CN111803476A - Use of fingolimod for inhibiting the activity of gram-positive bacteria - Google Patents
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Abstract
本发明提供了一种芬戈莫德用于抑制革兰阳性细菌活性的用途,所述芬戈莫德用于抑制革兰阳性细菌生长的活性。本发明的技术方案公开了芬戈莫德的一个新的用途,在多种革兰阳性细菌如金黄色葡萄球菌、肠球菌和无乳链球菌等中,该药具有抑菌活性和较低的MIC值,尤其在金黄色葡萄球菌的环境中,芬戈莫德对金黄色葡萄球菌具有较强的杀菌作用,MIC值普遍在3.125μg/mL;其在1/2MIC时能够显著抑制金黄色葡萄球菌生物膜的形成;此外,在芬戈莫德浓度为2×MIC时,已表现出清除金黄色葡萄球菌生物膜的能力,在浓度≥4×MIC时,能够显著的清除金黄色葡萄球菌生物膜。芬戈莫德还可以诱导金黄色葡萄球菌生物膜形成能力显著下降。
The present invention provides the use of fingolimod for inhibiting the activity of Gram-positive bacteria, and the fingolimod is used for inhibiting the growth of Gram-positive bacteria. The technical scheme of the present invention discloses a new application of fingolimod, which has bacteriostatic activity and lower gram-positive bacteria, such as Staphylococcus aureus, Enterococcus and Streptococcus agalactiae, etc. The MIC value, especially in the environment of Staphylococcus aureus, fingolimod has a strong bactericidal effect on Staphylococcus aureus, and the MIC value is generally 3.125μg/mL; it can significantly inhibit grape aureus at 1/2 MIC. Formation of coccus biofilms; in addition, fingolimod has demonstrated the ability to clear Staphylococcus aureus biofilms at a concentration of 2×MIC, and can significantly remove Staphylococcus aureus biofilms at concentrations ≥4×MIC membrane. Fingolimod also induced a significant decrease in the ability of Staphylococcus aureus to form biofilms.
Description
技术领域technical field
本发明属于医药技术领域,尤其涉及芬戈莫德用于抑制革兰阳性细菌活性的用途。The invention belongs to the technical field of medicine, and particularly relates to the use of fingolimod for inhibiting the activity of gram-positive bacteria.
背景技术Background technique
金黄色葡萄球菌简称金葡菌,是医院和社区获得性感染的常见致病菌之一,也是目前最常见的危及生命的细菌感染之一,可引起一系列化脓性感染及食物中毒,甚至引起败血症、中毒性休克综合征等严重危及生命的疾病。随着抗菌药物的广泛使用,金黄色葡萄球菌的耐药检出率不断升高,尤其是耐甲氧西林金黄色葡萄球菌(MRSA),甚至耐万古霉素的金黄色葡萄球菌(VRSA)也不断增多,金黄色葡萄球菌可能突破人类抗生素最后的防线,直接威胁人类的生命健康,研发新的抗金黄色葡萄球菌药物已是迫在眉睫。此外,无论是MRSA或MSSA的金葡菌都可以在人体组织细胞或医用植入材料的表面形成生物膜,进而降低对抗菌药物的敏感性并且以此逃避宿主免疫细胞攻击等;而细菌生物膜还会导致持留菌的形成,最终导致患者慢性感染和迁延不愈,严重影响患者的生活质量。目前,只有很少的对金葡菌生物膜形成具有抑制活性的抗菌药物,因此,研究开发能高效抑制金黄色葡萄球菌生物膜形成的药物存在迫切的需求。Staphylococcus aureus, referred to as Staphylococcus aureus, is one of the common pathogens of hospital and community-acquired infections, and one of the most common life-threatening bacterial infections. It can cause a series of purulent infections, food poisoning, and even cause Serious life-threatening diseases such as sepsis and toxic shock syndrome. With the widespread use of antibacterial drugs, the detection rate of drug resistance of Staphylococcus aureus continues to increase, especially methicillin-resistant Staphylococcus aureus (MRSA), and even vancomycin-resistant Staphylococcus aureus (VRSA) With the continuous increase, Staphylococcus aureus may break through the last line of defense of human antibiotics and directly threaten human life and health. It is urgent to develop new anti-Staphylococcus aureus drugs. In addition, either MRSA or MSSA Staphylococcus aureus can form biofilms on the surface of human tissue cells or medical implant materials, thereby reducing the sensitivity to antimicrobial drugs and evading host immune cell attacks. Bacterial biofilms It will also lead to the formation of persistent bacteria, which will eventually lead to chronic infection and prolonged unhealing of patients, seriously affecting the quality of life of patients. At present, there are only a few antibacterial drugs that have inhibitory activity on the formation of Staphylococcus aureus biofilms. Therefore, there is an urgent need to research and develop drugs that can effectively inhibit the formation of Staphylococcus aureus biofilms.
目前临床上抗金黄色葡萄球菌药物为苯唑西林、万古霉素和利奈唑胺,其中MSSA用药首选苯唑西林,而MRSA用药只能选择万古霉素。而万古霉素对机体肾脏和耳神经具有较强的毒副作用,而利奈唑胺为抑菌药物,杀菌作用并不强。At present, the clinical anti-Staphylococcus aureus drugs are oxacillin, vancomycin and linezolid. Among them, oxacillin is the first choice for MSSA, and vancomycin is the only choice for MRSA. Vancomycin has strong toxic and side effects on the kidneys and ear nerves, while linezolid is a bacteriostatic drug, and its bactericidal effect is not strong.
芬戈莫德(Fingolimod)是从冬虫夏草中分离的免疫相关成分多球壳菌素1(ISP-1)经化学修饰后所得的一种新型免疫抑制剂。研究发现其除具有免疫抑制作用外,还对脑卒中以及神经功能损伤具有一定的改善作用。它通过诱导受体下调而充当鞘氨醇1-磷酸受体(S1PR)的非选择性激动剂和S1P1亚型的选择性功能拮抗剂从而发挥其生理活性作用。查阅文献发现,目前尚未发现有关该药抗菌活性的研究。Fingolimod is a new type of immunosuppressant obtained by chemical modification of the immune-related component myriocin-1 (ISP-1) isolated from Cordyceps sinensis. Studies have found that in addition to its immunosuppressive effect, it also has a certain improvement effect on stroke and neurological damage. It acts as a non-selective agonist of sphingosine 1-phosphate receptor (S1PR) and a selective functional antagonist of S1P1 subtype by inducing receptor downregulation to exert its physiological activity. A review of the literature found that no studies on the antibacterial activity of the drug have been found so far.
