CN118717798A - A drug for improving the effect of tumor chemotherapy and application of hydrogen molecules in the preparation of a drug for improving the effect of tumor chemotherapy - Google Patents
A drug for improving the effect of tumor chemotherapy and application of hydrogen molecules in the preparation of a drug for improving the effect of tumor chemotherapy Download PDFInfo
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- CN118717798A CN118717798A CN202310341556.6A CN202310341556A CN118717798A CN 118717798 A CN118717798 A CN 118717798A CN 202310341556 A CN202310341556 A CN 202310341556A CN 118717798 A CN118717798 A CN 118717798A
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Abstract
本发明公开了一种提高肿瘤化疗效果的药物及氢分子在制备用于提高肿瘤化疗效果药物中的用途。该药物,包括氢分子或氢分子源材料。本发明将氢分子与不同化疗药物联用,增加了肿瘤对药物的敏感性,缓解肿瘤耐药,促进肿瘤药物发挥作用从而抑制肿瘤的生长,同时能够使得许多因耐药而失去使用功能的肿瘤药物能够重新被应用于肿瘤治疗中。
The present invention discloses a drug for improving the effect of tumor chemotherapy and the use of hydrogen molecules in the preparation of drugs for improving the effect of tumor chemotherapy. The drug includes hydrogen molecules or hydrogen molecule source materials. The present invention combines hydrogen molecules with different chemotherapy drugs to increase the sensitivity of tumors to drugs, alleviate tumor drug resistance, promote the function of tumor drugs to inhibit tumor growth, and enable many tumor drugs that have lost their function due to drug resistance to be reapplied to tumor treatment.
Description
技术领域Technical Field
本发明属于医药技术领域,具体涉及一种提高肿瘤化疗效果的药物及氢分子在制备用于提高肿瘤化疗效果药物中的应用。The present invention belongs to the field of medical technology, and specifically relates to a drug for improving the effect of tumor chemotherapy and the application of hydrogen molecules in the preparation of a drug for improving the effect of tumor chemotherapy.
背景技术Background Art
目前对于血液肿瘤及实体瘤的治疗采用的标准治疗手段为手术切除并联合放射及化学治疗,对于大部分恶性肿瘤,极易在治疗过程中产生耐药,使得肿瘤药物难以继续抑制肿瘤细胞的增殖,或发生肿瘤的转移,使得大部分化疗药物在治疗过程中收效甚微,目前也没有发现广泛应用的辅助促进化疗药物的联合用药方法。同时近几十年来,随着肿瘤干细胞的发现和研究,由于其具有无限增殖、自我更新能力和多向分化潜能,从而成为肿瘤发生、耐药以及转移的原因。目前没有明确针对肿瘤干细胞的治疗手段。因此,在实际治疗中,提高肿瘤细胞对药物的敏感性,并针对肿瘤干细胞发展新的治疗手段可以从根本上使大部分已经产生耐药的肿瘤药物再次拥有治疗效果。At present, the standard treatment for hematological tumors and solid tumors is surgical resection combined with radiation and chemotherapy. For most malignant tumors, drug resistance is very easy to develop during the treatment process, making it difficult for tumor drugs to continue to inhibit the proliferation of tumor cells, or tumor metastasis occurs, making most chemotherapy drugs have little effect during the treatment process, and no widely used combined drug therapy method for auxiliary promotion of chemotherapy drugs has been found. At the same time, in recent decades, with the discovery and research of tumor stem cells, due to their unlimited proliferation, self-renewal ability and multidirectional differentiation potential, they have become the cause of tumor occurrence, drug resistance and metastasis. There is currently no clear treatment for tumor stem cells. Therefore, in actual treatment, improving the sensitivity of tumor cells to drugs and developing new treatment methods for tumor stem cells can fundamentally make most tumor drugs that have already developed drug resistance have therapeutic effects again.
发明内容Summary of the invention
本发明的目的在于为解决上述技术问题,而提供一种提高肿瘤化疗效果的药物及氢分子在制备用于提高肿瘤化疗效果药物中的用途,通过化疗药物与氢分子联合使用,可增加肿瘤细胞对化疗药物的敏感性,抑制肿瘤增殖,使得大部分因产生耐药的肿瘤化疗药物再次具有抗肿瘤功能,促进肿瘤干细胞的分化,降低肿瘤的恶性程度,提高化疗药物治疗效果。The purpose of the present invention is to solve the above technical problems and provide a drug for improving the effect of tumor chemotherapy and the use of hydrogen molecules in the preparation of drugs for improving the effect of tumor chemotherapy. By using chemotherapy drugs in combination with hydrogen molecules, the sensitivity of tumor cells to chemotherapy drugs can be increased, tumor proliferation can be inhibited, and most tumor chemotherapy drugs that have developed drug resistance can have anti-tumor function again, promote the differentiation of tumor stem cells, reduce the malignancy of tumors, and improve the therapeutic effect of chemotherapy drugs.
一种提高肿瘤化疗效果的药物,包括氢分子或氢分子源材料。A drug for improving the effect of tumor chemotherapy, comprising hydrogen molecules or hydrogen molecule source materials.
优选的,所述药物的产品形式为气体、气溶胶、溶液、乳液、泡沫体、凝胶、胶状分散体、脂质体、微滴、微泡、膏状体、栓剂、咀嚼胶、颗粒剂、丸剂、粉剂、锭剂、胶囊、微胶囊中的一种或多种。Preferably, the product form of the drug is one or more of gas, aerosol, solution, emulsion, foam, gel, colloidal dispersion, liposome, droplet, microbubble, paste, suppository, chewing gum, granule, pill, powder, lozenge, capsule, microcapsule.
优选的,所述药物中还包括氧气、和/或医学上可接受的药用辅料。Preferably, the medicine further comprises oxygen and/or medically acceptable pharmaceutical excipients.
氢分子在制备用于提高肿瘤化疗效果药物中的应用。Application of hydrogen molecules in the preparation of drugs for improving the effect of tumor chemotherapy.
优选的,所述氢分子在制备用于减轻肿瘤化疗耐药性的药物中的应用。Preferably, the hydrogen molecules are used in the preparation of drugs for reducing tumor chemotherapy resistance.
优选的,所述氢分子应用方法为在肿瘤化疗药物用药前给药,或在肿瘤化疗药物用药前、用药中或用药后持续给药。Preferably, the method for applying hydrogen molecules is to administer the drug before the tumor chemotherapy drug is administered, or to continuously administer the drug before, during or after the tumor chemotherapy drug is administered.
优选的,所述氢分子给药方式包括呼吸给药、口服给药、注射给药或局部给药中的一种或多种。Preferably, the administration of hydrogen molecules includes one or more of respiratory administration, oral administration, injection administration or local administration.
优选的,所述肿瘤包括血液肿瘤、胶质母细胞瘤、肝癌、肺癌、胃癌、肾癌、乳腺癌、鼻咽癌和黑色素瘤中一种或多种;Preferably, the tumor includes one or more of blood tumors, glioblastoma, liver cancer, lung cancer, gastric cancer, kidney cancer, breast cancer, nasopharyngeal carcinoma and melanoma;
所述肿瘤化疗药物包括细胞毒性类药物替莫唑胺、氟尿嘧啶及环磷酰胺,代谢类药物二甲双胍、来曲唑,激酶抑制剂类药物索拉菲尼、曲美替尼,新型抗肿瘤药物TRAIL,免疫治疗药物PD-1,顺铂,达卡巴嗪,紫杉醇,甲氨蝶呤,长春新碱,或单克隆抗体药物贝伐单抗、尼妥珠单抗及雷莫卢单抗中的一种或多种。The tumor chemotherapy drugs include cytotoxic drugs temozolomide, fluorouracil and cyclophosphamide, metabolic drugs metformin and letrozole, kinase inhibitor drugs sorafenib and trametinib, new anti-tumor drug TRAIL, immunotherapy drugs PD-1, cisplatin, dacarbazine, paclitaxel, methotrexate, vincristine, or one or more of the monoclonal antibody drugs bevacizumab, nimotuzumab and ramucirumab.
优选的,所述氢分子通过呼吸给药,呼吸气体中氢分子体积浓度大于5%小于99%。Preferably, the hydrogen molecules are administered by breathing, and the volume concentration of hydrogen molecules in the breathing gas is greater than 5% and less than 99%.
