CN1565441A - Use of levobutylphthalide in prevention and cure of dementia - Google Patents
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Abstract
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技术领域technical field
本发明涉及左旋正丁基苯酞和含有左旋正丁基苯酞的组合物的治疗痴呆的用途。The invention relates to the use of L-n-butylphthalide and the composition containing L-n-butylphthalide for treating dementia.
背景技术Background technique
老年性痴呆或称阿尔茨海默病(Alzheimer’s disease,AD)是一种以临床和病理为特征的进行性退行性神经病。其临床表现主要为记忆力(特别是近记忆力)减退,认知能力低下,思维迟钝,空间定向障碍等。病理表现为β-淀粉样肽(Aβ)与其它分子、神经元和非神经细胞结成一起在细胞外沉积成老年斑以及细胞内神经元纤维缠结(neurofibrillarytangles,NFT)的形成。我国AD患病率在0.2%~5.98%之间,该病多发生在60岁以上的人群。随年龄增加而增多,据估计我国现有AD患者在360万人以上。在北京地区调查痴呆发病率发现血管性痴呆(VD)多于AD。(张明园等:痴呆和阿尔茨海默病的发病率。中华精神科杂志1998;31(4):195-196)由于我国已进入老龄化时期,痴呆患者逐年增多。并且,在老年人群中脑血管病发生率是很高的,据估计卒中后痴呆的发病卒约为9~30.8%,长期脑供血不足也是导致血管性痴呆的重要原因。总之,痴呆患者不仅对本人极为痛苦,而且对家庭和社会的负担很大,因此寻找有效药物以延缓、控制AD和VD病情的发展是极为重要的。Senile dementia or Alzheimer's disease (Alzheimer's disease, AD) is a progressive degenerative neurological disease characterized by clinical and pathological features. Its clinical manifestations are mainly memory (especially near memory) loss, low cognitive ability, slow thinking, spatial orientation disorder and so on. The pathological manifestations are β-amyloid peptide (Aβ) combined with other molecules, neurons and non-neural cells to form senile plaques and the formation of intracellular neurofibrillary tangles (neurofibrillary tangles, NFT). The prevalence of AD in my country is between 0.2% and 5.98%, and the disease mostly occurs in people over 60 years old. It increases with age, and it is estimated that there are more than 3.6 million AD patients in my country. In the survey of the incidence of dementia in Beijing, it was found that vascular dementia (VD) was more than AD. (Zhang Mingyuan et al.: Incidence of dementia and Alzheimer's disease. Chinese Journal of Psychiatry 1998; 31(4): 195-196) As my country has entered an aging period, dementia patients are increasing year by year. Moreover, the incidence of cerebrovascular disease is very high in the elderly population. It is estimated that the incidence of post-stroke dementia is about 9-30.8%. Long-term cerebral insufficiency is also an important cause of vascular dementia. In short, dementia patients are not only extremely painful to themselves, but also a great burden to their families and society. Therefore, it is extremely important to find effective drugs to delay and control the development of AD and VD.
阿尔茨海默氏病(AD)是老年人认知功能进行性减退的最主要原因。其主要病理改变是形成以β-淀粉样肽(β-amyloid,Aβ)沉积为核心的老年斑和神经纤维绕结。研究表明,脑中胆碱能系统与人的学习记忆功能相关。AD病人脑中ACh水平下降,催化合成ACh的胆碱乙酰转移酶(ChAT)的活性低下,其降低程度与认知功能減退密切相关。此外,氧化应激和炎症反应参与AD的病因也越来越受到重视。Aβ由39-43个氨基酸组成,是β前体蛋白(APP)的降解产物。Aβ沉积的范围与神经损伤和认知功能缺损密切相关。既往研究证实:持续地侧脑室灌注(i.c.v.)Aβ(1-40)或Aβ(1-42)能引起大鼠学习和记忆损伤(Nitts.et al.β-Amyloid protein-induced Alzheimer’s disease animalmodel.Neurosci.Lett.1994;170:63-66),提示脑中Aβ聚集所造成的记忆损伤可模拟AD病人的症状。经研究,左旋正丁基苯酞(L-NBP),能明显改善线粒体功能,改善脑微循环和能量代谢,抑制神经细胞凋亡,抗氧化损伤,抑制炎症反应,抗血栓,降低细胞内钙,抑制谷氨酸的释放等脑保护作用。为此,可以选用持续侧脑室灌注(i.c.v.)Aβ(1-40)作为模型。用Morris水迷宫和生化方法检测所试化合物对动物近记忆和空间位置记忆功能和对氧化损伤的影响。Alzheimer's disease (AD) is the leading cause of progressive cognitive decline in the elderly. The main pathological changes are the formation of senile plaques and nerve fiber knots centered on the deposition of β-amyloid peptide (Aβ). Studies have shown that the cholinergic system in the brain is related to human learning and memory functions. The level of ACh in the brain of AD patients decreases, and the activity of choline acetyltransferase (ChAT), which catalyzes the synthesis of ACh, decreases, which is closely related to the decline of cognitive function. In addition, the involvement of oxidative stress and inflammatory response in the etiology of AD has also received increasing attention. Aβ consists of 39-43 amino acids and is a degradation product of β precursor protein (APP). The extent of Aβ deposition is closely related to neurological damage and cognitive impairment. Previous studies have confirmed that: continuous lateral ventricle perfusion (i.c.v.) Aβ(1-40) or Aβ(1-42) can cause learning and memory impairment in rats (Nitts.et al.β-Amyloid protein-induced Alzheimer's disease animalmodel.Neurosci . Lett.1994; 170:63-66), suggesting that the memory impairment caused by Aβ accumulation in the brain can simulate the symptoms of AD patients. According to research, L-n-butylphthalide (L-NBP) can significantly improve mitochondrial function, improve brain microcirculation and energy metabolism, inhibit nerve cell apoptosis, resist oxidative damage, inhibit inflammation, resist thrombosis, and reduce intracellular calcium , Inhibit the release of glutamate and other brain protection. For this purpose, continuous intraventricular perfusion (i.c.v.) Aβ(1-40) can be chosen as a model. Morris water maze and biochemical methods were used to detect the effects of the tested compounds on the animals' near memory and spatial position memory functions and on oxidative damage.
血管性痴呆(VD)是由于脑血管疾病引起脑功能障碍而产生的痴呆,多数伴有多发的较大的脑动脉梗塞或腔隙性脑梗塞或脑低灌。脑血流降低程度与痴呆严重性相关(Roman et al.Vascular dementia:diagnosticcriteria for research studies.Neurology 1993;43:250-260)。慢性进行性脑供血不足,使其对氧和葡萄糖以及其他必需的代谢物质利用下降,其结果引起氧化损伤,线粒体功能和神经细胞的生物合成受损,突触传递功能受阻,最后导致神经病理学改变,即发生神经退行性变化(Beal et al.Do defects in mitochondrial metabolism underlie the pathology of neurodegenerativedisease Trends Neurosci.1993;16:125-131)。VD病人主要表现为近记忆和空间知觉进行性衰退和认知功能缺损。血管性痴呆的发生和发展与胆碱能神经系统的信息传递密切相关,也与神经细胞的氧化损伤相关,在病理上VD病人皮质下白质稀疏。大量研究表明,ACh被认为是学习和记忆的重要神经递质。AD病人的胆碱能通路功能降低,表现为神经递质ACh水平下降,这是其记忆功能受损及认知缺损的重要原因之一(Toghi et al.Cerebrospinal fluid acetylcholine and choline in vascular dementia ofBinswanger and multiple small infarct types as compared with Alzheimer-type dementia.J.Neural Transm.1996;103:1211-1220)。所试化合物对ChAT活性有提高作用,说明其能使胆碱能神经ACh水平增加,有利于改善记忆功能。Vascular dementia (VD) is dementia caused by brain dysfunction caused by cerebrovascular diseases, most of which are accompanied by multiple large cerebral artery infarctions or lacunar infarctions or cerebral hypoperfusion. The degree of reduction in cerebral blood flow correlates with the severity of dementia (Roman et al. Vascular dementia: diagnostic criteria for research studies. Neurology 1993; 43: 250-260). Chronic progressive cerebral insufficiency reduces the utilization of oxygen, glucose and other essential metabolic substances, resulting in oxidative damage, impairment of mitochondrial function and neuronal biosynthesis, blockage of synaptic transmission, and finally neuropathological changes , that is, neurodegenerative changes occur (Beal et al. Do defects in mitochondrial metabolism underlie the pathology of neurodegenerative disease Trends Neurosci. 1993; 16: 125-131). Patients with VD mainly show progressive decline in near memory and spatial perception and cognitive impairment. The occurrence and development of vascular dementia are closely related to the information transmission of the cholinergic nervous system, and are also related to the oxidative damage of nerve cells. Pathologically, the subcortical white matter is sparse in VD patients. Numerous studies have shown that ACh is considered an important neurotransmitter for learning and memory. The function of the cholinergic pathway in AD patients is reduced, which is manifested as a decrease in the level of the neurotransmitter ACh, which is one of the important reasons for the impairment of memory function and cognitive impairment (Toghi et al. Cerebrospinal fluid acetylcholine and choline in vascular dementia of Binswanger and multiple small infarct types as compared with Alzheimer-type dementia. J. Neural Transm. 1996; 103: 1211-1220). The tested compounds can improve the activity of ChAT, indicating that they can increase the level of ACh in cholinergic nerves, which is beneficial to improve memory function.
近十余年来,很多实验室用Morris水迷宫检测大鼠近记忆和空间位置的记忆力,可敏锐地反映动物中枢神经系统受损及其功能变化(Richard Morris.Developments of a water-maze procedure for studying spatiallearning in the rat J.Neurosci Methods.1984;11:47-60),并观察药物对该模型的作用。由于痴呆病人主要表现为认知缺损,特别是对近记忆和空间知觉的进行性损伤。因此该模型不失为一个较理想的观察药物对早老性痴呆病(AD)和VD有否有治疗作用的模型。而用大鼠双侧颈总动脉阻断(2-VO)模型持续低灌可模拟临床上供血不足引起的血管性痴呆,因此用本法可反映药物治疗痴呆的作用(Ni.J.W.et al.Neuronal damage anddecrease of central acetylcholine level following permanent occlusion bilateral commoncarotid arteries in rats.Brain Res.1995;673:290-296)。In the past ten years, many laboratories have used the Morris water maze to test the near memory and spatial position memory of rats, which can sensitively reflect the damage and functional changes of the central nervous system of animals (Richard Morris.Developments of a water-maze procedure for studying spatial learning in the rat J.Neurosci Methods.1984;11:47-60) and observing the effect of drugs on this model. Because dementia patients mainly show cognitive impairment, especially progressive damage to near memory and spatial perception. Therefore, this model is an ideal model to observe whether the drug has a therapeutic effect on Alzheimer's disease (AD) and VD. However, continuous hypoperfusion in rat bilateral common carotid artery occlusion (2-VO) model can simulate clinical vascular dementia caused by blood supply insufficiency, so this method can reflect the effect of drug treatment on dementia (Ni.J.W.et al. Neuronal damage and decrease of central acetylcholine level following permanent occlusion bilateral common carotid arteries in rats. Brain Res. 1995; 673: 290-296).