发明内容SUMMARY OF THE INVENTION
针对以上技术问题,本发明公开了一种芬戈莫德用于抑制革兰阳性细菌活性的用途,该用途为芬戈莫德的一种新用途,芬戈莫德对多种革兰阳性细菌比如金黄色葡萄球菌、肠球菌和无乳链球菌等具有较好的抑菌、杀菌作用,并可以显著抑制革兰阳性细菌生物膜的形成,尤其是抑制金黄色葡萄球菌生物膜的形成。In view of the above technical problems, the present invention discloses a use of fingolimod for inhibiting the activity of gram-positive bacteria, which is a new use of fingolimod. For example, Staphylococcus aureus, Enterococcus and Streptococcus agalactiae have good bacteriostatic and bactericidal effects, and can significantly inhibit the formation of gram-positive bacterial biofilms, especially the formation of Staphylococcus aureus biofilms.
对此,本发明采用的技术方案为:To this, the technical scheme adopted in the present invention is:
芬戈莫德用于抑制革兰阳性细菌活性的用途,所述芬戈莫德用于抑制革兰阳性细菌生长的的活性。所述革兰阳性细菌为金黄色葡萄球菌、肠球菌和无乳链球菌等。Use of fingolimod for inhibiting the activity of Gram-positive bacteria, said fingolimod for inhibiting the growth of Gram-positive bacteria. The gram-positive bacteria are Staphylococcus aureus, Enterococcus, Streptococcus agalactiae and the like.
芬戈莫德是鞘氨醇1-磷酸盐受体调节剂类药,临床多用于多发性硬化症,还用于脑卒中等神经系统疾病。尽管芬戈莫德已经在临床应用多年,尚未见到其抗感染的研究报道。本发明发现芬戈莫德具有良好的抑制革兰阳性细菌尤其是抑制金黄色葡萄球菌活性的作用。在多种革兰阳性细菌(比如金黄色葡萄球菌、肠球菌和无乳链球菌等)导致的各类细菌感染相关抗生素,芬戈莫德具有抑菌活性和较低的MIC(minimum inhibitoryconcentration,最低抑菌浓度)值。Fingolimod is a sphingosine 1-phosphate receptor modulator drug, which is mostly used clinically for multiple sclerosis, as well as for neurological diseases such as stroke. Although fingolimod has been used clinically for many years, there is no research report on its anti-infection. It is found in the present invention that fingolimod has a good effect on inhibiting the activity of Gram-positive bacteria, especially Staphylococcus aureus. Fingolimod has bacteriostatic activity and low MIC (minimum inhibitory concentration, the lowest) in various bacterial infections related antibiotics caused by a variety of gram-positive bacteria (such as Staphylococcus aureus, Enterococcus, and Streptococcus agalactiae, etc.). Inhibitory concentration) value.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于1.5625μg/mL。优选的,所述芬戈莫德抑制革兰阳性细菌的MIC为1.5625-12.5μg/mL。其中,所述革兰阳性细菌为金黄色葡萄球菌、肠球菌和无乳链球菌等。As a further improvement of the present invention, the concentration of fingolimod is not less than 1.5625 μg/mL. Preferably, the MIC of fingolimod for inhibiting Gram-positive bacteria is 1.5625-12.5 μg/mL. Wherein, the gram-positive bacteria are Staphylococcus aureus, Enterococcus, Streptococcus agalactiae and the like.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于3.125μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 3.125 μg/mL.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于6.25μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 6.25 μg/mL.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于12.5μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 12.5 μg/mL.
作为本发明的进一步改进,芬戈莫德用于革兰阳性细菌(金黄色葡萄球菌、肠球菌和无乳链球菌等)导致的各类细菌感染的相关抗生素。As a further improvement of the present invention, fingolimod is used as a relevant antibiotic for various bacterial infections caused by gram-positive bacteria (Staphylococcus aureus, Enterococcus, Streptococcus agalactiae, etc.).
本发明公开了芬戈莫德用于抗金黄色葡萄球菌生物膜活性的用途,所述芬戈莫德在4×MIC的浓度具备清除生物膜活性。经过研究发现,芬戈莫德的MIC值普遍在3.125μg/mL,并且有较强的杀菌作用。芬戈莫德的浓度在1/2MIC即1.5625μg/mL时能够显著抑制金黄色葡萄球菌生物膜的形成;此外,在芬戈莫德浓度为2×MIC即6.25μg/mL时,已表现出清除金黄色葡萄球菌生物膜的能力,而在浓度大于4×MIC即12.5μg/mL时,能够显著的清除金黄色葡萄球菌生物膜。The invention discloses the use of fingolimod for anti-Staphylococcus aureus biofilm activity, and the fingolimod has biofilm removal activity at a concentration of 4×MIC. After research, it was found that the MIC value of fingolimod is generally 3.125 μg/mL, and it has a strong bactericidal effect. The concentration of fingolimod can significantly inhibit the formation of Staphylococcus aureus biofilm at 1/2 MIC, that is, 1.5625 μg/mL; in addition, when the concentration of fingolimod is 2×MIC, that is, 6.25 μg/mL, it has been shown The ability to remove Staphylococcus aureus biofilm, and when the concentration is greater than 4 × MIC or 12.5μg/mL, it can significantly remove Staphylococcus aureus biofilm.
本发明公开了芬戈莫德在制备抗革兰阳性细菌感染的药物中的应用,所述抗革兰阳性细菌感染的药物包括芬戈莫德。其中,所述革兰阳性细菌为金黄色葡萄球菌、肠球菌和无乳链球菌等。The invention discloses the application of fingolimod in the preparation of a medicament against gram-positive bacterial infection, and the medicament against gram-positive bacterial infection includes fingolimod. Wherein, the gram-positive bacteria are Staphylococcus aureus, Enterococcus, Streptococcus agalactiae and the like.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于1.5625μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 1.5625 μg/mL.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于3.125μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 3.125 μg/mL.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于6.25μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 6.25 μg/mL.
