CN1187047C - Application of difenitriazole in preparation of medicine for treating malignant tumour - Google Patents
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Abstract
Description
技术领域Technical field
本发明涉及地非三唑在制药领域中的新用途。The invention relates to a new application of defetriazole in the field of pharmacy.
背景技术 Background technique
地非三唑最早由意大利Galliani等于1978年报道其合成路线,并发现具有抗生育活性。地非三唑作为终止早孕已有报道和应用。该药在意大利无正式名称,Galliani等用代号名为DL111-IT。经检索曾有4项国外专利,即西德专利2819372(1978),2943326(1980);美国专利4379155(1978),4370336(1983)。公布了3,5-双取代1H-1,2,4三氮唑衍化物的制备方法,共40多个衍化物(其中有DL111-IT),并证明对动物具有抗生育作用和镇静作用。Difetriazole was first reported by Italian Galliani in 1978, and its synthetic route was found to have antifertility activity. Defetriazole has been reported and used as a method for terminating early pregnancy. The drug has no official name in Italy, and Galliani et al. used the code name DL111-IT. After searching, there were 4 foreign patents, namely West German patents 2819372 (1978), 2943326 (1980); US patents 4379155 (1978), 4370336 (1983). Published the preparation method of 3,5-disubstituted 1H-1,2,4 triazole derivatives, a total of more than 40 derivatives (including DL111-IT), and proved to have antifertility and sedative effects on animals.
地非三唑(Diphenytriazol,简称DPTZ),化学名为3-(2-乙基苯基)-5-(3-甲氧苯基)-1H-1,2,4-三氮唑,英文化学名为3-(2-ethylphenyl)-5-(3-methoxyphenyl)-1H-1,2,4 triazol。其化学结构式为:Diphenytriazol (DPTZ for short), chemical name 3-(2-ethylphenyl)-5-(3-methoxyphenyl)-1H-1,2,4-triazole, English chemistry The name is 3-(2-ethylphenyl)-5-(3-methoxyphenyl)-1H-1,2,4 triazol. Its chemical structural formula is:
分子式为:C17H17N3O 分子量为:279.34Molecular formula: C 17 H 17 N 3 O Molecular weight: 279.34
本品的理化性状:白色结晶性粉末。无臭,无味,在无水乙醇,氯仿中易溶,植物油中微溶,难溶于水。熔点:76~81℃。Physical and chemical properties of this product: white crystalline powder. Odorless, tasteless, easily soluble in absolute ethanol and chloroform, slightly soluble in vegetable oil, hardly soluble in water. Melting point: 76-81°C.
发明内容Contents of Invention
本发明的目的是提供地非三唑治疗恶性肿瘤疾病的新用途,即在制药中的新应用。The object of the present invention is to provide a new application of defetriazole in treating malignant tumor diseases, that is, a new application in pharmacy.
具体说,本发明涉及地非三唑作为制备治疗卵巢癌,宫颈癌,淋巴瘤,白血病,肺癌,肝癌,大肠癌,前列腺癌,鼻咽癌,口腔癌,恶性横纹肌瘤等多种恶性肿瘤疾病的药中应用。Specifically, the present invention relates to defetriazole as a preparation for treating various malignant tumor diseases such as ovarian cancer, cervical cancer, lymphoma, leukemia, lung cancer, liver cancer, colorectal cancer, prostate cancer, nasopharyngeal cancer, oral cancer, and malignant rhabdomyoma. application in medicine.
制备地非三唑注射液Preparation of Defetriazole Injection
取注射用植物油(茶油,大豆油等)1000ml,在150℃干热灭菌1小时,放冷至50℃,取出部分油液加入1g地非三唑,搅拌使溶解,最后添加溶媒至全量。用干燥的3号垂熔漏斗过滤,灌封于1ml干燥的灭菌安瓿中,100℃流通蒸汽灭菌30分钟,制成每支安瓿1ml含地非三唑1mg的注射液。Take 1000ml of vegetable oil for injection (tea oil, soybean oil, etc.), dry heat sterilization at 150°C for 1 hour, let it cool to 50°C, take out part of the oil and add 1g of difetriazole, stir to dissolve, and finally add solvent to the full amount . Filter it with a dry No. 3 vertical melting funnel, fill it in a 1ml dry sterilized ampoule, and sterilize it with circulating steam at 100°C for 30 minutes to prepare an injection solution containing 1 mg of difetriazole in 1 ml of each ampoule.
制备地非三唑纳米乳胶丸Preparation of Difetriazole Nano-emulsion Pills
将地非三唑溶解在非水性液体或半干固体的复合辅料,制备成软胶丸,每丸含地非三唑0.5mgDissolve defetriazole in non-aqueous liquid or semi-dry solid compound excipients to prepare soft capsules, each pill contains 0.5mg defetriazole
这种复合辅料一旦与水或胃肠液相混合就会迅速和自发地形成纳米大小的水包油乳液,药物就溶解在这些极小的油滴中,并迅速分散到胃肠道中的吸收部位。在整个吸收过程中由于药物始终保持分子状态,而且这些极小的含药油滴能增加其在肠道上皮细胞的吸附,延长吸收时间,增加药物通过淋巴系统的转运和通过肠道Payer’s区M细胞吞噬进入体内循环,避免了首过消除。提高了生物利用度,增加了药物的靶向性。Once this composite excipient is mixed with water or gastrointestinal fluids, it will rapidly and spontaneously form a nano-sized oil-in-water emulsion, and the drug is dissolved in these extremely small oil droplets and rapidly dispersed to the absorption site in the gastrointestinal tract . During the entire absorption process, the drug remains in a molecular state, and these tiny drug-containing oil droplets can increase its adsorption on the intestinal epithelial cells, prolong the absorption time, increase the transport of the drug through the lymphatic system and pass through the Payer's area of the intestinal tract. Phagocytosis into the body's circulation avoids first-pass elimination. Improved bioavailability and increased drug targeting.
制备地非三唑微球注射液Preparation of Difetriazole Microsphere Injection
将生物相容性和生物降解性聚合物制备成地非三唑注射用微球,每支注射液含地非三唑2mg。Biocompatible and biodegradable polymers are prepared into desfetriazole injection microspheres, and each injection contains 2 mg of desfestriazole.
