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CN116603053A - Use of polypeptide in preparing medicine for preventing and treating non-alcoholic fatty liver disease - Google Patents

Use of polypeptide in preparing medicine for preventing and treating non-alcoholic fatty liver disease Download PDF

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CN116603053A
CN116603053A CN202310249030.5A CN202310249030A CN116603053A CN 116603053 A CN116603053 A CN 116603053A CN 202310249030 A CN202310249030 A CN 202310249030A CN 116603053 A CN116603053 A CN 116603053A
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polypeptide
liver
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李艳萍
何金汗
张金行
莫莉
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West China Hospital of Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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Abstract

The invention belongs to the field of medicines, and in particular relates to application of a polypeptide in preparing a medicine for preventing and treating non-alcoholic fatty liver disease. The invention provides application of polypeptide Ac2-26 in preparing a medicine for preventing and treating non-alcoholic fatty liver disease, and particularly has good treatment effect on non-alcoholic steatohepatitis (NASH). The invention discovers that the polypeptide Ac2-26 can obviously reduce lipid deposition, inflammation and fibrosis of liver, has definite therapeutic effect on nonalcoholic steatohepatitis, provides a new choice for clinical medication, and has great clinical and social significance.

Description

多肽在制备防治非酒精性脂肪性肝病的药物中的用途Use of polypeptide in preparing medicine for preventing and treating non-alcoholic fatty liver disease

技术领域technical field

本发明属于医药领域,具体涉及多肽在制备防治非酒精性脂肪性肝病的药物中的用途。The invention belongs to the field of medicine, and in particular relates to the use of polypeptides in the preparation of medicines for preventing and treating nonalcoholic fatty liver disease.

背景技术Background technique

非酒精性脂肪性肝病(nonalcoholic fatty liver disease,NAFLD)是指除酒精和其他明确肝损伤因素以外的病因所致、以弥漫性肝细胞大泡样脂肪变为主要特征的临床病理综合征。随着肥胖、II型糖尿病发病率的显著增加,NAFLD已成为导致慢性肝病的主要原因,其全球发病率约为25.24%。依据临床和病理特征,NAFLD通常分为单纯性非酒精性脂肪肝(nonalcoholic fatty liver,NAFL)和非酒精性脂肪性肝炎(nonalcoholicsteatohepatitis,NASH)。NASH是组织学上以肝脂肪变性、炎细胞浸润或伴有间质纤维增生为主要病理特征的慢性肝脏疾病,为NAFLD的重要病理阶段。与NAFL相比,NASH患者可进一步发展为肝纤维化、肝硬化及肝细胞癌等终末期肝脏疾病。Nonalcoholic fatty liver disease (NAFLD) refers to a clinicopathological syndrome characterized by diffuse hepatic bullous steatosis caused by causes other than alcohol and other definite liver injury factors. With the significant increase in the incidence of obesity and type II diabetes, NAFLD has become the main cause of chronic liver disease, and its global incidence is about 25.24%. According to clinical and pathological features, NAFLD is usually divided into simple nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). NASH is a chronic liver disease characterized histologically by hepatic steatosis, inflammatory cell infiltration or interstitial fibrous proliferation, and is an important pathological stage of NAFLD. Compared with NAFL, NASH patients can further develop end-stage liver diseases such as liver fibrosis, liver cirrhosis, and hepatocellular carcinoma.

NASH的发病机制复杂,涉及脂质沉积、炎症、氧化应激、纤维化、胆汁酸异常代谢、肠道菌群失调和易感基因变异之间复杂的相互作用。因此,目前NASH的发病机制尚未完全阐明,且尚无批准用于治疗NASH的有效药物。The pathogenesis of NASH is complex, involving complex interactions among lipid deposition, inflammation, oxidative stress, fibrosis, abnormal bile acid metabolism, gut microbiota dysbiosis, and susceptibility gene variation. Therefore, the pathogenesis of NASH has not been fully elucidated, and there is no effective drug approved for the treatment of NASH.

