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Trimetazidine new use in prevention and treatment of sepsis-caused cardiac insufficiency

A technology of cardiac insufficiency and trimetazidine, which is applied in trimetazidine, a new application field in the prevention and treatment of sepsis and cardiac insufficiency

Inactive Publication Date: 2016-04-20
汪道文 +2
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

There is currently no drug for the treatment of sepsis with cardiac insufficiency

Method used

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  • Trimetazidine new use in prevention and treatment of sepsis-caused cardiac insufficiency
  • Trimetazidine new use in prevention and treatment of sepsis-caused cardiac insufficiency
  • Trimetazidine new use in prevention and treatment of sepsis-caused cardiac insufficiency

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0021] The preventive effect of embodiment 1 oral trimetazidine to sepsis heart insufficiency

[0022] C57 mice were randomly divided into 4 groups: 1) control group (gastric administration of normal saline), 2) trimetazidine control group (TMZ, 20mg / kg, oral administration, three times a day), 3) lipopolysaccharide group ( LPS, 15mg / kg, intraperitoneal injection), 4) trimetazidine prevention group (TMZ+LPS, TMZ20mg / kg, oral gavage, three times a day, give LPS15mg / kg, intraperitoneal injection after 3 days), each group of 8 .

[0023] After C57 mice were fed in SPF environment for one week, they were given prophylactic oral administration of trimetazidine, followed by LPS 3 days later. Six hours after intraperitoneal injection of LPS, cardiac function tests were performed using small animal high-frequency echocardiography and Millar cardiac catheterization system. Then the animals were sacrificed, and the hearts were fixed in formalin, embedded and sectioned, and the heart m...

Embodiment 2

[0026] Therapeutic effect of embodiment 2 oral trimetazidine to sepsis heart insufficiency

[0027] C57 mice were randomly divided into 4 groups: 1) control group (gastric administration of normal saline), 2) trimetazidine control group (TMZ, 20mg / kg, oral administration, three times a day), 3) lipopolysaccharide group ( LPS, 15mg / kg, intraperitoneal injection), 4) trimetazidine treatment group (LPS+TMZ, LPS15mg / kg, 6 hours after intraperitoneal injection, start to give TMZ20mg / kg, oral gavage, three times a day, last 24 hours ), 8 in each group.

[0028] After C57 mice were bred in SPF environment for one week, they were given intraperitoneal injection of LPS, and 6 hours later, trimetazidine 20mg / kg was given orally orally, three times a day for 24 hours, and the tail vein of small animals was used every 6 hours during this period. The blood pressure of the mice was monitored by a blood pressure measuring instrument. At the end point, small animal high-frequency echocardio...

Embodiment 3

[0034] Example 3 Preventive and therapeutic effects of intravenous injection of trimetazidine to sepsis with cardiac insufficiency

[0035] In the preventive effect, C57 mice were randomly divided into 4 groups: 1) control group (normal saline tail vein injection), 2) trimetazidine control group (TMZ, 20mg / kg, tail vein injection, twice a day), 3) lipopolysaccharide group (LPS, 15mg / kg, intraperitoneal injection), 4) trimetazidine prevention group (TMZ+LPS, TMZ20mg / kg, tail vein injection, twice a day, 3 days later, LPS15mg / kg, intraperitoneal injection) injection), 8 rats in each group.

[0036] After C57 mice were fed in SPF environment for one week, they were given prophylactic tail vein injection of trimetazidine, and LPS was given 3 days later. Six hours after intraperitoneal injection of LPS, cardiac function tests were performed using small animal high-frequency echocardiography and Millar cardiac catheterization system.

[0037] In the therapeutic effect, C57 mice we...

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Abstract

The present invention discloses new use of trimetazidine having cardiac protection effect in prevention and treatment of sepsis-caused cardiac insufficiency. Trimetazidine can inhibit the inflammatory reaction and reduce generation of myocardial cell reactive oxygen by inhibiting infiltration and proliferation of myocardial macrophages, and reduces myocardial cell damage and myocardial cell apoptosis. Prophylactic administration and therapeutic study results show that the trimetazidine not only significantly reduces myocardial cell edema, reduces the myocardial cell apoptosis, improves myocardial contractile function, has the curative effect of improving ejection fraction, and also has significant curative effects to improve blood pressure and reduce death rates.

Description

technical field [0001] The invention relates to the field of new applications of medicines, in particular to the new application of trimetazidine in the prevention and treatment of sepsis and cardiac insufficiency. Background technique [0002] Trimetazidine hydrochloride, chemical name: 1-(2,3,4-trimethoxybenzyl)piperazine dihydrochloride. Normal myocardial energy (ATP) supply 60% to 70% from free fatty acid β oxidation, 20% to 25% from glucose oxidation, 5% to 10% from glycolysis. The oxygen consumption of free fatty acid oxidation to produce the same amount of ATP is higher than that of glucose oxidation, and high levels of free fatty acid oxidation can significantly inhibit the rate of glucose oxidation. During myocardial ischemia, the sympathetic nerve is excited, and the level of catecholamines increases, which in turn leads to an increase in the level of free fatty acids in the blood; the oxidation of free fatty acids in the myocardial energy supply increases to 80% ...

Claims

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Application Information

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IPC IPC(8): A61K31/495A61P9/04A61P9/10A61P9/00
Inventor 汪道文陈琛赖金胜陈静
Owner 汪道文