肌注后,在给药部位此聚合物将缓慢释放药物与吸收,使作用时间延长。这种聚合物释药后水解为对人体无害的降解物(水和二氧化碳)。长效地非三唑After intramuscular injection, the polymer will slowly release and absorb the drug at the administration site, prolonging the action time. This polymer is hydrolyzed into harmless degradation products (water and carbon dioxide) after drug release. long-acting non-triazole
微球注射液肌注1次,可维持药效一个月。用于恶性肿瘤术后,防止癌细胞转移复发。Intramuscular injection of microsphere injection once can maintain the drug effect for one month. It is used for the prevention of metastasis and recurrence of cancer cells after operation of malignant tumors.
为了更好地了解本发明的实质,以下将地非三唑的药理毒理试验及结果来说明其在制药领域中的新用途。In order to better understand the essence of the present invention, the following pharmacological and toxicological tests and results of defetriazole will illustrate its new use in the field of pharmacy.
1.地非三唑对多种肿瘤细胞的体外抑制作用1. In vitro inhibitory effect of difetriazole on various tumor cells
取培养3~4天的人卵巢癌HO-8910细胞一瓶,加入适量胰蛋白酶使贴壁细胞脱落,用含10%胎牛血清的RPMI1640营养液配成细胞悬液,计数后用完全培养液稀释成浓度约为4×104个/ml的细胞悬液,取24孔板,每孔加细胞悬液1ml,放入培养箱48小时后,加入受试物10μl,使终浓度分别为:地非三唑40μg/ml、20μg/ml、10μg/ml、5μg/ml、2.5μg/ml,每个浓度4孔,加药后培养48小时,每孔加入5mg/ml MTT60μl,温育4小时吸去上清液,加入0.5mlDMSO摇匀,用酶标仪于550nm处测定每个小孔的OD值,细胞存活率的计算公式为:Take a bottle of human ovarian cancer HO-8910 cells that have been cultured for 3 to 4 days, add an appropriate amount of trypsin to make the adherent cells fall off, make a cell suspension with RPMI1640 nutrient solution containing 10% fetal bovine serum, and use complete culture medium after counting Dilute to a cell suspension with a concentration of about 4× 104 /ml, take a 24-well plate, add 1ml of cell suspension to each well, put it in the incubator for 48 hours, add 10μl of the test substance, so that the final concentrations are: Defetriazole 40μg/ml, 20μg/ml, 10μg/ml, 5μg/ml, 2.5μg/ml, 4 wells for each concentration, cultured for 48 hours after adding the drug, added 5mg/ml MTT60μl to each well, incubated for 4 hours Aspirate the supernatant, add 0.5ml DMSO and shake well, measure the OD value of each small well at 550nm with a microplate reader, the formula for calculating the cell survival rate is:
细胞存活率%=(加药细胞OD值/对照细胞OD值)×100%。Cell viability%=(OD value of drug-added cells/OD value of control cells)×100%.
用Bliss法求出IC50。重复三次。IC 50 was calculated by Bliss method. repeat three times.
对小鼠淋巴样瘤P388细胞、人口腔表皮样癌KB细胞、回盲肠腺癌HCT-116细胞、慢性髓原白血病K562细胞、人鼻咽癌CNE细胞、人宫颈癌Hela细胞、人恶性胚胎横纹肌瘤RD细胞、人肺癌A549细胞、原髓细胞白血病HL-60细胞、前列腺癌PC-3细胞、人肝癌Bel-7402细胞的体外抑制作用试验方法同上。Mouse lymphoid tumor P388 cells, human oral epidermoid carcinoma KB cells, ileocecal adenocarcinoma HCT-116 cells, chronic myelogenous leukemia K562 cells, human nasopharyngeal carcinoma CNE cells, human cervical cancer Hela cells, human malignant embryonic striated muscle The in vitro inhibition test method of tumor RD cells, human lung cancer A549 cells, myeloid leukemia HL-60 cells, prostate cancer PC-3 cells, and human liver cancer Bel-7402 cells is the same as above.
结果表明,地非三唑对HO-8910、P388、KB、HCT-116、K562、CNE、RD、A549、Hela、HL-60、PC-3、Bel-7402等细胞共孵育48小时后,均显示较强的抑制细胞增殖作用。地非三唑40μg/ml作用于以上各肿瘤细胞48小时后,抑制率分别为94.1%、98.6%、87.1%、99.7%、96.5%、65.5%、98.0%、68.7%、92.3%、90.0%、93.9%、100.0%,其IC50及95%可信限分别为15.1(12.5-18.4)、4.1(1.3~13.5)、10.7(7.4~15.6)、6.2(1.8~21.6)、9.9(5.3~18.4)、17.3(10.5~28.5)、12.6(8.0-20.2)、17.4(13.0~23.4)、9.9(4.8~19.6)、14.1(7.4-26.7)、19.7(8.6-40.5)、5.6(1.4-15.7)μg/ml。见表1。The results showed that after co-incubating cells such as HO-8910, P388, KB, HCT-116, K562, CNE, RD, A549, Hela, HL-60, PC-3, Bel-7402 for 48 hours, difetriazole had Show strong inhibitory effect on cell proliferation. After 40 μg/ml of difetriazole acted on the above tumor cells for 48 hours, the inhibition rates were 94.1%, 98.6%, 87.1%, 99.7%, 96.5%, 65.5%, 98.0%, 68.7%, 92.3%, 90.0% , 93.9%, 100.0%, and their IC 50 and 95% confidence limits were 15.1 (12.5-18.4), 4.1 (1.3-13.5), 10.7 (7.4-15.6), 6.2 (1.8-21.6), 9.9 (5.3- 18.4), 17.3 (10.5-28.5), 12.6 (8.0-20.2), 17.4 (13.0-23.4), 9.9 (4.8-19.6), 14.1 (7.4-26.7), 19.7 (8.6-40.5), 5.6 (1.4-15.7 ) μg/ml. See Table 1.