作为本发明的进一步改进,所述芬戈莫德的浓度为不小于12.5μg/mL。As a further improvement of the present invention, the concentration of fingolimod is not less than 12.5 μg/mL.
优选的,所述芬戈莫德的浓度为1.5625-12.5μg/mL。Preferably, the concentration of fingolimod is 1.5625-12.5 μg/mL.
优选的,该药物的形式可以是喷雾、口服颗粒、口服片剂或注射针剂。Preferably, the drug can be in the form of spray, oral granules, oral tablets or injection.
作为本发明的进一步改进,所述抗革兰阳性细菌感染的药物包含其他的药物,比如其他抗生素。优选的,所述抗革兰阳性细菌感染的药物包含苯唑西林。将芬戈莫德与苯唑西林进行联用,具有更好的抗革兰阳性细菌尤其是金黄色葡萄球菌感染的作用。As a further improvement of the present invention, the drug against Gram-positive bacterial infection includes other drugs, such as other antibiotics. Preferably, the drug against gram-positive bacterial infection comprises oxacillin. The combined use of fingolimod and oxacillin has better anti-gram-positive bacteria, especially Staphylococcus aureus infection.
作为本发明的进一步改进,所述抗革兰阳性细菌感染的药物中,芬戈莫德的浓度为不小于3.125μg/mL,苯唑西林的浓度为不小于0.25μg/mL。优选的,所述苯唑西林的浓度为不小于0.5μg/mL。优选的,所述苯唑西林的浓度为不小于16μg/mL。As a further improvement of the present invention, in the drug against gram-positive bacterial infection, the concentration of fingolimod is not less than 3.125 μg/mL, and the concentration of oxacillin is not less than 0.25 μg/mL. Preferably, the concentration of the oxacillin is not less than 0.5 μg/mL. Preferably, the concentration of the oxacillin is not less than 16 μg/mL.
本发明公开了芬戈莫德在制备用于医疗器械表面的涂料中的应用,所述芬戈莫德用于抑制革兰阳性细菌生物被膜形成和革兰阳性细菌的粘附。The invention discloses the application of fingolimod in the preparation of coatings for the surface of medical devices, the fingolimod is used for inhibiting the formation of gram-positive bacteria biofilm and the adhesion of gram-positive bacteria.
作为本发明的进一步改进,所述用于医疗器械表面的涂料中,所述芬戈莫德的浓度为不小于1.5625μg/mL。优选的,所述芬戈莫德的浓度为1.5625-12.5μg/mL。所述芬戈莫德的浓度为1.5625-12.5μg/mL均具有抑制生物膜形成能力,因此如果直接将化合物粘附于医学材料表面,可以减少革兰阳性细菌在医学材料表面的粘附。As a further improvement of the present invention, in the coating for the surface of a medical device, the concentration of fingolimod is not less than 1.5625 μg/mL. Preferably, the concentration of fingolimod is 1.5625-12.5 μg/mL. The fingolimod concentration of 1.5625-12.5 μg/mL has the ability to inhibit biofilm formation, so if the compound is directly adhered to the surface of the medical material, the adhesion of Gram-positive bacteria on the surface of the medical material can be reduced.
本发明公开了一种用于医疗器械表面的涂料,其包括芬戈莫德。优选的,所述芬戈莫德的浓度为不小于1.5625μg/mL。优选的,所述芬戈莫德的浓度为不小于3.125μg/mL。优选的,所述芬戈莫德的浓度为不小于6.25μg/mL。优选的,所述芬戈莫德的浓度为不小于12.5μg/mL。The invention discloses a coating for the surface of medical equipment, which comprises fingolimod. Preferably, the concentration of fingolimod is not less than 1.5625 μg/mL. Preferably, the concentration of fingolimod is not less than 3.125 μg/mL. Preferably, the concentration of fingolimod is not less than 6.25 μg/mL. Preferably, the concentration of fingolimod is not less than 12.5 μg/mL.
本发明公开了芬戈莫德在制备抗革兰阳性细菌的消毒剂中的应用,所述抗革兰阳性细菌的消毒剂包含芬戈莫德。所述芬戈莫德可以抑制革兰阳性细菌生物被膜形成和革兰阳性细菌的粘附。芬戈莫德对抑制或杀灭多种革兰阳性细菌(如金黄色葡萄球菌、肠球菌和无乳链球菌等)具有良好活性。The invention discloses the application of fingolimod in the preparation of a disinfectant against Gram-positive bacteria, and the disinfectant against Gram-positive bacteria comprises fingolimod. The fingolimod can inhibit gram-positive bacterial biofilm formation and gram-positive bacterial adhesion. Fingolimod has good activity for inhibiting or killing a variety of Gram-positive bacteria (such as Staphylococcus aureus, Enterococcus and Streptococcus agalactiae, etc.).
其中,所述芬戈莫德抑制或杀灭革兰阳性细菌的MIC值低于6.25μg/mL。优选的,所述抗革兰阳性细菌的消毒剂中,所述芬戈莫德的浓度为不小于1.5625μg/mL。优选的,所述芬戈莫德的浓度为不小于3.125μg/mL。优选的,所述芬戈莫德的浓度为不小于6.25μg/mL。优选的,所述芬戈莫德的浓度为不小于12.5μg/mL。Wherein, the MIC value of the fingolimod for inhibiting or killing Gram-positive bacteria is lower than 6.25 μg/mL. Preferably, in the anti-Gram-positive bacteria disinfectant, the concentration of fingolimod is not less than 1.5625 μg/mL. Preferably, the concentration of fingolimod is not less than 3.125 μg/mL. Preferably, the concentration of fingolimod is not less than 6.25 μg/mL. Preferably, the concentration of fingolimod is not less than 12.5 μg/mL.