优选的,当所述肿瘤是脑胶质母细胞瘤时,而且:Preferably, when the tumor is glioblastoma, and:
当所述化疗药物是替莫唑胺时,所述替莫唑胺化疗用量是2~3mg/kg;When the chemotherapy drug is temozolomide, the temozolomide chemotherapy dosage is 2-3 mg/kg;
当所述化疗药物是TRAIL时,所述TRAIL化疗用量是4~6mg/kg;When the chemotherapy drug is TRAIL, the chemotherapy dosage of TRAIL is 4 to 6 mg/kg;
当所述化疗药物是二甲双胍时,所述二甲双胍化疗用量是70~80mg/kg;When the chemotherapy drug is metformin, the metformin chemotherapy dosage is 70-80 mg/kg;
当所述化疗药物是贝伐单抗时,所述贝伐单抗化疗用量是4~6mg/kg;When the chemotherapy drug is bevacizumab, the chemotherapy dosage of bevacizumab is 4 to 6 mg/kg;
当所述肿瘤是肝癌、肺癌、胃癌或肾癌时,而且:When the tumor is liver cancer, lung cancer, stomach cancer or kidney cancer, and:
当所述化疗药物是索拉菲尼时,所述索拉菲尼化疗用量是25~35mg/kg;When the chemotherapy drug is sorafenib, the chemotherapy dosage of sorafenib is 25-35 mg/kg;
当所述化疗药物是氟尿嘧啶时,所述氟尿嘧啶化疗用量是15~25mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 15 to 25 mg/kg;
当所述化疗药物是尼妥珠单抗、或贝伐单抗时,所述尼妥珠单抗化疗用量是0.4~0.6mg/kg,贝伐单抗化疗用量是2~3mg/kg;When the chemotherapy drug is nimotuzumab or bevacizumab, the chemotherapy dosage of nimotuzumab is 0.4-0.6 mg/kg, and the chemotherapy dosage of bevacizumab is 2-3 mg/kg;
当所述化疗药物是PD-1时,所述PD-1化疗用量是8~12mg/kg;When the chemotherapy drug is PD-1, the PD-1 chemotherapy dosage is 8 to 12 mg/kg;
当所述化疗药物是环磷酰胺时,所述环磷酰胺化疗用量是25~35mg/kg;When the chemotherapy drug is cyclophosphamide, the cyclophosphamide chemotherapy dosage is 25-35 mg/kg;
当所述化疗药物是顺铂时,所述顺铂化疗用量是1.5~2.5mg/kg;When the chemotherapy drug is cisplatin, the chemotherapy dosage of cisplatin is 1.5 to 2.5 mg/kg;
当所述肿瘤是乳腺癌时,而且:When the tumor is breast cancer, and:
当所述化疗药物是来曲唑时,所述来曲唑化疗用量是4~6mg/kg;When the chemotherapy drug is letrozole, the chemotherapy dosage of letrozole is 4 to 6 mg/kg;
当所述化疗药物是氟尿嘧啶时,所述氟尿嘧啶化疗用量是15~25mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 15 to 25 mg/kg;
当所述化疗药物是贝伐单抗时,所述贝伐单抗化疗用量是2~3mg/kg;When the chemotherapy drug is bevacizumab, the chemotherapy dosage of bevacizumab is 2 to 3 mg/kg;
当所述化疗药物是PD-1时,所述PD-1化疗用量是1.5~2.5mg/kg;When the chemotherapy drug is PD-1, the PD-1 chemotherapy dosage is 1.5 to 2.5 mg/kg;
当所述肿瘤是黑色素瘤时,而且:When the tumor is melanoma, and:
当所述化疗药物是替莫唑胺时,所述替莫唑胺化疗用量是8~12mg/kg;When the chemotherapy drug is temozolomide, the temozolomide chemotherapy dosage is 8 to 12 mg/kg;
当所述化疗药物是达卡巴嗪时,所述达卡巴嗪化疗用量是65~75mg/kg;When the chemotherapy drug is dacarbazine, the dacarbazine chemotherapy dosage is 65-75 mg/kg;
当所述化疗药物是PD-1时,所述PD-1化疗用量是1.5~2.5mg/kg;When the chemotherapy drug is PD-1, the PD-1 chemotherapy dosage is 1.5 to 2.5 mg/kg;
当所述化疗药物是顺铂时,所述顺铂化疗用量是3.5~4.5mg/kg;When the chemotherapy drug is cisplatin, the chemotherapy dosage of cisplatin is 3.5-4.5 mg/kg;
当所述肿瘤是鼻咽癌时,而且:When the tumor is nasopharyngeal carcinoma, and:
当所述化疗药物是顺铂时,所述顺铂化疗用量是10~20mg/kg;When the chemotherapy drug is cisplatin, the chemotherapy dosage of cisplatin is 10 to 20 mg/kg;
当所述化疗药物是氟尿嘧啶时,所述氟尿嘧啶化疗用量是35~45mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 35-45 mg/kg;
当所述化疗药物是紫杉醇时,所述紫杉醇化疗用量是5~15mg/kg;When the chemotherapy drug is paclitaxel, the chemotherapy dosage of paclitaxel is 5 to 15 mg/kg;
当所述肿瘤是白血病时,而且:When the tumor is leukemia, and:
当所述化疗药物是环磷酰胺时,所述环磷酰胺化疗用量是195~205mg/kg;When the chemotherapy drug is cyclophosphamide, the cyclophosphamide chemotherapy dosage is 195-205 mg/kg;
当所述化疗药物是甲氨蝶呤时,所述甲氨蝶呤化疗用量是95~105mg/kg;When the chemotherapy drug is methotrexate, the methotrexate chemotherapy dosage is 95-105 mg/kg;
当所述化疗药物是长春新碱时,所述长春新碱化疗用量是145~155ug/kg。When the chemotherapy drug is vincristine, the chemotherapy dosage of vincristine is 145-155 ug/kg.
目前许多化疗药物在临床治疗过程中容易出现耐药而导致药物无法发挥杀伤肿瘤的作用,本发明将氢分子与不同化疗药物联用,增加了肿瘤对药物的敏感性,缓解肿瘤耐药,促进肿瘤药物发挥作用从而抑制肿瘤的生长,同时能够使得许多因耐药而失去使用功能的肿瘤药物能够重新被应用于肿瘤治疗中。At present, many chemotherapy drugs are prone to drug resistance during clinical treatment, resulting in the inability of the drugs to kill tumors. The present invention combines hydrogen molecules with different chemotherapy drugs, which increases the sensitivity of tumors to drugs, alleviates tumor resistance, promotes the function of tumor drugs and thus inhibits tumor growth. At the same time, it can enable many tumor drugs that have lost their function due to drug resistance to be re-applied to tumor treatment.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明实施例1氢气联合TMZ给药在小鼠GBM皮下接种模型中的治疗作用图,具体为15天给药过程中肿瘤体积变化图。FIG1 is a graph showing the therapeutic effect of hydrogen combined with TMZ administration in Example 1 of the present invention in a mouse GBM subcutaneous inoculation model, specifically a graph showing the change in tumor volume during the 15-day administration process.
图2为本发明实施例1氢分子联合TMZ治疗脑胶质瘤模型肿瘤细胞凋亡水平检测图(TUNEL染色)。FIG. 2 is a graph showing the detection of apoptosis levels of tumor cells in a brain glioma model treated with hydrogen molecules combined with TMZ in Example 1 of the present invention (TUNEL staining).
图3为本发明实施例1中氢分子联合TRAIL治疗脑胶质瘤效果图。FIG3 is a diagram showing the effect of hydrogen molecules combined with TRAIL in treating brain glioma in Example 1 of the present invention.
图4为本发明实施例1中的氢分子联合不同抗肿瘤药物治疗脑胶质瘤作用图。FIG. 4 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in Example 1 of the present invention on treating brain glioma.
图5为本发明实施例2氢分子联合索拉菲尼治疗肝癌效果图,其中左侧为不同组小鼠肿瘤图(上下排组织为同组相同处理样品),右侧为15天给药过程中肿瘤体积变化图。Figure 5 is a diagram showing the effect of hydrogen molecules combined with sorafenib in treating liver cancer in Example 2 of the present invention, wherein the left side shows tumor images of mice in different groups (the upper and lower rows of tissues are samples of the same group with the same treatment), and the right side shows the change in tumor volume during the 15-day drug administration process.
图6为本发明实施例2氢分子联合不同抗肿瘤药物治疗肝癌作用图;FIG6 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs on liver cancer in Example 2 of the present invention;
图7为本发明实施例3氢分子联合不同抗肿瘤药物治疗肺癌作用图;FIG7 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating lung cancer according to Example 3 of the present invention;
图8为本发明实施例4氢分子联合不同抗肿瘤药物治疗胃癌作用图;FIG8 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating gastric cancer according to Example 4 of the present invention;
图9为本发明实施例5氢分子联合不同抗肿瘤药物治疗肾癌作用图;FIG9 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating renal cancer according to Example 5 of the present invention;
图10为本发明实施例6氢分子联合不同抗肿瘤药物治疗乳腺癌作用图;FIG10 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating breast cancer according to Example 6 of the present invention;
图11为本发明实施例7氢分子联合不同抗肿瘤药物治疗黑色素瘤作用图;FIG11 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating melanoma according to Example 7 of the present invention;
图12为本发明实施例8氢分子联合TMZ对脑胶质瘤细胞的抑制作用图;FIG12 is a graph showing the inhibitory effect of hydrogen molecules combined with TMZ on brain glioma cells in Example 8 of the present invention;
图13为本发明实施例8氢分子联合TMZ处理细胞后的免疫荧光染色结果;FIG13 is the immunofluorescence staining result of cells treated with hydrogen molecules combined with TMZ in Example 8 of the present invention;
图14为本发明实施例8氢分子联合二甲双胍对脑胶质瘤细胞的生长抑制作用。FIG. 14 shows the growth inhibitory effect of hydrogen molecules combined with metformin on brain glioma cells according to Example 8 of the present invention.
图15为本发明实施例9氢分子联合不同抗肿瘤药物治疗鼻咽癌作用图;FIG15 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs on nasopharyngeal carcinoma in Example 9 of the present invention;
图16为本发明实施例10氢分子联合不同抗肿瘤药物治疗白血病作用图;FIG16 is a diagram showing the effect of hydrogen molecules combined with different anti-tumor drugs in treating leukemia according to Example 10 of the present invention;
图17为本发明实施例11不同给氢方式对脑胶质母细胞瘤动物模型的治疗效果图;FIG17 is a diagram showing the therapeutic effects of different hydrogen administration methods on a glioblastoma animal model according to Example 11 of the present invention;
图18为本发明实施例11局部供氢方式中氢气贴剂的产氢曲线图;FIG18 is a hydrogen production curve of the hydrogen patch in the local hydrogen supply method of Example 11 of the present invention;
图19为本发明实施例12不同给氢浓度对脑胶质母细胞瘤动物模型的治疗效果图;FIG19 is a diagram showing the therapeutic effects of different hydrogen concentrations on a glioblastoma animal model according to Example 12 of the present invention;
图20为本发明实施例13不同给氢时间对肝癌动物模型的治疗效果图;FIG20 is a diagram showing the therapeutic effects of different hydrogen administration times on liver cancer animal models according to Example 13 of the present invention;
图21为本发明实施例14不同给氢时间对白血病动物模型的治疗效果图。FIG. 21 is a diagram showing the therapeutic effect of different hydrogen administration times on a leukemia animal model according to Example 14 of the present invention.
具体实施方式DETAILED DESCRIPTION
本文中术语“治疗有效量”是足以影响期望生物效应的量,所述生物效应例如有益结果,包括临床结果。As used herein, the term "therapeutically effective amount" is an amount sufficient to affect a desired biological effect, such as a beneficial outcome, including a clinical outcome.
本申请提供了一种提高肿瘤化疗效果的药物,包括氢分子或氢分子源材料。其中氢分子或氢分子源材料可以为氢气、含有氢气的气体、富含氢分子的富氢水或饮料、应用时能够产生氢分子的固体储氢材料等。The present application provides a drug for improving the effect of tumor chemotherapy, including hydrogen molecules or hydrogen molecule source materials, wherein the hydrogen molecules or hydrogen molecule source materials can be hydrogen, gas containing hydrogen, hydrogen-rich water or beverages rich in hydrogen molecules, solid hydrogen storage materials that can generate hydrogen molecules when used, etc.
许多化疗药物在临床治疗过程中容易出现耐药而导致药物无法发挥杀伤肿瘤的作用,申请人经过研究,发现化疗药物使用时联用氢分子,可增加肿瘤对药物的敏感性,缓解肿瘤耐药,促进肿瘤药物发挥作用从而抑制肿瘤的生长,促进化疗药物对肿瘤的杀伤作用,并缓解化疗副作用。Many chemotherapy drugs are prone to drug resistance during clinical treatment, resulting in the inability of the drugs to kill tumors. After research, the applicant found that the use of hydrogen molecules in combination with chemotherapy drugs can increase the sensitivity of tumors to drugs, alleviate tumor resistance, promote the effectiveness of tumor drugs and thus inhibit tumor growth, promote the killing effect of chemotherapy drugs on tumors, and alleviate chemotherapy side effects.
