阅读说明：本技术 一种修复肾脏损伤的鹅肌肽组合物及其应用 (Anserine composition for repairing kidney injury and application thereof ) 是由 吉宏武 陈铭 张迪 宋文奎 苏伟明 刘书成 于 2021-10-08 设计创作，主要内容包括：本发明公开了一种鹅肌肽组合物,该组合物有效组分包括鹅肌肽干粉、黄芪提取物、苦参提取物,所述鹅肌肽干粉、黄芪提取物、苦参提取物在鹅肌肽组合物中的质量配比为80～90:3～10:5～15。本发明提供的鹅肌肽组合物,在一定配比范围内,能有效治疗和/或预防肾脏损伤,特别在修复肾细胞损伤、治疗和/或预防高尿酸引起的肾脏损伤、治疗慢性肾小球肾炎方面表现出优异的效果,且原材料便宜,制备方法简单,无毒害作用。(The invention discloses a anserine composition, which comprises the effective components of anserine dry powder, astragalus extract and sophora flavescens extract, wherein the mass ratio of the anserine dry powder, the astragalus extract and the sophora flavescens extract in the anserine composition is 80-90: 3-10: 5-15. The anserine composition provided by the invention can effectively treat and/or prevent kidney injury within a certain proportion range, particularly has excellent effects on repairing kidney cell injury, treating and/or preventing kidney injury caused by high uric acid and treating chronic glomerulonephritis, and has the advantages of cheap raw materials, simple preparation method and no toxic or side effect.)

1. The anserine composition is characterized in that the effective components of the composition comprise anserine dry powder, astragalus extract and sophora flavescens extract, and the mass ratio of the anserine dry powder, the astragalus extract and the sophora flavescens extract in the composition is 80-90: 3-10: 5-15.

2. Use of a composition according to claim 1 in a medicament for the treatment and/or prevention of kidney damage.

3. The use of claim 2, wherein the composition is for use in a medicament for repairing renal cell injury.

4. The use according to claim 2, wherein the composition is for use in a medicament for the treatment and/or prevention of renal damage caused by hyperuricemia.

5. The use of claim 2, wherein the composition is for use in a medicament for the treatment of chronic glomerulonephritis.

6. A medicament comprising the anserine composition of claim 1.

7. A medicament for repairing kidney damage comprising the anserine composition of claim 1.

Technical Field

The invention belongs to the technical field of biological medicines, relates to an anserine composition, and particularly relates to an anserine composition with a kidney injury repairing function.

Background

The kidney is the main organ for human body excretion and reabsorption, and its basic function is to eliminate metabolites and some wastes and poisons in the body by producing urine, and to retain water and other useful substances by reabsorption. Poor dietary habits in the current society have led to an increase in patients with hyperuricemia, hypertension, both the course of treatment and itself leading to renal damage. The hyperuricemic kidney injury is caused by pathological damage to the kidney after abnormal rise of blood uric acid, and is proportional to the blood uric acid level and duration. The kidney damage caused by hyperuricemia has become an important public health problem affecting China, especially in economically developed areas.

Anserine (beta-alanyl-1-methyl-L-histidine, Ans) is a histidine dipeptide naturally present in animals and belongs to the class of bioactive peptides of the carnosine class. Anserine has antioxidant effect, and can inhibit lipid oxidation and protein oxidation and glycosylation in vivo, and has antiaging and cataract resisting effects. Anserine is mainly present in the muscles and brain of vertebrates, and is generally extracted from poultry skeletal muscle. The naturally extracted anserine can meet the requirements of people and is widely applied to the fields of special medical food and health-care food.

Astragalus membranaceus is the dried root of Astragalus membranaceus bge or Astragalus membranaceus bge of leguminous perennial herbaceous plants, and is first reported in the recipe for fifty-two diseases. Referring to the 'Chinese pharmacopoeia' of 2015 edition, astragalus root has sweet taste, warm nature, spleen and lung channels, and has the effects of tonifying qi and invigorating yang, consolidating superficial resistance and arresting sweating, inducing diuresis and reducing edema, promoting the production of body fluid and nourishing blood. Because of its outstanding action of invigorating qi, it is known as "the best of all the qi-tonifying herbs" and "the best of the tonics". Modern medical research shows that astragalus contains saponin, sucrose, polysaccharide, flavone, various amino acids, folic acid, selenium, zinc, copper and other trace elements, and has the functions of enhancing the immunity of the organism, regulating blood pressure and blood sugar in a two-phase mode, protecting heart and kidney, protecting liver, promoting urination, resisting aging, stress, tumors, oxidation and bacteria and the like.

