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CN111407727A - Application of mammal target of rapamycin (mTOR) blocker in preparation of medicines for treating calcified tendinosis - Google Patents

Application of mammal target of rapamycin (mTOR) blocker in preparation of medicines for treating calcified tendinosis Download PDF

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CN111407727A
CN111407727A CN202010223114.8A CN202010223114A CN111407727A CN 111407727 A CN111407727 A CN 111407727A CN 202010223114 A CN202010223114 A CN 202010223114A CN 111407727 A CN111407727 A CN 111407727A
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陈晓
毛铮伟
陈扬武
陈小怡
茵梓
沈炜亮
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Abstract

The mammalian target of rapamycin (mTOR) blocker is an application of CHP-P L GA-RAPA nanoparticle in preparing a medicament for treating calcified tendinosis, the nanoparticle can be specifically combined with pathological tendon, and the ectopic ossification process in connective tissues such as tendon and ligament of a mouse injured by the tendon can be prevented by regulating the differentiation of tendon stem progenitor cells through rapamycin, and in the application, the CHP-P L GA-RAPA nanoparticle shows excellent pathological collagen affinity, controlled release capacity and bioactivity.

Description

哺乳动物雷帕霉素靶蛋白(mTOR)阻断剂在制备治疗钙化性肌 腱病药物中的应用Mammalian target of rapamycin (mTOR) blocker in preparation for the treatment of calcific muscle Application of tendinopathy drugs

技术领域technical field

本发明属于肌腱相关疾病治疗药物技术领域,尤其是涉及哺乳动物雷帕霉素靶蛋白 (mTOR)阻断剂在制备治疗钙化性肌腱病药物中的应用。The invention belongs to the technical field of tendon-related diseases treatment drugs, in particular to the application of a mammalian target of rapamycin (mTOR) blocker in the preparation of a drug for treating calcific tendinopathy.

背景技术Background technique

在有关肌肉骨骼系统疾病的临床咨询中,大约30%的患者是由于肌腱损伤。肌腱异位骨化症是肌腱病的一种亚型,会破坏肌腱组织本身的结构,加剧症状并严重削弱肌腱的活动功能。About 30% of clinical consultations regarding disorders of the musculoskeletal system are due to tendon injuries. Heterotopic ossification of the tendon is a subtype of tendinopathy that destroys the structure of the tendon tissue itself, exacerbating symptoms and severely impairing the tendon's mobility.

当前,并无针对肌腱钙化的特效治疗,依然以传统治疗为主,包括休息、物理治疗、口服镇痛药物、局部非甾体类抗炎药注射和保守治疗无效后的手术治疗。但是以上保守治疗效果欠佳,而手术存在较大的并发症发病率且疗效不稳定。主要的挑战是对骨化关键机制的了解不足,并且缺乏将药物精确地输送到病理肌腱的适当系统。Currently, there is no specific treatment for tendon calcification, and traditional treatments are still the mainstay, including rest, physical therapy, oral analgesics, local non-steroidal anti-inflammatory drug injection, and surgical treatment after conservative treatment fails. However, the above conservative treatment is not effective, and the operation has a large complication rate and the effect is unstable. The main challenges are insufficient understanding of the key mechanisms of ossification and lack of appropriate systems for precise drug delivery to pathological tendons.

发明内容SUMMARY OF THE INVENTION

本发明的目的是针对现有技术存在的问题,提出应用哺乳动物雷帕霉素靶蛋白(mTOR)阻断剂作为制备治疗钙化性肌腱病药物,疗效显著。The purpose of the present invention is to solve the problems existing in the prior art, and propose to use a mammalian target of rapamycin (mTOR) blocker as a medicine for the preparation of calcific tendinopathy, which has a remarkable curative effect.

本发明公开了哺乳动物雷帕霉素靶蛋白(mTOR)阻断剂在制备治疗钙化性肌腱病药物中的应用。The invention discloses the application of a mammalian target of rapamycin (mTOR) blocker in preparing a medicine for treating calcific tendinopathy.

