WO2024198628A1 - Pharmaceutical composition and use thereof in preparation of drug for treating tumors - Google Patents
Pharmaceutical composition and use thereof in preparation of drug for treating tumors Download PDFInfo
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- WO2024198628A1 WO2024198628A1 PCT/CN2024/071533 CN2024071533W WO2024198628A1 WO 2024198628 A1 WO2024198628 A1 WO 2024198628A1 CN 2024071533 W CN2024071533 W CN 2024071533W WO 2024198628 A1 WO2024198628 A1 WO 2024198628A1
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- 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
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5021—Organic macromolecular compounds
- A61K9/5036—Polysaccharides, e.g. gums, alginate; Cyclodextrin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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- 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
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
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- 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
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
Definitions
- the present invention relates to the field of medicine, and in particular, to a pharmaceutical composition and use thereof in preparing an anti-tumor drug.
- Malignant tumors are one of the serious diseases that endanger human health.
- the number of cancer cases in my country is about 1.7 million per year, and the incidence rate has been rising in recent years.
- the number of patients who die from cancer each year is 1.5 million, surpassing cardiovascular and cerebrovascular diseases to become the first cause of death ["China Modern Medicine Journal", Zhang Yangde and Peng Jian; 2003, No. 10, pp. 43-46].
- the diagnostic technology level of tumors in my country has made great progress, the treatment mainly relies on surgery, chemotherapy, radiotherapy, and immunotherapy. These therapies have great side effects on the human body and cause unbearable pain to patients, seriously affecting the quality of life of patients.
- the present invention provides a pharmaceutical composition, which has a significant inhibitory effect on tumors and does not cause additional pain to patients.
- the present invention provides a pharmaceutical composition, characterized in that the pharmaceutical composition comprises metal oxide nanoparticles and soluble dietary fiber; the metal oxide nanoparticles are selected from one or more of tungsten trioxide nanoparticles, titanium dioxide nanoparticles, manganese dioxide nanoparticles, and molybdenum oxide nanoparticles.
- the present invention also provides the use of the pharmaceutical composition provided in the present application in the preparation of anti-tumor drugs.
- the pharmaceutical composition provided by the present invention has a significant inhibitory effect on tumors, slowing down the rate of increase in tumor volume, and/or reducing the volume and weight of the tumor; and when used in combination with tumor vaccines and immune checkpoint inhibitors, it can further enhance the tumor inhibition effect.
- the composition is made into particles, the metal oxide nanoparticles are the core, and the The soluble dietary fiber is the outer shell; in this preferred embodiment, after the pharmaceutical composition is ingested into the body, the soluble dietary fiber is degraded in the large intestine, and then the inner core metal oxide nanoparticles are exposed and infiltrate into the intestinal mucosa to exert their biological functions and reduce their side effects in other parts of the body.
- the pharmaceutical composition provided by the present invention has readily available raw materials for preparation, a simple preparation method, low cost, is suitable for large-scale production, and has good application prospects.
- FIG. 1 is an electron microscope characterization image of ⁇ -glucan-coated tungsten trioxide nanoparticles (abbreviated as WO 3 @Glu NP) prepared in Example 1 of the present invention.
- Figures 2A, 2B and 2C show the melanoma volume detection results of each mouse at different times in the control group, the group treated with tungsten trioxide and ⁇ -glucan (abbreviated as WO3NP +Glu) and the group treated with WO3 @GluNP;
- Figure 2D shows the result of averaging the volume data of each group of mice and plotting them in the same figure;
- Figure 2E shows the tumor weight in tumor-bearing mice in the control group, the group treated with WO3NP +Glu and the group treated with WO3 @GluNP;
- Figure 2F shows the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes) in the control group, the group treated with WO3NP +Glu and the group treated with WO3 @GluNP.
- Figures 3A, 3B and 3C show the melanoma volume detection results of each mouse at different times in the control group, the group treated with immune checkpoint inhibitors (abbreviated as ICI) and the group treated with ICI+ WO3 @Glu NP;
- Figure 3D shows the results of averaging the volume data of each group of mice and plotting them in the same figure;
- Figure 3E shows the tumor weight in tumor mice in the control group, the group treated with ICI and the group treated with ICI+ WO3 @Glu NP;
- Figure 3F shows the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes) in the control group, the group treated with ICI and the group treated with ICI+WO3@Glu NP;
- Figure 3G shows CD4 and CD8 staining sections;
- Figures 3H and 3I show the changes in the content of CD4+T cells and CD8+T cells in the sections, respectively.
- FIG. 4 shows the results of small animal in vivo imaging of pancreatic cancer mice in the control group, the ICI-combination treatment group (anti-PD-1 antibody and anti-CTLA-4 antibody were used in combination), and the ICI-combination + WO 3 @Glu NP treatment group at different times.
- Figure 5 shows the control group, the ICI-combined treatment group and the ICI-combined + WO 3 @Glu NP treatment group. Photo of pancreatic tissue of pancreatic cancer mice in the treatment group 14 days later.
- FIG. 6 shows the results of small animal in vivo imaging of colorectal cancer mice in the control group, the ICI-combination treatment group, and the ICI-combination + WO 3 @Glu NP treatment group.
- the invention provides a pharmaceutical composition, characterized in that the pharmaceutical composition comprises metal oxide nanoparticles and soluble dietary fiber; the metal oxide nanoparticles are selected from one or more of tungsten trioxide nanoparticles, titanium dioxide nanoparticles, manganese dioxide nanoparticles, and molybdenum oxide nanoparticles.
- composition of the present application can be prepared into an aqueous solution, a suspension, an emulsion or a mixture in any form.
- the soluble dietary fiber is selected from one or more of ⁇ -glucan, lignin, resistant starch, cellulose, inulin, hemicellulose, lactulose, wheat dextrin, and galacto-oligosaccharide.
- the metal oxide nanoparticles and soluble dietary fiber in the pharmaceutical composition can be used after simple mixing.
- the pharmaceutical composition has a core-shell structure; the metal oxide nanoparticles are the core and the soluble dietary fiber is the shell.
- the soluble dietary fiber is degraded in the large intestine, and then the metal oxide nanoparticles in the core are exposed and infiltrate into the intestinal mucosa to exert their biological functions and reduce the side effects of the metal oxide nanoparticles in other parts of the body.
- the particle size of the pharmaceutical composition having a core-shell structure is not particularly limited as long as it is nanometer-scale; however, in a preferred embodiment, the diameter of the inner core is 20-100 nanometers, preferably 30-60 nanometers; in another preferred embodiment, the thickness of the outer shell is 50-350 nanometers, preferably 80-200 nanometers; to facilitate absorption and timely degradation of soluble dietary fiber.
- the diameter of the core and the thickness of the shell of the present application can be measured by a dynamic light scattering method.
- the mass ratio of the nano metal oxide to the soluble dietary fiber is not particularly limited, but in order to obtain a better tumor inhibition effect, in a preferred embodiment, the mass ratio of the metal oxide to the soluble dietary fiber is 1:1-100, such as 1:95, 1:90, 1:85; preferably 1:2-80, such as 1:75, 1:70, 1:65; more preferably 1:3-60, such as 1:55; More preferably, it is 1:5-50, for example, 1:45, 1:40, 1:35, 1:30, 1:25, 1:20, 1:15, 1:10, 1:8 and the like.
- the drug combination is used to assist in tumor immunotherapy that enhances the body's innate immunity and specific immune response.
- the pharmaceutical composition further comprises one or more of a tumor vaccine and an immune checkpoint inhibitor.
- the tumor vaccine is not particularly limited.
- the tumor vaccine includes one or more of: whole cell vaccine, tumor polypeptide vaccine, genetic engineering vaccine and antibody tumor vaccine.
- the checkpoint inhibitor is not particularly limited.
- the checkpoint inhibitor is selected from one or more of anti-PD-1 monoclonal antibodies, anti-PD-L1 monoclonal antibodies, and anti-CTLA-4 monoclonal antibodies.
- the core-shell structured pharmaceutical composition of the present invention can be prepared by various methods, such as precipitation method, chemical adsorption method, chemical deposition method, and microemulsion method.
- the core-shell structured pharmaceutical composition of the present invention is prepared by a method comprising the following steps:
- the acid solution of the metal oxide nanoparticles is added dropwise into the alkaline solution of the soluble dietary fiber under stirring to adjust the pH to 4-6, and then the stirring is continued for 0.5-2 hours.
- washing and drying are performed in step 3).
- the room temperature includes a temperature of 20-45°C, such as 20°C, 25°C, 30°C, 35°C, 40°C or 45°C, etc.; the reaction time can be 40min, 50min, 70min, 80min, 90min, 100min, etc.