Radix Sophorae Flavescentis is the dried root of Leguminosae radix Sophorae Flavescentis (Sophora flavescens Ait), and is perennial herb or shrub. Modern pharmacological research finds that the sophora flavescens has medicinal activities of resisting tumor, virus, liver injury and fibrosis, arrhythmia, parasite and immunity, and the like. At present, the chemical research of radix sophorae flavescentis mainly focuses on roots, including alkaloids, flavones, saponins, lignans, phenolic acids and a small amount of phenylpropanoids, wherein 41 alkaloids and 108 flavonoids are separated. Radix Sophorae Flavescentis has hepatoprotective, immunoregulatory, anti-fibrosis, cancer cell inhibiting, and antiviral effects.

Patent CN111956780A discloses a drinking water prepared from anserine for reducing uric acid in human body and a preparation method thereof, wherein the drinking water comprises the following raw material components: 0.005-9 parts of anserine in bonito, 25-10000 parts of drinking water and 0.025-0.3 parts of vitamin C. Patent CN108498783A discloses a composition for treating hyperuricemia, which comprises the following active ingredients: sunflower disc extract, corn stigma extract, sour cherry extract, prickly pear extract, plantain seed extract, carrot extract, anserine and mineral substances; the composition has the efficacy of reducing hyperuricemia, and can realize the synergistic attenuation effect by cooperating with clinical uric acid reducing medicines. Although both of the above patents propose application of anserine in reducing uric acid, no research on the use of anserine in repairing kidney injury, especially the combined use of anserine, astragalus extract and sophora flavescens extract in repairing kidney injury caused by high uric acid has been reported.

At present, most of clinical medicines for treating kidney injury are difficult to realize effective repair and protection of kidney injury, or risk of adverse reactions in aspects of cardiovascular diseases, digestive tract diseases and the like can be further increased. Compared with clinical medicines for treating kidney injury, anserine has the characteristics of low toxicity, high nutrition and easy absorption, and has great potential for protecting kidney. The composition prepared by combining and compounding the anserine, the astragalus extract and the sophora flavescens extract can effectively treat and/or prevent kidney injury, thereby providing a new idea for preparing clinical medicines for treating kidney injury.

Disclosure of Invention

The invention aims to overcome the defects and shortcomings of the existing kidney injury repair medicine and provide a new application of anserine in kidney injury repair.

In view of the above, the present application addresses this need in the art by providing a anserine composition for repairing kidney damage.

On one hand, the invention relates to an anserine composition, the effective components of the composition comprise anserine, astragalus extract and sophora flavescens extract, and the mass ratio of the anserine, the astragalus extract and the sophora flavescens extract in the composition is 80-90: 3-10: 5-15.

According to the actual application requirement, the composition of the invention is prepared into tablets, capsules, oral liquid preparations, powders, granules and the like according to the related pharmaceutical requirements and clinical requirements by a method known by a person skilled in the art; preferably, the compositions of the present invention are prepared as a powder.

In another aspect, the invention also relates to the application of the anserine composition in treating and/or preventing kidney injury, in particular repairing kidney cell injury, treating and/or preventing kidney injury caused by hyperuricemia and treating chronic glomerulonephritis.

In another aspect, the present invention provides a method for preparing anserine dry powder by the following steps: taking meat of bonito on a flat rudder, mincing, homogenizing, carrying out enzymolysis for 3h under the enzymolysis conditions of 500U/g of papain, 200U/g of flavourzyme and pH6.5, carrying out water-bath enzyme deactivation on an enzymolysis product, centrifuging for 15min (3500 g and 4 ℃) to obtain a supernatant, deoiling (18000 rpm and 20 min) by using a tubular centrifuge, decoloring the perlite (the addition is 3%), primarily separating and enriching low-molecular peptides by using a ceramic membrane and a multistage ultrafiltration membrane, further separating and purifying the low-molecular peptides by using gel chromatography and a C18 column to obtain the anserine, collecting a sample, and carrying out freeze drying (the pre-freezing temperature is-40 ℃, the pressure is 10Pa, and the cold trap temperature is-70 ℃) to obtain the anserine dry powder.

In another aspect, the present invention provides a method for preparing an extract of astragalus by the steps of: selecting radix astragali, cleaning, airing, crushing, sieving with a 100-mesh sieve, adding purified water, performing reflux extraction for 2 times, each time for 2 hours, combining filtrates, performing reduced pressure concentration, adding 60-90% ethanol for extraction, centrifuging, adding chloroform and n-butanol according to the volume ratio of ethanol extract to chloroform to n-butanol of 20-30: 5-8: 1-3 for extraction and centrifugation, taking supernate, repeating the method for 5 times, combining supernate, adding activated carbon, performing ultrasonic treatment, filtering at-30 ℃, performing freeze drying at constant pressure of 15Pa to constant weight, and obtaining the radix astragali extract.

