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CN101125142A青蒿素在制备抗肿瘤多药耐药药物中的应用|CN101125142A: Application of Artemisinin in the Preparation of Anti-Tumor Multidrug-Resistant Drugs


CN101125142A青蒿素在制备抗肿瘤多药耐药药物中的应用

CN101125142A: Application of Artemisinin in the Preparation of Anti-Tumor Multidrug-Resistant Drugs

 

青蒿素在制备抗肿瘤多药耐药药物中的应用

本发明公开了青蒿素、二氢青蒿素、青蒿琥酯在制备抗肿瘤多药耐药药物中的应用,公开了青蒿素、二氢青蒿素、青蒿琥酯在制备作为长春新碱抗肿瘤增效剂药物中的应用,公开了青蒿素、二氢青蒿素、青蒿琥酯在制备治疗口腔鳞上皮癌药物中的应用,通过实验证实上述应用具有重要的临床意义。
 
青蒿素在制备抗肿瘤多药耐药药物中的应用
技术领域
本发明涉及青蒿素在制备抗肿瘤多药耐药药物中的应用,属于医药领域。
背景技术
肿瘤多药耐药是导致肿瘤化疗失败的重要原因之一。多药耐药性(multidrug Resistance,MDR)是指肿瘤细胞在接受抗癌药物治疗过程中对一种抗肿瘤药物产生抗药性的同时,对结构和作用完全不同的抗肿瘤药物产生交叉抗药性。导致肿瘤多药耐药机制复杂,肿瘤细胞可以通过不同途径获得多药耐药性。目前认为,导致MDR机制包括:①存在于肿瘤细胞膜上的P糖蛋白,多药耐药性相关蛋白,肺耐药相关蛋白异常表达;②磷酸激酶C、DNA拓扑异构酶II、谷胱甘肽(GSH)与谷胱甘肽-S-转移酶等细胞内酶异常改变。此外,胸苷的合成酶(TS)、醛脱氢酶(ALDH)的增加及二氢叶酸还原酶(DHFR)的变异也可导致细胞的耐药性的发生;③细胞调亡(Apoptosis)基因与细胞因子改变。④DNA修复异常;⑤器官微环境及其他因素等。
近几年来,随着对肿瘤耐药机制研究的不断深入,已经发现一些肿瘤多药耐药逆转剂及其活性成分。主要有:①钙通道阻滞剂,如为维拉帕米;②免疫抑制剂,如环胞霉素A;③谷胱甘肽转移酶(GST)及TOP异构酶II抑制剂;④激素及抗激素类化合物;⑤蛋白激酶抑制剂;⑥DNA修复相关酶活性抑制剂等。但能进入临床研究的只有异博定、环孢菌素A、SDZPSC833、它莫西芬等极少数,而且临床逆转效果不尽人意。其主要有以下原因:①毒副作用限制了用药剂量;②多机制参与形成的临床耐药使作用靶点单一的逆转剂难以发挥作用;③生物制剂在体内不稳定,半衰期短,难以作用到靶点部位,且副反应多。
近些年来,发现了许多中药及其中药活性成分能够逆转肿瘤多药耐药,特别是中药逆转肿瘤耐药性在P-gP介导的MDR经典机制被公认后以及肯定了钙拮抗剂异博定等对MDR的逆转作用后,国内外肿瘤研究者们开始有意识地从具有钙通道拮抗活性的中药中研究鉴定作用强、毒性小的MDR逆转剂。研究结果发现:①中药大黄主要成份大黄素/大黄酸在低剂量下能增加抗肿瘤药物的细胞毒作用,并能部分逆转肿瘤细胞的MDR;②粉防已碱、蝙蝠葛碱、莲心碱、左旋四氢马汀和人参皂甙Rb1的逆转肿瘤多药耐药作用明显,逆转倍数为8.2-13.0并且苦参碱、乌头碱对耐药细胞株的药性有不同程度的逆转作用;③中药汉防己提取物汉防己甲素在一定程度上能抑制耐药细胞的MDR特性;④化痰中药贝母中的主要活性成份贝母甲素和贝母乙素在逆转肿瘤多药耐药方面独具特色,其化学结构隶属于异甾生物碱的瑟文类生物碱,完全不同于钙离子拮抗剂、免疫抑制剂和其他现有耐药逆转剂,并且可以作用耐药机制不同(P-gP或MDR)的肿瘤细胞,很有临床应用前景。⑤理气类中药玄胡、补骨脂抽提剂的复方中药制剂R3、中药方剂(由川芎、莪术、鸡血藤等活血化瘀药组成)提取液R1等具有逆转耐药作用⑥浙贝母散剂可逆转急性白血病多药耐药。但这些药物/活性成份或停留于实验室阶段,或提纯后毒性较大,或逆转倍数较低而难以实现逆转耐药效果。
青蒿是临床常用中药,味苦辛、性寒,归肝、胆经。具有清热、解暑、除蒸、截疟之功效。临床上常与其他中药配伍治疗暑邪发热、阴虚发热、夜热早凉、骨蒸劳热、疟疾寒热、湿热黄疸等症。其主要成份为青蒿素,同时青蒿素也是其抗疟的主要活性成份。青蒿素及其衍生物是我国自主研制开发的特效抗疟新药,它具有快速、安全高效、无抗药性的优点,更因为其结构特殊,药理作用广泛,在防治肿瘤、艾滋病等多种疾病方面具有潜在诱人的前景而备受国内外医药界关注。青蒿素是含有一个过氧桥的倍半萜的酯化合物,由于其结构的独特性,而使它的抗疟作用机理与已知抗疟药迥然不同。实验研究表明,青蒿素对疟原虫清除作用主要是通过损伤疟原虫的膜系统,而肿瘤多药耐药产生的一个重要机制与肿瘤细胞膜蛋白异常有密切关系,这就启示蒿素抗疟疾的药理机制,可能对肿瘤多药耐药治疗有效
发明内容
本发明目的在于提供青蒿素在制备抗肿瘤多药耐药药物中的应用;
本发明目的在于提供二氢青蒿素在制备抗肿瘤多药耐药药物中的应用;
本发明目的在于提供青蒿琥酯在制备抗肿瘤多药耐药药物中的应用;
本发明目的在于提供青蒿提取物在制备抗肿瘤多药耐药药物中的应用;
本发明的技术方案为:
青蒿素在制备抗肿瘤多药耐药药物中的应用;
二氢青蒿素在制备抗肿瘤多药耐药药物中的应用;
青蒿琥酯在制备抗肿瘤多药耐药药物中的应用;
青蒿提取物在制备抗肿瘤多药耐药药物中的应用;
青蒿素在制备作为长春新碱抗肿瘤增效剂药物中的应用。
二氢青蒿素在制备作为长春新碱抗肿瘤增效剂药物中的应用。
青蒿琥酯在制备作为长春新碱抗肿瘤增效剂药物中的应用。
青蒿提取物在制备作为长春新碱抗肿瘤增效剂药物中的应用。
青蒿素在制备治疗口腔鳞上皮癌药物中的应用。
二氢青蒿素在制备治疗口腔鳞上皮癌药物中的应用。
青蒿琥酯在制备治疗口腔鳞上皮癌药物中的应用。
青蒿提取物在制备治疗口腔鳞上皮癌药物中的应用。
所述青蒿提取物采用现有技术制备。
下述实验例用于进一步说明本发明:
本发明实验表明:在体外通过细胞杀伤增敏试验,证实在无明显的细胞毒剂量下,青蒿素和青蒿提取物可部分逆转长春新碱耐药KBV200细胞的耐药性。青蒿琥酯和二氢青蒿素对VCR杀伤KBV200有一定的增敏作用,且四者对VCR杀伤KBV200的增敏作用有剂量依赖效应,随其浓渡的升高,其RI相应升高。
实验例1青蒿素、二氢青蒿素、青蒿琥酯和青蒿提取物对KBV200的抑制实验
1材料
1.1细胞系
KBV200细胞由中国人民解放军军事医学科学院放射医学研究所提供。其由人口腔麟状上皮癌细胞(KB)经长春新碱诱导的多药耐药细胞系。经测定耐药倍数约175倍,以MDR1基因、Pgp糖蛋白高表达为主要耐药机制。该细胞株对其他抗癌药物具有交叉耐药性,对紫杉醇耐药约156倍;对秋水仙素和阿霉素耐药约15倍;但对高三尖杉酯、鬼臼乙叉甙、5-氟脲嘧啶的耐药性较低。
1.2药物
实验药物有:①青蒿素、二氢青蒿素、青蒿琥酯由中国科学院上海药物研究所李英研究员馈赠;青蒿提取物由北京中医院中医研究所制剂室提取。青蒿素、青蒿提取物、二氢青蒿素以少量DMSO溶解,配成浓度为0.2mol/l的母液,超声助溶,-20℃保存。实验前用无血清的培养基(pH=7.2)稀释至所需浓度DMSO<0.1%。青蒿琥酯实验前配制,用5%NaHCO3配成浓度为0.2mol/l的母液,超声助溶,再用无血清的培养基(pH=7.2)稀释至所需浓度DMSO<0.1%。②长春新碱(VCR)由北京第二制药厂生产(批号0208001)。注射用水配制,100μg/ml,分装,-20℃保存。
1.3试剂
主要包括:①四氮唑蓝(MTT)系瑞士Fluka公司产品,用时以PBS现配制,5mg/ml,过滤除菌,4℃避光保存。②胰蛋白酶系美国GIBCO公司产品,PBS溶液配制,浓度为0.25%,过滤除菌,4℃避光保存。③RPMI1640培养基由美国GIBCOBRL生产。④小牛血清由天津H&Y生物有限公司生产。
⑤二甲基亚砜(DMSO)系美国Biomol公司产品。
1.4仪器
主要有:①恒温CO2培养箱由日本SANYO公司生产(型号MCO-15AC)。②酶标仪系奥地利ASYA-HITECH公司产品(型号Digiscan SA100)。③高速低温离心机系日本SANYO公司产品。④微量振荡器由北京海淀电子医疗仪器厂生产(型号WZ-2A)。⑤月坛牌洁净工作台由北京半导体设备厂生产。⑥倒置显微镜系日本Nikon公司产品。⑦显微镜BX60由日本(OLYMPUS公司)生产。⑧恒温水浴槽由北京医疗设备厂生产。
