TW202017939A - Antiviral use of mussel adhesive proteins - Google Patents

Antiviral use of mussel adhesive proteins Download PDF

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TW202017939A
TW202017939A TW107124314A TW107124314A TW202017939A TW 202017939 A TW202017939 A TW 202017939A TW 107124314 A TW107124314 A TW 107124314A TW 107124314 A TW107124314 A TW 107124314A TW 202017939 A TW202017939 A TW 202017939A
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班傑特I 山謬森
古明
孟南
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大陸商江陰貝瑞森製藥有限公司
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Abstract

There is provided a mussel adhesive protein or a derivative thereof for use in the treatment of a viral infection and/or as an antiviral agent. Viruses that may be mentioned include herpes simplex, type 1 virus, herpes simplex, type 2 virus, human papillomavirus, influenza virus and parainfluenza virus.

Description

貽貝黏著蛋白的抗病毒用途 Antiviral use of mussel adhesion protein

本發明涉及已知化合物的新用途。 The present invention relates to new uses of known compounds.

病毒是包含能夠感染生物機體的遺傳物質(DNA或RNA)的極小生物體。病毒侵襲活細胞並將其自身吸附於活細胞,在此之後其繁殖以產生更多的病毒顆粒(病毒粒子),其等吸附於並進入易感細胞。 Viruses are very small organisms that contain genetic material (DNA or RNA) that can infect organisms. The virus invades the living cell and adsorbs itself to the living cell, after which it multiplies to produce more virus particles (viral particles), which are adsorbed to and enter the susceptible cells.

病毒可能殺死細胞或改變細胞功能,其副產物導致其它細胞感染。此然後通常會導致稱為病毒性疾病(或病毒感染)的結果。 Viruses may kill cells or change cell functions, and their by-products cause infection of other cells. This then usually results in what is called a viral disease (or viral infection).

通常,病毒僅感染一種類型的細胞,但是可以以多種方式傳播,包括與被感染個體或其身體分泌物、動物(諸如節肢動物)或無生命物體接觸。病毒也可以通過吸入或吞咽傳播。 Generally, viruses infect only one type of cell, but can spread in many ways, including contact with infected individuals or their body secretions, animals (such as arthropods), or inanimate objects. The virus can also be spread by inhalation or swallowing.

在病毒感染之後,生物的免疫防禦系統被觸發。淋巴細胞和單核細胞嘗試攻擊和摧毀侵襲性病毒。此稱為身體的先天或天然免疫性。先天免疫反應往往可以導致患者感到不適或疲乏。如果患者的免疫系統被損害、或不夠有效以防止病毒的蔓延,則此可導致嚴重的不適,在某些情況中導致發病和/或死亡。 After the virus infection, the biological immune defense system is triggered. Lymphocytes and monocytes try to attack and destroy aggressive viruses. This is called the body's innate or natural immunity. Innate immune responses can often cause patients to feel unwell or tired. If the patient's immune system is damaged, or is not effective enough to prevent the spread of the virus, this can cause severe discomfort, and in some cases, morbidity and/or death.

抗病毒藥物通常通過干擾病毒複製起作用,例如減慢複製速率以增加先天免疫反應干擾的可能性。對表現出更好的和/或不同的抗病毒特性的藥物明顯存在臨床需要。 Antiviral drugs usually work by interfering with viral replication, such as slowing the rate of replication to increase the likelihood of innate immune response interference. There is clearly a clinical need for drugs that exhibit better and/or different antiviral properties.

貽貝黏著蛋白也稱為貽貝足絲蛋白(Mytilus edulis foot protein,mefp),其為由海洋貝類物種分泌的蛋白質,所述物種諸如為食用貽貝(Mytilus edulis)、厚殼貽貝(Mytilus ccruscus)和翡翠貽貝(Perna viridis)。黏著蛋白由貽貝從足絲腺分泌,其中所述黏著蛋白在足絲腺中產生和儲存。當在固體(諸如岩石以及其它固體物件,諸如金屬、木材、玻璃等)的表面上分泌時,形成防水黏結(water-proof bond),其將貽貝固定於固體物件。貽貝通常以群的形式貼附於海岸礁或貼附於船的底部。該黏結極為強力,具有抵抗沿海水域中的波浪衝擊的能力。 Mussel adhesion proteins are also known as Mytilus edulis foot protein (mefp), which are proteins secreted by marine shellfish species such as edible mussels ( Mytilus edulis ), thick-shelled mussels ( Mytilus ccruscus ), and jade Mussels ( Perna viridis ). Adhesion proteins are secreted from the mycelium by mussels, where they are produced and stored in the mycelium. When secreted on the surface of a solid (such as rock and other solid objects, such as metal, wood, glass, etc.), a water-proof bond is formed, which fixes the mussel to the solid object. Mussels are usually attached to coastal reefs in groups or attached to the bottom of boats. The bond is extremely strong and has the ability to resist wave impacts in coastal waters.

對食用貽貝、地中海貽貝(Mytilus galloprovincialis)、加州貽貝(Mytilus californias)和翡翠貽貝(Perna viridis)的研究迄今已經識別出11種源自貽貝足絲的單獨的黏著蛋白亞型:mfp-1(有時稱為「mefp-1」,下文可互換使用)、mfp-2/mefp-2、mfp-3/mefp-3、mfp-4/mefp-4、mfp-5/mefp-5、mfp-6/mefp-6、膠原蛋白、pre-COL-P、pre-COL-D、pre-COL-NG、PTMP(近端絲基質蛋白(proximal thread matrix protein))和DTMP(遠側近端絲基質蛋白(distal proximal thread matrix protein))。參見,例如,Zhu等人,Advances in Marine Science32,560(2014)和Gao等人,Journal of Anhui Agr.Sci.39,19860(2011)。 Studies on edible mussels, Mediterranean mussels ( Mytilus galloprovincialis ), California mussels ( Mytilus californias ) and emerald mussels ( Perna viridis ) have so far identified 11 separate subtypes of adhesion proteins derived from mussel foot silk: mfp-1 (with It is called "mefp-1" and can be used interchangeably hereinafter), mfp-2/mefp-2, mfp-3/mefp-3, mfp-4/mefp-4, mfp-5/mefp-5, mfp-6 /mefp-6, collagen, pre-COL-P, pre-COL-D, pre-COL-NG, PTMP (proximal thread matrix protein) and DTMP (distal proximal silk matrix protein ( distal proximal thread matrix protein)). See, for example, Zhu et al., Advances in Marine Science , 32 , 560 (2014) and Gao et al., Journal of Anhui Agr. Sci. , 39 , 19860 (2011).

所有貽貝黏著蛋白(包括其亞型)具有兩種結構特徵,在於其等包括:(1)賴氨酸,使得所述蛋白質攜載高正電荷荷電(由於NH2末端);(2)3,4-二羥基苯基丙氨酸(DOPA,多巴胺),其鄰苯二酚部分負責形成強的共價鍵,由此賦予使貽貝黏著蛋白結合於固體表面的能力。 All mussel adhesion proteins (including their subtypes) have two structural features, including the following: (1) Lysine, so that the protein carries a high positive charge (due to the NH 2 terminal); (2) 3, 4-Dihydroxyphenylalanine (DOPA, dopamine), whose catechol moiety is responsible for the formation of strong covalent bonds, thereby conferring the ability to bind mussel adhesion proteins to solid surfaces.

基於貽貝黏著蛋白產物的產品目前用於數量有限的領域(包括作為組織黏合劑用於微孔黏結,和治療傷口和燒傷)。商業產品或直接作為貽貝黏著蛋白的溶液使用或作為凍乾粉儲存以在使用前溶解。 Products based on mussel adhesive protein products are currently used in a limited number of areas (including as tissue adhesives for microporous bonding, and for treating wounds and burns). Commercial products are either used directly as a solution for mussel adhesion proteins or stored as lyophilized powder to dissolve before use.

據申請人所知,先前技術並未具體揭露使用貽貝黏著蛋白作為抗病毒劑以預防病毒性疾病的發作或蔓延。 As far as the applicant is aware, the prior art does not specifically disclose the use of mussel adhesion proteins as antiviral agents to prevent the onset or spread of viral diseases.

根據本發明,提供了至少一種貽貝黏著蛋白或其衍生物,諸如醫藥上可接受的衍生物,其用於治療病毒感染。 According to the present invention, there is provided at least one mussel adhesion protein or derivative thereof, such as a pharmaceutically acceptable derivative, for use in the treatment of viral infections.

在本發明的上下文中,術語「貽貝黏著蛋白」包括可以源自(分離自或提取自)貽貝物種的足絲的任何黏著蛋白,包括本申請提及者和優選為食用貽貝(藍貽貝)。 In the context of the present invention, the term "mussel adhesive protein" includes any adhesive protein that can be derived (isolated or extracted) from the silk of the mussel species, including those mentioned in this application and preferably edible mussels (blue mussels).

該術語因此包括全長蛋白,包括所有亞型,其源自或可以源自貽貝,諸如膠原蛋白pre-COL-P、pre-COL-D和pre-COL-NG、貽貝足絲基質蛋白PTMP和DTMP,和更優選為mfp或mefp,諸如mefp-2、mefp-3、mefp-4、mefp-5、mefp-6,和尤其是mefp-1,並且包括任何此等蛋白質的混合物或組合,諸如mefps。雖然根據本發明,上述MAP亞型的混合物/組合可以作為MAP「組分」提供,但是優選的是主要的MAP亞型(例如mefp-1)的純度為任何如此混合物的總量的至少25重量%。 The term therefore includes full-length proteins, including all subtypes, which are or can be derived from mussels, such as collagen pre-COL-P, pre-COL-D and pre-COL-NG, mussel foot silk matrix proteins PTMP and DTMP , And more preferably mfp or mefp, such as mefp-2, mefp-3, mefp-4, mefp-5, mefp-6, and especially mefp-1, and includes any mixture or combination of such proteins, such as mefps . Although according to the present invention, mixtures/combinations of the above-mentioned MAP subtypes can be provided as MAP "components", it is preferred that the purity of the main MAP subtype (e.g. mefp-1) is at least 25% by weight of the total amount of any such mixture %.

因此,為本發明必要要素的至少一種貽貝黏著蛋白在下文稱為至少一種「MAP」。貽貝黏著蛋白在下文共同或個別地稱為「MAP」。 Therefore, at least one mussel adhesive protein, which is an essential element of the present invention, is hereinafter referred to as at least one "MAP". Mussel adhesion proteins are collectively or individually referred to as "MAP" below.

可以使用提取、製備、分離和純化天然存在的MAP的已知方法,例如混合吸附色譜(參見中國專利號ZL200710179491.0)、羧基甲基離子交換色譜(參見中國專利號ZL200710179492.5)和/或鹽析和透析(中國專利號ZL200910087567.6)。MAP的商業來源包括USUN Bio Co.(中國;作為MAP Medical Device®出售)、BD Biosciences(美國)、Kollodis(韓國)和Biopolymer(瑞典)。MAP或者可以使用已知的重組DNA方法製備。 Known methods for extraction, preparation, separation and purification of naturally occurring MAP can be used, such as mixed adsorption chromatography (see Chinese Patent No. ZL200710179491.0), carboxymethyl ion exchange chromatography (see Chinese Patent No. ZL200710179492.5) and/or Salting out and dialysis (Chinese Patent No. ZL200910087567.6). Commercial sources of MAP include USUN Bio Co. (China; sold as MAP Medical Device®), BD Biosciences (USA), Kollodis (Korea), and Biopolymer (Sweden). Alternatively, MAP can be prepared using known recombinant DNA methods.