表1.地非三唑作用48小时对多种肿瘤细胞的体外抑制作用Table 1. The in vitro inhibitory effect of difetriazole on various tumor cells for 48 hours
肿瘤 地非三唑(μg/ml) IC50及95%可信限Tumor Defetriazole (μg/ml) IC 50 and 95% confidence limit
细胞 2.5 5.0 10 20 40 (μg/ml)Cells 2.5 5.0 10 20 40 (μg/ml)
HO-8910 0.7 6.1 28.9 57.6 94.1 15.1(12.5-18.4)HO-8910 0.7 6.1 28.9 57.6 94.1 15.1(12.5-18.4)
CNE 11.3 23.4 47.7 51.7 65.5 17.3(10.5-28.5)CNE 11.3 23.4 47.7 51.7 65.5 17.3(10.5-28.5)
A549 18.3 22.8 40.1 50.4 68.7 17.4(13.0-23.4)A549 18.3 22.8 40.1 50.4 68.7 17.4(13.0-23.4)
P388 42.1 60.0 68.3 78.2 98.6 4.1(1.3-13.5)P388 42.1 60.0 68.3 78.2 98.6 4.1(1.3-13.5)
K562 14.2 17.6 32.2 71.0 96.5 9.9(5.3-18.4)K562 14.2 17.6 32.2 71.0 96.5 9.9(5.3-18.4)
Hela 13.7 21.9 39.5 72.6 92.3 9.9(4.8-19.6)Hela 13.7 21.9 39.5 72.6 92.3 9.9 (4.8-19.6)
HL-60 - 2.4 26.9 85.5 90.0 14.1(7.4-26.7)HL-60 - 2.4 26.9 85.5 90.0 14.1(7.4-26.7)
PC-3 - - 6.6 50.6 93.9 19.7(8.6-40.5)PC-3 - - - 6.6 50.6 93.9 19.7(8.6-40.5)
Bel-7402 31.2 41.3 62.7 89.2 100.0 5.6(1.4-15.7)Bel-7402 31.2 41.3 62.7 89.2 100.0 5.6(1.4-15.7)
KB 15.7 28.2 49.2 57.7 87.1 10.7(7.4-15.6)KB 15.7 28.2 49.2 57.7 87.1 10.7(7.4-15.6)
RD 1.6 11.3 27.7 54.7 98.0 12.6(8.0-20.0)RD 1.6 11.3 27.7 54.7 98.0 12.6(8.0-20.0)
2.地非三唑对人卵巢癌HO-8910细胞的体外抑制作用的时效关系2. The time-effect relationship of defetriazole's inhibitory effect on human ovarian cancer HO-8910 cells in vitro
取培养4~5天的HO-8910细胞一瓶,加入适量胰蛋白酶使贴壁细胞脱落,用含10%胎牛血清的RPMI1640营养液配成细胞悬液,计数后用完全培养液稀释成浓度约为4×104个/ml的细胞悬液,取24孔板,每孔加细胞悬液1ml,放入培养箱48小时后,加入受试物10μl,使终浓度分别为:地非三唑40μg/ml、20μg/ml、10μg/ml、5μg/ml、2.5μg/ml。每个浓度4孔。加药后培养24小时、48小时、72小时、96小时,每孔加入5mg/ml MTT60μl,温育4小时吸去上清液,加入0.5mlDMSO摇匀,每孔吸出0.1ml于96孔板,用酶标仪于550nm处测定每个小孔的OD值,细胞存活率的计算公式为:Take a bottle of HO-8910 cells that have been cultured for 4 to 5 days, add an appropriate amount of trypsin to make the adherent cells fall off, make a cell suspension with RPMI1640 nutrient solution containing 10% fetal bovine serum, and dilute it with complete culture medium to obtain a concentration after counting. About 4× 104 cells/ml of cell suspension, take 24-well plate, add 1ml of cell suspension to each well, put it in the incubator for 48 hours, add 10μl of the test substance, so that the final concentrations are: Azole 40 μg/ml, 20 μg/ml, 10 μg/ml, 5 μg/ml, 2.5 μg/ml. 4 wells for each concentration. After adding the drug, culture for 24 hours, 48 hours, 72 hours, and 96 hours, add 5mg/ml MTT60μl to each well, incubate for 4 hours, suck off the supernatant, add 0.5ml DMSO and shake well, suck out 0.1ml from each well into a 96-well plate, Use a microplate reader to measure the OD value of each small well at 550nm, and the formula for calculating the cell viability is:
细胞存活率%=(加药细胞OD值/对照细胞OD值)×100%。Cell viability%=(OD value of drug-added cells/OD value of control cells)×100%.
用Bliss法求出IC50。每个作用时间重复3次。IC 50 was calculated by Bliss method. Repeat each action time 3 times.
结果表明,地非三唑对人卵巢癌HO-8910细胞作用24、48、72、96小时均显示较强的抑制增殖作用。地非三唑40μg/ml对HO-8910细胞作用24、48、72、96小时的抑制率分别为79.2%、94.1%、94.2%、93.6%,上述时间点的IC50及95%可信限分别为23.9(13.5~42.3)、15.1(12.5~18.4)、12.4(9.7~15.7)、9.1(6.3~13.2)μg/ml。见表2。The results showed that desfetriazole showed a strong anti-proliferation effect on human ovarian cancer HO-8910 cells for 24, 48, 72, and 96 hours. The inhibitory rates of defetriazole 40 μg/ml on HO-8910 cells for 24, 48, 72, and 96 hours were 79.2%, 94.1%, 94.2%, and 93.6%, respectively, and the IC 50 and 95% confidence limits of the above time points They were 23.9 (13.5-42.3), 15.1 (12.5-18.4), 12.4 (9.7-15.7), and 9.1 (6.3-13.2) μg/ml, respectively. See Table 2.