其中,mTOR阻断剂为胶原蛋白杂交肽-聚(乳酸-乙醇酸)-雷帕霉素纳米颗粒,该纳米颗粒对应的英文缩写为CHP-PLGA-RAPA纳米颗粒。Wherein, the mTOR blocker is collagen hybrid peptide-poly(lactic-glycolic acid)-rapamycin nanoparticle, and the corresponding English abbreviation of the nanoparticle is CHP-PLGA-RAPA nanoparticle.

其中,所述胶原蛋白杂交肽为市购产品,其具体结构为 [(Gly-Pro-Hyp)6-Gly-Gly-Gly]2-Lys。Wherein, the collagen hybrid peptide is a commercially available product, and its specific structure is [(Gly-Pro-Hyp) 6 -Gly-Gly-Gly] 2 -Lys.

其中,CHP-PLGA-RAPA纳米颗粒制备过程包括如下步骤:Wherein, the preparation process of CHP-PLGA-RAPA nanoparticles includes the following steps:

(1)PLGA-RAPA纳米颗粒的制备:以乳化剂分子为稳定剂通过乳液-溶剂蒸发法制备而得;(1) Preparation of PLGA-RAPA nanoparticles: prepared by emulsion-solvent evaporation method with emulsifier molecules as stabilizers;

(2)CHP-PLGA-RAPA纳米颗粒的制备:通过交联剂将胶原蛋白杂交肽共价缀合到PLGA-RAPA纳米颗粒上制备而得。(2) Preparation of CHP-PLGA-RAPA nanoparticles: prepared by covalently conjugating collagen hybrid peptides to PLGA-RAPA nanoparticles through a cross-linking agent.

其中,乳化剂为牛血清白蛋白(BSA)溶液;交联剂为戊二醛。Wherein, the emulsifier is bovine serum albumin (BSA) solution; the cross-linking agent is glutaraldehyde.

其中,钙化性肌腱病为肌腱异位骨化症。Among them, calcific tendinopathy is heterotopic ossification of tendon.

本发明mTOR阻断剂为CHP-PLGA-RAPA纳米颗粒,该纳米颗粒可特异性结合病理性肌腱,并通过雷帕霉素调解肌腱干祖细胞的分化作用,可阻止肌腱损伤小鼠的肌腱和韧带等结缔组织中异位骨化进程。且在该应用中,CHP-PLGA-RAPA纳米颗粒表现出优异的病理胶原亲和力,控释能力和生物活性。The mTOR blocking agent of the present invention is CHP-PLGA-RAPA nanoparticle, which can specifically bind to pathological tendons, mediate the differentiation effect of tendon stem progenitor cells through rapamycin, and can prevent tendon and tendon damage in mice with tendon injury. The process of heterotopic ossification in connective tissues such as ligaments. And in this application, CHP-PLGA-RAPA nanoparticles exhibited excellent pathological collagen affinity, controlled release ability, and bioactivity.

附图说明Description of drawings

图1为PLGA-RAPA纳米颗粒及CHP-PLGA-RAPA纳米颗粒的表征图,其中,图1A 为扫描电镜图;图1B为投射电镜图;Fig. 1 is a characterization diagram of PLGA-RAPA nanoparticles and CHP-PLGA-RAPA nanoparticles, wherein, Fig. 1A is a scanning electron microscope image; Fig. 1B is a transmission electron microscope image;

图2为CHP-PLGA-RAPA纳米颗粒与完整胶原蛋白(Intact collagen)和受损胶原蛋白(Injured collagen)结合的投射电镜及扫描电镜图;Figure 2 shows the TEM images of CHP-PLGA-RAPA nanoparticles combined with intact collagen (Intact collagen) and damaged collagen (Injured collagen);

图3肌腱异位骨化模型小鼠中胶原蛋白杂交肽-聚(乳酸-乙醇酸)纳米颗粒的病理性肌腱亲和力的体内评估;Figure 3. In vivo assessment of the pathological tendon affinity of collagen hybrid peptide-poly(lactic-glycolic acid) nanoparticles in a model of tendon heterotopic ossification;

