Background technology
Heart is a most important organ in human body, and major function is to provide pressure, blood operation to body each
Part, the mission for completing conveying blood.Research shows, time of the heart less than one minute, just blood can be sent into whole body
Each cell, so circulates a whole day, and the oxygen-rich blood that heart will be about bounce 100,000 time, 2,000 gallons will be
Run quickly on 60,000 miles of blood vessel highway multiple, complete the challenge to each cell delivery blood of body.It is right
In the muscle of fist size, this can't but be an ass work and moves.With advancing age, motion and the consumption of muscle power,
The pressure of environment and spirit, the damage of disease etc., the function of heart can be all influenceed, causes cardiac insufficiency, heart failure.At present
The heart failure of definition refer to the pump blood (contractile dysfunction) for causing heart because heart lacks enough energy supply and/
Or diastolic dysfunction (Diastolic Heart failure), cause body a series of uncomfortable cardiac symptoms and sign occur.Cause the heart
The reason for force failure, is more, and most commonly seen is coronary artery disease, hypertension, cardiomyopathy, aging, valvulopathy and elder generation
Nature heart disease.The data display of American Heart Association (AHA) statistics, 5,100,000 people are had in the U.S. with heart failure, and
The whole world has 23,000,000 people to be diagnosed as heart failure.The morbidity and mortality of heart failure also increase therewith with advancing age
Plus, and it is reported that death accounts for 1/9th in U.S.'s heart failure.In addition, heart failure be the elderly's hospitalization and
One of disabled most common reason.Although there is the drug therapy heart failure of significant improvement, it is continued above per annual death rate
10%, it is serious in the case of reach 20% to 50%.The old age fifties 3 years case fatality rate of heart failure are more than 80%, wherein most 2
It is dead in year.Nearest data shows that man, 2 years case fatality rate of female old aged people heart failure are respectively 37% and 38%, is respectively within 6 years 82% He
61%.With the improvement of remedy measures, prognosis makes moderate progress, but old heart failure case fatality rate people is higher than middle-young patients 4~8 times,
More than 85 years old males are compared with 75~84 years old high 3 times, and women is high 4 times, and People prognosis is worst.Anti heart failure treatment will not extend chronic
The life cycle of patient in serious heart failure, in order to protect heart failure in convalescent heart, promote the rehabilitation of heart, improve heart
The life quality of patient, one group of this Project design is applied to the Co-Q10 nutrition of cardiac rehabilitation phase crowd's shield heart effect
Companion's composition, is these crowd's cardioprotections, improves life quality, and extension life cycle provides a kind of good health food.
Co-Q10 prolonged application has been found to that the symptom of heart failure can be improved, and reduces main adverse cardiac events
And the death rate, there is good tolerance and security.Co-Q10 is a kind of fat-soluble quinones chemical combination being widely present in human body
Thing, also known as ubiquinone, it is in the content highest of heart, and it is as a kind of important confactor, in mitochondrial oxidative phosphorylation
Middle formation ATP plays a crucial role.In electron transport chain (ETC), its mediated electron is from complex 1 (NADH ubiquinones reductase)
Complex 3 (CYB C1 is combined) is transferred to, and complex 3 is delivered to from complex 2 (succinate dehydrogenase).In addition,
Co-Q10 has direct antioxidation, prevents film from aoxidizing and lipid peroxidation, stable LDL particles, promotes to reclaim α fertilities
Phenol, so as to protect cardiovascular health.Co-Q10 content highest in cardiac muscle, Co-Q10 can stablize the upper Ca-dependent of cardiac muscle and lead to
The synthesis in road, effectively enhancing ATP.Clinical observation has proven to congestive heart failure (CHF) and heart muscle coenzyme Q10 reduction is close
Correlation, is the key factor of the occurrence and development of heart failure.Heart muscle coenzyme Q10 levels are related to the order of severity of symptoms of heart failure