1988年于澍仁报道的芹菜甲素(3-正丁基苯酞,Ag-1)是合成的消旋体3-正丁基苯酞,它对马桑内酯造成大鼠学习和记忆障碍有改善作用,对大鼠海马细胞有保护作用(于澍仁等:芹菜甲素增强学习记忆的作用 中国药理学报 1988,9(5):385-388)。此后,有报道认为芹菜提取液对中老年小鼠学习记忆有改善作用(李静等 芹菜提取液对中老年小鼠学习记忆的影响 中草药1996,27(2):104-105;刘洛生等:安清益智胶囊的质量标准研究 山东医科大学学报2001,39(6):562-564),但迄今尚未见到有光学立体异构体一左旋正丁基苯酞(L-NBP)治疗老年性痴呆的报道。Apigenin A (3-n-butylphthalide, Ag-1), reported by Yu Shuren in 1988, is a synthetic racemic 3-n-butylphthalide, which caused learning and memory impairment in rats to masangolactone It has an improvement effect and a protective effect on rat hippocampal cells (Yu Shuren et al.: The effect of apigenin A on enhancing learning and memory, Chinese Journal of Pharmacology 1988, 9(5): 385-388). Since then, it has been reported that celery extract can improve the learning and memory of middle-aged and elderly mice (Li Jing et al. The Effect of Celery Extract on Learning and Memory of Middle-aged and Aged Mice. Chinese Herbal Medicine 1996, 27(2): 104-105; Liu Luosheng et al.: An Research on the quality standard of Qingyizhi Capsules (Journal of Shandong Medical University 2001, 39(6): 562-564), but so far no optical stereoisomer - L-n-butylphthalide (L-NBP) has been seen in the treatment of senile dementia reports.
发明内容Contents of the invention
为了克服现有技术的不足,本发明提供了如通式(I)所示In order to overcome the deficiencies in the prior art, the present invention provides as shown in general formula (I)
的左旋正丁基苯酞(以下简称L-NBP)作为抗痴呆的药物的应用。The application of L-n-butylphthalide (hereinafter referred to as L-NBP) as an anti-dementia drug.
本发明所用的左旋正丁基苯酞是经化学合成,先得到消旋正丁基苯酞,后经化学拆分成为左旋光学异构体正丁基苯酞,通过核磁、质谱和红外等光谱分析,特别是用Hp5890气相色谱仪,手性气相色谱柱(Chiraldex G-TA)进行分析,证明本品的光学纯度和化学纯度为单一光学立体异构体一左旋正丁基苯酞(比旋光度>-66.49°,光学纯度>98%,化学纯度>98%),拆分方法参见中国专利“制备光学活性3-正丁基苯酞的方法”,申请号99109673.8,公开号CN1283621。本品的化学结构式是和食用芹菜及其籽中所含的芹菜甲素结构相同。The L-n-butylphthalide used in the present invention is chemically synthesized, first to obtain racemic n-butylphthalide, and then chemically resolved to become L-n-butylphthalide, an optical isomer. Analysis, especially with Hp5890 gas chromatograph, chiral gas chromatographic column (Chiraldex G-TA) is analyzed, proves that the optical purity and chemical purity of this product are single optical stereoisomer---Levorotatory n-butylphthalide (specific optical rotation degree>-66.49°, optical purity>98%, chemical purity>98%), the resolution method refers to the Chinese patent "Method for preparing optically active 3-n-butylphthalide", application number 99109673.8, publication number CN1283621. The chemical structural formula of this product is the same as that of apigenin A contained in edible celery and its seeds.
本发明用国际上公认的方法即用Morris水迷宫实验检测动物近记忆和空间定向力。The present invention uses an internationally recognized method, that is, the Morris water maze test to detect the animal's near memory and spatial orientation.
本发明通过建立永久性阻断大鼠双侧颈总动脉(2-VO)引起持续低灌模型,用Morris水迷宫法检测L-NBP对动物近记忆和空间位置功能的影响,用生化方法检测了L-NBP对氧化损伤的某些指标和对胆碱能神经神经系统的影响。鉴于脑低灌引起行为改变伴随着脑胶质细胞激活,白质变稀疏。因此本研究用病理学和免疫组织化学的方法,用胶质细胞纤维酸性蛋白(GFAP)和K-B染色(反映神经元髓鞘的病理变化)作为指标,观察了药物对其影响。The present invention causes persistent hypoperfusion by permanently blocking bilateral common carotid arteries (2-VO) in rats, and uses the Morris water maze method to detect the effect of L-NBP on the animal's recent memory and spatial position function, and detects it with biochemical methods The effects of L-NBP on some indicators of oxidative damage and on the cholinergic nervous system were investigated. Whereas cerebral hypoperfusion induces behavioral changes accompanied by activation of glial cells and thinning of white matter. Therefore, this study used pathological and immunohistochemical methods, using glial cell fibrillary acidic protein (GFAP) and K-B staining (reflecting the pathological changes of neuron myelin sheath) as indicators, and observed the effect of drugs on it.
本发明的实验显示对于脑供血不足大鼠的近记忆和空间位置功能障碍,本发明的左旋正丁基苯酞具有明显的改善作用。水迷宫试验的学习和保留实验经常被用于评价低灌注大鼠的空间记忆能力。实验结果显示在水迷宫实验中,在第一天训练中,各组间潜伏期没有显著性差异,说明所有动物在笫一天对该项实验操作并不熟悉。经过5天的训练,假手术组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(12.6±3.34秒)明显缩短,说明动物经过训练已具有一定的记忆力和空间定向力。而溶剂对照组的搜索策略没有明显的转变,仍为边缘式和随机式,潜伏期(47.6±5.88秒)未明显缩短,两组相比差异显著(P<0.01)。L-NBP10mg/kg组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(26.85±5.98秒)缩短明显,与溶剂对照组比较有明显差异(P<0.001两因素方差分析),而与假手术组比较无显著差异,说明该剂量组对记忆力和空间定向力有明显改善作用。其它药物如DL-NBP10mg/kg,DL-NBP30mg/kg和D-NBP30mg/kg的改善作用均不明显。The experiment of the present invention shows that the L-n-butylphthalide of the present invention can obviously improve the near memory and spatial position dysfunction of rats with cerebral insufficiency. The learning and retention assay of the water maze test is often used to evaluate spatial memory in hypoperfused rats. The experimental results showed that in the water maze experiment, in the first day of training, there was no significant difference in the latency between the groups, indicating that all animals were not familiar with the experimental operation on the first day. After 5 days of training, the search strategy of the sham operation group changed from marginal and random to trend and linear, and the latency (12.6±3.34 seconds) was significantly shortened, indicating that the animals had a certain memory and spatial orientation after training. The search strategy of the solvent control group did not change significantly, it was still marginal and random, and the latency (47.6±5.88 seconds) was not significantly shortened, and the difference between the two groups was significant (P<0.01). The search strategy of the L-NBP10mg/kg group changed from marginal and random to trend and linear, and the latency (26.85±5.98 seconds) was significantly shortened, which was significantly different from that of the solvent control group (P<0.001 two-factor analysis of variance). Compared with the sham operation group, there was no significant difference, indicating that the dose group had a significant improvement effect on memory and spatial orientation. Other drugs such as DL-NBP10mg/kg, DL-NBP30mg/kg and D-NBP30mg/kg had no significant improvement.
在5天的学习训练结束后,进行平台探索实验,将安全岛撤去以测试大鼠是否已形成对安全岛的空间记忆。除溶剂对照组外,所有大鼠在目标象限的停留时间都大于25%,表明都已经形成了对安全岛的相对位置的记忆。假手术组的停留时间为17.73±1.19秒,而溶剂组对照组的停留时间(14.40±0.73秒)明显缩短。通过单因素方差分析统计,两组间有明显差异(P<0.05)。L-NBP10mg/kg组在平台所在象限的停留时间较溶剂对照组明显延长(17.62±1.27秒),两组间比较有显著意义(P<0.05)。DL-NBP组(10mg/kg和30mg/kg)均无作用。为了排除动物运动能力对其影响,经测定,各组间游泳速度无差异。以上说明只有左旋正丁基苯酞对脑供血不足大鼠的近记忆和空间位置功能缺损有明显作用,而消旋和右旋正丁基苯酞则无作用。After the 5 days of learning and training, the platform exploration experiment was carried out, and the safety island was removed to test whether the rats had formed the spatial memory of the safety island. Except for the solvent control group, all rats stayed in the target quadrant for more than 25% of the time, indicating that they had formed memory of the relative position of the safety island. The residence time of the sham operation group was 17.73±1.19 seconds, while that of the solvent group and the control group (14.40±0.73 seconds) was significantly shortened. Through one-way analysis of variance statistics, there was a significant difference between the two groups (P<0.05). The residence time of the L-NBP10mg/kg group in the quadrant of the platform was significantly longer than that of the solvent control group (17.62±1.27 seconds), and there was a significant difference between the two groups (P<0.05). DL-NBP group (10mg/kg and 30mg/kg) had no effect. In order to exclude the influence of the animal's athletic ability on it, it was determined that there was no difference in swimming speed among the groups. The above shows that only L-n-butylphthalide has a significant effect on the short-term memory and spatial position functional impairment of rats with cerebral insufficiency, while racemization and D-n-butylphthalide have no effect.
SOD是重要的抗氧化酶,正常对照组皮层组织中SOD的活性为100.07±3.64(NU/mg protein)海马组织中的活性为57.90±7.41(U/mgprotein)。大鼠永久性结扎双侧颈总动脉后,海马SOD的活性与对照组相比明显升高(P<0.05),这可能是一种代偿性反应。经L-NBP(10mg/kg)治疗后,该酶活性明显接近正常水平(P<0.05)。MDA是脂质过氧化的标志,可反应在体内的脂质过氧化的程度,间接地反应出细胞损伤的程度。在此实验中,模型组皮层MDA的含量升高了19.9%,与正常对照组相比具有显著性差异(P<0.001)。经L-NBP(10mg/kg)治疗后,皮层MDA的含量明显降低了20.7%(P<0.001)。大鼠永久性结扎双侧颈总动脉后,皮层ChAT的活性显著降低,与正常对照组相比,下降了34.4%(P<0.05),表明低灌注可致胆碱能神经功能受损。而L-NBP(10mg/kg)连续给药16天后,可使皮层组织中ChAT的活性较模型组提高了37.1%,具有显著性差异(P<0.05)。由结果可得出以下结论:L-NBP10mg/kg组能明显改善2-VO动物近记忆和空间位置的记忆障碍,而消旋丁基苯酞和右旋丁基苯酞对改善记忆功能障碍均无效。本发明在2-VO后笫10天开始给药(一直给药至第35天),目的在于观测药物对脑低灌引起的神经元退行变的治疗作用,以排除对急性低灌缺血期的影响。SOD is an important antioxidant enzyme. The activity of SOD in the cortex tissue of the normal control group was 100.07±3.64 (NU/mg protein) and that in the hippocampal tissue was 57.90±7.41 (U/mg protein). After permanent ligation of bilateral common carotid arteries in rats, the activity of SOD in the hippocampus was significantly higher than that in the control group (P<0.05), which may be a compensatory reaction. After treatment with L-NBP (10 mg/kg), the enzyme activity was significantly close to the normal level (P<0.05). MDA is a sign of lipid peroxidation, which can reflect the degree of lipid peroxidation in the body and indirectly reflect the degree of cell damage. In this experiment, the cortical MDA content of the model group increased by 19.9%, which was significantly different from that of the normal control group (P<0.001). After treatment with L-NBP (10mg/kg), the cortical MDA content was significantly reduced by 20.7% (P<0.001). After permanent ligation of bilateral common carotid arteries in rats, the activity of ChAT in the cortex decreased significantly, compared with the normal control group, it decreased by 34.4% (P<0.05), indicating that hypoperfusion can cause cholinergic nerve function impairment. However, after 16 days of continuous administration of L-NBP (10mg/kg), the activity of ChAT in the cortex tissue increased by 37.1% compared with the model group, with a significant difference (P<0.05). The following conclusions can be drawn from the results: L-NBP10mg/kg group can significantly improve the memory impairment of the near memory and spatial position of 2-VO animals, while racemic butylphthalide and d-butylphthalide have both effects on improving memory dysfunction. invalid. The present invention starts administration on the 10th day after 2-VO (administration continues until the 35th day), and the purpose is to observe the therapeutic effect of the drug on the neuron degeneration caused by cerebral hypoperfusion, so as to rule out the effect on acute hypoperfusion ischemia. Impact.
