Patent Application
20220008437
The disclosure relates to the field of medicine. Specifically, the disclosure relates to use of prostaglandin E1 methyl ester in the manufacture of a vasodilator.
Prostaglandin E1 (PGE1) is a natural endogenous vasodilator, which can be synthesized by human cells. It is an important substance that regulates cell function. It does not accumulate in the body, does not produce tolerance, and it's non-toxic without damaging side effects. It has a definite therapeutic effect and is superior to exogenous drugs. Prostaglandin E1 has extremely strong physiological activity and a wide range of pharmacological activities. It can be used clinically in cardiovascular and cerebrovascular diseases, diabetic complications, respiratory diseases, pulmonary hypertension, hepatorenal syndrome (HRS), liver failure, nephropathy, etc. Studies have found that prostaglandin E1 not only has the effects of dilating blood vessels and reducing heart load, but also has the effects of excreting sodium, diuresis, strengthening the heart, improving coronary circulation, protecting myocardium, improving microcirculation and the like.
Prostaglandin E1 alkyl esters are currently considered to be prodrugs of prostaglandin E1. For example, U.S. Pat. No. 5,681,850 discloses prostaglandin E1 alkyl esters (C1-4) for the treatment of impotence. It is believed that prostaglandin E1 alkyl esters can be better absorbed through the skin by enhancing lipid solubility, and subsequently decomposed into prostaglandin E1 by hydrolase to take effect, so it is a prodrug; U.S. Pat. No. 6,673,841 discloses a prostaglandin E1 alkyl ester (C1-5) external preparation, which contains prostaglandin E1 alkyl ester as a prodrug, an oily vehicle, a skin permeation enhancer and an anti-irritant agent.
However, the inventors have unexpectedly found in the research that the prostaglandin E1 methyl ester itself has a strong biological activity, thus further finding its medical use related to dilation of blood vessels.
An object of the disclosure is to provide use of prostaglandin E1 methyl ester in the manufacture of a vasodilator.
In order to achieve the above object, the disclosure provides use of prostaglandin E1 methyl ester in the manufacture of a vasodilator, wherein the prostaglandin E1 methyl ester has a structure represented by formula (I).
According to some specific embodiments of the disclosure, the vasodilator is a drug used to treat microcirculation disorder, coronary heart disease, angina pectoris, heart failure, pulmonary heart disease, cerebral infarction, amniotic fluid embolism, or scleroderma.
According to some specific embodiments of the disclosure, the vasodilator is used for dilating blood vessels to achieve the treatment of microcirculation disorders, coronary heart disease, angina pectoris, heart failure, pulmonary heart disease, cerebral infarction, amniotic fluid embolism, or scleroderma.
According to some specific embodiments of the disclosure, the microcirculation disorder is caused by thromboangiitis obliterans, arteriosclerosis obliterans, diabetes, frostbites, burns or bedsores.
According to some specific embodiments of the disclosure, the vasodilator is a drug for the treatment of scleroderma, and the vasodilator is used for improving the skin thickness and/or collagen deposition of an animal with scleroderma to achieve the treatment of scleroderma.
According to some specific embodiments of the disclosure, the animal is a mammal.
According to some specific embodiments of the disclosure, the animal is a human.
In summary, the disclosure provides use of prostaglandin E1 methyl ester in the manufacture of a vasodilator. The inventors have unexpectedly found in the research that prostaglandin E1 methyl ester itself has a strong drug activity and can be directly affine with DP1 receptor. Activation of DP1 receptor can inhibit platelet aggregation and dilate blood vessels, rather than being a prodrug that needs to be hydrolyzed and delayed to take effect. In specific experimental examples, prostaglandin E1 methyl ester has shown better drug activity and therapeutic effect than prostaglandin E1, and a tissue distribution test has also shown that prostaglandin E1 methyl ester is more easily distributed in skin tissues.
The technical solutions of the disclosure will be described in detail below in conjunction with the drawings and examples, but the protection scope of the disclosure includes but is not limited to these.
