阅读说明：本技术 三叶苷在制备治疗急性肝损伤药物中的应用 (Application of trilobatin in preparation of medicine for treating acute liver injury ) 是由 龚其海 高健美 于 2021-02-07 设计创作，主要内容包括：本发明公开了三叶苷在制备治疗急性肝损伤的药物中的应用,属于药学领域。本发明通过构建D-GalN/LPS诱导的小鼠急性肝损伤模型,给予不同浓度三叶苷后,发现三叶苷具有防治D-GalN/LPS诱导的小鼠急性肝损伤的作用并呈剂量依赖性；说明可以用于制备治疗急性肝损伤药物中,进而为临床医学提供一种可行的新的技术方案。此外,本发明还发现三叶苷能够作为自噬诱导剂诱导细胞自噬。本发明拓展了三叶苷的功能范围,提供了三叶苷新的应用。本发明的实施为临床上治疗急性肝损伤提供了新的药物,为三叶苷进一步在产业上应用开拓了新的方向。(The invention discloses an application of trilobatin in preparing a medicine for treating acute liver injury, belonging to the field of pharmacy. According to the invention, by constructing a D-GalN/LPS induced mouse acute liver injury model, after trilobatin with different concentrations is given, the trilobatin is found to have the effect of preventing and treating D-GalN/LPS induced mouse acute liver injury and is dose-dependent; the indication can be used for preparing the medicine for treating acute liver injury, thereby providing a feasible new technical scheme for clinical medicine. In addition, the trilobatin can be used as an autophagy inducer to induce autophagy of cells. The invention expands the functional range of trilobatin and provides new application of trilobatin. The implementation of the invention provides a new medicine for clinically treating acute liver injury and opens up a new direction for further industrial application of trilobatin.)

1. Application of trilobatin as autophagy inducer in preparing medicine for treating acute liver injury is provided.

2. Application of trilobatin in preparing autophagy inducer.

3. A capsule for treating acute liver injury, which comprises trilobatin as described in claim 1.

4. The capsule for treating acute liver injury according to claim 3, wherein the capsule comprises the following raw materials in parts by weight: 3-8 parts of trilobatin, 65-85 parts of medicinal starch and 15-25 parts of microcrystalline cellulose.

5. A tablet for treating acute liver injury, which comprises trilobatin according to claim 1.

6. The tablet for treating acute liver injury of claim 5, wherein: the tablet comprises the following raw materials in parts by weight: 3-8 parts of trilobatin, 3-10 parts of hydroxypropyl methylcellulose, 5-15 parts of carboxymethyl starch sodium, 5-10 parts of microcrystalline cellulose, 100 parts of lactose, 45-55 parts of starch and 1-3 parts of magnesium stearate.

7. A suspension for treating acute liver injury, which comprises trilobatin described in claim 1.

8. Suspension for the treatment of acute liver injury according to claim 7, characterized in that it comprises the following raw materials per 1000 mL: 3-8g trilobatin, 300-500ml polyethylene glycol 200.

Technical Field

The invention relates to the field of pharmacy, and particularly relates to application of trilobatin in preparation of a medicine for treating acute liver injury.

Background

Acute Liver Injury (ALI) is a sudden disease caused by a variety of causes (e.g., ischemia, drugs, exogenous toxicants and their metabolites and infections), and severe liver injury ultimately leads to irreversible liver failure. Due to the characteristics of high morbidity and high mortality, the life quality of patients is seriously affected. The pathogenesis of ALI is complex, and no ideal therapeutic drug exists at present. Therefore, there is an urgent need to elucidate the mechanism of acute liver injury and to find safe and effective strategies or drugs for treating ALI.