- the weak acid is one or more of acetic acid, oxalic acid, formic acid and propionic acid.
- the emulsifier may be one or more of Tween 80, Tween 60, polyglycerol fatty acid ester, and pectin;
- the tumor also includes a tumor that was not completely removed after tumor resection.
- the tumor includes a tumor that re-emerges after tumor clearance.
- the tumor includes solid tumors and non-solid tumors.
- the present invention also provides the use of the pharmaceutical composition in the preparation of a drug for treating tumors; preferably, the tumor is selected from breast tumors, colon tumors, liver tumors, stomach tumors, kidney tumors, pancreatic cancer, colorectal cancer, ovarian tumors, lymphomas, osteosarcomas, gliomas, prostate cancer or melanoma.
- the pharmaceutical composition of the present application will not substantially induce systemic inflammatory response.
- the drug combination of the present application does not substantially induce hemolytic reactions, heart damage, liver damage, spleen damage, lung damage and/or kidney damage.
- the present invention also provides a method for treating tumors, which comprises administering the pharmaceutical composition provided by the present application to a tumor patient, for example, orally.
- the present invention also provides a method for treating tumors that may include the combined administration of other tumor therapeutic drugs, such as tumor vaccines and immune checkpoint inhibitors.
- Tumor vaccines and immune checkpoint inhibitors may be administered by intraperitoneal injection at a dose of 50-250 ⁇ g/time.
- Example 1 Preparation of a mixture of tungsten trioxide nanoparticles (purchased from Sigma-Aldrich (USA)) and ⁇ -glucan (abbreviated as WO 3 NP+Glu)
- Example 2 Preparation of ⁇ -glucan-coated tungsten trioxide nanoparticles (abbreviated as WO 3 @Glu NP)
- step (3) At room temperature, 5 ml of the acid solution of tungsten trioxide nanoparticles prepared in step (2) was added dropwise into 5 ml of the ⁇ -glucan base solution prepared in step (1), and the pH of the solution was adjusted to 5 with 4 wt % acetic acid, and then stirred for 1 hour;
- WO 3 @Glu NP The electron microscope characterization of the obtained WO 3 @Glu NP is shown in Figure 1, where the left picture is tungsten trioxide nanoparticles (abbreviated as WO 3 NP) and the right picture is WO 3 @Glu NP.
- the weight ratio of ⁇ -glucan and tungsten trioxide nanoparticles is 1:1, the average diameter of tungsten trioxide nanoparticles is 46nm, and the average thickness of ⁇ -glucan shell membrane is 100nm.
- mice model used in this application uses a tumor and enteritis superimposed model.
- mice 0.1 mL (1 ⁇ 10 6 ) B16 tumor cells were injected subcutaneously into the back of 6-8 week old C57BL/6 female mice. When the tumor volume of the mice reached 150 mm 3 , they were randomly divided into groups, with 5 mice in each group. Dextran sulfate sodium (DSS) was added to drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for 5 days); DSS was directly added to drinking water, and mice drank water for 5 days without quantitative requirements.
- DSS Dextran sulfate sodium
- Drug administration Starting from the 0th day of enteritis modeling, drugs or water were administered every other day as follows (once a day): 0.1 ml ultrapure water/mouse/day (oral, as the control group, abbreviated as Ctrl), 3 mg WO 3 NP+Glu/mouse/day (oral, WO 3 NP+Glu group), 3 mg WO 3 @Glu NP/mouse/day (oral, WO 3 @Glu NP group).
- mice Each group of mice was fed for 14 days, and the volume of the tumor was measured every other day. The test results are shown in Figures 2A, 2B, 2C, and 2D. After 14 days of feeding, the mice were killed, and the weight of the tumor and tumor-infiltrating T cells were measured. The test results are shown in Figures 2E and 2F, respectively.
- Tumor weight detection method After killing the mice, the tumor tissue was separated and weighed.
- Tumor-infiltrating T cell detection method After killing mice, the tumor tissue was ground into a single-cell suspension, stained with CD45 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.) and CD3 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.), and the fluorescence signal was detected by flow cytometry.
- CD45 fluorescent antibody purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.
- CD3 fluorescent antibody purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.
- Figures 2A, 2B and 2C show the tumor volume of each mouse in the control group, the WO 3 NP+Glu and WO 3 @Glu NP treatment groups at different times. Since one mouse died in the control group during the experiment, the data of 4 mice were used in each group when drawing the graphs.
- Figure 2D shows the volume data of each group of mice being averaged and plotted in the same figure. It can be seen from the figure that 8 days after enteritis modeling, the tumor volumes of the control group, the group treated with WO 3 NP+Glu and the group treated with WO 3 @Glu NP gradually showed significant differences. Both WO 3 NP+Glu and WO 3 @Glu NP were able to inhibit the increase in tumor volume, and WO 3 @Glu NP showed better tumor inhibition effect than WO 3 NP+Glu.
- both WO 3 NP+Glu and WO 3 @Glu NP can increase the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes), and WO 3 @Glu NP shows a better effect than WO 3 NP+Glu.
- Example 4 Experiment on the inhibition of melanoma by administration of WO 3 @Glu NP combined with immune checkpoint inhibitor (ICI)
- mice model used in this application uses a tumor and enteritis superimposed model.
- mice 0.1 mL (1 ⁇ 10 6 ) B16 tumor cells were injected subcutaneously into the back of 6-8 week old C57BL/6 female mice. When the tumor volume of the mice reached 150 mm 3 , they were randomly divided into groups, with 5 mice in each group. Dextran sulfate sodium (DSS) was added to drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for 5 days); DSS was directly added to drinking water, and mice drank water for 5 days without quantitative requirements.
- DSS Dextran sulfate sodium
- mice were treated every other day according to the following regimen (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), 200 ⁇ g anti-PD-1 antibody/mouse/day (intraperitoneal injection, ICI-treated group), 3 mg WO 3 @Glu NP (oral) + 200 ⁇ g anti-PD-1 antibody (intraperitoneal injection)/mouse/day (ICI+WO 3 @Glu NP-treated group).
- mice Each group of mice was fed for 14 days, and the volume of the tumor was measured every other day. The test results are shown in Figures 3A, 3B, 3C, and 3D. After 14 days of feeding, the mice were killed, and the weight of the tumor and tumor-infiltrating T cells were measured. The test results are shown in Figures 3E and 3F, respectively.
- Tumor weight detection method After killing the mice, the tumor tissue was separated and weighed.
- Tumor-infiltrating T cell detection method After killing mice, the tumor tissue was ground into a single-cell suspension, stained with CD45 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.) and CD3 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.), and the fluorescence signal was detected by flow cytometry.
- CD45 fluorescent antibody purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.
- CD3 fluorescent antibody purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.
- Tumor tissue sectioning and staining Another part of the tumor was fixed and embedded in paraffin for sectioning. Immunohistochemical antibodies were used to stain CD4 and CD8 to detect changes in the content of CD4+T cells and CD8+T cells. The results are shown in Figures 3G, 3H, and 3I.
- Figures 3A, 3B and 3C show the results of tumor volume detection of each mouse at different times in the control group, ICI treatment group and ICI+WO 3 @Glu NP treatment group. Since one mouse died in the control group during the experiment, the data of 4 mice were used in each group when drawing the graphs.
- Figure 3D is the average volume data of each group of mice plotted in the same figure. It can be seen from the figure that 8 days after enteritis modeling, the tumor volumes of the control group, the ICI-treated group and the ICI+WO 3 @Glu NP-treated group gradually showed significant differences. Both ICI and ICI+WO 3 @Glu NP were able to inhibit the increase in tumor volume, and ICI+WO 3 @Glu NP showed better tumor inhibition effect than ICI.
- both ICI and ICI+WO 3 @Glu NPs can increase the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes), and ICI+WO 3 @Glu NPs show better effects than ICI.
- WO 3 @Glu NP and ICI may exert different anti-tumor effects, and the combination of WO 3 @Glu NP and ICI can further enhance the anti-tumor effect.
- Example 4 Experiment on inhibiting the development of in situ pancreatic cancer by administering WO 3 @Glu NP in combination with anti-PD-1 antibody and anti-CTLA-4 antibody
- mice 0.025mL (1 ⁇ 10 6 ) luci-Panc02 tumor cells and (1 ⁇ 10 6 ) mouse pancreatic stellate cells were injected orthotopically into the pancreas of 6-8 week old C57BL/6 female mice. Five days after tumor implantation, the mice were randomly divided into groups, with 6 mice in each group. At this time, dextran sulfate sodium (DSS) was added to the drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for a total of 9 days); DSS was directly added to the drinking water, and the mice drank water for 9 days without quantitative requirements.
