhibit the occurrence and development of EAE, inhibit spinal cord lesions and immune cell infiltration in mice.

二、维拉唑酮抑制脑卒中小鼠模型的进展2. Progress of vilazodone in inhibiting stroke mouse models

1、8周龄雄性C57BL/6J鼠10只,分成2组,每组5只。1. Ten 8-week-old male C57BL/6J mice were divided into 2 groups, 5 mice in each group.

2、每组处理方式如下:利用光化学方法,对所有小鼠进行脑卒中造模(Feng Y,Liao S,Wei C,Jia D,Wood K,Liu Q,et al.Infiltration and persistence oflymphocytes during late-stage cerebral ischemia in middle cerebral arteryocclusion and photothrombotic stroke models.J Neuroinflammation.2017;14(1):248;Jones KA,Maltby S,Plank MW,Kluge M,Nilsson M,Foster PS,et al.Peripheralimmune cells infiltrate into sites of secondary neurodegeneration afterischemic stroke.Brain Behav Immun.2018;67:299-307.)。接受光血栓形成手术的小鼠吸入3.5%异氟醚麻醉,并在30% O2中吸入1.0-2.0%异氟烷维持。光照前5分钟,小鼠腹腔注射150mg/kg剂量的rose Bengal染料。在接受了rose Bengal染料后,小鼠被放置在立体镜中。确定了囟门,并将直径为4毫米的光缆的末端放置在头骨的顶部,位于囟门的中心,距离囟门约2毫米。注射孟加拉玫瑰5分钟后,打开带绿色带通滤光片的冷光源,照射颅骨20分钟后。将小鼠从立体镜中取出,缝合切口并消毒。2. Each group was treated as follows: All mice were subjected to stroke modeling using photochemical methods (Feng Y, Liao S, Wei C, Jia D, Wood K, Liu Q, et al. Infiltration and persistence of lymphocytes during late- stage cerebral ischemia in middle cerebral artery occlusion and photothrombotic stroke models.J Neuroinflammation.2017;14(1):248;Jones KA,Maltby S,Plank MW,Kluge M,Nilsson M,Foster PS,et al.Peripheralimmune cells infiltrate into sites of secondary neurodegeneration afterischemic stroke. Brain Behav Immun. 2018;67:299-307.). Mice undergoing photothrombosis surgery were anesthetized with inhaled 3.5% isoflurane and maintained with 1.0–2.0% inhaled isoflurane in 30% O . Five minutes before light exposure, mice were intraperitoneally injected with rose Bengal dye at a dose of 150 mg/kg. After receiving rose Bengal dye, mice were placed in a stereoscope. The fontanelle was identified and the end of a 4 mm diameter fiber optic cable was placed on top of the skull, in the center of the fontanel and approximately 2 mm away from the fontanel. Five minutes after the injection of Rose Bengal, the cold light source with a green bandpass filter was turned on and the skull was illuminated for 20 minutes. Remove the mouse from the stereoscope, suture the incision and disinfect it.

3、自6h、24h、48h、72h分别进行评分及转棒实验。以Longa5分法为评分标准:0分:无神经缺损症;1分:提尾时瘫侧前肢内收,不能全伸直;2分:向瘫侧旋转;3分:行走时向瘫侧倾倒;4分:不能行走或昏迷。结果:术后6小时进行评分,1-3分为有效模型。4分、0分为无效。转棒转速为15rpm/min,总时间为300s,记录从转棒上坠落时间。我们在手术后6小时首次腹腔注射维拉唑酮,然后在24h、48h、72h分别予以腹腔注射10mg/kg的维拉唑酮(溶解于90%的PBS和10%的DMSO)和生理盐水。3. Conduct scoring and rotarod experiments at 6h, 24h, 48h, and 72h respectively. The Longa 5-point scale is used as the scoring standard: 0 points: no neurological deficit; 1 point: the forelimb on the paralyzed side is adducted and unable to fully extend when lifting the tail; 2 points: rotates to the paralyzed side; 3 points: tilts to the paralyzed side when walking. ; 4 points: unable to walk or unconscious. Results: Scores were conducted 6 hours after surgery, and 1-3 were classified as effective models. 4 points and 0 points are invalid. The rotating speed of the rotating rod is 15 rpm/min, the total time is 300s, and the time of falling from the rotating rod is recorded. We injected vilazodone intraperitoneally for the first time 6 hours after surgery, and then intraperitoneally injected 10 mg/kg vilazodone (dissolved in 90% PBS and 10% DMSO) and normal saline at 24h, 48h, and 72h respectively.