本发明通过病理学和免疫组织化学方面的研究说明L-NBP对血管性痴呆有明显的治疗作用。永久性结扎双侧颈总动脉后,模型组可见皮层和海马CA1区的神经元明显减少,细胞皱缩和神经元深染,而L-NBP(10mg/kg)治疗后能明显改善低灌注诱导的神经元损伤。文献报道双侧颈总动脉结扎可以诱导脑中胶质细胞活化,并伴有白质稀薄。白质稀薄按其严重程度一般分为4级:0级,正常;1级,神经纤维错排;2级,明显空泡形成;3级,有髓鞘的纤维消失。在我们的实验中,模型组的视束较正常对照组显示明显的白质稀薄,有大量的空泡出现,L-NBP(10mg/kg)长期给药后可显著改善这种情况,视束的空泡明显减少。免疫组化实验发现,GFAP-阳性的星形胶质细胞在正常对照组海马,尾核,胼胝体等部位很少检测到,但双侧颈总动脉结扎4周后,许多GFAP-阳性反应的星形胶质细胞和小胶质细胞出现。经L-NBP(10mg/kg)治疗后,GFAP-阳性的胶质细胞显著减少(见图3,4)。总之,L-NBP对ChAT活性有提高作用,说明能使胆碱能神经ACh水平增加,有利于改善记忆功能。此外L-NBP能明显抑制氧化损伤,说明L-NBP能降低神经细胞的损伤。由2-VO引起的脑低灌的病理特征为白质稀疏,空泡和胶质细胞增多(Narri.et al.Chronic cerebralhypoperfusion-induced neuropathological changes in rats.Jpn.J.Psychopharmacol.1998;18:181-188),而L-NBP均能改善这些病理改变。以上这些作用机制对L-NBP改善2-VO大鼠引起的记忆障碍提供了依据。根据以上结果,L-NBP对血管性痴呆有明显的治疗作用。The present invention proves that L-NBP has obvious therapeutic effect on vascular dementia through pathological and immunohistochemical studies. After permanent ligation of bilateral common carotid arteries, neurons in the cortex and hippocampus CA1 area were significantly reduced in the model group, cells shrunk and neurons were deeply stained, and L-NBP (10mg/kg) treatment could significantly improve the induction of hypoperfusion of neuronal damage. It has been reported that bilateral common carotid artery ligation can induce glial cell activation in the brain, accompanied by white matter thinning. White matter thinning is generally divided into 4 grades according to its severity:
本发明的实验结果显示对于β-淀粉样肽(1-40)引起的大鼠记忆和空间定向力障碍,本发明的左旋正丁基苯酞具有明显的改善作用。在大鼠脑室内持续灌流Aβ后的水迷宫实验中,第一天训练中,各组间潜伏期没有显著性差异。经过5天的训练,假手术组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(13.02±2.77秒)明显缩短。而模型组的搜索策略没有明显的转变,仍为边缘式和随机式,潜伏期(30.18±4.81秒)未明显缩短,两组相比差异显著(P<0.01)。经L-NBP治疗后,大鼠在水迷宫试验中的潜伏期明显缩短,其中L-NBP10mg/kg组和30mg/kg组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期分别为27.28±6.42秒和25.88±5.51秒,与模型组比较有明显差异(P<0.05两因素方差分析),而与假手术组比较无显著差异,说明经1-NBP治疗的大鼠已接近正常水平,见图4。在工作记忆测验中,第一次实验和第2-5次实验的潜伏期见图5A,B。虽然在第一次实验中,各组的潜伏期没有显著性差异,但在以后4次实验中,假手术组的潜伏期为9.15±0.91秒,模型组的潜伏期为14.05±1.88秒,后者潜伏期明显延长,二者有显著性差异(P<0.01)。L-NBP组可以剂量依赖性的显著改善工作记忆能力(P<0.01)。The experimental results of the present invention show that the L-n-butylphthalide of the present invention has an obvious improvement effect on the memory and spatial orientation disturbance of rats caused by the β-amyloid peptide (1-40). In the water maze experiment after continuous perfusion of Aβ in the ventricles of rats, there was no significant difference in latency among the groups on the first day of training. After 5 days of training, the search strategy of the sham operation group changed from marginal and random to trend and linear, and the latency (13.02±2.77 seconds) was significantly shortened. However, the search strategy of the model group did not change significantly, it was still marginal and random, and the latency (30.18±4.81 seconds) was not significantly shortened, and the difference between the two groups was significant (P<0.01). After L-NBP treatment, the latency period of the rats in the water maze test was significantly shortened, and the search strategy of the L-NBP10mg/kg group and the 30mg/kg group changed from the edge type and the random type to the trend type and the linear type, and the latency was respectively 27.28±6.42 seconds and 25.88±5.51 seconds, which are significantly different from the model group (P<0.05 two-factor analysis of variance), but not significantly different from the sham operation group, indicating that the rats treated with 1-NBP are close to the normal level , see Figure 4. The latencies for the first trial and trials 2-5 in the working memory test are shown in Figure 5A,B. Although in the first experiment, there was no significant difference in the latency of each group, but in the next four experiments, the latency of the sham operation group was 9.15±0.91 seconds, and the latency of the model group was 14.05±1.88 seconds. There was a significant difference between the two (P<0.01). L-NBP group can significantly improve working memory ability in a dose-dependent manner (P<0.01).
L-NBP还能增加GSH-Px活性和降低MDA的含量。GSH-Px是重要的抗氧化酶,在我们的实验中,假手术组皮层组织中GSH-PX的活性为15.86±0.91(U/mg protein);海马组织中的活性为16.19±1.19(U/mg protein)。大鼠Aβ(1-40)持续灌流后,GSH-Px的活性与假手术组相比在皮层和海马分别降低了29.5%和42.4%,具有显著性差异(P<0.01和P<0.001)。经L-NBP治疗后,30mg/kg组对该酶活性明显升高(P<0.01),L-NBP(10mg/kg)也有升高该酶的活性作用,但没有统计学意义。MDA是脂质过氧化的标志,反应体内脂质过氧化的程度,间接地反应出细胞损伤的程度。在此实验中,大鼠Aβ(1-40)持续灌流后皮层和海马MDA的含量分别升高了25.7%和23.6%,与假手术组相比具有显著性差异(P<0.05和P<0.01)。经L-NBP治疗后,皮层和海马MDA的含量明显降低,10mg/kg组分别降低了28.4%和24.3%(P<0.05和P<0.01),30mg/kg的作用弱于10mg/kg组,但与Aβ(1-40)模型组相比,仍具有显著性差异(P<0.05)。L-NBP can also increase the activity of GSH-Px and reduce the content of MDA. GSH-Px is an important antioxidant enzyme. In our experiment, the activity of GSH-PX in the cortical tissue of the sham operation group was 15.86±0.91 (U/mg protein); the activity in the hippocampal tissue was 16.19±1.19 (U/mg protein). mg protein). After continuous perfusion of Aβ(1-40) in rats, the activity of GSH-Px decreased by 29.5% and 42.4% in the cortex and hippocampus, respectively, compared with the sham operation group, with significant differences (P<0.01 and P<0.001). After treatment with L-NBP, the activity of the enzyme was significantly increased in the 30mg/kg group (P<0.01), and L-NBP (10mg/kg) also increased the activity of the enzyme, but there was no statistical significance. MDA is a sign of lipid peroxidation, which reflects the degree of lipid peroxidation in the body and indirectly reflects the degree of cell damage. In this experiment, after continuous perfusion of Aβ(1-40) in rats, the contents of MDA in cortex and hippocampus increased by 25.7% and 23.6%, respectively, which was significantly different from that in sham operation group (P<0.05 and P<0.01 ). After L-NBP treatment, the content of MDA in the cortex and hippocampus decreased significantly, and the 10mg/kg group decreased by 28.4% and 24.3% respectively (P<0.05 and P<0.01). The effect of 30mg/kg was weaker than that of the 10mg/kg group. However, compared with the Aβ(1-40) model group, there was still a significant difference (P<0.05).
本发明的实验可以得出如下结论:大鼠持续侧脑室灌流Aβ(1-40)引起的记忆障碍是公认的观测药物对AD治疗作用的模型。由以上结果可见,L-NBP不仅对2-VO导致供血不足引起血管性痴呆的模型有明显作用,而且对大鼠持续侧脑室灌流Aβ(1-40)引起的近记忆和空间位置的记忆障碍也有明显改善作用。这说明L-NBP对不同原因引起的近记忆和空间位置记忆障碍均有明显改善作用。此外,L-NBP有阻断氧化损伤的作用(提高GSH-Px活性和降低MDA含量),结合其明显的脑保护作用,提示L-NBP有治疗老年性痴呆的作用。The experiments of the present invention can draw the following conclusions: the memory impairment caused by continuous lateral ventricle perfusion of Aβ(1-40) in rats is a recognized model for observing the therapeutic effect of drugs on AD. From the above results, it can be seen that L-NBP not only has a significant effect on the model of vascular dementia caused by insufficient blood supply caused by 2-VO, but also has a significant effect on the memory impairment of near memory and spatial position caused by continuous lateral ventricle perfusion Aβ(1-40) in rats There is also a significant improvement. This shows that L-NBP can significantly improve the impairment of near memory and spatial position memory caused by different reasons. In addition, L-NBP has the effect of blocking oxidative damage (increasing the activity of GSH-Px and reducing the content of MDA), combined with its obvious brain protection effect, it is suggested that L-NBP has the effect of treating senile dementia.
总而言之,本发明用Morris水迷宫检测大鼠近记忆和空间位置的记忆力,用大鼠2-VO模型持续低灌以模拟临床上供血不足引起的血管性痴呆,因此本法完全可以反映药物治疗痴呆的作用。本发明的实验结果表明L-NBP10mg/kg组能明显改善2-VO动物近记忆和空间位置的记忆障碍,而消旋丁基苯酞和右旋丁基苯酞对改善记忆功能障碍均无效。ACh被认为是学习和记忆的重要神经递质。AD病人的胆碱能通路功能降低,表现为神经递质ACh水平下降,这是其记忆功能受损及认知缺损的重要原因之一。而L-NBP对ChAT活性有提高作用,说明能使胆碱能神经ACh水平增加,有利于改善记忆功能。L-NBP能明显抑制氧化损伤,说明L-NBP能降低神经细胞的损伤。由2-VO引起的脑低灌的病理特征为白质稀疏,空泡和胶质细胞增多,而L-NBP均能改善这些病理改变。因此,本发明的如通式(I)所示的化合物左旋正丁基苯酞对血管性痴呆的有预防和治疗作用。In a word, the present invention uses the Morris water maze to detect the memory of rats' near memory and spatial position, and uses the rat 2-VO model for continuous hypoperfusion to simulate clinically the vascular dementia caused by insufficient blood supply, so this method can fully reflect the drug treatment of dementia. role. The experimental results of the present invention show that the L-NBP10mg/kg group can significantly improve the memory impairment of the near memory and spatial position of 2-VO animals, while racemic butylphthalide and d-butylphthalide have no effect on improving memory dysfunction. ACh is considered an important neurotransmitter for learning and memory. The function of cholinergic pathways in AD patients is reduced, which is manifested as a decrease in the level of neurotransmitter ACh, which is one of the important reasons for the impairment of memory function and cognitive impairment. However, L-NBP can increase the activity of ChAT, indicating that it can increase the level of ACh in cholinergic nerves, which is beneficial to improve memory function. L-NBP can significantly inhibit oxidative damage, indicating that L-NBP can reduce the damage of nerve cells. The pathological features of cerebral hypoperfusion caused by 2-VO are sparse white matter, vacuoles and increased glial cells, and L-NBP can improve these pathological changes. Therefore, the compound L-n-butylphthalide represented by the general formula (I) of the present invention has preventive and therapeutic effects on vascular dementia.