发明内容Contents of the invention

针对现有技术中缺乏对非酒精性脂肪性肝病(NAFLD)的有效治疗药物,本发明提供了多肽Ac2-26在制备防治非酒精性脂肪性肝病的药物中的用途。Aiming at the lack of effective therapeutic drugs for non-alcoholic fatty liver disease (NAFLD) in the prior art, the present invention provides the use of polypeptide Ac2-26 in the preparation of drugs for preventing and treating non-alcoholic fatty liver disease.

进一步地,所述非酒精性脂肪性肝病为单纯性非酒精性脂肪肝(NAFL)或非酒精性脂肪性肝炎(NASH)。Further, the nonalcoholic fatty liver disease is simple nonalcoholic fatty liver (NAFL) or nonalcoholic steatohepatitis (NASH).

优选地,所述非酒精性脂肪性肝病为非酒精性脂肪性肝炎(NASH)。Preferably, the nonalcoholic fatty liver disease is nonalcoholic steatohepatitis (NASH).

本发明提供了多肽Ac2-26在制备降低肝脏的脂质沉积、炎症或纤维化的药物中的用途。The invention provides the use of the polypeptide Ac2-26 in the preparation of a medicine for reducing lipid deposition, inflammation or fibrosis in the liver.

本发明还提供多肽Ac2-26在制备防治肝硬化或肝细胞癌的药物中的用途。The invention also provides the use of the polypeptide Ac2-26 in the preparation of medicines for preventing and treating liver cirrhosis or hepatocellular carcinoma.

进一步地,所述药物降低肝脏脂质沉积。Further, the drug reduces liver lipid deposition.

进一步地,所述药物减轻肝脏炎症。Further, the drug reduces liver inflammation.

进一步地,所述药物降低肝脏纤维化基因及蛋白的表达。Further, the drug reduces the expression of liver fibrosis genes and proteins.

进一步地,所述药物减少肝脏胶原纤维沉积。Further, the drug reduces the deposition of collagen fibers in the liver.

进一步地,所述多肽氨基酸序列为SEQ ID NO.1。Further, the amino acid sequence of the polypeptide is SEQ ID NO.1.

SEQ ID NO.1:AMVSEFLKQAWFIENEEQEYVQTVK。SEQ ID NO. 1: AMVSEFLKQAWFIENEEQEYVQTVK.

进一步地,所述药物是以多肽Ac2-26为活性成分,加入药学上可接受的辅料或者辅助性成分制备而成的制剂。Further, the medicine is a preparation prepared by taking the polypeptide Ac2-26 as the active ingredient and adding pharmaceutically acceptable excipients or auxiliary ingredients.

进一步地,所述制剂为口服制剂、鼻腔给药制剂或注射制剂。Further, the preparation is an oral preparation, a nasal administration preparation or an injection preparation.

进一步地,单位制剂含有多肽Ac2-26量为0.0.1-0.5mg。优选地,单位制剂含有多肽Ac2-26量为0.0813mg、0.1626mg、0.3252mg。本发明所述单位制剂对应人体每kg体重每天的给药量。Further, the unit preparation contains 0.0.1-0.5 mg of the polypeptide Ac2-26. Preferably, the unit preparation contains 0.0813 mg, 0.1626 mg, and 0.3252 mg of the polypeptide Ac2-26. The unit preparation of the present invention corresponds to the dosage per kg body weight of the human body per day.

实施例中给予小鼠Ac2-26多肽的剂量为1、2、4mg/kg/只/天,换算成人用剂量即为0.0813、0.1626、0.3252mg/kg/人/天。In the examples, the doses of Ac2-26 polypeptide given to mice are 1, 2, 4 mg/kg/monkey/day, and the converted adult doses are 0.0813, 0.1626, 0.3252 mg/kg/person/day.

有益效果:本发明提供了多肽Ac2-26在制备防治非酒精性脂肪性肝病的药物中的用途,特别是对非酒精性脂肪性肝炎(NASH)具有良好的治疗效果。本发明发现多肽Ac2-26能够显著降低肝脏的脂质沉积、炎症和纤维化,对非酒精性脂肪性肝炎具有确切的治疗作用,为临床用药提供了一种新的选择,具有较大的临床和社会意义。Beneficial effects: the invention provides the use of the polypeptide Ac2-26 in the preparation of medicines for preventing and treating non-alcoholic fatty liver disease, especially having a good therapeutic effect on non-alcoholic steatohepatitis (NASH). The present invention finds that the polypeptide Ac2-26 can significantly reduce lipid deposition, inflammation and fibrosis in the liver, has a definite therapeutic effect on non-alcoholic steatohepatitis, provides a new option for clinical medication, and has a large clinical and social significance.

