WO2018133113A1 - Ziyuglycogenin liposome, preparation method therefor and use thereof - Google Patents
Ziyuglycogenin liposome, preparation method therefor and use thereof Download PDFInfo
- Publication number
- WO2018133113A1 WO2018133113A1 PCT/CN2017/072233 CN2017072233W WO2018133113A1 WO 2018133113 A1 WO2018133113 A1 WO 2018133113A1 CN 2017072233 W CN2017072233 W CN 2017072233W WO 2018133113 A1 WO2018133113 A1 WO 2018133113A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- liposome
- carrier material
- mantle
- aglycone
- weight ratio
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/24—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing atoms other than carbon, hydrogen, oxygen, halogen, nitrogen or sulfur, e.g. cyclomethicone or phospholipids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/28—Steroids, e.g. cholesterol, bile acids or glycyrrhetinic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Synthetic bilayered vehicles, e.g. liposomes or liposomes with cholesterol as the only non-phosphatidyl surfactant
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/06—Antianaemics
Definitions
- the invention relates to a mantle aglycone liposome, a preparation method thereof and use thereof, and belongs to the field of medicine.
- Myelosuppression is a clinically common hematopoietic disease that can occur in radiation therapy and/or chemotherapy of various systemic neoplastic diseases, radiation damage caused by ionizing radiation, viral hepatitis, parvovirus infection or drugs (chloramphenicol). , benzene, sulfonamides, anti-epileptic drugs, sedatives, anti-thyroid drugs, anti-diabetes drugs, anti-malaria, sleeping pills and other factors. Myelosuppression can cause damage to the bone marrow microenvironment, hematopoietic stem cells, hematopoietic growth factors, etc., and the granulosa, red, and megakaryocyte systems are inhibited.
- the mantle aglycone is one of the roots extracted from the roots of Sanguisorba officinalis L. or S. officinalis L. var. longifolia (Bertol.) Yu et Li.
- the active ingredient is an aglycon of saponin I and saponin II, chemical name: 3 ⁇ , 19 ⁇ -hydroxy-Uso-12--28-carboxylic acid, and its structural formula is as follows:
- CN101119740A discloses the use of saponin II in the preparation of a medicament for increasing red blood cells and hemoglobin.
- saponin II in the preparation of a medicament for increasing red blood cells and hemoglobin.
- the geniposide has poor efficacy, and when used alone, the effect of increasing blood cell level and treating bone marrow suppression is poor, which greatly limits the clinical application of the geniposide.
- An object of the present invention is to provide a guanosine aglycon liposome, a preparation method thereof and use thereof.
- HSPC hydrogenated soybean lecithin
- DSPE-PEG 2000 distearoylphosphatidylethanolamine-polyethylene glycol 2000.
- the protective agent is selected from one or a mixture of two or more of glucose, sucrose, trehalose, fructose, mannitol or lactose.
- the invention also provides a preparation method of the above liposome, comprising the following steps:
- step b removing the organic solvent in the mixed solution of step a, and adding a protective agent and water;
- the organic solvent described in the step a is ethanol; in the step b, after adding the protective agent and water, the concentration of the geniposide is 0.2 mg/mL; in the step c, the homogenous condition is: 1000 bar The mixture was homogenized 4 times under pressure; the sterilization condition was: 0.22 ⁇ m microporous membrane filtration sterilization.
- the present invention also provides the use of the above liposome for the preparation of a medicament for the treatment and/or prevention of myelosuppression.
- the present invention also provides the use of the above liposome for the preparation of a medicament for increasing the number of one or more of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin or bone marrow hematopoietic stem cells.
- the invention also provides a method of treating and/or preventing myelosuppression, in particular using the aforementioned solid liposomes.
- the present invention also provides a method for increasing the amount of one or more of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin, bone marrow hematopoietic stem cells, in particular, using the aforementioned liposomes.
- the inventors found that the reason that the effect of the cellar aglycone on the elevated blood cell level is poor is that its solubility is low and the gastrointestinal absorption rate is small, which leads to low bioavailability of the drug and limits its efficacy.
- the scorpion aglycone liposome prepared by the invention can significantly increase the number of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin and bone marrow hematopoietic stem cells, and the pharmacological effect is obviously superior to the scorpion aglycone original drug, indicating
- the preparation of the diterpene aglycone into a liposome can improve the bioavailability of the main drug, enhance the blood cell number and prevent bone marrow suppression.
- the raw materials and equipment used in the specific embodiments of the present invention are known products and are obtained by purchasing commercially available products.
- Prescription seven (G): 1 mg of mantle aglycon and 20 mg of carrier material (HSPC: DSPE-PEG 2000: cholesterol 5:1:1, ie, HSPC 14 mg, DSPE-PEG 2000 3 mg, cholesterol 3 mg), and sucrose 5 mg.
- aglycone ie, saponin
- total lipid composed of HSPC, PEG 2000-DSPE and cholesterol
- sugar corresponding glucose, sucrose
- trehalose fructose
- mannitol mannitol or lactose
- appropriate amount of water so that the concentration of the aglycone in the liposome suspension is 0.2 mg / mL
- high pressure homogenization 4 times under 1000 bar pressure, 0.22 ⁇ m microporous membrane Filter and sterilize, that is.
- the drug content was determined by HPLC-ELSD, the particle size was measured by a Malvern particle size analyzer, and the PDI was detected by a particle size analyzer.
- the mixed lipids of 1mg of scutellarin and different carrier materials HSPC, DSPE-PEG 2000, cholesterol, lecithin and stigmasterol were mixed at a mass ratio of 1:20, dissolved in ethanol, and ethanol was removed by rotary evaporation under reduced pressure, and 5 mg was added.