因此,本发明氢分子作为辅助治疗方法,可广泛应用于多种血液肿瘤及实体瘤肿瘤患者在进行化学疗法治疗的过程中,与化疗药物联合使用,可增加肿瘤对药物的敏感性,缓解肿瘤耐药,增强化疗药物的治疗作用,促进化疗药物对肿瘤的杀伤作用,并缓解化疗副作用,同时能够使得许多因耐药而失去使用功能的肿瘤药物能够重新被应用于肿瘤治疗中。Therefore, the hydrogen molecules of the present invention can be widely used as an auxiliary treatment method for patients with various blood tumors and solid tumors during chemotherapy treatment. When used in combination with chemotherapy drugs, it can increase the sensitivity of tumors to drugs, alleviate tumor resistance, enhance the therapeutic effect of chemotherapy drugs, promote the killing effect of chemotherapy drugs on tumors, and alleviate chemotherapy side effects. At the same time, it can enable many tumor drugs that have lost their function due to drug resistance to be re-applied to tumor treatment.
优选的,上述药物的产品形式包括但不限于气体、气溶胶、溶液、乳液、泡沫体、凝胶、胶状分散体、脂质体、微滴、微泡、膏状体、栓剂、咀嚼胶、颗粒剂、丸剂、粉剂、锭剂、胶囊、微胶囊中的一种或多种。Preferably, the product form of the above-mentioned drug includes but is not limited to one or more of gas, aerosol, solution, emulsion, foam, gel, colloidal dispersion, liposome, droplet, microbubble, paste, suppository, chewing gum, granule, pill, powder, lozenge, capsule, microcapsule.
优选的,药物中还可包括氧气、和/或医学上可接受的药用辅料等。其中氧气可以与氢气混合使用。Preferably, the medicine may also include oxygen and/or medically acceptable pharmaceutical excipients, etc. Oxygen may be mixed with hydrogen for use.
氢分子给药方式包括但不限于呼吸给药、口服给药、注射给药或局部给药中的一种或多种。The administration of hydrogen molecules includes, but is not limited to, one or more of respiratory administration, oral administration, injection administration or local administration.
氢分子给药方法为在肿瘤化疗药物用药前给药,或在肿瘤化疗药物用药前、用药中或用药后持续给药。The method of administering hydrogen molecules is to administer them before taking tumor chemotherapy drugs, or to continuously administer them before, during or after taking tumor chemotherapy drugs.
肿瘤包括但不限于血液肿瘤、胶质母细胞瘤、肝癌、肺癌、胃癌、肾癌、乳腺癌、鼻咽癌和黑色素瘤中一种或多种;Tumors include, but are not limited to, one or more of blood tumors, glioblastoma, liver cancer, lung cancer, gastric cancer, kidney cancer, breast cancer, nasopharyngeal carcinoma, and melanoma;
肿瘤化疗药物包括但不限于细胞毒性类药物替莫唑胺、氟尿嘧啶及环磷酰胺,代谢类药物二甲双胍、来曲唑,激酶抑制剂类药物索拉菲尼、曲美替尼,新型抗肿瘤药物TRAIL,免疫治疗药物PD-1,顺铂,达卡巴嗪,,紫杉醇,甲氨蝶呤,长春新碱,或单克隆抗体药物贝伐单抗、尼妥珠单抗及雷莫卢单抗中的一种或多种。Tumor chemotherapy drugs include, but are not limited to, cytotoxic drugs temozolomide, fluorouracil and cyclophosphamide, metabolic drugs metformin and letrozole, kinase inhibitor drugs sorafenib and trametinib, new anti-tumor drug TRAIL, immunotherapy drugs PD-1, cisplatin, dacarbazine, paclitaxel, methotrexate, vincristine, or one or more of the monoclonal antibody drugs bevacizumab, nimotuzumab and ramucirumab.
进一步地,经过研究,优选氢分子通过呼吸给药,呼吸的气体中氢分子体积浓度大于5%小于99%。Furthermore, after research, it is preferred that hydrogen molecules be administered by breathing, with the volume concentration of hydrogen molecules in the breathed gas being greater than 5% and less than 99%.
对于不同类型的肿瘤,不同类型不同剂量的化疗药物,氢气的有效用量也随之发生变化,本申请经过研究,发现:For different types of tumors, different types and different doses of chemotherapy drugs, the effective amount of hydrogen will also change accordingly. After research, this application found that:
当肿瘤是胶质母细胞瘤时,而且:When the tumor is a glioblastoma and:
当化疗药物是替莫唑胺时,替莫唑胺化疗用量是2~3mg/kg;When the chemotherapy drug is temozolomide, the temozolomide chemotherapy dosage is 2-3 mg/kg;
当化疗药物是TRAIL时,TRAIL化疗用量是4~6mg/kg;When the chemotherapy drug is TRAIL, the TRAIL chemotherapy dosage is 4 to 6 mg/kg;
当化疗药物是二甲双胍时,二甲双胍化疗用量是70~80mg/kg;When the chemotherapy drug is metformin, the metformin chemotherapy dosage is 70-80 mg/kg;
当化疗药物是贝伐单抗时,贝伐单抗化疗用量是4~6mg/kg;When the chemotherapy drug is bevacizumab, the dosage of bevacizumab chemotherapy is 4 to 6 mg/kg;
进一步地,当肿瘤是肝癌、肺癌、胃癌或肾癌时,而且:Further, when the tumor is liver cancer, lung cancer, stomach cancer or kidney cancer, and:
当化疗药物是索拉菲尼时,索拉菲尼化疗用量是25~35mg/kg;When the chemotherapy drug is sorafenib, the chemotherapy dosage of sorafenib is 25-35 mg/kg;
当化疗药物是氟尿嘧啶时,氟尿嘧啶化疗用量是15~25mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 15-25 mg/kg;
当化疗药物是尼妥珠单抗或贝伐单抗时,尼妥珠单抗化疗用量是0.4~0.6mg/kg,贝伐单抗化疗用量是2~3mg/kg;When the chemotherapy drug is nimotuzumab or bevacizumab, the dosage of nimotuzumab chemotherapy is 0.4-0.6 mg/kg, and the dosage of bevacizumab chemotherapy is 2-3 mg/kg;
当化疗药物是PD-1时,PD-1化疗用量是8~12mg/kg;When the chemotherapy drug is PD-1, the dosage of PD-1 chemotherapy is 8 to 12 mg/kg;
当化疗药物是环磷酰胺时,环磷酰胺化疗用量是25~35mg/kg;When the chemotherapy drug is cyclophosphamide, the dosage of cyclophosphamide chemotherapy is 25-35 mg/kg;
当化疗药物是顺铂时,顺铂化疗用量是1.5~2.5mg/kg。When the chemotherapy drug is cisplatin, the chemotherapy dosage of cisplatin is 1.5 to 2.5 mg/kg.
进一步地,当肿瘤是乳腺癌时,而且:Further, when the tumor is breast cancer, and:
当化疗药物是来曲唑时,来曲唑化疗用量是4~6mg/kg;When the chemotherapy drug is letrozole, the chemotherapy dosage of letrozole is 4 to 6 mg/kg;
当化疗药物是氟尿嘧啶时,氟尿嘧啶化疗用量是15~25mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 15-25 mg/kg;
当化疗药物是贝伐单抗时,贝伐单抗化疗用量是2~3mg/kg;When the chemotherapy drug is bevacizumab, the dosage of bevacizumab chemotherapy is 2 to 3 mg/kg;
当化疗药物是PD-1时,PD-1化疗用量是1.5~2.5mg/kg。When the chemotherapy drug is PD-1, the dosage of PD-1 chemotherapy is 1.5 to 2.5 mg/kg.
当肿瘤是黑色素瘤时,而且:When the tumor is melanoma and:
当化疗药物是替莫唑胺时,替莫唑胺化疗用量是8~12mg/kg;When the chemotherapy drug is temozolomide, the temozolomide chemotherapy dosage is 8-12 mg/kg;
当化疗药物是达卡巴嗪时,达卡巴嗪化疗用量是65~75mg/kg;When the chemotherapy drug is dacarbazine, the dacarbazine chemotherapy dosage is 65-75 mg/kg;
当化疗药物是PD-1时,PD-1化疗用量是1.5~2.5mg/kg;When the chemotherapy drug is PD-1, the dosage of PD-1 chemotherapy is 1.5 to 2.5 mg/kg;
当化疗药物是顺铂时,顺铂化疗用量是3.5~4.5mg/kg。When the chemotherapy drug is cisplatin, the chemotherapy dosage of cisplatin is 3.5 to 4.5 mg/kg.
当肿瘤是鼻咽癌时,而且:When the tumor is nasopharyngeal carcinoma and:
当化疗药物是顺铂时,顺铂化疗用量是10~20mg/kg;When the chemotherapy drug is cisplatin, the dosage of cisplatin chemotherapy is 10-20 mg/kg;
当化疗药物是氟尿嘧啶时,氟尿嘧啶化疗用量是35~45mg/kg;When the chemotherapy drug is fluorouracil, the chemotherapy dosage of fluorouracil is 35-45 mg/kg;
当化疗药物是紫杉醇时,紫杉醇化疗用量是5~15mg/kg;When the chemotherapy drug is paclitaxel, the paclitaxel chemotherapy dosage is 5 to 15 mg/kg;
当肿瘤是白血病时,而且:When the tumor is leukemia and:
当化疗药物是环磷酰胺时,环磷酰胺化疗用量是195~205mg/kg;When the chemotherapy drug is cyclophosphamide, the cyclophosphamide chemotherapy dosage is 195-205 mg/kg;
当药物是甲氨蝶呤时,甲氨蝶呤化疗用量是95~105mg/kg;When the drug is methotrexate, the methotrexate chemotherapy dosage is 95 to 105 mg/kg;
当化疗药物是长春新碱时,长春新碱化疗用量是145~155ug/kg。When the chemotherapy drug is vincristine, the chemotherapy dosage of vincristine is 145-155ug/kg.
下面结合具体实验对氢分子在制备用于提高肿瘤化疗效果药物中的新应用做进一步的说明。The following is a further explanation of the new application of hydrogen molecules in the preparation of drugs for improving the effect of tumor chemotherapy in combination with specific experiments.
实施例1氢分子联合不同抗肿瘤药物在脑胶质母细胞瘤动物模型中的治疗效果Example 1 Therapeutic effect of hydrogen molecules combined with different anti-tumor drugs in a glioblastoma animal model
胶质母细胞瘤(GBM)为恶性程度最高的脑部肿瘤,生存率极低且容易复发,烷化剂替莫唑胺(TMZ)为目前治疗脑肿瘤的一线用药,然而在治疗中特别是应用于GBM的临床治疗上容易产生耐药。Glioblastoma (GBM) is the most malignant brain tumor with an extremely low survival rate and high recurrence rate. The alkylating agent temozolomide (TMZ) is currently the first-line drug for the treatment of brain tumors. However, drug resistance is easily generated during treatment, especially in the clinical treatment of GBM.