持续地侧脑室灌注Aβ(1-40)引起大鼠学习和记忆损伤可以模拟早老性痴呆病人的症状。用Morris水迷宫检测大鼠近记忆和空间位置的记忆功能。L-NBP对近记忆和空间位置记忆障碍均有明显改善作用,而D-NBP和DL-NBP则无作用。GSH-Px是重要的抗氧化酶;MDA是反应体内脂质过氧化的程度,间接地反应出脑细胞损伤的程度。L-NBP能提高GSH-Px活性和降低MDA含量的作用,说明L-NBP能阻断氧化损伤,有保护脑损伤作用,而D-NBP和DL-NBP则无作用。因此,本发明的如通式(I)所示的化合物左旋正丁基苯酞对早老性痴呆的有预防和治疗作用。总之,左旋正丁基苯酞有预防和治疗老年性痴呆作用,而消旋丁基苯酞和右旋丁基苯酞均无作用。Continuous intracerebroventricular perfusion of Aβ(1-40) induced learning and memory impairment in rats, which could simulate the symptoms of Alzheimer's patients. The near memory and spatial location memory function of rats were tested by Morris water maze. L-NBP can significantly improve the impairment of near memory and spatial position memory, while D-NBP and DL-NBP have no effect. GSH-Px is an important antioxidant enzyme; MDA reflects the degree of lipid peroxidation in the body and indirectly reflects the degree of brain cell damage. L-NBP can increase the activity of GSH-Px and reduce the content of MDA, indicating that L-NBP can block oxidative damage and protect brain damage, while D-NBP and DL-NBP have no effect. Therefore, the compound L-n-butylphthalide shown in the general formula (I) of the present invention has preventive and therapeutic effects on Alzheimer's disease. In short, L-n-butylphthalide has the effect of preventing and treating senile dementia, while rac-butylphthalide and D-butylphthalide have no effect.
本发明因此还涉及含有作为活性成份的本发明化合物和常规药物赋形剂或辅剂的药物组合物。通常本发明药物组合物含有0.1-95重量%的本发明化合物。The present invention therefore also relates to pharmaceutical compositions comprising the compound according to the invention as active ingredient together with customary pharmaceutical excipients or adjuvants. Typically the pharmaceutical compositions of the invention contain 0.1-95% by weight of the compound of the invention.
本发明化合物的药物组合物可根据本领域公知的方法制备。用于此目的时,如果需要,可将本发明化合物与一种或多种固体或液体药物赋形剂和/或辅剂结合,制成可作为人药或兽药使用的适当的施用形式或剂量形式。Pharmaceutical compositions of compounds of the present invention can be prepared according to methods well known in the art. When used for this purpose, the compound of the present invention can be combined with one or more solid or liquid pharmaceutical excipients and/or adjuvants, if necessary, to prepare an appropriate administration form or dosage that can be used as human or veterinary medicine form.
本发明化合物或含有它的药物组合物可以单位剂量形式给药,给药途径可为肠道或非肠道,如口服、肌肉、皮下、鼻腔、口腔粘膜、皮肤、腹膜或直肠等。The compound of the present invention or the pharmaceutical composition containing it can be administered in the form of unit dosage, and the route of administration can be enteral or parenteral, such as oral, intramuscular, subcutaneous, nasal, oral mucosa, skin, peritoneal or rectal, etc.
本发明化合物或含有它的药物组合物的给药途径可为注射给药。注射包括静脉注射、肌肉注射、皮下注射、皮内注射和穴位注射等。The route of administration of the compound of the present invention or the pharmaceutical composition containing it may be injection. Injection includes intravenous injection, intramuscular injection, subcutaneous injection, intradermal injection and acupoint injection.
给药剂型可以是液体剂型、固体剂型。如液体剂型可以是真溶液类、胶体类、微粒剂型、乳剂剂型、混悬剂型。其他剂型例如片剂、胶囊、滴丸、气雾剂、丸剂、粉剂、溶液剂、混悬剂、乳剂、颗粒剂、栓剂、冻干粉针剂等。The dosage forms for administration may be liquid dosage forms or solid dosage forms. For example, the liquid dosage forms can be true solutions, colloids, particulate dosage forms, emulsion dosage forms, and suspension dosage forms. Other dosage forms such as tablets, capsules, drop pills, aerosols, pills, powders, solutions, suspensions, emulsions, granules, suppositories, freeze-dried powder injections, etc.
本发明化合物可以制成普通制剂、也可以是缓释制剂、控释制剂、靶向制剂及各种微粒给药系统。The compound of the present invention can be made into common preparations, sustained-release preparations, controlled-release preparations, targeted preparations and various microparticle drug delivery systems.
为了将单位给药剂型制成片剂,可以广泛使用本领域公知的各种载体。关于载体的例子是,例如稀释剂与吸收剂,如淀粉、糊精、硫酸钙、乳糖、甘露醇、蔗糖、氯化钠、葡萄糖、尿素、碳酸钙、白陶土、微晶纤维素、硅酸铝等;湿润剂与粘合剂,如水、甘油、聚乙二醇、乙醇、丙醇、淀粉浆、糊精、糖浆、蜂蜜、葡萄糖溶液、阿拉伯胶浆、明胶浆、羧甲基纤维素钠、紫胶、甲基纤维素、磷酸钾、聚乙烯吡咯烷酮等;崩解剂,例如干燥淀粉、海藻酸盐、琼脂粉、褐藻淀粉、碳酸氢钠与枸橼酸、碳酸钙、聚氧乙烯山梨糖醇脂肪酸酯、十二烷基磺酸钠、甲基纤维素、乙基纤维索等;崩解抑制剂,例如蔗糖、三硬脂酸甘油酯、可可脂、氢化油等;吸收促进剂,例如季铵盐、十二烷基硫酸钠等;润滑剂,例如滑石粉、二氧化硅、玉米淀粉、硬脂酸盐、硼酸、液体石蜡、聚乙二醇等。还可以将片剂进一步制成包衣片,例如糖包衣片、薄膜包衣片、肠溶包衣片,或双层片和多层片。Various carriers known in the art can be widely used for tableting unit dosage forms. Examples of carriers are, for example, diluents and absorbents such as starch, dextrin, calcium sulfate, lactose, mannitol, sucrose, sodium chloride, glucose, urea, calcium carbonate, kaolin, microcrystalline cellulose, silicic acid Aluminum, etc.; wetting agents and binders, such as water, glycerin, polyethylene glycol, ethanol, propanol, starch paste, dextrin, syrup, honey, glucose solution, acacia mucilage, gelatin paste, sodium carboxymethylcellulose , shellac, methylcellulose, potassium phosphate, polyvinylpyrrolidone, etc.; disintegrants, such as dry starch, alginate, agar powder, brown algae starch, sodium bicarbonate and citric acid, calcium carbonate, polyoxyethylene sorbate Sugar alcohol fatty acid esters, sodium lauryl sulfonate, methyl cellulose, ethyl cellulose, etc.; disintegration inhibitors, such as sucrose, tristearin, cocoa butter, hydrogenated oil, etc.; absorption enhancers , such as quaternary ammonium salts, sodium lauryl sulfate, etc.; lubricants, such as talc, silicon dioxide, corn starch, stearate, boric acid, liquid paraffin, polyethylene glycol, etc. Tablets can also be further made into coated tablets, such as sugar-coated tablets, film-coated tablets, enteric-coated tablets, or double-layer tablets and multi-layer tablets.
例如为了将给药单元制成丸剂,可以广泛使用本领域公知的各种载体。关于载体的例子是,例如稀释剂与吸收剂,如葡萄糖、乳糖、淀粉、可可脂、氢化植物油、聚乙烯吡咯烷酮、高岭土、滑石粉等;粘合剂,如阿拉伯胶、黄蓍胶、明胶、乙醇、蜂蜜、液糖、米糊或面糊等;崩解剂,如琼脂粉、干燥淀粉、海藻酸盐、十二烷基磺酸钠、甲基纤维素、乙基纤维素等。For example, in order to form a dosage unit into a pellet, various carriers known in the art can be widely used. Examples of carriers are, for example, diluents and absorbents such as glucose, lactose, starch, cocoa butter, hydrogenated vegetable oil, polyvinylpyrrolidone, kaolin, talc, etc.; binders such as acacia, tragacanth, gelatin, Ethanol, honey, liquid sugar, rice paste or batter, etc.; disintegrants, such as agar powder, dry starch, alginate, sodium dodecylsulfonate, methylcellulose, ethylcellulose, etc.
例如为了将给药单元制成胶囊,将有效成分本发明化合物与上述的各种载体混合,并将由此得到的混合物置于硬的明胶胶囊或软胶囊中。也可将有效成分本发明化合物制成微囊剂,混悬于水性介质中形成混悬剂,亦可装入硬胶囊中或制成注射剂应用。For example, to form a dosage unit into a capsule, the compound of the present invention as an active ingredient is mixed with the above-mentioned various carriers, and the mixture thus obtained is placed in a hard gelatin capsule or a soft capsule. The active ingredient compound of the present invention can also be made into microcapsules, suspended in an aqueous medium to form a suspension, and can also be packed into hard capsules or made into injections for application.
例如,将本发明化合物制成注射用制剂,如溶液剂、混悬剂溶液剂、乳剂、冻干粉针剂,这种制剂可以是含水或非水的,可含一种和/或多种药效学上可接受的载体、稀释剂、粘合剂、润滑剂、防腐剂、表面活性剂或分散剂。如稀释剂可选自水、乙醇、聚乙二醇、1,3-丙二醇、乙氧基化的异硬脂醇、多氧化的异硬脂醇、聚氧乙烯山梨醇脂肪酸酯等。另外,为了制备等渗注射液,可以向注射用制剂中添加适量的氯化钠、葡萄糖或甘油,此外,还可以添加常规的助溶剂、缓冲剂、pH调节剂等。这些辅料是本领域常用的For example, the compound of the present invention is made into injection preparations, such as solutions, suspension solutions, emulsions, and freeze-dried powder injections. This preparation can be aqueous or non-aqueous, and can contain one and/or more drugs A pharmaceutically acceptable carrier, diluent, binder, lubricant, preservative, surfactant or dispersant. For example, the diluent may be selected from water, ethanol, polyethylene glycol, 1,3-propylene glycol, ethoxylated isostearyl alcohol, polyoxylated isostearyl alcohol, polyoxyethylene sorbitan fatty acid ester, and the like. In addition, in order to prepare isotonic injection, an appropriate amount of sodium chloride, glucose or glycerin can be added to the preparation for injection, and in addition, conventional solubilizers, buffers, pH regulators, etc. can also be added. These excipients are commonly used in the field
此外,如需要,也可以向药物制剂中添加着色剂、防腐剂、香料、矫味剂、甜味剂或其它材料。In addition, colorants, preservatives, fragrances, correctives, sweeteners or other materials can also be added to the pharmaceutical preparations, if necessary.
为达到用药目的,增强治疗效果,本发明的药物或药物组合物可用任何公知的给药方法给药。In order to achieve the purpose of medication and enhance the therapeutic effect, the medicine or pharmaceutical composition of the present invention can be administered by any known administration method.
本发明化合物药物组合物的给药剂量取决于许多因素,例如所要预防或治疗疾病的性质和严重程度,患者或动物的性别、年龄、体重、性格及个体反应,给药途径、给药次数、治疗目的,因此本发明的治疗剂量可以有大范围的变化。一般来讲,本发明中药学成分的使用剂量是本领域技术人员公知的。可以根据本发明化合物组合物中最后的制剂中所含有的实际药物数量,加以适当的调整,以达到其治疗有效量的要求,完成本发明的预防或治疗目的。本发明化合物的每天的合适剂量范围优选为0.1-100mg/kg体重,更优选为0.1-100mg/天/人。上述剂量可以单-剂量形式或分成几个,例如二、三或四个剂量形式给药这受限于给药医生的临床经验以及包括运用其它治疗手段的给药方案。The dosage of the compound pharmaceutical composition of the present invention depends on many factors, such as the nature and severity of the disease to be prevented or treated, the sex, age, body weight, personality and individual reaction of the patient or animal, the route of administration, the frequency of administration, Therapeutic purposes, and thus the therapeutic doses of the present invention, can vary widely. Generally speaking, the dosages of the pharmaceutical ingredients in the present invention are well known to those skilled in the art. According to the actual amount of drug contained in the final preparation of the compound composition of the present invention, appropriate adjustments can be made to achieve the requirement of its therapeutically effective dose, so as to achieve the preventive or therapeutic purpose of the present invention. The suitable daily dosage range of the compound of the present invention is preferably 0.1-100 mg/kg body weight, more preferably 0.1-100 mg/day/person. The above-mentioned doses may be administered in single-dose form or divided into several, eg, two, three or four dose forms, which are limited by the clinical experience of the administering physician and the dosing regimen including the use of other therapeutic means.