Autophagy means that a double-layer membrane wrapping part cytoplasm which is dropped from a non-ribosome attachment region of a rough endoplasmic reticulum and components such as organelles and proteins which need to be degraded in cells form autophagosomes, and the autophagosomes are fused with lysosomes to form autophagosomes and degrade the wrapped contents so as to realize the metabolism needs of the cells and the update of certain organelles. Autophagy is a highly conserved metabolic pathway in eukaryotic cells and plays an important role in maintaining the homeostasis, cell survival and homeostasis of the body under stress conditions. LC3-I, LC3-II and Beclin1 were used as markers of autophagy in all autophagy studies to date. Wherein LC3 is a mammalian homolog of yeast Atg 8. The LC3 precursor was processed by Atg4B to form LC3-I, and cytosolic LC3-I was converted to a membrane bound form, LC3-II, catalyzed by Atg5 and Atg 3. LC3-ii was recruited and localized to the autophagosome membrane until the autophagosome and the lysosome were fused. The Beclin1 is mainly involved in the formation of autophagosome, can not only mediate other autophagy proteins to be positioned at autophagy precursor, but also can regulate vacuolar sorting protein 34 (Vps-34), induce the formation of Beclin-Vps34-Vps15 core complex, and thus promote autophagy. Recent studies have found that autophagy plays an important regulatory role in Lipopolysaccharide (LPS)/D-galactosamine (D-GalN) -induced ALI. The LPS/D-GalN combined injection can better simulate the occurrence of acute fulminant liver failure of human beings, so the LPS/D-GalN induced animal model is the most commonly used model for researching acute liver injury. After the LPS/D-GalN acts on the liver, the macrophage of the liver can be induced to release a large amount of proinflammatory factors (such as TNF-alpha, IL-1 beta and IL-6), so that the content of Reactive Oxygen Species (ROS) is increased, and oxidative stress injury is caused. Cell death can result if damaged organelles are not protected by an adaptive response. Autophagy is an adaptive response involved in the regulation of and protective effects in LPS/D-GalN-induced ALI. The main basis is as follows: (1) in the LPS/D-GalN induced ALI model, inhibition of liver-specific autophagy exacerbates liver injury; (2) after LPS/D-GalN is injected into an abdominal cavity of an Atg5 gene knockout mouse model, the acute liver injury degree of the Atg5 gene knockout mouse model is more serious than that of a wild mouse. The result shows that the autophagy of the liver cells is gradually enhanced in the early and middle stages of the acute liver failure of the mice induced by LPS/D-GalN, so that the protective effect can be exerted. Therefore, the search for a natural source, safe and effective autophagy inducer for preventing and treating ALI is of great significance.

Trilobatin (trilobatin) is a known compound, and the molecular formula: c₂₁H₂₄O₁₀The structural formula is as follows:

the compound is dried stem and leaf extract of Lithocarpus polystachyus Rehd. The compound is known to have antiviral, anti-ischemic stroke, anti-senile dementia, etc. effects. In addition, the compound can reduce the release of proinflammatory factors (TNF-alpha, IL-1 beta and IL-6) from macrophages induced by lipopolysaccharide, and has strong antioxidation effect. However, no report of using trilobatin as an autophagy inducer to prevent ALI is available so far.

Disclosure of Invention

The invention aims to provide the application of trilobatin in preparing the medicine for treating acute liver injury, which aims to solve the problems in the prior art, and the medicine for treating acute liver injury is prepared by using trilobatin as an autophagy inducer of a natural source, and has the advantages of wide material source, easiness in obtaining, high safety of extraction from plants and good treatment effect of the prepared medicine.

In order to achieve the purpose, the invention provides the following scheme:

the invention provides application of trilobatin serving as an autophagy inducer in preparation of a medicine for treating acute liver injury.

The invention also provides application of trilobatin in preparation of an autophagy inducer.

The invention also provides a capsule for treating acute liver injury, which contains the trilobatin.

Preferably, the capsule comprises the following raw materials in parts by weight: 3-8 parts of trilobatin, 65-85 parts of medicinal starch and 15-25 parts of microcrystalline cellulose.

The invention also provides a tablet for treating acute liver injury, which comprises the trilobatin.

Preferably, the tablet comprises the following raw materials in parts by weight: 3-8 parts of trilobatin, 3-10 parts of hydroxypropyl methylcellulose, 5-15 parts of carboxymethyl starch sodium, 5-10 parts of microcrystalline cellulose, 100 parts of lactose, 45-55 parts of starch and 1-3 parts of magnesium stearate.

The invention also provides a suspension for treating acute liver injury, which comprises the trilobatin.

Preferably, each 1000mL of the suspension comprises the following raw materials: 3-8g trilobatin, 300-500ml polyethylene glycol 200.