MAP的衍生物包括醫藥上可接受的衍生物,諸如分離的較低分子量產物(例如分子量範圍為約500Da至約2,000(例如約1,200,諸如約800)Da,其可允許較易滲透通過生物膜,諸如皮膚屏障或黏膜表面。如此衍生物也可以包括含有與已經在天然存在的MAP中確定的序列相同或者是其(例如次要)變體氨基酸序列的其它化合物,並且所述化合物可以通過化學和/或生物方法(例如天然存在的MAP的化學修飾,或直接合成)合成。吾人用「天然存在的MAP中確定的氨基酸序列的(例如次要)變體」表示於該等序列中不會負面地影響相關天然存在的MAP的必要性質達可測量的程度的變化。 Derivatives of MAP include pharmaceutically acceptable derivatives, such as isolated lower molecular weight products (eg, molecular weights ranging from about 500 Da to about 2,000 (eg, about 1,200, such as about 800) Da, which may allow easier penetration through biofilms , Such as skin barriers or mucosal surfaces. Such derivatives may also include other compounds that contain the same sequence as the sequence already identified in the naturally occurring MAP or that are (eg, minor) variant amino acid sequences, and that the compound can be chemically And/or biological methods (such as chemical modification of naturally occurring MAP, or direct synthesis). I use "the (eg minor) variant of the amino acid sequence determined in naturally occurring MAP" to indicate that these sequences will not Changes that negatively affect the necessary properties of the relevant naturally occurring MAP to a measurable degree.

MAP的衍生物包括「MAP肽」及其鹽(例如陽離子鹽),其為具有以下序列的十肽:Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys(參見Waite,Int.J.Adhesion and Adhesives7,9(1987))。MAP肽可以作為天然存在的MAP的低分子量衍生物衍生和/或分離,或者可以例如按照Yamamoto在J.Chem.Soc.,Perkin Trans.1,613(1987)中的描述合成。也參見Dalsin等人,J.Am.Chem.Soc.125,4253(2003)。其它衍生物包括序列Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys的胜肽、其區域異構體、立體異構體或鹽,其可以通過類似技術製備(參見,例如Kanyalkar等人in Biomaterials,389(2002)和Belli等人in Dental Materials26,e125(2010))。 Derivatives of MAP include "MAP peptides" and their salts (eg cationic salts), which are decapeptides with the following sequence: Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys (see Waite, Int. J. Adhesion and Adhesives , 7 , 9 (1987)). The MAP peptide can be derived and/or isolated as a low molecular weight derivative of naturally occurring MAP, or can be synthesized , for example, as described by Yamamoto in J. Chem. Soc., Perkin Trans. 1 , 613 (1987). See also Dalsin et al., J. Am. Chem. Soc. , 125 , 4253 (2003). Other derivatives include peptides of the sequence Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys, their regioisomers, stereoisomers or salts, which can be prepared by similar techniques (see, For example, Kanyalkar et al. in Biomaterials , 389 (2002) and Belli et al. in Dental Materials , 26 , e125 (2010)).

如此MAP的衍生物可以根據本發明單獨使用,或與一種或多種其它如此衍生物和/或一種或多種上述全長MAP組合使用。 Such derivatives of MAP can be used alone or in combination with one or more other such derivatives and/or one or more of the aforementioned full-length MAPs according to the invention.

如下所述,申請人已經出乎意料地發現,MAP及其衍生物具有抗病毒性質,該性質可以通過干擾病毒在宿主內的複製允許治療病毒感染本身(即治療病毒感染)或病毒性疾病,這與治療任何病毒感染或疾病的任何症狀(諸如疼痛和/或炎症)是不同的。如此抗病毒性質也可以允許預防如此感染或疾病的發作,保護宿主的細胞免受(例如進一步的)病毒感染,預防或阻止病毒感染 或疾病(在單個宿主內,或從一個宿主到新的宿主)的蔓延,或預防在宿主中的潛伏後病毒的再活化。 As described below, the applicant has unexpectedly discovered that MAP and its derivatives have antiviral properties that can allow the treatment of viral infections themselves (ie treatment of viral infections) or viral diseases by interfering with the replication of the virus in the host, This is different from treating any symptoms of any viral infection or disease, such as pain and/or inflammation. Such antiviral properties may also allow the prevention of such infections or disease outbreaks, protect the host's cells from (eg, further) viral infections, prevent or prevent viral infections Or the spread of the disease (within a single host, or from one host to a new host), or to prevent reactivation of the virus after latent in the host.

根據本發明的再一方面,提供了治療病毒感染的方法,所述方法包括將至少一種MAP或其衍生物投予至需要如此治療的患者。 According to yet another aspect of the present invention, there is provided a method of treating a viral infection, the method comprising administering at least one MAP or derivative thereof to a patient in need of such treatment.

「患者」包括兩棲動物且優選為哺乳動物(特別是人類)患者。 "Patient" includes amphibian and preferably mammal (especially human) patients.

可以提及的病毒感染包括由以下科中的病毒引起者:腺病毒科(例如腺病毒)、乳頭瘤病毒科(例如人乳頭瘤病毒)、多瘤病毒科(例如BK病毒;JC病毒)、皰疹病毒科(例如第1型單純皰疹病毒;第2型單純皰疹病毒;水痘-帶狀瘡疹病毒;Epstein-Barr病毒;人巨細胞病毒;第8型人皰疹病毒)、痘病毒科(例如天花病毒)、肝DNA病毒科(例如B型肝炎病毒)、微小病毒科(例如微小病毒B19)、星狀病毒科(例如人星狀病毒)、杯狀病毒科(例如諾羅病毒;諾沃克病毒)、微小RNA病毒科(例如柯薩奇病毒、A型肝炎病毒;脊髓灰質炎病毒;鼻病毒)、冠狀病毒科(例如嚴重急性呼吸道症候群病毒)、黃病毒科(例如C型肝炎病毒;黃熱病病毒;登革病毒;西尼羅病毒;蜱傳腦炎病毒)、逆轉錄病毒科(例如人類免疫缺陷病毒;HIV)、披膜病毒科(例如風疹病毒)、沙粒病毒科(例如賴薩病毒)、本雅病毒科(bunyavirudae)(例如漢他病毒;克裡米亞-剛果出血熱病毒;漢坦病毒)、絲狀病毒科(例如埃博拉病毒;馬堡病毒;拉夫(Ravn)病毒)、正黏液病毒科(例如流感病毒、包括A型流感病毒(例如H1N1和H3N2病毒)、B型流感病毒或C型流感病毒)、副黏液病毒科(例如麻疹病毒;腮腺炎病毒;副流感病毒、呼吸道融合細胞病毒)、彈狀病毒科(例如狂犬病毒)、肝炎病毒科(例如E型肝炎病毒)、呼腸孤病毒科(例如輪狀病毒;環狀病毒;科考蒂病毒(coltivirus);版納(Banna)病毒)、以及未歸屬於科的病毒,諸如D型肝炎病毒。 Viral infections that may be mentioned include those caused by viruses in the following families: adenoviridae (eg adenovirus), papillomavirus (eg human papillomavirus), polyomavirus (eg BK virus; JC virus), Herpesviridae (eg herpes simplex virus type 1; herpes simplex virus type 2; varicella-zoster virus; Epstein-Barr virus; human cytomegalovirus; human herpes virus type 8), pox Viridae (e.g. variola virus), Hepatoviridae (e.g. hepatitis B virus), Parvoviridae (e.g. Parvovirus B19), Astroviridae (e.g. human astrovirus), Calicivirus (e.g. Noro Virus; Norwalk virus), MicroRNA virus family (eg Coxsackie virus, Hepatitis A virus; Poliovirus; Rhinovirus), Coronaviridae (eg severe acute respiratory syndrome virus), Flavivirus family (eg C Hepatitis virus; yellow fever virus; dengue virus; West Nile virus; tick-borne encephalitis virus), retroviridae (eg, human immunodeficiency virus; HIV), togaviridae (eg, rubella virus), sand Viridae (e.g. Reisa virus), Bunyavirudae (e.g. Hantavirus; Crimea-Congo hemorrhagic fever virus; Hantavirus), Filaviridae (e.g. Ebola virus; Marburg Virus; Ravn virus), Orthomyxoviridae (eg influenza viruses, including influenza A viruses (eg H1N1 and H3N2 viruses), influenza B virus or influenza C virus), paramyxoviridae (eg measles virus) Mumps virus; parainfluenza virus, respiratory fusion cell virus), rhabdoviridae (e.g. rabies virus), hepatitis virus family (e.g. hepatitis E virus), reoviridae (e.g. rotavirus; circovirus) ; Coltivirus; Banna virus), and viruses that do not belong to the family, such as hepatitis D virus.

可以更特別提及的病毒包括第1型單純皰疹病毒和第2型單純皰 疹病毒、人乳頭瘤病毒、流感病毒和副流感病毒。 Viruses that may be more specifically mentioned include herpes simplex virus type 1 and herpes simplex type 2 Herpes virus, human papilloma virus, influenza virus and parainfluenza virus.

根據本發明,MAP/衍生物可以局部或全身性投予,例如口服投予、靜脈內或動脈內投予(包括通過血管內和其它血管周裝置/劑型(例如支架))、肌內投予、皮膚投予、皮下投予、透黏膜投予(例如舌下或口頰投予)、直腸投予、陰道內投予、透皮投予、鼻投予、肺投予(例如氣管投予或支氣管投予)、局部投予或通過任何其它非腸道途徑投予,形式為呈醫藥上可接受的劑型的包含化合物的醫藥製劑。可以通過產生包含活性成分的噴霧增強局部投予形式,例如通過使用粉末氣溶膠或借助於使用適當的霧化技術或設備(諸如噴霧器)的水霧。 According to the present invention, MAP/derivatives can be administered locally or systemically, such as oral administration, intravenous or intraarterial administration (including through intravascular and other perivascular devices/dosage forms (eg stents)), intramuscular administration , Skin administration, subcutaneous administration, transmucosal administration (e.g. sublingual or buccal administration), rectal administration, intravaginal administration, transdermal administration, nasal administration, lung administration (e.g. tracheal administration Or bronchial administration), topical administration or administration via any other parenteral route in the form of a pharmaceutical preparation containing the compound in a pharmaceutically acceptable dosage form. The topical administration form can be enhanced by creating a spray containing the active ingredient, for example, by using powder aerosols or by means of water mist using appropriate atomization techniques or equipment, such as sprayers.