TRAIL能够选择性诱导肿瘤细胞凋亡而未发现明显的副作用,因此,TRAIL在肿瘤的治疗中具有良好的前景。在体外,可溶性的TRAIL能迅速地诱导肿瘤细胞的凋亡,而对正常组织细胞不敏感。TRAIL can selectively induce apoptosis of tumor cells without obvious side effects. Therefore, TRAIL has a good prospect in the treatment of tumors. In vitro, soluble TRAIL can rapidly induce apoptosis of tumor cells, but is insensitive to normal tissue cells.
随着医学的不断发展,人类疾病谱的改变、疾病机制的逐步明确以及医疗理念的变化,人们对许多经典药物的疗效有了新的认识,“老药新用”成为目前医学界研究的一大热点,代表药物是二甲双胍。二甲双胍为双胍类半合成口服降糖药,主要用于治疗2型糖尿病,尤其是肥胖者。近年来新发现的二甲双胍具有抗肿瘤作用,涌现了大量相关研究。二甲双胍可抑制肿瘤细胞的增殖、迁移和侵袭并诱导细胞凋亡,涉及的基因及信号转导通路是多样且彼此交联的。另外,肿瘤微环境是肿瘤细胞产生和生活的内环境,其中不仅包括了肿瘤细胞本身,还有其周围的成纤维细胞、免疫和炎性细胞、胶质细胞等各种细胞,同时也包括附近区域内的细胞间质、微血管,也包括细胞因子和炎症因子等。肿瘤微环境具有缺氧、慢性炎症及免疫抑制三大特征,在肿瘤的发生、发展及耐药中均扮演着重要的角色。二甲双胍可通过改善缺氧、慢性炎症及免疫抑制的微环境来发挥抗肿瘤作用。With the continuous development of medicine, the changes in the spectrum of human diseases, the gradual clarification of disease mechanisms and the changes in medical concepts, people have a new understanding of the efficacy of many classic drugs. "New uses of old drugs" has become a hot topic in the current medical research community. The representative drug is metformin. Metformin is a semi-synthetic oral hypoglycemic drug of the biguanide class, mainly used to treat type 2 diabetes, especially obese people. In recent years, the newly discovered metformin has anti-tumor effects, and a large number of related studies have emerged. Metformin can inhibit the proliferation, migration and invasion of tumor cells and induce cell apoptosis. The genes and signal transduction pathways involved are diverse and cross-linked with each other. In addition, the tumor microenvironment is the internal environment in which tumor cells are produced and live, which includes not only the tumor cells themselves, but also various cells such as fibroblasts, immune and inflammatory cells, and glial cells around them, as well as the interstitial cells and microvessels in the nearby area, as well as cytokines and inflammatory factors. The tumor microenvironment has three major characteristics: hypoxia, chronic inflammation and immunosuppression, and plays an important role in the occurrence, development and drug resistance of tumors. Metformin can exert its anti-tumor effect by improving the microenvironment of hypoxia, chronic inflammation and immunosuppression.
近年来,抗血管生成药物的研究及应用,为脑胶质母细胞瘤的治疗提供了更多的选择。脑胶质母细胞瘤病理组织学特征为微血管增生,且肿瘤组织表达高水平的促血管生成因子,1971年Folkman首先提出假设:抑制血管生成将是脑胶质母细胞瘤有效的抗癌治疗方法。贝伐单抗是一种重组人源化单克隆抗体,靶向VEGF-A受体。贝伐单抗可改善患者无进展生存期,2009年美国食品和药物管理局批准其用于复发胶质母细胞瘤的治疗。In recent years, the research and application of anti-angiogenic drugs have provided more options for the treatment of glioblastoma. The pathological histological characteristics of glioblastoma are microvascular proliferation, and the tumor tissue expresses high levels of pro-angiogenic factors. In 1971, Folkman first proposed the hypothesis that inhibiting angiogenesis would be an effective anti-cancer treatment for glioblastoma. Bevacizumab is a recombinant humanized monoclonal antibody that targets the VEGF-A receptor. Bevacizumab can improve the patient's progression-free survival. In 2009, the US Food and Drug Administration approved it for the treatment of recurrent glioblastoma.
本申请进行了氢分子联合上述药物化疗实验,具体如下:This application conducted a hydrogen molecule combined with the above-mentioned drug chemotherapy experiment, the details are as follows:
(1)氢分子联合替莫唑胺(TMZ)对小鼠胶质母细胞瘤模型的治疗效果(1) Therapeutic effect of hydrogen molecules combined with temozolomide (TMZ) on mouse glioblastoma model
实验选择8周龄雄性C57BL/6N小鼠,体重18~22g。收集正常培养条件下生长的小鼠GL261恶性胶质母细胞瘤的细胞,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,GBM模型小鼠随机分为对照组(CTRL)、呼吸氢气组(H2)、单药组(TMZ)、替莫唑胺给药后呼吸氢气组(TMZ+H2)和呼吸氢气后替莫唑胺给药组(H2+TMZ),TMZ药物浓度为2.5mg/kg(每kg小鼠体重给予2.5mgTMZ),对照组给予同等重量的生理盐水。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2组、TMZ+H2组和H2+TMZ组小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气(体积浓度,另外剩余的气体中含有33%的氧气),呼吸氢气过程中小鼠可在呼吸箱中自由活动。Eight-week-old male C57BL/6N mice weighing 18-22 g were selected for the experiment. Cells of mouse GL261 malignant glioblastoma grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the GBM model mice were randomly divided into a control group (CTRL), a hydrogen breathing group (H 2 ), a single drug group (TMZ), a hydrogen breathing group after temozolomide administration (TMZ+H 2 ), and a temozolomide administration group after hydrogen breathing (H 2 +TMZ). The TMZ drug concentration was 2.5 mg/kg (2.5 mg TMZ per kg of mouse body weight), and the control group was given an equal weight of normal saline. All experimental mice were housed at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H 2 group, TMZ+H 2 group and H 2 +TMZ group breathed hydrogen for 2 hours every day. The breathing environment of the mice contained 66% hydrogen (volume concentration, and the remaining gas contained 33% oxygen). During the hydrogen breathing process, the mice could move freely in the breathing box.
给药周期15天,给药过程中以及给药结束后,取小鼠肿瘤,观察肿瘤体积变化和肿瘤细胞凋亡水平,具体结果如图1~2所示。The administration cycle was 15 days. During and after the administration, the mouse tumors were collected to observe the changes in tumor volume and the level of tumor cell apoptosis. The specific results are shown in Figures 1-2.
图1结果表明,不同于在肿瘤还未生成便呼吸氢气能够抑制肿瘤的生长的结果,在肿瘤形成后,单独呼吸氢气已经无法明显抑制肿瘤生长,使用TMZ在第6~9天后开始出现耐药,肿瘤开始增大,而给药后联合呼吸氢气虽然具有一定的减缓肿瘤体积的作用,但是改善效果不显著,而呼吸氢气后再使用TMZ则显著减小了生成肿瘤的体积,具有明显的抗耐药作用,与单独使用TMZ相比,呼吸氢气后用药治疗小鼠皮下形成的肿瘤极显著减小(p=0.0003),证明了氢分子处理后再联合TMZ用药的治疗效果最优。The results in Figure 1 show that, unlike the result that breathing hydrogen before the tumor is formed can inhibit tumor growth, breathing hydrogen alone can no longer significantly inhibit tumor growth after the tumor is formed. Drug resistance begins to appear after 6 to 9 days of TMZ use, and the tumor begins to grow. Although breathing hydrogen combined with drug administration has a certain effect of reducing tumor volume, the improvement effect is not significant. Breathing hydrogen and then using TMZ significantly reduced the volume of the generated tumor, and has a significant anti-resistance effect. Compared with using TMZ alone, the tumors formed subcutaneously in mice treated with hydrogen after breathing hydrogen are significantly reduced (p=0.0003), proving that the treatment effect of hydrogen molecule treatment combined with TMZ is the best.
如图2所示,统计结果表明,与氢分子联用后可极显著增加TMZ对肿瘤细胞的杀伤作用。As shown in Figure 2, the statistical results show that the combination with hydrogen molecules can significantly increase the killing effect of TMZ on tumor cells.
(2)氢分子联合trail治疗脑胶质母细胞瘤动物模型的治疗效果(2) The therapeutic effect of hydrogen molecules combined with trail in the treatment of glioblastoma animal models
按照上述方法构建小鼠GL261肿瘤干细胞皮下GBM肿瘤模型,三周后小鼠皮下肿瘤生长至适宜大小,随机分为3组,分别为对照组、单独药物组、和氢分子联合药物组,单独药物组、和氢分子联合药物组TRAIL给药浓度为5mg/kg,氢分子联合药物组在给药前小鼠于呼吸环境中呼吸氢气2h(氢气体积浓度66%),给药过程中以及给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果见图3。A mouse GL261 tumor stem cell subcutaneous GBM tumor model was constructed according to the above method. After three weeks, the mouse subcutaneous tumor grew to an appropriate size and was randomly divided into three groups, namely, a control group, a single drug group, and a hydrogen molecule combined drug group. The TRAIL administration concentration of the single drug group and the hydrogen molecule combined drug group was 5 mg/kg. Before administration, the mice in the hydrogen molecule combined drug group breathed hydrogen in the respiratory environment for 2 hours (hydrogen volume concentration 66%). During and after the administration, the mouse tumors were taken to observe the changes in tumor volume. The specific results are shown in Figure 3.
如图3所示,在肿瘤形成后,使用TRAIL治疗肿瘤具有一定效果,而与氢分子联用后,极显著增强了TRAIL诱导肿瘤细胞凋亡的作用,肿瘤增殖减慢,肿瘤体积明显被抑制。As shown in Figure 3, after the tumor is formed, the use of TRAIL to treat the tumor has a certain effect, and when combined with hydrogen molecules, the effect of TRAIL in inducing tumor cell apoptosis is greatly enhanced, tumor proliferation is slowed down, and tumor volume is significantly inhibited.
(3)氢分子联合其他抗肿瘤药物对脑胶质母细胞瘤动物模型的治疗作用(3) The therapeutic effect of hydrogen molecules combined with other anti-tumor drugs on glioblastoma animal models
参考上述方法对二甲双胍及贝伐单抗进行实验,二甲双胍给药浓度为75mg/kg,贝伐单抗给药浓度为5mg/kg,结果如同4所示,使用氢分子与二甲双胍及贝伐单抗联用后,可显著或极显著增强抗肿瘤药物的抑制肿瘤作用,小鼠脑胶质母细胞瘤皮下动物模型给药15天后,肿瘤组织体积显著低于单独药物组。Metformin and bevacizumab were tested with reference to the above method. The metformin concentration was 75 mg/kg and the bevacizumab concentration was 5 mg/kg. The results are shown in Figure 4. The combination of hydrogen molecules with metformin and bevacizumab can significantly or extremely significantly enhance the tumor inhibition effect of anti-tumor drugs. After 15 days of administration to the subcutaneous animal model of mouse glioblastoma, the tumor tissue volume was significantly lower than that of the single drug group.