The invention discloses the following technical effects:

according to the invention, the effect of preventing and treating ALI of trilobatin is observed by adopting a mouse ALI model induced by D-GalN/LPS, and the trilobatin is proved to have the effect of preventing and treating the mouse ALI induced by D-GalN/LPS and to be dose-dependent; the invention also proves the effect of trilobatin in inducing autophagy, expands the functional range of trilobatin and provides new application of trilobatin. The implementation of the invention provides a new medicine for clinically treating acute liver injury and opens up a new direction for further industrial application of trilobatin.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.

FIG. 1 is a graph of the effect of TLB on liver histopathology in ALI mice; wherein A is the change condition of mouse liver tissue in trilobatin drug group, control group and blank group; b is the mouse liver tissue electron microscope observation result after HE staining;

FIG. 2 is a quantitative plot of the effect of TLB on ALI mouse serum ALT and AST activity; wherein A is the comparison of ALT activity of the serum of different groups of mice; b is the comparison of the AST activity of the serum of the mice of different groups;

FIG. 3 is a graph of the results of the effect of TLB on the inflammatory factors of ALI mice; wherein A-F are the influence of TLB on IL-1 beta, IL-6, TNF alpha, ET-1, IL-4 and IL-10 of ALI mice respectively; wherein Model represents Model (i.e. D-GalN/LPS), TLB10 represents trilobatin 10mg/kg treatment, TLB20 represents trilobatin 20mg/kg treatment, and TLB 40 represents trilobatin 40mg/kg treatment; p <0.01 for trilobatin treatment cohort versus Model; # represents trilobatin treatment group vs Model, P < 0.01; # represents trilobatin treatment group versus Model, P < 0.05;

FIG. 4 is a graph of the results of the effect of TLB on indicators associated with oxidative stress in ALI mice; wherein A-D are the influence of TLB on ROS, MDA, SOD and GSH-Px of ALI mice respectively; wherein the Model represents the Model, the TLB10 represents the trilobatin 10mg/kg treatment, the TLB20 represents the trilobatin 20mg/kg treatment, and the TLB 40 represents the trilobatin 40mg/kg treatment; p <0.01 for trilobatin treatment cohort versus Model; # represents trilobatin treatment group vs Model, P < 0.01; # represents trilobatin treatment group versus Model, P < 0.05;

FIG. 5 is a graph of the effect of TLB on ALI mouse autophagy-related proteins; in the figure, A is an electrophoretogram of different groups of autophagy-related proteins; b is a quantification chart of LC 3-II/LC 3-I ratio; c is a quantification graph of the expression of Beclin1 protein.

Detailed Description

Reference will now be made in detail to various exemplary embodiments of the invention, the detailed description should not be construed as limiting the invention but as a more detailed description of certain aspects, features and embodiments of the invention.

It is to be understood that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. Further, for numerical ranges in this disclosure, it is understood that each intervening value, between the upper and lower limit of that range, is also specifically disclosed. Every smaller range between any stated value or intervening value in a stated range and any other stated or intervening value in a stated range is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included or excluded in the range.

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although only preferred methods and materials are described herein, any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention. All documents mentioned in this specification are incorporated by reference herein for the purpose of disclosing and describing the methods and/or materials associated with the documents. In case of conflict with any incorporated document, the present specification will control.

It will be apparent to those skilled in the art that various modifications and variations can be made in the specific embodiments of the present disclosure without departing from the scope or spirit of the disclosure. Other embodiments will be apparent to those skilled in the art from consideration of the specification. The specification and examples are exemplary only.

As used herein, the terms "comprising," "including," "having," "containing," and the like are open-ended terms that mean including, but not limited to.

The "parts" in the present invention are all parts by mass unless otherwise specified.

The materials and reagents used in the present invention can be obtained commercially without specific mention, and the experimental methods involved in the present invention are those which are routine in the art unless otherwise specified.

Example 1

Trilobatin (TLB) effect experiment for protecting mouse ALI

The reason for establishing the ALI model by selecting D-GalN/LPS is as follows: the D-GalN/LPS-induced acute liver injury model is an ideal, widely accepted animal model for exploring and evaluating the effects of hepatoprotectors. The animal liver tissue damage induced by GalN is similar to the acute severe hepatitis of human beings in morphology and function, and LPS can induce GalN sensitized mice to generate acute liver failure. D-GalN/LPS can stimulate liver macrophagocyte to produce inflammatory factors including tumor necrosis factor (TNF-alpha), Interleukin (IL) -1 beta, IL-6 and the like, so that an inflammatory reaction occurs, liver cells are further damaged, and even liver failure occurs.