- DSS dextran sulfate sodium
- Dosing treatment Starting from day 0 of enteritis modeling, the mice were treated every other day according to the following scheme (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), (100 ⁇ g anti-PD-1 antibody + 100 ⁇ g anti-CTLA-4 antibody)/mouse/day (intraperitoneal injection, ICI-combined treatment group); (100 ⁇ g anti-PD-1 antibody + 100 ⁇ g anti-CTLA-4 antibody + 3 mg WO3@Glu NP)/mouse/day (intraperitoneal injection of antibodies, oral administration of nanoparticles, ICI-combined + WO 3 @Glu NP treatment group).
- mice Each group of mice was raised for 14 days, and small animal live imaging was performed on the 5th, 8th, 11th and 14th days of enteritis modeling.
- the test results are shown in Figure 4. After 14 days of raising, the mice were killed, the spleen and pancreas were removed, and the size of the pancreas was detected. The test results are shown in Figure 5.
- Small animal in vivo imaging D-luciferin potassium salt was intraperitoneally injected at a dose of 150 mg/kg body weight, and 3% sodium pentobarbital solution was intraperitoneally injected 10 minutes later.
- Small animal optical 3D in vivo imaging system IVIS-Spectrum (manufacturer PerkinElmer) was then used for small animal in vivo imaging.
- Example 5 WO 3 @Glu NPs were administered in combination with anti-PD-1 antibody and anti-CTLA-4 antibody to inhibit the growth of in situ colorectal cancer.
- mice 0.025mL (1 ⁇ 10 6 ) luci-CT 26 tumor cells were injected orthotopically into the cecum of 6-8 week old C57BL/6 female mice. Three days after tumor implantation, the mice were randomly divided into groups, with 6 mice in each group. At this time, dextran sulfate sodium (DSS) was added to the drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for a total of 8 days); DSS was directly added to the drinking water, and the mice drank water for 8 days without quantitative requirements.
- DSS dextran sulfate sodium
- Dosing treatment Starting from day 0 of enteritis modeling, the mice were treated every other day according to the following scheme (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), (100 ⁇ g anti-PD-1 antibody + 100 ⁇ g anti-CTLA-4 antibody)/mouse/day (intraperitoneal injection, ICI-combined treatment group); (100 ⁇ g anti-PD-1 antibody + 100 ⁇ g anti-CTLA-4 antibody + 3 mg WO3@Glu NP)/mouse/day (intraperitoneal injection of antibodies, oral administration of nanoparticles, ICI-combined + WO 3 @Glu NP treatment group).
- the fluorescence intensity signal in the control group showed that the tumor volume increased significantly, while the tumor fluorescence signal area in other mice of the control group and the ICI-combined treatment group decreased slightly. This is because colorectal cancer is easy to metastasize, and the fluorescence statistics can no longer accurately show the tumor size, so subsequent small animal live imaging is no longer performed.
- the tumors in the mice of the ICI-combined +WO 3 @Glu NP treatment group were obviously smaller than the tumor size in the mice of the control group and the ICI-combined treatment group on the 8th day. This result indicated that WO3 @Glu NPs significantly promoted ICI-combined inhibition of tumor growth.
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Abstract
Description
本发明涉及医药领域,具体地,本发明涉及一种药物组合物及其在制备抗肿瘤药物中的用途。The present invention relates to the field of medicine, and in particular, to a pharmaceutical composition and use thereof in preparing an anti-tumor drug.
恶性肿瘤是危害人类健康的严重疾病之一,我国每年癌症发病人数约达170万,近几年发病率还在不断上升,而每年因癌症死亡的病人数达150万,超过心脑血管病成为致死原因的第1位[“中国现代医学杂志”,张阳德和彭健;2003年第10期第43-46页]。我国虽然肿瘤的诊断技术水平有了很大的发展,但治疗主要靠手术、化学治疗(化疗)、放射治疗(放疗)以及免疫疗法等。这些疗法对人体副作用大,而且给患者造成难以忍受的痛苦,严重影响了患者的生活质量。Malignant tumors are one of the serious diseases that endanger human health. The number of cancer cases in my country is about 1.7 million per year, and the incidence rate has been rising in recent years. The number of patients who die from cancer each year is 1.5 million, surpassing cardiovascular and cerebrovascular diseases to become the first cause of death ["China Modern Medicine Journal", Zhang Yangde and Peng Jian; 2003, No. 10, pp. 43-46]. Although the diagnostic technology level of tumors in my country has made great progress, the treatment mainly relies on surgery, chemotherapy, radiotherapy, and immunotherapy. These therapies have great side effects on the human body and cause unbearable pain to patients, seriously affecting the quality of life of patients.
发明内容Summary of the invention
本发明为了解决上述技术问题,提供了一种药物组合物,这种药物组合物对肿瘤有显著的抑制作用,并且不会给患者新增痛苦。In order to solve the above technical problems, the present invention provides a pharmaceutical composition, which has a significant inhibitory effect on tumors and does not cause additional pain to patients.
因此,一方面,本发明提供了一种药物组合物,其特征在于,该药物组合物包括金属氧化物纳米颗粒和可溶性膳食纤维;所述金属氧化物纳米颗粒选自三氧化钨纳米颗粒、二氧化钛纳米颗粒、二氧化锰纳米颗粒、氧化钼纳米颗粒中的一种或几种。Therefore, on the one hand, the present invention provides a pharmaceutical composition, characterized in that the pharmaceutical composition comprises metal oxide nanoparticles and soluble dietary fiber; the metal oxide nanoparticles are selected from one or more of tungsten trioxide nanoparticles, titanium dioxide nanoparticles, manganese dioxide nanoparticles, and molybdenum oxide nanoparticles.
另一方面,本发明还提供了本申请提供的药物组合物在制备抗肿瘤药物中的用途。On the other hand, the present invention also provides the use of the pharmaceutical composition provided in the present application in the preparation of anti-tumor drugs.
如实验结果所示,本发明提供的药物组合物对肿瘤有显著的抑制作用,减缓肿瘤的体积增加速度,和/或减小所述肿瘤的体积和重量;而且与肿瘤疫苗和免疫检查点抑制剂结合使用时,能够进一步增强抑制肿瘤的效果。在优选的实施方案中,组合物制成颗粒状,所述金属氧化物纳米颗粒为内核,所 述可溶性膳食纤维为外壳;在这种优选的实施方式,所述药物组合物被摄取进入机体内后,可溶性膳食纤维在大肠中降解,随后内核金属氧化物纳米颗粒暴露,并浸润至肠粘膜内部,发挥其生物功能,减少其在身体其它部位的副作用。As shown in the experimental results, the pharmaceutical composition provided by the present invention has a significant inhibitory effect on tumors, slowing down the rate of increase in tumor volume, and/or reducing the volume and weight of the tumor; and when used in combination with tumor vaccines and immune checkpoint inhibitors, it can further enhance the tumor inhibition effect. In a preferred embodiment, the composition is made into particles, the metal oxide nanoparticles are the core, and the The soluble dietary fiber is the outer shell; in this preferred embodiment, after the pharmaceutical composition is ingested into the body, the soluble dietary fiber is degraded in the large intestine, and then the inner core metal oxide nanoparticles are exposed and infiltrate into the intestinal mucosa to exert their biological functions and reduce their side effects in other parts of the body.
本发明提供的药物组合物,制备原料易得,制备方法简单,成本低且适用大规模生产,具有良好的应用前景。The pharmaceutical composition provided by the present invention has readily available raw materials for preparation, a simple preparation method, low cost, is suitable for large-scale production, and has good application prospects.
图1为本发明中实施例1制备的β-葡聚糖包被的三氧化钨纳米颗粒(简写为WO3@Glu NP)的电镜表征图。FIG. 1 is an electron microscope characterization image of β-glucan-coated tungsten trioxide nanoparticles (abbreviated as WO 3 @Glu NP) prepared in Example 1 of the present invention.
图2A、图2B和图2C表示对照组、采用三氧化钨和β-葡聚糖(简写为WO3NP+Glu)和采用WO3@Glu NP处理组,各只小鼠黑色素瘤体积在不同时间检测结果;图2D显示将各组小鼠体积数据平均化处理后绘制在同一图中的结果;图2E显示对照组、采用WO3NP+Glu处理组和采用WO3@Glu NP处理组肿瘤小鼠中的肿瘤重量;图2F显示对照组、采用WO3NP+Glu处理组和采用WO3@Glu NP处理组TIL(TIL是瘤内浸润淋巴细胞的缩写)中T细胞的百分数。Figures 2A, 2B and 2C show the melanoma volume detection results of each mouse at different times in the control group, the group treated with tungsten trioxide and β-glucan (abbreviated as WO3NP +Glu) and the group treated with WO3 @GluNP; Figure 2D shows the result of averaging the volume data of each group of mice and plotting them in the same figure; Figure 2E shows the tumor weight in tumor-bearing mice in the control group, the group treated with WO3NP +Glu and the group treated with WO3 @GluNP; Figure 2F shows the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes) in the control group, the group treated with WO3NP +Glu and the group treated with WO3 @GluNP.