- Sucrose and water were used to make the concentration of the aglycone in the liposome suspension 0.2 mg/mL, and the pressure was high pressure 4 times under the pressure of 1000 bar, and the 0.22 ⁇ m microporous membrane was filtered and sterilized.
- the encapsulation efficiency, particle size distribution and dispersion index (PDI) of the indole aglycone in the liposome were measured. The results are shown in Table 1.
- the quality of the mantle aglycone liposome prepared by using the mixed lipid of HSPC, DSPE-PEG 2000 and cholesterol as the carrier material is better: the encapsulation efficiency is above 70%, and the average particle diameter is below 215 nm.
- the dispersion index (PDI) is less than 0.127, the effect is significantly better than other excipients and proportioning group (P ⁇ 0.05); using the other two excipients lecithin or stigmasterol, the drug encapsulation rate and particle size uniformity are significantly reduced. And the average particle size of the liposome is large.
- HSPC DSPE-PEG 2000: cholesterol weight ratio of 5:1:1, the prepared mantle aglycons liposome encapsulation efficiency, average particle size, dispersion index (PDI) and other indicators are the best.
- the bacteria were sterilized by filtration through a 0.22 ⁇ m microporous membrane.
- the encapsulation efficiency, average particle size and dispersion index (PDI) of the indole aglycone in the liposome were measured. The results are shown in Table 2.
- test drug was prepared with different excipients to prepare the aglycone liposome solution group (A, B, C, D, E, F, G) and the mantle aglycone 10% DMSO-saline group.
- tool drugs cyclophosphamide.
- All animals were fed ad libitum for 1 week and were randomly divided into: blank group; model group; different prescriptions of mantle aglycone liposome group (A, B, C, D, E, F, G). 2.5mg ⁇ kg -1 suspension, prepared before use; mantle aglycone group: mantle aglycone powder, dissolved in 10% DMSO-physiological saline, formulated into 2.5mg ⁇ kg -1 suspension, use Pre-formulation.
- mice On the first day of the experiment, except for the blank group, the other groups of mice were intraperitoneally injected with cyclophosphamide physiological saline solution at a dose of 50 mg ⁇ kg -1 for 3 consecutive days, and the blank mice were injected with the same volume of normal saline in the tail vein.
- Each experimental group was given the corresponding drug by dose and tail vein from the first day of the experiment, and the blank group and The model group mice were injected with an equal volume of normal saline in the tail vein for 7 consecutive days.
- Peripheral blood test Peripheral blood leukocytes (WBC), neutrophils (NEUT) red blood cells (RBC), platelets (PLT), and hemoglobin (HGB) were counted in each experimental group by an automatic blood cell counter.
- WBC Peripheral blood leukocytes
- NUT neutrophils
- RBC red blood cells
- PHT platelets
- HGB hemoglobin
- Bone marrow hematopoietic stem cell count (based on bone marrow cell CD34 + antigen expression), the right femur bone marrow cells were washed out with PBS buffer containing bovine serum albumin at a concentration of 0.2%, and 10 6 cells were removed and centrifuged. The supernatant was added with 30 ⁇ L of normal mouse serum to block the non-specific binding site, and then 10 ⁇ L of FITC-labeled rat anti-mouse CD34 + antibody was added, 10 ⁇ L of the corresponding control antibody was added to the control tube, and the reaction was incubated at 4 ° C for 30 min in the dark.
- the number of hematopoietic stem cells in the scorpion aglycone liposome group of the present invention was significantly increased (P ⁇ 0.05), and there was no significant difference in the scutellarin group;
- the number of hematopoietic stem cells in the scorpion aglycone liposome group of the present invention was significantly increased (P ⁇ 0.05).
- the mantle aglycone liposome prepared by the invention effectively solves the problem of low solubility of the mantle aglycone, improves the bioavailability of the mantle aglycone, thereby improving the therapeutic effect of raising blood cells, and effectively preventing and preventing bone marrow suppression. It is of great significance for the clinical application of geniposide.
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Engineering & Computer Science (AREA)
- Epidemiology (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Hematology (AREA)
- Diabetes (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Dispersion Chemistry (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Medicinal Preparation (AREA)
Abstract
Description
本发明涉及一种地榆苷元脂质体及其制备方法、用途,属于医药领域。The invention relates to a mantle aglycone liposome, a preparation method thereof and use thereof, and belongs to the field of medicine.
骨髓抑制是临床上常见的造血系统疾病,它可发生于各系统肿瘤性疾病的放射治疗及(或)化学治疗、电离辐射引起的放射损伤、病毒性肝炎、微小病毒感染或药物(氯霉素、苯、磺胺、抗癫痈药、镇静剂、抗甲状腺药、抗糖尿病药、抗疟疾、安眠药)等因素。骨髓抑制可引起骨髓微环境、造血干细胞、造血细胞生长因子等的损伤,粒、红、巨核细胞系统一系、二系或三系细胞受抑制。粒细胞缺乏会引起严重感染;红细胞明显减少会引起严重贫血;血小板明显下降引起严重出血,甚至导致死亡。目前,临床上对于骨髓抑制,尤其是放化疗引起的骨髓抑制,尚缺乏有效的治疗手段,亟需开发出药效较好的治疗药物。Myelosuppression is a clinically common hematopoietic disease that can occur in radiation therapy and/or chemotherapy of various systemic neoplastic diseases, radiation damage caused by ionizing radiation, viral hepatitis, parvovirus infection or drugs (chloramphenicol). , benzene, sulfonamides, anti-epileptic drugs, sedatives, anti-thyroid drugs, anti-diabetes drugs, anti-malaria, sleeping pills and other factors. Myelosuppression can cause damage to the bone marrow microenvironment, hematopoietic stem cells, hematopoietic growth factors, etc., and the granulosa, red, and megakaryocyte systems are inhibited. Lack of granulocytes can cause serious infections; a marked reduction in red blood cells can cause severe anemia; a marked drop in platelets causes severe bleeding and even death. At present, clinically, there is no effective treatment for myelosuppression caused by bone marrow suppression, especially chemoradiotherapy, and it is urgent to develop a therapeutic drug with better efficacy.