每一种治疗所需总剂量可分成多次或按一次剂量给药。本发明的化合物或组合物可单独服用,或与其他治疗药物或对症药物合并使用并调整剂量。The total dosage required for each treatment may be divided into multiple doses or administered in a single dose. The compound or composition of the present invention can be taken alone, or used in combination with other therapeutic drugs or symptomatic drugs and the dosage can be adjusted.
术语:the term:
L-NBP:左旋正丁基苯酞L-NBP: L-n-butylphthalide
2-VO模型:永久性双侧颈总动脉结扎2-VO model: permanent bilateral common carotid artery ligation
附图说明Description of drawings
图1.水迷宫实验,1A第五天大鼠的搜索路线;1B第五天平台探索实验中大鼠的搜索路线。Figure 1. Water maze experiment, 1A the search route of rats on the fifth day; 1B the search route of rats in the platform exploration experiment on the fifth day.
图2.永久性双侧颈总动脉结扎后口服L-NBP对大鼠在水迷宫实验中的空间记忆障碍的影响。图2A表示在训练阶段潜伏期的改变;图2B表示移去平台后的平台探索实验,大鼠自由游泳60秒钟,其在平台所在象限(Q4)停留的时间。所有数值以均数±标准误表示。每组12-14只大鼠;#P<0.05与假手术(sham)组比较。P<0.05与溶剂对照组(vehicle)比较。Figure 2. Effect of oral administration of L-NBP after permanent bilateral common carotid artery ligation on spatial memory impairment in rats in the water maze test. Figure 2A shows the change in latency during the training phase; Figure 2B shows the platform exploration experiment after the platform was removed, the rats swam freely for 60 seconds, and the time they stayed in the quadrant (Q4) where the platform was located. All values are expressed as mean ± standard error. 12-14 rats per group; #P<0.05 vs. sham group. P<0.05 compared with the vehicle control group (vehicle).
图3.双侧颈总动脉结扎5周后大鼠海马CA1区(A,B,C)和皮层(D,E,F)的H-E染色的显微镜下图象改变(40倍)。假手术组(A,D);溶剂对照组(B,E);L-NBP(10mg/kg)治疗组(C,F)Fig. 3. Changes in H-E staining microscopic images of rat hippocampal CA1 region (A, B, C) and cortex (D, E, F) after 5 weeks of bilateral common carotid artery ligation (40 times). Sham operation group (A, D); solvent control group (B, E); L-NBP (10mg/kg) treatment group (C, F)
图4..双侧颈总动脉结扎5周后大鼠视束K-B染色(A,B,C放大40倍)和尾核GFAP免疫组化染色(D,E,F放大20倍)的显微镜下图象变化。假手术组(A,D);溶剂对照组(B,E);L-NBP(10mg/kg)治疗组(C,F)Figure 4. After 5 weeks of bilateral common carotid artery ligation, the rat optic tract K-B staining (A, B, C magnified 40 times) and caudate nucleus GFAP immunohistochemical staining (D, E, F magnified 20 times) under the microscope Image changes. Sham operation group (A, D); solvent control group (B, E); L-NBP (10mg/kg) treatment group (C, F)
图5.L-NBP对大鼠持续侧脑室灌流Aβ(1-40)后在水迷宫实验中的记忆障碍的影响。图示为训练阶段逃避潜伏期的改变;所有数值以均数±标准误表示。每组10只大鼠。Figure 5. Effect of L-NBP on memory impairment in water maze test after continuous lateral ventricle perfusion of Aβ(1-40) in rats. Shown is the change in escape latency during the training phase; all values are expressed as mean ± standard error. 10 rats in each group.
图6.L-NBP对大鼠持续侧脑室灌流Aβ(1-40)造成的记忆障碍的影响。工作记忆测验(每天5次)在Aβ(1-40)灌流后第14-16天进行。图5A表示在第一次实验中潜伏期的改变;图5B表示后4次实验中潜伏期的改变。所有数值以均数±标准误表示。每组10只大鼠。##P<0.01与假手术组相比;*P<0.05与Aβ(1-40)模型组相比。Figure 6. Effect of L-NBP on memory impairment caused by continuous lateral ventricle perfusion of Aβ(1-40) in rats. The working memory test (5 times a day) was performed on the 14th-16th day after Aβ(1-40) perfusion. Figure 5A shows the change in latency in the first experiment; Figure 5B shows the change in latency in the next four experiments. All values are expressed as mean ± standard error. 10 rats in each group. ##P<0.01 compared with the sham operation group; * P<0.05 compared with the Aβ(1-40) model group.
图7.实施例1小鼠从手术后第10天开始灌服药物或溶剂。水迷宫实验在术后第29-33天进行,避暗实验在34-35天进行。动物在第36天处死,进行生化测定或病理学检查。在行为学实验中,均在实验前40分钟给药。Fig. 7. The mice of Example 1 were infused with drugs or solvents from the 10th day after the operation. The water maze test was carried out on the 29th-33th day after operation, and the dark avoidance test was carried out on the 34th-35th day. Animals were sacrificed on day 36 for biochemical assays or pathological examinations. In the behavioral experiment, all the drugs were administered 40 minutes before the experiment.
图8.实施例2小鼠从手术后第2天开始灌服药物和溶剂。水迷宫训练试验在术后第9-13天进行,第13天进行平台探索试验,第14-16天进行工作记忆测验。动物在第17天处死,断头取脑进行生化测定。在行为学实验中,均在实验前40分钟给药。Fig. 8. The mice of Example 2 were infused with drugs and solvents from
具体实施方式Detailed ways
1.实施例1 左旋正丁基苯酞对老年性痴呆之一种,血管性痴呆的治疗作用1. Example 1 The therapeutic effect of L-n-butylphthalide on one of senile dementia, vascular dementia
材料和方法Materials and methods
试剂和药品Reagents and Medicines
L-,D-,DL-NBP由本所合成室提供,光学和化学纯度>98%,旋光度依次为-66.49,+66.88和0度。用植物油配制。L-, D-, DL-NBP were provided by the synthesis laboratory of our institute, the optical and chemical purity were >98%, and the optical rotations were -66.49, +66.88 and 0 degrees in turn. Formulated with vegetable oil.
仪器instrument
Morris水迷宫自动监控仪,避暗箱由中国医学科学院药物研究所仪电室研制Morris water maze automatic monitor, avoiding the obscura was developed by the Instrument and Electricity Department of the Institute of Materia Medica, Chinese Academy of Medical Sciences
2-VO模型建立2-VO model establishment
雄性Wistar大鼠,10周龄,体重280克左右,每5只放置1笼中,室温保持在23℃,自由进食和引水。大鼠用戊巴比妥钠麻醉(40mg/kg),双侧颈总动脉暴露,仔细分离颈总动脉的包膜和迷走神经。低灌注模型组使用5-0丝线结扎双侧颈总动脉。假手术组除不结扎双侧颈总动脉外接受相同的手术。术后在伤口上撒少许灭菌结晶磺胺粉,缝合皮肤。手术一个月后进行水迷宫实验及避暗实验。Male Wistar rats, 10 weeks old, with a weight of about 280 grams, were placed in a cage for every 5 rats, and the room temperature was kept at 23°C, with free access to food and water. Rats were anesthetized with sodium pentobarbital (40 mg/kg), the bilateral common carotid arteries were exposed, and the capsule of the common carotid arteries and the vagus nerve were carefully separated. In the hypoperfusion model group, the bilateral common carotid arteries were ligated with 5-0 silk thread. The sham operation group underwent the same operation except that the bilateral common carotid arteries were not ligated. Sprinkle a little sterilized crystalline sulfa powder on the wound after the operation, and suture the skin. One month after the operation, the water maze test and dark avoidance test were carried out.
实验分组及设计Experiment grouping and design
大鼠随机分成8组,每组10只。1)假手术组:除不结扎双侧颈总动脉,其余操作均与低灌注组相同;2)溶剂对照组:仅口服植物油;3)DL-NBP10mg/kg组;4)DL-NBP30mg/kg组;5)L-NBP10mg/kg组;6)L-NBP30mg/kg组;7)D-NBP30mg/kg组;从手术后第10天开始灌服药物或溶剂。水迷宫实验在术后第29-33天进行,避暗实验在34-35天进行。动物在第36天处死,进行生化测定或病理学检查。在行为学实验中,均在实验前40分钟给药。Rats were randomly divided into 8 groups, 10 in each group. 1) Sham operation group: except that the bilateral common carotid arteries were not ligated, the other operations were the same as the hypoperfusion group; 2) Solvent control group: only oral vegetable oil; 3) DL-NBP10mg/kg group; 4) DL-NBP30mg/kg 5) L-NBP10mg/kg group; 6) L-NBP30mg/kg group; 7) D-NBP30mg/kg group; drugs or solvents were fed from the 10th day after operation. The water maze test was carried out on the 29th-33th day after operation, and the dark avoidance test was carried out on the 34th-35th day. Animals were sacrificed on day 36 for biochemical assays or pathological examinations. In the behavioral experiment, all the drugs were administered 40 minutes before the experiment.
水迷宫实验water maze experiment
Morris水迷宫主要由一金属圆柱形水池(池高60cm,直径120cm)和自动显示、监测、记录装置及安全岛(直径10cm的平台)组成。预先在水池中注入清水,然后加入溶有1000g的新鲜奶粉的水溶液,使池水成为不透明的乳白色,水面高出平台15mm。这样动物不能通过听、视和嗅觉到达平台,以便检测动物对空间位置的敏锐性。水温保持23±1℃,水池分为4个象限(东、南、西、北),平台置于西南象限的中心。每只大鼠的游泳活动通过电视仪进行监测,直接连于计算机进行处理分析。水迷宫实验连续进行5天。每只大鼠1天接受2次训练寻找平台,两次分别从东北象限和西北象限的中点,头朝向池壁入水,两次训练间隔10分钟。记录找到平台的时间(潜伏期),并将2次实验结果进行平均。如果大鼠在60秒内未找到平台,则潜伏期以60秒计算。无论在60秒内找到平台与否,大鼠都在平台上停留10秒。第一次实验开始前将大鼠放到平台上10秒适应。随训练次数的增加,各组大鼠寻找安全岛的潜伏期缩短。最后一次训练后进行探索实验。移去平台,大鼠自由游泳60秒寻找平台,记录大鼠在每个象限花费的时间。大鼠在原来平台所在象限停留的时间长,提示大鼠已经对这个空间目标存在记忆。The Morris water maze is mainly composed of a metal cylindrical pool (pool height 60cm, diameter 120cm), automatic display, monitoring, recording devices and a safety island (platform with a diameter of 10cm). Inject clear water in the pool in advance, then add the aqueous solution that dissolves 1000g of fresh milk powder, make the pool water become opaque milky white, and the water surface is 15mm higher than the platform. This way the animal cannot reach the platform by hearing, seeing and smelling, in order to test the animal's sensitivity to spatial position. The water temperature is maintained at 23±1°C, the pool is divided into 4 quadrants (east, south, west, north), and the platform is placed in the center of the southwest quadrant. The swimming activity of each rat is monitored by a TV and directly connected to a computer for processing and analysis. The water maze experiment was carried out for 5 consecutive days. Each rat was trained twice a day to find the platform, and entered the water from the midpoint of the northeast quadrant and the northwest quadrant respectively, with its head facing the pool wall, with an interval of 10 minutes between the two trainings. The time to find the platform (latency period) was recorded, and the results of the two experiments were averaged. If the rat did not find the platform within 60 seconds, the latency was counted as 60 seconds. Whether the platform was found within 60 seconds or not, the rat stayed on the platform for 10 seconds. Rats were placed on the platform for 10 seconds to acclimate before the start of the first experiment. With the increase of training times, the latency period of rats in each group to find the safety island was shortened. Exploration experiments are performed after the last training run. The platform was removed and the rat swam freely for 60 seconds to find the platform, and the time the rat spent in each quadrant was recorded. The rats stayed in the quadrant where the original platform was located for a long time, suggesting that the rats had memory for this spatial object.