图4为异位骨化建模后,修复的小鼠跟腱在6周时micro-CT和组织学检查的表征图,其中图4A为Micro-CT成像图;图4B为组织学评估图,分别用HE,MASSON和SO染色。Figure 4 is the characterization diagram of micro-CT and histological examination of the repaired mouse Achilles tendon at 6 weeks after heterotopic ossification modeling, in which Figure 4A is the Micro-CT imaging diagram; Figure 4B is the histological evaluation diagram, Stained with HE, MASSON and SO, respectively.

具体实施方式Detailed ways

除有定义外,以下实施例中所用的技术术语具有与本发明所属领域技术人员普遍理解的相同含义。以下实施例中所用的试验试剂,如无特殊说明,均为常规生化试剂;所述实验方法,如无特殊说明,均为常规方法。下面结合实施例来详细说明本发明。Unless otherwise defined, technical terms used in the following embodiments have the same meanings as commonly understood by those skilled in the art to which the present invention belongs. The test reagents used in the following examples are conventional biochemical reagents unless otherwise specified; the experimental methods are conventional methods unless otherwise specified. The present invention will be described in detail below with reference to the embodiments.

实施例1纳米粒子的制备及表征Example 1 Preparation and Characterization of Nanoparticles

(1)PLGA-RAPA纳米颗粒的制备(1) Preparation of PLGA-RAPA nanoparticles

将聚(乳酸-乙醇酸)(PLGA,Mw~78kD,中国济南岱罡生物科技有限公司)和雷帕霉素(RAPA,S1039,Selleck)均溶解在二氯甲烷中,浓度分别为20mg/ml和1mg/ ml,得PLGA/RAPA溶液。将1ml PLGA/RAPA溶液迅速加入到4毫升磁力搅拌下的乳化剂牛血清白蛋白(BSA)溶液(3%)(Sigma-Aldrich)中。施加探针超声处理并在冰上以10W的功率进行30s的充分乳化。然后,搅拌至少3小时,直到凝固。收集 PLGA-RAPA纳米颗粒,并通过以12,000rpm离心10分钟进行纯化,3次;然后将其重新悬浮在超纯水中,以去除多余的乳化剂溶液分子。Both poly(lactic-glycolic acid) (PLGA, Mw~78kD, Jinan Daigang Biotechnology Co., Ltd., China) and rapamycin (RAPA, S1039, Selleck) were dissolved in dichloromethane at a concentration of 20 mg/ml, respectively And 1mg/ml, get PLGA/RAPA solution. 1 ml of the PLGA/RAPA solution was quickly added to 4 ml of the emulsifier bovine serum albumin (BSA) solution (3%) (Sigma-Aldrich) under magnetic stirring. Probe sonication was applied and adequate emulsification was performed on ice at 10 W for 30 s. Then, stir for at least 3 hours until set. PLGA-RAPA nanoparticles were collected and purified by centrifugation at 12,000 rpm for 10 minutes, 3 times; they were then resuspended in ultrapure water to remove excess emulsifier solution molecules.