地榆苷元是从蔷薇科地榆属植物地榆(Sanguisorba officinalis L.)或长叶地榆[S.officinalis L.var.longifolia(Bertol.)Yu et Li]的根中提取得到的一种活性成分,是地榆皂苷I和地榆皂苷II的苷元,化学名:3β,19α-羟基乌索-12烯-28-羧酸,其结构式如下所示:The mantle aglycone is one of the roots extracted from the roots of Sanguisorba officinalis L. or S. officinalis L. var. longifolia (Bertol.) Yu et Li. The active ingredient is an aglycon of saponin I and saponin II, chemical name: 3β, 19α-hydroxy-Uso-12--28-carboxylic acid, and its structural formula is as follows:
CN101119740A公开了地榆皂苷Ⅱ在制备升高红细胞和血红蛋白的药物中的用途。实际使用中发现,地榆苷元药效欠佳,单独使用时,升高血细胞水平、治疗骨髓抑制的效果不佳,大大限制了地榆苷元在临床上的应用。CN101119740A discloses the use of saponin II in the preparation of a medicament for increasing red blood cells and hemoglobin. In actual use, it has been found that the geniposide has poor efficacy, and when used alone, the effect of increasing blood cell level and treating bone marrow suppression is poor, which greatly limits the clinical application of the geniposide.
目前尚未见以地榆皂苷元为活性成分制备脂质体,用于治疗和/或预防骨髓抑制的公开报道。There have been no reports of the preparation of liposomes using saponins as active ingredients for the treatment and/or prevention of myelosuppression.
发明内容Summary of the invention
本发明的目的在于提供一种地榆苷元脂质体及其制备方法、用途。An object of the present invention is to provide a guanosine aglycon liposome, a preparation method thereof and use thereof.
本发明提供了一种地榆苷元脂质体,它是包含下述重量配比的原辅料制备而成:地榆苷元1份、载体材料2~40份;其中,所述的载体材料由下述重量配比的组分组成:氢化大豆卵磷脂:二硬脂酰基磷脂酰乙醇胺-聚乙二醇2000:胆固醇=5:(1~4):(1~2)。The present invention provides a mantle aglycon liposome prepared by adding a raw material of the following weight ratio: 1 part of mantle aglycon and 2-40 parts of carrier material; wherein the carrier material It consists of the following weight ratio components: hydrogenated soy lecithin: distearoylphosphatidylethanolamine-polyethylene glycol 2000: cholesterol = 5: (1 to 4): (1 to 2).
其中,所述的载体材料由下述重量配比的组分组成:氢化大豆卵磷脂:二硬脂酰基磷脂酰乙醇胺-聚乙二醇2000:胆固醇=5:1:1。Wherein, the carrier material is composed of the following weight ratio components: hydrogenated soybean lecithin: distearoylphosphatidylethanolamine-polyethylene glycol 2000: cholesterol = 5:1:1.
HSPC:氢化大豆卵磷脂;HSPC: hydrogenated soybean lecithin;
DSPE-PEG 2000:二硬脂酰基磷脂酰乙醇胺-聚乙二醇2000。DSPE-PEG 2000: distearoylphosphatidylethanolamine-polyethylene glycol 2000.
其中,它是由下述重量配比的原辅料制备而成的制剂:地榆苷元1份、载体材料20份。Among them, it is a preparation prepared from the following raw materials by weight ratio: 1 part of mantle aglycon and 20 parts of carrier material.
其中,它还包含保护剂1~5份。Among them, it also contains 1 to 5 parts of a protective agent.
其中,所述的保护剂选自葡萄糖、蔗糖、海藻糖、果糖、甘露醇或乳糖中一种或两种以上的混合物。Wherein the protective agent is selected from one or a mixture of two or more of glucose, sucrose, trehalose, fructose, mannitol or lactose.
其中,它是由下述重量配比的原辅料制备而成:地榆苷元1份、载体材料20份、蔗糖5份;其中,所述的载体材料由下述重量配比的组分组成:氢化大豆卵磷脂:二硬脂酰基磷脂酰乙醇胺-聚乙二醇2000:胆固醇=5:1:1。Wherein, it is prepared from the following raw materials by weight ratio: 1 part of mantle aglycon, 20 parts of carrier material, 5 parts of sucrose; wherein the carrier material is composed of the following components by weight ratio : Hydrogenated soybean lecithin: distearoylphosphatidylethanolamine-polyethylene glycol 2000: cholesterol = 5:1:1.
本发明还提供了上述脂质体的制备方法,包括如下步骤:The invention also provides a preparation method of the above liposome, comprising the following steps:
a、将地榆苷元和载体材料溶解于有机溶剂,混合溶液备用;a, dissolving the mantle aglycon and the carrier material in an organic solvent, and mixing the solution for use;
b、除去a步骤混合溶液中的有机溶剂,再加入保护剂和水; b, removing the organic solvent in the mixed solution of step a, and adding a protective agent and water;
c、均质,除菌,即得。c, homogenization, sterilization, that is.