附图说明Description of drawings

图1为本发明实施例1肝脏脂质定量测定和油红O染色结果图;Fig. 1 is the liver lipid quantitative determination and Oil Red O staining result figure of embodiment 1 of the present invention;

图2为本发明实施例2肝脏炎症相关基因检测和H&E染色结果图;Fig. 2 is the results of detection of liver inflammation-related genes and H&E staining in Example 2 of the present invention;

图3为本发明实施例3肝脏纤维化相关基因检测和蛋白检测结果图;Figure 3 is a diagram showing the results of liver fibrosis-related gene detection and protein detection in Example 3 of the present invention;

图4为本发明实施例4肝脏天狼星红染色和Masson染色结果图。Fig. 4 is a graph showing the results of liver Sirius red staining and Masson staining in Example 4 of the present invention.

具体实施方式Detailed ways

下面将结合实施例对本发明的方案进行解释。本领域技术人员将会理解,下面的实施例仅用于说明本发明,而不应视为限定本发明的范围。实施例中未注明具体技术或条件的,按照本领域内的文献所描述的技术或条件或者按照产品说明书进行。所用试剂或仪器未注明生产厂商者,均为可以通过市购获得的常规产品。The solutions of the present invention will be explained below in conjunction with examples. Those skilled in the art will understand that the following examples are only for illustrating the present invention and should not be considered as limiting the scope of the present invention. If no specific technique or condition is indicated in the examples, it shall be carried out according to the technique or condition described in the literature in this field or according to the product specification. The reagents or instruments used were not indicated by the manufacturer, and they were all commercially available conventional products.

Ac2-26多肽(市售产品),序列为SEQ ID NO.1:AMVSEFLKQAWFIENEEQEYVQTVK,采用生理盐水配制成Ac2-26多肽溶液。Ac2-26 polypeptide (commercially available product), the sequence of which is SEQ ID NO.1: AMVSEFLKQAWFIENEEQEYVQTVK, was prepared into Ac2-26 polypeptide solution with physiological saline.

实验方法:C57BL/6小鼠平均分为5组,分别是:1)正常对照组;2)模型组;3)Ac2-26低剂量组;4)Ac2-26中剂量组;5)Ac2-26高剂量组。正常对照组小鼠喂食MCS饲料,模型组及Ac2-26组均喂食蛋氨酸胆碱缺乏(MCD)饲料,模型组小鼠腹腔注射生理盐水,Ac2-26低、中、高剂量组小鼠分别腹腔注射1、2、4mg/kg的Ac2-26多肽溶液,每天一次。4周后,处死小鼠,取肝脏组织包埋切片后,进行H&E染色、油红O染色、天狼星红染色和Masson染色。肝脏组织匀浆提取脂质,定量检测肝脏中的脂质含量。同时,肝脏组织提取RNA及蛋白,用RT-PCR及Western blot检测炎症及纤维化相关基因及蛋白的表达情况。Experimental method: C57BL/6 mice were divided into 5 groups on average, namely: 1) normal control group; 2) model group; 3) Ac2-26 low-dose group; 4) Ac2-26 medium-dose group; 5) Ac2- 26 high dose group. The mice in the normal control group were fed with MCS feed, and the model group and Ac2-26 group were fed with methionine choline deficiency (MCD) feed. Inject 1, 2, 4 mg/kg of Ac2-26 polypeptide solution once a day. After 4 weeks, the mice were sacrificed, and the liver tissues were taken for embedding and sectioning, and then stained with H&E, Oil red O, Sirius red and Masson. Lipid was extracted from liver tissue homogenate, and the lipid content in the liver was quantitatively detected. At the same time, RNA and protein were extracted from the liver tissue, and the expressions of inflammation and fibrosis-related genes and proteins were detected by RT-PCR and Western blot.