图3A、图3B和图3C表示对照组、采用免疫检查点抑制剂(简写为ICI)处理组和采用ICI+WO3@Glu NP处理组,各只小鼠黑色素瘤体积在不同时间检测结果;图3D显示将各组小鼠体积数据平均化处理后绘制在同一图中的结果;图3E显示对照组、采用ICI处理组和采用ICI+WO3@Glu NP处理组肿瘤小鼠中的肿瘤重量;图3F显示对照组、采用ICI处理组和采用ICI+WO3@Glu NP处理组TIL(TIL是瘤内浸润淋巴细胞的缩写)中T细胞的百分数;图3G显示了CD4、CD8染色切片图;图3H和3I分别显示了切片中CD4+T细胞和CD8+T细胞的含量变化。Figures 3A, 3B and 3C show the melanoma volume detection results of each mouse at different times in the control group, the group treated with immune checkpoint inhibitors (abbreviated as ICI) and the group treated with ICI+ WO3 @Glu NP; Figure 3D shows the results of averaging the volume data of each group of mice and plotting them in the same figure; Figure 3E shows the tumor weight in tumor mice in the control group, the group treated with ICI and the group treated with ICI+ WO3 @Glu NP; Figure 3F shows the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes) in the control group, the group treated with ICI and the group treated with ICI+WO3@Glu NP; Figure 3G shows CD4 and CD8 staining sections; Figures 3H and 3I show the changes in the content of CD4+T cells and CD8+T cells in the sections, respectively.
图4表示对照组、采用ICI-联合处理组(抗PD-1抗体与抗CTLA-4抗体联合使用)和采用ICI-联合+WO3@Glu NP处理组的胰腺癌小鼠在不同时间的小动物活体成像结果。FIG. 4 shows the results of small animal in vivo imaging of pancreatic cancer mice in the control group, the ICI-combination treatment group (anti-PD-1 antibody and anti-CTLA-4 antibody were used in combination), and the ICI-combination + WO 3 @Glu NP treatment group at different times.
图5表示对照组、采用ICI-联合处理组和采用ICI-联合+WO3@Glu NP处 理组的胰腺癌小鼠在14天后胰腺组织照片。Figure 5 shows the control group, the ICI-combined treatment group and the ICI-combined + WO 3 @Glu NP treatment group. Photo of pancreatic tissue of pancreatic cancer mice in the treatment group 14 days later.
图6表示对照组、采用ICI-联合处理组和采用ICI-联合+WO3@Glu NP处理组的结直肠癌小鼠的小动物活体成像结果。FIG. 6 shows the results of small animal in vivo imaging of colorectal cancer mice in the control group, the ICI-combination treatment group, and the ICI-combination + WO 3 @Glu NP treatment group.
本发明提供了一种药物组合物,其特征在于,该药物组合物包括金属氧化物纳米颗粒和可溶性膳食纤维;所述金属氧化物纳米颗粒选自三氧化钨纳米颗粒、二氧化钛纳米颗粒、二氧化锰纳米颗粒、氧化钼纳米颗粒中的一种或几种。The invention provides a pharmaceutical composition, characterized in that the pharmaceutical composition comprises metal oxide nanoparticles and soluble dietary fiber; the metal oxide nanoparticles are selected from one or more of tungsten trioxide nanoparticles, titanium dioxide nanoparticles, manganese dioxide nanoparticles, and molybdenum oxide nanoparticles.
本申请的组合物可以制成水溶液,悬浊液,乳浊液或任何形式的混合物。The composition of the present application can be prepared into an aqueous solution, a suspension, an emulsion or a mixture in any form.
可溶性膳食纤维没有特别的限制,但优选常用的可溶性膳食纤维,例如,所述可溶性膳食纤维选自β-葡聚糖、木质素、抗性淀粉、纤维素、菊粉、半纤维素、乳果糖、小麦糊精、低聚半乳糖中的一种或几种。There is no particular limitation on the soluble dietary fiber, but commonly used soluble dietary fiber is preferred. For example, the soluble dietary fiber is selected from one or more of β-glucan, lignin, resistant starch, cellulose, inulin, hemicellulose, lactulose, wheat dextrin, and galacto-oligosaccharide.
所述药物组合物中的金属氧化物纳米颗粒和可溶性膳食纤维可以在简单混合后就可使用。The metal oxide nanoparticles and soluble dietary fiber in the pharmaceutical composition can be used after simple mixing.
为了获得更好的抗肿瘤效果,在一种优选的实施方式中,所述药物组合物具有核-壳结构;所述金属氧化物纳米颗粒为内核,所述可溶性膳食纤维为外壳。这样,当所述药物组合物被摄取进入机体内后,可溶性膳食纤维在大肠中降解,随后内核金属氧化物纳米颗粒暴露,并浸润至肠粘膜内部,发挥其生物功能,减少金属氧化物纳米颗粒在身体其它部位的副作用。In order to obtain a better anti-tumor effect, in a preferred embodiment, the pharmaceutical composition has a core-shell structure; the metal oxide nanoparticles are the core and the soluble dietary fiber is the shell. In this way, when the pharmaceutical composition is ingested into the body, the soluble dietary fiber is degraded in the large intestine, and then the metal oxide nanoparticles in the core are exposed and infiltrate into the intestinal mucosa to exert their biological functions and reduce the side effects of the metal oxide nanoparticles in other parts of the body.
具有核-壳结构的药物组合物的粒径没有特别限制,为纳米级就行;但在一种优选的实施方式中,所述内核的直径为20-100纳米,优选为30-60纳米;在另一种优选的实施方式中,所述外壳的厚度为50-350纳米,优选为80-200纳米;以便于吸收以及可溶性膳食纤维的及时降解。The particle size of the pharmaceutical composition having a core-shell structure is not particularly limited as long as it is nanometer-scale; however, in a preferred embodiment, the diameter of the inner core is 20-100 nanometers, preferably 30-60 nanometers; in another preferred embodiment, the thickness of the outer shell is 50-350 nanometers, preferably 80-200 nanometers; to facilitate absorption and timely degradation of soluble dietary fiber.
本申请的内核的直径和外壳的厚度可以通过动态光散射方法测量。The diameter of the core and the thickness of the shell of the present application can be measured by a dynamic light scattering method.
在本申请中,所述纳米金属氧化物与所述可溶性膳食纤维的质量比没有特别的限制,但为了获得更好的抑制肿瘤效果,在一种优选的实施方式中,所述金属氧化物与所述可溶性膳食纤维的质量比为1:1-100,例如1:95、1:90、1:85;优选为1:2-80,例如1:75、1:70、1:65;更优选为1:3-60,例如1:55; 更优选为1:5-50,例如1:45、1:40、1:35、1:30、1:25、1:20、1:15、1:10、1:8等。In the present application, the mass ratio of the nano metal oxide to the soluble dietary fiber is not particularly limited, but in order to obtain a better tumor inhibition effect, in a preferred embodiment, the mass ratio of the metal oxide to the soluble dietary fiber is 1:1-100, such as 1:95, 1:90, 1:85; preferably 1:2-80, such as 1:75, 1:70, 1:65; more preferably 1:3-60, such as 1:55; More preferably, it is 1:5-50, for example, 1:45, 1:40, 1:35, 1:30, 1:25, 1:20, 1:15, 1:10, 1:8 and the like.
为了获得更好的抗肿瘤效果,所述药物组合用于辅助增强机体先天性免疫和特异性免疫应答的肿瘤免疫治疗。In order to obtain better anti-tumor effects, the drug combination is used to assist in tumor immunotherapy that enhances the body's innate immunity and specific immune response.
在一种优选的实施方式中,该药物组合物还包括肿瘤疫苗和免疫检查点抑制剂中的一种或几种。In a preferred embodiment, the pharmaceutical composition further comprises one or more of a tumor vaccine and an immune checkpoint inhibitor.
肿瘤疫苗没有特别限制,优选地,所述肿瘤疫苗包括:全细胞疫苗、肿瘤多肽疫苗、基因工程疫苗和抗体肿瘤疫苗中的一种或几种。The tumor vaccine is not particularly limited. Preferably, the tumor vaccine includes one or more of: whole cell vaccine, tumor polypeptide vaccine, genetic engineering vaccine and antibody tumor vaccine.
