陳晗+陳丹倩+李全福+李鵬飛+陳華+趙英永
[摘要]麥角甾酮是多種藥用真菌的主要化學(xué)成分之一,具有利尿、抗腫瘤、免疫抑制、治療慢性腎臟病等多種生物活性?;谝褕?bào)道的相關(guān)文獻(xiàn),該文綜述了麥角甾酮的波譜特征、含量測定、藥理活性及藥代動力學(xué)等研究進(jìn)展,為深入研究與開發(fā)利用麥角甾酮提供一定價(jià)值的參考。
[關(guān)鍵詞]麥角甾酮;利尿;慢性腎臟病;細(xì)胞毒活性;藥代動力學(xué);含量測定
麥角甾-4,6,8(14),22-四烯-3-酮[麥角甾酮,ergosta-4,6,8(14),22-tetraen-3-one,ergone,結(jié)構(gòu)式見圖1]屬于甾體類化合物,廣泛分布于冬蟲夏草Cordyceps sinensis (Berk) Sacc.[1],豬苓Polyporus umbellatus (Pers.) Fries[2-3],Vietnamese Xylaria sp.[4],黃心柿Diospyros maritima Blume[5],Zopfiella longicaudata (Cain) Arx[6],Pleurotus ostreatus (Jacq. ex Fr.) Kumm[7]等多種真菌和地衣。麥角甾酮有利尿、抗腫瘤、免疫抑制和治療慢性腎臟病等多種生物活性[1-9]。本文通過檢索Web of Science,Pubmed,ScienceDirect,Springer,Google Scholar,中國知網(wǎng)等數(shù)據(jù)庫,查到國內(nèi)外相關(guān)麥角甾酮的文獻(xiàn),現(xiàn)將近幾十年麥角甾酮的藥理活性、藥代動力學(xué)、波譜特征及含量測定方法等方面的研究進(jìn)展進(jìn)行總結(jié),為深入研究和開發(fā)利用麥角甾酮提供科學(xué)依據(jù)。
1 麥角甾酮的結(jié)構(gòu)表征
麥角甾酮為淡黃色晶體(石油醚),C28H40O,相對分子質(zhì)量392;mp 113~115 ℃;氫譜與碳譜數(shù)據(jù)如下:1H NMR(CDCl3,500 MHz) 5.73(1H,s,H-4),6.03(1H,d,J=9.5 Hz,H-6),6.61(1H,d,J=9.5 Hz,H-7),0.96(3H,s,H-18),1.00(3H,s,H-19),1.06(3H,d,J=6.7 Hz,H-21),5.20(1H,dd,J=15.3,7.3 Hz,H-22),5.46(1H,dd,J=15.3,7.3 Hz,H-23),0.83(3H,d,J=6.7 Hz,H-26),0.85(3H,d,J=7.0 Hz,H-27),0.93(3H,d,J=7.0 Hz,H-28);13C-NMR(CDCl3,125 MHz):34.3(C-1),34.4(C-2),199.4(C-3),123.3(C-4),164.4(C-5),124.7(C-6),134.1(C-7),124.7(C-8),44.7(C-9),37.0(C-10),19.2(C-11),35.9(C-12),44.2(C-13),156.1(C-14),25.6(C-15),27.8(C-16),56.0(C-17),19.2(C-18),16.8(C-19),39.4(C-20),21.4(C-21),135.2(C-22),132.8(C-23),43.1(C-24),33.3(C-25),19.8(C-26),20.1(C-27),17.8(C-28)。