The starting material prostaglandin E1 (63 mg, 0.18 mmol) was added to a three-necked flask, and then a prepared 1M dry THF/Et2O solution was added and stirred to dissolve. Under ice bath conditions, Mel (26 mg, 1M) solution was slowly added dropwise to the reaction solution, and after the completion of dropwise addition, KOH (10 mg, 0.18 mmol) and Bu4NBr (6 mg, 0.018 mmol) were added. After the reaction solution was stirred for 1 h, it was heated to room temperature and monitored by TLC until the end of the reaction. The reaction was quenched by adding 20 ml of water. It was extracted with EtOAc (10 mL×3), and the organic phases were combined, dried over anhydrous Na2SO4 and filtered. The filtrate was concentrated under reduced pressure and purified by column chromatography (eluent n-hexane/EA=1/1) to obtain a white solid product (24.8 mg, 38% yield).
LCMS (MS Found: 391.3 [M+Na]+. 1HNMR (400 MHZ, DMSO) (ppm): 5.46 (s, 2H), 5.01 (s, 1H), 4.57 (s, 1H), 3.88 (s, 2H), 3.57 (s, 3H), 1.9-2.3 (m, 5H) 1.2-1.48 (m, 19H), 0.85 (s, 3H).
The starting material prostaglandin E1 (63 mg, 0.18 mmol) was added to a three-necked flask, and then a prepared 1M dry THF/Et2O solution was added and stirred to dissolve. Under ice bath conditions, EtBr (20 mg, 1M) solution was slowly added dropwise to the reaction solution, and after the completion of dropwise addition, KOH (10 mg, 0.18 mmol) and Bu4NBr (6 mg, 0.018 mmol) were added. After the reaction solution was stirred for 1 h, it was heated to room temperature and monitored by TLC until the end of the reaction. The reaction was quenched by adding 20 ml of water. It was extracted with EtOAc (10 mL×3), and the organic phases were combined, dried over anhydrous Na2SO4 and filtered. The filtrate was concentrated under reduced pressure and purified by column chromatography (eluent n-hexane/EA=1/1) to obtain a white solid product (20.5 mg, 29.8% yield).
LCMS (MS Found: 405 [M+Na]+. 1HNMR (400 MHZ, DMSO) (ppm): 5.46 (s, 2H), 5.01 (s, 1H), 4.57 (s, 1H), 3.88 (s, 2H), 3.57 (s, 3H), 1.9-2.3 (m, 7H) 1.2-1.48 (m, 19H), 0.85 (s, 3H).
Affinity Test of DP Receptor Target In Vitro.
The radioligand ([3H] Prostaglandin D2 (PGD2)) competitive receptor binding assay was used to evaluate the affinity of the test compound with the DP receptor. The results are shown in Table 1.
The results show that Prostaglandin E1 methyl ester has a higher affinity with the DP receptor.
The Effect of the Prostaglandin E1 Methyl Ester of the Disclosure in the Anti-Platelet Aggregation Test In Vitro.
When healthy adult SD rats were anesthetized by intraperitoneal injection of 10% chloral hydrate, fresh whole blood was collected from the abdominal aorta and added to a centrifuge tube anticoagulated with 3.8% sodium citrate solution, and centrifuged at 900 rpm for 10 minutes to remove the upper platelet-rich plasma (PRP) for use. The tube having PRP removed was further centrifuged at 4000 rpm for 10 minutes, and the upper clarified plasma (PPP) was removed for use. In the experiment, Techlink model LBY-NJ4 4-channel platelet aggregator was used to determine the anticoagulant efficacy of each compound.
Into a sample cup containing 300 μL of PRP, 2 μL of 100 μM prostaglandin E1, prostaglandin E1 methyl ester of example 1, Compound 2 of Example 2 and methanol (solvent) were first added. After incubated for different periods (0, 1, 2, 4, 7, 10, 15 min), 20 μL of aggregation inducer 180 μM ADP solution was added. The aggregation rate of each sample was measured, and the inhibitory rate of the compound on ADP-induced platelet aggregation was calculated.