MAP及其衍生物的優選遞送模式包括在適當的(例如醫藥上可接受的)媒介物和/或商業上可購得的調配物中局部遞送(例如至皮膚或黏膜表面,包括肺黏膜,或優選為鼻黏膜或陰道黏膜),但是也可以包括口服、靜脈內、皮膚或皮下、鼻、肌內或腹膜內遞送。 Preferred modes of delivery of MAP and its derivatives include local delivery (e.g. to the skin or mucosal surface, including lung mucosa, in suitable (e.g., pharmaceutically acceptable) vehicles and/or commercially available formulations, or Preferably nasal or vaginal mucosa), but can also include oral, intravenous, cutaneous or subcutaneous, nasal, intramuscular or intraperitoneal delivery.

MAP/衍生物通常會以與醫藥上可接受的佐劑、稀釋劑或載體混合的一種或多種(例如醫藥)調配物的形式投予,所述佐劑、稀釋劑或載體可以適當考慮預定投予途徑和標準醫藥或其它(例如化妝品)實踐來選擇。可接受的載體可以對活性化合物具有化學惰性,並且可以在使用條件下不具有有害副作用或毒性。如此載體也可以賦予活性成分的立即釋放或修飾釋放。 The MAP/derivative will usually be administered in the form of one or more (eg, pharmaceutical) formulations mixed with a pharmaceutically acceptable adjuvant, diluent, or carrier, which can be appropriately scheduled for administration The choice is based on the route and standard pharmaceutical or other (e.g. cosmetic) practices. Acceptable carriers can be chemically inert to the active compound and can have no deleterious side effects or toxicity under the conditions of use. Such carriers can also confer immediate release or modified release of the active ingredient.

適宜的醫藥調配物可係商業上可購得的或否則以根據文獻(例如,Remington The Science and Practice of Pharmacy,22nd edition,Pharmaceutical Press(2012)和Martindale-The Complete Drug Reference,38th Edition,Pharmaceutical Press(2014)以及其中提及的文獻,所有文獻中的相關揭露內容皆以引用形式併入本申請內)中描述的技術製備。否則,包含MAP及其衍生物的適宜調配物的製備可以由所屬技術領域中具有通常知識者使用常規技 術無創造性地實現。 Suitable pharmaceutical formulations may be based on commercially available or can be otherwise in accordance with the literature (e.g., Remington The Science and Practice of Pharmacy , 22 nd edition, Pharmaceutical Press (2012) , and Martindale-The Complete Drug Reference, 38 th Edition, Pharmaceutical Press (2014) and the documents mentioned therein, all relevant disclosures in all documents are incorporated by reference to the technique described in (). Otherwise, the preparation of suitable formulations containing MAP and its derivatives can be achieved by those with ordinary knowledge in the technical field using conventional techniques without creativity.

MAP(例如Mefp-1)及其衍生物可以為含水調配物的形式,諸如乳液、懸浮液和/或溶液(例如(任選)緩衝的含水調配物(例如溶液),諸如含生理鹽水的調配物(例如溶液)、含磷酸鹽的調配物(例如溶液)、含醋酸鹽的調配物(例如溶液)或含硼酸鹽的調配物(例如溶液)),或凍乾粉末。 MAP (eg Mefp-1) and its derivatives may be in the form of aqueous formulations, such as emulsions, suspensions and/or solutions (eg (optional) buffered aqueous formulations (eg solutions), such as physiological saline-containing formulations (Eg solution), phosphate-containing formulation (eg solution), acetate-containing formulation (eg solution) or borate-containing formulation (eg solution)), or lyophilized powder.

在可替換的實施方式中,活性成分可以與適當的賦形劑組合以製備:●凝膠調配物(對其適宜的凝膠基質材料包括纖維素衍生物、卡波姆和海藻酸鹽、西黃著膠、明膠、果膠、卡拉膠、結冷膠、澱粉、黃原膠、陽離子瓜爾膠、瓊脂、非纖維素多糖、乙烯基聚合物、丙烯酸樹脂、聚乙烯醇、羧基乙烯基聚合物,和特別是透明質酸);●洗劑(濃縮物;對其適宜的基質材料包括纖維素衍生物、甘油、非纖維素多糖、具有不同分子量的聚乙二醇和丙二醇);●糊劑或軟膏劑(對其適宜的糊劑基質材料包括甘油、凡士林、石蠟、具有不同分子量的聚乙二醇等);●乳膏劑或泡沫劑(對其適宜的賦形劑(例如發泡劑)包括羥基丙基甲基纖維素、明膠、具有不同分子量的聚乙二醇、十二烷基硫酸鈉、脂肪醇鈉聚氧乙烯醚磺酸鹽、玉米蛋白粉和丙烯醯胺);●粉末氣溶膠(對其適宜的賦形劑包括甘露醇、甘氨酸、糊精、右旋糖、蔗糖、乳糖、山梨醇和聚山梨酯);和/或●液體(氣溶膠)噴霧,用於口服使用或用於吸入(對其適宜的賦形劑包括黏度調整劑,諸如透明質酸、乳化劑、緩衝劑、醇、水、防腐劑、甜味劑、香料等)。 In an alternative embodiment, the active ingredient can be combined with appropriate excipients to prepare: ● Gel formulations (gel matrix materials suitable for it include cellulose derivatives, carbomers and alginates, Xanthan gum, gelatin, pectin, carrageenan, gellan gum, starch, xanthan gum, cationic guar gum, agar, non-cellulosic polysaccharide, vinyl polymer, acrylic resin, polyvinyl alcohol, carboxyvinyl polymerization Substances, and especially hyaluronic acid); ● lotion (concentrate; suitable matrix materials for it include cellulose derivatives, glycerin, non-cellulose polysaccharides, polyethylene glycol and propylene glycol with different molecular weights); ● paste Or ointment (paste base materials suitable for it include glycerin, petrolatum, paraffin, polyethylene glycols with different molecular weights, etc.); creams or foams (excipients suitable for them (such as foaming agents) Including hydroxypropyl methylcellulose, gelatin, polyethylene glycol with different molecular weight, sodium lauryl sulfate, fatty alcohol sodium polyoxyethylene ether sulfonate, corn gluten powder and acrylamide); powder gas Sol (suitable excipients include mannitol, glycine, dextrin, dextrose, sucrose, lactose, sorbitol and polysorbate); and/or liquid (aerosol) spray for oral use or use For inhalation (suitable excipients include viscosity modifiers such as hyaluronic acid, emulsifiers, buffers, alcohols, water, preservatives, sweeteners, flavors, etc.).

視情況而定,以下物質也可以包括在如此調配物中:保濕劑,諸如甘油、丙三醇、聚乙二醇、海藻糖、甘油、礦脂、石蠟油、透明質酸及其 鹽(例如鈉鹽和鉀鹽)、辛酸/羊脂酸甘油三酯、及類似者;和/或抗氧化劑,諸如維生素和谷胱甘肽;和/或pH調整劑,諸如酸、鹼和pH緩衝劑。此外,可以包括以下者:表面活性劑/乳化劑,諸如十六烷醇(鯨蠟醇)、脂肪酸(例如硬脂酸)、十二烷基硫酸鈉(月桂基硫酸鈉)、山梨聚糖酯(例如山梨聚糖硬脂酸酯、山梨聚糖油酸酯等)、單醯基甘油酯(諸如單硬脂酸甘油酯)聚乙氧基化醇、聚乙烯醇、多元醇酯、聚氧乙烯烷基醚(例如聚氧乙烯山梨聚糖單油酸酯)、聚氧乙烯蓖麻油衍生物、乙氧基化脂肪酸酯、聚氧甘油酯、月桂基二甲基胺氧化物、膽汁鹽(例如去氧膽酸鈉、膽酸鈉)、磷脂、N,N-二甲基十二烷胺-N-氧化物、十六烷基三甲基溴化銨、泊洛沙姆、卵磷脂、固醇(例如膽固醇)、糖酯、聚山梨酯、及類似者;防腐劑,諸如苯氧基乙醇、乙基己基甘油、及類似者;和增稠劑,諸如牛磺酸丙烯醯基二甲基酯/VP共聚物。特別地,可包括硬脂酸、單硬脂酸甘油酯、十六醇、山梨聚糖硬脂酸酯、鯨蠟醇、辛酸/羊脂酸甘油酯等,特別是在乳膏調配物中。 Depending on the situation, the following substances may also be included in such formulations: humectants such as glycerin, glycerin, polyethylene glycol, trehalose, glycerin, petrolatum, paraffin oil, hyaluronic acid and their Salts (e.g. sodium and potassium salts), caprylic/capric acid triglycerides, and the like; and/or antioxidants such as vitamins and glutathione; and/or pH adjusting agents such as acids, bases and pH Buffer. In addition, the following may be included: surfactants/emulsifiers such as cetyl alcohol (cetyl alcohol), fatty acids (eg stearic acid), sodium lauryl sulfate (sodium lauryl sulfate), sorbitan esters (E.g. sorbitan stearate, sorbitan oleate, etc.), monoglycerides (such as glyceryl monostearate) polyethoxylated alcohols, polyvinyl alcohol, polyol esters, polyoxy Ethylene alkyl ethers (eg polyoxyethylene sorbitan monooleate), polyoxyethylene castor oil derivatives, ethoxylated fatty acid esters, polyoxyglycerides, lauryl dimethylamine oxide, bile salts (E.g. sodium deoxycholate, sodium cholate), phospholipid, N,N-dimethyldodecylamine-N-oxide, cetyltrimethylammonium bromide, poloxamer, lecithin , Sterols (such as cholesterol), sugar esters, polysorbates, and the like; preservatives, such as phenoxyethanol, ethylhexylglycerol, and the like; and thickeners, such as taurine propionyl diacetyl Methyl ester/VP copolymer. In particular, it may include stearic acid, glyceryl monostearate, cetyl alcohol, sorbitan stearate, cetyl alcohol, caprylic/capric acid glycerides, etc., especially in cream formulations.

MAP(例如Mefp-1)及其衍生物和包含其等的(例如醫藥)調配物(例如,如上所述的含水溶液、凝膠、乳膏劑、軟膏劑、濃縮物/洗劑、糊劑和/或泡沫劑)可以進一步與適當的基質材料組合以製備用於施用在生物表面(諸如皮膚或黏膜表面)上的敷料或治療貼片。如此調配物因此可以用於浸漬基質材料,諸如紗布、不織布或絲紙。治療貼片或者可以是,例如,創可貼、面膜、眼膜、手膜、足膜等。 MAP (e.g. Mefp-1) and its derivatives and formulations containing it (e.g. medicine) (e.g. aqueous solutions, gels, creams, ointments, concentrates/lotions, pastes and And/or foam) can be further combined with a suitable matrix material to prepare a dressing or therapeutic patch for application on a biological surface, such as the skin or mucosal surface. Such formulations can therefore be used to impregnate matrix materials such as gauze, non-woven fabric or silk paper. The therapeutic patch may be, for example, a band-aid, facial mask, eye mask, hand mask, foot mask, or the like.

凡士林可以用於將如此敷料施用於傷口,但是吾人也已經發現基於PEG的軟膏劑可以與基質材料組合以在無需使用凡士林的情況下製備敷料。 Vaseline can be used to apply such dressings to wounds, but we have also found that PEG-based ointments can be combined with matrix materials to prepare dressings without the use of vaseline.