2方法
2.1细胞培养及耐药性维持
将保存于液氮中的KBV200细胞(细胞冻存液含10%二甲基亚砜,90%小牛血清)取出,于37℃-40℃水浴中迅速融化,1000rpm离心5min后弃上清,用含10%小牛血清的RPMI1640完全培养基重悬细胞,加入200nmol/L VCR维持耐药,置37℃含5%CO2的恒温培养箱中培养。当细胞贴壁生长至80%融合时,再以0.25%Trypsin/1mM EDTA消化传代。实验前一天更换培养液。
2.2细胞毒实验
取对数生长期的耐药细胞,用含10%小牛血清的RPMI1640培养液制成一定浓度的细胞悬液,加入96孔细胞培养板,每孔180μl实验用药溶液(青蒿素、二氢青蒿素、青蒿琥酯、青蒿提取物,下同)或160μl(逆转耐药组),使每孔细胞数为0.6×104。或加入不同浓度的青蒿素溶液(二氢青蒿素溶液、青蒿琥酯溶液或青蒿提取物溶液)20μl或青蒿素溶液(二氢青蒿素溶液、青蒿琥酯溶液或青蒿提取物溶液)与VCR合剂40μl(终浓度),设培养液调零组、不加药细胞空白组,每组设六个平行孔,置37℃含5%CO2的恒温培养箱中培养72小时。每孔加入5mg/ml MTT液15μl,继续培养4小时。离心去上清,每孔加入DMSO 150μl,充分振荡,酶标仪检测570nm下光密度值(OD值)。
实验重复4次。
2.3分组方法
实验分为细胞毒实验与逆转耐药实验两部分。实验内容包括:①测定不同浓度的长春新碱对KBv200细胞抑制率,并依据抑制率计算IC50(即细胞生长抑制率为50%时的药物浓度)。②分别测定实验用药青蒿素、青蒿琥酯、二氢青蒿素、青蒿提取物对KBv200的生长抑制率,依据抑制率计算IC50,并分别选择实验用药对KBV200细胞生长抑制率小于10%、20%、30%的药物浓度与长春新碱伍用对KBV200细胞的生长抑制率。并依据公式计算其逆转KBV200细胞倍数。
2.4计算方法
细胞生长抑制率IR(%)=[1-(用药组OD值-调零空OD值/对照组OD值-调零空OD值)×100%。逆转倍数RI=耐药细胞株的IC50/耐药细胞株加逆转剂的IC50。IC50应用加权线性回归计算(用POMS-36计算机软件处理),并利用Excel软件绘图。
3结果
1长春新碱对KBV200细胞抑制率
依据细胞毒实验方法,观察不同浓度的长春新碱(VCR)对KBV200细胞的抑制效应。不同浓度的4次实验数据的平均值显示,VCR对KBV200细胞均有不同的抑制效应,结果见表1、图1(VCR对KBV200细胞生长抑制率标准折线图)。
表1、VCR对KBV200细胞生长抑制率
  长春新碱(μg/ml)   IR(%)
  0.1250.2500.5001.0002.000   6.51±2.599.06±3.1313.9±3.5425.6±1.7166.3±0.01
注:VCR对KBV200抑制的IC50浓度为1.58±1.22μg/ml
从表1与图1可以看出,以对KBV200细胞抑制的IC50为基准,当VCR浓度在1μg/ml以下时对KBV200细胞抑制效应并不明显。当VCR浓度大于1.58μg/ml以上浓度时才具有较为明显的抑制效应。
2青蒿提取物及其活性成分对KBV200细胞抑制率
按照细胞毒实验方法,青蒿素、二氢青蒿素、青蒿琥酯和青蒿提取物对KBV200的抑制率效应,4次实验数据平均值显示,其对KBV200细胞均有一定抑制效应。其结果见表2-5与图2-5。
表2、青蒿素对KBV200细胞生长抑制率
Figure A20071014339300082
  青蒿素(μmol/l)   IR(%)
  1.252.505.0010.020.040.080.0160   0.040±2.011.140±2.852.690±4.365.870±3.9012.70±2.5319.22±5.5928.47±2.7343.57±5.20
注:青蒿素对KBV200抑制的IC50浓度为172.4±4.54umol/l
从表2与图2可以看出,当青蒿素浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。青蒿素浓度在160umol/l以下时对KBV200细胞抑制效应并不明显;当青蒿素浓度大于172.4umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于80umol/l时对KBV200细胞的抑制率低于30%;小于40umol/l时对KBV200细胞的抑制率低于20%。
表3、青蒿琥酯对KBV200细胞生长抑制率
Figure A20071014339300091
  青蒿琥酯(μmol/l)   IR(%)
  0.03900.07800.01560.31300.62501.25002.50005.000010.00020.000   1.640±3.5208.650±7.0609.520±4.91018.41±4.42035.25±10.5247.56±1.25057.67±1.11069.85±6.90084.47±0.60095.02±6.560
注:青蒿琥脂对KBV200抑制的IC50浓度为1.466±3.75umol/l
从表3与图3可以看出,当青蒿琥酯浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。青蒿琥酯浓度在1.25umol/l以下时对KBV200细胞抑制效应并不明显;当浓度青蒿琥酯大于1.466umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于0.313umol/l时对KBV200细胞的抑制率低于20%;小于0.039umol/l时对KBV200细胞的抑制率几乎无抑制效应。
表4、二氢青蒿素对KBV200细胞生长抑制率
Figure A20071014339300092
  二氢青蒿素(μmol/l)   IR(%)
  0.1560.3130.6251.2502.5005.00010.0020.0040.00   0.680±0.840.940±3.876.770±6.0310.00±3.3118.50±4.8832.30±10.148.69±6.5371.98±7.1689.99±4.39
注:二氢青蒿素对KBV200抑制的IC50浓度为11.16±5.48umol/l
从表4与图4可以看出,当与二氢青蒿素浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。二氢青蒿素浓度在10umol/l以下时对KBV200细胞抑制效应并不明显;当浓度二氢青蒿素大于11.16umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于2.5umol/l时对KBV200细胞的抑制率低于20%;小于0.313umol/l时对KBV200细胞的抑制率几乎无抑制效应。
表5、青蒿提取物对KBV200细胞生长抑制率
Figure A20071014339300101
  青蒿提取物(μg/ml)   IR(%)
  0.5551.1102.2204.4408.88017.7535.5071.00142.0284.0   2.210±0.435.060±3.485.190±6.319.350±4.9614.68±5.7129.68±4.9666.23±7.8976.49±3.2889.94±1.9699.61±9.82
注:青蒿提取物对KBV200抑制的IC50浓度为29.25±6.14ug/ml
从表5与图5可以看出,当青蒿提取物浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。青蒿提取物浓度在17.75ug/ml以下时对KBV200细胞抑制效应并不明显;当青蒿提取物浓度大于29.25ug/ml以上浓度时,其对KBV200细胞的抑制率大于50%;小于17.75ug/ml时对KBV200细胞的抑制率低于30%;小于0.555ug/ml时对KBV200细胞的抑制率几乎无抑制效应.