In another aspect, the present invention provides a method for preparing a sophora flavescens extract by the steps of: drying radix sophorae flavescentis, crushing, sieving with a 80-mesh sieve, diluting with distilled water according to a material-liquid ratio of 1:10, soaking on a shaking table for 1-2 hours, ultrasonically oscillating (60-80 ℃ and 1-2 hours), carrying out suction filtration, repeatedly extracting filter residues for 2 times, combining filtrates, carrying out rotary evaporation concentration, and carrying out freeze drying (the pre-freezing temperature is-40 ℃, the pressure is 10Pa and the cold trap temperature is-70 ℃) to obtain yellowish white dry powder of the radix sophorae flavescentis extract.

Compared with the prior art, the invention has the following beneficial effects or advantages:

(1) the anserine composition provided by the invention has excellent effects in inhibiting the increase of urea nitrogen and creatinine content caused by high uric acid, reducing the renal index and reducing the renal cell injury;

(2) the anserine composition provided by the invention has excellent effects in reducing Malondialdehyde (MDA) content, improving superoxide dismutase (SOD) activity and inhibiting kidney lipid peroxidation;

(3) the anserine composition provided by the invention has excellent effects on inhibiting the content increase of 4 inflammatory factors including IL-1 beta, IL-6 beta, TNF-alpha and TGF-beta, reducing the inflammatory reaction of kidney and repairing kidney injury.

Drawings

FIG. 1 is a graph showing the change in the urea nitrogen content in rat serum;

FIG. 2 is a graph showing the variation of creatinine content in rat serum;

FIG. 3 is a graph showing the change in the Malondialdehyde (MDA) content in rats;

FIG. 4 is a graph showing the activity change of rat superoxide dismutase (SOD);

fig. 5 is a view of a rat kidney section HE stained section.

In FIGS. 1 to 4, a, b, c and d represent the significance of differences among the data of each group.

Detailed Description

The following examples are given to illustrate the technical aspects of the present invention, but the present invention is not limited to the following examples.

Example 1

This example provides an animal test of the effect of anserine compositions on kidney injury repair in hyperuricemic rats.

(1) Establishing a hyperuricemia rat model

120 male SD rats (200 + -20 g) were randomly divided into 8 groups (blank group, model group, composition low dose group, composition medium dose group, composition high dose group, anserine control group, binary extract control group, allopurinol control group) of 15 rats each. The low-dose groups of the composition are divided into 3 groups according to the mass ratio, wherein the mass ratio of the anserine dry powder, the astragalus extract and the sophora flavescens extract in the composition is respectively 80:3:5, 85:6.5:10 and 90:10: 15; the middle-dosage group and the high-dosage group of the composition are divided into 3 groups according to the mass ratio. The experimental group (model group, composition low dose group, composition medium dose group, composition high dose group, anserine control group, binary extract control group and allopurinol control group) was continuously administered with 750mg/kg of Potassium Oxonate by intragastric administration for 7 days, a rat model with high uric acid was established, a blank group was administered with intragastric administration of 0.5% of sodium carboxymethylcellulose in equal amount as a control, and the weight, hair color and behavior changes of rats were observed. In each index measurement of subsequent experiments, when the mass ratio of the anserine dry powder, the astragalus extract and the sophora flavescens extract in the composition ranges from 80-90: 3-10: 5-15, no significant difference exists among the experimental data of 3 ratios under the same dosage group.

(2) Drug delivery therapy

Mixing anserine dry powder (with anserine content greater than 98%), radix astragali extract dry powder, and radix Sophorae Flavescentis extract dry powder uniformly to obtain anserine, radix astragali, and radix Sophorae FlavescentisA composition of binary extracts. After the hyperuricemia rat model is established, 20mg/kg, 40mg/kg and 80mg/kg of anserine compositions (the solvent is 0.5% of sodium carboxymethylcellulose) are respectively gavaged for low, medium and high dose groups, 40mg/kg of anserine is respectively gavaged for an anserine control group, 120mg/kg of astragalus extract and sophora flavescens extract are respectively gavaged for a binary extract control group, 10mg/kg of allopurinol is gavaged for an allopurinol group, and 0.5% of sodium carboxymethylcellulose with the same quantity is respectively gavaged for a model group and a blank group. Gavage once a day, and CO after 21 days of continuous administration₂The rats were sacrificed and serum and kidneys were collected.