4.72h时实验结束,立即麻醉并迅速将其断头处死。取完整的大脑,标明组别及编号,放于-20℃冰箱中冷冻15~20min至大脑稍微变硬。去除嗅球和小脑,然后使用不锈钢脑切片模具把脑组织每隔2mm切一片,均匀切成4~5个层面。将脑组织切片置于装有2%TTC溶液的6孔板中,37℃恒温箱中避光孵育20min,其间不时翻动脑使其均匀接触到染色液。染色完成后拍照。取部分脑组织行QPCR检测。The experiment ended at 4.72 hours, and the animals were immediately anesthetized and quickly decapitated. Take the complete brain, mark the group and number, and freeze it in a -20°C refrigerator for 15 to 20 minutes until the brain becomes slightly hard. Remove the olfactory bulb and cerebellum, and then use a stainless steel brain slicing mold to cut the brain tissue into slices every 2 mm, evenly cut into 4 to 5 layers. The brain tissue sections were placed in a 6-well plate containing 2% TTC solution and incubated in a 37°C incubator in the dark for 20 min. During this period, the brain was turned from time to time to evenly contact the staining solution. Take photos after dyeing is complete. Part of the brain tissue was taken for QPCR detection.

5.荧光定量PCR(QPCR)检测5. Fluorescent quantitative PCR (QPCR) detection

(1)RNA抽提(1)RNA extraction

(A)收集组织,每个样品加入1ml trizol,充分裂解细胞,将细胞裂解液转移至1.5ml EP管中。(A) Collect tissues, add 1ml trizol to each sample, fully lyse the cells, and transfer the cell lysate to a 1.5ml EP tube.

(B)每个样品中加入200μl氯仿,震荡溶液直至混合液呈乳白色,将样品冰浴2min,在4℃离心机中12000rpm离心15min。(B) Add 200 μl of chloroform to each sample, shake the solution until the mixture turns milky white, put the sample in an ice bath for 2 minutes, and centrifuge at 12,000 rpm for 15 minutes in a 4°C centrifuge.

(C)将离心后上层无色液体(约400μl)转移至新的1.5ml RNAase-free的EP管中,每个样品中加入400μl异丙醇,混匀,将样品冰浴10min,在4℃离心机中12000rpm离心10min。(C) Transfer the colorless liquid in the upper layer after centrifugation (about 400 μl) to a new 1.5 ml RNAase-free EP tube. Add 400 μl isopropyl alcohol to each sample, mix well, and incubate the sample on ice for 10 min at 4°C. Centrifuge in a centrifuge at 12,000 rpm for 10 min.

(D)弃离心上清,每个样品中加入1ml预冷过的75%的乙醇溶液对RNA沉淀进行清洗,在4℃离心机中7500rpm离心5min,重复2次。(D) Discard the centrifugation supernatant, add 1 ml of pre-cooled 75% ethanol solution to each sample to clean the RNA precipitate, and centrifuge at 7500 rpm for 5 minutes in a 4°C centrifuge. Repeat twice.

(E)弃上清,室温将RNA沉淀晾干,每个样品中加入50μl DEPC水将RNA沉淀溶解。(E) Discard the supernatant, dry the RNA pellet at room temperature, and add 50 μl DEPC water to each sample to dissolve the RNA pellet.