实验例2青蒿素、二氢青蒿素、青蒿琥酯和青蒿提取物与VCR伍用对KBV200的抑制实验
(材料和方法同实验例1)
选择青蒿提取物及其活性成分对KBV200细胞抑制率小于10%、20%、30%药物浓度与VCR配伍使用,观察对KBV200细胞抑制率。其中,青蒿素浓度分别为10μmol/l、20μmol/l与40μmol/l;青蒿琥脂浓度分别为0.078μmol/l、0.156μmol/l与0.313μmol/l;二氢青蒿素浓度分别为0.625μmol/l、1.25μmol/与2.5μmol/l;青蒿提取物浓度分别为4.44μg/ml、8.88μg/ml与17.75μg/ml。研究结果见6-9与图6-9。
表6、青蒿素与VCR伍用对KBV200细胞生长抑制率
Figure A20071014339300102
  VCR浓度(μg/ml)   VCR(%)   VCR+青蒿素(%)   VCR+青蒿素(%)   VCR+青蒿素(%)
  0.1250.2500.5001.0002.000   6.51±2.599.06±3.1313.9±3.5425.6±1.7166.3±0.01   28.92±3.8631.44±3.9937.69±4.7160.23±1.6486.33±3.76   28.98±8.2931.91±0.9640.37±4.6261.78±1.6289.72±5.78   32.36±4.8432.69±6.6543.91±3.9671.71±3.4291.36±7.58
注:当VCR浓度不变时,不同浓度的青蒿素与VCR伍用时具有不同的逆转KBV200耐药效应,10umol/l、20umol/l与40umol/l浓度的逆转倍数分别为2.29、2.68与3.0。
从表6与图6可以看出,VCR浓度不变,与对KBV200细胞的抑制率低于20%的10umol/l、20umol/l与40umol/l三个浓度的青蒿素抑制率配伍使用后,其对KBV200细胞的抑制率明显提高。其中,以40umol/l效果最佳。说明青蒿素可部分逆转长春新碱耐药KBV200细胞的耐药性。
表7、青蒿琥酯与VCR伍用对KBV200细胞生长抑制率
Figure A20071014339300111
VCR(μg/ml)   VCR(%)   VCR+青蒿琥酯(%)   VCR+青蒿琥酯(%)   VCR+青蒿琥酯(%)
  0.1250.2500.5001.0002.000   6.51±2.599.06±3.1313.9±3.5425.6±1.7166.3±0.01   13.65±0.2414.54±0.6217.62±0.0523.46±3.7273.01±0.54   25.52±1.0127.61±2.6729.72±6.7852.97±1.1977.09±1.06   37.42±7.2937.47±6.0940.86±7.6767.59±8.2582.24±1.84
注:当VCR浓度不变时,不同浓度的青蒿琥脂与VCR伍用时对VCR杀伤KBV200有一定的增敏作用。0.078umol/l、0.156umol/l与0.313umol/l浓度的逆转倍数分别为1.19、1.79与2.57。
从表7与图7可以看出,VCR浓度不变,与对KBV200细胞的抑制率低于20%的0.078umol/l、0.156umol/l与0.313umol/l三个浓度的青蒿琥酯抑制率伍用后,对KBV200细胞的抑制率略有提高。其中,以0.313umol/l效果最佳。说明青蒿琥酯对VCR杀伤KBV200有一定的增敏作用。
表8、二氢青蒿素与VCR伍用对KBV200细胞生长抑制率
Figure A20071014339300112
VCR(μg/ml)   VCR(%)   VCR+二氢青蒿素(%)   VCR+二氢青蒿素(%)   VCR+二氢青蒿素(%)
  0.1250.2500.5001.0002.000   6.510±2.599.060±3.1313.96±3.5425.65±1.7166.31±0.01   9.69±7.20020.92±7.9121.96±0.6135.35±3.8271.34±4.38   20.60±4.4021.30±5.4227.62±5.6549.56±1.1172.90±3.22   29.50±1.433.15±5.5636.43±7.6552.39±5.3176.62±6.29
注:当VCR浓度不变时,不同浓度的二氢青蒿素与VCR伍用时对VCR杀伤KBV200有一定的增敏作用,0.625umol/l、1.25umol/l与2.5umol/l浓度的逆转倍数分别为1.35、1.515与1.74。
从表8与图8可以看出,VCR浓度不变,与对KBV200细胞的抑制率低于20%0.625umol/l、1.25umol/l与2.5umol/l的三个浓度的二氢青蒿素抑制率伍用后,对KBV200细胞的抑制率略有提高。其中,以2.5umol/l效果最佳。说明二氢青蒿素对VCR杀伤KBV200有一定的增敏作用。
表9、青蒿提取物与VCR伍用对KBV200细胞生长抑制率
VCR(μg/ml)   VCR(%)   VCR+青蒿提取物(%)   VCR+青蒿提取物(%)   VCR+青蒿提取物(%)
  0.1250.2500.5001.0002.000   6.51±2.599.06±3.1313.9±3.5425.6±1.7166.3±0.01   22.21±7.5622.89±1.3424.51±4.9572.14±4.2683.12±1.26   24.28±2.2926.71±0.1249.94±5.6274.52±4.7182.12±2.54   51.20±5.9452.68±5.4271.68±8.1281.59±3.4782.12±1.68
注:当VCR浓度不变时,不同浓度的青蒿提取物与VCR伍用时具有不同的逆转KBV200耐药效应,4.44μg/ml、8.88μg/ml mol/l与17.75μg/ml浓度的逆转倍数分别为2.11、2.98与12.74。
从表9与图9可以看出,VCR浓度不变,与对KBV200细胞的抑制率低于30%的4.44μg/ml、8.88μg/ml与17.75μg/ml三个浓度的青蒿提取物抑制率伍用后,对KBV200细胞的抑制率明显提高。其中,以17.75μg/ml效果最佳。说明青蒿提取物可部分逆转长春新碱耐药KBV200细胞的耐药性。
本发明的研究结果:
①当VCR与青蒿素浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。同时,当VCR小于1.58±1.22μg/ml时,其对KBV200细胞的抑制率小于50%;当青蒿素浓度大于172.4umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于80umol/l时对KBV200细胞的抑制率低于30%;小于40umol/l时对KBV200细胞的抑制率低于20%;小于2.50umol/l时对KBV200细胞的抑制率几乎无抑制效应。上述研究证实,青蒿素大浓度具有一定的抑制KBV200细胞增殖效应。②当VCR与青蒿琥酯浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。同时,当青蒿琥酯浓度大于1.466umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于0.313umol/时对KBV200细胞的抑制率低于20%;小于0.039umol/l时对KBV200细胞的抑制率几乎无抑制效应.上述研究证实,青蒿琥酯大浓度具有一定的抑制KBV200细胞增殖效应。③当VCR与二氢青蒿素浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。同时,当二氢青蒿素浓度大于11.16umol/l以上浓度时,其对KBV200细胞的抑制率大于50%;小于2.5umol/l时对KBV200细胞的抑制率低于20%;小于0.313umol/l时对KBV200细胞的抑制率几乎无抑制效应。上述研究证实,二氢青蒿素大浓度具有一定的抑制KBV200细胞增殖效应。④当VCR与青蒿提取物浓度呈梯度稀释时,其对KBV200细胞的抑制作用也逐渐减低。同时,当青蒿提取物浓度大于29.25ug/ml以上浓度时,其对KBV200细胞的抑制率大于50%;小于17.75ug/ml时对KBV200细胞的抑制率低于30%;小于0.555ug/ml时对KBV200细胞的抑制率几乎无抑制效应。上述研究证实,青蒿提取物浓度大浓度具有一定的抑制KBV200细胞增殖效应。
本实验中青蒿琥酯对KBV200细胞的IC50为1.466μmol/l(0.563μg/ml),实验结果说明青蒿琥酯对KBV200细胞有选择性杀伤作用。
本实验结果对青蒿素骨架上12-C上内酯环为羰基(第12位上)进行衍生化处理后的青蒿琥酯IC50为1.466μmol/l(0.563μg/ml),对肿瘤细胞的抑制作用比青蒿素显著增强,青蒿素IC50为172.4μmol/l(48.58μg/ml),而酮基被还原后的产物二氢青蒿素对肿瘤细胞的抑制作用较青蒿琥酯次之,二氢青蒿素IC50为11.16μmol/l(3.18μg/ml)。
青蒿提取物,取200g的生药(产地:河北),提取成22.9g的乙醇粗提物。本实验用的青蒿提取物约含青蒿素为0.83%,而本实验中青蒿提取物对KBV200细胞IC50为29.25μg/ml。
本发明的研究结果发现:①当VCR浓度不变时,与对KBV200细胞抑制率低于20%的10umol/l、20umol/l与40umol/l三个浓度的青蒿素抑制率伍用后,逆转倍数分别为2.29、2.68与3.0。对KBV200细胞的抑制率明显提高。实验结果证明,青蒿素可部分逆转长春新碱耐药KBV200细胞的耐药性且逆转长春新碱耐药KBV200细胞效应与用药剂量成正比。②当VCR浓度不变时,与对KBV200细胞抑制率低于20%的0.078umol/l、0.156umol/l与0.313umol/l三个浓度的青蒿琥酯抑制率伍用后,逆转倍数分别为1.19、1.79与2.57。对KBV200细胞的抑制率略有提高。实验结果证明,青蒿琥酯对VCR杀伤KBV200有一定的增敏作用且对VCR杀伤KBV200的增敏作用与用药剂量成正比。③当VCR浓度不变时,与对KBV200细胞抑制率低于20%的0.625umol/l、1.25umol/l与2.5umol/l三个浓度的二氢青蒿素抑制率伍用后,逆转倍数分别为1.35、1.515与1.74。对KBV200细胞的抑制率略有提高。实验结果证明,二氢青蒿素对VCR杀伤KBV200有一定的增敏作用且对VCR杀伤KBV200的增敏作用与用药剂量成正比。④当VCR浓度不变时,与对KBV200细胞抑制率低于30%的4.44μg/ml、8.88μg/ml与17.75μg/ml三个浓度的青蒿提取物抑制率伍用后,逆转倍数分别为2.11、2.98与12.74。对KBV200细胞的抑制率明显提高。实验结果证明,青蒿提取物可逆转长春新碱耐药KBV200细胞的耐药性且逆转长春新碱耐药KBV200细胞效应与用药剂量成正比。