(3) Determination of creatinine and urea nitrogen

After the rat is killed, the eyeball is picked to draw blood, after 2 hours of condensation at 4 ℃, the blood is centrifuged for 10 minutes at 4000r/min, the serum is taken, and the creatinine and the urea nitrogen content in the serum of the rat are measured according to the instruction of a measuring kit (product serial numbers: C011-2-1, C013-2-1, Nanjing Kangji Technology Co., Ltd.). Wherein, the measurement result of the urea nitrogen content in the rat serum is shown in figure 1, and the measurement result of the creatinine content in the rat serum is shown in figure 2.

The results in FIG. 1 and FIG. 2 show that the creatinine and urea nitrogen contents of the model group rats are 56.4 + -6.2 μmol/L and 10.2 + -1.1 mmol/L, respectively, which are significantly higher than those of the normal group rats (27.44 + -3.2 μmol/L and 6.4 + -0.5 mmol/L), indicating that the kidney of the hyperuricemic rat is injured. After the drug treatment, the contents of creatinine and urea ammonia nitrogen in rats of various dosage groups of the anserine composition and an anserine control group are reduced. Compared with a anserine control group and a binary extract control, the anserine composition has a better treatment effect, the creatinine and urea nitrogen contents of rats are respectively reduced to 34.2 +/-2.1 mu mol/L and 7.7 +/-0.6 mmol/L, the anserine composition can effectively repair kidney injury of the rats with high uric acid, and the ternary combination of the anserine dry powder, the astragalus extract and the sophora flavescens extract has a synergistic effect.

(4) Determination of renal indicators

After the sacrifice of the rats, the kidneys of the rats were removed, the weight of the kidneys was measured, and the renal index was calculated according to the formula renal index = (renal weight/body weight) × 100%. Weighing 0.1g of kidney tissue, adding physiological saline to homogenate, centrifuging for 10min at 5000r/min, taking supernatant, determining malondialdehyde content and superoxide dismutase activity by using a kit (product serial numbers: A003-1-2, A001-3-2, Nanjing Makino technology Co., Ltd.), and determining IL-1 beta, IL-6 beta, TNF-alpha and TGF-beta contents by using an ELISA kit (product ID: 23198, 23202, 23210, 21797, Jiangsu enzyme Immunity Co., Ltd.). Wherein, the content changes of IL-1 beta, IL-6 beta, TNF-alpha and TGF-beta are shown in Table 1, the content change of Malondialdehyde (MDA) is shown in figure 3, and the activity change of superoxide dismutase (SOD) is shown in figure 4.

TABLE 1 index changes in inflammatory factors in rats

Group index	IL-1β	IL-6β	TNF-α	TGF-β
					Blank group	5.31±0.31	53.46±2.47	47.65±3.56	19.13±0.95
Model set	7.83±0.26	61.24±3.56	65.36±4.88	25.36±1.12
					Low dose group	6.86±0.17	56.85±2.63	59.11±2.72	23.16±0.88
Middle dose group	6.74±0.21	55.31±1.89	57.64±3.12	22.94±1.05
					High dose group	5.84±0.57	55.48±2.13	56.35±4.11	21.37±1.47
Anserine control group	6.76±0.34	56.18±2.91	57.77±1.59	22.79±1.93
					Binary extract group	7.02±0.28	59.46±3.36	60.36±1.77	23.89±1.73
Allopurinol group	7.16±0.36	60.44±2.66	60.91±1.05	23.87±2.46

As can be seen from Table 1, the contents of 4 inflammatory factors, IL-1 beta, IL-6 beta, TNF-alpha and TGF-beta, in the model group are remarkably increased compared with the normal group, which indicates that hyperuricemia induces the increase of the renal inflammatory response of rats. Compared with a model group, the content of IL-1 beta, IL-6 beta, TNF-alpha and TGF-beta of rats in each dose group of the anserine composition, the anserine control group and the traditional Chinese medicine control group is reduced to a certain degree, wherein the anti-inflammatory effect of the anserine composition is more obvious than that of single anserine or traditional Chinese medicine extract, and the anserine composition high-dose group shows the best anti-inflammatory activity.