所述检查点抑制剂没有特别限制,优选地,所述检查点抑制剂选自抗PD-1单克隆抗体、抗PD-L1单克隆抗体、抗CTLA-4单克隆抗体中的一种或几种。The checkpoint inhibitor is not particularly limited. Preferably, the checkpoint inhibitor is selected from one or more of anti-PD-1 monoclonal antibodies, anti-PD-L1 monoclonal antibodies, and anti-CTLA-4 monoclonal antibodies.
本发明的核-壳结构的药物组合物可以通过各种方法制备,例如沉淀法、化学吸附法、化学沉积法、微乳液法。The core-shell structured pharmaceutical composition of the present invention can be prepared by various methods, such as precipitation method, chemical adsorption method, chemical deposition method, and microemulsion method.
当所述可溶性膳食纤维为β-葡聚糖时,优选地,本发明的核-壳结构的药物组合物通过包括以下步骤的方法制备:When the soluble dietary fiber is β-glucan, preferably, the core-shell structured pharmaceutical composition of the present invention is prepared by a method comprising the following steps:
1)制备β-葡聚糖的碱溶液:将β-葡聚糖和乳化剂混合,调节pH值为8-10;1) preparing an alkaline solution of β-glucan: mixing β-glucan and an emulsifier, and adjusting the pH value to 8-10;
2)制备所述金属氧化物纳米颗粒的酸溶液:将金属氧化物纳米颗粒和弱酸混合;2) preparing an acid solution of the metal oxide nanoparticles: mixing the metal oxide nanoparticles and a weak acid;
3)室温下,在搅拌状态下向所述可溶性膳食纤维的碱溶液中逐滴滴入所述金属氧化物纳米颗粒的酸溶液,调节pH至4-6,之后继续搅拌0.5-2小时。3) At room temperature, the acid solution of the metal oxide nanoparticles is added dropwise into the alkaline solution of the soluble dietary fiber under stirring to adjust the pH to 4-6, and then the stirring is continued for 0.5-2 hours.
优选地,在步骤3)进行清洗和干燥。Preferably, washing and drying are performed in step 3).
优选地,所述室温包括温度为20-45℃,例如20℃、25℃、30℃、35℃、40℃或45℃等;反应时间可以为40min、50min、70min、80min、90min、100min等。Preferably, the room temperature includes a temperature of 20-45°C, such as 20°C, 25°C, 30°C, 35°C, 40°C or 45°C, etc.; the reaction time can be 40min, 50min, 70min, 80min, 90min, 100min, etc.
在一种优选的实施方式中,所述弱酸为乙酸、乙二酸、甲酸、丙酸中的一种或几种。In a preferred embodiment, the weak acid is one or more of acetic acid, oxalic acid, formic acid and propionic acid.
在一种优选的实施方式中,所述乳化剂可以为吐温80、吐温60、聚甘油脂肪酸酯、果胶中的一种或几种; In a preferred embodiment, the emulsifier may be one or more of Tween 80, Tween 60, polyglycerol fatty acid ester, and pectin;
在本申请中,所述肿瘤还包含肿瘤切除术后未完全切除的肿瘤。In the present application, the tumor also includes a tumor that was not completely removed after tumor resection.
在本申请中,所述肿瘤包含肿瘤清除后再次产生的肿瘤。In the present application, the tumor includes a tumor that re-emerges after tumor clearance.
在本申请中,所述肿瘤包含实体瘤和非实体瘤。In the present application, the tumor includes solid tumors and non-solid tumors.
本发明还提供了所述药物组合物在制备治疗肿瘤药物中的用途;优选地,所述肿瘤选自乳腺肿瘤、结肠肿瘤、肝肿瘤、胃肿瘤、肾肿瘤、胰腺癌、结直肠癌、卵巢肿瘤、淋巴瘤、骨肉瘤、胶质瘤、前列腺癌或黑色素瘤。The present invention also provides the use of the pharmaceutical composition in the preparation of a drug for treating tumors; preferably, the tumor is selected from breast tumors, colon tumors, liver tumors, stomach tumors, kidney tumors, pancreatic cancer, colorectal cancer, ovarian tumors, lymphomas, osteosarcomas, gliomas, prostate cancer or melanoma.
本申请的药物组合物基本上不会引发全身性炎症反应。The pharmaceutical composition of the present application will not substantially induce systemic inflammatory response.
本申请的药物组合基本上不引发溶血反应、心脏损伤、肝脏损伤、脾脏损伤、肺脏损伤和/或肾脏损伤。The drug combination of the present application does not substantially induce hemolytic reactions, heart damage, liver damage, spleen damage, lung damage and/or kidney damage.
本发明还提供了一种治疗肿瘤的方法,该方法包括给予肿瘤患者本申请提供的药物组合物,例如口服。每天服用本发明提供的药物组合物的剂量,例如可以采用公式为m=施用者体重(kg)×(100-500)mg/kg,每天可以服用1-3次。The present invention also provides a method for treating tumors, which comprises administering the pharmaceutical composition provided by the present application to a tumor patient, for example, orally. The dosage of the pharmaceutical composition provided by the present invention can be taken daily, for example, using the formula m = user's body weight (kg) × (100-500) mg/kg, and can be taken 1-3 times a day.
本发明还提供了的治疗肿瘤的方法中可以包括结合联合施用其它肿瘤治疗药物,例如肿瘤疫苗和免疫检查点抑制剂。肿瘤疫苗和免疫检查点抑制剂可以通过腹腔注射施用,施用的剂量为:50-250μg/次。The present invention also provides a method for treating tumors that may include the combined administration of other tumor therapeutic drugs, such as tumor vaccines and immune checkpoint inhibitors. Tumor vaccines and immune checkpoint inhibitors may be administered by intraperitoneal injection at a dose of 50-250 μg/time.
实施例1:制备三氧化钨纳米颗粒(购自Sigma-Aldrich公司(美国))和β-葡聚糖的混合物(简写为WO3NP+Glu)Example 1: Preparation of a mixture of tungsten trioxide nanoparticles (purchased from Sigma-Aldrich (USA)) and β-glucan (abbreviated as WO 3 NP+Glu)
将3mg三氧化钨纳米颗粒与3mg的β-葡聚糖混合均匀,其中β-葡聚糖和三氧化钨纳米颗粒的重量比为1:1。3 mg of tungsten trioxide nanoparticles and 3 mg of β-glucan were mixed evenly, wherein the weight ratio of β-glucan to tungsten trioxide nanoparticles was 1:1.
实施例2:制备β-葡聚糖包被的三氧化钨纳米颗粒(简写为WO3@Glu NP)Example 2: Preparation of β-glucan-coated tungsten trioxide nanoparticles (abbreviated as WO 3 @Glu NP)
WO3@Glu NP的制备方法如下所示:The preparation method of WO3@Glu NP is as follows:
(1)制备葡聚糖碱溶液:将0.1重量%的β-葡聚糖和0.1重量%的吐温80的20ml水溶液混合均匀,采用2重量%的氢氧化钠调节溶液pH至11;(1) preparing a dextran base solution: uniformly mixing 20 ml of an aqueous solution of 0.1 wt % β-glucan and 0.1 wt % Tween 80, and adjusting the pH of the solution to 11 with 2 wt % sodium hydroxide;
(2)制备三氧化钨纳米颗粒的酸溶液:将5mg三氧化钨纳米颗粒(购自Sigma-Aldrich公司(美国))加入到5ml的4重量%的乙酸溶液; (2) Preparation of an acid solution of tungsten trioxide nanoparticles: 5 mg of tungsten trioxide nanoparticles (purchased from Sigma-Aldrich, USA) were added to 5 ml of a 4 wt % acetic acid solution;
(3)在室温下,向5ml步骤(1)制备的β-葡聚糖碱溶液中逐滴滴入5ml步骤(2)制备的三氧化钨纳米颗粒的酸溶液,用4重量%的乙酸调节溶液pH至5后,搅拌1小时;(3) At room temperature, 5 ml of the acid solution of tungsten trioxide nanoparticles prepared in step (2) was added dropwise into 5 ml of the β-glucan base solution prepared in step (1), and the pH of the solution was adjusted to 5 with 4 wt % acetic acid, and then stirred for 1 hour;
(4)用水清洗,干燥获得WO3@Glu NP。(4) Wash with water and dry to obtain WO 3 @Glu NPs.