Effect of TLB on D-GalN/LPS induced mouse ALI: the effect of TLB protection on mouse ALI was observed using the D-GalN/LPS-induced mouse ALI model. Male C57BL/6 (weighing 18-22g) mice were randomly divided into control group (control), control + TLB 40mg/kg, Model (D-GalN/LPS) control group, Model (D-GalN/LPS) + TLB10mg/kg or TLB20mg/kg or TLB 40mg/kg treatment groups, each dose group of TLB was administered prophylactically by continuous gavage for 7 days, and ALI Model was prepared by intraperitoneal injection of D-GalN (700mg/kg)/LPS (100. mu.g/kg). After 6h, liver tissues are taken and observed by HE staining.

The results of the experiment are shown in FIG. 1, wherein, the A picture shows that the liver of the GalN/LPS group mouse is darker and blacker than that of the blank group, and the liver of the TLB group mouse is close to that of the normal group. The B picture shows that the research result of HE staining indicates that the liver lobular structure of the mice in the model group is fuzzy, the liver cell cord arrangement is disordered and inflammatory cell infiltration is accompanied compared with that in the normal control group. TLB can alleviate the above mentioned histopathological lesions of the liver. The TLB is proved to have the function of preventing and treating the mouse ALI induced by D-GalN/LPS and is dose-dependent.

Example 2

Effect of TLB on alanine Aminotransferase (ALT) and aspartate Aminotransferase (AST) activity in ALI mice serum

Male C57BL/6 mice (weighing 18-22g) were randomly divided into a control group (control), a control + TLB 40mg/kg, a Model (D-GalN/LPS) control group, a Model (D-GalN/LPS) + TLB10mg/kg or TLB20mg/kg or TLB 40mg/kg treatment group, and each dose group of TLB was administered prophylactically by continuous gavage for 7 days, and an ALI Model was prepared by intraperitoneal injection of D-GalN (700mg/kg)/LPS (100. mu.g/kg). After 6h, serum was taken and ALT and AST activities were measured.

The results are shown in FIG. 2, and it can be concluded from A graph that the serum ALT activity of the model group mice is obviously increased (P <0.05) compared with the normal group; and TLB reduces serum ALT activity in mice (P < 0.05). The serum AST activity of the mice in the model group is obviously improved compared with that in the normal group (P <0.05) according to the B picture; and TLB can reduce the activity of mouse serum AST (P < 0.05). The TLB is suggested to have protective effect on ALI caused by D-GalN/LPS. The results demonstrate that TLB has the effect of significantly reducing ALI and AST levels in serum of ALI mice.

Example 3

Experiment on influence of TLB on ALI mouse inflammatory factor

Male C57BL/6 (weighing 18-22g) mice were randomly divided into a control group (control), a control + TLB 40mg/kg, a Model (D-GalN/LPS) control group, a Model + TLB10mg/kg or a TLB20mg/kg or TLB 40mg/kg treatment group, each dose group of TLB was administered prophylactically by continuous gavage for 7 days, and an ALI Model was prepared by intraperitoneal injection of D-GalN (700mg/kg)/LPS (100. mu.g/kg). After 6h, serum was taken and the level of inflammatory factors was measured.

The results are shown in figure 3, wherein, A-D graphs show that the levels of proinflammatory factors TNF-alpha, IL-1 beta, IL-6 and ET-1 in the serum of the mice in the model group are obviously increased compared with the normal group (P is less than 0.05); and TLB can reduce mouse serum TNF-alpha, IL-1 beta, IL-6, ET-1 level (P < 0.05). E-F plot, the levels of anti-inflammatory factors IL-4 and IL-10 in the serum of the model group mice are significantly reduced (P <0.05) compared with the normal group; and TLB can increase mouse serum IL-4 and IL-10 levels (P < 0.05). It was suggested that the protective effect of TLB on D-GalN/LPS-induced ALI was associated with anti-inflammatory response. The result proves that the TLB can obviously reduce the levels of proinflammatory factors TNF-alpha, IL-1 beta, IL-6 and ET-1 in the serum of the ALI mouse; the levels of the anti-inflammatory factors IL-4 and IL-10 are significantly increased.