本发明公开了一种抗革兰阳性细菌的消毒剂,其包括芬戈莫德。优选的,所述抗革兰阳性细菌的消毒剂中,所述芬戈莫德的浓度为不小于1.5625μg/mL。优选的,所述芬戈莫德的浓度为不小于3.125μg/mL。优选的,所述芬戈莫德的浓度为不小于6.25μg/mL。优选的,所述芬戈莫德的浓度为不小于12.5μg/mL。The invention discloses a disinfectant against Gram-positive bacteria, which comprises fingolimod. Preferably, in the anti-Gram-positive bacteria disinfectant, the concentration of fingolimod is not less than 1.5625 μg/mL. Preferably, the concentration of fingolimod is not less than 3.125 μg/mL. Preferably, the concentration of fingolimod is not less than 6.25 μg/mL. Preferably, the concentration of fingolimod is not less than 12.5 μg/mL.
与现有技术相比,本发明的有益效果为:Compared with the prior art, the beneficial effects of the present invention are:
本发明的技术方案公开了芬戈莫德的一个新的用途,其用于抑制革兰阳性细菌活性的用途,所述革兰阳性细菌为金黄色葡萄球菌、肠球菌和无乳链球菌等,该药具有抑菌活性和较低的MIC值。尤其在金黄色葡萄球菌的环境中,芬戈莫德对金黄色葡萄球菌具有较强的杀菌作用,MIC值普遍在3.125μg/mL。其在1/2MIC时能够显著抑制金黄色葡萄球菌生物膜的形成;此外,在芬戈莫德浓度为2×MIC时,已表现出清除金黄色葡萄球菌生物膜的能力,而在浓度≥4×MIC时,能够显著的清除金黄色葡萄球菌生物膜。芬戈莫德还可以诱导金黄色葡萄球菌生物膜形成能力显著下降。优选的,芬戈莫德可以联合苯唑西林,对金黄色葡萄球菌细菌生长具有更好的协同抑制作用。The technical scheme of the present invention discloses a new application of fingolimod, which is used for inhibiting the activity of gram-positive bacteria, and the gram-positive bacteria are Staphylococcus aureus, Enterococcus, Streptococcus agalactiae, etc., The drug has bacteriostatic activity and low MIC value. Especially in the environment of Staphylococcus aureus, fingolimod has a strong bactericidal effect on Staphylococcus aureus, and the MIC value is generally 3.125 μg/mL. It can significantly inhibit the formation of Staphylococcus aureus biofilm at 1/2 MIC; in addition, at the concentration of fingolimod at 2 × MIC, it has shown the ability to clear Staphylococcus aureus biofilm, while at concentrations ≥ 4 When ×MIC, it can significantly remove Staphylococcus aureus biofilm. Fingolimod also induced a significant decrease in the ability of Staphylococcus aureus to form biofilms. Preferably, fingolimod can be combined with oxacillin to have a better synergistic inhibitory effect on the bacterial growth of Staphylococcus aureus.
附图说明Description of drawings
图1是本发明实施例的八株金黄色葡萄球菌在不同浓度芬戈莫德作用下生长曲线图,其中a)为SE13金黄色葡萄球菌,b)为SE16金黄色葡萄球菌,c)为CHS350金黄色葡萄球菌,d)为SA113金黄色葡萄球菌,e)为YUSA10金黄色葡萄球菌,f)为CHS655金黄色葡萄球菌,g)为CHS101金黄色葡萄球菌,h)为YUSA16金黄色葡萄球菌。Fig. 1 is the growth curve diagram of eight strains of Staphylococcus aureus of the embodiment of the present invention under the action of different concentrations of fingolimod, wherein a) is SE13 Staphylococcus aureus, b) is SE16 Staphylococcus aureus, and c) is CHS350 Staphylococcus aureus, d) is SA113 Staphylococcus aureus, e) is YUSA10 Staphylococcus aureus, f) is CHS655 Staphylococcus aureus, g) is CHS101 Staphylococcus aureus, h) is YUSA16 Staphylococcus aureus.
图2是本发明实施例的不同粪肠球菌在不同浓度芬戈莫德作用下的生长曲线;其中,a)为粪肠球菌EF16C112,b)为粪肠球菌EF16C118,c)为粪肠球菌EF16C123,d)为粪肠球菌EF16C129。Fig. 2 is the growth curve of different Enterococcus faecalis under the action of different concentrations of fingolimod in the embodiment of the present invention; wherein, a) is Enterococcus faecalis EF16C112, b) is Enterococcus faecalis EF16C118, c) is Enterococcus faecalis EF16C123 , d) is Enterococcus faecalis EF16C129.
图3是本发明实施例的不同无乳链球菌在不同浓度芬戈莫德作用下的生长曲线;其中,a)为无乳链球菌NSGC64,b)为无乳链球菌NSGC116。3 is the growth curve of different Streptococcus agalactiae under the action of different concentrations of fingolimod in the embodiment of the present invention; wherein, a) is Streptococcus agalactiae NSGC64, and b) is Streptococcus agalactiae NSGC116.
图4是本发明实施例在4×MIC的药物浓度下芬戈莫德针对SE13和为CHS350的杀菌曲线图;其中,a)为SE113金黄色葡萄球菌,b)为CHS350金黄色葡萄球菌。FIG. 4 is a bactericidal curve diagram of fingolimod against SE13 and CHS350 under the drug concentration of 4×MIC according to the embodiment of the present invention; wherein, a) is SE113 Staphylococcus aureus, and b) is CHS350 Staphylococcus aureus.
图5是本发明实施例的芬戈莫德抑制金黄色葡萄球菌生物膜形成结晶紫结果图。FIG. 5 is a graph showing the results of inhibiting the formation of crystal violet by fingolimod in the biofilm of Staphylococcus aureus according to an embodiment of the present invention.
图6是本发明实施例的不同浓度芬戈莫德对金黄色葡萄球菌生物膜形成抑制能力结果。对6株临床金黄色葡萄球菌(4株MSSA、2株MRSA)加入或不加入芬戈莫德培养后,生物膜用1%结晶紫染色,并通过570nm(OD570)的光密度检测。*与对照组相比,P<0.01;**与对照相比,P<0.001(t检验)。FIG. 6 is the results of the inhibition ability of fingolimod at different concentrations on Staphylococcus aureus biofilm formation according to the embodiment of the present invention. After culturing 6 clinical S. aureus strains (4 strains MSSA, 2 strains MRSA) with or without fingolimod, biofilms were stained with 1% crystal violet and detected by optical density at 570 nm (OD570). *P<0.01 compared to control; **P<0.001 compared to control (t-test).