表2.地非三唑对人卵巢癌HO-8910细胞的体外抑制作用时效关系Table 2. Time-effect relationship of in vitro inhibitory effect of difetriazole on human ovarian cancer HO-8910 cells
作用时间 DL111-IT(μg/ml) IC50及95%可信限Action time DL111-IT(μg/ml) IC 50 and 95% confidence limit
(h) 2.5 5.0 10 20 40 (μg/ml)(h) 2.5 5.0 10 20 40 (μg/ml)
24 0.1±0.1 4.3±5.6 6.2±6.9 36.3±7.7 79.2±11.9 23.9(13.5-42.3)24 0.1±0.1 4.3±5.6 6.2±6.9 36.3±7.7 79.2±11.9 23.9(13.5-42.3)
48 0.7±0.6 6.1±0.9 28.9±3.2 57.6±23.4 94.1±1.5 15.1(12.5-18.4)48 0.7±0.6 6.1±0.9 28.9±3.2 57.6±23.4 94.1±1.5 15.1(12.5-18.4)
72 2.6±2.9 5.8±3.3 40.7±13.1 80.1±11.3 94.2±2.0 12.4(9.7-15.7)72 2.6±2.9 5.8±3.3 40.7±13.1 80.1±11.3 94.2±2.0 12.4(9.7-15.7)
96 7.4±8.4 14.4±11.2 59.1±13.6 90.4±6.6 93.6±5.4 9.1(6.3-13.2)96 7.4±8.4 14.4±11.2 59.1±13.6 90.4±6.6 93.6±5.4 9.1(6.3-13.2)
3.地非三唑对人卵巢癌HO-8910细胞生长曲线的影响3. Effect of defetriazole on the growth curve of human ovarian cancer HO-8910 cells
取对数生长期HO-8910细胞用完全培养液配成3×104个/ml的细胞悬液,取24只25ml培养瓶,每瓶加入5ml细胞悬液,分4组,每组6瓶,分别为(1)溶剂对照组,(2),(3)给药组:地非三唑终浓度分别为1.5μg/ml、6.0μg/ml,(4)阳性对照组:顺铂1.0μg/ml。置培养箱中,分别培育1、2、3、4、5、6天后每组各取1瓶,用胰蛋白酶消化,使贴壁细胞脱落,用0.7ml完全培养液配成细胞悬液,再加0.3ml 0.4%台盼蓝液,计数,以每毫升拒染的活细胞数的对数与时间作图,从图中读出生长饱和密度(Ns),根据下列公式计算细胞的杀伤率和细胞倍增时。Take HO-8910 cells in the logarithmic growth phase and make 3× 104 cells/ml cell suspension with complete culture medium, take 24 25ml culture bottles, add 5ml cell suspension to each bottle, divide into 4 groups, 6 bottles in each group , respectively (1) solvent control group, (2), (3) administration group: the final concentrations of difetriazole were 1.5 μg/ml and 6.0 μg/ml respectively, (4) positive control group: cisplatin 1.0 μg /ml. Put them in an incubator, cultivate them for 1, 2, 3, 4, 5, and 6 days, and then take 1 bottle for each group, digest with trypsin to make the adherent cells fall off, use 0.7ml of complete culture medium to make a cell suspension, and then Add 0.3ml of 0.4% trypan blue solution, count, plot the logarithm of the number of living cells rejected per ml and time, read the growth saturation density (N s ) from the graph, and calculate the killing rate of cells according to the following formula and cell doubling.
地非三唑对细胞的杀伤率(%)=(N0-N0′)/N0×100Cell killing rate of difetriazole (%)=(N 0 -N 0 ′)/N 0 ×100
地非三唑对细胞倍增时(TD)的影响:TD=0.301t/(logNt-logN0)各组细胞分别培养1、2、3、4、5、6天后经台盼蓝染色,计数,以每毫升拒染的活细胞数的对数与时间作生长曲线图,从图中可得出,地非三唑1.5pg/ml、6μg/ml对HO-8910细胞的杀伤率分别为14.1%和23.4%,细胞生长饱和密度(Ns)均显著下降(p<0.05),地非三唑6μg/ml使细胞倍增时(TD)显著延长(p<0.05),见表3。表中:*P<0.05,vs DMSO组,t检验。Effect of difetriazole on cell doubling time (TD): TD=0.301t/(logN t -logN 0 ) Cells in each group were stained with trypan blue after cultured for 1, 2, 3, 4, 5, and 6 days, and counted , the logarithm of the number of living cells rejected per milliliter and time was used as a growth curve, and it can be drawn from the figure that the killing rates of difetriazole 1.5pg/ml and 6μg/ml to HO-8910 cells were 14.1 % and 23.4%, the saturation density of cell growth (N s ) was significantly decreased (p<0.05), and defetriazole 6 μg/ml significantly prolonged the cell doubling time (TD) (p<0.05), see Table 3. In the table: * P<0.05, vs DMSO group, t test.
表3.地非三唑对人卵巢癌HO-8910细胞生长的影响Table 3. Effect of difetriazole on the growth of human ovarian cancer HO-8910 cells
药物浓度 细胞倍增时(TD) 杀伤百分率 细胞生长饱和密度(Ns)Drug Concentration Cell Doubling Time (TD) Killing Percentage Cell Growth Saturation Density (N s )
(μg/ml) (h) (%) (×105个/ml)(μg/ml) (h) (%) (×10 5 cells/ml)
DMSO80μl 36.8 ±2.4 - 3.70±0.40DMSO80μl 36.8 ±2.4 - 3.70±0.40
地非三唑1.5 40.7±1.8 14.1±3.0 2.64±0.31* Difetriazole 1.5 40.7±1.8 14.1±3.0 2.64±0.31 *
地非三唑6.0 44.8±3.1* 23.4±4.4 2.21±0.17* Difetriazole 6.0 44.8±3.1 * 23.4±4.4 2.21±0.17 *
4.地非三唑对小鼠H22肝癌和小鼠S180肉瘤的治疗作用4. Therapeutic effect of defetriazole on mouse H22 liver cancer and mouse S180 sarcoma
分别将小鼠肉瘤S180和小鼠肝癌H22肿瘤细胞悬液接种于NIH种小鼠右腋下,每种肿瘤接种60只小鼠,雌雄各半。60只小鼠随机分成五组,分别为阳性对照环磷酰胺50mg/kg组、地非三唑高剂量组(50mg/kg)、中剂量组(25mg/kg)、低剂量组(12.5mg/kg)及溶剂对照组(茶油10ml/kg)。连续给药9天,于第10The mouse sarcoma S 180 and mouse liver cancer H22 tumor cell suspensions were inoculated in the right axilla of NIH mice respectively, and 60 mice were inoculated for each tumor, half male and half male. 60 mice were randomly divided into five groups, respectively positive control cyclophosphamide 50mg/kg group, defetriazole high-dose group (50mg/kg), middle-dose group (25mg/kg), low-dose group (12.5mg/kg). kg) and the solvent control group (tea oil 10ml/kg). Continuous administration for 9 days, on the 10th
天剖杀小鼠,取出肿瘤组织称重,计算抑瘤率。The mice were dissected, the tumor tissues were taken out and weighed, and the tumor inhibition rate was calculated.