获得的WO3@Glu NP的电镜表征图如图1所示,其中,左图为三氧化钨纳米颗粒(简写为WO3NP),右图为WO3@Glu NP。其中,β-葡聚糖和三氧化钨纳米颗粒的重量比为1:1,三氧化钨纳米颗粒的平均直径为46nm,β-葡聚糖壳膜的平均厚度为100nm。The electron microscope characterization of the obtained WO 3 @Glu NP is shown in Figure 1, where the left picture is tungsten trioxide nanoparticles (abbreviated as WO 3 NP) and the right picture is WO 3 @Glu NP. The weight ratio of β-glucan and tungsten trioxide nanoparticles is 1:1, the average diameter of tungsten trioxide nanoparticles is 46nm, and the average thickness of β-glucan shell membrane is 100nm.
采用实施例1制得的WO3NP+Glu和实施例2制备的WO3@Glu NP进行以下实验。The following experiments were conducted using the WO 3 NP+Glu prepared in Example 1 and the WO 3 @Glu NP prepared in Example 2.
实施例3:WO3NP+Glu和WO3@Glu NP抑制黑色素瘤的实验Example 3: Experiment on the inhibition of melanoma by WO 3 NP+Glu and WO 3 @Glu NP
由于长期进行肿瘤免疫治疗的患者通常肠道发生紊乱,本申请采用的小鼠模型使用肿瘤与肠炎叠加模型。Since patients undergoing long-term tumor immunotherapy usually have intestinal disorders, the mouse model used in this application uses a tumor and enteritis superimposed model.
实验动物建模:给6-8周C57BL/6雌性小鼠背部皮下注射0.1mL(1×106)B16肿瘤细胞,当小鼠肿瘤体积为150mm3时,随机分组,每组5只。在饮用水中加入葡聚糖硫酸钠(DSS)模拟临床上的免疫相关性肠炎(DSS浓度2重量%,共给药5天);其中,DSS直接加到饮用水中,小鼠喝水5天,不做定量要求。Experimental animal modeling: 0.1 mL (1×10 6 ) B16 tumor cells were injected subcutaneously into the back of 6-8 week old C57BL/6 female mice. When the tumor volume of the mice reached 150 mm 3 , they were randomly divided into groups, with 5 mice in each group. Dextran sulfate sodium (DSS) was added to drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for 5 days); DSS was directly added to drinking water, and mice drank water for 5 days without quantitative requirements.
给药处理:从肠炎造模第0天开始,隔天按照以下方式给药或水(一天一次):0.1ml超纯水/只/天(口服,作为对照组,简写为Ctrl)、3mg WO3NP+Glu/只/天(口服,WO3NP+Glu组)、3mg WO3@Glu NP/只/天(口服,WO3@Glu NP组)。Drug administration: Starting from the 0th day of enteritis modeling, drugs or water were administered every other day as follows (once a day): 0.1 ml ultrapure water/mouse/day (oral, as the control group, abbreviated as Ctrl), 3 mg WO 3 NP+Glu/mouse/day (oral, WO 3 NP+Glu group), 3 mg WO 3 @Glu NP/mouse/day (oral, WO 3 @Glu NP group).
各组小鼠分别饲养14天,每隔一天测量肿瘤的体积,检测结果如图2A、2B、2C、2D所示。饲养14天后处死小鼠,检测肿瘤的重量以及肿瘤浸润T细胞,检测的结果分别如图2E和2F所示。Each group of mice was fed for 14 days, and the volume of the tumor was measured every other day. The test results are shown in Figures 2A, 2B, 2C, and 2D. After 14 days of feeding, the mice were killed, and the weight of the tumor and tumor-infiltrating T cells were measured. The test results are shown in Figures 2E and 2F, respectively.
肿瘤体积检测方法:使用游标卡尺量取肿瘤组织的长轴与短轴长度,根据公式V=0.5×ab2计算,其中a表示长轴,b表示短轴。 Tumor volume detection method: Use a vernier caliper to measure the length of the major axis and minor axis of the tumor tissue, and calculate according to the formula V = 0.5 × ab 2 , where a represents the major axis and b represents the minor axis.
肿瘤重量检测方法:处死小鼠后,分离出肿瘤组织,称重。Tumor weight detection method: After killing the mice, the tumor tissue was separated and weighed.
肿瘤浸润T细胞检测方法:处死小鼠后,将肿瘤组织研磨成单细胞悬液,用CD45荧光抗体(购自北京成志科为生物科技有限公司)和CD3荧光抗体(购自北京成志科为生物科技有限公司)染色,流式细胞仪检测荧光信号。Tumor-infiltrating T cell detection method: After killing mice, the tumor tissue was ground into a single-cell suspension, stained with CD45 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.) and CD3 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.), and the fluorescence signal was detected by flow cytometry.
图2A、图2B和图2C表示对照组、采用WO3NP+Glu和WO3@Glu NP处理组,各只小鼠肿瘤体积在不同时间检测结果。由于实验过程中,对照组出现一例小鼠死亡,因此在绘制图时,各组均采用4只小鼠的数据。Figures 2A, 2B and 2C show the tumor volume of each mouse in the control group, the WO 3 NP+Glu and WO 3 @Glu NP treatment groups at different times. Since one mouse died in the control group during the experiment, the data of 4 mice were used in each group when drawing the graphs.
图2D是将各组小鼠体积数据平均化处理后绘制在同一图中,从图上可以看出在肠炎造模8天后,对照组和采用WO3NP+Glu处理组和WO3@Glu NP处理组肿瘤体积逐渐出现较大差别,WO3NP+Glu和WO3@Glu NP均能够抑制肿瘤体积的增加,并且WO3@Glu NP比WO3NP+Glu显示出更好的肿瘤抑制效果。Figure 2D shows the volume data of each group of mice being averaged and plotted in the same figure. It can be seen from the figure that 8 days after enteritis modeling, the tumor volumes of the control group, the group treated with WO 3 NP+Glu and the group treated with WO 3 @Glu NP gradually showed significant differences. Both WO 3 NP+Glu and WO 3 @Glu NP were able to inhibit the increase in tumor volume, and WO 3 @Glu NP showed better tumor inhibition effect than WO 3 NP+Glu.
从图2E也可以看出,WO3NP+Glu和WO3@Glu NP均能够抑制肿瘤重量的增加,并且WO3@Glu NP比WO3NP+Glu显示出更好的肿瘤抑制效果。It can also be seen from Figure 2E that both WO 3 NP+Glu and WO 3 @Glu NP can inhibit the increase of tumor weight, and WO 3 @Glu NP shows better tumor inhibition effect than WO 3 NP+Glu.
从图2F可以看出,WO3NP+Glu和WO3@Glu NP均能增加TIL(TIL是瘤内浸润淋巴细胞的缩写)中T细胞的百分数,并且WO3@Glu NP比WO3NP+Glu显示出更好效果。As can be seen from FIG. 2F , both WO 3 NP+Glu and WO 3 @Glu NP can increase the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes), and WO 3 @Glu NP shows a better effect than WO 3 NP+Glu.
实施例4:WO3@Glu NP联合免疫检查点抑制剂(ICI)给药抑制黑色素瘤的实验Example 4: Experiment on the inhibition of melanoma by administration of WO 3 @Glu NP combined with immune checkpoint inhibitor (ICI)
由于长期进行肿瘤免疫治疗的患者通常肠道发生紊乱,本申请采用的小鼠模型使用肿瘤与肠炎叠加模型。Since patients undergoing long-term tumor immunotherapy usually have intestinal disorders, the mouse model used in this application uses a tumor and enteritis superimposed model.
实验动物建模:给6-8周C57BL/6雌性小鼠背部皮下注射0.1mL(1×106)B16肿瘤细胞,当小鼠肿瘤体积为150mm3时,随机分组,每组5只。在饮用水中加入葡聚糖硫酸钠(DSS)模拟临床上的免疫相关性肠炎(DSS浓度2重量%,共给药5天);其中,DSS直接加到饮用水中,小鼠喝水5天,不做定量要求。Experimental animal modeling: 0.1 mL (1×10 6 ) B16 tumor cells were injected subcutaneously into the back of 6-8 week old C57BL/6 female mice. When the tumor volume of the mice reached 150 mm 3 , they were randomly divided into groups, with 5 mice in each group. Dextran sulfate sodium (DSS) was added to drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for 5 days); DSS was directly added to drinking water, and mice drank water for 5 days without quantitative requirements.
给药处理:从肠炎造模第0天开始,隔天按照以下方案处理(一天一次):0.1ml超纯水/只/天(口服,对照组,简写为Ctrl)、200μg抗-PD-1抗体/只/天 (腹腔注射,ICI处理组)、3mg WO3@Glu NP(口服)+200μg抗-PD-1抗体(腹腔注射)/只/天(ICI+WO3@Glu NP处理组)。Drug administration: Starting from day 0 of enteritis modeling, the mice were treated every other day according to the following regimen (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), 200 μg anti-PD-1 antibody/mouse/day (intraperitoneal injection, ICI-treated group), 3 mg WO 3 @Glu NP (oral) + 200 μg anti-PD-1 antibody (intraperitoneal injection)/mouse/day (ICI+WO 3 @Glu NP-treated group).