The results of fig. 3 and fig. 4 show that the anserine composition can effectively reduce the renal index of rats with high uric acid, reduce the MDA content, improve the SOD activity and effectively inhibit the renal lipid peroxidation. Compared with the model group, the content of Malondialdehyde (MDA) and the activity of superoxide dismutase (SOD) of the anserine control group and the binary extract control group are reduced and improved, but the difference is not obvious. Compared with the model group, the content of MDA and the activity of SOD of the anserine composition rat in the high-dose group are respectively reduced by 28.9% and improved by 32.8%, the content of MDA and the activity of SOD of the anserine control group rat are respectively reduced by 11.2% and improved by 18.1%, and the content of MDA and the activity of SOD of the binary extract control group are respectively reduced by 1.3% and improved by 8%. Based on the results, the anserine composition has more remarkable effect of resisting lipid oxidation than single anserine or traditional Chinese medicine extract, and shows better gain effect.

(5) Rat kidney pathology

The same part of the right kidney of a rat was taken, fixed with 4% paraformaldehyde, embedded in paraffin, sectioned at the largest face, HE stained, and observed for tissue morphology under an optical microscope (x 400). The observation results of HE stained sections of rat kidney sections of each group are shown in fig. 5.

FIG. 5 shows the results of rat kidney sections of hyperuricemic model group showing different degrees of tubular dilatation, epithelial cell degeneration and shedding, different degrees of glomerular atrophy and cytoplasmic mild staining under an optical microscope. Compared with the model group, the treatment group has the advantages that the glomerular atrophy degree is obviously reduced, the tubular dilation is reduced, and the kidney injury degree is obviously reduced.

Example 2

This example provides a clinical trial of the kidney-repairing effect of anserine compositions on chronic glomerulonephritis patients.

(1) Study subjects and methods of treatment

According to the diagnosis standard of chronic glomerulonephritis in clinical nephrology and the clinical research guideline of new traditional Chinese medicine, 68 clinical chronic glomerulonephritis patients who receive treatment in Guangdong medical affiliated hospitals from 3 months to 1 month in 2020 are selected, and a patient treatment group and a placebo group are selected by adopting a random digital table method, wherein 34 patients are in each group. The placebo group comprises 20 men and 14 women, the age is 57.34 +/-6.35 years, the average content of serum creatinine is 191.35 +/-30.48 mu mmol/L, and the average content of urea nitrogen is 17.15 +/-2.31 mmol/L; the treatment groups comprise 21 males and 13 females, wherein the ages of the males and the females are 58.49 +/-7.36 years old, the average content of serum creatinine is 188.29 +/-27.63 mu mmol/L, and the average content of urea nitrogen is 16.49.15 +/-3.17 mmol/L. There was no statistical difference in the demographics such as sex ratio, average age, average course of disease, etc., and baseline data comparison between the two groups of patients.

The two groups of patients take the nephritis recovery tablet 4 tablets/time and 3 times/day, and take the tablet with warm water after breakfast, lunch and supper; the anserine composition powder and placebo powder (main components: alanine, histidine, and glucose) are administered separately for 1 month, 3 g/time, and 2 times/d, and are taken with warm water after breakfast and supper.

(2) Blood and urine index detection

5mL of fasting venous blood in the early morning before and after treatment of two groups of patients are extracted, centrifuged at 4000r/min for 10min, and the upper layer serum is taken and stored in an environment with the temperature of minus 80 ℃ for detection. 5mL of fasting urine in the early morning before and after treatment of two groups of patients are collected and stored in an environment of-80 ℃ for detection.

Creatinine and urea nitrogen levels were measured in two groups of patients using a full-automatic biochemical analyzer (Viva-proE, siemens germany) and urine protein was assayed for 24h using a full-automatic urine chemical analyzer.

The results show that the creatinine content and the uric acid nitrogen content of the patients in the placebo group are respectively 131.65 +/-15.48 mu mmol/L and 10.37 +/-1.86 mmol/L, are reduced by 31.7 percent and 40.3 percent compared with the patients before treatment, the creatinine content and the urea nitrogen content of the patients in the treatment group are respectively 93.16 +/-19.33 mu mmol/L and 5.44 +/-0.79 mmol/L, are reduced by 50.2 percent and 67.2 percent compared with the patients before treatment, and the 24h urine protein content of the two groups of patients is respectively 0.48 +/-0.07 g/24h and 0.37 +/-0.04 g/24h, and the anserine composition is found to remarkably reduce the urea nitrogen, creatinine and urine protein levels of the patients and has the function of repairing the kidney by comparison.

As described above, the present invention can be preferably implemented, and the above-mentioned embodiments only describe the preferred embodiments of the present invention, and do not limit the scope of the present invention, and various changes and modifications of the technical solution of the present invention made by those skilled in the art without departing from the design spirit of the present invention shall fall within the protection scope defined by the present invention.