Example 4

Experiment for influence of TLB on ALI mouse oxidative stress related indexes

Male C57BL/6 (weighing 18-22g) mice were randomly divided into control group (control), control + TLB 40mg/kg, Model (D-GalN/LPS) control group, Model + TLB10mg/kg or TLB20mg/kg or TLB 40mg/kg treatment group, each dose group of TLB was administered prophylactically by continuous gavage for 7 days, and ALI Model was prepared by intraperitoneal injection of D-GalN (700mg/kg)/LPS (100. mu.g/kg). After 6h, serum is taken and the oxidative stress related index is detected.

The results are shown in FIG. 4, and FIGS. 4A-B show that the serum ROS and MDA levels in the model group mice are significantly increased (P <0.05) compared with the normal group; and TLB reduces mouse serum ROS and MDA levels (P < 0.05). C-D shows that the levels of the serum anti-inflammatory factors SOD and GSH-Px of the model group mice are obviously reduced compared with the normal group (P < 0.05); and TLB can elevate mouse serum SOD and GSH-Px levels (P < 0.05). Suggesting that the protective effect of TLB on ALI caused by D-GalN/LPS is related to the damage of antioxidant stress. The results prove that TLB can obviously reduce the level of ROS and MDA in serum of ALI mice; obviously improve the activities of antioxidant enzyme SOD and GSH-Px.

Example 5

Effect of TLB on ALI mouse autophagy-related proteins

Male C57BL/6 (weighing 18-22g) mice were randomly divided into control group (control), control + TLB 40mg/kg, Model (D-GalN/LPS) control group, Model (D-GalN/LPS) + TLB10mg/kg or TLB20mg/kg or TLB 40mg/kg treatment group, each dose group of TLB was administered prophylactically by continuous gavage for 7 days, and ALI Model was prepared by intraperitoneal injection of D-GalN (700mg/kg)/LPS (100. mu.g/kg). After 6h, liver tissues were taken and the autophagy-related protein content was determined.

The results are shown in fig. 5, where TLB was able to significantly elevate levels of LC3 and Beclin1 in liver tissue of ALI mice. A-C in the figure show that the protein expression of LC 3-II/LC 3-I ratio and Beclin1 in the liver tissue of the model group mice is obviously reduced compared with that of the normal group; the TLB can obviously increase the LC 3-II/LC 3-I ratio and the protein expression of Beclin1 in mouse liver tissues. Suggesting that the protective effect of TLB on ALI caused by D-GalN/LPS is related to promoting autophagy. The TLB is shown to be capable of inducing autophagy, and the effect of the TLB on preventing ALI is related to the induction of autophagy.

Example 6

A capsule for treating acute liver injury comprises the following schemes:

(1) the capsule comprises the following raw materials in parts by weight: 3 parts of trilobatin, 65 parts of medicinal starch and 15 parts of microcrystalline cellulose.

The preparation method specifically comprises the following steps: taking 3 parts of trilobatin, 65 parts of medicinal starch and 15 parts of microcrystalline cellulose, drying the medicinal starch, sieving with a 120-mesh sieve, mixing with the trilobatin and the microcrystalline cellulose, sieving with the 120-mesh sieve twice, filling into hard capsules, and preparing 1000 capsules.

(2) The capsule comprises the following raw materials in parts by weight: 5 parts of trilobatin, 75 parts of medicinal starch and 20 parts of microcrystalline cellulose.

The preparation method specifically comprises the following steps: taking 5 parts of trilobatin, 75 parts of medicinal starch and 20 parts of microcrystalline cellulose, drying the medicinal starch, sieving with a 120-mesh sieve, mixing with the trilobatin and the microcrystalline cellulose, sieving with the 120-mesh sieve twice, filling into hard capsules, and preparing 1000 capsules.

(3) The capsule comprises the following raw materials in parts by weight: 8 parts of trilobatin, 85 parts of medicinal starch and 25 parts of microcrystalline cellulose.