Connection, in addition, Co-Q10 passes through its antioxidation, it is possible to reduce oxidative stress, it is unfavorable that influence left ventricular ejection fraction is produced
Factor, and change disease outcome.Recent years abroad scholar is in a series of long-term, polycentric use Co-Q10 auxiliary treatment heart failures
In the check experiment exhausted, it was demonstrated that Co-Q10 can be improved such as LVEF, the function such as stroke output and cardiac output ginseng really
Number, and have no side effect.But although these results are confirmed by subsequent statistical analysis, but in severe heart failure patients, or
In the case where Vel-Tyr-Pro-Trp-Thr-Gln-Arg-Phe is treated, benefited amplitude is not also particularly significant.But, Co-Q10 is used alone in heart
After disease, particularly heart failure therapy, patient symptom improves, the convalescence after the discharge that takes a turn for the better, and continues to supplement Co-Q10, is
No to promote cardiac rehabilitation, delay heart failure occurs again, and there is presently no research report, this project team passes through to hundreds of
The informal clinical observation of the various cardiac rehabilitation phase patients of example, it is found that they take Co-Q10 in convalescence, to heart disease
Symptom improve significantly, illustrate Co-Q10 have promote heart rehabilitation, the important shield heart thing for quality of making the life better
Matter.
This project is inventors noted that in the generation and development of heart failure, while heart Co-Q10 is reduced, sulphur
The material relevant with cardiac energy generation such as octanoic acid, taurine and creatine is also reduced to some extent, these and heart failure
Relevant material is supplemented as the shield heart companion of Co-Q10, can be remarkably reinforced shield heart effect of Co-Q10, be strengthened it
Anti-fatigue ability, antiinflammatory action, anti-aging effects have a very important role to cardiopathic treatment and rehabilitation.
Taurine be it is a kind of be content most abundant free amino acid in body, it is unable to conjugated protein, animal body
Interior taurine almost all is widely present in the tissue, intracellular of all animals in a free form.Brain, ovary, uterus,
Heart, liver, kidney, bone slit, rich content in muscle, blood.Taurine is content highest in cardiac muscle of mammal tissue
A kind of amino acid, 20-70mmol/L can be reached by accounting for taurine concentration in the 50% of all free amino acids, cardiac muscle cell,
The ratio between taurine concentration is 200: 1 in cardiac muscle cell and in blood plasma.Taurine has obvious guarantor for heart tissue and cell
Shield is acted on, and document report taurine is mainly damaged by suppressing Apoptosis, stabilizing cell membrane, anti peroxidation of lipid, removes oxygen
Free radical, regulation Premeabilisation of cells pressure, the mechanism such as intracellular calcium homeostasis is maintained, play and protect myocardial damage caused by ischemic, prevent
On the one hand taurine in the effect of stop pulse atherosclerosis and regulation blood pressure, human body derives from being endogenously synthesized for itself, one
Aspect is supplied from exogenous meals.Myocardial damage caused by research discovery a variety of causes may be such that cardiac muscle cell's taurine
Release, causes myocardium, intracellular content of taurine reduction and content of taurine is significantly raised in blood plasma.In the pathology shape of hypertension
Under state, the content of taurine in cardiac muscle cell is also decreased obviously.Exogenous supplementation of taurine can significantly reduce Acute myocardial and lack
The necrosis of cardiac muscular tissue caused by blood and the tune of cardiac muscle cell are died, and its moderate resistance adjusts the expression for dying GAP-associated protein GAP Bcl-2 significantly raised,
And pro apoptotic protein Bax expression is decreased obviously, Zuo Xin Shi Shou Shrink and end-diastolic internal diameter are obviously reduced, left ventricular ejection fraction and
Left ventricle shortens fraction and substantially increased, hence it is evident that improve the situation of the decrease of heart function caused by acute ischemia.In vitro cell experiment