实施例2氢分子联合不同抗肿瘤药物对肝癌动物模型的治疗效果Example 2 Therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on liver cancer animal models
肝癌是我国高发的恶性程度极高的肿瘤,患者生存率低,作为治疗肝癌的一线用药,索拉菲尼是一种多靶点激酶抑制剂,能够同时抑制多种存在肿瘤细胞并参与肿瘤细胞信号传导、血管生成和细胞凋亡的细胞内激酶,也可以抑制细胞表面激酶。Liver cancer is a highly malignant tumor with a high incidence in my country and a low survival rate of patients. As a first-line drug for the treatment of liver cancer, sorafenib is a multi-target kinase inhibitor that can simultaneously inhibit multiple intracellular kinases that exist in tumor cells and are involved in tumor cell signal transduction, angiogenesis and apoptosis, and can also inhibit cell surface kinases.
氟尿嘧啶合成至今已有60余年历史,抗瘤谱广,目前仍是包括消化系统肿瘤在内的多种恶性肿瘤的基础性治疗药物。5-氟尿嘧啶(5-fluorouracil,5-FU)为细胞周期特异性药物,作用于细胞S期,其作用有时间依赖性,持续静脉滴注可提高疗效,联合亚叶酸钙有协同作用。尼妥珠单抗靶向分子-EGFR,EGFR(Epidermal Growth Factor Receptor)是一种糖蛋白受体,它可以表达或过度表达与正常上皮或上皮性癌组织细胞。临床前研究表明,阻断EGFR可以使肿瘤停止生长。EGFR酪氨酸激酶活性可以被药物选择性地抑制或被单克隆抗体从细胞外配体结合位点竞争性地阻断。尼妥珠单抗是IgG1型人源化单克隆抗体(Mab),它特异性结合EGFR胞外结构域的抗原表位,阻止其活化将细胞阻断在G1期。PD-1/PD-L1免疫检查点抑制剂(ICI)在单药或联合治疗肝癌的临床试验显示出较好的疗效和安全性,为其临床应用提供有利的科学依据。单药治疗肝癌的PD-1/PD-L1 ICI包括纳武利尤单抗(nivolumab)、帕博利珠单抗(pembrolizumab)和卡瑞利珠单抗(camrelizumab),主要用于肝癌的二线治疗。虽部分肝癌患者可以对PD-1/PD-L1 ICI单药治疗产生持久的反应,但总体受益的患者仍然较少。PD-1/D-L1 ICI联合治疗显示出更好的免疫应答和控制。Fluorouracil has been synthesized for more than 60 years and has a wide anti-tumor spectrum. It is still a basic therapeutic drug for many malignant tumors, including digestive system tumors. 5-fluorouracil (5-FU) is a cell cycle-specific drug that acts on the S phase of cells. Its action is time-dependent. Continuous intravenous infusion can improve the efficacy, and it has a synergistic effect when combined with calcium folinate. Nimotuzumab targets the molecule-EGFR. EGFR (Epidermal Growth Factor Receptor) is a glycoprotein receptor that can be expressed or overexpressed with normal epithelial or epithelial cancer tissue cells. Preclinical studies have shown that blocking EGFR can stop tumor growth. EGFR tyrosine kinase activity can be selectively inhibited by drugs or competitively blocked by monoclonal antibodies from the extracellular ligand binding site. Nimotuzumab is an IgG1 humanized monoclonal antibody (Mab) that specifically binds to the antigen epitope of the extracellular domain of EGFR, preventing its activation and blocking cells in the G1 phase. PD-1/PD-L1 immune checkpoint inhibitors (ICI) have shown good efficacy and safety in clinical trials of monotherapy or combination therapy for liver cancer, providing a favorable scientific basis for their clinical application. PD-1/PD-L1 ICIs for monotherapy of liver cancer include nivolumab, pembrolizumab, and camrelizumab, which are mainly used for second-line treatment of liver cancer. Although some liver cancer patients can have a lasting response to PD-1/PD-L1 ICI monotherapy, the overall number of patients who benefit is still small. PD-1/D-L1 ICI combination therapy shows better immune response and control.
本申请进行了氢分子联合上述药物化疗实验,具体如下:This application conducted a hydrogen molecule combined with the above-mentioned drug chemotherapy experiment, the details are as follows:
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的HepG2肝细胞癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Sorafenib)和呼吸氢气后索拉菲尼给药组(H2+Sorafenib),分别在肿瘤生长15天后连续给药(Sorafenib)15天,Sorafenib采取灌胃方式给药,药物浓度为30mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Sorafenib组小鼠每日给药前呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药过程中以及给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. HepG2 hepatocellular carcinoma cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single drug group (Sorafenib), and a group that breathed hydrogen and then administered Sorafenib (H 2 +Sorafenib). They were administered continuously for 15 days after 15 days of tumor growth (Sorafenib). Sorafenib was administered by gavage at a drug concentration of 30 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H 2 +Sorafenib group breathed hydrogen for 2 hours before administration every day. The mouse breathing environment contained 66% hydrogen. The mice could move freely in the breathing box during the hydrogen breathing process. During and after the administration, the mouse tumors were taken to observe the changes in tumor volume. The specific results are as follows:
如图5所示,单独使用索拉菲尼治疗荷瘤小鼠后,小鼠皮下种植瘤生长明显受到抑制,增殖速率降低,而氢分子与索拉菲尼联用后,对小鼠皮下种植瘤呈现减小趋势,结果表明氢分子联用后,显著增加索拉菲尼抑制肿瘤增殖的效果,抑制肿瘤生成,对肿瘤具有治疗作用。As shown in Figure 5, after using sorafenib alone to treat tumor-bearing mice, the growth of subcutaneous tumors in mice was significantly inhibited and the proliferation rate was reduced. After hydrogen molecules were used in combination with sorafenib, the subcutaneous tumors in mice showed a decreasing trend. The results showed that the combination of hydrogen molecules significantly increased the effect of sorafenib in inhibiting tumor proliferation, inhibited tumor formation, and had a therapeutic effect on tumors.
参考上述方法对氟尿嘧啶(给药浓度为20mg/Kg)、尼妥珠单抗(给药浓度为0.5mg/Kg)、索拉非尼(给药浓度为30mg/Kg)和PD-1(给药浓度为10mg/Kg)进行实验,结果见图6。Referring to the above method, experiments were conducted on fluorouracil (dosing concentration was 20 mg/Kg), nimotuzumab (dosing concentration was 0.5 mg/Kg), sorafenib (dosing concentration was 30 mg/Kg) and PD-1 (dosing concentration was 10 mg/Kg). The results are shown in Figure 6.
如图6所示,单独使用氟尿嘧啶、索拉非尼和PD-1与对照组相比,虽然一定程度上抑制了肿瘤的生长,但没有显著性变化,与氢分子联合使用后,产生了显著性变化。单独使用尼妥珠单抗与对照组相比,可极显著抑制肿瘤的增殖(p<0.01),但是与氢分子联合使用后,与对照组相比,抑制作用更强(p<0.001),证明,氢分子联用后,可增加上述药物抑制肿瘤增殖的效果。As shown in Figure 6, the use of fluorouracil, sorafenib and PD-1 alone inhibited tumor growth to a certain extent compared with the control group, but there was no significant change. After combined use with hydrogen molecules, significant changes occurred. Compared with the control group, the use of nimotuzumab alone can significantly inhibit tumor proliferation (p < 0.01), but after combined use with hydrogen molecules, the inhibitory effect is stronger than that of the control group (p < 0.001), proving that the combined use of hydrogen molecules can increase the effect of the above drugs in inhibiting tumor proliferation.
实施例3氢分子联合不同抗肿瘤药物对肺癌动物模型的治疗效果Example 3 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on lung cancer animal models
肺癌是一种起源于肺部支气管黏膜及其腺体上皮的恶性肿瘤,是呼吸系统常见肿瘤之一。目前,现代医学治疗肺癌以放疗、化疗、手术、分子靶向治疗等为主要手段,虽然取得了一定的疗效,但是往往由于只针对癌肿病灶,很少能改善患者整体全身的状况。尼妥珠单抗、索拉非尼、PD-1也经常用于肺癌治疗中。Lung cancer is a malignant tumor that originates from the lung bronchial mucosa and glandular epithelium. It is one of the common tumors of the respiratory system. At present, modern medicine mainly treats lung cancer with radiotherapy, chemotherapy, surgery, molecular targeted therapy, etc. Although it has achieved certain therapeutic effects, it is often because it only targets the cancer lesions and rarely improves the patient's overall systemic condition. Nimotuzumab, sorafenib, and PD-1 are also often used in the treatment of lung cancer.
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的A549肺癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:尼妥珠单抗/索拉菲尼/PD-1,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组(Drug)和呼吸氢气后给药组所给药物浓度为:尼妥珠单抗0.5mg/kg、索拉菲尼30mg/kg、PD-1 10mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠给药前每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. After A549 lung cancer cells grown under normal culture conditions were collected, they were inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single-drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single-drug group (Drug) and the hydrogen breathing group were: 0.5 mg/kg for nimotuzumab, 30 mg/kg for sorafenib, and 10 mg/kg for PD-1. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H2 +Drug group breathed hydrogen for 2 hours every day before administration, and the breathing environment of the mice contained 66% hydrogen. The mice were able to move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图7所示,单独使用尼妥珠单抗、索拉非尼与对照组相比,虽然一定程度上抑制了肿瘤的生长,但没有显著性变化,与氢分子联合使用后,产生了显著性变化。单独使用PD-1与对照组相比,可显著抑制肿瘤的增殖(p<0.05),但是与氢分子联合使用后,与对照组相比,抑制作用更强(p<0.01),证明,氢分子联用后,可增加上述药物抑制肿瘤增殖的效果。As shown in Figure 7, compared with the control group, the use of Nimotuzumab and Sorafenib alone inhibited tumor growth to a certain extent, but there was no significant change. After combined use with hydrogen molecules, significant changes occurred. Compared with the control group, the use of PD-1 alone can significantly inhibit tumor proliferation (p < 0.05), but after combined use with hydrogen molecules, the inhibitory effect is stronger than that of the control group (p < 0.01), proving that the combined use of hydrogen molecules can increase the effect of the above drugs in inhibiting tumor proliferation.