实施例1Ac2-26治疗降低肝脏脂质沉积Embodiment 1Ac2-26 treatment reduces hepatic lipid deposition

提取肝脏脂质,检测肝脏中甘油三酯(TG)、总胆固醇(TC)及游离脂肪酸(NEFA)含量,结果如图1所示。从图1A中可以看出,MCD造模后TG、TC、NEFA含量显著升高,Ac2-26治疗后肝脏脂质有不同程度的降低,具有明显的剂量依赖性。肝脏冰冻切片进行油红O染色,结果显示MCD造模后肝脏脂滴显著增加,Ac2-26治疗后肝脏脂滴呈剂量依赖性的减少(图1B)。Liver lipids were extracted, and the contents of triglyceride (TG), total cholesterol (TC) and free fatty acid (NEFA) in the liver were detected. The results are shown in Figure 1. It can be seen from Figure 1A that the contents of TG, TC, and NEFA were significantly increased after MCD modeling, and liver lipids were reduced to varying degrees after Ac2-26 treatment, which was obviously dose-dependent. Oil red O staining of frozen liver sections showed that liver lipid droplets increased significantly after MCD modeling, and liver lipid droplets decreased in a dose-dependent manner after Ac2-26 treatment (Fig. 1B).

实施例2Ac2-26治疗减轻肝脏炎症Embodiment 2Ac2-26 treatment reduces liver inflammation

提取肝脏mRNA,采用RT-PCR检测肝脏炎症因子的表达情况。结果显示,MCD造模显著增加肝脏炎症相关基因Mcp-1、Tnf-α、Cd68及TGF-β的mRNA水平的表达,Ac2-26给药可剂量依赖性地抑制MCD引起的肝脏炎症水平升高(图2A)。H&E染色结果显示,MCD造模显著增加肝脏炎症细胞的浸润,Ac2-26治疗可剂量依赖性地改善肝脏炎症(图2B)。Liver mRNA was extracted, and the expression of liver inflammatory factors was detected by RT-PCR. The results showed that MCD modeling significantly increased the expression of mRNA levels of liver inflammation-related genes Mcp-1, Tnf-α, Cd68 and TGF-β, and the administration of Ac2-26 could dose-dependently inhibit the increase of liver inflammation caused by MCD (FIG. 2A). H&E staining results showed that MCD modeling significantly increased the infiltration of inflammatory cells in the liver, and Ac2-26 treatment could improve liver inflammation in a dose-dependent manner (Fig. 2B).

实施例3Ac2-26治疗降低肝脏纤维化基因及蛋白的表达Example 3 Ac2-26 treatment reduces the expression of liver fibrosis genes and proteins

提取肝脏mRNA,采用RT-PCR检测肝脏纤维化相关基因的表达情况。结果显示,MCD造模显著增加肝脏纤维化相关基因mRNA水平的表达,Ac2-26给药可剂量依赖性地抑制MCD引起的肝脏纤维化相关基因的升高(图3A)。Western blot检测结果显示,MCD造模显著增加肝脏纤维化相关蛋白alpha-SMA和Col1a1的表达,Ac2-26治疗可剂量依赖性地降低纤维化蛋白的表达(图3B)。Liver mRNA was extracted, and RT-PCR was used to detect the expression of liver fibrosis-related genes. The results showed that MCD modeling significantly increased the expression of mRNA levels of liver fibrosis-related genes, and the administration of Ac2-26 could dose-dependently inhibit the increase of liver fibrosis-related genes caused by MCD (Fig. 3A). Western blot results showed that MCD modeling significantly increased the expression of liver fibrosis-related proteins alpha-SMA and Col1a1, and Ac2-26 treatment could reduce the expression of fibrosis proteins in a dose-dependent manner (Fig. 3B).

实施例4Ac2-26治疗减少肝脏胶原纤维沉积Embodiment 4Ac2-26 treatment reduces hepatic collagen fiber deposition

对肝脏切片进行天狼星红染色和Masson染色,结果显示,MCD造模显著增加肝脏胶原纤维的沉积,Ac2-26治疗可剂量依赖性地减少胶原纤维沉积(图4)。Sirius red staining and Masson staining were performed on the liver sections, and the results showed that MCD modeling significantly increased the deposition of collagen fibers in the liver, and Ac2-26 treatment could reduce the deposition of collagen fibers in a dose-dependent manner (Figure 4).