The preparation method specifically comprises the following steps: taking 8 parts of trilobatin, 85 parts of medicinal starch and 25 parts of microcrystalline cellulose, drying the medicinal starch, sieving with a 120-mesh sieve, mixing with the trilobatin and the microcrystalline cellulose, sieving with the 120-mesh sieve twice, filling into hard capsules, and preparing 1000 capsules.

Example 7

A tablet for treating acute liver injury comprises the following schemes:

(1) the tablet comprises the following raw materials in parts by weight: 3 parts of trilobatin, 3 parts of hydroxypropyl methylcellulose, 5 parts of carboxymethyl starch sodium, 5 parts of microcrystalline cellulose, 100 parts of lactose, 45 parts of starch and 1 part of magnesium stearate;

the preparation method specifically comprises the following steps: mixing the main drug and the auxiliary materials, putting into a high-speed stirrer, spraying, adding a proper amount of water, granulating, controlling the water content to be 3-4%, tabletting, preparing 1000 tablets, and coating a film coat.

(2) The tablet comprises the following raw materials in parts by weight: 5 parts of trilobatin, 6 parts of hydroxypropyl methylcellulose, 10 parts of carboxymethyl starch sodium, 8 parts of microcrystalline cellulose, 115 parts of lactose, 50 parts of starch and 1 part of magnesium stearate;

the preparation method specifically comprises the following steps: mixing the main drug and the auxiliary materials, putting into a high-speed stirrer, spraying, adding a proper amount of water, granulating, controlling the water content to be 3-4%, tabletting, preparing 1000 tablets, and coating a film coat.

(3) The tablet comprises the following raw materials in parts by weight: 8 parts of trilobatin, 10 parts of hydroxypropyl methylcellulose, 15 parts of carboxymethyl starch sodium, 10 parts of microcrystalline cellulose, 125 parts of lactose, 55 parts of starch and 3 parts of magnesium stearate;

the preparation method specifically comprises the following steps: mixing the main drug and the auxiliary materials, putting into a high-speed stirrer, spraying, adding a proper amount of water, granulating, controlling the water content to be 3-4%, tabletting, preparing 1000 tablets, and coating a film coat.

Example 8

A suspension for treating acute liver injury comprises the following schemes:

(1) the suspension comprises the following raw materials in parts by weight: every 1000mL of the suspension comprises the following raw materials: 3g trilobatin, 300ml polyethylene glycol 200, a proper amount of sucrose according to taste, and the balance of water.

The preparation method specifically comprises the following steps: dissolving trilobatin 3g in 300ml polyethylene glycol 200, diluting with appropriate amount of distilled water, adding appropriate amount of sucrose, adjusting volume to 1000ml, stirring, filtering, packaging into 10ml or 20ml each, sterilizing, and packaging.

(2) The suspension comprises the following raw materials in parts by weight: every 1000mL of the suspension comprises the following raw materials: 5g trilobatin, 400ml polyethylene glycol 200, a proper amount of sucrose according to taste, and the balance of water.

The preparation method specifically comprises the following steps: dissolving trilobatin 5g in 400ml polyethylene glycol 200, diluting with appropriate amount of distilled water, adding appropriate amount of sucrose, adjusting volume to 1000ml, stirring, filtering, packaging into 10ml or 20ml each, sterilizing, and packaging.

(3) The suspension comprises the following raw materials in parts by weight: every 1000mL of the suspension comprises the following raw materials: 8g trilobatin, 500ml polyethylene glycol 200, a proper amount of sucrose is added according to the taste, and the balance is water.

The preparation method specifically comprises the following steps: dissolving trilobatin 8g in 500ml polyethylene glycol 200, diluting with appropriate amount of distilled water, adding appropriate amount of sucrose, adjusting volume to 1000ml, stirring, filtering, packaging into 10ml or 20ml each, sterilizing, and packaging.

The dosage form is only a partial scheme of trilobatin in preparing the medicine for treating acute liver injury, and is not limited to the protection scope of the invention. Obviously, the technical scheme of the invention can also be any medically acceptable dosage form.

The above-described embodiments are merely illustrative of the preferred embodiments of the present invention, and do not limit the scope of the present invention, and various modifications and improvements of the technical solutions of the present invention can be made by those skilled in the art without departing from the spirit of the present invention, and the technical solutions of the present invention are within the scope of the present invention defined by the claims.