其中,步骤a中所述的有机溶剂为乙醇;步骤b中,加入保护剂和水后,使地榆苷元的浓度为0.2mg/mL;步骤c中,所述均质的条件为:1000bar压力下均质4次;所述除菌的条件为:0.22μm微孔滤膜过滤除菌。Wherein, the organic solvent described in the step a is ethanol; in the step b, after adding the protective agent and water, the concentration of the geniposide is 0.2 mg/mL; in the step c, the homogenous condition is: 1000 bar The mixture was homogenized 4 times under pressure; the sterilization condition was: 0.22 μm microporous membrane filtration sterilization.
本发明还提供了上述脂质体在制备治疗和/或预防骨髓抑制的药物的用途。The present invention also provides the use of the above liposome for the preparation of a medicament for the treatment and/or prevention of myelosuppression.
本发明还提供了上述脂质体在制备升高外周血白细胞、中性粒细胞、红细胞、血小板、血红蛋白或骨髓造血干细胞中一种或几种的数量的药物中的用途。The present invention also provides the use of the above liposome for the preparation of a medicament for increasing the number of one or more of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin or bone marrow hematopoietic stem cells.
本发明还提供了一种治疗和/或预防骨髓抑制的方法,具体是采用前述的固体脂质体进行治疗。The invention also provides a method of treating and/or preventing myelosuppression, in particular using the aforementioned solid liposomes.
本发明还提供了一种升高外周血白细胞、中性粒细胞、红细胞、血小板、血红蛋白、骨髓造血干细胞中一种或几种的数量的方法,具体是采用前述的脂质体进行治疗。The present invention also provides a method for increasing the amount of one or more of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin, bone marrow hematopoietic stem cells, in particular, using the aforementioned liposomes.
发明人在研究过程中发现,地榆苷元升高血细胞水平效果欠佳的原因在于其溶解度低、胃肠吸收率小,导致该药物的生物利用度较低,限制其药效的发挥。本发明制备的地榆苷元脂质体,能显著提高外周血白细胞、中性粒细胞、红细胞、血小板、血红蛋白和骨髓造血干细胞的数量,且药效明显优于地榆苷元原药,表明本发明将地榆苷元制备成脂质体后能够提高主药的生物利用度,增强其升高血细胞数量、防治骨髓抑制的作用。During the research, the inventors found that the reason that the effect of the cellar aglycone on the elevated blood cell level is poor is that its solubility is low and the gastrointestinal absorption rate is small, which leads to low bioavailability of the drug and limits its efficacy. The scorpion aglycone liposome prepared by the invention can significantly increase the number of peripheral blood leukocytes, neutrophils, red blood cells, platelets, hemoglobin and bone marrow hematopoietic stem cells, and the pharmacological effect is obviously superior to the scorpion aglycone original drug, indicating The preparation of the diterpene aglycone into a liposome can improve the bioavailability of the main drug, enhance the blood cell number and prevent bone marrow suppression.
显然,根据本发明的上述内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明上述基本技术思想前提下,还可以做出其它多种形式的修改、替换或变更。It is apparent that various other modifications, substitutions and changes can be made in the form of the above-described embodiments of the present invention.
以下通过实施例形式的具体实施方式,对本发明的上述内容再作进一步的详细说明。但不应将此理解为本发明上述主题的范围仅限于以下的实例。凡基于本发明上述内容所实现的技术均属于本发明的范围。 The above content of the present invention will be further described in detail below by way of specific embodiments in the form of embodiments. However, the scope of the above-mentioned subject matter of the present invention should not be construed as being limited to the following examples. Any technique implemented based on the above description of the present invention is within the scope of the present invention.
图1各实验组小鼠CD34-/Sca-1+的变化情况Fig.1 Changes of CD34 - /Sca-1 + in mice of each experimental group
本发明具体实施方式中使用的原料、设备均为已知产品,通过购买市售产品获得。The raw materials and equipment used in the specific embodiments of the present invention are known products and are obtained by purchasing commercially available products.
实施例1本发明脂质体的制备Example 1 Preparation of Liposomes of the Invention
处方一(A):地榆苷元1mg、HSPC 1mg、DSPE-PEG 2000 10mg、胆固醇10mg、葡萄糖1mg;Prescription one (A): mantle aglycon 1mg, HSPC 1mg, DSPE-PEG 2000 10mg, cholesterol 10mg, glucose 1mg;
处方二(B):地榆苷元1mg、HSPC 5mg、DSPE-PEG 2000 30mg、胆固醇3mg、蔗糖3mg;Prescription 2 (B): mantle aglycon 1mg, HSPC 5mg, DSPE-PEG 2000 30mg, cholesterol 3mg, sucrose 3mg;
处方三(C):地榆苷元2mg、HSPC 5mg、DSPE-PEG 2000 20mg、胆固醇10mg、海藻糖3mg;Prescription III (C): mantle aglycon 2mg, HSPC 5mg, DSPE-PEG 2000 20mg, cholesterol 10mg, trehalose 3mg;
处方四(D):地榆苷元5mg、HSPC 10mg、DSPE-PEG 2000 30mg、胆固醇30mg、果糖5mg;Prescription IV (D): mantle aglycon 5mg, HSPC 10mg, DSPE-PEG 2000 30mg, cholesterol 30mg, fructose 5mg;
处方五(E):地榆苷元7mg、HSPC 10mg、DSPE-PEG 2000 40mg、胆固醇50mg、甘露糖5mg;Prescription 5 (E): mantle aglycon 7mg, HSPC 10mg, DSPE-PEG 2000 40mg, cholesterol 50mg, mannose 5mg;
处方六(F):地榆苷元10mg、HSPC 10mg、DSPE-PEG 2000 40mg、胆固醇50mg、乳糖5mg。Prescription six (F): mantle aglycon 10mg, HSPC 10mg, DSPE-PEG 2000 40mg, cholesterol 50mg, lactose 5mg.