需要说明的是,本说明书中描述的具体特征、结构、材料或者特点可以在任一个或多个实施例中以合适的方式结合。此外,在不相互矛盾的情况下,本领域的技术人员可以将本说明书中描述的不同实施例以及不同实施例的特征进行结合和组合。It should be noted that the specific features, structures, materials or characteristics described in this specification may be combined in any one or more embodiments in a suitable manner. In addition, those skilled in the art can combine and combine different embodiments and features of different embodiments described in this specification without conflicting with each other.

Claims (10)

1.多肽Ac2-26在制备防治非酒精性脂肪性肝病的药物中的用途。1. Use of polypeptide Ac2-26 in the preparation of medicines for preventing and treating non-alcoholic fatty liver disease. 2.根据权利要求1所述的用途,其特征是:所述非酒精性脂肪性肝病为单纯性非酒精性脂肪肝或非酒精性脂肪性肝炎。2. The use according to claim 1, characterized in that: the nonalcoholic fatty liver disease is simple nonalcoholic fatty liver or nonalcoholic steatohepatitis. 3.根据权利要求2所述的用途,其特征是:所述非酒精性脂肪性肝病为非酒精性脂肪性肝炎。3. The use according to claim 2, characterized in that: the nonalcoholic fatty liver disease is nonalcoholic steatohepatitis. 4.多肽Ac2-26在制备降低肝脏的脂质沉积、炎症或纤维化的药物中的用途。4. Use of the polypeptide Ac2-26 in the preparation of a medicament for reducing lipid deposition, inflammation or fibrosis in the liver. 5.多肽Ac2-26在制备防治肝硬化或肝细胞癌的药物中的用途。5. Use of the polypeptide Ac2-26 in the preparation of medicines for preventing and treating liver cirrhosis or hepatocellular carcinoma. 6.根据权利要求1-5任一项所述的用途,其特征是:所述药物满足以下至少一项:6. The use according to any one of claims 1-5, characterized in that: the drug satisfies at least one of the following: 所述药物降低肝脏脂质沉积;The drug reduces hepatic lipid deposition; 所述药物减轻肝脏炎症;The drug reduces liver inflammation; 所述药物降低肝脏纤维化基因及蛋白的表达;The drug reduces the expression of liver fibrosis genes and proteins; 所述药物减少肝脏胶原纤维沉积。The drug reduces collagen fiber deposition in the liver. 7.根据权利要求1-5任意一项所述用途,其特征是:所述多肽氨基酸序列如SEQ IDNO.1所示。7. The use according to any one of claims 1-5, characterized in that: the amino acid sequence of the polypeptide is shown in SEQ ID NO.1. 8.根据权利要求1-5任意一项所述用途,其特征是:所述药物是以多肽Ac2-26为活性成分,加入药学上可接受的辅料或者辅助性成分制备而成的制剂。8. The use according to any one of claims 1-5, characterized in that: the drug is a preparation prepared by taking the polypeptide Ac2-26 as the active ingredient and adding pharmaceutically acceptable excipients or auxiliary ingredients. 9.根据权利要求8所述用途,其特征是:所述制剂为口服制剂、鼻腔给药制剂或注射制剂。9. The use according to claim 8, characterized in that: the preparation is an oral preparation, a nasal cavity administration preparation or an injection preparation. 10.根据权利要求9所述用途,其特征是:单位制剂含有多肽Ac2-26量为0.01-0.5mg。10. The use according to claim 9, characterized in that: the unit preparation contains 0.01-0.5 mg of the polypeptide Ac2-26.
CN202310249030.5A 2023-03-15 2023-03-15 Use of polypeptide in preparing medicine for preventing and treating non-alcoholic fatty liver disease Pending CN116603053A (en)

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CN118403143A (en) * 2024-04-30 2024-07-30 南京中医药大学 Application of East Asian scorpion toxin polypeptide in the preparation of drugs for treating and/or preventing liver diseases caused by intrahepatic lipid accumulation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118403143A (en) * 2024-04-30 2024-07-30 南京中医药大学 Application of East Asian scorpion toxin polypeptide in the preparation of drugs for treating and/or preventing liver diseases caused by intrahepatic lipid accumulation

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