It was found that taurine can weaken cardiomyocyte proliferation caused by response to oxidative stress caused by sugar deficiency injury and reversible sugar deficiency injury
Reduction.In addition, taurine can adjust the triggering for dying path, reactive oxygen species by adjusting the generation of oxygen radical
(ROS) and MDA (MDA) is the product of oxidative stress and lipid peroxidation injury, research find sugar deficiency injury cause ROS and
MDA produces increase, and taurine can significantly reduce ROS and MDA generation, and taurine further suppress the cardiac muscle of sugar deficiency injury induction
The decline of mitochondrial membrane potential in anoxic.Research is it has also been found that the apoptosis that taurine reduces the ER/SR mediations of sugar deficiency injury induction leads to
Road, intracellular calcium overload can induce ROS generation and further promote endoplasmic reticulum release calcium ion to aggravate intracellular calcium overload,
Promote Apoptosis, the tune that the pretreatment of low dosage taurine can significantly reduce cardiac muscle cell caused by anoxic is died, and is reversed scarce
The reduction of cardiomyocyte proliferation caused by oxygen.Supplementation of taurine can reduce animal blood plasma cholesterol levels, reduce artery athero-
The generation of hardening, taurine also has adjustment effect to blood pressure, and supplementation of taurine can substantially reduce the blood pressure of patient.Taurine is
The important component of myocardium free amino acid, can also pass through calcium electricity caused by suppressing virus replication, suppression virus infection cardiac muscle cell
Stream increase, makes maximum calcium current membrane voltage and outward potassium current infected and reduce tend to be normal, makes cardiac muscle cell's Ca2+ influx
Reduce, there is protection cardiac muscle in vital myocarditis animal model and clinical Patients with Viral Myocarditis, improve clinical symptoms
Deng effect.Co-Q10 plays an important role in human body respiration chain in proton displacement and electron transmission, can be as cell metabolism and thin
Born of the same parents breathe activator, or important antioxidant and nonspecific immunity strengthening agent, oxidative phosphorylation can be promoted to react, and protect
Biofilm structure integrality, with resisting myocardial ischemia, anti-arrhythmia, improves energy metabolism of myocardial, scavenging activated oxygen etc. and makees
With, cardiac output can be increased, peripheral vascular resistance is reduced, the use in conjunction together with taurine is myocardium to protection, the promotion damage heart
The recovery of myocyte, can produce preferably joint curative effect, the present invention using taurine as Co-Q10 shield heart nutrition companion, just
The protection cardiac muscle of Co-Q10 can be given full play to and promote the effect of cardiac rehabilitation, be the essential shield heart of human heart health
Nutrient.Taurine can be equipped with, Dan Ru as the reinforcing replenishers of Co-Q10 cardioprotection in 50~100: 1 ratio
Other cardiac stimulant nutrients compatibility together, this ratio can also be reduced.
Lipoic acid belongs to vitamine B group compound, and s is taken off in pyruvic dehydrogenase, ketoglurate dehydrogenase, aminocaproic acid
Worked in the multienzyme complexs such as carboxylic acid as coenzyme.Lipoic acid is the confactor of pyruvic dehydrogenase, and it promotes pyruvic acid
Be changed into acetyl coenzyme A generation reduced flavin adenine dinucleotide (FADH), be participate in tricarboxylic acid cycle during can not
The material lacked.Lipoic acid or a kind of metabolic antioxidant, the dihydro sulphur that reduced form can be converted into vivo are pungent
The lipoic acid of sour (DHLA), oxidized form and reduced form all has very strong inoxidizability, and they act synergistically in vivo, are known
Effect most strong one kind in natural inhibitor.Lipoic acid is indispensable confactor during internal ATP is produced, and it joins
With tricarboxylic acid cycle, a variety of free radicals can be effective against, and can adjust other antioxidants, body is played a protective role.