Inhibition rate %=(solvent aggregation rate−compound aggregation rate)/solvent aggregation rate×100%
From the results (
The Effect of the Prostaglandin E1 Methyl Ester of the Disclosure in the Vasodilation Test In Vitro
In the experiment, rabbits were selected to prepare isolated aortic ring specimens: New Zealand white rabbits, male, weighing (2.5±0.3) kg. The rabbit was stunned with a blunt instrument, fixed on the rabbit dissecting table, and the thoracic aorta was quickly separated, and placed in a petri dish filled with saturated Kerbs solution (containing NaCl 6.9 g, KCl 0.35 g, MgSO4.7H2O 0.29 g, KH2PO4 0.16 g, NaHCO32.1 g, CaCl2) 0.28 g, glucose 2 g per 1000 mL) at 37° C. and continuously introduced with mixed gas (95% O2, 5% CO2). The remaining blood in the blood vessel was squeezed out, and the peripheral fat and connective tissue were carefully peeled off, and it was cut into 0.5 cm long arterial rings for use. Two stainless steel L-shaped hooks were used to pierce through the vascular lumen of the vascular ring, and the vascular ring was hung horizontally in a 20 mL bath tube, fixed at the bottom, and connected to a tension transducer with a thin steel wire at the top. The resting tension was first adjusted to 0.00 g, and after stabilization for 20 minutes, 3.00 g tension was applied, and the tension level was continuously adjusted to maintain it at about 3.00 g and stabilized for 2 h (replacing the Kerbs solution along the wall of the bath every 15 minutes).
BL-420S biological function experiment system (Chengdu Techman Technology) was used to record the variation of vascular ring tension. After the vascular ring contraction was stable, prostaglandin E1 and the compounds of the Examples were accumulatively added to successively increase the final mass concentration of prostaglandin E1 in the bath tube to 0.05, 0.1, 0.2, 0.4, 0.8, 1.6, 3.2, 6.4, 12.8, 25.6 nM, and the diastolic efficacies of the vascular ring were recorded.
The results (
Frozen human umbilical vein endothelial cells (HUVEC) were resuscitated and placed in low-sugar DMEM medium with 10% (V/V) FBS, and 100 U/L penicillin and 0.1 g/L streptomycin were added. It was cultured artificially in an environment of 5% CO2 and 95% air at a temperature of 37° C. A fresh medium was replaced every three days. When the cell density reached 70-80%, the digestion solution (0.25% trypsin/0.02EDTA) was used to harvest the cells. After the cells were resuspended, they were seeded in a 96-well plate with a density of 5×103 per well.
After 1 day of culture, 1-100 nM of prostaglandin methyl ester was added and incubated for 24 hours for MTT detection. Compared with the cells in the unmedicated wells, the prostaglandin methyl ester has a significant effect of promoting the proliferation of vascular endothelial cells, which can promote angiogenesis and improve vascular function, and can be used clinically to treat microcirculation disorders.
Therapeutic Effect of Prostaglandin E1 Methyl Ester in Mouse Scleroderma Model
Scleroderma is a connective tissue disease characterized by fibrosis of the skin, blood vessels and internal organs, with a large number of autoantibodies, which destroy various cellular components, produced in the body. Its pathogenesis has three basic processes, namely fibrosis, inflammation and vascular dysfunction. The etiology and pathogenesis of the disease are still not fully understood, and there is no ideal treatment drug and method.
In this experiment, 56 Balb/c mice weighing 22-25 g were randomly divided into 7 groups: normal group, model group, vehicle group, prostaglandin E1 high-dose group and prostaglandin E1 low-dose group, and prostaglandin E1 methyl ester high-dose group and prostaglandin E1 methyl ester low-dose group.