实施例4氢分子联合不同抗肿瘤药物对胃癌动物模型的治疗效果Example 4 Therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on gastric cancer animal models
胃癌是常见恶性肿瘤之一,约2/3的胃癌初治时已是进展期,即使根治术后也有很多患者会出现局部复发和(或)远处转移。化放疗是常用的治疗手段,但一线和二线化疗方案失败的胃癌患者往往很难再从化疗中获益,而放疗只是局部治疗手段。分子靶向治疗是晚期胃癌的重要治疗方法,以表皮生长因子受体(epidermal growth factor receptor,EGFR)、血管内皮生长因子受体(vascular endothelial growth factor receptor,VEGFR)等为靶点的分子靶向治疗能延长晚期胃癌的总生存期,针对HGF/c-Met、PI3K、PARP、FGFR2b等靶点的药物相继开展临床试验。氟尿嘧啶、顺铂、PD-1也经常用于胃癌治疗中。Gastric cancer is one of the common malignant tumors. About 2/3 of gastric cancers are already in the advanced stage when they are first treated. Even after radical surgery, many patients will experience local recurrence and/or distant metastasis. Chemoradiotherapy is a commonly used treatment method, but gastric cancer patients who fail first-line and second-line chemotherapy regimens often find it difficult to benefit from chemotherapy, and radiotherapy is only a local treatment method. Molecular targeted therapy is an important treatment method for advanced gastric cancer. Molecular targeted therapy targeting epidermal growth factor receptor (EGFR) and vascular endothelial growth factor receptor (VEGFR) can prolong the overall survival of advanced gastric cancer. Drugs targeting HGF/c-Met, PI3K, PARP, FGFR2b and other targets have been clinically tested. Fluorouracil, cisplatin, and PD-1 are also often used in the treatment of gastric cancer.
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的MGC-803胃癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:氟尿嘧啶/顺铂/PD-1,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组(Drug)和呼吸氢气后给药组所给药物浓度为:氟尿嘧啶20mg/kg,顺铂2mg/kg,PD-1 10mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠给药前每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. MGC-803 gastric cancer cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the mice were waited for the tumor to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single drug group (Drug) and the hydrogen breathing group were: 20 mg/kg of fluorouracil, 2 mg/kg of cisplatin, and 10 mg/kg of PD-1. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H2 +Drug group breathed hydrogen for 2 hours every day before administration, and the breathing environment of the mice contained 66% hydrogen. The mice were able to move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图8所示,单独使用氟尿嘧啶与对照组相比,虽然一定程度上抑制了肿瘤的生长,但没有显著性变化,与氢分子联合使用后,产生了极显著性变化(p<0.01)。单独使用顺铂与对照组相比,可显著抑制肿瘤的增殖(p<0.05),但是与氢分子联合使用后,与对照组相比,抑制作用更强(p<0.01),单独使用PD-1与对照组相比,可显著抑制肿瘤的增殖(p<0.05),但是与氢分子联合使用后,与对照组相比,抑制作用更强(p<0.001),上述结果证明,氢分子联用后,可增加上述药物抑制肿瘤增殖的效果。As shown in Figure 8, although fluorouracil alone inhibited tumor growth to a certain extent compared with the control group, there was no significant change. After combined use with hydrogen molecules, there was a very significant change (p < 0.01). Cisplatin alone can significantly inhibit tumor proliferation compared with the control group (p < 0.05), but after combined use with hydrogen molecules, the inhibitory effect is stronger than the control group (p < 0.01). PD-1 alone can significantly inhibit tumor proliferation compared with the control group (p < 0.05), but after combined use with hydrogen molecules, the inhibitory effect is stronger than the control group (p < 0.001). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting tumor proliferation.
实施例5氢分子联合不同抗肿瘤药物对肾癌动物模型的治疗效果Example 5 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on renal cancer animal models
肾细胞癌(renal cell carcinoma,Rcc),简称肾癌,是泌尿系统常见的恶性肿瘤之一。许多肾癌发展到晚期仍没有明显的症状,出现经典的3大症状(血尿、腹部肿块、疼痛)的患者仅20%左右。50%的患者在体检时通过影像学检查偶然发现,在诊断时约16%的肾癌已经发生转移,多数患者只能采用姑息性治疗,其预后差,5年生存率低于10%。因此,积极寻找肾癌敏感的标志物对早期及微小肾癌的诊断具有重要作用,这也一直是肾癌研究的焦点。环磷酰胺是一种烷化剂类免疫抑制剂,作用强而持久,在临床治疗肾病中,是使用时间较长的免疫抑制剂之一,但是副作用也比较明显。贝伐单抗、索拉非尼、PD-1也经常用于肾癌治疗中。Renal cell carcinoma (Rcc), also known as renal cancer, is one of the common malignant tumors of the urinary system. Many renal cancers still have no obvious symptoms in the late stage, and only about 20% of patients have the classic three major symptoms (hematuria, abdominal mass, and pain). 50% of patients are accidentally discovered through imaging examinations during physical examinations. At the time of diagnosis, about 16% of renal cancer has already metastasized. Most patients can only use palliative treatment, and their prognosis is poor, with a 5-year survival rate of less than 10%. Therefore, actively looking for sensitive markers for renal cancer plays an important role in the diagnosis of early and micro-renal cancer, which has always been the focus of renal cancer research. Cyclophosphamide is an alkylating immunosuppressant with a strong and lasting effect. In the clinical treatment of kidney disease, it is one of the immunosuppressants with a longer use time, but the side effects are also more obvious. Bevacizumab, sorafenib, and PD-1 are also often used in the treatment of renal cancer.
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的GRC-1肾癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:环磷酰胺/贝伐单抗/索拉菲尼/PD-1,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组和呼吸氢气后给药组所给药物浓度为:环磷酰胺30mg/Kg,贝伐单抗2.5mg/kg,索拉菲尼30mg/kg,PD-1 10mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠每日给药前呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. GRC-1 renal cancer cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single-drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single-drug group and the hydrogen breathing group were: cyclophosphamide 30 mg/kg, bevacizumab 2.5 mg/kg, sorafenib 30 mg/kg, and PD-1 10 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H2 +Drug group breathed hydrogen for 2 hours before daily administration, and the breathing environment of the mice contained 66% hydrogen. The mice were able to move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图9所示,单独使用环磷酰胺、贝伐单抗、索拉非尼和PD-1与对照组相比,虽然一定程度上抑制了肿瘤的生长,但均没有显著性变化(p>0.05),与氢分子联合使用后,环磷酰胺、贝伐单抗、和PD-1联联用组产生了极显著性变化(p<0.01),索拉非尼联用组产生了显著性变化(p<0.05)。上述结果证明,氢分子联用后,可增加上述药物抑制肾癌增殖的效果。As shown in Figure 9, the use of cyclophosphamide, bevacizumab, sorafenib and PD-1 alone inhibited tumor growth to a certain extent compared with the control group, but there was no significant change (p>0.05). After combined use with hydrogen molecules, the cyclophosphamide, bevacizumab, and PD-1 combined group produced extremely significant changes (p<0.01), and the sorafenib combined group produced significant changes (p<0.05). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting the proliferation of renal cancer.
实施例6氢分子联合不同抗肿瘤药物对乳腺癌动物模型的治疗效果Example 6 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on breast cancer animal models
乳腺癌是女性最常见的恶性肿瘤,严重威胁着女性的健康和生命。根据世界卫生组织国际癌症研究机构发布的2020年全球最新癌症负担数据显示,全球乳腺癌新发病例数正快速增长,并已取代肺癌成为全球第一大癌症。乳腺癌的发生和发展是由多种因素共同参与的病理性过程,包括癌基因的异常激活、抑癌基因功能的丧失、信号通路的异常激活或失活等。除了乳腺癌细胞本身的生物学活动改变外,癌细胞和机体其他细胞之间的信息交流和物质交换也是参与调节乳腺癌发生发展的重要因素。来曲唑是第3代芳香化酶抑制剂,是临床中最常用的辅助内分泌治疗药物。来曲唑的作用具有强选择性,可强烈抑制雌激素水平,而对皮质激素、醛固酮、肾上腺皮质激素的影响很小。因此,与抗雌激素药物相比,来曲唑的抗肿瘤作用更强。因其作用具有更好的针对性,对全身各系统及靶器官无潜在毒性,故安全性较好,为多数患者耐受。2001年来曲唑在美国被批准上市,目前在世界上20多个国家被推荐作为辅助内分泌治疗药物。目前中国已将来曲唑作为治疗绝经后晚期乳腺癌患者的一线、二线首选用药,以及转移性乳腺癌的首选辅助内分泌治疗药物。氟尿嘧啶、贝伐单抗、PD-1也经常用于乳腺癌治疗中。Breast cancer is the most common malignant tumor in women, which seriously threatens women's health and life. According to the latest global cancer burden data in 2020 released by the World Health Organization's International Agency for Research on Cancer, the number of new cases of breast cancer in the world is growing rapidly, and it has replaced lung cancer as the world's number one cancer. The occurrence and development of breast cancer is a pathological process in which multiple factors participate, including abnormal activation of oncogenes, loss of tumor suppressor gene function, abnormal activation or inactivation of signaling pathways, etc. In addition to changes in the biological activities of breast cancer cells themselves, information exchange and material exchange between cancer cells and other cells of the body are also important factors involved in regulating the occurrence and development of breast cancer. Letrozole is a third-generation aromatase inhibitor and the most commonly used adjuvant endocrine therapy drug in clinical practice. Letrozole has a highly selective effect and can strongly inhibit estrogen levels, while having little effect on corticosteroids, aldosterone, and adrenocortical hormones. Therefore, compared with anti-estrogen drugs, letrozole has a stronger anti-tumor effect. Because its action is more targeted and has no potential toxicity to various systems and target organs in the body, it has good safety and is tolerated by most patients. Letrozole was approved for marketing in the United States in 2001 and is currently recommended as an adjuvant endocrine therapy drug in more than 20 countries around the world. Currently, China has used letrozole as the first-line and second-line drug of choice for postmenopausal patients with advanced breast cancer, as well as the first-line adjuvant endocrine therapy drug of choice for metastatic breast cancer. Fluorouracil, bevacizumab, and PD-1 are also frequently used in the treatment of breast cancer.