Lipoic acid strengthens the oxidation resistance of body, by improving internal main antioxidant enzyme superoxide dismutase (SOD), peroxidating
The activity of the sweet skin peroxidase (GSH-PX) of hydrogen enzyme (CAT), paddy skin and the sweet fabk polypeptide of paddy skin (GR) is anti-oxidant to play its
Function, plays the function of its Scavenger of ROS.Lipoic acid can reduce the oxidative stress of cell liquid, strengthen the anti-oxidant energy of cell
Power, so as to mitigate mitochondrial oxidative stress, the ability with very strong removing free radical is mitochondria resistance peroxidization
Produce the optimal antioxidant of free radical.It can mitigate anti-oxidant in the oxidative stress degree of myocardial ischemia-reperfusion, reinforcement
The activity of enzyme, increase mitochondrial membrane potential and cell oxygen consumption, reduce the effect of active oxygen generation and maintain cell biological film
The integrality of function.We have discovered that, lipoic acid and Co-Q10 use in conjunction, it removes the effect of free radical, reduces cell
Consumption to ATP, has positive effect, while internal main antioxidant enzyme super oxygen can also be improved to reducing mitochondrial oxygen consumption
The activity of thing mutase (SOD), the effect with stabilizing cell membrane maintains the integrality of cell mitochondrial structure, mitigates cell
Oedema and mitochondrial dissolving, prevent the arrangement disorder of membranolysis and muscle fibre.To heart failure caused by a variety of causes
Exhausting has good protective effect, and to the convalescence after heart failure control, helpful cardiac rehabilitation prevents or delays heart failure
Occur again with obvious health-care effect.Lipoic acid, can be by 50~100 as the reinforcing replenishers of Co-Q10 cardioprotection:
1 ratio is equipped with, and singly such as other cardiac stimulant nutrients together compatibility, this ratio can also be reduced.
Creatine is conducive to the conversion of mitochondria energy as a kind of internal spontaneous nitrogenous organic acid, stable ATP's
Synthesis, adjusts ATP and ADP ratio, the function of ATP enzyme is not over-constrained.Creatine is used as a kind of indirect antioxidant
Play an important roll in terms of mitochondrial permeability transhipment is prevented.In vivo, creatine is anti-with arginine by glycine in kidney
Glycocyamine should be formed, is then formed in liver through methylating, creatine forms phosphocreatine after being phosphorylated in each tissue,
Phosphocreatine is to participate in one of important substance of cellular energy metabolism, is also the important energy supply source of cell, is Adenosine triphosphate
Glycosides (ATP) supplements energy, and ATP is topmost energy source in any cellular process.Phosphocreatine is primarily present in the heart
Contour the intracellular of organ that consume energy of flesh, skeletal muscle, brain, its main Physiological Function is:1. it is these highly energy-consuming cell intracellulars
" buffer " of ATP constant concentrations, these organs or cell will consume a large amount of ATP during vital movement, consume ATP benefit
Filling will lean on intracellular phosphocreatine to convert;2. it is the energy of these cells from generating unit to the load of consumption position transfer
Body.The mitochondrial creatine kinase of highly energy-consuming cell is produced mitochondrial matrix by the couple with adenyltransferase
ATP is converted into phosphocreatine, under the catalysis of endochylema creatine kinase, phosphocreatine by the energy-rich phosphate group from ATP most
Power consumption position (such as muscle fibre and ionic pump) is transferred to eventually, enables ATP enzyme catabolite-adenosine diphosphate (ADP) of there phosphorus again
Acidifying.Phosphocreatine plays a part of carrier in the transfer process of ATP energy-rich phosphate groups.Phosphocreatine is to myocardial cell membrane
Have important protective effect, when cardiac muscle is damaged by hypoxic-ischemic, there is coupling in mitochondrial respiratory chain electron transmission, proton pump
Join obstacle, O2Reduction disorder produces O2And then change generation OH.It is yellow and a large amount of ATP degradeds produce hypoxanthine, xanthine