2 麥角甾酮的藥理活性
2.1 利尿作用 Yuan等報(bào)道麥角甾酮給藥組與未給藥組正常大鼠之間的尿量及Na+/K+排泄量比值無明顯差異,而摘除腎上腺及給予deoxycoricosterone acetate(DOCA)大鼠尿量及Na/K排泄量比有明顯差異;對摘除腎上腺及未給予DOCA大鼠尿量及Na/K排泄量比無明顯差異[10]。有文獻(xiàn)報(bào)道5,10,20 mg·kg-13個(gè)不同劑量的麥角甾酮對正常大鼠均有增加排尿量的趨勢,3個(gè)劑量組與給水對照組相比,大鼠尿量分別增加了33.4%,32.5%,46.8%。增加的尿量均超過30%,這提示麥角甾酮有較好的利尿效果。Na+,K+及Cl-排出量結(jié)果表明,麥角甾酮在增加尿量的同時(shí),也可增加電解質(zhì)Na+,K+及Cl-的排出,5,10 mg·kg-1劑量的麥角甾酮均能夠增加尿液中Na+,K+及Cl-的排出量,但二者無顯著差異;20 mg·kg-1劑量麥角甾酮能夠顯著增加尿液中Na+,K+及Cl-的排出量,且Na+,K+及Cl-的排出量分別增加了30%,42%,27%,而Na+/K+的比值基本不變。目前,麥角甾酮的利尿作用機(jī)制尚未完全明確,可能由于其抑制了腎小管對電解質(zhì)和水的重吸收[11-12],也可能通過拮抗醛固酮使Na+-K+平衡發(fā)生改變[10]。
2.2 治療慢性腎臟病作用 腺嘌呤是致動物慢性腎衰的常用藥物,進(jìn)入體內(nèi)后通過黃嘌呤氧化酶的作用轉(zhuǎn)變?yōu)椴蝗苡谒?,8-二羥基腺瞟呤,從而影響氮質(zhì)化合物的排泄和電解質(zhì)Na+,K+,Ca2+,P-等物質(zhì)的代謝,引起腎小管功能減退甚至喪失,最終導(dǎo)致腎衰竭。研究顯示,麥角甾酮可以增加腺嘌呤誘導(dǎo)的慢性腎衰竭模型血紅蛋白含量,降低血清肌酐和血尿素氮,下調(diào)I,III型膠原蛋白及TGF-β1在腎組織的表達(dá),并在改善腎功能、減少腺嘌呤代謝產(chǎn)物對腎臟的病理性損害方面具有較好作用。UPLC-MS代謝組學(xué)的研究結(jié)果顯示麥角甾酮對腺嘌呤所致的大鼠慢性腎衰竭有較好的防治作用[13]。血清代謝組學(xué)的實(shí)驗(yàn)結(jié)果顯示磷脂(16∶0/18∶2)、溶血卵磷脂(18∶1)、溶血卵磷脂(17∶0)、溶血卵磷脂(16∶0)、二氫神經(jīng)鞘氨醇、植物鞘氨醇、色氨酸、肌酐、神經(jīng)酰胺(18∶0/16∶0)、神經(jīng)酰胺(18∶0/14∶0)等是腺嘌呤誘導(dǎo)的慢性腎衰竭大鼠血清的生物標(biāo)示物,腺嘌呤提高了尿液中植物鞘氨醇、腎上腺甾酮、色氨酸、2,8-二羥基腺嘌呤、肌酐和二氫神經(jīng)鞘氨醇的水平,同時(shí)降低了尿液中N-乙酰亮氨酸、3-氧-甲基多巴、乙基-N2-乙酰-L-精氨酸鹽、多巴胺、苯丙氨酸、犬尿酸的水平,麥角甾酮對這些生物標(biāo)示物有一定的逆轉(zhuǎn)作用[14]。另外,肌酐、脯氨酸、腎上腺甾酮、牛磺酸、肌酸、苯丙氨酸、多巴胺、犬尿酸等也是慢性腎衰竭大鼠尿液生物標(biāo)示物,麥角甾酮對這些生物標(biāo)示物也有一定的逆轉(zhuǎn)作用[15]。這些結(jié)果表明慢性腎衰竭的發(fā)展進(jìn)程受磷脂、 氨基酸等多個(gè)代謝途徑影響,麥角甾酮可通過改善相關(guān)內(nèi)源性物質(zhì)的代謝對慢性腎衰竭發(fā)揮治療作用。