结果表明,地非三唑对小鼠S180肉瘤和小鼠H22肝癌均具有较好的治疗作用,地非三唑12.5、25.0、50.0mg/kg对小鼠S180肉瘤的抑瘤率分别达到了33.55%、50.00%和55.92%,对小鼠H22肝癌的抑瘤率分别达到了24.50%、52.00%和56.60%。见表4、5。表中:**P<0.01,vs茶油组,t检验。The results show that defetriazole has a good therapeutic effect on mouse S180 sarcoma and mouse H22 liver cancer, and the tumor inhibition rate of defetriazole 12.5, 25.0, 50.0 mg/kg on mouse S180 sarcoma reached 33.55% respectively. %, 50.00% and 55.92%, and the tumor inhibitory rates against mouse H22 liver cancer reached 24.50%, 52.00% and 56.60%, respectively. See Tables 4 and 5. In the table: ** P<0.01, vs camellia oil group, t test.
表4.地非三唑对小鼠S180肉瘤的治疗作用Table 4. Therapeutic effect of difetriazole on mouse S180 sarcoma
组别 剂量 给药 动物数 肿瘤重量 抑瘤率Group Dose Dose Administration Number of Animals Tumor Weight Tumor Inhibition Rate
(mg/kg) 途径 (只) (g) (%)(mg/kg) Route (only) (g) (%)
茶油对照 10ml/kg im 12 1.52±0.57 -Camellia oil control 10ml/kg im 12 1.52±0.57 -
地非三唑 50.0 im 12 0.67±0.35** 55.92Defetriazole 50.0 im 12 0.67±0.35 ** 55.92
25.0 im 12 0.76±0.40** 50.0025.0 im 12 0.76±0.40 ** 50.00
12.5 im 12 1.01±0.54 33.55
环磷酰胺 50.0 im 12 0.83±0.25** 45.39Cyclophosphamide 50.0 im 12 0.83±0.25 ** 45.39
表5.地非三唑对小鼠H22肝癌的治疗作用Table 5. Therapeutic effect of difetriazole on mouse H22 liver cancer
组别 剂量 给药 动物数 肿瘤重量 抑瘤率Group Dose Administration Administration Number of Animals Tumor Weight Tumor Inhibition Rate
(mg/kg) 途径 (只) (g) (%)(mg/kg) Route (only) (g) (%)
茶油对照 10ml/kg im 12 2.00±0.49 -Camellia oil control 10ml/kg im 12 2.00±0.49 -
地非三唑 50.0 im 12 0.87±0.33** 56.60Defetriazole 50.0 im 12 0.87±0.33 ** 56.60
25.0 im 12 0.96±0.46** 52.0025.0 im 12 0.96±0.46 ** 52.00
12.5 im 12 1.51±0.51 24.50
环磷酰胺 50.0 im 12 1.06±0.50** 47.00Cyclophosphamide 50.0 im 12 1.06±0.50 ** 47.00
5.地非三唑对人卵巢癌HO-8910裸小鼠移植瘤的治疗作用5. Therapeutic effect of defetriazole on human ovarian cancer HO-8910 xenografted tumor in nude mice
将生长旺盛的人卵巢癌HO-8910细胞消化,制备成浓度为107个/ml的细胞悬液,在无菌条件下用注射器将0.2ml细胞悬液接种于裸小鼠右侧腋窝皮下,55只裸小鼠随机分成4组,分别为地非三唑50.0、25.0、12.5mg/kg/天,阳性对照环磷酰胺50mg/kg/天,及溶剂对照茶油10ml/kg/天,各组均为肌内注射(im)给药,每周给药2次,共给药4周,给药期间每周测量肿瘤直径2次,肿瘤体Vigorously growing human ovarian cancer HO-8910 cells were digested to prepare a cell suspension with a concentration of 10 7 cells/ml, and 0.2ml of the cell suspension was inoculated subcutaneously in the right armpit of nude mice with a syringe under sterile conditions. 55 nude mice were randomly divided into 4 groups, respectively 50.0, 25.0, 12.5mg/kg/day of defetriazole, 50mg/kg/day of positive control cyclophosphamide, and 10ml/kg/day of solvent control tea oil. Both groups were administered by intramuscular injection (im), administered twice a week for a total of 4 weeks, and the diameter of the tumor was measured twice a week during the period of administration.