我们将搜索策略分为4类:(1)边缘式,大鼠沿水池边缘运动,无寻找动机;(2)随机式,大鼠搜索时无明确方向;(3)趋向式,大鼠已记得安全岛的大概位置,在发现安全岛前转弯少于4次;(4)直线式,大鼠已明确记得安全岛的位置,直接游向安全岛。实验结果以大鼠找到安全岛的时间即潜伏期和搜索策略表示We divided the search strategies into four categories: (1) edge type, the rats moved along the edge of the pool without motivation to search; (2) random type, the rats searched without a clear direction; (3) trend type, the rats had remembered The approximate location of the safety island, turning less than 4 times before finding the safety island; (4) straight line, the rat has clearly remembered the location of the safety island, and swam directly to the safety island. The experimental results are represented by the time for rats to find the safety island, that is, the latency and search strategy
对胆碱乙酰基转移酶、抗氧化酶和MDA的检测Detection of choline acetyltransferase, antioxidant enzymes and MDA
将大鼠断头取脑,在冰浴上剥离出皮层和海马组织,称重后迅速置于液氮中冷冻待用。样品加入预冷的pH7.0磷酸钾缓冲液0.05mol L-1(内含0.5mol L-1EDTA和7%甘油),冰浴制成10%的组织匀浆,蛋白定量以Lowry比色法测定。The brains of the rats were decapitated, and the cortex and hippocampus were peeled off in an ice bath. After weighing, they were quickly frozen in liquid nitrogen for later use. Add 0.05 mol L -1 of pre-cooled pH 7.0 potassium phosphate buffer solution (containing 0.5 mol L -1 EDTA and 7% glycerin) to the sample, make 10% tissue homogenate in ice bath, and use Lowry colorimetric method for protein quantification Determination.
1.胆碱乙酰基转移酶(ChAT)的测定:反应体系中加入磷酸钠缓冲液0.5mol L-1,乙酰辅酶A0.0062mol L-1,氯化胆碱1.0mol L-1,甲基硫酸新斯的明76μmol L-1,NaCL3mol L-1及EDTA0.011mol L-1,盐酸肌酸酐0.5mol·L-1各40μl,最后各管加入蒸馏水至0.8ml。置37℃温浴5min后,各管加入200μl组织匀浆液,然后将各管加入沸水2min,之后加入2.5mmol L-1砷酸钠0.8ml,室温下15000×g离心3min,取2.0ml上清加入40μ13mmol L-14-PDS,置25℃温浴15min后,测定OD值(λ=324nm),计算ChAT活性,以nmolCoA SH/mgprotein/hr表示。1. Determination of choline acetyltransferase (ChAT): add sodium phosphate buffer 0.5mol L -1 , acetyl-CoA 0.0062mol L -1 , choline chloride 1.0mol L -1 , methylsulfate to the reaction system Neostigmine 76μmol L -1 , NaCL 3mol L -1 and EDTA 0.011mol L -1 , creatinine hydrochloride 0.5mol·L -1 40μl each, and finally add distilled water to each tube to 0.8ml. After warming at 37°C for 5 minutes, add 200 μl tissue homogenate to each tube, then add boiling water to each tube for 2 minutes, then add 0.8 ml of 2.5 mmol L -1 sodium arsenate, centrifuge at 15,000 × g for 3 min at room temperature, take 2.0 ml of supernatant and add 40 μl of 3 mmol L -1 4-PDS was incubated at 25°C for 15 min, and the OD value (λ=324 nm) was measured to calculate the ChAT activity, expressed as nmol CoA SH/mgprotein/hr.
2.超氧化物歧化酶(SOD),丙二醛(MDA),的测定参照南京建成试剂公司试剂盒说明书进行。2. The determination of superoxide dismutase (SOD) and malondialdehyde (MDA) was carried out according to the kit instructions of Nanjing Jiancheng Reagent Company.
病理学和免疫组织化学检测Pathology and Immunohistochemical Testing
每组随机选取4-6只动物,行为学实验后,戊巴比妥麻醉(100mg/kgip),依次剪开皮肤,胸腔,充分暴露心脏,剪开左侧心尖部,以灌注针朝主动脉方向插入,止血钳夹闭,输注生理盐水,于右心耳下部剪开右心房,生理盐水灌注15-20min(200-300ml),流出液变清,换以4%多聚甲醛PBS液继续灌注15-20min(150-200ml),动物全身僵硬,肝脏发白为止,然后断头取脑,用刀片切去前部端脑和后部小脑,放入4%多聚甲醛继续固定48h(石蜡切片)或20%的蔗糖多聚甲醛溶液固定48h(冰冻切片)。Randomly select 4-6 animals in each group, after the behavioral experiment, anesthetize with pentobarbital (100mg/kgip), cut the skin and chest cavity in turn, fully expose the heart, cut the left apex, and point the perfusion needle towards the aorta Insert in the direction, clamp the hemostat, infuse normal saline, cut the right atrium at the lower part of the right atrial appendage, perfuse with normal saline for 15-20min (200-300ml), the effluent becomes clear, and continue perfusion with 4% paraformaldehyde in PBS 15-20min (150-200ml), the whole body of the animal is stiff until the liver turns white, then decapitate and take the brain, cut off the front part of the telencephalon and the back part of the cerebellum with a razor blade, put in 4% paraformaldehyde and continue to fix for 48h (paraffin section ) or 20% sucrose paraformaldehyde solution for 48h (frozen sections).
石蜡切片经固定、包埋,切片后应用Hematoxylin-Eosin(HE)染色,K-B(Klüver-Barrera Luxol fast blue)染色进行病理检测,免疫组化的方法检测GFAP在脑组织中含量的变化。The paraffin sections were fixed and embedded, and stained with Hematoxylin-Eosin (HE) and K-B (Klüver-Barrera Luxol fast blue) for pathological examination after sectioning. The changes of GFAP content in brain tissue were detected by immunohistochemistry.
统计分析Statistical Analysis
所有结果采用均数±标准误表达。水迷宫实验中各组的潜伏期差异比较采用重复测定的两因素方差分析。组间差异采用post hoc LSD或Turkey检验。水迷宫平台探索实验采用单因素方差分析。避暗实验采用Kruskal-Wallis检验和Mann-Whitney U检验。生化测定采用单因素方差的分析。P<0.05为有显著性差异。All results are expressed as mean ± standard error. In the water maze experiment, the differences in latency between the groups were compared using two-factor analysis of variance with repeated measures. Differences between groups were analyzed by post hoc LSD or Turkey test. The water maze platform exploration experiment was performed by one-way analysis of variance. The dark avoidance test was performed by Kruskal-Wallis test and Mann-Whitney U test. Biochemical assays were performed using one-way analysis of variance. P<0.05 means significant difference.
实验结果Experimental results
L-NBP对大鼠水迷宫学习记忆的影响在水迷宫实验中,学习和保留实验经常被用于评价低灌注大鼠的空间记忆能力。在第一天训练中,各组间没有显著性差异。经过5天的训练,假手术组的的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(12.6±3.34秒)明显缩短。而溶剂对照组的搜索策略没有明显的转变,仍为边缘式和随机式,潜伏期(47.6±5.88秒)未明显缩短,两组相比差异显著(P<0.01)。L-NBP10mg/kg组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(26.85±5.98秒)缩短明显,与溶剂对照组比较有明显差异(P<0.001两因素方差分析),而与假手术组比较无显著差异。其它药物如DL-NBP10mg/kg,DL-NBP30mg/kg和D-NBP30mg/kg的改善作用均不明显,见图1A,B和图2。在5天的学习训练结束后,进行平台探索实验,将安全岛撤去以测试大鼠是否已形成对安全岛的空间记忆。除溶剂对照组外,所有大鼠在目标象限的停留时间都大于25%,表明都已经形成了对安全岛的相对位置的记忆。假手术组的停留时间(17.73±1.19秒)明显长于溶剂对照组(14.40±0.73秒),通过单因素方差分析统计,有明显差异(P<0.05)见图3。L-NBP10mg/kg组在平台所在象限的停留时间较溶剂对照组明显延长(17.62±1.27秒,P<0.05)。DL-NBP组(10mg/kg和30mg/kg)均无作用。为了排除动物运动能力对其影响,经测定,各组间游泳速度无差异。以上说明只有左旋正丁基苯酞对脑供血不足大鼠的近记忆和空间位置功能缺损有明显作用,而消旋和右旋正丁基苯酞则无作用。Effects of L-NBP on the learning and memory of rats in the water maze In the water maze experiment, learning and retention tests are often used to evaluate the spatial memory ability of hypoperfusion rats. On the first day of training, there were no significant differences between the groups. After 5 days of training, the search strategy of the sham operation group changed from marginal and random to trend and linear, and the latency (12.6±3.34 seconds) was significantly shortened. The search strategy of the solvent control group did not change significantly, it was still marginal and random, and the latency (47.6±5.88 seconds) was not significantly shortened, and the difference between the two groups was significant (P<0.01). The search strategy of the L-NBP10mg/kg group changed from marginal and random to trend and linear, and the latency (26.85±5.98 seconds) was significantly shortened, which was significantly different from that of the solvent control group (P<0.001 two-factor analysis of variance). There was no significant difference compared with the sham operation group. The improvement effects of other drugs such as DL-NBP10mg/kg, DL-NBP30mg/kg and D-NBP30mg/kg were not obvious, see Figure 1A, B and Figure 2. After the 5 days of learning and training, the platform exploration experiment was carried out, and the safety island was removed to test whether the rats had formed the spatial memory of the safety island. Except for the solvent control group, all rats stayed in the target quadrant for more than 25% of the time, indicating that they had formed memory of the relative position of the safety island. The residence time of the sham operation group (17.73±1.19 seconds) was significantly longer than that of the solvent control group (14.40±0.73 seconds), and there was a significant difference (P<0.05) as shown in Figure 3 through one-way analysis of variance. The residence time of the L-NBP10mg/kg group in the quadrant of the platform was significantly longer than that of the solvent control group (17.62±1.27 seconds, P<0.05). DL-NBP group (10mg/kg and 30mg/kg) had no effect. In order to exclude the influence of the animal's athletic ability on it, it was determined that there was no difference in swimming speed among the groups. The above shows that only L-n-butylphthalide has a significant effect on the short-term memory and spatial position functional impairment of rats with cerebral insufficiency, while racemization and D-n-butylphthalide have no effect.