图7是本发明实施例的芬戈莫德、利奈唑胺、万古霉素单药以及联合用药对不同金黄色葡萄球菌抑菌活性结果,其中a)为CHS350金黄色葡萄球菌,b)为CHS655金黄色葡萄球菌,c)为YUSA10金黄色葡萄球菌,d)为YUSA16金黄色葡萄球菌。Fig. 7 is the antibacterial activity results of fingolimod, linezolid, vancomycin single drug and combination drug on different Staphylococcus aureus of the embodiment of the present invention, wherein a) is CHS350 Staphylococcus aureus, b) is CHS655 Staphylococcus aureus, c) is YUSA10 Staphylococcus aureus, d) is YUSA16 Staphylococcus aureus.
图8是本发明实施例的芬戈莫德、苯唑西林单药以及联合用药对不同金黄色葡萄球菌抑菌活性结果,a)为YUSA10金黄色葡萄球菌,b)为YUSA16金黄色葡萄球菌,c)为CHS350金黄色葡萄球菌。Fig. 8 is the antibacterial activity result of fingolimod, oxacillin single drug and combination drug of the embodiment of the present invention to different Staphylococcus aureus, a) is YUSA10 Staphylococcus aureus, b) is YUSA16 Staphylococcus aureus, c) is CHS350 Staphylococcus aureus.
图9是本发明实施例的芬戈莫德清除金黄色葡萄球菌生物膜结晶紫结果。Fig. 9 is the result of clearing crystal violet of Staphylococcus aureus biofilm by fingolimod in the embodiment of the present invention.
图10是本发明实施例的不同浓度芬戈莫德及三种抗生素清除金黄色葡萄球菌生物膜的结果图。*与对照组相比,P<0.01;**与对照相比,P<0.001(t检验)。FIG. 10 is a graph showing the results of clearing Staphylococcus aureus biofilm with different concentrations of fingolimod and three antibiotics in the embodiment of the present invention. *P<0.01 compared to control; **P<0.001 compared to control (t-test).
图11是本发明实施例的芬戈莫德诱导菌株生物膜形成能力检测结果。*与对照组相比,P<0.001。FIG. 11 is the test result of biofilm formation ability of fingolimod-induced strains according to the embodiment of the present invention. *P<0.001 compared to control group.
具体实施方式Detailed ways
下面对本发明的较优的实施例作进一步的详细说明。The preferred embodiments of the present invention will be further described in detail below.
多种革兰阳性细菌(包括金黄色葡萄球菌、粪肠球菌和无乳链球菌等)是院内感染和社区获得性感染常见的条件性致病菌,随着抗菌药的广泛和频繁使用,世界各地MRSA的感染率不断上升,严重威胁人类的生命健康,而耐万古霉素的金黄色葡萄球菌的出现,更是加剧了这一形式,迫切需要研发新的抗金黄色葡萄球菌的药物。A variety of gram-positive bacteria (including Staphylococcus aureus, Enterococcus faecalis, and Streptococcus agalactiae, etc.) are common opportunistic pathogens in nosocomial and community-acquired infections. The infection rate of MRSA is rising in various places, which seriously threatens human life and health. The emergence of vancomycin-resistant Staphylococcus aureus has exacerbated this form. There is an urgent need to develop new anti-Staphylococcus aureus drugs.
芬戈莫德临床多用于多发性硬化症,还用于脑卒中等神经系统疾病。尽管已经在临床应用多年,尚未见到其抗感染的研究报道。本发明发现芬戈莫德的用于抗多种革兰阳性细菌活性的(包括金黄色葡萄球菌、粪肠球菌和无乳链球菌等)的新用途,下面为实验过程:Fingolimod is mostly used clinically for multiple sclerosis and also for neurological diseases such as stroke. Although it has been used clinically for many years, there is no research report on its anti-infection. The present invention finds the new application of fingolimod for anti-a variety of gram-positive bacteria activity (including Staphylococcus aureus, Enterococcus faecalis and Streptococcus agalactiae, etc.), the following is the experimental process:
1.1菌株资料1.1 strain information
从我院前期收集的临床菌株中选择7株金黄色葡萄球菌(MRSA 2株,MSSA5株)作为本研究实验菌株。使用美国BD公司的Phoenix 100自动分析鉴定仪对复苏后的菌种进行初步鉴定分析,菌株接种稳定传两代后使用飞行质谱仪(德国IVD MALDI Biotyper)再次鉴定。本研究使用的药敏质控菌株为金黄色葡萄球菌ATCC29213,SA113为生物膜阳性对照菌株。粪肠球菌和无乳链球菌临床菌株均从华中科技大学协和深圳医院临床微生物室收集。Seven strains of Staphylococcus aureus (2 strains of MRSA and 5 strains of MSSA) were selected from the clinical strains collected in our hospital in the early stage as the experimental strains in this study. The resuscitated strains were preliminarily identified and analyzed using the Phoenix 100 automatic analysis and identification instrument from BD Company in the United States, and the strains were re-identified using a flight mass spectrometer (IVD MALDI Biotyper, Germany) after inoculation and stable passage for two generations. The drug-susceptible quality control strain used in this study was Staphylococcus aureus ATCC29213, and SA113 was the biofilm positive control strain. The clinical strains of Enterococcus faecalis and Streptococcus agalactiae were collected from the clinical microbiology laboratory of Huazhong University of Science and Technology Union Shenzhen Hospital.
1.2肉汤稀释法测量芬戈莫德对金葡菌的最小抑菌浓度(MIC)1.2 The minimum inhibitory concentration (MIC) of fingolimod against Staphylococcus aureus was measured by broth dilution method
菌株在TSB培养基中37℃,220rpm/min摇菌过夜培养10-12h;将上述菌液用上述菌液用无菌生理盐水调节浊度达到0.5麦氏(菌量约为1.0×108cfu/ml),再用加药的CAMHB培养基1:100稀释,药物用CAMHB培养基进行系列倍比稀释,药物8个梯度(100μg/mL倍比递减至0.78μg/mL),将菌液加入96孔板中,设3复孔,置于37℃培养箱培养20-24h后观察各孔的细菌生长完全被抑制的最小浓度。Bacteria were cultured overnight in TSB medium at 37°C and 220rpm/min for 10-12h; the above bacterial solution was adjusted with sterile saline to reach turbidity of 0.5 McFarland (the bacterial volume was about 1.0×10 8 cfu /ml), and then diluted 1:100 with medicated CAMHB medium, the drug was serially diluted with CAMHB medium, and the drug was 8 gradients (100 μg/mL times decreased to 0.78 μg/mL), and the bacterial liquid was added In a 96-well plate, set 3 duplicate wells, and place them in a 37°C incubator for 20-24 hours to observe the minimum concentration at which bacterial growth in each well is completely inhibited.