Purine dehydrogenase is transformed into oxidizing ferment, has a large amount of oxygen molecules to enter during Reperfu- sion and produces a large amount of O2, in the presence of transition metal
It is transformed into OH.A large amount of OH can produce peroxidation to the membrane phospholipid on myocardial cell membrane, cause basement membrane portion to lack,
Destruction of plasma membrane, damage be rapidly spread to whole cell make muscle fibril structure destroy, occur significant shrinkage band or myofilament fracture, it is molten
Solution.In addition, OH also results in the contracture of calcium accumulation in the cell and cardiac muscle.Phosphocreatine being capable of inhibition of phospholipase A2Enzyme is anti-
Should, by phospholipase A2The suppression of activity, so as to suppress the rise of hemolytic phosphoglycerol in membrane phospholipid.Not only protect flesh
The integrality of fine membrane structure, and add the stability of ischemic myocardium potential change.Hemolytic phosphoglycerol has been found to
Cause the phospholipid metabolism intermediate product of arrhythmia cordis, therefore phosphocreatine is then that phosphocreatine has the anti-heart to the suppression that it is produced
Restrain the pharmacological basis of not normal effect.Phosphocreatine can increase the stability of ischemic myocardium potential change, also with phosphocreatine molecule
This body structure is related:One end of phosphocreatine molecule is negatively charged phosphate group, can be with band in cell membrane membrane phospholipid molecule
The NR of positive charge3+Group is combined closely, and this phosphocreatine molecule other end carboxylic group is also negatively charged, with adjacent phospholipid point
The NR of subband positive charge3+Group produces same combine closely.Phosphocreatine molecule is combined closely with adjacent membranes phospholipid molecule
Cause the exposure reduction of membrane phospholipid molecular surface charge, so that the phospholipid molecule on film is stable.In addition, phosphocreatine is by for Ca
Pump energizes and suppressed the anaerobic metabolism of sugar to reduce intracellular Ca2+、H+Aggregation, reduce OH generation, maintain cell
The stability of film and cardiac muscle.Phosphocreatine can suppress 5 ' on film-activity of nucleotidase, pass through the suppression to the enzyme, Ke Yiwen
Fixed intracellular determination of adenosine phosphates in mouse, the progress being metabolized to intracellular energy creates condition.In addition, phosphocreatine molecule is demonstrate,proved
It is real to enter cell through cell membrane, and its diffusion coefficient in the cell is all bigger than ATP and adenosine diphosphate (ADP), and this just serves as reasons
The condition of creating is operationalized again in the abnormal energetic supersession reaction " chain " caused by cell membrane breakage.Phosphocreatine is to line
Plastochondria, which also has, has a kind of Proteinaceous duct-permeability transition pore at important protective effect, the inside and outside membrane junction of mitochondria,
Ca2+Excess load, oxidative stress etc., which are stimulated, can cause permeability transition pore to open, and cause mitochondrial membrane potential disintegration, breathing
Chain is broken, and energy metabolism impairment causes cell death.Permeability transition pore open can also result in cromoci and apoptosis induction because
Son release, activates apoptosis core enzyme caspase, so that regulating cell apoptosis.Phosphocreatine energy partial reduction oxidative stress status
The decline of lower myocardial mitochondria film potential, maintains Mitochondrial Membrane Structure complete and normal oxidation phosphorylation function, and suppress film
The opening in penetrating change duct, reduces the generation of the injurious factors such as cromoci, apoptosis inducing factor, so as to reduce cardiac muscle
Apoptosis.Intracellular sufficient ATP synthesis is the basis of myocardium excitation-excitation-contraction coupling, and phosphocreatine is ATP storage and turned
Fortune form, intracellular energy transmission is realized in the presence of creatine kinase isozyme by " phosphocreatine shuttle ".Cardiac muscle