英文缩写
OD(Opitical density)                        吸光度
RPMI1640(RPMI mediμm 1640)                 RPMI1640培养基
DMSO(Dimethyl Sμlfoxide)                   二甲基亚砜
MTT(3-4,5-dimethylthiazol-2-y1)            四氮唑蓝
VCR(Vincristine)                            长春新碱
KB                                          口腔鳞上皮癌状细胞系
KBV200                                      耐药口腔鳞上皮癌状细胞系
IR(Inhibitory rate)                         抑制率
IC10(10%Inhibitory concentration)          抑制率为10%药物浓度
IC20(20%Inhibitory concentration)          抑制率为20%药物浓度
IC30(30%Inhibitory concentration)          抑制率为30%药物浓度
IC50(50%inhibitory concentration)          抑制率为50%药物浓度
MDR(mμltidrμg resistance)                 多药耐药
RI(Reversal index)                          逆转指数
附图说明:
将上述实验中涉及的图在此作为附图进行说明
图1:VCR对KBV200细胞生长抑制率标准折线图
图2、青蒿素对KBV200细胞生长抑制率标准折线图
图3、青蒿琥酯对KBV200细胞生长抑制率标准折线图
图4、二氢青蒿素对KBV200细胞生长抑制率标准折线图
图5、青蒿提取物对KBV200细胞生长抑制率折线图
图6、青蒿素与VCR伍用后对KBV200细胞生长率标准折线图
图7、青蒿琥酯与VCR伍用对KBV200细胞生长抑制率折线图
图8、二氢青蒿素与VCR伍用对KBV200细胞生长抑制折线图
图9、青蒿提取物与VCR伍用对KBV200细胞生长抑制折线图
下述实施例均能够实现上述实验所述的效果
具体实施方式
实施例1:青蒿素片剂
口服剂量30-50mg。每日2次。
实施例2:二氢青蒿素片剂
口服剂量30-50mg。每日2次。
实施例3:青蒿琥酯片剂
口服剂量50-100mg。每日2次。
实施例4:青蒿提取物片剂
青蒿提取物,取200g的生药提取成22.9g的乙醇粗提物,加入常规辅料,压片,制得100片。口服剂量2-3片。每日2次。
 
1.青蒿素在制备抗肿瘤多药耐药药物中的应用。
2.二氢青蒿素在制备抗肿瘤多药耐药药物中的应用。
3.青蒿琥酯在制备抗肿瘤多药耐药药物中的应用。
4.青蒿提取物在制备抗肿瘤多药耐药药物中的应用
5.青蒿素在制备作为长春新碱抗肿瘤增效剂药物中的应用。
6.二氢青蒿素在制备作为长春新碱抗肿瘤增效剂药物中的应用。
7.青蒿琥酯在制备作为长春新碱抗肿瘤增效剂药物中的应用。
8.青蒿提取物在制备作为长春新碱抗肿瘤增效剂药物中的应用。
9.青蒿素在制备治疗口腔鳞上皮癌药物中的应用
10.二氢青蒿素、青蒿琥酯或青蒿提取物中的任一中药物在制备治疗口腔鳞上皮癌药物中的应用
 
 
 

Application of artemisine in preparing artitumor multi-medicine-resistant medicine

The present invention discloses an application of artemisinin, dihydroartemisinin and artesunate in the preparation of anti-tumor multi-drug resistant drugs, discloses an application of artemisinin, dihydroartemisinin and artesunate in the preparation of the drugs which are taken as the vincristine anti-tumor synergists and discloses an application of artemisinin, dihydroartemisinin and artesunate in the preparation of the drugs for treating oral squamous cell carcinoma, the applications of the present invention are proven to have great clinical significance by the trials.
 
The application of arteannuin in the preparation artitumor multi-medicine-resistant medicine
Technical field
The present invention relates to the application of arteannuin in the preparation artitumor multi-medicine-resistant medicine, belong to field of medicaments.
Background technology
Tumor multi-medicine drug-resistant is one of major reason that causes the chemotherapy of tumors failure.Multidrug resistance (multidrug Resistance, MDR) be meant that tumor cell develops immunity to drugs to a kind of antitumor drug in accepting the cancer drug therapy process in, to structure and the diverse antineoplastic agent deposits yields cross-resistance of effect.Cause tumor multi-medicine drug-resistant mechanism complicated, tumor cell can obtain multidrug resistance by different approaches.Think at present, cause MDR mechanism to comprise: 1. be present in the P glycoprotein on the tumor cell membrane, multidrug-associated protein, lung resistance-related protein unconventionality expression; 2. desmoenzyme abnormal changes such as phosphokinase C, DNA topoisomerase II, glutathion (GSH) and glutathione-S-transferase.In addition, the variation of the increase of the synzyme of thymidine (TS), aldehyde dehydrogenase (ALDH) and dihydrofolate reductase (DHFR) also can cause the chemical sproof generation of cell; 3. natural death of cerebral cells (Apoptosis) gene and cytokine change.4. DNA repairs unusual; 5. organ microenvironment and other factors etc.
In recent years, along with to the deepening continuously of tumor drug resistance Mechanism Study, had been found that some multidrug resistance reversing agent and active component thereof.Mainly contain: 1. calcium channel blocker, as be verapamil; 2. immunosuppressant is as Ciclosporin A; 3. glutathione transferase (GST) and TOP isomerase II inhibitor; 4. hormone and hormone antagonist compounds; 5. kinases inhibitor; 6. DNA repairs related enzyme activity inhibitor etc.But what can enter clinical research has only only a fews such as isoptin, cyclosporin A, SDZPSC833, zitazonium, and clinical reversing effect is unsatisfactory.It mainly contains following reason: 1. toxic and side effects has limited dosage; 2. the clinical drug-resistant of multimachine system participation formation makes the single inversion agent of action target spot be difficult to play a role; 3. biological preparation is unstable in vivo, and the half-life is short, be difficult to affact the target spot position, and side reaction is many.