MAP及其衍生物也可於治療中與一種或多種選自以下的生長因子組合:血小板型生長因子(包括血小板衍生性生長因子,PDGF);骨肉瘤衍生 性生長因子(ODGF)、表皮生長因子(EGF)、轉形生長因子(TGFα和TGFβ)、成纖維細胞生長因子(αFGF、βFGF)、似胰島素生長因子(IGF-I、IGF-II)、神經生長因子(NGF)、白血球介素型生長因子(IL-1、IL-1、IL-3)、促紅細胞生成素(EPO)和集落刺激因子(CSF)。 MAP and its derivatives can also be combined with one or more growth factors selected from the group consisting of platelet-type growth factors (including platelet-derived growth factor, PDGF); osteosarcoma-derived Sexual growth factor (ODGF), epidermal growth factor (EGF), transforming growth factor (TGFα and TGFβ), fibroblast growth factor (αFGF, βFGF), insulin-like growth factor (IGF-I, IGF-II), nerve Growth factor (NGF), interleukin-type growth factor (IL-1, IL-1, IL-3), erythropoietin (EPO) and colony stimulating factor (CSF).

活性成分的投予可以是連續的或間歇的。投予模式也可以由投予的時機和頻率決定,但是在抗病毒治療的情況下也取決於病況的(例如,潛在)嚴重程度。 The administration of the active ingredient can be continuous or intermittent. The mode of administration may also be determined by the timing and frequency of administration, but in the case of antiviral therapy also depends on the severity (eg, potential) of the condition.

取決於待治療的病症和患者以及投予途徑,活性成分可以按不同的治療有效劑量投予至有其需要的患者。 Depending on the condition to be treated and the patient and the route of administration, the active ingredient can be administered to patients in need thereof in different therapeutically effective doses.

類似地,活性成分在調配物中的量將取決於病況的(例如,潛在)嚴重程度,和取決於待治療的患者,但是可以由所屬技術領域中具有通常知識者確定。 Similarly, the amount of active ingredient in the formulation will depend on the (eg, potential) severity of the condition, and on the patient to be treated, but can be determined by those of ordinary skill in the art.

在任何事例中,取決於病況的(例如,潛在)嚴重程度和投予途徑,醫學從業者或其它技術人員會能夠例行地確定最適宜於個別患者的實際劑量。本申請提及的劑量是一般情況的示例;當然可以存在其中較高或較低的劑量範圍是有利的個別情況,此等也在本發明的範圍內。 In any case, depending on the severity (eg, potential) of the condition and the route of administration, medical practitioners or other technicians will be able to routinely determine the actual dose that is most appropriate for the individual patient. The dosages mentioned in this application are examples of general cases; of course there may be individual cases where higher or lower dosage ranges are advantageous, and these are also within the scope of the invention.

劑可以每日投予一次至每日投予四次。 The agent can be administered once a day to four times a day.

MAP及其衍生物在含水溶液產物中的適當濃度可以為約0.01(例如約0.1)至約15.0(例如約1.5)mg/mL,並且適當的pH值的範圍為約1.0至約7.0(例如約3.0至約6.5),而不考慮使用的調配物是本申請所述的組合調配物還是部件套組(kit of parts)。如此含水溶液的適宜商業來源包括USUN Bio Co.,Jiangyin,Jiangsu Province,China。 The appropriate concentration of MAP and its derivatives in the aqueous solution product may be about 0.01 (eg, about 0.1) to about 15.0 (eg, about 1.5) mg/mL, and the appropriate pH range is about 1.0 to about 7.0 (eg, about 3.0 to about 6.5), regardless of whether the formulation used is a combination formulation described in this application or a kit of parts. Suitable commercial sources of such aqueous solutions include USUN Bio Co., Jiangyin, Jiangsu Province, China.

MAP及其衍生物的適當的局部劑量為約0.1至約50μg/cm2的治療面積,諸如約0.5至約20μg/cm2的治療面積,包括約1至約10μg/cm2的治療面 積,例如約2至約8μg/cm2的治療面積,諸如約5μg/cm2的治療面積。 A suitable local dose of MAP and its derivatives is a treatment area of about 0.1 to about 50 μg/cm 2 , such as a treatment area of about 0.5 to about 20 μg/cm 2 , including a treatment area of about 1 to about 10 μg/cm 2 , for example A treatment area of about 2 to about 8 μg/cm 2 , such as a treatment area of about 5 μg/cm 2 .

在任何事例中,在本發明的內容中投予至哺乳動物(特別是人類)的劑量應該足以在合理的時段(如上文描述)內在患者中產生適當的治療響應。所屬技術領域中具有通常知識者將會認識到,對確實劑量和組成物以及最適當的遞送方案的選擇也會受以下(以及其他者)影響:調配物的藥理學性質、待治療的病況的性質和(例如,潛在)嚴重程度、和接受者的身體狀況和精神敏度、以及待治療患者的年齡、病況、體重、性別和反應、和任何疾病的分期和/或潛在嚴重程度、以及患者之間的遺傳差異。 In any case, the dose administered to mammals (particularly humans) in the context of the present invention should be sufficient to produce an appropriate therapeutic response in the patient within a reasonable period of time (as described above). Those of ordinary skill in the art will recognize that the choice of the exact dosage and composition and the most appropriate delivery protocol will also be affected by (and others): the pharmacological properties of the formulation, the condition to be treated Nature and (eg, potential) severity, and the recipient's physical condition and mental sensitivity, as well as the age, condition, weight, sex, and response of the patient to be treated, and the stage and/or potential severity of any disease, and the patient Genetic differences.

在本申請所述的用途和方法中,MAP及其衍生物也可以與具有抗病毒性質的一種或多種活性成分組合。如此患者因此也可以(和/或已經)接受基於投予一種或多種如此其它活性成分的療法,吾人以此意味在用MAP/衍生物治療之前、除用MAP/衍生物治療之外、和/或在用MAP/衍生物治療之後接受處方劑量的一種或多種本申請提及的該等活性成分。 In the uses and methods described in this application, MAP and its derivatives can also be combined with one or more active ingredients having antiviral properties. Such patients may therefore (and/or already) receive therapy based on the administration of one or more such other active ingredients, which means that before treatment with MAP/derivatives, in addition to treatment with MAP/derivatives, and/or Or receive a prescribed dose of one or more of the active ingredients mentioned in this application after treatment with MAP/derivatives.

可以在病毒感染的治療中與MAP/其衍生物組合使用的如此抗病毒劑包括可以用於對抗所討論病毒感染的標準疫苗、以及已知和/或適當的抗病毒藥,諸如阿巴卡韋(abacavir)、阿昔洛韋(acyclovir)、阿德福韋(adefovir)、金剛烷胺(amantadine)、安瑞那韋(amprenavir)、安普利近(ampligen)、阿比朵爾(arbidol)、阿紮那韋(atazanavir)、立普妥(atripla)、Balavir、西多福韋(cidofovir)、可比韋(combivir)、度魯特韋(dolutegravir)、達蘆那韋(darunavir)、地拉韋啶(delavirdine)、去羥肌苷(didanosine)、二十二烷醇(docosanol)、依度尿苷(edoxudine)、依法韋侖(efavirenz)、恩曲他濱(emtricitabirie)、恩夫韋肽(enfuvirtide)、恩替卡韋(entecavir)、Ecoliever、泛昔洛韋(famciclovir)、福米韋生(fomivirsen)、福沙那韋(fosamprenavir)、膦甲酸(foscamet)、膦乙酸(fosfonet)、融合抑制劑、更昔洛韋(ganciclovir)、伊巴他濱(ibacitabine)、異丙肌 苷(imunovir)、碘苷(idoxuridine)、咪喹莫特(imiquimod)、印地那韋(indinavir)、肌苷、整合酶抑制劑、干擾素、第I型干擾素、第II型干擾素、第III型干擾素、拉米夫定(lamivudine)、洛匹那韋(lopinavir)、洛韋胺(loviride)、馬拉威若(maraviroc)、嗎啉脒胍(moroxydine)、甲吲噻腙(methisazone)、那非那韋(nelfinavir)、奈韋拉平(nevirapine)、Nexavir、硝唑尼特(nitazoxanide)、核苷類似物、Novir、奧司他韋(oseltamivir)、聚乙二醇干擾素α-2a、噴昔洛韋(penciclovir)、帕拉米韋(peramivir)、普可那利(pleconaril)、鬼臼毒素、蛋白酶抑制劑、Pyramidine、雷特格韋(raltegravir)、逆轉錄酶抑制劑、利巴韋林(ribavirin)、金剛乙胺(rimantadine)、利托那韋(ritonavir)、沙奎那韋(saquinavir)、索非布韋(sofosbuvir)、司他夫定(stavudine)、協同增強子(抗逆轉錄病毒的)、特拉匹韋(telaprevir)、替諾福韋(tenofovir)、替諾福韋二吡呋酯(tenofovir disoproxil)、替拉那韋(tipranavir)、曲氟尿苷(trifluridine)、三協維(trizivir)、曲金剛胺(tromantadine)、特魯瓦達(truvada)、纈昔洛韋(valaciclovir)、纈更昔洛韋(valganciclovir)、Vicriviroc、阿糖腺苷(vidarabine)、塔利韋林(viramidine)、紮西他賓(zalcitabine)、紮那米韋(zanamivir)和齊多夫定(zidovudine)。可以特別提及的抗病毒藥包括阿昔洛韋。 Such antiviral agents that can be used in combination with MAP/derivatives in the treatment of viral infections include standard vaccines that can be used against the viral infection in question, as well as known and/or appropriate antiviral drugs, such as abacavir (abacavir), acyclovir, adefovir, amantadine, amprenavir, amprenavir, ampligen, arbidol , Atazanavir, atripla, Balavir, cidofovir, combivir, dolutegravir, darunavir, deira Delavirdine, didanosine, docosanol, edoxudine, efavirenz, emtricitabirie, enfuvirtide (enfuvirtide), entecavir, ecoliever, famciclovir, fomivirsen, fosamprenavir, foscamrena, fosfonet, fusion inhibitor, ganshine Ganciclovir, ibacitabine, isopropyl muscle Glucosides (imunovir), iodine (idoxuridine), imiquimod (imiquimod), indinavir (indinavir), inosine, integrase inhibitors, interferon, type I interferon, type II interferon, Type III interferon, lamivudine, lopinavir, loviride, maraviroc, moroxydine, indothiazine methisazone), nelfinavir, nevirapine, Nexavir, nitazoxanide, nucleoside analogues, Novir, oseltamivir, pegylated interferon alpha-2a , Penciclovir, peramivir, pleconaril, podophyllotoxin, protease inhibitors, Pyramidine, raltegravir, reverse transcriptase inhibitors, Ribavirin, rimantadine, ritonavir, saquinavir, sofosbuvir, stavudine, synergistic enhancer ( (Retroviral), telaprevir, tenofovir, tenofovir disoproxil, tipranavir, trifluridine ), trizivir, tromantadine, truvada, valaciclovir, valganciclovir, Vicriviroc, vidarabine , Viralidine (viramidine), zalcitabine (zalcitabine), zanamivir (zanamivir) and zidovudine (zidovudine). Antiviral drugs that may be specifically mentioned include acyclovir.