(2)CHP-PLGA-RAPA纳米颗粒的制备(2) Preparation of CHP-PLGA-RAPA nanoparticles

制备前,将肽加热(80℃;5分钟),然后在冰上冷却1分钟以解开肽的螺旋结构。将PLGA-RAPA纳米颗粒(1mg/ml)的悬浮液与戊二醛(最终浓度为1mg/ml)在室温下轻轻摇动混合12小时。离心和超纯水洗涤后,再将胶原杂交肽 [(Gly-Pro-Hyp)6-Gly-Gly-Gly]2-Lys添加到上述系统中,并进一步缀合,在室温下放置一周。在12,000rpm下离心10分钟,收集肽修饰的PLGA-RAPA,并在超声处理下用水洗涤3次以去除游离的肽分子,得到CHP-PLGA-RAPA纳米颗粒。Prior to preparation, the peptides were heated (80°C; 5 minutes) and then cooled on ice for 1 minute to unwind the helical structure of the peptides. A suspension of PLGA-RAPA nanoparticles (1 mg/ml) was mixed with glutaraldehyde (final concentration of 1 mg/ml) for 12 hours at room temperature with gentle shaking. After centrifugation and ultrapure water washing, the collagen hybrid peptide [(Gly-Pro-Hyp) 6 -Gly-Gly-Gly] 2 -Lys was added to the above system and further conjugated and left at room temperature for one week. The peptide-modified PLGA-RAPA was collected by centrifugation at 12,000 rpm for 10 minutes, and washed with water for 3 times under sonication to remove free peptide molecules, resulting in CHP-PLGA-RAPA nanoparticles.

PLGA-RAPA纳米颗粒及CHP-PLGA-RAPA纳米颗粒的扫描电镜及投射电镜结果如图1所示。The SEM and TEM results of PLGA-RAPA nanoparticles and CHP-PLGA-RAPA nanoparticles are shown in Figure 1.

实施例2CHP-PLGA-RAPA纳米颗粒的结合特异性Example 2 Binding specificity of CHP-PLGA-RAPA nanoparticles

通过加热(80℃;5分钟)使1型胶原蛋白(猪的肌腱中提取)(0.5mg/ml)变性,然后置于冰浴中。在37℃的培养箱中2%胶原酶消化30分钟会损坏猪的肌腱。将10μl 受伤的1型胶原蛋白或10μl完整的1型胶原蛋白固定到镍网上。1分钟后,用吸水纸将多余的溶液吸掉,然后加入10μl聚(乳酸-乙醇酸)或胶原蛋白杂交肽-聚(乳酸-乙醇酸) 纳米颗粒(10nM)孵育组装好胶原的镍网10分钟,并用双蒸水洗涤3次。再将10μl 2% (重量/体积)乙酸铀酰的染色溶液加到网格上,将样品染色,1分钟后,用吸水纸将多余的溶液吸掉。将上述镍网放置在室温下干燥过夜。最后,在投射电镜下观察。随后,将完整的肌腱和受伤的肌腱分别与CHP-PLGA-RAPA纳米颗粒(10μM)在室温下的摇床上孵育2小时。之后,上述肌腱用PBS洗涤3次,并进一步进行扫描电镜处理。Collagen type 1 (extracted from porcine tendon) (0.5 mg/ml) was denatured by heating (80°C; 5 min) and placed in an ice bath. Digestion with 2% collagenase for 30 minutes in a 37°C incubator damages porcine tendons. Immobilize 10 μl of wounded type 1 collagen or 10 μl of intact type 1 collagen onto the nickel mesh. After 1 minute, remove the excess solution with absorbent paper, then add 10 μl poly(lactic-glycolic acid) or collagen hybrid peptide-poly(lactic-glycolic acid) nanoparticles (10 nM) to incubate the assembled collagen nickel mesh 10 minutes and washed 3 times with double distilled water. Another 10 μl of 2% (w/v) uranyl acetate staining solution was added to the grid to stain the sample, and after 1 minute, the excess solution was blotted off with absorbent paper. The above nickel mesh was left to dry overnight at room temperature. Finally, observe under a projection electron microscope. Subsequently, intact and injured tendons were separately incubated with CHP-PLGA-RAPA nanoparticles (10 μM) for 2 h on a shaker at room temperature. After that, the above tendons were washed three times with PBS and further processed for scanning electron microscopy.

根据扫描电镜和投射电镜结果观察,CHP-PLGA-RAPA纳米颗粒特异性附着在受损的胶原蛋白或腱上,而在完整的胶原蛋白或完整的肌腱中很少见,如图2所示。According to scanning electron microscopy and transmission electron microscopy results, CHP-PLGA-RAPA nanoparticles were specifically attached to damaged collagen or tendon, but rarely in intact collagen or intact tendon, as shown in Figure 2.