Model preparation: the clothing hair on the central area of the mice was shaved, the normal group was injected with 0.1 ml PBS subcutaneously on the back, and the other groups were injected with 0.1 ml of 0.2 mg/ml bleomycin subcutaneously, once a day for three weeks.
Method of administration: Osmotic pumps (model 1004, ALZA Corporation, Canada) containing 100 μl of drug in DMSO were used. The drug was released at a constant rate, and the drug release cycle was 28 days. Prostaglandin E1 high and low-dose groups were loaded with 28 μg and 14 μg of drugs respectively; prostaglandin E1 methyl ester high and low-dose groups were also loaded with 28 μg and 14 μg of drugs respectively; solvent group was not loaded with drugs. The osmotic pump was buried in the mouse's abdominal cavity and the inferior vena cava was intubated for administration. The administration was started at the same time as the model was created.
Index detection: After the administration, the animals were sacrificed, and skin and lung sections of the injection site were made, and HE stained. The histological changes were observed, and the skin (dermis) thickness was measured; and the photoelectric colorimetry was used to determine the content of hydroxyproline and protein in the skin to infer the content of collagen.
The results showed that the dermal layer at the injection site of the model group was significantly thickened, collagen fibers were thickened with number increased, and the fibrous space was narrowed with atrophy of hair follicles, the blood vessel wall was thickened, the lumen was narrowed, and inflammatory cell infiltration was accompanied. The local skin of the mice in each administration group was thickened to different degrees, but they were all thinner than the model group. The collagen fibers were arranged loosely and the hair follicles had less inflammatory cell infiltration. The skin thickness of the prostaglandin E1 group and the prostaglandin E1 methyl ester group were dose dependent. The high-dose group of the same drug was better than the low-dose group, and the prostaglandin E1 methyl ester group was significantly better than the prostaglandin E1 group. In lung tissue, there was thickening of alveolar septum with a large number of monocyte infiltration. There was fibroblast proliferation in the gap, and the wall of small blood vessels was thickened. Compared with the model group, the thickening of the alveolar septum in each dose group was reduced, and the infiltration of inflammatory cells was slightly relieved. The prostaglandin E1 methyl ester group was slightly better than the prostaglandin E1 group.
Excessive deposition of collagen in the skin and corresponding visceral tissues plays an important role in the development of scleroderma. The results show that the skin collagen content of the model group is significantly increased, and the average collagen content of each administration group was lower than that of the model group. However, there is no significant difference between the two dose groups of prostaglandin E1, and the protein content of the two dose groups of prostaglandin E1 methyl ester is significantly lower than that of the model group and the two dose groups of prostaglandin E1. The skin thickness and skin collagen content of mice in each group are shown in Table 2 below.
The above results indicate that the prostaglandin E1 methyl ester has an excellent improvement effect on the mouse scleroderma model and is better than that of prostaglandin E1.
Distribution of Prostaglandin E1 Methyl Ester in Rat Skin Tissue
In this experiment, 12 male SD rats weighing 250-280 g were randomly divided into two groups (n=6): prostaglandin E1 group and prostaglandin E1 methyl ester group. Osmotic pumps (model 1003D, ALZA Corporation, Canada) containing 100 μl of drug in DMSO were used. The drug was released at a constant rate, and the drug release cycle was 3 days. They were loaded with 200 μg of [3H] prostaglandin E1 and [3H] prostaglandin E1 methyl ester respectively. The osmotic pump was buried in the rat's abdominal cavity and the inferior vena cava was intubated for administration. After the administration, the animals were sacrificed, skin tissues were taken (the same position for each animal), weighed, and the total radiation value was measured. The results are shown in Table 3.
The results show that under the same dosage, the skin tissue concentration of prostaglandin E1 methyl ester is significantly higher than that of prostaglandin E1.
| Number | Date | Country | Kind |
|---|---|---|---|
| 201811423944.4 | Nov 2018 | CN | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/CN2019/113558 | 10/28/2019 | WO | 00 |