处方七(G):地榆苷元1mg、载体材料20mg(HSPC:DSPE-PEG 2000:胆固醇=5:1:1即HSPC 14mg、DSPE-PEG 2000 3mg、胆固醇3mg)、蔗糖5mg。Prescription seven (G): 1 mg of mantle aglycon and 20 mg of carrier material (HSPC: DSPE-PEG 2000: cholesterol = 5:1:1, ie, HSPC 14 mg, DSPE-PEG 2000 3 mg, cholesterol 3 mg), and sucrose 5 mg.
制备方法:Preparation:
将地榆苷元(即地榆皂苷元)与总脂质(由HSPC、PEG 2000-DSPE和胆固醇组成)混合,以乙醇溶解,减压旋转蒸发除去乙醇,加入糖类(相应的葡萄糖,蔗糖,海藻糖,果糖,甘露醇或乳糖)和适量水,使脂质体混悬液中地榆苷元的浓度为0.2mg/mL,1000bar压力下高压均质4次,0.22μm微孔滤膜过滤除菌,即得。
Mixing the aglycone (ie, saponin) with total lipid (composed of HSPC, PEG 2000-DSPE and cholesterol), dissolving in ethanol, removing ethanol by rotary evaporation under reduced pressure, adding sugar (corresponding glucose, sucrose) , trehalose, fructose, mannitol or lactose) and appropriate amount of water, so that the concentration of the aglycone in the liposome suspension is 0.2 mg / mL,
以下通过实验例证明本发明的有益效果。The beneficial effects of the present invention are exemplified below by experiments.
药物含量采用HPLC-ELSD进行测定,马尔文粒径测定仪测得粒径结果,PDI采用粒度测定仪进行检测。The drug content was determined by HPLC-ELSD, the particle size was measured by a Malvern particle size analyzer, and the PDI was detected by a particle size analyzer.
实验例1采用不同载体材料制备地榆苷元脂质体的质量评价Experimental Example 1 Quality Evaluation of Glycosides of Glycosides Prepared by Different Carrier Materials
本实验设置7个实验组。Seven experimental groups were set up in this experiment.
分别将1mg地榆苷元与不同载体材料HSPC、DSPE-PEG 2000、胆固醇、卵磷脂、豆甾醇的混合脂质按照质量比1:20混合,以乙醇溶解,减压旋转蒸发除去乙醇,加入5mg蔗糖和水,使脂质体混悬液中地榆苷元的浓度为0.2mg/mL,1000bar压力下高压均质4次,0.22μm微孔滤膜过滤除菌。测定脂质体中地榆苷元包封率、粒径分布及分散指数(PDI),结果见表1。The mixed lipids of 1mg of scutellarin and different carrier materials HSPC, DSPE-PEG 2000, cholesterol, lecithin and stigmasterol were mixed at a mass ratio of 1:20, dissolved in ethanol, and ethanol was removed by rotary evaporation under reduced pressure, and 5 mg was added. Sucrose and water were used to make the concentration of the aglycone in the liposome suspension 0.2 mg/mL, and the pressure was
表1 地榆苷元脂质体的质量评价Table 1 Quality evaluation of mantle aglycons liposomes
注:与HSPC:DSPE-PEG 2000:胆固醇=5:1:1组比较,*P<0.05。Note: Compared with HSPC: DSPE-PEG 2000: Cholesterol = 5: 1:1 group, *P < 0.05.
由表1可见,以HSPC、DSPE-PEG 2000和胆固醇的混合脂质作为载体材料,制备得到的地榆苷元脂质体质量较好:包封率达到70%以上,平均粒径在215nm以下,分散指数(PDI)小于0.127,效果显著优于其他辅料及配比组(P<0.05);采用另两种辅料卵磷脂或豆甾醇,则导致药物包封率及粒径均匀度的明显降低,而且脂质体的平均粒径较大。 It can be seen from Table 1 that the quality of the mantle aglycone liposome prepared by using the mixed lipid of HSPC, DSPE-PEG 2000 and cholesterol as the carrier material is better: the encapsulation efficiency is above 70%, and the average particle diameter is below 215 nm. The dispersion index (PDI) is less than 0.127, the effect is significantly better than other excipients and proportioning group (P<0.05); using the other two excipients lecithin or stigmasterol, the drug encapsulation rate and particle size uniformity are significantly reduced. And the average particle size of the liposome is large.
结果表明,本发明采用HSPC、DSPE-PEG 2000和胆固醇的混合脂质可以制备得到包封率高的地榆苷元脂质体,而采用其他常规辅料则无法制备得到包封率高的地榆苷元脂质体。The results show that the present invention can prepare the mantle aglycone liposome with high encapsulation efficiency by using the mixed lipid of HSPC, DSPE-PEG 2000 and cholesterol, and the mantle with high encapsulation rate cannot be prepared by using other conventional excipients. Aglycone liposomes.
另外,HSPC:DSPE-PEG 2000:胆固醇重量配比为5:1:1时,制备得到的地榆苷元脂质体包封率、平均粒径、分散指数(PDI)等指标最佳。In addition, HSPC: DSPE-PEG 2000: cholesterol weight ratio of 5:1:1, the prepared mantle aglycons liposome encapsulation efficiency, average particle size, dispersion index (PDI) and other indicators are the best.
实验例2载体材料用量对地榆苷元脂质体质量的影响Experimental Example 2 Effect of the Amount of Carrier Materials on the Quality of Geniposide Liposomes
本实验设置7个实验组。Seven experimental groups were set up in this experiment.