In the last few years, found that many Chinese medicines and active ingredient of Chinese herbs thereof can reverse multiple drug resistance of tumor, particularly Chinese medicine reversing tumor drug resistance is after the classical mechanism of the MDR of P-gP mediation is generally acknowledged the back and affirmed the reverse effect to MDR such as calcium antagonist isoptin, and the tumor research persons begin the MDR reversal agents that research evaluation effect is strong from the Chinese medicine with calcium channel antagonistic activity consciously, toxicity is little both at home and abroad.Result of study is found: 1. Chinese herb rhubarb Main Ingredients and Appearance emodin/chrysophanic acid can increase the cytotoxicity of antitumor drug under low dosage, and can partly reverse the MDR of tumor cell; 2. Tetrandrine, Dauricine, liensinine, left-handed tetrahydrochysene Ma Ting and ginsenoside Rb1's reverse multiple drug resistance of tumor effect is obvious, and reversing multiple and be 8.2-13.0 and matrine, aconitine has in various degree reverse effect to the property of medicine of drug-resistant cell strain; 3. Chinese medicine Radix Stephaniae Tetrandrae extract tetrandrine can suppress the MDR characteristic of mdr cell to a certain extent; 4. the main active ingredient Peimine and the Peiminine that reduce phlegm in the Chinese medicine Bulbus Fritillariae Uninbracteatae show unique characteristics aspect reverse multiple drug resistance of tumor, its chemical constitution is under the jurisdiction of the cevine Alkaloid of different steroidal alkaloid, be different from calcium ion antagonist, immunosuppressant and other existing reversal agent of drug resistance fully, and can act on the tumor cell of resistance mechanism difference (P-gP or MDR), potential applicability in clinical practice is arranged very much.The Chinese traditional compound medicine R3 of the class of 5. regulating the flow of vital energy Chinese medicine Rhizoma Corydalis, Fructus Psoraleae extractant, Chinese medicinal formulae (forming) by drug for invigorating blood circulation and eliminating stasis such as Rhizoma Chuanxiong, Rhizoma Curcumae, Caulis Spatholobis but extracting solution R1 etc. have 6. Bulbus Fritillariae Thunbergii powder reversing acute leukemia multidrug resistance of reversing drug resistance effect.But these medicine/active ingredients or stay in laboratory stage, or the back toxicity of purifying is bigger, or it is lower and be difficult to realize the reversing drug resistance effect to reverse multiple.
Herba Artemisiae Annuae is clinical conventional Chinese medicine, and bitter in the mouth suffering, cold in nature is returned liver, gallbladder meridian.Have heat clearing away, expelling summer-heat, remove steam, the effect of preventing the attack (or recurrence) of malaria.Diseases such as pathogenic summer-heat heatings, fever due to yin deficiency, night fever abating at dawn, hectic fever due to YIN-deficiency consumptive fever, malaria cold and heat, jaundice due to damp-heat are treated in normal clinically and other drug matchings.Its Main Ingredients and Appearance is an arteannuin, and arteannuin also is its antimalarial main active ingredient simultaneously.Arteannuin and derivant thereof are the specially good effect new antimalarial agents of China's independent development exploitation, it has advantage quick, safe and efficient, no Drug resistance, more because its structure is special, pharmacological action is extensive, enjoys domestic and international the world of medicine to pay close attention to having potential tempting prospect aspect the multiple diseases such as anti-curing oncoma, acquired immune deficiency syndrome (AIDS).Arteannuin is the ester compounds that contains the sesquiterpene of a peroxide bridge, because the uniqueness of its structure, and makes its malaria mechanism of action and known antimalarial far different.Experimentation shows, arteannuin mainly is by damaging plasmodial film system to the plasmodium scavenging action, and tumor multi-medicine drug-resistant produces important mechanisms and tumor cell membrane abnormal protein have substantial connection, this just enlightens the antimalarial pharmacological mechanism of artemisin, may be to the tumor multi-medicine drug-resistant treatment effectively.
Summary of the invention
The object of the invention is to provide the application of arteannuin in the preparation artitumor multi-medicine-resistant medicine;
The object of the invention is to provide the application of dihydroartemisinine in the preparation artitumor multi-medicine-resistant medicine;
The object of the invention is to provide the application of artesunate in the preparation artitumor multi-medicine-resistant medicine;
The object of the invention is to provide the application of Herba Artemisiae Annuae extract in the preparation artitumor multi-medicine-resistant medicine;
Technical scheme of the present invention is:
The application of arteannuin in the preparation artitumor multi-medicine-resistant medicine;
The application of dihydroartemisinine in the preparation artitumor multi-medicine-resistant medicine;
The application of artesunate in the preparation artitumor multi-medicine-resistant medicine;
The application of Herba Artemisiae Annuae extract in the preparation artitumor multi-medicine-resistant medicine;
Arteannuin is preparing as the application in the vincristine antitumor synergist medicine.
Dihydroartemisinine is preparing as the application in the vincristine antitumor synergist medicine.
Artesunate is preparing as the application in the vincristine antitumor synergist medicine.
Herba Artemisiae Annuae extract is preparing as the application in the vincristine antitumor synergist medicine.
The application of arteannuin in the squama epithelial cancer medicine of preparation treatment oral cavity.
The application of dihydroartemisinine in the squama epithelial cancer medicine of preparation treatment oral cavity.
The application of artesunate in the squama epithelial cancer medicine of preparation treatment oral cavity.
The application of Herba Artemisiae Annuae extract in the squama epithelial cancer medicine of preparation treatment oral cavity.
Described Herba Artemisiae Annuae extract adopts prior art for preparing.
Following experimental example is used to further specify the present invention:
The present invention's experiment shows: by the test of cell killing enhanced sensitivity, confirm that arteannuin and Herba Artemisiae Annuae extract can partly reverse vincristine drug resistance KB under no tangible cell toxic amount external V200The drug resistance of cell.Artesunate and dihydroartemisinine kill and wound KB to VCR V200Certain sensitization is arranged, and four kill and wound KB to VCR V200Sensitization dose-dependent effect is arranged, with its dense rising of crossing, the corresponding rising of its RI.
Experimental example 1 arteannuin, dihydroartemisinine, artesunate and Herba Artemisiae Annuae extract are to KB V200Inhibition experiment
1 material
1.1 cell line
KB V200Cell is provided by Institute of Radiation Medicine, Academy of Military Medical Sciences, PLA.Its by human mouth unicorn columnar epithelium cancerous cell (KB) through the inductive multiple medicine-resistant cell line of vincristine.The drug resistance multiple is about 175 times after measured, with MDR 1Gene, Pgp glycoprotein high expressed are main resistance mechanism.This cell strain has cross resistance to other cancer therapy drugs, about 156 times to taxol resistance; To about 15 times of Colchicine and amycin drug resistance; But the drug resistance to high Folium et Ramulus Cephalotaxi ester, etoposide, 5-fluorouracil is lower.
1.2 medicine
The experiment medicine has: 1. arteannuin, dihydroartemisinine, artesunate are presented by the Li Ying researcher of Shanghai Pharmaceutical Inst., Chinese Academy of Sciences; Herba Artemisiae Annuae extract is extracted by Beijing Drug Manufacturing Room of institute of traditional Chinese medicine Academy of Traditional Chinese Medicine.Arteannuin, Herba Artemisiae Annuae extract, dihydroartemisinine dissolve with a small amount of DMSO, are made into the mother solution that concentration is 0.2mol/l, ultrasonic hydrotropy ,-20 ℃ of preservations.Culture medium (pH=7.2) with serum-free before the experiment is diluted to desired concn DMSO<0.1%.5%NaHCO is used in preparation before the artesunate experiment 3Be made into the mother solution that concentration is 0.2mol/l, ultrasonic hydrotropy, the culture medium of reuse serum-free (pH=7.2) is diluted to desired concn DMSO<0.1%.2. vincristine (VCR) is produced (lot number 0208001) by Beijing No.2 Pharmaceutical Factory.The water for injection preparation, 100 μ g/ml, packing ,-20 ℃ of preservations.
1.3 reagent
Mainly comprise: 1. tetrazole indigo plant (MTT) is Switzerland Fluka company product, and the time spent now prepares with PBS, 5mg/ml, and filtration sterilization, 4 ℃ keep in Dark Place.2. trypsin is a U.S. GIBCO company product, the preparation of PBS solution, and concentration is 0.25%, filtration sterilization, 4 ℃ keep in Dark Place.3. the RPMI1640 culture medium is produced by U.S. GIBCOBRL.4. calf serum is by Tianjin H﹠amp; The biological company limited production of Y.
5. dimethyl sulfoxide (DMSO) is a U.S. Biomol company product.
1.4 instrument
Mainly contain: 1. constant temperature CO 2Incubator is by Japanese SANYO company's production (model MCO-15AC).2. microplate reader is Austrian ASYA-HITECH company's product (model Digiscan SA100).3. high speed low temperature centrifugal machine is a Japanese SANYO company product.4. micro oscillator is produced (model WZ-2A) by Haidian, Beijing electronic medical instruments factory.5. the Temple of Moon board clean bench is produced by Beijing semiconductor equipment factory.6. inverted microscope is a Japanese Nikon company product.7. microscope BX60 is produced by Japan (OLYMPUS company).8. constant temperature water bath is produced by Beijing Medical Equipment Plant.