实施例3动物实验-体内荧光成像和分析Example 3 Animal Experiments - In Vivo Fluorescence Imaging and Analysis

建立肌腱异位骨化模型,将1型胶原酶(12.5U/腿,Gibco,17100017)注入8周龄小鼠右跟腱的中点,在PLGA-RAPA纳米颗粒或CHP-PLGA-RAPA纳米颗粒的合成过程中,用Cy5(Lumiprobe,23020)代替RAPA,分别得到PLGA-Cy5或CHP-PLGA-Cy5。肌腱异位骨化建模后一周,给小鼠注射PLGA-Cy5或CHP-PLGA-Cy5。用异氟烷麻醉小鼠,并在指定的时间点通过荧光成像系统(IVIS Spectrum CT,PerkinElmer)进行分析。To establish a tendon heterotopic ossification model, type 1 collagenase (12.5 U/leg, Gibco, 17100017) was injected into the midpoint of the right Achilles tendon of 8-week-old mice, in PLGA-RAPA nanoparticles or CHP-PLGA-RAPA nanoparticles Cy5 (Lumiprobe, 23020) was used to replace RAPA during the synthesis of PLGA-Cy5 or CHP-PLGA-Cy5, respectively. One week after tendon heterotopic ossification modeling, mice were injected with PLGA-Cy5 or CHP-PLGA-Cy5. Mice were anesthetized with isoflurane and analyzed by a fluorescence imaging system (IVIS Spectrum CT, PerkinElmer) at the indicated time points.

图3为上述纳米颗粒注射入损伤的跟腱后的小鼠活体荧光成像图,及在不同时间点PLGA-Cy5或CHP-PLGA-Cy5的总辐射效率。结果显示,与PLGA-Cy5相比, CHP-PLGA-Cy5在各个时间点均显著增强了Cy5在肌腱组织中的保留,表明前者对受损的肌腱具有更强的亲和力,并且是更有效的药物递送载体。Fig. 3 is the in vivo fluorescence imaging of mice after the above nanoparticles were injected into the injured Achilles tendon, and the total radiation efficiency of PLGA-Cy5 or CHP-PLGA-Cy5 at different time points. The results showed that compared with PLGA-Cy5, CHP-PLGA-Cy5 significantly enhanced the retention of Cy5 in tendon tissue at various time points, indicating that the former has a stronger affinity for damaged tendons and is a more effective drug delivery vehicle.

实施例4动物实验-CT成像及组织学检查Example 4 Animal experiment-CT imaging and histological examination

建立肌腱异位骨化模型,将1型胶原酶(12.5U/腿,Gibco,17100017)注入8周龄小鼠右跟腱的中点,并在3天后进行相同的操作以稳定效果。建模后6周后处死10只 WT小鼠(mTORfloxed)和10只mTOR-TKO小鼠(Scx-cre;mTORfloxed),然后取腿进行微 CT成像和随后的组织学检查。To establish a tendon heterotopic ossification model, type 1 collagenase (12.5 U/leg, Gibco, 17100017) was injected into the midpoint of the right Achilles tendon of 8-week-old mice, and the same operation was performed 3 days later to stabilize the effect. 10 WT mice (mTOR floxed ) and 10 mTOR-TKO mice (Scx-cre; mTOR floxed ) were sacrificed 6 weeks after modeling and legs were removed for micro-CT imaging and subsequent histological examination.

