CN100349609C - Cirrhosis treating medicine - Google Patents

Cirrhosis treating medicine Download PDF

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Publication number
CN100349609C
CN100349609C CNB2006100651686A CN200610065168A CN100349609C CN 100349609 C CN100349609 C CN 100349609C CN B2006100651686 A CNB2006100651686 A CN B2006100651686A CN 200610065168 A CN200610065168 A CN 200610065168A CN 100349609 C CN100349609 C CN 100349609C
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China
Prior art keywords
polaprezinc
chronic hepatitis
medicine
liver
cirrhosis
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CN1857715A (en
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河野透
滕冠强
关文捷
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AIF Limited by Share Ltd
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ENTAIKE DIGITAL SCI-TECH (BEIJING) Co Ltd
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Abstract

The present invention discloses medicine for inhibiting chronic hepatitis, hepatic fibrosis and hepatic cirrhosis, namely an inhibitor. The inhibitor uses polaprezinc as effective components.

Description

Cirrhosis treating medicine
Technical field
The present invention is about the carrying out property hepatic fibrosis that suppresses the concurrent generation of chronic hepatitis and suppresses the medicine that develops to liver cirrhosis.
Technical background
The chronic hepatopathy that chronic hepatitis is mainly caused by hepatitis virus, acute viral hepatitis do not have hepatitis of curing and the hepatitis that same symptoms is arranged through treatment after a while.Viral chronic hepatitis has B (second) type chronic hepatitis and C (third) type chronic hepatitis etc.The cause of disease of chronic hepatitis also has ethanol, medicine, poisoning, liver fat liver, hepatolenticular degeneration, autoimmune hepatitis etc. except virus.
These chronic hepatitiss continue development and just become liver cirrhosis.The cause of disease of liver cirrhosis is that hepatocyte continues to change, and repairs by liver cell regeneration usually; But intensive, longer duration takes place in the hepatocyte obstacle, and inflammatory reaction repeatedly makes the interior fiber of liver increase hardening; Remaining hepatocyte regenerates strongly, makes and forms tuberosity in the liver.The compressing of this tuberosity is that the vascular system at center increases the weight of liver inner blood circulatory disturbance with the liver angular vein.Cause hepatic portal vein voltage rise height thus, hepatic blood flow minimizing etc. further increases the weight of the hepatocyte obstacle, produces vicious cycle.
Just produce hepatic fibrosis by such development of chronic hepatitis during to liver cirrhosis, become the liver cirrhosis of irreversible state by the chronic hepatitis of this reversible state.Therefore, the hepatic fibrosis medicines of the concurrent generation of inhibition carrying out property chronic hepatitis is very important as the chronic hepatitis treatment medicine.
Existing known chronic hepatitis treatment medicine has interferon, lamivudine and hepatoprotective etc.But interferon and lamivudine are antiviral agent, and hepatoprotective is the medicine that mainly the hepatocyte obstacle is had protective effect, and hepatic fibrosis is not had inhibitory action.
Polaprezinc (Polaprezinc) [L-carnosine (being β-alanyl-L one histidine) zincate; L-carnosine zincate] be known widely used already effective drug for peptic ulcer thing (1984-88270 communiques of Japan Patent), the liver function barrier that the oxyhepatitis model carbon tetrachloride is caused is (1988-No. 14728 communiques of Japan Patent) effectively.Yet polaprezinc is not understood fully to the mechanism of action of chronic hepatitis.
Summary of the invention
The purpose of this invention is to provide the medicine for the treatment of liver cirrhosis.
Therefore the present inventor uses and brings out the chronic hepatitis model of liver function barrier with known carbon tetrachloride and finish the sulfur acetamide model exploration hepatic fibrosis inhibition medicine that different mechanism of action produce hepatic insufficiency, having finished the present invention finds the medicative polaprezinc of liver cirrhosis (Polaprezinc) promptly be the invention provides the cirrhosis treating medicine that contains the effective ingredient polaprezinc.
Can significantly suppress the concurrent generation hepatic fibrosis of chronic hepatitis according to medicine of the present invention, so it can prevent that chronic hepatitis from developing to liver cirrhosis.
Medicine effective ingredient polaprezinc of the present invention is a L-carnosine zinc hydrochlorate, can use the aforementioned documents data:
(1) spy opens-No. 88270 communiques in clear 59 (1984)
(2) spy opens-No. 14728 communiques in clear 63 (1988)
(3) special fair 7 (nineteen ninety-five)-No. 116160 communiques
(4) preparation method of record such as-No. 5367 communiques in special fair 3 (1991) obtains.