1.3芬戈莫德杀灭金黄色葡萄球菌曲线测定1.3 Determination of fingolimod killing curve of Staphylococcus aureus
菌株在MHB培养基中37℃,220rpm/min摇菌过夜培养12h后,用CAMHB培养基以1:100稀释继续37℃、220rpm/min摇菌2小时。吸取1mL菌液0.9%NaCl稀释涂板(TSA平板)计数,同时将菌液分装并加入4×MIC药物浓度,在药物作用3小时及24小时时,吸取1mL菌液0.9%NaCl离心洗涤1次后重悬稀释涂板计数。The strains were incubated overnight at 37°C and 220rpm/min in MHB medium for 12h, and then diluted with CAMHB medium at 1:100 and continued to be shaken at 37°C and 220rpm/min for 2 hours.
1.4芬戈莫德抑制金黄色葡萄球菌后生物膜测定1.4 Biofilm assay after fingolimod inhibited Staphylococcus aureus
使用96孔板(Costar 3599,200μL/孔)建立金黄色葡萄球菌生物膜模型,结晶紫染色生物膜,酶标仪测OD570吸光值。简单来说,取菌株1:200稀释后在TSB培养基中37℃,200rpm/min活化过夜10-12小时后,用含有芬戈莫德的TSBG培养基(TSB含0.25%葡萄糖)1:200稀释后加入96孔板中,设三复孔;静置培养24小时后去上清,0.9%NaCl溶液洗板3次,用1%结晶紫溶液染色20分钟后用ddH2O冲洗游离的结晶紫;使用酶标仪检测OD570吸光值判断菌株生物膜含量。A 96-well plate (Costar 3599, 200 μL/well) was used to establish a Staphylococcus aureus biofilm model, the biofilm was stained with crystal violet, and the OD570 absorbance value was measured by a microplate reader. Briefly, strains were diluted 1:200 and activated in TSB medium at 37°C at 200rpm/min overnight for 10-12 hours, then treated with fingolimod-containing TSBG medium (TSB containing 0.25% glucose) 1:200 After dilution, it was added to a 96-well plate, and three wells were set; after standing for 24 hours, the supernatant was removed, the plate was washed three times with 0.9% NaCl solution, stained with 1% crystal violet solution for 20 minutes, and the free crystal violet was washed with ddH2O; Use a microplate reader to detect the absorbance of OD570 to determine the biofilm content of the strain.
1.5芬戈莫德清除金黄色葡萄球菌后生物膜测定1.5 Biofilm assay after fingolimod eradication of Staphylococcus aureus
菌株按上述方法复苏10-12小时后,用TSBG培养基1:200稀释后加入到96孔板中,设三复孔;在培养箱中37℃静置培养24小时后,小心吸出上清,0.9%NaCl溶液轻柔洗涤三次,加入含药的TSBG溶液培养48小时,24小时换药。按上述方法染色并测量吸光度。After the strain was recovered for 10-12 hours according to the above method, it was diluted with TSBG medium at 1:200 and added to a 96-well plate, and three duplicate wells were set; The 0.9% NaCl solution was gently washed three times, and the drug-containing TSBG solution was added to incubate for 48 hours, and the dressing was changed at 24 hours. Stain and measure absorbance as described above.
1.6实验菌株浮游菌生长曲线测定1.6 Determination of growth curve of planktonic bacteria of experimental strains
使用芬兰Bioscreen全自动生长曲线分析仪检测细菌的生长曲线:取菌株1:200稀释后在TSB培养基中37℃,200rpm/min活化过夜10-12小时后,以1:200加入提前配好的含不同浓度药物的TSB培养基中,并三复孔添加至全自动生长曲线仪专用孔板中,药物浓度按倍比稀释法配制;按仪器说明书书设定好程序,每一小时测量OD600吸光值检测浮游菌生长活性,记录24小时,实验重复三次,最终结果为检测平均值。Use the Finnish Bioscreen automatic growth curve analyzer to detect the growth curve of bacteria: take the strain at 1:200 dilution, activate it in TSB medium at 37°C, 200rpm/min overnight for 10-12 hours, and add the pre-prepared strain at 1:200. In TSB medium containing different concentrations of drugs, and three duplicate wells were added to the special well plate of the automatic growth curve instrument, the drug concentration was prepared according to the multi-dilution method; the program was set according to the instrument manual, and the OD600 absorbance was measured every hour. Measure the growth activity of planktonic bacteria, record for 24 hours, repeat the experiment three times, and the final result is the average value of detection.
1.7统计处理1.7 Statistical processing
采用GraphPad prism 8.0软件对数据进行统计处理,计量数据以x±s表示,采用两个独立样本均数的t检验,检验水准α=0.05,当P<0.05时认为差异具有统计学意义。GraphPad prism 8.0 software was used for statistical processing of data, measurement data were expressed as x ± s, and t-test was used for the mean of two independent samples.