可以組合使用的其它抗病毒劑包括酵素,諸如胰蛋白酶,其可以與MAP或MAP衍生物,尤其是與Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys或其鹽、或Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys或其鹽組合。 Other antiviral agents that can be used in combination include enzymes, such as trypsin, which can be combined with MAP or MAP derivatives, especially with Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys or salts thereof, Or Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys or a salt combination thereof.

當將MAP/衍生物與其它抗病毒劑以此方式「組合」時,活性成分可以在同一調配物中共同投予,或者在不同調配物中分開投予(同時或依序)。 When MAP/derivatives are "combined" with other antiviral agents in this way, the active ingredients can be co-administered in the same formulation, or administered separately (simultaneously or sequentially) in different formulations.

如此組合產品提供MAP及其衍生物與其它抗病毒劑聯合投予,並因此可呈分開的調配物,其中該等調配物中的至少一者包含MAP/衍生物, 且至少一者包含其它抗病毒劑,或者可呈(即調配成)組合製劑(即呈包含MAP/衍生物和其它抗病毒劑的單一調配物)。 Such a combined product provides MAP and its derivatives to be co-administered with other antiviral agents, and thus can be in separate formulations, wherein at least one of these formulations includes MAP/derivatives, And at least one contains other antiviral agents, or may be (ie, formulated into) a combined preparation (ie, a single formulation containing MAP/derivative and other antiviral agents).

因此,進一步提供了:(1)醫藥調配物,其包含:至少一種MAP或其衍生物;另一種抗病毒劑;和醫藥上可接受的佐劑、稀釋劑或載體(所述調配物在下文稱為「組合製劑」);和(2)部件套組,其包含以下組分:(A)醫藥調配物,其包含:至少一種MAP或其衍生物與醫藥上可接受的佐劑、稀釋劑或載體的混合物;和(B)醫藥調配物,其包含:另一種抗病毒劑與醫藥上可接受的佐劑、稀釋劑或載體的混合物,其中組分(A)和(B)各自以適於與另一者聯合來投予的形式提供。 Therefore, there is further provided: (1) a pharmaceutical formulation comprising: at least one MAP or its derivative; another antiviral agent; and a pharmaceutically acceptable adjuvant, diluent, or carrier (the formulation is described below) (Referred to as "combination formulation"); and (2) a kit of parts, which contains the following components: (A) a pharmaceutical formulation, which contains: at least one MAP or its derivative and a pharmaceutically acceptable adjuvant, diluent Or a mixture of carriers; and (B) a pharmaceutical formulation comprising: a mixture of another antiviral agent and a pharmaceutically acceptable adjuvant, diluent or carrier, wherein components (A) and (B) are each suitable Provided in the form of a joint offer with another.

根據本發明的再一方面,提供了製備如上定義的部件套組的方法,所述方法包括使如上定義的組分(A)與如上定義的組分(B)聯合,由此使得兩種組分適於彼此聯合投予。 According to yet another aspect of the present invention, there is provided a method of preparing a component kit as defined above, the method comprising combining component (A) as defined above with component (B) as defined above, thereby making the two groups Points are suitable for joint giving to each other.

通過使兩種組分彼此「聯合」在一起,吾人要求(include),部件套組的組分(A)和(B)可以:(i)作為單獨的調配物(即彼此獨立)提供,然後將其等放置在一起,以在組合療法中彼此聯合使用;或(ii)作為「組合包」的單獨組分一起包裝和呈現,以在組合療法中彼此聯合使用。 By "joining" the two components with each other, I request that the components (A) and (B) of the component set can: (i) be provided as separate formulations (ie independent of each other), then Place them together to be used in combination with each other in combination therapy; or (ii) packaged and presented together as individual components of a "combination pack" to be used in combination with each other in combination therapy.

因此,進一步提供了包含以下的部件套組:(I)如上定義的組分(A)和(B)之一;連同(II)使用說明,以將該組分與兩種組分的另一種聯合使用。 Therefore, a kit of parts containing the following is further provided: (I) one of the components (A) and (B) as defined above; together with (II) instructions for use, to combine this component with the other of the two components Joint use.

當措辭「約」用於本申請時,例如在量(諸如活性成分的濃度和 /或劑量、分子量或pH)的上下文中,應瞭解的是,如此變數是近似值,就其本身而言可以在下述範圍內變化:本申請指定的數字±10%,例如本申請指定的數字±5%,優選為±2%(例如±1%)。在此方面,術語「約10%」表示例如數字10周圍的±10%,即,在9%和11%之間。 When the word "about" is used in this application, for example, in the amount (such as the concentration of the active ingredient and /Or dosage, molecular weight or pH), it should be understood that such variables are approximate values, which in their own right can vary within the following range: the number specified in this application ± 10%, such as the number specified in this application ± 5%, preferably ±2% (eg ±1%). In this regard, the term “about 10%” means, for example, ±10% around the number 10, that is, between 9% and 11%.

本申請所述的方法也可以具有下述優勢,即,在上文提及的病況的治療中,與先前技術中已知用於治療病毒疾病或感染的類似方法(治療)或其它者相比,本申請所述的方法可對於醫生和/或患者而言較方便、較有效、毒性較小、具有較寬範圍的活性、較強力、產生較少的副作用、或者可以具有其它有用的藥理學性質。 The method described in this application may also have the advantage that, in the treatment of the conditions mentioned above, compared to similar methods (treatments) or others known in the prior art for the treatment of viral diseases or infections or others , The method described in this application may be more convenient for doctors and/or patients, more effective, less toxic, have a wider range of activities, stronger, produce fewer side effects, or may have other useful pharmacology nature.

本發明由以下實施例說明。 The invention is illustrated by the following examples.

實施例1 Example 1 MAP對第II型人類單純皰疹病毒(HSV-2)的活性的作用。 Effect of MAP on the activity of human herpes simplex virus type II (HSV-2).

無血清1640培養基(RPMI1640培養基;GIBCO/BRL;Thermo Fisher Scientific China,Nanjing,China)係使用標準方法製備。通過在使用前添加新生牛血清(Zhejiang Tianhang Biotechnology Co.,Ltd.Luoshe,China)將其調配成包含10%血清的完全培養基,或者通過添加2%的相同血清將其調配成維持溶液(maintenance solution)。 Serum-free 1640 medium (RPMI1640 medium; GIBCO/BRL; Thermo Fisher Scientific China, Nanjing, China) was prepared using standard methods. Newborn bovine serum (Zhejiang Tianhang Biotechnology Co., Ltd. Luoshe, China) is formulated into a complete medium containing 10% serum before use, or it is formulated into a maintenance solution (maintenance solution) by adding 2% of the same serum ).

通過凍幹MAP溶液(USUN Bio Co.,Ltd.)製備MAP凍乾粉末,具有的MAP純度為87.04%,原始溶液的pH為4.5。將凍乾粉末(6.02mg)溶解於301 μL氯化鈉水溶液(在aqua pro injection中,Jiangsu Hengrui Medicine Co.,Ltd,Jiangsu Province,China)中,以製備20μg/μL儲備溶液。 A MAP lyophilized powder was prepared by freeze-drying a MAP solution (USUN Bio Co., Ltd.), having a MAP purity of 87.04%, and the pH of the original solution was 4.5. Dissolve lyophilized powder (6.02mg) in 301 μL sodium chloride aqueous solution (in aqua pro injection, Jiangsu Hengrui Medicine Co., Ltd, Jiangsu Province, China) to prepare a 20 μg/μL stock solution.

將0.05mL儲備溶液添加到1.95mL完全培養基中,以調配500μg/mL藥物溶液(在以下編號3和4的抗病毒試驗中使用維持溶液代替完全培養基)。然後,通過雙倍稀釋製備濃度為250μg/mL、125μg/mL、62.5μg/mL、31.25μg/mL、15.625μg/mL、7.8125μg/mL、3.9063μg/mL、1.9531μg/mL和0.9766μg/mL的工作溶液。 0.05 mL of the stock solution was added to 1.95 mL of complete medium to prepare a 500 μg/mL drug solution (the maintenance solution was used instead of the complete medium in the antiviral tests No. 3 and 4 below). Then, the concentration of 250 μg/mL, 125 μg/mL, 62.5 μg/mL, 31.25 μg/mL, 15.625 μg/mL, 7.8125 μg/mL, 3.9063 μg/mL, 1.9531 μg/mL and 0.9766 μg/ were prepared by double dilution. mL of working solution.

將20.34mg月桂基磺酸鈉(SDS;由AMRESCO LLC,Solon,OH,USA製造,和由Biosharp Company,Hefei,China包裝;純度:99%)溶解於10.17mL培養基(再次,在抗病毒試驗中使用維持溶液代替培養基)中,以製備2000μg/mL儲備溶液。然後,通過雙倍稀釋製備具有上述濃度的工作溶液。 20.34 mg of sodium lauryl sulfonate (SDS; manufactured by AMRESCO LLC, Solon, OH, USA, and packaged by Biosharp Company, Hefei, China; purity: 99%) was dissolved in 10.17 mL of medium (again, in the antiviral test Use a maintenance solution instead of the medium) to prepare a 2000 μg/mL stock solution. Then, a working solution having the above concentration is prepared by double dilution.

將2.25mg阿昔洛韋(ACV;Zhiyuan Pharmaceutical Co.,Ltd,Wuxi City,China;純度:99.3%)溶解於2.25mL培養基(再次,在抗病毒試驗中使用維持溶液代替培養基)中,以形成1000g/mL儲備溶液。然後,將0.8mL儲備溶液雙倍稀釋,得到500μg/mL、250μg/mL和125μg/mL的濃度。將0.2mL儲備溶液添加到1.95mL培養基中,得到100μg/mL的濃度,然後再將其稀釋成50μg/mL、25μg/mL和12.5μg/mL的濃度。 2.25 mg of acyclovir (ACV; Zhiyuan Pharmaceutical Co., Ltd, Wuxi City, China; purity: 99.3%) was dissolved in 2.25 mL medium (again, a maintenance solution was used instead of the medium in the antiviral test) to form 1000g/mL stock solution. Then, the 0.8 mL stock solution was doubled diluted to obtain concentrations of 500 μg/mL, 250 μg/mL, and 125 μg/mL. 0.2 mL of the stock solution was added to 1.95 mL of medium to obtain a concentration of 100 μg/mL, which was then diluted to 50 μg/mL, 25 μg/mL, and 12.5 μg/mL.

1. HSV-2病毒毒性試驗 1. HSV-2 virus toxicity test

將0.5mL第II型人類單純皰疹病毒(HSV-2;SAV品系;Shanghai Institute of Cell Biology)的懸浮液接種到Vero細胞(Shanghai Institute of Cell Biology)的單層培養物中,在吸附1小時之後移去。 Inoculate 0.5 mL of a suspension of human herpes simplex virus type II (HSV-2; SAV strain; Shanghai Institute of Cell Biology) into a monolayer culture of Vero cells (Shanghai Institute of Cell Biology) and adsorb for 1 hour Then remove.