积(TV)按下式计算:
结果表明,地非三唑12.5、25.0、50.0mg/kg对人卵巢癌HO-8910细胞均有不同程度的抑制作用,抑瘤率分别达到17.03%、43.3%和64.28%,见表6。表中:**P<0.01,vs茶油组,t检验The results showed that difetriazole 12.5, 25.0, and 50.0 mg/kg had different degrees of inhibitory effects on human ovarian cancer HO-8910 cells, and the tumor inhibition rates reached 17.03%, 43.3%, and 64.28%, respectively, as shown in Table 6. In the table: ** P<0.01, vs camellia oil group, t test
表6.地非三唑对人卵巢癌HO-8910裸小鼠移植瘤的治疗作用Table 6. Therapeutic effect of difetriazole on human ovarian cancer HO-8910 nude mice xenografts
组别 剂量 给药 动物数 肿瘤体积 肿瘤重量 抑瘤率Group Dose Dose Administration Number of Animals Tumor Volume Tumor Weight Tumor Inhibition Rate
(mg/kg) 途径 (只) (g) (%)(mg/kg) Route (only) (g) (%)
茶油对照 10ml/kg im 15 0.507±0.181 0.364±0.124 -Camellia oil control 10ml/kg im 15 0.507±0.181 0.364±0.124 -
地非三唑 50.0 im 10 0.182±0.092** 0.130±0.054** 64.28Defetriazole 50.0 im 10 0.182±0.092 ** 0.130±0.054 ** 64.28
25.0 im 10 0.352±0.132** 0.207±0.075** 43.1325.0 im 10 0.352±0.132 ** 0.207±0.075 ** 43.13
12.5 im 10 0.472±0.302 0.302±0.112 17.03
环磷酰胺 50.0 im 10 0.251±0.207** 0.152±0.042** 58.24Cyclophosphamide 50.0 im 10 0.251±0.207 ** 0.152±0.042 ** 58.24
6.地非三唑的动物药代动力学试验6. Animal pharmacokinetic test of defetriazole
本试验选用SD大鼠进行药动学研究,采用柱切换高效液相色谱法检测地非三唑在体内的血药浓度动态变化,并以中国药理学会3P87程序在微机上拟合曲线,计算药动学参数。结果表明:大鼠iv((静脉注射)给药呈二室动力学模型,im给药均为一室动力学模型。药动学参数分别为:In this experiment, SD rats were selected for pharmacokinetic research, and the dynamic changes of blood concentration of difetriazole in vivo were detected by column switching high performance liquid chromatography, and the curve was fitted on a computer with the 3P87 program of the Chinese Pharmacological Society, and the drug was calculated. Kinetic parameters. The results show that: rat iv ((intravenous injection) administration is a two-compartment kinetics model, and im administration is a one-compartment kinetics model. The pharmacokinetic parameters are respectively:
大鼠iv地非三唑5、2.5、0.5mg/kg三个剂量组,每组5只的平均值,t1/2α为0.35、0.42、0.40h,t1/2β为2.0、2.53、2.85h,Vd为1.89、2.34、1.95L·kg-1,AUC为4.12、1.78、0.43μg·h·ml-1,Cl(s)为1.22、1.42、1.17L·kg-1·h-1。Rats in iv defetriazole 5, 2.5, 0.5mg/kg three dose groups, average value of 5 rats in each group, t 1/2 α is 0.35, 0.42, 0.40h, t 1/2 β is 2.0, 2.53 , 2.85h, Vd were 1.89, 2.34, 1.95L·kg -1 , AUC were 4.12, 1.78, 0.43μg·h·ml -1 , Cl(s) were 1.22, 1.42, 1.17L·kg -1 ·h - 1 .
大鼠im地非三唑20、10、5mg/kg三个剂量组,每组5只的平均值,t1/2ka为0.28、0.35、0.27h,t1/2ke为2.72、2.33、2.54h,T(peak)为0.99、1.08、0.93h,Cmax为1.86、0.99、0.55μg·ml-1,AUC为9.48、4.65、2.12μg·h·ml-1,Cl(T)为2.20、2.25、2.78L·kg-1·h-1,Vd为8.44、7.66、7.68L·kg-1。Rats im defetriazole 20, 10, 5mg/kg three dose groups, the average value of 5 rats in each group, t 1/2ka is 0.28, 0.35, 0.27h, t 1/2ke is 2.72, 2.33, 2.54h , T(peak) is 0.99, 1.08, 0.93h, Cmax is 1.86, 0.99, 0.55μg·ml -1 , AUC is 9.48, 4.65, 2.12μg·h·ml -1 , Cl(T) is 2.20, 2.25, 2.78L·kg -1 ·h -1 , Vd is 8.44, 7.66, 7.68L·kg -1 .
药物的分布试验:SD大鼠,每一时间点5只,分别于im地非三唑5.0及50mg/kg后1、8、24h,2、4及6d解剖,采用柱切换高效液相色谱法检测地非三唑在主要脏器的分布。结果表明:给药1h后,药物分布高低依次为:子宫卵巢>肺>肌肉>脂肪>肾>小肠>骨骼>胃>肝>心>脾>脑;48h后依次为子宫卵巢>肺Drug distribution test: SD rats, 5 at each time point, were dissected at 1, 8, 24h, 2, 4 and 6d after im defetriazole 5.0 and 50mg/kg respectively, and column switching high performance liquid chromatography was used The distribution of difitriazole in major organs was detected. The results showed that after 1 hour of administration, the order of drug distribution was as follows: uterine ovary > lung > muscle > fat > kidney > small intestine > bone > stomach > liver > heart > spleen > brain; after 48 hours, the order was uterine ovary > lung
>心>肾>脾>脑>骨骼>肌肉>肝>脂肪;6d后仍以子宫卵巢的药物浓度最高。药物的排泄试验:SD大鼠6只,iv地非三唑5mg/kg,测定给药后1~7d尿、粪中原形药的排泄量,同样以柱切换HPLC法检测,结果表明:给药后7d内累积排泄量,尿中2561.7±1968.7ng,占给药量0.225±0.173%;粪中1773.2±1335.5ng,占给药量0.156±0.117%。胆汁中排泄原形药量,2h为给药量的0.66±0.13%,12h为1.60±0.29%。>Heart>Kidney>Spleen>Brain>Bone>Muscle>Liver>Fat; after 6 days, the drug concentration was still the highest in uterus and ovary. Drug excretion test: 6 SD rats, iv defetriazole 5mg/kg, measured the excretion of the original drug in urine and feces 1 to 7 days after administration, and also detected by column switching HPLC method, the results showed that: The cumulative excretion in the last 7 days was 2561.7±1968.7ng in urine, accounting for 0.225±0.173% of the administered dose; 1773.2±1335.5ng in feces, accounting for 0.156±0.117% of the administered dose. The amount of unchanged drug excreted in the bile was 0.66±0.13% of the administered dose in 2 hours, and 1.60±0.29% in 12 hours.
药物与血浆蛋白的结合试验:选用8种不同浓度透析液测定,当原形药物浓度[D]=2×10-6mol/L,地非三唑与小牛血清蛋白的结合率为51.14%。Drug-plasma protein binding test: 8 different concentrations of dialysate were used for determination. When the original drug concentration [D]=2×10 -6 mol/L, the binding rate of defetriazole to bovine serum albumin was 51.14%.