(2)逆转录(2)Reverse transcription

(A)将以下各项试剂加入RNAase-free的PCR管中:(A) Add the following reagents to the RNAase-free PCR tube:

Random primer 200ngRandom primer 200ng

mRNA1μgmRNA1μg

dNTP Mix(10mM)1μldNTP Mix(10mM)1μl

H2O加至12μlAdd H2O to 12μl

(B)将以上试剂混匀,将PCR管置于PCR仪中,设置65℃,5min,结束后冰浴2min。(B) Mix the above reagents, place the PCR tube in the PCR machine, set to 65°C for 5 minutes, and then keep in ice for 2 minutes.

(C)向PCR管中继续加入以下各项试剂:(C) Continue to add the following reagents to the PCR tube:

DEPC水1μlDEPC water 1μl

0.1M DTT 2μl0.1M DTT 2μl

5×First-strand buffer 4μl5×First-strand buffer 4μl

(D)将以上混合物混匀,将PCR管置于PCR仪中,设置37℃,2min。(D) Mix the above mixture, place the PCR tube in the PCR machine, set to 37°C for 2 minutes.

(E)向PCR管中再加入1μl逆转录酶MLV(200units),混匀,将PCR管置于PCR仪中,设置程序为:(E) Add 1 μl of reverse transcriptase MLV (200 units) to the PCR tube, mix well, place the PCR tube in the PCR machine, and set the program as:

25℃10min25℃10min

37℃50min37℃50min

70℃15min70℃15min

4℃∞4℃∞

(F)结束后即可获得cDNA。(F) After completion, cDNA can be obtained.

(3).QPCR(3).QPCR

(A)将以下各项试剂加入QPCR管中(A) Add the following reagents into the QPCR tube

Forward Primer(5μM)1μlForward Primer(5μM)1μl

Reverse Primer(5μM)1μlReverse Primer(5μM)1μl

cDNA1μlcDNA1μl

2×SYRB Green 10μl2×SYRB Green 10μl

H2O 7μlH2O 7μl

(B)将以上各项试剂混匀,将QPCR管置于QPCR仪中,设置程序为:(B) Mix the above reagents, place the QPCR tube in the QPCR instrument, and set the program as:

95℃10min;95℃10min;

95℃10s;95℃10s;

60℃45s;45cycles60℃45s;45cycles

(C)数据分析。(C) Data analysis.

其中,QPCR引物:(Mouse IL1b forward,TGCCACCTTTTGACAGTGATG;Mouse IL1breverse,AAGGTCCACGGGAAAGACAC;Mouse IL-6forward,GTC CTTCCTACCCCAATTTCC;MouseIL-6reverse,GCACTA GGTTTGCCGAGTAGA;Mouse Tnf-αforward,CGATGG GTTGTACCTTGTC;Mouse Tnf-αreverse,CGGACTCCG CAAAGTCTAAG;Mouse Gapdh forward,GGTGAAGGTCGGTGTGAACG;Mouse Gapdh reverse,CTCGCTCCTGGA AGATGGTG)。Among them, the QPCR primers: (Mouse IL1b forward,TGCCACCTTTTGACAGTGATG; Mouse IL1breverse,AAGGTCCACGGGAAAGACAC; Mouse IL-6forward,GTC CTTCCTACCCCAATTTCC; MouseIL-6reverse,GCACTA GGTTTGCCGAGTAGA; Mouse Tnf-αforward,CGATGG GTTGTACCTTGTC; Mouse Tnf-αreverse,CGGACTCCG CAAAGTCTAAG; Mouse Gapdh forward,GGTGAAGGTCGGTGTGAACG; Mouse Gapdh reverse,CTCGCTCCTGGA AGATGGTG).