分别按照如表2所示的质量比例称取地榆苷元与总脂质(HSPC:DSPE-PEG2000:胆固醇=5:1:1)(固定地榆苷元质量为1mg,总脂质质量随比例变化),以乙醇溶解,减压旋转蒸发除去乙醇,加入5mg蔗糖和水,使脂质体混悬液中地榆苷元的浓度为0.2mg/mL,1000bar压力下高压均质4次,0.22μm微孔滤膜过滤除菌。测定脂质体中地榆苷元包封率、平均粒径及分散指数(PDI),结果见表2。The mantle aglycon and total lipid (HSPC: DSPE-PEG2000: cholesterol = 5:1:1) were weighed according to the mass ratio shown in Table 2 (the mass of the fixed aglycone was 1 mg, and the total lipid mass was The ratio is changed), dissolved in ethanol, and the ethanol is removed by rotary evaporation under reduced pressure. 5 mg of sucrose and water are added to make the concentration of the aglycone in the liposome suspension 0.2 mg/mL, and the pressure is
表2 地榆苷元脂质体的质量评价Table 2 Quality evaluation of mantle aglycons liposomes
注:与1:20组比较,*P<0.05。 Note: *P<0.05 compared to 1:20 group.
实验结果:载体材料用量为地榆苷元2-40倍时均能得到质量较好的脂质体:包封率不低于75%,平均粒径在210nm以下,PDI低于0.108;其中,地榆苷元:载体材料重量配比为1:20时,地榆皂苷元脂质体质量最佳,包封率显著优于其他载体材料重量配比组(P<0.05)。Experimental results: when the amount of carrier material is 2-40 times of mantle aglycone, the liposome with better quality can be obtained: the encapsulation efficiency is not less than 75%, the average particle diameter is below 210 nm, and the PDI is lower than 0.108; Glycosides: When the weight ratio of carrier materials was 1:20, the quality of saponin liposomes was the best, and the encapsulation efficiency was significantly better than that of other carrier materials (P<0.05).
实验例3本发明地榆苷元脂质体的药效实验Experimental Example 3 Pharmacodynamic experiment of the indole aglycone liposome of the present invention
1、实验材料、试剂、仪器1. Experimental materials, reagents and instruments
1.1、受试药物不同辅料制地榆苷元脂质体溶液组(A、B、C、D、E、F、G)、地榆苷元10%DMSO-生理盐水组。1.1. The test drug was prepared with different excipients to prepare the aglycone liposome solution group (A, B, C, D, E, F, G) and the
1.2、工具药物:环磷酰胺。1.2, tool drugs: cyclophosphamide.
1.3、实验动物KM-小鼠:18.5~22.5g。1.3. Experimental animal KM-mouse: 18.5-22.5 g.
1.4、实验仪器:全自动血球分析仪;BS-600L电子天平:规格:600g/0.1g,上海友声衡器有限公司。1.4, experimental equipment: automatic blood cell analyzer; BS-600L electronic balance: specifications: 600g / 0.1g, Shanghai Yousheng Weighing Apparatus Co., Ltd.
2、统计方法2, statistical methods
用SPSS 17.0软件进行统计分析。数据以均数±标准差()表示,组间采用单因素方差分析,方差齐者组间进行LSD检验,方差不齐者进行Tamhane’s T2检验。Statistical analysis was performed using SPSS 17.0 software. Data in mean ± standard deviation ( ), one-way analysis of variance was used between groups, LSD test was performed between groups with variance, and Tamhane's T2 test was performed for those with irregular variance.
3、实验方法3. Experimental methods
3.1、实验动物分组及模型制备3.1, experimental animal grouping and model preparation
所有动物适应性喂养1周后按体重随机分为:空白组;模型组;不同处方制备的地榆苷元脂质体组(A、B、C、D、E、F、G),配制成2.5mg·kg-1混悬液,临用前配制;地榆苷元组:地榆苷元粉末,用10%DMSO-生理盐水溶解,配制成2.5mg·kg-1混悬液,临用前配制。实验第1天,除空白组外,其余各组小鼠按50mg·kg-1剂量腹腔注射环磷酰胺生理盐水溶液,连续3天,空白组小鼠尾静脉注射等体积生理盐水。All animals were fed ad libitum for 1 week and were randomly divided into: blank group; model group; different prescriptions of mantle aglycone liposome group (A, B, C, D, E, F, G). 2.5mg·kg -1 suspension, prepared before use; mantle aglycone group: mantle aglycone powder, dissolved in 10% DMSO-physiological saline, formulated into 2.5mg·kg -1 suspension, use Pre-formulation. On the first day of the experiment, except for the blank group, the other groups of mice were intraperitoneally injected with cyclophosphamide physiological saline solution at a dose of 50 mg·kg -1 for 3 consecutive days, and the blank mice were injected with the same volume of normal saline in the tail vein.
3.2、给药3.2, administration
各实验组自实验第1天开始按剂量、尾静脉注射给予相应药物,空白组和 模型组小鼠尾静脉注射等体积生理盐水,连续7天。Each experimental group was given the corresponding drug by dose and tail vein from the first day of the experiment, and the blank group and The model group mice were injected with an equal volume of normal saline in the tail vein for 7 consecutive days.
3.3、标本采集3.3, specimen collection
实验第8天,各实验组小鼠眼眶取血,用装有EDTA抗凝剂的0.5mlEP管收集待测。On the 8th day of the experiment, blood was taken from the eye of each experimental group and collected with a 0.5 ml EP tube containing EDTA anticoagulant.
3.4、检测指标及方法3.4. Test indicators and methods
(1)外周血象检测:采用全自动血球计数仪对各实验组小鼠外周血白细胞(WBC)、中性粒细胞(NEUT)红细胞(RBC)、血小板(PLT)、血红蛋白(HGB)进行计数。(1) Peripheral blood test: Peripheral blood leukocytes (WBC), neutrophils (NEUT) red blood cells (RBC), platelets (PLT), and hemoglobin (HGB) were counted in each experimental group by an automatic blood cell counter.