更換維持溶液並在37℃(在5%CO2下)培養,直到多於95%的細胞在顯微鏡(Nikon ECLIPSE TS100倒立相位控制顯微鏡(具有成像系統))下顯示 明顯的病理變化。收穫細胞,將其重複冷凍和解凍,並將其在400C型醫用低速離心機(Beijing Baiyang Centrifuge Co.,Ltd.)中以3000rpm離心10分鐘。收集上清液作為病毒溶液。 The maintenance solution was replaced and cultured at 37°C (under 5% CO 2 ) until more than 95% of the cells showed obvious pathological changes under a microscope (Nikon ECLIPSE TS100 inverted phase control microscope (with imaging system)). The cells were harvested, repeatedly frozen and thawed, and centrifuged at 3000 rpm for 10 minutes in a 400C medical low-speed centrifuge (Beijing Baiyang Centrifuge Co., Ltd.). The supernatant was collected as a virus solution.

將密度為2×105的Vero細胞懸浮液以0.1mL/孔接種到96孔培養板(Costar,Corning Inc.,Oneonta,NY,USA)中,在37℃(在5%CO2下,Thermo Scientific CO2培養器)培養18小時,直到在顯微鏡下可見單層。將以上收集的病毒按用維持溶液稀釋10倍以0.1mL/孔接種到單層Vero細胞中。重新裝滿維持溶液,將其在37℃(在5%CO2下)培養。在培養24小時之後,在顯微鏡下觀察細胞的病理變化。每個稀釋倍率在3個孔中重複。將正常細胞在實驗中用作為對照。將病毒毒力試驗重複3次。 The Vero cell suspension with a density of 2×10 5 was inoculated into a 96-well culture plate (Costar, Corning Inc., Oneonta, NY, USA) at 0.1 mL/well at 37° C. (under 5% CO 2 , Thermo Scientific CO 2 incubator) for 18 hours until a single layer is visible under the microscope. The virus collected above was diluted 10 times with the maintenance solution and seeded into monolayer Vero cells at 0.1 mL/well. Refill the maintenance solution and incubate it at 37°C (under 5% CO 2 ). After culturing for 24 hours, the pathological changes of the cells were observed under a microscope. Each dilution factor was repeated in 3 wells. Normal cells were used as controls in the experiment. Repeat the virus virulence test 3 times.

對於每個孔,觀察三個視野(visual field)。確定病理細胞(P)在視野中的平均百分比。 For each well, three visual fields are observed. Determine the average percentage of pathological cells (P) in the field of view.

病毒的半數感染劑量(median infectious dose)(TCID50)係根據Reed和Muench常規方法計算,即TCID50,其為高於50%的病理變化的下一稀釋倍率的對數+成比例距離(proportionate distance,PD)×稀釋係數的對數。PD為(高於50%的病理變化百分比減去50%)除以(高於50%的病理變化百分比減去低於50%的病理變化百分比)。3個試驗給出的測得TCID50值分別為4.89、4.06和4.55。 The median infectious dose (TCID 50 ) of the virus is calculated according to the conventional method of Reed and Muench, that is, TCID 50 , which is the logarithm of the next dilution rate of pathological changes higher than 50% + proportional distance (proportionate distance) , PD) × logarithm of the dilution factor. PD is (the percentage of pathological changes above 50% minus 50%) divided by (the percentage of pathological changes above 50% minus the percentage of pathological changes below 50%). The measured TCID 50 values given by the three experiments were 4.89, 4.06 and 4.55, respectively.

2. MAP和對照藥物的細胞毒性 2. Cytotoxicity of MAP and control drugs

將Vero細胞接種到96-孔培養板上並長成為單層。對於每孔以不同濃度(如上所述)添加0.2mL的MAP或對照藥物。對於每個濃度,將此在3個孔中重複。將溶劑和正常細胞培養物用作為陰性對照。將細胞在37℃(5%CO2)培養,在顯微鏡下觀察2天細胞的生長和形態變化。對每個孔選擇三個視野,計 數病理細胞的百分比,計算平均值。將試驗的時間點設置為24小時,計算半數中毒濃度(TC50)和最大無毒濃度(TC0)。將實驗重複3次。 Vero cells were seeded on 96-well culture plates and grown into monolayers. For each well, 0.2 mL of MAP or control drug was added at different concentrations (as described above). For each concentration, repeat this in 3 wells. The solvent and normal cell culture were used as negative controls. The cells were cultured at 37°C (5% CO 2 ), and the growth and morphological changes of the cells were observed under the microscope for 2 days. Three fields of view were selected for each well, the percentage of pathological cells was counted, and the average value was calculated. Set the time point of the test to 24 hours, and calculate the half-toxic concentration (TC 50 ) and the maximum non-toxic concentration (TC 0 ). Repeat the experiment 3 times.

如上所述接種細胞。將溶劑和正常細胞培養物用作為陰性對照。在添加MAP和對照藥物之後24小時,引入在PBS(從10 x儲備溶液稀釋,Sigma-Aldrich(China))中的5mg/mL的3-(4,5-二甲基-2-噻唑基)-2,5-二苯基-2-H-四唑鎓溴化物(MTT;Sigma-Aldrich(China),Shanghai,China)(20μL/孔),繼續培養4小時。然後,棄置各孔中的上清液,添加150μL二甲基亞碸(DMSO;Sigma-Aldrich(China)),然後在室溫在黑暗中振盪10分鐘。 The cells were seeded as described above. The solvent and normal cell culture were used as negative controls. 24 hours after the addition of MAP and control drug, 5 mg/mL 3-(4,5-dimethyl-2-thiazolyl) in PBS (diluted from 10 x stock solution, Sigma-Aldrich (China)) was introduced -2,5-diphenyl-2-H-tetrazolium bromide (MTT; Sigma-Aldrich (China), Shanghai, China) (20 μL/well), and culture was continued for 4 hours. Then, the supernatant in each well was discarded, 150 μL of dimethyl sulfoxide (DMSO; Sigma-Aldrich (China)) was added, and then shaken in the dark at room temperature for 10 minutes.

在550nm的光吸收值(OD550)係通過酶聯免疫吸附計(MULTISKAN SPECTRUM;Thermo Scientific,Shanghai,China)測量。 The light absorption value (OD 550 ) at 550 nm was measured by an enzyme-linked immunosorbent meter (MULTISKAN SPECTRUM; Thermo Scientific, Shanghai, China).

通過在顯微鏡下的細胞形態觀察所進行的三個平行試驗所得的結果表明,MAP的TC50>125μg/mL和TC0

Figure 107124314-A0202-12-0016-2
62.5μg/mL;SDS的TC50>62.5μg/mL和TC0
Figure 107124314-A0202-12-0016-3
62.5μg/mL;ACV的TC50>1000μg/mL和TC0
Figure 107124314-A0202-12-0016-5
250μg/mL。 The results of three parallel experiments performed by observing the cell morphology under the microscope showed that the TC 50 of MAP> 125 μg/mL and TC 0
Figure 107124314-A0202-12-0016-2
62.5μg/mL; TC 50 of SDS> 62.5μg/mL and TC 0
Figure 107124314-A0202-12-0016-3
62.5μg/mL; TC 50 of ACV>1000μg/mL and TC 0
Figure 107124314-A0202-12-0016-5
250μg/mL.

得自MTT方法的結果表明,MAP在從500下至15.625g/mL的範圍內對Vero細胞不具有細胞毒性。SDS在62.5g/mL及以下對Vero細胞未顯示出細胞毒性。ACV對Vero細胞顯示顯著細胞毒性的最大濃度為100g/mL。 The results obtained from the MTT method indicate that MAP is not cytotoxic to Vero cells in the range from 500 to 15.625 g/mL. SDS at 62.5g/mL and below showed no cytotoxicity to Vero cells. The maximum concentration of ACV showing significant cytotoxicity to Vero cells is 100g/mL.

3. MAP和SDS對病毒在直接作用於HSV-2之後的細胞病變效果的作用 3. The effect of MAP and SDS on the cytopathic effect of virus after directly acting on HSV-2

將在-80℃(在Haier DW-86L486超低溫冷凍機中)保存的TCID50經確定的HSV-2病毒以確定的滴定度稀釋成200 TCID50。將200 TCID50溶液與等體積的MAP或SDS液體混合,此時的病毒滴定度為100 TCID50。將混合溶液在水浴(DK-8B恒溫電熱水浴;Shanghai Jinghong Biotech Co.,Ltd.)中在37℃培育1小時,然後接種到包含單層Vero細胞的96-孔培養板中。向每個孔中添加0.1mL。 The TCID 50 stored at -80°C (in the Haier DW-86L486 ultra-low temperature freezer) with the determined HSV-2 virus was diluted to 200 TCID 50 with a determined titer. The 200 TCID 50 solution was mixed with an equal volume of MAP or SDS liquid, and the virus titer at this time was 100 TCID 50 . The mixed solution was incubated in a water bath (DK-8B constant temperature electric hot water bath; Shanghai Jinghong Biotech Co., Ltd.) at 37°C for 1 hour, and then seeded into a 96-well culture plate containing monolayer Vero cells. Add 0.1 mL to each well.

在吸附1小時之後,棄置包含病毒和藥物的上清液。然後,將單層Vero細胞用維持液洗滌2次。最後,添加維持液(0.2mL/孔)。將所得混合物在37℃(5%CO2)連續培養,直到在顯微鏡下無藥物培養基的細胞病變率達到95%。將試驗的評價時間點設置為24小時。 After 1 hour of adsorption, the supernatant containing virus and drug was discarded. Then, the monolayer Vero cells were washed twice with the maintenance solution. Finally, a maintenance solution (0.2 mL/well) was added. The resulting mixture was continuously cultured at 37°C (5% CO 2 ) until the cell-free rate of the drug-free medium reached 95% under the microscope. Set the evaluation time point of the test to 24 hours.

除了實驗組之外,還平行測試三個對照組(溶劑、無藥物對照(病毒對照)和正常細胞對照)。各組由3個孔組成,將實驗重複4次。 In addition to the experimental group, three control groups (solvent, no drug control (virus control) and normal cell control) were also tested in parallel. Each group consisted of 3 wells, and the experiment was repeated 4 times.

將病毒稀釋成0.1 TCID50、1 TCID50、10 TCID50、100 TCID50和1000 TCID50,並將其等接種到單層細胞培養物中。每個稀釋倍率重複進行三次。觀察每個孔的細胞病變率(在0.1 TCID50應該沒有細胞病變作用,而細胞病變作用應該在100 TCID50可見;否則中和試驗未建立)。 Dilute the virus to 0.1 TCID 50 , 1 TCID 50 , 10 TCID 50 , 100 TCID 50 and 1000 TCID 50 and inoculate them into monolayer cell culture. Each dilution rate was repeated three times. Observe the cytopathic rate of each well (at 0.1 TCID 50 there should be no cytopathic effect, and the cytopathic effect should be visible at 100 TCID 50 ; otherwise the neutralization test is not established).