对SOD、ChAT活性和MDA含量的影响 SOD是重要的抗氧化酶,正常对照组皮层组织中SOD的活性为100.07±3.64(NU/mg protein);海马组织中的活性为57.90±7.41(U/mg protein)。大鼠永久性结扎双侧颈总动脉后,海马SOD的活性与对照组相比明显升高(P<0.05),这可能是一种代偿性反应。经L-NBP(10mg/kg)治疗后,该酶活性接近正常水平(P<0.05),MDA是脂质过氧化的标志,可反应在体内的脂质过氧化的程度,间接地反应出细胞损伤的程度。在此实验中,模型组皮层MDA的含量升高了19.9%,与正常对照组相比具有显著性差异(P<0.001)。经L-NBP(10mg/kg)治疗后,皮层MDA的含量明显降低了20.7%(P<0.001)。大鼠永久性结扎双侧颈总动脉后,皮层ChAT的活性显著降低,与正常对照组相比,下降了34.4%(P<0.05),表明低灌注可致胆碱能神经功能受损。L-NBP(10mg/kg)连续给药16天后,可使皮层组织中ChAT的活性较模型组提高了37.1%,具有显著性差异(P<0.05)。(见表1Effects on SOD, ChAT activity and MDA content SOD is an important antioxidant enzyme. The activity of SOD in the cortex tissue of the normal control group was 100.07±3.64 (NU/mg protein); the activity in the hippocampal tissue was 57.90±7.41 (U/mg protein). mg protein). After permanent ligation of bilateral common carotid arteries in rats, the activity of SOD in the hippocampus was significantly higher than that in the control group (P<0.05), which may be a compensatory reaction. After treatment with L-NBP (10mg/kg), the enzyme activity is close to the normal level (P<0.05). MDA is a sign of lipid peroxidation, which can reflect the degree of lipid peroxidation in the body and indirectly reflect the the extent of the damage. In this experiment, the cortical MDA content of the model group increased by 19.9%, which was significantly different from that of the normal control group (P<0.001). After treatment with L-NBP (10mg/kg), the cortical MDA content was significantly reduced by 20.7% (P<0.001). After permanent ligation of bilateral common carotid arteries in rats, the activity of ChAT in the cortex decreased significantly, compared with the normal control group, it decreased by 34.4% (P<0.05), indicating that hypoperfusion can cause cholinergic nerve function impairment. After 16 days of continuous administration of L-NBP (10mg/kg), the activity of ChAT in the cortex tissue was increased by 37.1% compared with the model group, with a significant difference (P<0.05). (See Table 1
表1.L-NBP对低灌注大鼠皮层和海马的SOD和ChAT活性和MDA含量的影响(n=7-9)Table 1. Effect of L-NBP on SOD and ChAT activity and MDA content in hypoperfusion rat cortex and hippocampus (n=7-9)
组别 SOD活性 MDA含量 ChAT活性Group SOD activity MDA content ChAT activity
(NU/mg蛋白) (nmol/mg蛋白) (%of假手术)(NU/mg protein) (nmol/mg protein) (% of sham)
脑区 皮层 海马 皮层 海马 皮层 海马Brain Regions Cortex Hippocampus Cortex Hippocampus Cortex Hippocampus
假手术组 100.07±3.64 57.90±7.41 3.13±0.10 3.03±0.12 100.0±13.3 100.0±7.2Sham operation group 100.07±3.64 57.90±7.41 3.13±0.10 3.03±0.12 100.0±13.3 100.0±7.2
溶剂对照组 114.42±7.82 81.16±6.84# 3.91±0.22### 3.63±0.45 65.6±15.1# 102.6±15.1Solvent control group 114.42±7.82 81.16±6.84 # 3.91±0.22 ### 3.63±0.45 65.6±15.1 # 102.6±15.1
L-NBP 98.84±5.53 57.60±3.86* 3.10±0.09*** 3.42±0.12 104.3±8.2* 110.0±13.5L-NBP 98.84±5.53 57.60±3.86 * 3.10±0.09 *** 3.42±0.12 104.3±8.2 * 110.0±13.5
(10mg/kg)(10mg/kg)
#P<0.05,###P<0.001与假手术组相比;*P<0.05,***P<0.001与溶剂对照组相比。 # P<0.05, ### P<0.001 vs. sham group; * P<0.05, *** P<0.001 vs. vehicle control group.
对病理学和组织化学的影响永久性结扎双侧颈总动脉后,模型组可见皮层和海马CA1区的神经元明显减少,细胞皱缩和神经元深染,而L-NBP(10mg/kg)治疗后能明显改善低灌注诱导的神经元损伤。文献报道双侧颈总动脉结扎可以诱导脑胶质细胞活化,并伴有白质稀薄。白质稀薄按其严重程度一般分为4级:0级,正常;1级,神经纤维错排;2级,明显空泡形成;3级,有髓鞘的纤维消失。在我们的实验中,模型组的视束较正常对照组显示明显的白质稀薄,有大量的空泡出现,L-NBP(10mg/kg)长期给药后可显著改善这种情况,视束的空泡明显减少。免疫组化实验发现,GFAP-阳性的星形胶质细胞在正常对照组海马,尾核,胼胝体等部位很少检测到,但双侧颈总动脉结扎4周后,许多GFAP-阳性反应的星形胶质细胞和小胶质细胞出现。经L-NBP(10mg/kg)治疗后,GFAP-阳性的胶质细胞显著减少(见图3,4)。Effects on pathology and histochemistry After permanent ligation of the bilateral common carotid arteries, neurons in the cortex and hippocampus CA1 area in the model group were significantly reduced, with shrunken cells and deep staining of neurons, while L-NBP (10mg/kg) After treatment, hypoperfusion-induced neuronal damage can be significantly improved. It has been reported in the literature that bilateral common carotid artery ligation can induce glial cell activation, accompanied by white matter thinning. White matter thinning is generally divided into 4 grades according to its severity:
实验结论Experimental results
由结果可得出以下结论:L-NBP10mg/kg组能明显改善2-VO动物近记忆和空间位置的记忆障碍,而消旋丁基苯酞和右旋丁基苯酞对改善记忆功能障碍均无效。本研究在2-VO后笫10天开始给药(一直给药至第35天),目的在于观测药物对脑低灌引起的神经元退行变的治疗作用,以排除对急性低灌缺血期的影响。The following conclusions can be drawn from the results: L-NBP10mg/kg group can significantly improve the memory impairment of the near memory and spatial position of 2-VO animals, while racemic butylphthalide and d-butylphthalide have both effects on improving memory dysfunction. invalid. In this study, the drug was administered on the 10th day after 2-VO (administration continued until the 35th day), the purpose of which was to observe the therapeutic effect of the drug on neuronal degeneration caused by cerebral hypoperfusion, so as to rule out the effect of the drug on the acute hypoperfusion-ischemic period. Impact.
L-NBP对ChAT活性有提高作用,说明能使胆碱能神经ACh水平增加,有利于改善记忆功能。此外L-NBP能明显抑制氧化损伤,说明L-NBP能降低神经细胞的损伤。由2-VO引起的脑低灌的病理特征为白质稀疏,空泡和胶质细胞增多(Narri.et al.Chronic cerebralhypoperfusion-induced neuropathological changes in rats.Jpn.J.Psychopharmacol.1998;18:181-188),而L-NBP均能改善这些病理改变。以上这些作用机制对L-NBP改善2-VO大鼠引起的记忆障碍提供了依据。根据以上结果,提示L-NBP对血管性痴呆有明显治疗和预防作用的可能。L-NBP can increase the activity of ChAT, indicating that it can increase the level of ACh in cholinergic nerves, which is beneficial to improve memory function. In addition, L-NBP can significantly inhibit oxidative damage, indicating that L-NBP can reduce the damage of nerve cells. The pathological features of cerebral hypoperfusion caused by 2-VO are sparse white matter, vacuoles and increased glial cells (Narri.et al. Chronic cerebral hypoperfusion-induced neuropathological changes in rats.Jpn.J.Psychopharmacol.1998;18:181- 188), and L-NBP can improve these pathological changes. The above mechanisms provide a basis for L-NBP to improve the memory impairment caused by 2-VO rats. According to the above results, it is suggested that L-NBP may have obvious therapeutic and preventive effects on vascular dementia.
实施例2左旋正丁基苯酞能明显改善β-淀粉样肽(1-40)引起的Example 2 L-n-butylphthalide can significantly improve the beta-amyloid peptide (1-40) caused
老年性痴呆症状Alzheimer's Symptoms
材料和方法Materials and methods
试剂和药品:L-NBP由本所合成室提供,用植物油配制。Aβ(1-40)购自Sigma公司。Alzet脑微渗透泵灌流装置购自美国DURECT公司。仪器:Morris水迷宫自动监控仪及实验方法,参见以上脑低灌注大鼠学习记忆损伤实验Reagents and medicines: L-NBP is provided by the synthesis laboratory of our institute and prepared with vegetable oil. Aβ(1-40) was purchased from Sigma. The Alzet brain micro-osmotic pump perfusion device was purchased from Durect Company of the United States. Instrument: Morris water maze automatic monitoring instrument and experimental methods, see the above experiments on learning and memory impairment in rats with cerebral hypoperfusion
模型建立:雄性Wistar大鼠,10周龄,体重280克左右,每笼放置1只动物,室温保持在23℃,自由进食和引水。大鼠用戊巴比妥钠麻醉(40mg/kg),腹卧位固定于立体定位仪上,剪开头部的皮肤,将用于灌流Aβ(1-40)的套管植入右侧脑室,根据Paxions和Watson的大鼠脑立体定位图谱,植入部位在前囟后0.3mm,右1.1mm,深4.0mm。套管与一个微量渗透泵相连接。微量渗透泵置于大鼠的背部。Aβ(1-40)溶于35%乙腈/0.1三氟乙酸,以300pmol/天持续脑室灌流(i.c.v),对照组仅灌流溶剂35%乙腈/0.1%三氟乙酸。既往实验证实在此流速下,溶剂不会引起大鼠行为和神经化学的改变。Model establishment: Male Wistar rats, 10 weeks old, weighing about 280 grams, placed one animal in each cage, kept the room temperature at 23°C, and had free access to food and water. Rats were anesthetized with pentobarbital sodium (40 mg/kg), fixed on a stereotaxic apparatus in the abdominal position, cut the skin of the head, and implanted a cannula for perfusing Aβ (1-40) into the right ventricle. According to the stereotaxic atlas of the rat brain by Paxions and Watson, the implantation site was 0.3mm behind bregma, 1.1mm to the right, and 4.0mm deep. The cannula is connected to a micro-osmotic pump. An osmotic micropump was placed on the back of the rat. Aβ(1-40) was dissolved in 35% acetonitrile/0.1 trifluoroacetic acid, and was continuously perfused (i.c.v) at 300 pmol/day. The control group was only perfused with solvent 35% acetonitrile/0.1% trifluoroacetic acid. Previous experiments confirmed that solvents did not cause behavioral and neurochemical changes in rats at this flow rate.
实验分组及设计:大鼠随机分成4组,每组10只。1)假手术组:大鼠脑室仅灌流35%乙腈/0.1三氟乙酸+溶剂;2)模型组:Aβ(1-40)+溶剂;3)Aβ(1-40)+L-NBP10mg/kg组;4)Aβ(1-40)+L-NBP30mg/kg组。从手术后第2天开始灌服药物和溶剂。水迷宫训练试验在术后第9-13天进行,第13天进行平台探索试验,第14-16天进行工作记忆测验。动物在第17天处死,断头取脑进行生化测定。在行为学实验中,均在实验前40分钟给药。(见图8)Experimental grouping and design: Rats were randomly divided into 4 groups, 10 in each group. 1) Sham operation group: rats' ventricles were only perfused with 35% acetonitrile/0.1 trifluoroacetic acid + solvent; 2) Model group: Aβ(1-40)+solvent; 3) Aβ(1-40)+L-NBP10mg/kg group; 4) Aβ(1-40)+L-NBP30mg/kg group. Drugs and solvents were administered from
水迷宫实验:自icv Aβ(1-40)后第9-13天进行水迷宫训练试验,第13天进行平台探索试验。在icv Aβ(1-40)后第14-16天进行工作记忆测验(见上图),该测验是在训练试验和平台探索试验后动物已获得一定的记忆基础上,观察改变平台和象限后动物的快速学习空间记忆能力。除了平台每天改变位置,实验过程与标准的水迷宫训练试验相似。每天5次实验,大鼠分别从5个入水点开始进行游泳。每天的第一次实验称为示范试验,大鼠被允许游到处于新位置的平台上,并停留10秒钟,其后的四次试验,平台位置保持不变,只是入水点的象限不同。工作记忆能力的潜伏期取第2到第5次试验的平均值,每只大鼠的工作记忆能力通过3天的实验平均值进行计算。Water maze test: after icv Aβ(1-40), the water maze training test was performed on the 9th to 13th day, and the platform exploration test was performed on the 13th day. On the 14th-16th day after icv Aβ(1-40), the working memory test (see the figure above) was carried out. The test was based on the fact that the animal had acquired a certain memory after the training test and the platform exploration test, and observed after changing the platform and quadrant Rapid learning of spatial memory in animals. The experimental procedure was similar to the standard water maze training trial, except that the platform changed position daily. For 5 experiments every day, the rats started to swim from 5 water entry points. In the first trial of each day, called the demonstration trial, rats were allowed to swim to the platform in a new location and stay there for 10 seconds. For the next four trials, the platform position remained the same, only the quadrant of the entry point was different. The latency period of working memory ability is the average value of the second to fifth trials, and the working memory ability of each rat is calculated by the average value of the 3-day experiment.