此外,基于UPLC-MS的糞便代謝組學(xué)研究結(jié)果顯示鵝去氧膽酸,棕櫚酸,植物鞘氨醇,MG(24∶1/0∶0/0∶0),12-hydroxy-3-oxocholadienic acid,lysoPE(18∶2/0∶0),lysoPE(16∶0/0∶0)及7-ketolithocholic acid是慢性腎衰竭大鼠的糞便的生物標(biāo)示物,麥角甾酮對這些生物標(biāo)示物有一定的逆轉(zhuǎn)作用[16-17]。endprint
麥角甾酮對馬兜鈴酸誘導(dǎo)的慢性馬兜鈴酸腎病亦有較好的治療作用。實(shí)驗(yàn)研究表明麥角甾酮對馬兜鈴酸引起的肌酐、尿素氮、尿蛋白及N-acetyl-b-D-glucosaminidase水平的上升有不同程度抑制作用,從而改善腎間質(zhì)的纖維化[18]。
2.3 細(xì)胞毒活性及抗腫瘤活性 大量研究已證實(shí)麥角甾酮具有一定的細(xì)胞毒性,并且進(jìn)一步的藥理及代謝組學(xué)研究表明,麥角甾酮在體內(nèi)有抗腫瘤的生物活性。
Lee等報(bào)道麥角甾酮對人肝癌細(xì)胞Hep3B、結(jié)腸癌細(xì)胞HT-29、子宮頸癌細(xì)胞HeLa29和人胃癌細(xì)胞AGS抑制的IC50分別為5,7.2,26.3,22 mg·L-1[19]。結(jié)果顯示麥角甾酮對Hep3B和AGS細(xì)胞的增殖有較強(qiáng)的抑制作用。
趙英永等采用活性導(dǎo)向篩選豬苓細(xì)胞毒活性成分,研究顯示豬苓中的麥角甾酮對人肝癌細(xì)胞HepG2、人喉癌細(xì)胞Hep-2、人子宮頸癌細(xì)胞Hela及正常細(xì)胞人臍靜脈細(xì)胞HUVEC的增殖有一定的抑制作用,麥角甾酮對HepG2,Hep-2,Hela及HUVEC增殖抑制的IC50分別為10.5,14.6,10.8,25.0 mg·L-1[20]。麥角甾酮對HepG2,Hep-2,Hela增殖抑制作用強(qiáng)于對正常HUVEC細(xì)胞,說明其對癌細(xì)胞有較強(qiáng)的選擇性。Tala等的研究成果也證明麥角甾酮對Hela增殖有一定的抑制效應(yīng)[21]。趙英永等進(jìn)一步研究了麥角甾酮誘導(dǎo)HepG2凋亡的作用機(jī)制,結(jié)果顯示麥角甾酮對HepG2細(xì)胞的抑制作用呈明顯濃度和時(shí)間依賴性;麥角甾酮對HepG2細(xì)胞周期的改變呈濃度依賴性分布;Annexin V-FITC/PI雙染法觀察不同濃度麥角甾酮對HepG2細(xì)胞凋亡的影響,早期凋亡率分別為1.2%,6.3%,10.5%,21%,晚期凋亡率則分別為 4.5%,7.8%,16.2%,29.9%;Hoechst 33258熒光染色法檢測結(jié)果顯示細(xì)胞核皺縮、熒光變得致密等細(xì)胞凋亡的典型形態(tài)學(xué)特征。Western blotting結(jié)果還顯示麥角甾酮在上調(diào)Bax及cleaved PARP的同時(shí)下調(diào)Bcl-2,procaspase-3,-8,-9,PARP及p-53。這些凋亡途徑顯示了麥角甾酮誘導(dǎo)人肝癌細(xì)胞HepG2凋亡及G2/M細(xì)胞周期阻滯的作用機(jī)制[22]。此外,F(xiàn)roufe等報(bào)道麥角甾酮對抗凋亡蛋白Bcl-2有抑制作用[23]。研究卷柏中分離的麥角甾酮及其類似物的結(jié)構(gòu)與細(xì)胞毒活性的關(guān)系,發(fā)現(xiàn)麥角甾酮的抗腫瘤活性可能與其3位氧有關(guān)[24]。