(2)骨髓造血干细胞计数(以骨髓细胞CD34+抗原表达量计)用含牛血清白蛋白浓度为0.2%的PBS缓冲液冲出小鼠右侧股骨骨髓细胞,取出106个细胞离心,弃上清,加入30μL正常小鼠血清以封闭非特异结合位点,再加入10μL FITC标记的大鼠抗小鼠CD34+抗体,对照管加入10μL相应对照抗体,4℃避光反应30min。加入2mL红细胞裂解液,作用5min,洗细胞2次,加入终浓度为3μg/mL的PI染液,采用流式细胞仪检测骨髓细胞CD34+抗原表达。(2) Bone marrow hematopoietic stem cell count (based on bone marrow cell CD34 + antigen expression), the right femur bone marrow cells were washed out with PBS buffer containing bovine serum albumin at a concentration of 0.2%, and 10 6 cells were removed and centrifuged. The supernatant was added with 30 μL of normal mouse serum to block the non-specific binding site, and then 10 μL of FITC-labeled rat anti-mouse CD34 + antibody was added, 10 μL of the corresponding control antibody was added to the control tube, and the reaction was incubated at 4 ° C for 30 min in the dark. 2 mL of red blood cell lysate was added for 5 min, the cells were washed twice, and PI staining solution with a final concentration of 3 μg/mL was added, and the expression of CD34 + antigen in bone marrow cells was detected by flow cytometry.
4、实验结果4. Experimental results
4.1、外周血主要血细胞计数比较,见表3-4。 4.1. Comparison of the main blood cell counts of peripheral blood, see Table 3-4.
表3 各实验组小鼠外周血血细胞数量Table 3 Number of peripheral blood cells in each experimental group
注:与模型组比较,*P<0.05,**P<0.01;注:与地榆苷元组比较,△P<0.05,△△P<0.01。Note: Compared with the model group, *P<0.05, **P<0.01; Note: Compared with the mantle aglycon group, △P<0.05, △△P<0.01.
由表3可知,与模型组比较,地榆苷元组无显著性差异,本发明地榆苷元脂质体组(A、B、C、D、E、F、G)小鼠外周血WBC、RBC、PLT数量均有显著升高(P<0.05);与地榆苷元组比较,本发明地榆苷元脂质体组(A、B、C、D、E、F、G)小鼠外周血WBC、RBC、PLT数量均有显著升高(P<0.05),其中地榆苷元脂质体G组小鼠外周血WBC、RBC、PLT数量升高最显著。 As can be seen from Table 3, there was no significant difference in the mantle aglycon group compared with the model group, and the peripheral blood WBC of the scorpion aglycone liposome group (A, B, C, D, E, F, G) of the present invention. The number of RBC and PLT were significantly increased (P<0.05). Compared with the mantle aglycon group, the scorpion aglycone liposome group (A, B, C, D, E, F, G) was small. The number of WBC, RBC and PLT in peripheral blood of rats was significantly increased (P<0.05). The number of WBC, RBC and PLT in the peripheral blood of mice in the G of the Glycosides was the most significant.
表4 各实验组小鼠外周血血细胞数量Table 4 Number of peripheral blood cells in each experimental group
注:与模型组比较,*P<0.05,**P<0.01;与地榆苷元组比较,△P<0.05,△△P<0.01。Note: Compared with the model group, *P<0.05, **P<0.01; compared with the mantle aglycon group, △ P<0.05, △△ P<0.01.
由表4可知,与模型组比较,地榆苷元组无显著性差异,本发明地榆苷元脂质体组小鼠外周血NEUT和HGB数量均有显著升高(P<0.05);与地榆苷元组比较,A、B、C、D、E、F、G组小鼠外周血NEUT和HGB数量均有显著升高(P<0.05),其中地榆苷元脂质体G组小鼠外周血NEUT和HGB数量升高最显著。As can be seen from Table 4, compared with the model group, there was no significant difference in the geniposide group, and the number of NEUT and HGB in the peripheral blood of the scorpion aglycone liposome group of the present invention was significantly increased (P<0.05); Compared with the mantle aglycone group, the number of NEUT and HGB in peripheral blood of mice in group A, B, C, D, E, F and G were significantly increased (P<0.05), among which group of geniposide liposome G group The increase in the number of NEUT and HGB in peripheral blood of mice was the most significant.
4.2、骨髓造血干细胞计数比较4.2, comparison of bone marrow hematopoietic stem cell count
见图1。see
由图1可知,与模型组比较,本发明地榆苷元脂质体组小鼠造血干细胞数量均有显著升高(P<0.05),地榆苷元组无显著性差异;与地榆苷元组比较,本发明地榆苷元脂质体组小鼠造血干细胞数量均有显著升高(P<0.05)。 As can be seen from Fig. 1, compared with the model group, the number of hematopoietic stem cells in the scorpion aglycone liposome group of the present invention was significantly increased (P<0.05), and there was no significant difference in the scutellarin group; Compared with the tuple group, the number of hematopoietic stem cells in the scorpion aglycone liposome group of the present invention was significantly increased (P<0.05).
以上实验结果表明,本发明地榆苷元脂质体可以有效升高血细胞,药效明显优于直接用地榆苷元原药。The above experimental results show that the inoculum aglycone liposome of the present invention can effectively raise blood cells, and the pharmacological effect is obviously superior to that of the direct use of the gill aglycone.
综上,本发明制备的地榆苷元脂质体有效解决了地榆苷元溶解度低的问题,提高了地榆苷元生物利用度,进而提高其升高血细胞的疗效,能有效防治骨髓抑制,对地榆苷元的临床应用具有十分重要的意义。 In summary, the mantle aglycone liposome prepared by the invention effectively solves the problem of low solubility of the mantle aglycone, improves the bioavailability of the mantle aglycone, thereby improving the therapeutic effect of raising blood cells, and effectively preventing and preventing bone marrow suppression. It is of great significance for the clinical application of geniposide.