在体内药物实验中,将60只小鼠平均分为四组,每周一次皮下注射:对照组(无菌PBS,5μl),RAPA组(雷帕霉素,70μM,5μl),PLGA-RAPA组(70μM,5μl)和 CHP-PLGA-RAPA组(70μM,5μl)。治疗后6周,处死每组10只小鼠。取腿进行micro-CT 和组织学检查,如图4所示,其中,图4A为异位骨化建模后,修复的小鼠跟腱在6周时的Micro-CT成像图,微CT成像显示聚(乳酸-乙醇酸)-雷帕霉素纳米颗粒和胶原蛋白杂交肽-聚(乳酸-乙醇酸)-雷帕霉素纳米颗粒,尤其是后者,显著降低了小鼠肌腱中异位骨化的发生;图4B为组织学评估,包括HE,MASSON和SO染色,在后两组中仅观察到很少或没有异位骨组织,确定了缓释药物组的显著改善。In the in vivo drug experiment, 60 mice were equally divided into four groups and injected subcutaneously once a week: control group (sterile PBS, 5 μl), RAPA group (rapamycin, 70 μM, 5 μl), PLGA-RAPA group (70 μM, 5 μl) and CHP-PLGA-RAPA group (70 μM, 5 μl). Six weeks after treatment, 10 mice per group were sacrificed. The legs were taken for micro-CT and histological examination, as shown in Figure 4. Figure 4A is the Micro-CT image of the repaired mouse Achilles tendon at 6 weeks after heterotopic ossification modeling. Micro-CT imaging show that poly(lactic-glycolic acid)-rapamycin nanoparticles and collagen hybrid peptide-poly(lactic-glycolic acid)-rapamycin nanoparticles, especially the latter, significantly reduce ectopic The occurrence of ossification; Figure 4B is histological assessment, including HE, MASSON and SO staining, only little or no heterotopic bone tissue was observed in the latter two groups, confirming the significant improvement in the sustained-release drug group.

本发明未尽事宜为公知技术。Matters not addressed in the present invention are known in the art.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (7)

1.哺乳动物雷帕霉素靶蛋白(mTOR)阻断剂在制备治疗钙化性肌腱病药物中的应用。1. Application of a mammalian target of rapamycin (mTOR) blocker in the preparation of a medicament for treating calcific tendinopathy. 2.根据权利要求1所述的应用,其特征在于,mTOR阻断剂为胶原蛋白杂交肽-聚(乳酸-乙醇酸)-雷帕霉素纳米颗粒(CHP-PLGA-RAPA纳米颗粒)。2 . The application according to claim 1 , wherein the mTOR blocking agent is collagen hybrid peptide-poly(lactic-glycolic acid)-rapamycin nanoparticles (CHP-PLGA-RAPA nanoparticles). 3 . 3.根据权利要求2所述的应用,其特征在于,所述胶原蛋白杂交肽的结构为[(Gly-Pro-Hyp)6-Gly-Gly-Gly]2-Lys。The application according to claim 2, wherein the collagen hybrid peptide has a structure of [(Gly-Pro-Hyp) 6 -Gly-Gly-Gly] 2 -Lys. 4.根据权利要求2所述的应用,其特征在于,CHP-PLGA-RAPA纳米颗粒制备过程包括如下步骤:4. application according to claim 2, is characterized in that, CHP-PLGA-RAPA nano particle preparation process comprises the steps: (1)PLGA-RAPA纳米颗粒的制备:以乳化剂分子为稳定剂通过乳液-溶剂蒸发法制备而得;(1) Preparation of PLGA-RAPA nanoparticles: prepared by emulsion-solvent evaporation method with emulsifier molecules as stabilizers; (2)CHP-PLGA-RAPA纳米颗粒的制备:通过交联剂将胶原蛋白杂交肽共价缀合到PLGA-RAPA纳米颗粒上制备而得。(2) Preparation of CHP-PLGA-RAPA nanoparticles: prepared by covalently conjugating collagen hybrid peptides to PLGA-RAPA nanoparticles through a cross-linking agent. 5.根据权利要求4所述的应用,其特征在于,所述乳化剂为牛血清白蛋白(BSA)溶液。5. The application according to claim 4, wherein the emulsifier is a bovine serum albumin (BSA) solution. 6.根据权利要求4所述的应用,其特征在于,所述交联剂为戊二醛。6. The application according to claim 4, wherein the cross-linking agent is glutaraldehyde. 7.根据权利要求1-6所述的应用,其特征在于,钙化性肌腱病为肌腱异位骨化症。7. The application according to claim 1-6, wherein the calcific tendinopathy is tendon heterotopic ossification.
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