Polaprezinc in the aftermentioned test example has good therapeutic effect to chronic hepatitis sulfur acetamide model, especially hydroxyproline (Hydroxyproline) amount and hyaluronic acid in the hepatic fibrosis marking tissue can be significantly reduced, and liver tissue fibrosis and the significant TGF-of reduction β amount can be suppressed significantly.(being that the back takes place chronic hepatitis) gives polaprezinc and can both obtain above-mentioned good therapeutic effect not only before the sulfur acetamide uses, and in the use of sulfur acetamide, and this point is very important.Therefore, polaprezinc is as cirrhosis treating medicine, and particularly the treatment as chronic hepatitis liver cirrhosis is useful.
As medicine of the present invention, the most handy oral preparation drug administration, particularly tablet, powder, granule, syrup and capsule etc. are the most suitable.
In these preparations are produced, can select for example water for injection of suitable adjuvant, Purified Water, carboxymethylcellulose calcium, sodium carboxymethyl cellulose, lactose, sorbitol, mannitol, white sugar, corn starch, crystalline cellulose, lactose, cellulose derivative, arabic gum, tragacanth mucilage, gelatin, Tween 80, Pulvis Talci, magnesium stearate, water, ethanol, white beeswax, glycerol, fat, fatty oil, glycols.Senior alcohols such as hard ester alcohol, liquid paraffin, paraffin, Apis cerana Fabricius, polyoxyethylene hardened castor oil, glucide, syrup etc. are used in combination.
Can be according to the age, body constitution, ill symptom, curative effect, medication, administration number of times and the course of treatment different take the circumstances into consideration to increase and decrease the dosage of polaprezinc.Adult's optimal dose is 1 0.01-10g.Preferably 1 day dosage is divided into 1-4 administration.
Description of drawings
Fig. 1 shows that polaprezinc is to organizing the influence of hydroxyproline amount.
Fig. 2 shows the influence of polaprezinc to transparency of organization matter acid amount.
Fig. 3 shows the influence of polaprezinc to tissue T GB-B1 amount.
Fig. 4 shows the hepatic tissue figure of polaprezinc to the hepatic fibrosis influence.Last figure is HE (hematoxylin and eosin) dyeing; Right figure is that sulfur acetamide+polaprezinc 500mg/kg group, left figure are 20 week of sulfur acetamide groups.Figure below is Sirius red colouring body: right figure is that sulfur acetamide+polaprezinc 500mg/kg group, left figure are 20 week of sulfur acetamide groups.
The specific embodiment
Enumerate following experimental example and illustrate in greater detail the present invention.But be not limited to this example.
Embodiment 1:
With rat grouping, 15 every group.300mg/L sulfur acetamide aqueous solution is organized the rat drinking water in contrast, drinks for 10 week or 20 weeks continuously.300mg/L sulfur acetamide aqueous solution drank for 20 weeks continuously also as experimental group rat drinking water, but at the 10th week back oral 200mg/day/kg of increase or 500mg/day/kg polaprezinc.
Matched group and experimental group rat kill them after giving medicine in accordance with regulations, take out liver.Measure label hyaluronic acid in the hepatic fibrosis serum with milk coagulation immunoturbidimetry.Chloramines and Paul Ehrlich solution absorption spectrphotometric method for measuring liver tissue fibrosis label hydroxyproline with the salt acid treatment.Measure promoting hepatic fibrosis that TGF-β 1 special role, that increase in the hepatic tissue is arranged with the ELISA method.Carrying out hepatic tissue dyeing is purpose Sirius red colouring, identifies the activation spider cell that fibrosis is played a major role with α-SMS immunostaining.In addition, with transferring enzyme and alkali phosphatase in the serum in the biology method measuring hepatopathy label.
These measurement results are shown among Fig. 1, Fig. 2, Fig. 3, Fig. 4 and the table 1.
Table 1
Group Serum levels of ALP (u/L) *
10 weeks of sulfur acetamide are organized 964±34
20 weeks of sulfur acetamide are organized 1429±137 a
20 weeks of sulfur acetamide+polaprezinc 200mg/kg group 728±28 b
20 weeks of sulfur acetamide+polaprezinc 500mg/kg group 829±28 b
Matched group (non-administration group) 525±26 c
* ALP: alkali phosphatase
A:p<0.01 (with matched group, sulfur acetamide 10 all groups, the sulfur acetamide+there were significant differences for the polaprezinc group)
B:p<0.01 (there were significant differences with matched group)
C:p<0.01 (significant difference being arranged) with sulfur acetamide 10 all groups, 20 all groups, sulfur acetamide+polaprezinc group.
Fig. 1, Fig. 2, Fig. 3, Fig. 4 show significantly: even just begin oral polaprezinc after the sulfur acetamide took for 10 weeks, but hepatic fibrosis label hydroxyproline amount, hyaluronic acid and TGF-B1 amount significantly reduce, as seen polaprezinc has obvious inhibitory action to liver tissue fibrosis, is useful as the liver tissue fibrosis inhibitor.In addition, table 1 also shows: hepatic insufficiency label alkali phosphatase (ALP) value has clear improvement, the chronic hepatitis symptom also has clear improvement.