如图9所示,图9A为脑卒中造模后维拉唑酮给药示意图;图9B中,切片染色显示维拉唑酮减轻脑卒中梗死体积;从图9C中可以看到,维拉唑酮改善脑卒中后神经功能评分;图9D中可以看到,维拉唑酮改善脑卒中后小鼠体重;图9E中可以看到,维拉唑酮改善脑卒中后转棒抓握时间;图9F中可以看到,QPCR结果提示维拉唑酮可抑制脑卒中小鼠的中枢炎症水平。As shown in Figure 9, Figure 9A is a schematic diagram of vilazodone administration after stroke modeling; in Figure 9B, section staining shows that vilazodone reduces stroke infarct volume; as can be seen from Figure 9C, vilazodone Ketone improves neurological function scores after stroke; as can be seen in Figure 9D, vilazodone improves the body weight of mice after stroke; as can be seen in Figure 9E, vilazodone improves rotarod grasping time after stroke; Figure As can be seen in 9F, the QPCR results suggest that vilazodone can inhibit the central inflammation level in stroke mice.

上述结果表明,维拉唑酮可显著抑制脑卒中的发生发展,抑制小鼠中枢的炎症水平。The above results show that vilazodone can significantly inhibit the occurrence and development of stroke and suppress the central inflammation level in mice.

综上所述,本发明提供的技术方案具有如下有益技术效果:To sum up, the technical solution provided by the present invention has the following beneficial technical effects:

(1)维拉唑酮是一种5-羟色胺部分激动剂-再摄取抑制剂(SPARI),用于治疗重度抑郁症。本发明以维拉唑酮为研究对象,首先考察维拉唑酮对巨噬细胞NLRP3炎症小体的活化的影响。结果显示维拉唑酮加入后可有效抑制caspase-1和IL-1β成熟和分泌,并且这种抑制效果是剂量依赖的,最终明确维拉唑酮抑制NLRP3的作用机制和结合位点,提供了一种临床药理作用清晰、临床安全性较高的NLRP3抑制剂;(1) Verazodone is a serotonin partial agonist-reuptake inhibitor (SPARI) used to treat major depressive disorder. The present invention takes vilazodone as the research object, and first examines the effect of vilazodone on the activation of NLRP3 inflammasome in macrophages. The results show that the addition of vilazodone can effectively inhibit the maturation and secretion of caspase-1 and IL-1β, and this inhibitory effect is dose-dependent. Finally, the mechanism and binding site of vilazodone for inhibiting NLRP3 were clarified, and provided An NLRP3 inhibitor with clear clinical pharmacological effects and high clinical safety;

(2)同时,本发明选用EAE、脑卒中、慢性束缚小鼠动物模型等,明确维拉唑酮改善上述动物模型的病症,表明应用维拉唑酮或其药学上可接受的盐、晶型、溶剂化物可以改善上述疾病的病症,为NLRP3炎症小体相关疾病的预防、治疗提供了新的途径、方法。(2) At the same time, the present invention selects EAE, stroke, chronic restraint mouse animal models, etc. to clarify that vilazodone improves the symptoms of the above animal models, indicating that the application of vilazodone or its pharmaceutically acceptable salts and crystal forms , solvates can improve the symptoms of the above diseases and provide new ways and methods for the prevention and treatment of NLRP3 inflammasome-related diseases.

需要说明的是,在本文中,诸如第一和第二等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或操作区分开来,而不一定要求或者暗示这些实体或操作之间存在任何这种实际的关系或者顺序。而且,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。在没有更多限制的情况下,由语句“包括一个……”限定的要素,并不排除在包括所述要素的过程、方法、物品或者设备中还存在另外的相同要素。It should be noted that in this article, relational terms such as first and second are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply that these entities or operations are mutually exclusive. any such actual relationship or sequence exists between them. Furthermore, the terms "comprises," "comprises," or any other variations thereof are intended to cover a non-exclusive inclusion such that a process, method, article, or apparatus that includes a list of elements includes not only those elements, but also those not expressly listed other elements, or elements inherent to the process, method, article or equipment. Without further limitation, an element defined by the statement "comprises a..." does not exclude the presence of additional identical elements in a process, method, article, or apparatus that includes the stated element.

以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。The above embodiments are only used to illustrate the technical solutions of the present invention, but not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that they can still modify the technical solutions of the foregoing embodiments. The recorded technical solutions may be modified, or some of the technical features thereof may be equivalently replaced; however, these modifications or substitutions shall not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of each embodiment of the present invention.