2 methods
2.1 cell culture and drug resistance are kept
With the KB that is stored in the liquid nitrogen V200(cells frozen storing liquid contains 10% dimethyl sulfoxide to cell, 90% calf serum) takes out, in 37 ℃ of-40 ℃ of water-baths, melt rapidly, abandon supernatant behind the centrifugal 5min of 1000rpm, with the RPMI1640 complete medium re-suspended cell that contains 10% calf serum, add 200nmol/L VCR and keep drug resistance, put 37 ℃ and contain 5%CO 2Constant incubator in cultivate.When cell attachment grows to 80% fusion, again with 0.25%Trypsin/1mM EDTA had digestive transfer culture.Test and change culture fluid the previous day.
2.2 cellulotoxic experiment
The take the logarithm mdr cell of trophophase, make certain density cell suspension with the RPMI1640 culture fluid that contains 10% calf serum, add 96 porocyte culture plates, every hole 180 μ l experimental drug solution (arteannuin, dihydroartemisinine, artesunate, Herba Artemisiae Annuae extract, together following) or 160 μ l (reversing drug resistance group), making every porocyte number is 0.6 * 10 4Or arteannuin solution (dihydroartemisinine solution, artesunate solution or Herba Artemisiae Annuae extract solution) the 20 μ l of adding variable concentrations or arteannuin solution (dihydroartemisinine solution, artesunate solution or Herba Artemisiae Annuae extract solution) and VCR mixture 40 μ l (final concentration), if culture fluid zeroing group, not dosing cell blank group, establish six parallel holes for every group, put 37 ℃ and contain 5%CO 2Constant incubator in cultivated 72 hours.Every hole adds 5mg/ml MTT liquid 15 μ l, continues to cultivate 4 hours.The centrifugal supernatant that goes, every hole adds DMSO 150 μ l, fully vibration, microplate reader detects optical density value (OD value) under the 570nm.
Experiment repeats 4 times.
2.3 group technology
Experiment is divided into cellulotoxic experiment and reversing drug resistance experiment two parts.Experiment content comprises: the vincristine of 1. measuring variable concentrations is to KB V200Cell inhibitory rate, and according to suppression ratio calculating IC 50(being that inhibitory rate of cell growth is 50% o'clock a drug level).2. distinguish determination experiment medication arteannuin, artesunate, dihydroartemisinine, Herba Artemisiae Annuae extract to KB V200Growth inhibition ratio, calculate IC according to suppression ratio 50, and select experimental drug respectively to KB V200Inhibitory rate of cell growth less than 10%, 20%, 30% drug level and vincristine 5 usefulness to KB V200The growth inhibition ratio of cell.And calculate it according to formula and reverse KB V200The cell multiple.
2.4 computational methods
Inhibitory rate of cell growth IR (%)=[1-(the empty OD value of the medication group OD value-zeroing/empty OD value of matched group OD value-zeroing) * 100%.Reverse the IC of multiple RI=drug-resistant cell strain 50/ drug-resistant cell strain adds the IC of inversion agent 50IC 50Use weighted linear regression Calculation (using the POMS-36 software processing), and utilize Excel software to draw.
3 results
1 vincristine is to KB V200Cell inhibitory rate
According to the cellulotoxic experiment method, the vincristine (VCR) of observing variable concentrations is to KB V200The cell inhibiting effect.The meansigma methods of 4 experimental datas of variable concentrations shows that VCR is to KB V200Cell all has different depression effects, the results are shown in Table 1, (VCR is to KB for Fig. 1 V200Inhibitory rate of cell growth standard broken line graph).
Table 1, VCR are to KB V200Inhibitory rate of cell growth
Vincristine (μ g/ml) IR(%)
0.125 0.250 0.500 1.000 2.000 6.51±2.59 9.06±3.13 13.9±3.54 25.6±1.71 66.3±0.01
Annotate: VCR is to KB V200The IC that suppresses 50Concentration is 1.58 ± 1.22 μ g/ml
From table 1 and Fig. 1 as can be seen, with to KB V200The IC that cell suppresses 50Be benchmark, when VCR concentration when 1 μ g/ml is following to KB V200The cell depression effect is also not obvious.When VCR concentration just has comparatively obvious suppression effect during greater than the above concentration of 1.58 μ g/ml.
2 Herba Artemisiae Annuae extract and active component thereof are to KB V200Cell inhibitory rate
According to the cellulotoxic experiment method, arteannuin, dihydroartemisinine, artesunate and Herba Artemisiae Annuae extract are to KB V200The suppression ratio effect, 4 experimental data meansigma methodss show that it is to KB V200Cell all has certain depression effect.It the results are shown in Table 2-5 and Fig. 2-5.
Table 2, arteannuin are to KB V200Inhibitory rate of cell growth
Figure A20071014339300082
Arteannuin (μ mol/l) IR(%)
1.25 2.50 5.00 10.0 20.0 40.0 80.0 160 0.040±2.01 1.140±2.85 2.690±4.36 5.870±3.90 12.70±2.53 19.22±5.59 28.47±2.73 43.57±5.20
Annotate: arteannuin is to KB V200The IC that suppresses 50Concentration is 172.4 ± 4.54umol/l
From table 2 and Fig. 2 as can be seen, when the arteannuin concentration in gradient diluted, it was to KB V200The cell inhibiting effect is also lowered gradually.Arteannuin concentration when 160umol/l is following to KB V200The cell depression effect is also not obvious; When arteannuin concentration during greater than the above concentration of 172.4umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 80umol/l to KB V200The cell inhibiting rate is lower than 30%; During less than 40umol/l to KB V200The cell inhibiting rate is lower than 20%.
Table 3, artesunate are to KB V200Inhibitory rate of cell growth
Figure A20071014339300091
Artesunate (μ mol/l) IR(%)
0.0390 0.0780 0.0156 0.3130 0.6250 1.2500 2.5000 5.0000 10.000 20.000 1.640±3.520 8.650±7.060 9.520±4.910 18.41±4.420 35.25±10.52 47.56±1.250 57.67±1.110 69.85±6.900 84.47±0.600 95.02±6.560
Annotate: artesunate is to KB V200The IC that suppresses 50Concentration is 1.466 ± 3.75umol/l
From table 3 and Fig. 3 as can be seen, when the artesunate concentration in gradient diluted, it was to KB V200The cell inhibiting effect is also lowered gradually.Artesunate concentration when 1.25umol/l is following to KB V200The cell depression effect is also not obvious; When concentration artesunate during greater than the above concentration of 1.466umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 0.313umol/l to KB V200The cell inhibiting rate is lower than 20%; During less than 0.039umol/l to KB V200Almost unrestraint effect of cell inhibiting rate.
Table 4, dihydroartemisinine are to KB V200Inhibitory rate of cell growth
Figure A20071014339300092
Dihydroartemisinine (μ mol/l) IR(%)
0.156 0.313 0.625 1.250 2.500 5.000 10.00 20.00 40.00 0.680±0.84 0.940±3.87 6.770±6.03 10.00±3.31 18.50±4.88 32.30±10.1 48.69±6.53 71.98±7.16 89.99±4.39
Annotate: dihydroartemisinine is to KB V200The IC that suppresses 50Concentration is 11.16 ± 5.48umol/l
From table 4 and Fig. 4 as can be seen, when diluting with the dihydroartemisinine concentration in gradient, it is to KB V200The cell inhibiting effect is also lowered gradually.Dihydroartemisinine concentration when 10umol/l is following to KB V200The cell depression effect is also not obvious; When concentration dihydroartemisinine during greater than the above concentration of 11.16umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 2.5umol/l to KB V200The cell inhibiting rate is lower than 20%; During less than 0.313umol/l to KB V200Almost unrestraint effect of cell inhibiting rate.