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的MCF-7乳腺癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:来曲唑/氟尿嘧啶/贝伐单抗/PD-1,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组和呼吸氢气后给药组所给药物浓度为:来曲唑5mg/kg,氟尿嘧啶20mg/kg,贝伐单抗2.5mg/kg,PD-1 2mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠每日给药前呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. MCF-7 breast cancer cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single drug group and the hydrogen breathing group were: letrozole 5 mg/kg, fluorouracil 20 mg/kg, bevacizumab 2.5 mg/kg, and PD-1 2 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H2 +Drug group breathed hydrogen for 2 hours before daily administration, and the breathing environment of the mice contained 66% hydrogen. The mice were able to move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图10所示,单独使用氟尿嘧啶、来曲唑、贝伐单抗、和PD-1与对照组相比,虽然一定程度上抑制了肿瘤的生长,但均没有显著性变化(p>0.05),与氢分子联合使用后,氟尿嘧啶联用组产生了极显著性变化(p<0.01),来曲唑、贝伐单抗和PD-1联用组产生了显著性变化(p<0.05)。上述结果证明,氢分子联用后,可增加上述药物抑制乳腺癌增殖的效果。As shown in Figure 10, the use of fluorouracil, letrozole, bevacizumab, and PD-1 alone inhibited tumor growth to a certain extent compared with the control group, but there was no significant change (p>0.05). After combined use with hydrogen molecules, the fluorouracil combination group produced a very significant change (p<0.01), and the letrozole, bevacizumab and PD-1 combination group produced a significant change (p<0.05). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting breast cancer proliferation.
实施例7氢分子联合不同抗肿瘤药物对黑色素瘤动物模型的治疗效果Example 7 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on melanoma animal models
恶性黑色素瘤(metastatic melanoma,MM)是一种由皮肤和其他器官的黑素细胞产生的肿瘤,是最严重的皮肤癌类型之一。虽然所有MM的5年相对存活率为92%,但局部病变和远处转移的5年相对存活率分别仅为65%和25%。高达4.3%的黑色素瘤患者会发生转移。黑色素瘤的靶向治疗是一直以来的研究热点。Malignant melanoma (MM) is a tumor that arises from melanocytes in the skin and other organs and is one of the most serious types of skin cancer. Although the 5-year relative survival rate for all MM is 92%, the 5-year relative survival rates for local lesions and distant metastases are only 65% and 25%, respectively. Up to 4.3% of melanoma patients will develop metastasis. Targeted therapy for melanoma has always been a research hotspot.
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的A375黑色素瘤细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:顺铂/达卡巴嗪/替莫唑胺/PD-1,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组和呼吸氢气后给药组药物浓度为:顺铂4mg/kg,达卡巴嗪70mg/kg,替莫唑胺10mg/kg,PD-1 2mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠每日给药前呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. A375 melanoma cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single-drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single-drug group and the hydrogen breathing group were: 4 mg/kg cisplatin, 70 mg/kg dacarbazine, 10 mg/kg temozolomide, and 2 mg/kg PD-1. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H2 +Drug group breathed hydrogen for 2 hours before daily administration, and the breathing environment of the mice contained 66% hydrogen. The mice were able to move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图11所示,单独使用顺铂、达卡巴嗪、替莫唑胺和PD-1与对照组相比,对抑制黑色素瘤的生长,具有显著性(p<0.05)或极显著性(p<0.01)作用。与氢分子联用后,抑制作用进一步增强(p<0.001),上述结果证明,氢分子联用后,可增加上述药物抑制黑色素瘤增殖的效果。As shown in Figure 11, the use of cisplatin, dacarbazine, temozolomide and PD-1 alone has a significant (p < 0.05) or extremely significant (p < 0.01) effect on inhibiting the growth of melanoma compared with the control group. After combined with hydrogen molecules, the inhibitory effect is further enhanced (p < 0.001). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting the proliferation of melanoma.
实施例8氢分子联合不同药物在细胞水平治疗肿瘤的作用Example 8 Effects of hydrogen molecules combined with different drugs in treating tumors at the cellular level
(1)氢分子联合替莫唑胺治疗胶质母细胞瘤的作用(1) Effect of hydrogen molecules combined with temozolomide in the treatment of glioblastoma
取小鼠GL261细胞进行培养,随机分为对照组(CTRL)、呼吸氢气组(H2)、单药组(TMZ),呼吸氢气后给药组(H2+TMZ),其中对照组和单药组置于常规CO2培养箱中培养2h,呼吸氢气组和呼吸氢气后给药组置入含氢培养箱(氢气浓度66%)培养2小时后,取出,单药组和呼吸氢气后给药组加入TMZ处理(对照组和呼吸氢气组给予同等浓度DMSO)后,TMZ给药浓度为2.5mg/Kg,进行检测。Mouse GL261 cells were cultured and randomly divided into a control group (CTRL), a hydrogen breathing group (H 2 ), a single drug group (TMZ), and a hydrogen breathing followed by drug administration group (H 2 + TMZ). The control group and the single drug group were cultured in a conventional CO 2 incubator for 2 h, the hydrogen breathing group and the hydrogen breathing followed by drug administration group were cultured in a hydrogen-containing incubator (hydrogen concentration 66%) for 2 hours, and then taken out. The single drug group and the hydrogen breathing followed by drug administration group were treated with TMZ (the control group and the hydrogen breathing group were given the same concentration of DMSO), and the TMZ administration concentration was 2.5 mg/Kg for detection.
如图12的细胞半抑制浓度IC50实验结果表明,与单独使用TMZ处理细胞相比,TMZ联合氢分子后显著降低了GL261细胞的IC50值。同时细胞免疫荧光染色结果(见图13)显示氢分子能够显著提高一定浓度TMZ对肿瘤细胞的DNA损伤程度。As shown in Figure 12, the results of the cell half-inhibitory concentration IC50 experiment show that compared with the cells treated with TMZ alone, the IC50 value of GL261 cells was significantly reduced after TMZ combined with hydrogen molecules. At the same time, the results of cell immunofluorescence staining (see Figure 13) showed that hydrogen molecules can significantly increase the degree of DNA damage to tumor cells caused by a certain concentration of TMZ.
磷酸化的H2A.X为细胞DNA损伤标志物,细胞免疫荧光中磷酸化的H2A.X阳性表达代表了TMZ对GL261肿瘤细胞造成的损伤水平。如图13所示,单独使用TMZ处理后能够对细胞产生一定的损伤,但联合氢分子后,细胞磷酸化H2A.X水平显著增高,表明氢分子增加了肿瘤细胞对TMZ的药物敏感性,促进TMZ造成细胞DNA损伤从而诱导肿瘤细胞死亡,产生治疗肿瘤的作用。Phosphorylated H2A.X is a marker of cell DNA damage. The positive expression of phosphorylated H2A.X in cell immunofluorescence represents the level of damage caused by TMZ to GL261 tumor cells. As shown in Figure 13, TMZ alone can cause certain damage to cells, but after combined with hydrogen molecules, the level of cell phosphorylated H2A.X increased significantly, indicating that hydrogen molecules increase the drug sensitivity of tumor cells to TMZ, promote TMZ to cause cell DNA damage, thereby inducing tumor cell death and producing a therapeutic effect on tumors.
(2)氢分子联合二甲双胍治疗胶质母细胞瘤的作用(2) Effect of hydrogen molecule combined with metformin in the treatment of glioblastoma
取小鼠GL261细胞,随机分为单药组(MET),呼吸氢气后给药组(H2+MET),其中单药组置于常规CO2培养箱中培养2h,呼吸氢气后给药组置入含氢培养箱(氢气浓度66%)培养2小时后,取出,分别加入MET处理后,MET给药浓度为75mg/kg,进行检测。Mouse GL261 cells were randomly divided into a single drug group (MET) and a drug administration group after hydrogen breathing ( H2 + MET). The single drug group was cultured in a conventional CO2 incubator for 2 hours, and the drug administration group after hydrogen breathing was placed in a hydrogen-containing incubator (hydrogen concentration 66%) for 2 hours. After that, the cells were taken out and treated with MET at a MET concentration of 75 mg/kg for detection.
如图14所示,联合氢分子使用后,与单独使用二甲双胍相比,胶质母细胞瘤细胞的生长得到显著的抑制作用。As shown in FIG14 , after combined use with molecular hydrogen, the growth of glioblastoma cells was significantly inhibited compared with the use of metformin alone.
实施例9氢分子联合不同抗肿瘤药物对鼻咽癌动物模型的治疗效果Example 9 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on nasopharyngeal carcinoma animal models
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的CNE1鼻咽癌瘤细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:顺铂/氟尿嘧啶/紫杉醇,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,单药组和呼吸氢气后给药组所给药物浓度为:顺铂15mg/kg,氟尿嘧啶40mg/kg,紫杉醇10mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. CNE1 nasopharyngeal carcinoma cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after 15 days of tumor growth. The drug concentrations of the single drug group and the hydrogen breathing group were: cisplatin 15 mg/kg, fluorouracil 40 mg/kg, and paclitaxel 10 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H 2 +Drug group breathed hydrogen for 2 hours a day, and the breathing environment of the mice contained 66% hydrogen. The mice could move freely in the breathing box during the hydrogen breathing process. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图15所示,单独使用顺铂与对照组相比,对抑制鼻咽癌肿瘤的生长有显著性作用(p<0.05),单独使用氟尿嘧啶和紫杉醇,对抑制鼻咽癌肿瘤的生长无显著性作用。与氢分子联用后,抑制作用得到显著增强(p<0.01、p<0.001),上述结果证明,氢分子联用后,可增加上述药物抑制鼻咽癌肿瘤增殖的效果。As shown in Figure 15, compared with the control group, the use of cisplatin alone has a significant effect on inhibiting the growth of nasopharyngeal carcinoma tumors (p < 0.05), and the use of fluorouracil and paclitaxel alone has no significant effect on inhibiting the growth of nasopharyngeal carcinoma tumors. After combined use with hydrogen molecules, the inhibitory effect was significantly enhanced (p < 0.01, p < 0.001). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting the proliferation of nasopharyngeal carcinoma tumors.
实施例10氢分子联合不同抗肿瘤药物对白血病动物模型的治疗效果Example 10 The therapeutic effect of hydrogen molecules combined with different anti-tumor drugs on leukemia animal models
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的HL-60白血病细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组(CTRL)、单药组(Drug),药物包含:环磷酰胺/甲氨蝶呤/长春新碱,呼吸氢气后给药组(H2+Drug),分别在肿瘤生长15天后连续给药15天,药物浓度为:环磷酰胺200mg/kg,甲氨蝶呤100mg/kg,长春新碱150ug/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。H2+Drug组小鼠给药前每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如下:Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. HL-60 leukemia cells grown under normal culture conditions were collected and inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group (CTRL), a single drug group (Drug), and a hydrogen breathing group (H 2 +Drug). The drugs were administered for 15 consecutive days after the tumor grew for 15 days. The drug concentrations were: cyclophosphamide 200 mg/kg, methotrexate 100 mg/kg, and vincristine 150 ug/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the H 2 +Drug group breathed hydrogen for 2 hours a day before administration. The breathing environment of the mice contained 66% hydrogen. The mice could move freely in the breathing box during the hydrogen breathing process. After the drug was taken, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are as follows:
如图16所示,单独使用环磷酰胺、甲氨蝶呤和长春新碱与对照组相比,对抑制白血病肿瘤的生长有显著性作用(p<0.05)。与氢分子联用后,抑制作用得到显著增强(p<0.001),上述结果证明,氢分子联用后,可增加上述药物抑制白血病肿瘤增殖的效果。As shown in Figure 16, the use of cyclophosphamide, methotrexate and vincristine alone had a significant effect on inhibiting the growth of leukemia tumors compared with the control group (p < 0.05). After combined use with hydrogen molecules, the inhibitory effect was significantly enhanced (p < 0.001). The above results prove that the combination of hydrogen molecules can increase the effect of the above drugs in inhibiting the proliferation of leukemia tumors.