通过上述实验,经过统计分析后实验结果如下:Through the above experiments, the experimental results after statistical analysis are as follows:
(1)芬戈莫德对金黄色葡萄球菌、粪肠球菌、无乳链球菌具有较好的抑菌作用(1) Fingolimod has good bacteriostatic effect on Staphylococcus aureus, Enterococcus faecalis and Streptococcus agalactiae
实验中我们选择了SE13、SE16、CHS350、SA113、YUSA10、CHS655、CHS101、YUSA16八株金葡菌,EF16C112、EF16C118、EF16C123、EF16C128四株粪肠球菌,NSGC116、NSGC64两株无乳链球菌,在不同浓度的芬戈莫德作用下每隔1小时测定它们的OD值,绘制24小时生长曲线,如图1~图3所示。从结果中可以看出,当芬戈莫德浓度为3.125μg/mL时,已经出现了抑制金黄色葡萄球菌和粪肠球菌生长的作用,当浓度≥6.25μg/mL时,所有的金葡菌和粪肠球菌几乎不能生长,另外选择50株临床粪肠球菌菌株进一步证实其MIC≤6.25μg/mL;而对于无乳链球菌,在浓度为1.56μg/mL就出现的明显的抑制作用,当浓度≥3.125μg/mL则几乎完全抑制生长,另外选择60株临床无乳链球菌菌株进一步证实其MIC≤3.125μg/mL。上述结果表明芬戈莫德具有良好的抑制革兰氏阳性菌生长的能力,在很低的浓度下就体现处抑菌效果。如图1、图2、图3所示。In the experiment, we selected eight Staphylococcus aureus strains SE13, SE16, CHS350, SA113, YUSA10, CHS655, CHS101 and YUSA16, four strains of Enterococcus faecalis EF16C112, EF16C118, EF16C123 and EF16C128, and two strains of Streptococcus agalactiae NSGC116 and NSGC64. Under the action of different concentrations of fingolimod, their OD values were measured every 1 hour, and a 24-hour growth curve was drawn, as shown in Figures 1 to 3. It can be seen from the results that when the concentration of fingolimod is 3.125μg/mL, the effect of inhibiting the growth of Staphylococcus aureus and Enterococcus faecalis has appeared, and when the concentration is ≥6.25μg/mL, all Staphylococcus aureus and Enterococcus faecalis can hardly grow, and 50 clinical Enterococcus faecalis strains were selected to further confirm that their MIC≤6.25μg/mL; while for Streptococcus agalactiae, the obvious inhibitory effect appeared at the concentration of 1.56μg/mL, when Concentration ≥3.125μg/mL almost completely inhibited the growth, and 60 clinical strains of Streptococcus agalactiae were selected to further confirm their MIC≤3.125μg/mL. The above results show that fingolimod has a good ability to inhibit the growth of Gram-positive bacteria, and it has a bacteriostatic effect at a very low concentration. As shown in Figure 1, Figure 2, and Figure 3.
(2)芬戈莫德对金黄色葡萄球菌具有较好的杀菌作用(2) Fingolimod has a good bactericidal effect on Staphylococcus aureus
用肉汤稀释法测得8株金葡菌株的MIC值均为3.125μg/mL,我们从中选择SA113(MSSA)和CHS350(MRSA)两株菌株(芬戈莫德及实验所用抗生素MIC值如表1所示),在4×MIC作用下检测芬戈莫德杀菌作用,并联合万古霉素、头孢唑林(仅作用于SA113)、利奈唑胺检测杀菌作用,结果如表1所示。选择0小时及药物作用3小时和24小时取1mL菌液稀释涂板计数。如图4所示,结果表明,芬戈莫德有良好的杀灭金葡菌的作用,尤其是对MSSA的杀灭作用。The MIC values of 8 strains of Staphylococcus aureus were all 3.125 μg/mL measured by the broth dilution method. We selected two strains of SA113 (MSSA) and CHS350 (MRSA) (Fingolimod and the antibiotics used in the experiment). The MIC values are shown in the table. 1), the bactericidal effect of fingolimod was detected under the action of 4×MIC, and the bactericidal effect of vancomycin, cefazolin (only acting on SA113), and linezolid was detected. The results are shown in Table 1. Select 0 hours and drug effects for 3 hours and 24 hours to take 1 mL of bacterial solution to dilute and plate for counting. As shown in Figure 4, the results show that fingolimod has a good killing effect on Staphylococcus aureus, especially on MSSA.
表1芬戈莫德及四种抗生素MIC值Table 1 MIC values of fingolimod and four antibiotics
(3)芬戈莫德显著抑制金黄色葡萄球菌生物膜形成(3) Fingolimod significantly inhibited the formation of Staphylococcus aureus biofilm
我们实验中从上述菌株中选择6株生物膜强阳性菌株,其中SE13、SE16、SA113、YUSA10为MSSA,CHS350、CHS655为MRSA,在1/2MIC、1/4MIC、1/8MIC芬戈莫德浓度作用下检测菌株形成生物膜的能力。结果如图5和图6所示,表明在1/2MIC浓度下,芬戈莫德能显著抑制金黄色葡萄球菌生物膜形成,当浓度为1/4MIC时,芬戈莫德抑制生物膜形成的能力显著下降,1/8MIC时已不在有抑制生物膜形成的能力。1×MIC菌株未生长。In our experiment, 6 biofilm-positive strains were selected from the above-mentioned strains, among which SE13, SE16, SA113, YUSA10 were MSSA, CHS350, CHS655 were MRSA, at 1/2MIC, 1/4MIC, 1/8MIC fingolimod The ability of strains to form biofilms was tested under the action. The results are shown in Figure 5 and Figure 6, indicating that fingolimod can significantly inhibit the formation of Staphylococcus aureus biofilm at 1/2 MIC concentration, and fingolimod inhibits biofilm formation at 1/4 MIC concentration. The ability was significantly decreased, and the ability to inhibit biofilm formation was no longer at 1/8MIC. The 1×MIC strain did not grow.