Table 5, Herba Artemisiae Annuae extract are to KB V200Inhibitory rate of cell growth
Figure A20071014339300101
Herba Artemisiae Annuae extract (μ g/ml) IR(%)
0.555 1.110 2.220 4.440 8.880 17.75 35.50 71.00 142.0 284.0 2.210±0.43 5.060±3.48 5.190±6.31 9.350±4.96 14.68±5.71 29.68±4.96 66.23±7.89 76.49±3.28 89.94±1.96 99.61±9.82
Annotate: Herba Artemisiae Annuae extract is to KB V200The IC that suppresses 50Concentration is 29.25 ± 6.14ug/ml
From table 5 and Fig. 5 as can be seen, when the Herba Artemisiae Annuae extract concentration in gradient diluted, it was to KB V200The cell inhibiting effect is also lowered gradually.Herba Artemisiae Annuae extract concentration when 17.75ug/ml is following to KB V200The cell depression effect is also not obvious; When Herba Artemisiae Annuae extract concentration during greater than the above concentration of 29.25ug/ml, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 17.75ug/ml to KB V200The cell inhibiting rate is lower than 30%; During less than 0.555ug/ml to KB V200Almost unrestraint effect of cell inhibiting rate.
Experimental example 2 arteannuin, dihydroartemisinine, artesunate and Herba Artemisiae Annuae extract and VCR 5 usefulness are to KB V200Inhibition experiment
(material and method are with experimental example 1)
Select Herba Artemisiae Annuae extract and active component thereof to KB V200Cell inhibitory rate uses less than 10%, 20%, 30% drug level and VCR compatibility, observes KB V200Cell inhibitory rate.Wherein, arteannuin concentration is respectively 10 μ mol/l, 20 μ mol/l and 40 μ mol/l; Artesunate concentration is respectively 0.078 μ mol/l, 0.156 μ mol/l and 0.313 μ mol/l; Dihydroartemisinine concentration is respectively 0.625 μ mol/l, 1.25 μ mol/ and 2.5 μ mol/l; Herba Artemisiae Annuae extract concentration is respectively 4.44 μ g/ml, 8.88 μ g/ml and 17.75 μ g/ml.Result of study is seen 6-9 and Fig. 6-9.
Table 6, arteannuin and VCR 5 usefulness are to KB V200Inhibitory rate of cell growth
Figure A20071014339300102
VCR concentration (μ g/ml) VCR (%) VCR+ arteannuin (%) VCR+ arteannuin (%) VCR+ arteannuin (%)
0.125 0.250 0.500 1.000 2.000 6.51±2.59 9.06±3.13 13.9±3.54 25.6±1.71 66.3±0.01 28.92±3.86 31.44±3.99 37.69±4.71 60.23±1.64 86.33±3.76 28.98±8.29 31.91±0.96 40.37±4.62 61.78±1.62 89.72±5.78 32.36±4.84 32.69±6.65 43.91±3.96 71.71±3.42 91.36±7.58
Annotate: when VCR concentration was constant, the arteannuin of variable concentrations had different reverse KB with 5 times spent of VCR V200The drug resistance effect, the reverse multiple of 10umol/l, 20umol/l and 40umol/l concentration is respectively 2.29,2.68 and 3.0.
From table 6 and Fig. 6 as can be seen, VCR concentration is constant, and to KB V200After the arteannuin suppression ratio compatibility that the cell inhibiting rate is lower than 20% 10umol/l, 20umol/l and three concentration of 40umol/l used, it was to KB V200The cell inhibiting rate obviously improves.Wherein, with the 40umol/l best results.Illustrate that arteannuin can partly reverse vincristine drug resistance KB V200The drug resistance of cell.
Table 7, artesunate and VCR 5 usefulness are to KB V200Inhibitory rate of cell growth
Figure A20071014339300111
VCR(μg/ml) VCR (%) VCR+ artesunate (%) VCR+ artesunate (%) VCR+ artesunate (%)
0.125 0.250 0.500 1.000 2.000 6.51±2.59 9.06±3.13 13.9±3.54 25.6±1.71 66.3±0.01 13.65±0.24 14.54±0.62 17.62±0.05 23.46±3.72 73.01±0.54 25.52±1.01 27.61±2.67 29.72±6.78 52.97±1.19 77.09±1.06 37.42±7.29 37.47±6.09 40.86±7.67 67.59±8.25 82.24±1.84
Annotate: when VCR concentration was constant, the artesunate of variable concentrations and 5 times spent of VCR were killed and wounded KB to VCR V200Certain sensitization is arranged.0.078umol/l, the reverse multiple of 0.156umol/l and 0.313umol/l concentration is respectively 1.19,1.79 and 2.57.
From table 7 and Fig. 7 as can be seen, VCR concentration is constant, and to KB V200After the cell inhibiting rate is lower than artesunate suppression ratio 5 usefulness of 20% 0.078umol/l, 0.156umol/l and three concentration of 0.313umol/l, to KB V200The cell inhibiting rate slightly improves.Wherein, with the 0.313umol/l best results.Illustrate that artesunate kills and wounds KB to VCR V200Certain sensitization is arranged.
Table 8, dihydroartemisinine and VCR 5 usefulness are to KB V200Inhibitory rate of cell growth
Figure A20071014339300112
VCR(μg/ml) VCR (%) VCR+ dihydroartemisinine (%) VCR+ dihydroartemisinine (%) VCR+ dihydroartemisinine (%)
0.125 0.250 0.500 1.000 2.000 6.510±2.59 9.060±3.13 13.96±3.54 25.65±1.71 66.31±0.01 9.69±7.200 20.92±7.91 21.96±0.61 35.35±3.82 71.34±4.38 20.60±4.40 21.30±5.42 27.62±5.65 49.56±1.11 72.90±3.22 29.50±1.4 33.15±5.56 36.43±7.65 52.39±5.31 76.62±6.29
Annotate: when VCR concentration was constant, the dihydroartemisinine of variable concentrations and 5 times spent of VCR were killed and wounded KB to VCR V200Certain sensitization is arranged, and the reverse multiple of 0.625umol/l, 1.25umol/l and 2.5umol/l concentration is respectively 1.35,1.515 and 1.74.
From table 8 and Fig. 8 as can be seen, VCR concentration is constant, and to KB V200After the cell inhibiting rate is lower than dihydroartemisinine suppression ratio 5 usefulness of three concentration of 20%0.625umol/l, 1.25umol/l and 2.5umol/l, to KB V200The cell inhibiting rate slightly improves.Wherein, with the 2.5umol/l best results.Illustrate that dihydroartemisinine kills and wounds KB to VCR V200Certain sensitization is arranged.
Table 9, Herba Artemisiae Annuae extract and VCR 5 usefulness are to KB V200Inhibitory rate of cell growth
VCR(μg/ml) VCR (%) VCR+ Herba Artemisiae Annuae extract (%) VCR+ Herba Artemisiae Annuae extract (%) VCR+ Herba Artemisiae Annuae extract (%)
0.125 0.250 0.500 1.000 2.000 6.51±2.59 9.06±3.13 13.9±3.54 25.6±1.71 66.3±0.01 22.21±7.56 22.89±1.34 24.51±4.95 72.14±4.26 83.12±1.26 24.28±2.29 26.71±0.12 49.94±5.62 74.52±4.71 82.12±2.54 51.20±5.94 52.68±5.42 71.68±8.12 81.59±3.47 82.12±1.68
Annotate: when VCR concentration was constant, the Herba Artemisiae Annuae extract of variable concentrations had different reverse KB with 5 times spent of VCR V200The drug resistance effect, the reverse multiple of 4.44 μ g/ml, 8.88 μ g/ml mol/l and 17.75 μ g/ml concentration is respectively 2.11,2.98 and 12.74.
From table 9 and Fig. 9 as can be seen, VCR concentration is constant, and to KB V200After the cell inhibiting rate is lower than Herba Artemisiae Annuae extract suppression ratio 5 usefulness of 30% 4.44 μ g/ml, 8.88 μ g/ml and three concentration of 17.75 μ g/ml, to KB V200The cell inhibiting rate obviously improves.Wherein, with 17.75 μ g/ml best results.Illustrate that Herba Artemisiae Annuae extract can partly reverse vincristine drug resistance KB V200The drug resistance of cell.