实施例11不同给氢方式对脑胶质母细胞瘤动物模型的治疗效果Example 11 The therapeutic effects of different hydrogen administration methods on glioblastoma animal models
实验选择8周龄雄性C57BL/6N小鼠,体重18~22g。收集正常培养条件下生长的GL261脑胶质母细胞瘤细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组、TMZ组、呼吸氢气+TMZ组、注射氢生理盐水+TMZ组、局部供氢+TMZ组以及饮用氢水+TMZ组。小鼠皮下肿瘤生长15天后连续给药15天,处死小鼠并测量肿瘤体积,具体结果如图17所示。替莫唑胺浓度为:2.5mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。呼吸氢气小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。饮用氢水及注射饱和氢生理盐水中氢浓度均达到饱和(氢气浓度具体为800ppb)。局部供氢通过氢气贴剂(含储氢材料,使用时释放氢气)的方式给予皮下肿瘤部位氢气,该氢气贴剂采用液相氢电极测定氢气释放曲线(测试前采用生理盐水浸湿,贴剂和生理盐水比例为:2cm2/10mL),结果如图18所示。Eight-week-old male C57BL/6N mice weighing 18-22 g were selected for the experiment. After collecting GL261 glioblastoma cells grown under normal culture conditions, they were inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group, a TMZ group, a hydrogen breathing + TMZ group, a hydrogen saline injection + TMZ group, a local hydrogen supply + TMZ group, and a hydrogen water drinking + TMZ group. After 15 days of subcutaneous tumor growth in mice, the drug was continuously administered for 15 days, the mice were killed, and the tumor volume was measured. The specific results are shown in Figure 17. The concentration of temozolomide was 2.5 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The hydrogen-breathing mice breathed hydrogen for 2 hours a day, in which the mouse breathing environment contained 66% hydrogen, and the mice could move freely in the breathing box during the hydrogen breathing process. The hydrogen concentration in drinking hydrogen water and injecting saturated hydrogen saline reached saturation (specifically, the hydrogen concentration was 800 ppb). Local hydrogen supply was given to the subcutaneous tumor site by means of a hydrogen patch (containing hydrogen storage material, releasing hydrogen when used). The hydrogen patch used a liquid hydrogen electrode to measure the hydrogen release curve (soaked in saline before testing, the ratio of patch to saline was: 2 cm 2 /10 mL), and the results are shown in Figure 18.
图17结果表明,所有给氢方式联合TMZ给药,相比单独TMZ给药,均可以减小肿瘤体积,抑制肿瘤生长,但是呼吸氢气方式相比其他给药方式效果最显著,因此优选呼吸氢气方式给药。The results in Figure 17 show that all hydrogen administration methods combined with TMZ can reduce tumor volume and inhibit tumor growth compared with TMZ administration alone, but breathing hydrogen is the most effective compared with other administration methods, so breathing hydrogen is the preferred administration method.
实施例12不同给氢浓度对脑胶质母细胞瘤动物模型的治疗效果Example 12 The therapeutic effect of different hydrogen concentrations on glioblastoma animal model
小鼠造模方法同实施例11。The mouse modeling method was the same as in Example 11.
长出肿瘤后,小鼠随机分为对照组、TMZ组、呼吸5%氢气+替莫唑胺组,呼吸66%氢气+替莫唑胺组。小鼠皮下肿瘤生长15天后连续给药15天,处死小鼠并测量肿瘤体积,具体结果如图19所示。替莫唑胺浓度为:2.5mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。呼吸氢气小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含5%或66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。After the tumors grew, the mice were randomly divided into a control group, a TMZ group, a group breathing 5% hydrogen + temozolomide, and a group breathing 66% hydrogen + temozolomide. After 15 days of subcutaneous tumor growth in mice, the drug was continuously administered for 15 days, the mice were killed and the tumor volume was measured. The specific results are shown in Figure 19. The concentration of temozolomide was: 2.5 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. Mice breathing hydrogen breathed hydrogen for 2 hours a day, in which the mouse breathing environment contained 5% or 66% hydrogen, and the mice could move freely in the breathing box during the hydrogen breathing process.
图19结果表明,低浓度(5%)呼吸氢气联合TMZ相比单独TMZ给药没有明显抑制肿瘤生长效果,因此,证明呼吸氢气给药应在一定的浓度内给药。The results in Figure 19 show that low concentration (5%) of breath hydrogen combined with TMZ has no significant inhibitory effect on tumor growth compared to TMZ alone, thus proving that breath hydrogen administration should be administered within a certain concentration.
实施例13不同给氢时间对肝癌动物模型的治疗效果Example 13 The therapeutic effect of different hydrogen administration times on liver cancer animal models
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的HepG2肝细胞癌细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组、呼吸氢气组、索拉非尼组、索拉非尼给药后+呼吸氢气组和呼吸氢气后+索拉菲尼组,分别在肿瘤生长15天后连续给药15天,索拉非尼采取灌胃方式给药,药物浓度为30mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。呼吸氢气组小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药过程中以及给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如图20所示。Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. After collecting HepG2 hepatocellular carcinoma cells grown under normal culture conditions, they were inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group, a hydrogen breathing group, a sorafenib group, a sorafenib administration + hydrogen breathing group, and a hydrogen breathing + sorafenib group. The mice were administered for 15 consecutive days after 15 days of tumor growth. Sorafenib was administered by gavage at a drug concentration of 30 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. The mice in the hydrogen breathing group breathed hydrogen for 2 hours a day, and the mouse breathing environment contained 66% hydrogen. The mice could move freely in the breathing box during the hydrogen breathing process. During and after the administration, the mouse tumors were taken to observe the changes in tumor volume. The specific results are shown in Figure 20.
图20结果表明,在肿瘤形成后,单独呼吸氢气已经无法明显抑制肿瘤生长。给药后联合呼吸氢气与单独索拉非尼给药相比,也无明显的改善效果,而呼吸氢气后再使用索拉非尼则显著减小了生成肿瘤的体积,具有明显的抗耐药作用,证明了氢分子处理后再联合索拉非尼用药的治疗效果最优,因此优选采用氢分子处理后再用药的方法给药。The results in Figure 20 show that after the tumor is formed, breathing hydrogen alone can no longer significantly inhibit tumor growth. Compared with the administration of sorafenib alone, breathing hydrogen after administration also has no significant improvement effect, while breathing hydrogen and then using sorafenib significantly reduced the volume of the generated tumor, which has a significant anti-resistance effect, proving that the therapeutic effect of hydrogen molecule treatment combined with sorafenib is the best, so it is preferred to use the method of hydrogen molecule treatment before medication.
实施例14不同给氢时间对白血病动物模型的治疗效果Example 14 Therapeutic effects of different hydrogen administration times on leukemia animal models
实验选择8周龄雄性NOD SCID小鼠,体重18~22g。收集正常培养条件下生长的HL-60白血病细胞后,接种至皮下,接种细胞浓度为1×106个,造模完毕等待肿瘤长成。长出肿瘤后,小鼠随机分为对照组、环磷酰胺组,环磷酰胺给药+呼吸氢气组和呼吸氢气后+环磷酰胺组。分别在肿瘤生长15天后连续给药15天,环磷酰胺浓度为200mg/kg。所有实验小鼠饲养在22~25℃条件下,并给予12小时光暗循环交替及正常饮食。呼吸氢气组小鼠每日呼吸2小时氢气,其中小鼠呼吸环境包含66%氢气,呼吸氢气过程中小鼠可在呼吸箱中自由活动。给药结束后,取小鼠肿瘤,观察肿瘤体积变化,具体结果如图21所示。Eight-week-old male NOD SCID mice weighing 18-22 g were selected for the experiment. After collecting HL-60 leukemia cells grown under normal culture conditions, they were inoculated subcutaneously at a cell concentration of 1×10 6. After the model was established, the tumor was allowed to grow. After the tumor grew, the mice were randomly divided into a control group, a cyclophosphamide group, a cyclophosphamide administration + hydrogen breathing group, and a hydrogen breathing + cyclophosphamide group. The drugs were administered for 15 consecutive days after 15 days of tumor growth, and the cyclophosphamide concentration was 200 mg/kg. All experimental mice were kept at 22-25°C and given a 12-hour light-dark cycle and a normal diet. Mice in the hydrogen breathing group breathed hydrogen for 2 hours a day, and the mouse breathing environment contained 66% hydrogen. During the hydrogen breathing process, the mice could move freely in the breathing box. After the administration, the mouse tumors were taken and the changes in tumor volume were observed. The specific results are shown in Figure 21.
图21结果表明,在肿瘤形成后,单独呼吸氢气已经无法明显抑制肿瘤生长。给药后联合呼吸氢气与单独环磷酰胺给药相比,也无明显的改善效果,而呼吸氢气后再使用环磷酰胺则显著减小了生成肿瘤的体积,具有明显的抗耐药作用,证明了氢分子处理后再联合环磷酰胺用药的治疗效果最优。The results in Figure 21 show that after the tumor is formed, breathing hydrogen alone can no longer significantly inhibit tumor growth. Compared with the administration of cyclophosphamide alone, breathing hydrogen after administration also has no significant improvement effect, while breathing hydrogen and then using cyclophosphamide significantly reduced the volume of the generated tumor, which has a significant anti-resistance effect, proving that the treatment effect of hydrogen molecule treatment combined with cyclophosphamide is the best.
综合实施例1和实施例14结果,优选采用氢分子处理后再用药的方法给药。Based on the results of Example 1 and Example 14, it is preferred to administer the drug after treatment with hydrogen molecules.
尽管已描述了本发明的优选实施例,但本领域内的技术人员一旦得知了基本创造性概念,则可对这些实施例作出另外的变更和修改。所以,所附权利要求意欲解释为包括优选实施例以及落入本发明范围的所有变更和修改。显然,本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。Although preferred embodiments of the present invention have been described, additional changes and modifications may be made to these embodiments by those skilled in the art once the basic inventive concepts are known. Therefore, the appended claims are intended to be interpreted as including the preferred embodiments and all changes and modifications that fall within the scope of the present invention. Obviously, those skilled in the art may make various changes and modifications to the present invention without departing from the spirit and scope of the present invention. Thus, if these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.
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