Claims (2)

1. the purposes of polaprezinc in the medicine of preparation treatment liver cirrhosis.
2. the purposes of polaprezinc in the medicine of preparation treatment liver cirrhosis and chronic hepatitis hepatic fibrosis.
CNB2006100651686A 2006-03-23 2006-03-23 Cirrhosis treating medicine Expired - Fee Related CN100349609C (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022005848A1 (en) * 2020-07-01 2022-01-06 Nelson Deanna J Combinations of carnosine and zinc for the treatment and prevention of viral infections

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103319413B (en) * 2013-06-08 2015-02-04 西藏海思科药业集团股份有限公司 Polaprezinc compound
CN104083751B (en) * 2014-07-18 2016-08-24 大连大学 A kind of medical composition and its use for cirrhosis treatment
CN107106602B (en) * 2015-03-03 2021-03-23 谢灵均 Hepatic fibrosis improving agent
CN106562976A (en) * 2016-10-17 2017-04-19 吉林省博大伟业制药有限公司 Application of polaprezinc in preparing medicines for treating colon cancer
CN110099690B (en) * 2017-11-30 2021-10-26 北京通复堂生物科技股份有限公司 Compound preparation suitable for treating non-alcoholic fatty liver disease and/or non-alcoholic steatohepatitis and/or hepatic steatosis
CN108310362A (en) * 2018-02-05 2018-07-24 中国人民解放军第四五八医院 Application of the carnosine in terms of hepatitis virus resisting

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6314728A (en) * 1986-07-03 1988-01-21 Zeria Shinyaku Kogyo Kk Preventive and remedy for hepatic disorder
JP2001072588A (en) * 1999-09-03 2001-03-21 Hamari Chemicals Ltd Therapeutic agent for muscular dystrophy
JP2002068981A (en) * 2000-08-22 2002-03-08 Hamari Chemicals Ltd Medicament for ameliorating anorexia and dysgeusia of patient with late stage of cancer

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6314728A (en) * 1986-07-03 1988-01-21 Zeria Shinyaku Kogyo Kk Preventive and remedy for hepatic disorder
US4927817A (en) * 1986-07-03 1990-05-22 Zeria Pharmaceutical Co., Ltd. Preventive and therapeutic agent against liver disorder
JP2001072588A (en) * 1999-09-03 2001-03-21 Hamari Chemicals Ltd Therapeutic agent for muscular dystrophy
JP2002068981A (en) * 2000-08-22 2002-03-08 Hamari Chemicals Ltd Medicament for ameliorating anorexia and dysgeusia of patient with late stage of cancer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022005848A1 (en) * 2020-07-01 2022-01-06 Nelson Deanna J Combinations of carnosine and zinc for the treatment and prevention of viral infections

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