Result of study of the present invention:
1. when VCR and the dilution of arteannuin concentration in gradient, it is to KB V200The cell inhibiting effect is also lowered gradually.Simultaneously, as VCR during less than 1.58 ± 1.22 μ g/ml, it is to KB V200The cell inhibiting rate is less than 50%; When arteannuin concentration during greater than the above concentration of 172.4umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 80umol/l to KB V200The cell inhibiting rate is lower than 30%; During less than 40umol/l to KB V200The cell inhibiting rate is lower than 20%; During less than 2.50umol/l to KB V200Almost unrestraint effect of cell inhibiting rate.Above-mentioned studies confirm that, the big concentration of arteannuin has certain inhibition KB V200Cell propagation effect.2. when VCR and the dilution of artesunate concentration in gradient, it is to KB V200The cell inhibiting effect is also lowered gradually.Simultaneously, when artesunate concentration during greater than the above concentration of 1.466umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 0.313umol/ to KB V200The cell inhibiting rate is lower than 20%; During less than 0.039umol/l to KB V200Almost unrestraint effect of cell inhibiting rate. above-mentioned studies confirm that, the big concentration of artesunate has certain inhibition KB V200Cell propagation effect.3. when VCR and the dilution of dihydroartemisinine concentration in gradient, it is to KB V200The cell inhibiting effect is also lowered gradually.Simultaneously, when dihydroartemisinine concentration during greater than the above concentration of 11.16umol/l, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 2.5umol/l to KB V200The cell inhibiting rate is lower than 20%; During less than 0.313umol/l to KB V200Almost unrestraint effect of cell inhibiting rate.Above-mentioned studies confirm that, the big concentration of dihydroartemisinine has certain inhibition KB V200Cell propagation effect.4. when VCR and the dilution of Herba Artemisiae Annuae extract concentration in gradient, it is to KB V200The cell inhibiting effect is also lowered gradually.Simultaneously, when Herba Artemisiae Annuae extract concentration during greater than the above concentration of 29.25ug/ml, it is to KB V200The cell inhibiting rate is greater than 50%; During less than 17.75ug/ml to KB V200The cell inhibiting rate is lower than 30%; During less than 0.555ug/ml to KB V200Almost unrestraint effect of cell inhibiting rate.Above-mentioned studies confirm that, the big concentration of Herba Artemisiae Annuae extract concentration has certain inhibition KB V200Cell propagation effect.
Artesunate is to KB in this experiment V200The IC of cell 50Be 1.466 μ mol/l (0.563 μ g/ml), experimental result explanation artesunate is to KB V200The selective lethal effect of cell.
It is artesunate IC after carbonyl (on the 12nd) carries out derivatization treatment that this experimental result goes up lactonic ring to 12-C on the arteannuin skeleton 50Be 1.466 μ mol/l (0.563 μ g/ml), to the inhibitory action of tumor cell than the remarkable enhancing of arteannuin, arteannuin IC 50Be 172.4 μ mol/l (48.58 μ g/ml), and the product dihydroartemisinine of ketone group after being reduced take second place dihydroartemisinine IC than artesunate to the inhibitory action of tumor cell 50Be 11.16 μ mol/l (3.18 μ g/ml).
Herba Artemisiae Annuae extract, the crude drug (place of production: Hebei), be extracted into the ethanol crude extract of 22.9g of getting 200g.It is 0.83% that the Herba Artemisiae Annuae extract of this experiment usefulness contains arteannuin approximately, and in this experiment Herba Artemisiae Annuae extract to KB V200Cell IC50 is 29.25 μ g/ml.
Result of study of the present invention is found: 1. when VCR concentration is constant, and to KB V200After cell inhibitory rate is lower than arteannuin suppression ratio 5 usefulness of 20% 10umol/l, 20umol/l and three concentration of 40umol/l, reverses multiple and be respectively 2.29,2.68 and 3.0.To KB V200The cell inhibiting rate obviously improves.Experimental result proves that arteannuin can partly reverse vincristine drug resistance KB V200The drug resistance of cell and reverse vincristine drug resistance KB V200Cytological effect is directly proportional with dosage.2. when VCR concentration is constant, and to KB V200After cell inhibitory rate is lower than artesunate suppression ratio 5 usefulness of 20% 0.078umol/l, 0.156umol/l and three concentration of 0.313umol/l, reverses multiple and be respectively 1.19,1.79 and 2.57.To KB V200The cell inhibiting rate slightly improves.Experimental result proves that artesunate kills and wounds KB to VCR V200Certain sensitization is arranged and VCR is killed and wounded KB V200Sensitization be directly proportional with dosage.3. when VCR concentration is constant, and to KB V200After cell inhibitory rate is lower than dihydroartemisinine suppression ratio 5 usefulness of 20% 0.625umol/l, 1.25umol/l and three concentration of 2.5umol/l, reverses multiple and be respectively 1.35,1.515 and 1.74.To KB V200The cell inhibiting rate slightly improves.Experimental result proves that dihydroartemisinine kills and wounds KB to VCR V200Certain sensitization is arranged and VCR is killed and wounded KB V200Sensitization be directly proportional with dosage.4. when VCR concentration is constant, and to KB V200After cell inhibitory rate is lower than Herba Artemisiae Annuae extract suppression ratio 5 usefulness of 30% 4.44 μ g/ml, 8.88 μ g/ml and three concentration of 17.75 μ g/ml, reverses multiple and be respectively 2.11,2.98 and 12.74.To KB V200The cell inhibiting rate obviously improves.Experimental result proves that Herba Artemisiae Annuae extract can reverse vincristine drug resistance KB V200The drug resistance of cell and reverse vincristine drug resistance KB V200Cytological effect is directly proportional with dosage.
English abbreviation
OD (Opitical density) absorbance
RPMI1640 (RPMI medi μ m 1640) RPMI1640 culture medium
DMSO (Dimethyl S μ lfoxide) dimethyl sulfoxide
MTT (3-4,5-dimethylthiazol-2-y1) tetrazole indigo plant
VCR (Vincristine) vincristine
KB oral cavity squama epithelial cancer shape cell line
KB V200Drug resistance oral cavity squama epithelial cancer shape cell line
IR (Inhibitory rate) suppression ratio
IC 10(10%Inhibitory concentration) suppression ratio is 10% drug level
IC 20(20%Inhibitory concentration) suppression ratio is 20% drug level
IC 30(30%Inhibitory concentration) suppression ratio is 30% drug level
IC 50(50%inhibitory concentration) suppression ratio is 50% drug level
MDR (m μ ltidr μ g resistance) multidrug resistance
RI (Reversal index) reverses index
Description of drawings:
The figure that relates in the above-mentioned experiment is described as accompanying drawing at this
Fig. 1: VCR is to KB V200Inhibitory rate of cell growth standard broken line graph
Fig. 2, arteannuin are to KB V200Inhibitory rate of cell growth standard broken line graph
Fig. 3, artesunate are to KB V200Inhibitory rate of cell growth standard broken line graph
Fig. 4, dihydroartemisinine are to KB V200Inhibitory rate of cell growth standard broken line graph
Fig. 5, Herba Artemisiae Annuae extract are to KB V200The inhibitory rate of cell growth broken line graph
Fig. 6, arteannuin and VCR 5 usefulness back are to KB V200Cell growth rate standard broken line graph
Fig. 7, artesunate and VCR 5 usefulness are to KB V200The inhibitory rate of cell growth broken line graph
Fig. 8, dihydroartemisinine and VCR 5 usefulness are to KB V200Cell growth inhibited broken line graph
Fig. 9, Herba Artemisiae Annuae extract and VCR 5 usefulness are to KB V200Cell growth inhibited broken line graph
Following embodiment all can realize the described effect of above-mentioned experiment
The specific embodiment
Embodiment 1: the arteannuin tablet
Oral dose 30-50mg.Every day 2 times.
Embodiment 2: the dihydroartemisinine tablet
Oral dose 30-50mg.Every day 2 times.
Embodiment 3: the artesunate tablet
Oral dose 50-100mg.Every day 2 times.
Embodiment 4: the Herba Artemisiae Annuae extract tablet
Herba Artemisiae Annuae extract, the crude drug of getting 200g is extracted into the ethanol crude extract of 22.9g, adds conventional adjuvant, and tabletting makes 100.Oral dose 2-3 sheet.Every day 2 times.
 
1. the application of arteannuin in the preparation artitumor multi-medicine-resistant medicine.
2. the application of dihydroartemisinine in the preparation artitumor multi-medicine-resistant medicine.
3. the application of artesunate in the preparation artitumor multi-medicine-resistant medicine.
4. the application of Herba Artemisiae Annuae extract in the preparation artitumor multi-medicine-resistant medicine.
5. arteannuin is preparing as the application in the vincristine antitumor synergist medicine.
6. dihydroartemisinine is preparing as the application in the vincristine antitumor synergist medicine.
7. artesunate is preparing as the application in the vincristine antitumor synergist medicine.
8. Herba Artemisiae Annuae extract is preparing as the application in the vincristine antitumor synergist medicine.
9. the application of arteannuin in the squama epithelial cancer medicine of preparation treatment oral cavity.
10. the application of the arbitrary Chinese medicine in dihydroartemisinine, artesunate or the Herba Artemisiae Annuae extract in the squama epithelial cancer medicine of preparation treatment oral cavity.

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