地非三唑的生物利用度:
7.地非三唑的急性毒性试验7. Acute toxicity test of difetriazole
1).小鼠试验:1). Mouse test:
NIH小鼠分别皮下注射(sc)与腹腔注射(ip)地非三唑茶油溶液,各设5个剂量组,每组10只(雌雄各半),观察14天内的死亡数,按Bliss氏法计算LD50及可信度。分别为:4385.92(3979.16~4845.59)mg/kg(sc);1397.40(127.21~1514.74)mg/kg(ip)。NIH mice were injected subcutaneously (sc) and intraperitoneally (ip) with triazole camellia oil solution respectively, and respectively established 5 dosage groups, 10 in every group (half and half male and female), and observed the number of deaths within 14 days, according to Bliss's Calculation of LD 50 and reliability. They are: 4385.92 (3979.16-4845.59) mg/kg (sc); 1397.40 (127.21-1514.74) mg/kg (ip).
2)大鼠试验:2) Rat test:
SD大鼠同上小鼠试验方法,结果LD50及可信度分别为:4805.76(4377.86~5351.67)mg/kg(sc);1213.25(971.67~1619.01)mg/kg(ip)。SD rats are the same as the mouse test method, the results of LD 50 and reliability are: 4805.76 (4377.86 ~ 5351.67) mg/kg (sc); 1213.25 (971.67 ~ 1619.01) mg/kg (ip).
8.地非三唑的长期毒性试验8. Long-term toxicity test of defetriazole
1).大鼠试验:1).Rat test:
SD大鼠分别肌内注射(im)地非三唑3,10,50mg/kg/d三个剂量组,及溶剂茶油对照组2ml/kg/d(im),每组20只(雌雄各半),均给药20天,结果表明:高剂量组50mg/kg/d可引起毒性反应,表现为骨髓造血抑制,胸腺萎缩,停药14天恢复,说明其毒性反应为可逆性。10mg/kg/d大鼠也有轻度骨髓毒性,地非三唑的无毒副反应的安全剂量为3mg/kg/d(im)及以下。SD rats were intramuscularly injected (im) three dosage groups of defetriazole 3, 10, and 50mg/kg/d, and solvent camellia oil control group 2ml/kg/d (im), every group of 20 (male and female respectively) half), were administered for 20 days, the results showed that: the high dose group 50mg/kg/d can cause toxic reactions, manifested as bone marrow hematopoietic suppression, thymus atrophy, recovery after 14 days of drug withdrawal, indicating that the toxic reactions are reversible. 10mg/kg/d rats also have mild bone marrow toxicity, and the safe dose of defetriazole without toxic side effects is 3mg/kg/d (im) and below.
2).猕猴试验2). Rhesus monkey test
猕猴(Macaca mulatta)分别肌内注射(im)地非三唑2,10,50mg/kg/d三个剂量组,及溶剂茶油对照组2ml/kg/d(im),每组4只(雌雄各半),均给药20天,结果同大鼠。50mg/kg/d可引起毒性反应,表现为骨髓造血抑制,胸腺萎缩,Rhesus monkeys (Macaca mulatta) were injected intramuscularly (im) with three dose groups of defetriazole 2, 10, and 50mg/kg/d, and solvent camellia oil control group 2ml/kg/d (im), with 4 animals in each group ( half male and half male), all administered for 20 days, the result was the same as that of rats. 50mg/kg/d can cause toxic reactions, manifested as bone marrow hematopoietic suppression, thymus atrophy,
停药14天恢复,说明其毒性反应为可逆性。10mg/kg/d也有轻度骨髓毒性,猕猴地非三唑的无毒副反应的安全剂量为2mg/kg/d(im)及以下。Recovery after 14 days of drug withdrawal indicated that the toxicity was reversible. 10mg/kg/d also has mild bone marrow toxicity, and the safe dose of non-toxic side effects of rhesus monkey is 2mg/kg/d (im) and below.
3).Beagle狗试验3). Beagle dog test
Beagle狗分别肌内注射(im)地非三唑0.05,0.2,0.8mg/kg/d三个剂量组,及溶剂茶油对照组2ml/kg/d(im),每组4只(雌雄各半),均给药三个月,试验结果表明:三个剂量组动物在给药前后,呼吸,血压,心电图,血液生化各项检测指标均在正常范围,无生理意义变化。血液学检测显示0.8mg/kg/d及0.2mg/kg/d剂量组动物红细胞系明显降低,但仍在正常偏低水平,其余血液学指标均在正常范围波动;消化道反应较为多见,0.8mg/kg/d组反应较重,主要表现为厌食,偶有呕吐,粪便带有粘液或少量鲜血,毋须停药,短期内自行消失;骨髓象检查显示,骨髓增生欠活跃,红系细胞生成受抑制;组织病理学检查显示,0.8mg/kg/d组动物骨髓造血细胞损伤,胸腺萎缩,免疫功能降低,以上毒性反应在停药一个月后均消失,恢复正常。故可认为,地非三唑0.8mg/kg/d,为Beagle犬的中毒剂量,毒性靶部位为骨髓与胸腺。0.2mg/kg/d也有轻度骨髓毒性,0.05mg/kg/d无明显消化道反应与毒性反应,为Beagle犬的基本安全剂量。Beagle dogs were injected intramuscularly (im) with three dosage groups of defetriazole 0.05, 0.2, and 0.8mg/kg/d, and solvent camellia oil control group 2ml/kg/d (im), each group of 4 (male and female respectively) half), were administered for three months, and the test results showed that: before and after the administration, the animals of the three dosage groups had respiration, blood pressure, electrocardiogram, and every detection index of blood biochemistry was in the normal range, and there was no physiological significance change. Hematological tests showed that the erythrocytes of animals in the 0.8mg/kg/d and 0.2mg/kg/d dose groups were significantly reduced, but still at a low level of normal, and the rest of the hematological indicators fluctuated within the normal range; gastrointestinal reactions were more common, The 0.8mg/kg/d group had a severe reaction, mainly manifested as anorexia, occasional vomiting, mucus or a small amount of blood in the stool, which disappeared within a short period of time without stopping the drug; The production was inhibited; histopathological examination showed that the bone marrow hematopoietic cells of the animals in the 0.8mg/kg/d group were damaged, the thymus was atrophied, and the immune function was reduced. The above toxic reactions all disappeared after one month of drug withdrawal and returned to normal. Therefore, it can be considered that 0.8 mg/kg/d of difetriazole is the toxic dose for Beagle dogs, and the target sites of toxicity are bone marrow and thymus. 0.2mg/kg/d also has mild bone marrow toxicity, and 0.05mg/kg/d has no obvious gastrointestinal reactions and toxic reactions, which is the basic safe dose for Beagle dogs.