各组小鼠分别饲养14天,每隔一天测量肿瘤的体积,检测结果如图3A、3B、3C、3D所示。饲养14天后处死小鼠,检测肿瘤的重量以及肿瘤浸润T细胞,检测的结果分别如/3E和3F所示。Each group of mice was fed for 14 days, and the volume of the tumor was measured every other day. The test results are shown in Figures 3A, 3B, 3C, and 3D. After 14 days of feeding, the mice were killed, and the weight of the tumor and tumor-infiltrating T cells were measured. The test results are shown in Figures 3E and 3F, respectively.
肿瘤体积检测方法:使用游标卡尺量取肿瘤组织的长轴与短轴长度,根据公式V=0.5×ab2计算,其中a表示长轴,b表示短轴。Tumor volume detection method: Use a vernier caliper to measure the length of the major axis and minor axis of the tumor tissue, and calculate according to the formula V = 0.5 × ab 2 , where a represents the major axis and b represents the minor axis.
肿瘤重量检测方法:处死小鼠后,分离出肿瘤组织,称重。Tumor weight detection method: After killing the mice, the tumor tissue was separated and weighed.
肿瘤浸润T细胞检测方法:处死小鼠后,将肿瘤组织研磨成单细胞悬液,用CD45荧光抗体(购自北京成志科为生物科技有限公司)和CD3荧光抗体(购自北京成志科为生物科技有限公司)染色,流式细胞仪检测荧光信号。Tumor-infiltrating T cell detection method: After killing mice, the tumor tissue was ground into a single-cell suspension, stained with CD45 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.) and CD3 fluorescent antibody (purchased from Beijing Chengzhi Kewei Biotechnology Co., Ltd.), and the fluorescence signal was detected by flow cytometry.
肿瘤组织切片以及染色:另取一部分瘤块固定后石蜡包埋切片,使用免疫组化抗体为CD4、CD8染色后检测CD4+T细胞和CD8+T细胞的含量变化,结果如图3G、3H和3I所示。Tumor tissue sectioning and staining: Another part of the tumor was fixed and embedded in paraffin for sectioning. Immunohistochemical antibodies were used to stain CD4 and CD8 to detect changes in the content of CD4+T cells and CD8+T cells. The results are shown in Figures 3G, 3H, and 3I.
图3A、图3B和图3C表示对照组、采用ICI处理组和ICI+WO3@Glu NP处理组,各只小鼠肿瘤体积在不同时间检测的结果。由于实验过程中,对照组出现一例小鼠死亡,因此在绘制图时,各组均采用4只小鼠的数据。Figures 3A, 3B and 3C show the results of tumor volume detection of each mouse at different times in the control group, ICI treatment group and ICI+WO 3 @Glu NP treatment group. Since one mouse died in the control group during the experiment, the data of 4 mice were used in each group when drawing the graphs.
图3D是将各组小鼠体积数据平均化处理后绘制在同一图中,从图上可以看出在肠炎造模8天后,对照组和采用ICI处理组和ICI+WO3@Glu NP处理肿瘤体积逐渐出现较大差别,ICI和ICI+WO3@Glu NP均能够抑制肿瘤体积的增加,并且ICI+WO3@Glu NP比ICI显示出更好的肿瘤抑制效果。Figure 3D is the average volume data of each group of mice plotted in the same figure. It can be seen from the figure that 8 days after enteritis modeling, the tumor volumes of the control group, the ICI-treated group and the ICI+WO 3 @Glu NP-treated group gradually showed significant differences. Both ICI and ICI+WO 3 @Glu NP were able to inhibit the increase in tumor volume, and ICI+WO 3 @Glu NP showed better tumor inhibition effect than ICI.
从图3E也可以看出,ICI和ICI+WO3@Glu NP均能够抑制肿瘤重量的增加,并且ICI+WO3@Glu NP比ICI显示出更好的肿瘤抑制效果。It can also be seen from Figure 3E that both ICI and ICI+WO 3 @Glu NPs can inhibit the increase of tumor weight, and ICI+WO 3 @Glu NPs show better tumor inhibition effect than ICI.
从图3F可以看出,ICI和ICI+WO3@Glu NP均能增加TIL(TIL是瘤内浸润淋巴细胞的缩写)中T细胞的百分数,并且ICI+WO3@Glu NP比ICI显示出更好效果。As can be seen from Figure 3F, both ICI and ICI+WO 3 @Glu NPs can increase the percentage of T cells in TIL (TIL is the abbreviation of tumor-infiltrating lymphocytes), and ICI+WO 3 @Glu NPs show better effects than ICI.
从图3G可以看出,切片中ICI+WO3@Glu NP比ICI中有更多的染色标记,表明ICI+WO3@Glu NP处理小鼠的肿瘤组织中的CD4+T细胞和CD8+T细胞含量更高,意味着WO3@Glu NP辅助治疗后提高了免疫细胞的浸润程 度。CD4+T细胞和CD8+T细胞定量的数值如图3H和3I所示。As can be seen from Figure 3G, there are more staining marks in the ICI+WO 3 @Glu NP than in ICI in the sections, indicating that the content of CD4+T cells and CD8+T cells in the tumor tissues of mice treated with ICI+WO 3 @Glu NP is higher, which means that WO 3 @Glu NP adjuvant therapy improves the infiltration of immune cells. The numerical values of CD4+T cells and CD8+T cells quantification are shown in Figures 3H and 3I.
从上面数据可以看出,WO3@Glu NP与ICI可能发挥不同的抗肿瘤效果,WO3@Glu NP与ICI结合使用,能够进一步增强抗肿瘤效果。From the above data, it can be seen that WO 3 @Glu NP and ICI may exert different anti-tumor effects, and the combination of WO 3 @Glu NP and ICI can further enhance the anti-tumor effect.
实施例4:WO3@Glu NP联合anti-PD-1抗体与anti-CTLA-4抗体给药,抑制原位胰腺癌发展的实验Example 4: Experiment on inhibiting the development of in situ pancreatic cancer by administering WO 3 @Glu NP in combination with anti-PD-1 antibody and anti-CTLA-4 antibody
实验动物建模:给6-8周C57BL/6雌性小鼠胰腺原位注射0.025mL(1×106)luci-Panc02肿瘤细胞与(1×106)小鼠胰腺星状细胞。在接瘤后5天,随机分组,每组6只。此时,在饮用水中加入葡聚糖硫酸钠(DSS)模拟临床上的免疫相关性肠炎(DSS浓度2重量%,共给药9天);其中,DSS直接加到饮用水中,小鼠喝水9天,不做定量要求。Experimental animal modeling: 0.025mL (1×10 6 ) luci-Panc02 tumor cells and (1×10 6 ) mouse pancreatic stellate cells were injected orthotopically into the pancreas of 6-8 week old C57BL/6 female mice. Five days after tumor implantation, the mice were randomly divided into groups, with 6 mice in each group. At this time, dextran sulfate sodium (DSS) was added to the drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for a total of 9 days); DSS was directly added to the drinking water, and the mice drank water for 9 days without quantitative requirements.
给药处理:从肠炎造模第0天开始,隔天按照以下方案处理(一天一次):0.1ml超纯水/只/天(口服,对照组,简写为Ctrl)、(100μg anti-PD-1抗体+100μg anti-CTLA-4抗体)/只/天(腹腔注射,ICI-联合处理组);(100μg anti-PD-1抗体+100μg anti-CTLA-4抗体+3mg WO3@Glu NP)/只/天(抗体腹腔注射,纳米颗粒口服,ICI-联合+WO3@Glu NP处理组)。Dosing treatment: Starting from day 0 of enteritis modeling, the mice were treated every other day according to the following scheme (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), (100 μg anti-PD-1 antibody + 100 μg anti-CTLA-4 antibody)/mouse/day (intraperitoneal injection, ICI-combined treatment group); (100 μg anti-PD-1 antibody + 100 μg anti-CTLA-4 antibody + 3 mg WO3@Glu NP)/mouse/day (intraperitoneal injection of antibodies, oral administration of nanoparticles, ICI-combined + WO 3 @Glu NP treatment group).