生化实验:丙二醛(MDA)和谷胱甘肽过氧化物酶(GSH-Px)的测定同以上实验。Biochemical experiment: the determination of malondialdehyde (MDA) and glutathione peroxidase (GSH-Px) was the same as the above experiment.
统计分析:所有结果采用均数±标准误表达。水迷宫实验中各组的潜伏期差异比较采用重复测定的两因素方差分析。组间差异采用post hocLSD或Turkey检验。水迷宫平台探索试验,工作记忆测验,生化测定采用单因素方差分析。P<0.05为有显著性差异。Statistical analysis: All results are expressed as mean ± standard error. In the water maze experiment, the differences in latency between the groups were compared using two-factor analysis of variance with repeated measures. Differences between groups were analyzed by post hoc LSD or Turkey test. The water maze platform exploration test, working memory test, and biochemical determination were performed by one-way analysis of variance. P<0.05 means significant difference.
实验结果Experimental results
L-NBP对大鼠水迷宫学习记忆的影响Effects of L-NBP on learning and memory in water maze in rats
在第一天训练中,各组间没有显著性差异。经过5天的训练,假手术组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期(13.02±2.77秒)明显缩短。而模型组的搜索策略没有明显的转变,仍为边缘式和随机式,潜伏期(30.18±4.81秒)未明显缩短,两组相比差异显著(P<0.01)。经L-NBP治疗后,大鼠在水迷宫试验中的潜伏期明显缩短,其中L-NBP10mg/kg组和30mg/kg组的搜索策略从边缘式和随机式转向趋向式和直线式,潜伏期分别为27.28±6.42秒和25.88±5.51秒,与模型组比较有明显差异(P<0.05两因素方差分析),而与假手术组比较无显著差异,说明经L-NBP治疗的大鼠已接近正常水平,见图4。在工作记忆测验中,第一次实验和第2-5次实验的潜伏期见图5A,B。虽然在第一次示范实验中,各组的潜伏期没有显著性差异,但在以后4次实验中,假手术组的潜伏期为9.15±0.91秒,模型组的潜伏期为14.05±1.88秒,后者潜伏期明显延长,二者有显著性差异(P<0.01)。L-NBP组可以剂量依赖性的显著改善工作记忆能力(P<0.01)。L-NBP增加GSH-Px活性和降低MDA的含量On the first day of training, there were no significant differences between the groups. After 5 days of training, the search strategy of the sham operation group changed from marginal and random to trend and linear, and the latency (13.02±2.77 seconds) was significantly shortened. However, the search strategy of the model group did not change significantly, it was still marginal and random, and the latency (30.18±4.81 seconds) was not significantly shortened, and the difference between the two groups was significant (P<0.01). After L-NBP treatment, the latency period of the rats in the water maze test was significantly shortened, and the search strategy of the L-NBP10mg/kg group and the 30mg/kg group changed from the edge type and the random type to the trend type and the linear type, and the latency was respectively 27.28±6.42 seconds and 25.88±5.51 seconds, which are significantly different from the model group (P<0.05 two-factor analysis of variance), but not significantly different from the sham operation group, indicating that the rats treated with L-NBP are close to the normal level , see Figure 4. The latencies for the first trial and trials 2-5 in the working memory test are shown in Figure 5A,B. Although in the first demonstration experiment, there was no significant difference in the latency of each group, but in the following four experiments, the latency of the sham operation group was 9.15±0.91 seconds, the latency of the model group was 14.05±1.88 seconds, and the latency of the latter group was 9.15±0.91 seconds. Significantly prolonged, there was a significant difference between the two (P <0.01). L-NBP group can significantly improve working memory ability in a dose-dependent manner (P<0.01). L-NBP increases the activity of GSH-Px and decreases the content of MDA
GSH-Px是重要的抗氧化酶,在我们的实验中,假手术组皮层组织中GSH-PX的活性为15.86±0.91(U/mg protein);海马组织中的活性为16.19±1.19(U/mg protein)。大鼠Aβ(1-40)持续灌流后,GSH-Px的活性与假手术组相比在皮层和海马分别降低了29.5%和42.4%,具有显著性差异(P<0.01和P<0.001)。经L-NBP治疗后,30mg/kg组对该酶活性明显升高(P<0.01),L-NBP(10mg/kg)也有升高该酶的活性作用,但没有统计学意义。MDA是脂质过氧化的标志,反应体内脂质过氧化的程度,间接地反应出细胞损伤的程度。在此实验中,大鼠Aβ(1-40)持续灌流后皮层和海马MDA的含量分别升高了25.7%和23.6%,与假手术组相比具有显著性差异(P<0.05和P<0.01)。经L-NBP治疗后,皮层和海马MDA的含量明显降低,10mg/kg组分别降低了28.4%和24.3%(P<0.05和P<0.01),30mg/kg的作用弱于10mg/kg组,但与Aβ(1-40)模型组相比,仍具有显著性差异(P<0.05),见表2。GSH-Px is an important antioxidant enzyme. In our experiment, the activity of GSH-PX in the cortical tissue of the sham operation group was 15.86±0.91 (U/mg protein); the activity in the hippocampal tissue was 16.19±1.19 (U/mg protein). mg protein). After continuous perfusion of Aβ(1-40) in rats, the activity of GSH-Px decreased by 29.5% and 42.4% in the cortex and hippocampus, respectively, compared with the sham operation group, with significant differences (P<0.01 and P<0.001). After treatment with L-NBP, the activity of the enzyme was significantly increased in the 30mg/kg group (P<0.01), and L-NBP (10mg/kg) also increased the activity of the enzyme, but there was no statistical significance. MDA is a sign of lipid peroxidation, which reflects the degree of lipid peroxidation in the body and indirectly reflects the degree of cell damage. In this experiment, after continuous perfusion of Aβ(1-40) in rats, the contents of MDA in cortex and hippocampus increased by 25.7% and 23.6%, respectively, which was significantly different from that in sham operation group (P<0.05 and P<0.01 ). After L-NBP treatment, the content of MDA in the cortex and hippocampus decreased significantly, and the 10mg/kg group decreased by 28.4% and 24.3% respectively (P<0.05 and P<0.01). The effect of 30mg/kg was weaker than that of the 10mg/kg group. However, compared with the Aβ(1-40) model group, there is still a significant difference (P<0.05), see Table 2.
表2.L-NBP对大鼠持续灌流Aβ(1-40)后皮层和海马SOD活性和MDA含量的影响(n=7)Table 2. Effect of L-NBP on SOD activity and MDA content in cortex and hippocampus after continuous perfusion of Aβ (1-40) in rats (n=7)
组 GSH-PX MDAGroup GSH-PX MDA
(U/mg protein) (nmol/mg protein)(U/mg protein) (U/mg protein) (nmol/mg protein)
皮层 海马 皮层 海马Cortex Hippocampus Hippocampus Cortex Hippocampus
假手术组 15.86±0.91 16.19±1.19 1.10±0.09 1.13±0.06Sham operation group 15.86±0.91 16.19±1.19 1.10±0.09 1.13±0.06
模型组 11.18±1.32## 9.32±1.01### 1.48±0.14# 1.48±0.12## Model group 11.18±1.32 ## 9.32±1.01 ### 1.48±0.14 # 1.48±0.12 ##
Aβ(1-40)Aβ(1-40)
L-NBP 11.73±0.53 12.73±1.34 1.06±0.05* 1.12±0.07** L-NBP 11.73±0.53 12.73±1.34 1.06±0.05 * 1.12±0.07 **
(10mg/kg)(10mg/kg)
L-NBP 15.40±1.03** 18.91±1.16** 1.06±0.10* 1.15±0.07* L-NBP 15.40±1.03 ** 18.91±1.16 ** 1.06±0.10 * 1.15±0.07 *
(30mg/kg)(30mg/kg)
#P<0.05,##P<0.01,###P<0.001与假手术组比较;*P<0.05,**P<0.01与模型组比较。 # P<0.05, ## P<0.01, ### P<0.001 compared with the sham group; * P<0.05, ** P<0.01 compared with the model group.
实验讨论:Experimental Discussion:
大鼠持续侧脑室灌流Aβ(1-40)引起的记忆障碍是公认的观测药物对AD治疗作用的模型。由以上结果可见,L-NBP不仅对2-VO导致供血不足引起血管性痴呆的模型有明显作用,而且对大鼠持续侧脑室灌流Aβ(1-40)引起的近记忆和空间位置的记忆障碍也有明显改善作用。这说明L-NBP对不同原因引起的近记忆和空间位置记忆障碍均有明显改善作用。此外,L-NBP有阻断氧化损伤的作用(提高GSH-Px活性和降低MDA含量),结合其明显的脑保护作用,提示L-NBP有治疗和预防老年性痴呆的作用。The memory impairment caused by Aβ(1-40) induced by continuous lateral ventricle perfusion in rats is a recognized model for observing the therapeutic effect of drugs on AD. From the above results, it can be seen that L-NBP not only has a significant effect on the model of vascular dementia caused by insufficient blood supply caused by 2-VO, but also has a significant effect on the memory impairment of near memory and spatial position caused by continuous lateral ventricle perfusion Aβ(1-40) in rats There is also a significant improvement. This shows that L-NBP can significantly improve the impairment of near memory and spatial position memory caused by different reasons. In addition, L-NBP has the effect of blocking oxidative damage (increasing GSH-Px activity and reducing MDA content), combined with its obvious brain protection effect, it is suggested that L-NBP has the effect of treating and preventing senile dementia.
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| WO2007073682A1 (en) * | 2005-12-24 | 2007-07-05 | Shijiazhuang Pharma. Group Zhongqi Pharmaceutical Technology (Shijiazhuang) Co., Ltd. | Dropping pill of butylbenzene phthalein and its application |
| CN101579323B (en) * | 2008-05-16 | 2012-01-25 | 石药集团中奇制药技术(石家庄)有限公司 | Butylphenyl phthaleine sustained release tablet and preparation method thereof |
| CN101455661B (en) * | 2008-11-19 | 2012-10-10 | 中国科学院上海有机化学研究所 | Use of 3-substituted phthalide and the analogue |
| CN103417514A (en) * | 2012-05-24 | 2013-12-04 | 石药集团中奇制药技术(石家庄)有限公司 | Microencapsulated butylphthalide medicine composition, preparation method and applications |
| CN103417514B (en) * | 2012-05-24 | 2017-06-16 | 石药集团中奇制药技术(石家庄)有限公司 | A kind of butylphenyl phthaleine pharmaceutical composition of microencapsulation and its production and use |
| CN107595874A (en) * | 2016-07-12 | 2018-01-19 | 石药集团恩必普药业有限公司 | A kind of pharmaceutical composition containing butylphenyl phthaleine and its application in treatment cerebrovascular disease medicine is prepared |
| CN107595875A (en) * | 2016-07-12 | 2018-01-19 | 石药集团恩必普药业有限公司 | Composition containing butylphenyl phthaleine and its application in cerebrovascular disease medicine is treated |
| CN107595875B (en) * | 2016-07-12 | 2020-10-30 | 石药集团恩必普药业有限公司 | Composition containing butylphthalide and application thereof in drugs for treating cerebrovascular diseases |
Also Published As
| Publication number | Publication date |
|---|---|
| CN1565441B (en) | 2010-05-26 |
| WO2005002568A1 (en) | 2005-01-13 |
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