Claims (12)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CN2017/072233 WO2018133113A1 (en) | 2017-01-23 | 2017-01-23 | Ziyuglycogenin liposome, preparation method therefor and use thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CN2017/072233 WO2018133113A1 (en) | 2017-01-23 | 2017-01-23 | Ziyuglycogenin liposome, preparation method therefor and use thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2018133113A1 true WO2018133113A1 (en) | 2018-07-26 |
Family
ID=62907590
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CN2017/072233 Ceased WO2018133113A1 (en) | 2017-01-23 | 2017-01-23 | Ziyuglycogenin liposome, preparation method therefor and use thereof |
Country Status (1)
| Country | Link |
|---|---|
| WO (1) | WO2018133113A1 (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1593436A (en) * | 2003-09-08 | 2005-03-16 | 成都地奥制药集团有限公司 | Application of ursane type triterpenoid saponin in the preparing process of leucocyte and/or platelet increasing medicine |
| CN1850098A (en) * | 2006-02-27 | 2006-10-25 | 杭州创新中药标准化研究所有限公司 | Protopanaxadiol liposome and its preparing method |
| CN106580881A (en) * | 2015-10-16 | 2017-04-26 | 四川英路维特医药科技有限公司 | Sanguisorba officinalis aglycone lipidosome, and preparation method and purpose thereof |
-
2017
- 2017-01-23 WO PCT/CN2017/072233 patent/WO2018133113A1/en not_active Ceased
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1593436A (en) * | 2003-09-08 | 2005-03-16 | 成都地奥制药集团有限公司 | Application of ursane type triterpenoid saponin in the preparing process of leucocyte and/or platelet increasing medicine |
| CN1850098A (en) * | 2006-02-27 | 2006-10-25 | 杭州创新中药标准化研究所有限公司 | Protopanaxadiol liposome and its preparing method |
| CN106580881A (en) * | 2015-10-16 | 2017-04-26 | 四川英路维特医药科技有限公司 | Sanguisorba officinalis aglycone lipidosome, and preparation method and purpose thereof |
Non-Patent Citations (1)
| Title |
|---|
| DAI, LIANGMIN ET AL.: "Protective Effect of Tannins from Sanguisorba Officinalis on Cyclophosphamide-induced Myelosuppression in Mice", NATURAL PRODUCT RESEARCH AND DEVELOPMENT, vol. 6, 30 June 2016 (2016-06-30), pages 852 - 859, ISSN: 1001-6880 * |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP2011513208A (en) | Ganoderma spore oil fat emulsion, its quality control method and drug application method | |
| CN100482218C (en) | Application of Danshensu in preparation of medicine for treating cerebrovascular diseases | |
| WO2018133113A1 (en) | Ziyuglycogenin liposome, preparation method therefor and use thereof | |
| CN106580881A (en) | Sanguisorba officinalis aglycone lipidosome, and preparation method and purpose thereof | |
| US10493029B2 (en) | Ziyuglycoside II polymer micelle and preparative methods thereof | |
| CN111317742A (en) | Pharmaceutical composition for treating pancreatitis | |
| CN101940595A (en) | Calf spleen extract for treating tumors | |
| WO2018133109A1 (en) | Ziyuglycoside ii liposome and preparation method therefor | |
| CN106668037A (en) | Pharmaceutical composition for treating Alzheimer's syndrome and application | |
| WO2018133112A1 (en) | Ziyuglycogenin injection, preparation method therefor and use thereof | |
| WO2017181653A1 (en) | Radix sanguisorbae sapogenin polymeric micelle and preparation method therefor, and pharmaceutical use | |
| WO2018133108A1 (en) | Ziyuglycoside ii emulsion and preparation method therefor | |
| WO2018133106A1 (en) | Ziyuglycogenin solid dispersion, preparation method therefor and use thereof | |
| US11622947B2 (en) | Compositions comprising quillaja extract and methods of preparations and use thereof | |
| CN106551907A (en) | II liposome of a kind of sanguisorbin and preparation method thereof | |
| US20230263732A1 (en) | Compositions comprising quillaja extract and methods of preparations and use thereof | |
| CN113694017A (en) | Fulvestrant injection preparation and preparation method thereof | |
| WO2018133111A1 (en) | Ziyuglycogenin emulsion for injection, preparation method therefor and use thereof | |
| CN105343514B (en) | Traditional Chinese medicine composition for treating altitude disease and preparation method thereof | |
| CN106580882A (en) | Ziyuglycoside I lipidosome and preparation method thereof | |
| CN106667999A (en) | Pharmaceutical composition for treating Alzheimer's syndrome and application thereof | |
| CN106860472A (en) | A kind of pharmaceutical composition for treating Alzheimer formula syndrome and its application | |
| WO2018133105A1 (en) | ZIYUGLYCOGENIN-HYDROXYPROPYL β-CYCLODEXTRIN INCLUSION COMPLEX, PREPARATION METHOD THEREFOR AND USE THEREOF | |
| CN107233351A (en) | A kind of pharmaceutical composition for treating Alzheimer formula syndrome and application | |
| CN104622888B (en) | The new application of garden burnet tannin and astragalus polyose |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 17892856 Country of ref document: EP Kind code of ref document: A1 |
|
| NENP | Non-entry into the national phase |
Ref country code: DE |
|
| 122 | Ep: pct application non-entry in european phase |
Ref document number: 17892856 Country of ref document: EP Kind code of ref document: A1 |