評價指標與病毒毒性試驗的評價指標相同。對於每個孔,觀察三個視野。確定病理細胞(P)在視野中的平均百分比。病毒的半數感染劑量(TCID50)根據Reed和Muencl常規方法(如上所述)計算。 The evaluation index is the same as that of the virus toxicity test. For each hole, observe three fields of view. Determine the average percentage of pathological cells (P) in the field of view. Median infective dose of virus (TCID 50) calculated according to the Reed and Muencl conventional methods (as described above).

藥物對細胞的毒性通過細胞形態學方法確定,而抗病毒試驗在無毒濃度進行。在用不同濃度的MAP和SDS培養1小時之後,將100 TCID50 HSV-2(SAV品系)接種到單層Vero細胞培養物中。由病毒感染引起的細胞的細胞病變作用被不同程度地抑制,表明MAP對HSV-2具有抑制作用。 The toxicity of drugs to cells is determined by cell morphology, and antiviral tests are conducted at non-toxic concentrations. After culturing with different concentrations of MAP and SDS for 1 hour, 100 TCID 50 HSV-2 (SAV strain) was inoculated into monolayer Vero cell culture. The cytopathic effect of cells caused by viral infection was suppressed to varying degrees, indicating that MAP has an inhibitory effect on HSV-2.

使用250g/mL作為儲備溶液,由此四個試驗確定的MAP的中和滴定度為1:4.6(54.88μg/mL)、1:2.8(88.39μg/mL)、1:2.6(96.39μg/mL)和1:4.4(56.61μg/mL)。 Using 250g/mL as a stock solution, the neutralization titers of MAP determined by these four experiments were 1:4.6 (54.88 μg/mL), 1:2.8 (88.39 μg/mL), 1:2.6 (96.39 μg/mL) ) And 1: 4.4 (56.61 μg/mL).

對照藥SDS也顯示出對HSV-2的抑制作用。使用125g/mL作為儲備溶液,SDS的中和滴定度為1:5.7(22.10μg/mL)、1:5.7(21.93μg/mL)、1:5.8(21.46μg/mL)和1:6.0(20.86μg/mL)。 The control drug SDS also showed an inhibitory effect on HSV-2. Using 125g/mL as a stock solution, the neutralization titers of SDS are 1:5.7 (22.10μg/mL), 1:5.7 (21.93μg/mL), 1:5.8 (21.46μg/mL) and 1:6.0 (20.86) μg/mL).

4. MAP和ACV對HSV-2的作用(直接方法) 4. The effect of MAP and ACV on HSV-2 (direct method)

將病毒稀釋成100 TCID50,並將其在每個孔中以0.1mL接種到單層Vero細胞培養物中。在吸附1小時之後,棄置上清液,將其用維持液洗滌2次。然後,以0.2mL/孔添加不同濃度的MAP或對照藥物ACV。將培養物在37℃(5%CO2)連續培養。每個濃度重複三次,將溶劑、無藥物處理的病毒(病毒對照)和正常細胞培養物(細胞對照)設置為對照。 The virus was diluted to 100 TCID 50 and inoculated into monolayer Vero cell culture at 0.1 mL in each well. After 1 hour of adsorption, the supernatant was discarded and washed with the maintenance solution twice. Then, different concentrations of MAP or control drug ACV were added at 0.2 mL/well. The culture was continuously cultured at 37°C (5% CO 2 ). Each concentration was repeated three times, and the solvent, virus without drug treatment (virus control) and normal cell culture (cell control) were set as controls.

在培養期間,在顯微鏡下觀察病理變化,當病毒對照的細胞病變率達到>95%時結束試驗。試驗的評價時間點為24小時,重複實驗3次。 During the cultivation period, the pathological changes were observed under a microscope, and the experiment was terminated when the cytopathic rate of the virus control reached >95%. The evaluation time point of the experiment was 24 hours, and the experiment was repeated 3 times.

判斷指標與病毒毒性試驗的判斷指標相同,即,在每個孔為顯微鏡檢查選擇三個視野,確定病變細胞(P)在視野中的百分比,取三個視界的平均值。 The judgment index is the same as that of the virus toxicity test, that is, three fields of view are selected for microscopic examination in each well, the percentage of diseased cells (P) in the field of view is determined, and the average of the three fields of view is taken.

根據各試劑濃度組對藥物濃度的細胞病變作用的百分比計算線性回歸方程。計算IC50值,也計算相關係數的顯著性檢驗。 The linear regression equation was calculated according to the percentage of each reagent concentration group's effect on the cytopathy of drug concentration. Calculate the IC 50 value and also the significance test of the correlation coefficient.

抗病毒試驗在無毒濃度進行。當用不同濃度的MAP或ACV處理HSV-2感染的Vero細胞時,MAP顯示對由於感染100 TCID50 HSV-2引起的Vero細胞的細胞病變作用具有一定程度的抑制作用,其中IC50>125μg/mL。對照藥ACV顯示出IC50值為6.38μg/mL、2.20μg/mL和5.36μg/mL。 Antiviral tests are conducted at non-toxic concentrations. When treating HSV-2 infected Vero cells with different concentrations of MAP or ACV, MAP showed a certain degree of inhibitory effect on the cytopathic effect of Vero cells due to infection with 100 TCID 50 HSV-2, where IC 50 >125 μg/ mL. ACV control drugs showed IC 50 value of 6.38μg / mL, 2.20μg / mL and 5.36μg / mL.

結果表明,MAP粉末對HSV-2的活性具有影響,並且在54.88μg/mL至96.39μg/mL的範圍內可以保護50%的細胞免受病理變化。 The results show that MAP powder has an effect on the activity of HSV-2, and can protect 50% of cells from pathological changes in the range of 54.88 μg/mL to 96.39 μg/mL.

實施例2 Example 2 MAP對第I型人類單純皰疹病毒(HSV-1)的活性的作用 Effect of MAP on the activity of human herpes simplex virus type 1 (HSV-1)

無血清1640培養基係使用RPMI1640粉末(1000mL劑量;Thermo Fisher Scientific China)、L-穀氨醯胺(0.29g;Sinopharm Chemical Reagent Co.Ltd,Shanghai,China)、碳酸氫鈉(2.2g;Sinopharm Chemical Reagent Co.)、HEPES(2.39g;Thermo Fisher Scientific China)和去離子水(1000mL)製備。 Serum-free 1640 medium line used RPMI1640 powder (1000 mL dose; Thermo Fisher Scientific China), L-glutamine (0.29 g; Sinopharm Chemical Reagent Co. Ltd, Shanghai, China), sodium bicarbonate (2.2 g; Sinopharm Chemical Reagent Co.), HEPES (2.39 g; Thermo Fisher Scientific China) and deionized water (1000 mL) were prepared.

將試劑混合、溶解並過濾以滅菌。通過在使用前添加新生牛血清將此混合物調配成包含10%血清的完全培養基,或者通過添加2%的相同血清將此混合物調配成維持溶液。 The reagents are mixed, dissolved and filtered to sterilize. This mixture is formulated into a complete medium containing 10% serum by adding newborn bovine serum before use, or it is formulated into a maintenance solution by adding 2% of the same serum.

MAP儲備溶液係如下製備:用氯化鈉稀釋濃度為4.0mg/mL的MAP溶液,以製備20μg/μL儲備溶液。 The MAP stock solution was prepared as follows: A MAP solution with a concentration of 4.0 mg/mL was diluted with sodium chloride to prepare a 20 μg/μL stock solution.

之後,使用第I型人類單純皰疹病毒(HSV-1;SAV品系;Shanghai Institute of Cell Biology)進行與以上實施例1所述基本上相同的試驗。 After that, using the human herpes simplex virus type 1 (HSV-1; SAV strain; Shanghai Institute of Cell Biology), substantially the same test as described in Example 1 above was performed.

在HSV-1病毒毒性試驗中,3個試驗給出的測得TCID50值分別為4.09、4.13和4.26。 In the HSV-1 virus toxicity test, the measured TCID 50 values given by the three tests were 4.09, 4.13 and 4.26, respectively.

MAP和對照藥物試驗的細胞毒性給出與以上實施例1中報告的結果基本上相同的結果。 The cytotoxicity of the MAP and control drug tests gave essentially the same results as reported in Example 1 above.

直接測定的結果表明,MAP溶液對HSV-1的活性具有影響,並且在44.64μg/mL至58.14μg/mL的範圍內可以保護50%的細胞免受病理變化(由此四個試驗確定的MAP的中和滴定度為1:5.6(44.64μg/mL)、1:4.9(51.02μg/mL)、1:4.3(58.14μg/mL)和1:5.2(48.08μg/mL)。 The results of the direct measurement show that the MAP solution has an effect on the activity of HSV-1, and can protect 50% of the cells from pathological changes within the range of 44.64 μg/mL to 58.14 μg/mL (MAP determined by these four experiments The neutralization titers are 1:5.6 (44.64 μg/mL), 1:4.9 (51.02 μg/mL), 1:4.3 (58.14 μg/mL) and 1:5.2 (48.08 μg/mL).

間接測定的結果表明,MAP溶液對由於感染HSV-1引起的Vero細胞的細胞病變作用具有抑制作用,其值為50.3μg/mL。 The results of indirect measurements indicate that the MAP solution has an inhibitory effect on the cytopathic effects of Vero cells caused by infection with HSV-1, and its value is 50.3 μg/mL.

實施例3 Example 3 MAP對人類A型流感病毒H1N1的活性的作用 Effect of MAP on the activity of human influenza A virus H1N1

攻擊病毒是人類A型流感病毒(H1N1)(Wuxi Center for Disease Control,Wuxi,China)。 The attacking virus is human influenza A virus (H1N1) (Wuxi Center for Disease Control, Wuxi, China).

將MDCK細胞(ATCC CCL-34;Wuxi Center for Disease Control,Wuxi,China)在DEME培養基(含有L-穀氨醯胺的DEME高葡萄糖培養基;Thermo Fisher Scientific China)連同10%FBS(胎牛血清,Thermo Fisher Scientific China)中培養。培養基係如下製備:將50mL的FBS和5mL青黴素和鏈黴素儲備溶液(包含10000U/mL青黴素G和10000g/mL硫酸鏈黴素)添加到1.445mL的DEME溶液中。所得物質通過過濾滅菌。 MDCK cells (ATCC CCL-34; Wuxi Center for Disease Control, Wuxi, China) in DEME medium (DEME high glucose medium containing L-glutamine; Thermo Fisher Scientific China) together with 10% FBS (fetal bovine serum, Thermo Fisher Scientific China). The culture medium system was prepared as follows: 50 mL of FBS and 5 mL of penicillin and streptomycin stock solutions (containing 10000 U/mL penicillin G and 10000 g/mL streptomycin sulfate) were added to 1.445 mL of DEME solution. The resulting material is sterilized by filtration.

病毒生長培養基係如下製備:將經1μg/mL TPCK[6-(1-甲苯磺醯基醯胺基-2-苯基)乙基氯甲基酮]處理的胰蛋白酶(Thermo Fisher Scientific China)添加到包含1%HEPES(1M儲備溶液)和1%穀氨醯胺的DEME培養基中。 The virus growth medium system was prepared as follows: trypsin (Thermo Fisher Scientific China) treated with 1 μg/mL TPCK [6-(1-toluenesulfonylamino-2-phenyl)ethyl chloromethyl ketone] was added Into DEME medium containing 1% HEPES (1M stock solution) and 1% glutamine.