Claims (9)

1.维拉唑酮或其药学上可接受的盐、晶型、溶剂化物在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。1. Application of vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases; the NLRP3 inflammasome-related diseases do not include depression disease. 2.含维拉唑酮或其药学上可接受的盐、晶型、溶剂化物的药物组合物在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。2. Application of pharmaceutical compositions containing vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases; the NLRP3 inflammasome Related illnesses do not include depression. 3.如权利要求2所述的应用,其特征在于,所述药物组合物还包含药学上可接受的载体。3. The application according to claim 2, wherein the pharmaceutical composition further comprises a pharmaceutically acceptable carrier. 4.含维拉唑酮或其药学上可接受的盐、晶型、溶剂化物的药物制剂在制备用于预防或治疗NLRP3炎症小体相关疾病的药物中的应用;所述NLRP3炎症小体相关疾病不包括抑郁症。4. Application of pharmaceutical preparations containing vilazodone or its pharmaceutically acceptable salts, crystal forms, and solvates in the preparation of drugs for preventing or treating NLRP3 inflammasome-related diseases; the NLRP3 inflammasome-related Illnesses do not include depression. 5.如权利要求4所述的应用,其特征在于,所述药物制剂的类型包括固体制剂、半固体制剂、液体制剂、气体制剂。5. The application according to claim 4, characterized in that the types of pharmaceutical preparations include solid preparations, semi-solid preparations, liquid preparations and gas preparations. 6.如权利要求5所述的应用,其特征在于,所述液体剂型包括溶液剂、注射剂;所述固体剂型包括片剂、颗粒剂、胶囊剂;所述半固体剂型包括软膏剂、凝胶剂;所述气体剂型包括气雾剂、喷雾剂。6. The application according to claim 5, wherein the liquid dosage form includes solutions and injections; the solid dosage forms include tablets, granules, and capsules; and the semi-solid dosage forms include ointments and gels. agent; the gas dosage form includes aerosol and spray. 7.根据权利要求1-6任一项所述的应用,其中,所述NLRP3炎症小体相关疾病包括痛风、腹膜炎、阿尔茨海默病、肠炎、肌萎缩侧索硬化、肥胖、II型糖尿病、代谢综合征、败血症、脓毒血症、脂肪肝、肝炎、关节炎、动脉粥样硬化、帕金森病、心肌梗死、石棉肺、硅肺和矽肺、哮喘或急性呼吸窘迫综合征、感染引起的急、慢性组织损伤、紫外线诱导的皮肤晒伤、接触性超敏反应或穆-韦氏综合征或者冷卟啉相关周期性综合征(CAPS)、阿片类镇痛耐受、中风、多发性硬化症、脑卒中。7. The application according to any one of claims 1 to 6, wherein the NLRP3 inflammasome-related diseases include gout, peritonitis, Alzheimer's disease, enteritis, amyotrophic lateral sclerosis, obesity, and type II diabetes. , metabolic syndrome, sepsis, sepsis, fatty liver, hepatitis, arthritis, atherosclerosis, Parkinson's disease, myocardial infarction, asbestosis, silicosis and silicosis, asthma or acute respiratory distress syndrome, infection Acute and chronic tissue damage, ultraviolet-induced skin sunburn, contact hypersensitivity or Muhl-Wehrmacht syndrome or cryoporphyrin-associated periodic syndrome (CAPS), opioid analgesic tolerance, stroke, multiple Sclerosis, stroke. 8.如权利要求7所述的应用,其特征在于,所述的NLRP3炎症小体相关疾病为多发性硬化症。8. The application of claim 7, wherein the NLRP3 inflammasome-related disease is multiple sclerosis. 9.如权利要求7所述的应用,其特征在于,所述的NLRP3炎症小体相关疾病为脑卒中。9. The application according to claim 7, wherein the NLRP3 inflammasome-related disease is stroke.
CN202311693866.0A 2023-12-07 2023-12-07 Application of vilazodone in preparing medicament for preventing or treating NLRP3 inflammatory small body related diseases Pending CN117562904A (en)

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