(4)芬戈莫德联合利奈唑胺、苯唑西林、万古霉素对金黄色葡萄球菌细菌生长的抑制作用(4) Inhibitory effect of fingolimod combined with linezolid, oxacillin and vancomycin on bacterial growth of Staphylococcus aureus
实验中挑选两株MRSA(CHS350、CHS655),两株MSSA(YUSA10、YUSA16)研究芬戈莫德联合利奈唑胺、苯唑西林、万古霉素三种抗菌药物抑制金黄色葡萄球菌生长的作用。如图7所示,结果表明,芬戈莫德与利奈唑胺和万古霉素并无明显联合抑菌效果,仅有略微差别;如图8所示,而芬戈莫德与头孢唑林则表现出了明显协同作用效果,从图中可知,在3.125μg/mL芬戈莫德联合16μg/mL苯唑西林作用下,菌株CHS350基本停止生长;同时,在3.125μg/mL芬戈莫德联合0.25μg/mL苯唑西林及3.125μg/mL芬戈莫德联合0.5μg/mL苯唑西林时分别使菌株YUSA16和YUSA10停止生长。上述实验结果表明,芬戈莫德与万古霉素和利奈唑胺没有明显的协同抗感染作用,而与苯唑西林则有较为显著的协同抗感染作用。In the experiment, two strains of MRSA (CHS350, CHS655) and two strains of MSSA (YUSA10, YUSA16) were selected to study the effect of fingolimod combined with linezolid, oxacillin and vancomycin in inhibiting the growth of Staphylococcus aureus. As shown in Figure 7, the results show that fingolimod, linezolid and vancomycin have no obvious combined antibacterial effect, only a slight difference; as shown in Figure 8, while fingolimod and cefazolin It showed obvious synergistic effect. It can be seen from the figure that under the action of 3.125 μg/mL fingolimod combined with 16 μg/mL oxacillin, the growth of strain CHS350 basically stopped; 0.25μg/mL oxacillin and 3.125μg/mL fingolimod combined with 0.5μg/mL oxacillin stopped the growth of strains YUSA16 and YUSA10, respectively. The above experimental results show that fingolimod has no obvious synergistic anti-infective effect with vancomycin and linezolid, but has a more significant synergistic anti-infective effect with oxacillin.
(5)芬戈莫德显著清除金黄色葡萄球菌生物膜(5) Fingolimod significantly removed Staphylococcus aureus biofilm
选择生物膜强阳性菌株SA113,分别在不同浓度芬戈莫德、万古霉素、利奈唑胺、达托霉素作用下观察药物清除金葡菌清除生物膜能力。如图9和图10所示,结果表明,在芬戈莫德浓度为2×MIC时,已表现出清除金黄色葡萄球菌生物膜的能力,而在浓度≥4×MIC时,能够显著的清除金黄色葡萄球菌生物膜。The strong biofilm positive strain SA113 was selected, and the biofilm removal ability of S. aureus was observed under the action of different concentrations of fingolimod, vancomycin, linezolid and daptomycin. As shown in Figure 9 and Figure 10, the results show that fingolimod has demonstrated the ability to clear Staphylococcus aureus biofilm at a concentration of 2 × MIC, while at a concentration of ≥ 4 × MIC, it can significantly clear Staphylococcus aureus biofilm.
(6)芬戈莫德诱导金黄色葡萄球菌生物膜形成能力的改变(6) Changes in fingolimod-induced biofilm formation in Staphylococcus aureus
实验中我们诱导耐药SA113和CHS101两种菌株,芬戈莫德诱导30代时检测其MIC值,发现并未发生改变。将诱导菌株接种在TSA平板,挑选单克隆菌株测其生物膜形成能力。如图11所示,结果显示,诱导菌株生物膜形成能力显著下降。In the experiment, we induced drug-resistant SA113 and CHS101 strains, and detected their MIC values when fingolimod was induced for 30 generations, and found that they did not change. The induced strains were inoculated on TSA plates, and monoclonal strains were selected to measure their biofilm forming ability. As shown in Figure 11, the results showed that the biofilm formation ability of the induced strain was significantly decreased.
综上所述,实验结果表明芬戈莫德具有良好抗金黄色葡萄球菌活性,无论是抑菌、杀菌、抑制生物膜还是清除生物膜方面,并且与苯唑西林可能存在协同抗菌作用,有望成为抗金葡常用抗生素的替代药物,其抗菌相关作用机制有待进一步研究。In summary, the experimental results show that fingolimod has good anti-Staphylococcus aureus activity, whether it is bacteriostatic, bactericidal, biofilm inhibition or removal of biofilm, and may have a synergistic antibacterial effect with oxacillin, which is expected to become a Alternative medicines for commonly used antibiotics against Staphylococcus aureus, and its antibacterial-related mechanism of action needs to be further studied.
本发明实施例公开了芬戈莫德在制备抗革兰阳性细菌感染的药物中的应用,所述抗革兰阳性细菌感染的药物包括芬戈莫德。优选的,所述抗革兰阳性细菌感染的药物包括苯唑西林。The embodiment of the present invention discloses the application of fingolimod in the preparation of a medicament against gram-positive bacterial infection, and the medicament against gram-positive bacterial infection includes fingolimod. Preferably, the drug against gram-positive bacterial infection includes oxacillin.
本发明实施例公开了芬戈莫德在制备用于医疗器械表面的涂料中的应用,所述医疗器械表面的涂料包括芬戈莫德。优选的,所述用于医疗器械表面的涂料中,所述芬戈莫德的浓度为不小于1.5625μg/mL。The embodiment of the present invention discloses the application of fingolimod in preparing a coating for the surface of a medical device, and the coating on the surface of the medical device includes fingolimod. Preferably, in the coating for the surface of a medical device, the concentration of fingolimod is not less than 1.5625 μg/mL.
本发明实施例公开了一种用于医疗器械表面的涂料,其包括芬戈莫德。The embodiment of the present invention discloses a coating for the surface of a medical device, which comprises fingolimod.
本发明实施例公开了芬戈莫德在制备抗革兰阳性细菌的消毒剂中的应用,所述抗革兰阳性细菌的消毒剂包含芬戈莫德。The embodiment of the present invention discloses the application of fingolimod in the preparation of a disinfectant against gram-positive bacteria, and the disinfectant against gram-positive bacteria comprises fingolimod.
本发明实施例公开了一种抗革兰阳性细菌的消毒剂,其包括芬戈莫德。The embodiment of the present invention discloses a disinfectant against Gram-positive bacteria, which comprises fingolimod.
以上内容是结合具体的优选实施方式对本发明所作的进一步详细说明,不能认定本发明的具体实施只局限于这些说明。对于本发明所属技术领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干简单推演或替换,都应当视为属于本发明的保护范围。The above content is a further detailed description of the present invention in combination with specific preferred embodiments, and it cannot be considered that the specific implementation of the present invention is limited to these descriptions. For those of ordinary skill in the technical field of the present invention, without departing from the concept of the present invention, some simple deductions or substitutions can be made, which should be regarded as belonging to the protection scope of the present invention.
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