將6.4mg的MAP凍乾粉末(按照以上實施例1所述製備)溶解於1000μL氯化鈉水溶液中,以製備6.4μg/μL儲備溶液。將0.1mL儲備溶液添加到0.9mL完全培養基中,以調配640μg/mL藥物溶液。然後,通過雙倍稀釋製備濃度為320μg/mL、160μg/mL、80μg/mL、40μg/mL、20μg/mL、10μg/mL、5μg/mL、2.5μg/mL和1.25μg/mL的工作溶液。 6.4 mg of MAP lyophilized powder (prepared as described in Example 1 above) was dissolved in 1000 μL of aqueous sodium chloride solution to prepare 6.4 μg/μL of stock solution. 0.1 mL of stock solution was added to 0.9 mL of complete medium to prepare 640 μg/mL drug solution. Then, working solutions with concentrations of 320 μg/mL, 160 μg/mL, 80 μg/mL, 40 μg/mL, 20 μg/mL, 10 μg/mL, 5 μg/mL, 2.5 μg/mL, and 1.25 μg/mL were prepared by double dilution.

將MDCK細胞接種到96-孔培養板上並長成為單層。對於每個孔添加不同濃度(如上所述)的0.2mL的MAP。對於每個濃度,將此在3個孔中重複。將溶劑和正常細胞培養物用作為陰性對照。將細胞在35℃(5%CO2)培養,在顯微鏡下觀察2天細胞的生長和形態變化。對每個孔選擇三個視野,計數病理細胞的百分比,計算平均值。將試驗的時間點設置為24小時,計算半數中毒濃度(TC50)和最大無毒濃度(TC0)。將實驗重複3次。 MDCK cells were seeded on 96-well culture plates and grown into monolayers. 0.2 mL of MAP at different concentrations (as described above) was added to each well. For each concentration, repeat this in 3 wells. The solvent and normal cell culture were used as negative controls. The cells were cultured at 35°C (5% CO 2 ), and the growth and morphological changes of the cells were observed under the microscope for 2 days. Three fields of view were selected for each well, the percentage of pathological cells was counted, and the average value was calculated. Set the time point of the test to 24 hours, and calculate the half-toxic concentration (TC 50 ) and the maximum non-toxic concentration (TC 0 ). Repeat the experiment 3 times.

通過在顯微鏡下的細胞形態觀察所進行的三個平行試驗所得的結果表明,MAP的TC50>80μg/m和TC0

Figure 107124314-A0202-12-0020-7
40μg/mL。直接測定的結果表明,MAP溶液對H1N1的活性具有影響,且在38.54μg/mL至31.14μg/mL的範圍內可以保 護50%的細胞免受病理變化。 The results obtained in three parallel tests conducted by morphological observation under a microscope showed that the cells, MAP of TC 50> 80μg / m and TC 0
Figure 107124314-A0202-12-0020-7
40μg/mL. The results of direct measurement show that MAP solution has an effect on the activity of H1N1, and can protect 50% of cells from pathological changes in the range of 38.54 μg/mL to 31.14 μg/mL.

實施例4 Example 4 用於陰道HPV感染治療的MAP水凝膠 MAP hydrogel for the treatment of vaginal HPV infection

製備由以下組成的100g MAP水凝膠:MAP(0.1g;USUN Bio Co.,Ltd.)、甲基纖維素(2.5g)、丙二醇(11g)、甘油(11g)、乙酸(pH調整劑)0至0.5g(全部得自Sinopharm Chemical Reagent Co.Ltd.),用注射用水補足。 Prepare a 100g MAP hydrogel consisting of: MAP (0.1g; USUN Bio Co., Ltd.), methyl cellulose (2.5g), propylene glycol (11g), glycerin (11g), acetic acid (pH adjuster) 0 to 0.5 g (all from Sinopharm Chemical Reagent Co. Ltd.), supplemented with water for injection.

招募感染HPV但未出現細胞病變變化的患者。MAP水凝膠每日使用一次,持續30天。在使用之前清潔手和會陰。將凝膠放在Ollery醫用壓縮霧化器(Guangzhou Demi Medical Equipment Co.Ltd.,China)的儲罐中,將噴嘴連接於霧化器的導管。 Recruit patients with HPV infection but no cytopathic changes. MAP hydrogel is used once a day for 30 days. Clean hands and perineum before use. The gel was placed in a storage tank of an Ollery medical compression nebulizer (Guangzhou Demi Medical Equipment Co. Ltd., China), and the nozzle was connected to the tube of the nebulizer.

然後,將導管深插入陰道中並使用霧化器,直到所有的凝膠都已霧化。 Then, insert the catheter deep into the vagina and use an atomizer until all the gel has been atomized.

在該期間,在治療的0、2、3和4周需要進行4次訪視。在每次訪視時,用生理鹽水棉球清潔陰道和子宮頸,並且用幹棉球清潔子宮頸黏液和陰道分泌物。幹棉球也用於將適當量的水凝膠塗抹在子宮頸和子宮頸管的表面上。 During this period, four visits were required at 0, 2, 3, and 4 weeks of treatment. At each visit, the vagina and cervix were cleaned with a saline cotton ball, and the cervical mucus and vaginal secretions were cleaned with a dry cotton ball. Dry cotton balls are also used to apply an appropriate amount of hydrogel on the surface of the cervix and cervical canal.

在30天的試驗後,進行陰道內鏡檢查、白帶檢查和子宮頸抹片檢查以評價HPV抑制作用。 After a 30-day trial, colposcopy, leucorrhea, and cervical smears were performed to evaluate HPV inhibition.

Claims (17)

一種貽貝黏著蛋白或其衍生物,其用於治療病毒感染。 A mussel adhesion protein or derivative thereof, which is used to treat viral infections. 一種貽貝黏著蛋白或其衍生物,其用作為抗病毒劑。 A mussel adhesion protein or derivative thereof, which is used as an antiviral agent. 一種貽貝黏著蛋白或其衍生物之用途,其係用於製造用於治療病毒感染的醫藥品。 A use of mussel adhesion protein or its derivatives, which is used to manufacture pharmaceuticals for the treatment of viral infections. 一種貽貝黏著蛋白或其衍生物之用途,其係用於製造抗病毒醫藥品。 A mussel adhesion protein or its derivative is used for manufacturing antiviral medicine. 一種治療宿主的病毒感染的方法,所述方法包括將至少一種貽貝黏著蛋白或其衍生物投予至該宿主。 A method of treating a viral infection in a host, the method comprising administering at least one mussel adhesion protein or derivative thereof to the host. 如請求項1所述的供使用的化合物、如請求項3所述的用途或如請求項5所述的方法,其中所述治療包括預防病毒感染或疾病的發作、保護宿主的細胞免受病毒感染、預防病毒感染(宿主內或宿主間)的蔓延、和/或預防在宿主中的潛伏後病毒的再活化。 The compound for use according to claim 1, the use according to claim 3, or the method according to claim 5, wherein the treatment includes preventing the onset of a viral infection or disease, and protecting the cells of the host from viruses Infection, preventing the spread of viral infections (within or between hosts), and/or preventing reactivation of the virus after latent in the host. 如請求項1、2或6中任一項所述的供使用的化合物、如請求項3、4或6中任一項所述的用途或如請求項5或6中任一項所述的方法,其中所述至少一種貽貝黏著蛋白選自以下者之群:mefp-1、mefp-2、mefp-3、mefp-4、mefp-5、mefp-6及其組合。 The compound for use according to any one of claims 1, 2, or 6, the use according to any one of claims 3, 4 or 6, or the one according to any one of claims 5 or 6. The method, wherein the at least one mussel adhesion protein is selected from the group consisting of mefp-1, mefp-2, mefp-3, mefp-4, mefp-5, mefp-6 and combinations thereof. 如請求項7所述的供使用的化合物、用途或方法,其中所述至少一種貽貝黏著蛋白包括mefp-1。 The compound, use, or method for use according to claim 7, wherein the at least one mussel adhesion protein includes mefp-1. 如請求項1、2或6中任一項所述的供使用的化合物、如請求項3、4或6中任一項所述的用途或如請求項5或6中任一項所述的方法,其包括貽貝黏著蛋白的衍生物,所述衍生物為序列Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys的胜肽或其鹽。 The compound for use according to any one of claims 1, 2, or 6, the use according to any one of claims 3, 4 or 6, or the one according to any one of claims 5 or 6. The method includes a derivative of mussel adhesion protein, the derivative being a peptide of the sequence Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-DOPA-Lys or a salt thereof. 如請求項1、2或6中任一項所述的供使用的化合物、如請求項 3、4或6中任一項所述的用途或如請求項5或6中任一項所述的方法,其包括貽貝黏著蛋白的衍生物,所述衍生物為序列Ala-Lys-Pro-Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys的胜肽或其鹽。 The compound for use as described in any one of claims 1, 2 or 6, as claimed 3. The use according to any one of 3, 4 or 6 or the method according to any one of claims 5 or 6, comprising a derivative of mussel adhesion protein, the derivative being the sequence Ala-Lys-Pro- Ser-Tyr-Hyp-Hyp-Thr-Tyr-Lys peptide or its salt. 如請求項1至10中任一項所述的供使用的化合物、用途或方法,其中所述病毒選自第1型單純皰疹病毒、第2型單純皰疹病毒、人乳頭瘤病毒、流感病毒和副流感病毒。 The compound, use or method for use according to any one of claims 1 to 10, wherein the virus is selected from herpes simplex virus type 1, herpes simplex virus type 2, human papilloma virus, influenza Viruses and parainfluenza viruses. 如請求項1至11中任一項所述的供使用的化合物、用途或方法,其中所述化合物被局部投予至皮膚。 The compound for use, use or method according to any one of claims 1 to 11, wherein the compound is topically administered to the skin. 如請求項1至11中任一項所述的供使用的化合物、用途或方法,其中所述化合物被局部投予至黏膜表面。 The compound for use, use or method according to any one of claims 1 to 11, wherein the compound is administered locally to the mucosal surface. 如請求項13所述的供使用的化合物、用途或方法,其中所述黏膜表面在肺中,或者是鼻黏膜或陰道黏膜。 The compound, use, or method for use according to claim 13, wherein the mucosal surface is in the lung, or is a nasal or vaginal mucosa. 如請求項14所述的供使用的化合物、用途或方法,其中所述局部投予借助於包含活性成分的粉末氣溶膠噴霧。 The compound, use or method for use according to claim 14, wherein the topical administration is by means of a powder aerosol spray containing the active ingredient. 如請求項14所述的供使用的化合物、用途或方法,其中所述局部投予借助於包含活性成分的水霧。 The compound, use or method for use according to claim 14, wherein the topical administration is by means of a water mist containing the active ingredient. 如請求項16所述的供使用的化合物、用途或方法,其中所述水霧借助於噴霧器或類似者形成。 The compound, use or method for use according to claim 16, wherein the water mist is formed by means of a sprayer or the like.
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