各组小鼠分别饲养14天,并在肠炎造模第5天、8天、11天和14天进行小动物活体成像,检测结果如图4所示。饲养14天后处死小鼠,取出脾脏和胰腺,检测胰腺的大小,检测的结果如图5所示。Each group of mice was raised for 14 days, and small animal live imaging was performed on the 5th, 8th, 11th and 14th days of enteritis modeling. The test results are shown in Figure 4. After 14 days of raising, the mice were killed, the spleen and pancreas were removed, and the size of the pancreas was detected. The test results are shown in Figure 5.
小动物活体成像:按150mg/kg体重的量腹腔注射底物D-荧光素钾盐,10分钟后,腹腔注射3%戊巴比妥钠溶液。然后采用小动物光学3D活体成像系统(IVIS-Spectrum)(制造商珀金埃尔默公司)进行小动物活体成像。Small animal in vivo imaging: D-luciferin potassium salt was intraperitoneally injected at a dose of 150 mg/kg body weight, and 3% sodium pentobarbital solution was intraperitoneally injected 10 minutes later. Small animal optical 3D in vivo imaging system (IVIS-Spectrum) (manufacturer PerkinElmer) was then used for small animal in vivo imaging.
从图4可以清楚看出:三组小鼠随饲养时间延长,肿瘤逐渐恶化(荧光强度标尺表示肿瘤细胞数量级由低到高,从2*104到5*105),生长最快的是对照组的小鼠,其次是ICI-联合处理组的小鼠,ICI-联合+WO3@Glu NP处理组的小鼠的肿瘤生长速度最慢。在第11天到14天这段时间,对照组和ICI-联合处理组小鼠的肿瘤依然生长很快;而ICI-联合+WO3@Glu NP处理组小鼠的肿瘤变化不明显了。这一结果表明,WO3@Glu NP显著促进了ICI-联合抑制肿瘤生长。 It can be clearly seen from Figure 4 that as the feeding time of the three groups of mice increases, the tumors gradually worsen (the fluorescence intensity scale indicates the order of magnitude of tumor cells from low to high, from 2*10 4 to 5*10 5 ). The fastest growing mice are those in the control group, followed by the mice in the ICI-combination treatment group, and the tumor growth rate of the mice in the ICI-combination + WO 3 @Glu NP treatment group is the slowest. From the 11th day to the 14th day, the tumors of the mice in the control group and the ICI-combination treatment group still grow rapidly; while the tumor changes of the mice in the ICI-combination + WO 3 @Glu NP treatment group are not obvious. This result shows that WO 3 @Glu NP significantly promotes the inhibition of tumor growth by ICI-combination.
从图5也可以清楚看出:在14天时,对照组和ICI-联合处理组的6只小鼠胰腺很大,几乎看不出区别;而ICI-联合+WO3@Glu NP处理组的6只小鼠的胰腺明显比对照组和ICI-联合处理组小鼠胰腺小。这一结果进一步说明了WO3@Glu NP显著促进了ICI-联合抑制肿瘤生长疗效。It can also be clearly seen from Figure 5 that at 14 days, the pancreases of the 6 mice in the control group and the ICI-combination treatment group were very large, and there was almost no difference; while the pancreases of the 6 mice in the ICI-combination + WO 3 @Glu NP treatment group were significantly smaller than those in the control group and the ICI-combination treatment group. This result further illustrates that WO 3 @Glu NP significantly promotes the efficacy of ICI-combination in inhibiting tumor growth.
实施例5:WO3@Glu NP联合anti-PD-1抗体与anti-CTLA-4抗体给药,抑制原位结直肠癌的生长。Example 5: WO 3 @Glu NPs were administered in combination with anti-PD-1 antibody and anti-CTLA-4 antibody to inhibit the growth of in situ colorectal cancer.
实验动物建模:给6-8周C57BL/6雌性小鼠盲肠肠壁原位注射0.025mL(1×106)luci-CT 26肿瘤细胞。在接瘤后3天,随机分组,每组6只。此时,在饮用水中加入葡聚糖硫酸钠(DSS)模拟临床上的免疫相关性肠炎(DSS浓度2重量%,共给药8天);其中,DSS直接加到饮用水中,小鼠喝水8天,不做定量要求。Experimental animal modeling: 0.025mL (1×10 6 ) luci-CT 26 tumor cells were injected orthotopically into the cecum of 6-8 week old C57BL/6 female mice. Three days after tumor implantation, the mice were randomly divided into groups, with 6 mice in each group. At this time, dextran sulfate sodium (DSS) was added to the drinking water to simulate clinical immune-related enteritis (DSS concentration 2% by weight, administered for a total of 8 days); DSS was directly added to the drinking water, and the mice drank water for 8 days without quantitative requirements.
给药处理:从肠炎造模第0天开始,隔天按照以下方案处理(一天一次):0.1ml超纯水/只/天(口服,对照组,简写为Ctrl)、(100μg anti-PD-1抗体+100μg anti-CTLA-4抗体)/只/天(腹腔注射,ICI-联合处理组);(100μg anti-PD-1抗体+100μg anti-CTLA-4抗体+3mg WO3@Glu NP)/只/天(抗体腹腔注射,纳米颗粒口服,ICI-联合+WO3@Glu NP处理组)。Dosing treatment: Starting from day 0 of enteritis modeling, the mice were treated every other day according to the following scheme (once a day): 0.1 ml ultrapure water/mouse/day (oral, control group, abbreviated as Ctrl), (100 μg anti-PD-1 antibody + 100 μg anti-CTLA-4 antibody)/mouse/day (intraperitoneal injection, ICI-combined treatment group); (100 μg anti-PD-1 antibody + 100 μg anti-CTLA-4 antibody + 3 mg WO3@Glu NP)/mouse/day (intraperitoneal injection of antibodies, oral administration of nanoparticles, ICI-combined + WO 3 @Glu NP treatment group).
各组小鼠分别饲养14天,并在肠炎造模第5天、8天和11天进行小动物活体成像(方法与实施例4相同),检测结果如图6所示:三组小鼠随饲养时间延长,肿瘤逐渐恶化(荧光强度标尺由低到高,从2*104到5*105);对照组和ICI-联合处理组的小鼠中肿瘤生长都比较快,在第8天时已经出现了大量的肿瘤细胞,如图所示有较强的荧光信号显示。到11天时,对照组中荧光强度信号显示肿瘤体积明显增大,而对照组和ICI-联合处理组的其它小鼠中肿瘤荧光信号面积略有减小,这是由于结直肠癌容易转移,荧光统计已经不能够准确显示肿瘤大小了,因此不再进行后续小动物活体成像。而在11天时,ICI-联合+WO3@Glu NP处理组小鼠中肿瘤显然明显小于8天时对照组和ICI-联合处理组的小鼠中肿瘤大小。这一结果表明,WO3@Glu NP显著促进了ICI-联合抑制肿瘤生长。 Each group of mice was raised for 14 days, and small animal live imaging was performed on the 5th, 8th and 11th day of enteritis modeling (the method is the same as that of Example 4). The test results are shown in Figure 6: As the feeding time of the three groups of mice increased, the tumors gradually worsened (the fluorescence intensity scale was from low to high, from 2*10 4 to 5*10 5 ); the tumors in the mice of the control group and the ICI-combined treatment group grew relatively fast, and a large number of tumor cells had appeared on the 8th day, as shown by a strong fluorescence signal. By the 11th day, the fluorescence intensity signal in the control group showed that the tumor volume increased significantly, while the tumor fluorescence signal area in other mice of the control group and the ICI-combined treatment group decreased slightly. This is because colorectal cancer is easy to metastasize, and the fluorescence statistics can no longer accurately show the tumor size, so subsequent small animal live imaging is no longer performed. On the 11th day, the tumors in the mice of the ICI-combined +WO 3 @Glu NP treatment group were obviously smaller than the tumor size in the mice of the control group and the ICI-combined treatment group on the 8th day. This result indicated that WO3 @Glu NPs significantly promoted ICI-combined inhibition of tumor growth.
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| CN119409231A (en) * | 2024-10-31 | 2025-02-11 | 上海交通大学 | A Mn/MoO3-X nanomaterial and its preparation method and application |
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| US20110177153A1 (en) * | 2005-10-25 | 2011-07-21 | Hong Zhu | targeted nanoparticle drug for magnetic hyperthermia treatment on malignant tumors |
| US20150335744A1 (en) * | 2014-04-25 | 2015-11-26 | The Regents Of The University Of Michigan | Nanoparticle therapy in cancer |
| US20180353395A1 (en) * | 2015-11-30 | 2018-12-13 | Centre National De La Recherche Scientifique | Anti-uv emulsions stabilized with lignin and nanoparticles |
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| CN119409231A (en) * | 2024-10-31 | 2025-02-11 | 上海交通大学 | A Mn/MoO3-X nanomaterial and its preparation method and application |
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