9.正常人对地非三唑的耐受量试验9. Tolerance test of normal people to difetriazole
I期临床试验表明,单次肌注地非三唑的最大耐受量为2mg。Phase I clinical trials have shown that the maximum tolerated dose of a single intramuscular injection of defetriazole is 2 mg.
试验表明,地非三唑具有显著的抗恶性肿瘤作用,而且抗瘤谱广,经各种动物安全试验及正常人体耐受性I期临床试验,表明动物种属及人对地非三唑的敏感性差异较大,人与Beagle犬对地非三唑最为敏感。该药对生命体征无明显影响,较为安全。故可认为地非三唑治疗恶性肿瘤疾病具有临床前景。Tests have shown that difetriazole has significant anti-malignant effects, and has a wide anti-tumor spectrum. Through various animal safety tests and normal human tolerance phase I clinical trials, it has been shown that animal species and humans are resistant to difetriazole. Sensitivity varies greatly, and humans and Beagle dogs are most sensitive to defetriazole. The drug has no significant effect on vital signs and is relatively safe. Therefore, it can be considered that difetriazole has clinical prospects in the treatment of malignant tumor diseases.
具体实施方式 Detailed ways
下面将描述本发明的实施例,但本发明的内容完全不局限于此。Embodiments of the present invention will be described below, but the content of the present invention is not limited thereto at all.
实施例1Example 1
地非三唑注射液Defetriazole Injection
处方:地非三唑1g,注射用植物油(茶油,大豆油等)加至1000ml。Prescription: Difetriazole 1g, add vegetable oil for injection (tea oil, soybean oil, etc.) to 1000ml.
制备:取注射用植物油,在150℃干热灭菌1小时,放冷至50℃,取出部分油液加入地非三唑,搅拌使溶解,最后添加溶媒至全量。用干燥的3号垂熔漏斗过滤,灌封于1ml干燥的灭菌安瓿中,100℃流通蒸汽灭菌30分钟,每支安瓿1ml含地非三唑1mg.Preparation: Take vegetable oil for injection, dry heat sterilization at 150°C for 1 hour, let it cool to 50°C, take out part of the oil and add difetriazole, stir to dissolve, and finally add solvent to the full amount. Filter with a dry No. 3 vertical melting funnel, fill in 1ml dry sterilized ampoules, sterilize with flowing steam at 100°C for 30 minutes, and each ampule 1ml contains 1 mg of difetriazole.
用量:每次肌内注射0.5~1mg.Dosage: 0.5-1mg intramuscular injection each time.
实施例2Example 2
三唑纳米乳胶丸Triazole nano latex pellets
将地非三唑溶解在非水性液体或半干固体的复合辅料,按常规方法制备成软胶丸,每丸含地非三唑0.5mg。Dissolve defitriazole in non-aqueous liquid or semi-dry solid compound excipients, prepare soft capsules according to conventional methods, and each pill contains 0.5 mg of defetriazole.
用量:每次口服0.5-1mgDosage: 0.5-1mg per oral administration
这种复合辅料一旦与水或胃肠液相混合就会迅速和自发地形成纳米大小的水包油乳液,药物就溶解在这些极小的油滴中,并迅速分散到胃肠道中的吸收部位。在整个吸收过程中由于药物始终保持分子状态,而且这些极小的含药油滴能增加其在肠道上皮细胞的吸附,延长吸收时间,增加药物通过淋巴系统的转运和通过肠道Payer’s区M细胞吞噬进入体内循环,避免了首过消除。提高了生物利用度,增加了药物的靶向性。Once this composite excipient is mixed with water or gastrointestinal fluids, it will rapidly and spontaneously form a nano-sized oil-in-water emulsion, and the drug is dissolved in these extremely small oil droplets and rapidly dispersed to the absorption site in the gastrointestinal tract . During the entire absorption process, the drug remains in a molecular state, and these tiny drug-containing oil droplets can increase its adsorption on the intestinal epithelial cells, prolong the absorption time, increase the transport of the drug through the lymphatic system and pass through the Payer's area of the intestinal tract. Phagocytosis into the body's circulation avoids first-pass elimination. Improved bioavailability and increased drug targeting.
实施例3Example 3
地非三唑微球注射液Defetriazole Microsphere Injection
将生物相容性和生物降解性聚合物制备成地非三唑注射用微球。每支注射液含地非三唑2mg。Preparation of biocompatible and biodegradable polymers into difetriazole injection microspheres. Each injection contains 2 mg of nontriazole.
用量:每次肌注2mg,15天或30天给药1次。Dosage: Intramuscular injection of 2 mg each time, once every 15 days or 30 days.
用地非三唑微球注射液肌注后,在给药部位此聚合物将缓慢释放药物与吸收,使作用时间延长。这种聚合物释药后水解为对人体无害的降解物(水和二氧化碳)。长效地非三唑微球注射液肌注1次,可维持药效一个月。用于恶性肿瘤术后,防止癌细胞转移复发。After intramuscular injection of difetriazole microsphere injection, the polymer will slowly release and absorb the drug at the administration site, prolonging the action time. This polymer is hydrolyzed into harmless degradation products (water and carbon dioxide) after drug release. Intramuscular injection of long-acting non-triazole microsphere injection once can maintain the drug effect for one month. It is used for the prevention of metastasis and recurrence of cancer cells after operation of malignant tumors.
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