During generation ischemic, aerobic metabolism obstacle, intracellular ATP exhausts, phosphocreatine changes into ATP to maintain cellular energy generation in time
Thank.Because phosphocreatine directly can enter intracellular by cell membrane, and ATP molecular volumes are big, are difficult to pass through cell membrane, therefore
It is more superior in terms of energy metabolism of myocardial is improved.In cardiac muscle cell certain density phosphocreatine be maintain normal heart function must
Condition is wanted, phosphocreatine level in normal myocardium compared with being decreased obviously in the cardiac muscle of heart failure patient, and its decreasing ratio is obvious
Higher than ATP, and decline degree and the order of severity of heart failure are linear, improve the intramyocardial phosphoric acid of heart failure patient
Creatine content can increase cardiac output and Left Ventricular Ejection Fraction, also can obviously reduce left ventricular end diastolic presssure and increase after Reperfu- sion
Coronary flow.Phosphocreatine is applied to find that it can obviously reduce left room and shrinks end after heart failure patient by clinical research
With end-diastolic diameter, LVEF is improved, cardiac function is improved, in addition, newest research shows, phosphocreatine can also relax
Coronary artery is opened, increases coronary flow, improves myocardial oxygen.Illustrate that phosphocreatine can be improved by number of mechanisms
The energetic supersession state of heart, saves the excitability of cardiac muscle, conductibility and its shrinkage, reduces the hair of arrhythmia cordis
It is raw, preferably maintain cardiac function.
CoQ10 has the function of promoting oxidative phosphorylation reaction and protection biofilm structure integrality.The main function of Co-Q10
It is to transmit electronics between mitochondrial inner membrane composite I and III, II and III.Creatine and Co-Q10 therapeutic alliance can increase
The synthesis of phosphatide and recycling, reduce the release of central nervous system phosphatide, the protective effect with heart and nerve, study table
Bright two medicine share can (1) stable Mitochondria function, improve energetic supersession, improve mitochondrial complex I activity, subtract
The generation of few free radical, to antioxidant stress injury;(2) stable mitochondrial permeability transhipment (MPT) duct, reduces its penetrating
Property, suppress Apoptosis.Prevent CoQ10 from respiratory chain depigmentation, oxidative phosphorylation are obstructed, mitochondrial membrane potential is lost, oxidation is answered
MPT permeabilities increase caused by the factors such as sharp, calcium overload;(3) the mutual conversion of creatine and phosphocreatine is conducive to mitochondria energy
The conversion of amount, stable ATP synthesis, adjusts ATP and ADP ratio, the function of ATP enzyme is not over-constrained;(4) to antioxygen
Change stress to membrane phospholipid destruction, accelerate phosphatide to synthesize again.Creatine, can as the reinforcing replenishers of Co-Q10 cardioprotection
To be equipped with 50~100: 1 ratio, singly such as other cardiac stimulant nutrients together compatibility, this ratio can also be reduced.
We have discovered that, the patient of heart failure is caused to a variety of causes, after hospital is treated, is particularly existed
Leave hospital during rehabilitation, taking Co-Q10 has preferable guaranteeing role to cardiopathic rehabilitation, but is taking the same of Co-Q10
When, add containing taurine, the Co-Q10 shield heart companion of lipoic acid and creatine, there is more preferable auxiliary to cardiopathic rehabilitation
Health-care effect, we are taurine is contained, and the composition constituted based on lipoic acid and creatine is prepared into the promotion cardiac rehabilitation phase
The Co-Q10 nutrition companion of crowd's shield heart effect, this nutrition companion includes beverage, tablet, electuary, oral liquid, capsule.We
Proved by zoopery, while giving Co-Q10, these nutrition companion is added, to causing mouse heart to damage by adriamycin
Cardiac toxic caused by wound, is the optimal health treatment of cardiac rehabilitation phase crowd's shield heart with good rehabilitative action.