Kuo等對黃心柿中分離得到的麥角甾酮進(jìn)行體外細(xì)胞毒性評價(jià),發(fā)現(xiàn)其對肝癌 HEPA-3B、鼻咽癌KB、結(jié)腸癌 COLO-205和宮頸癌 HELA細(xì)胞顯示出強(qiáng)的細(xì)胞毒作用[5]。
其他研究顯示麥角甾酮-PEG脂質(zhì)體比游離麥角甾酮在固體荷瘤小鼠有更顯著的抗腫瘤活性[25]。Sun等報(bào)道葉酸修飾麥角甾酮的牛血清白蛋白的納米顆??梢愿纳汽溄晴尥闹委熜Ч?。體外實(shí)驗(yàn)研究證明了緩釋的納米粒子在血液循環(huán)過程中增加藥物的靶點(diǎn)釋放。證明葉酸修飾麥角甾酮的細(xì)胞攝取增強(qiáng)。體內(nèi)實(shí)驗(yàn)也證實(shí)可以產(chǎn)生強(qiáng)大的活動對葉酸修飾陽性腫瘤[26-27]。
Lentinus polychrous菌絲體分離得到的麥角甾酮對人乳腺癌T47D細(xì)胞雌激素活性和抗雌激素活性的測定結(jié)果顯示,麥角甾酮無雌激素活性,但對雌二醇增強(qiáng)的T47D細(xì)胞增殖有抑制效應(yīng),說明麥角甾酮可高選擇性地競爭雌激素受體[28]。
2.4 麥角甾酮的免疫抑制活性 Fujimoto等從真菌Zopfiella longicaudata分離鑒定的麥角甾酮對伴刀豆球蛋白A 或脂多糖誘導(dǎo)小鼠脾淋巴細(xì)胞增殖顯示了強(qiáng)的免疫抑制活性[6]。分析其構(gòu)效關(guān)系后發(fā)現(xiàn)麥角甾酮分子結(jié)構(gòu)中的A,B,C 3個(gè)環(huán)可能對免疫抑制活性起著重要的作用。
2.5 麥角甾酮抑制黑色素產(chǎn)生效應(yīng) Hong等從桑黃的子實(shí)體分離得到麥角甾酮可以降低小鼠黑色素瘤細(xì)胞B16F10內(nèi)激活的α-促黑素細(xì)胞激素,且在5~15 μmol·L-1呈現(xiàn)劑量依賴關(guān)系;在B16F10細(xì)胞內(nèi)麥角甾酮也以劑量依賴方式抑制酪氨酸酶蛋白的表達(dá)和mRNA的水平[29]。Leon等從褐環(huán)乳牛肝菌分離到麥角甾酮并評價(jià)麥角甾酮對人黑色素瘤細(xì)胞SK-MEL-1的細(xì)胞毒活性,測定麥角甾酮處理后72 h的IC50為10 μmol·L-1[30]。
2.6 麥角甾酮抑制超氧陰離子產(chǎn)生、彈性蛋白酶釋放、植物生長效應(yīng) Thang等從無柄紫靈芝分離出麥角甾酮并測定其對超氧陰離子產(chǎn)生和彈性蛋白酶釋放的抑制效應(yīng),結(jié)果顯示麥角甾酮對超氧陰離子產(chǎn)生和彈性蛋白酶釋放有較強(qiáng)的抑制效應(yīng),其抑制的IC50分別為(2.30±0.38),(1.94±0.50) g·mL-1[31]。Macías等篩選Guanomyces polythrix植物毒素成分,分離得到的麥角甾酮對千穗谷和稗草生長有強(qiáng)的抑制活性,抑制生長活性的IC50分別為8.0×10-5,1.7×10-4mol·L-1[32]。Mata等研究從真菌Guanomyces polytrix分離的植物毒素,發(fā)現(xiàn)鈣存在時(shí)麥角甾酮抑制鈣調(diào)蛋白依賴煙酰胺腺嘌呤二核苷酸激酶和鈣調(diào)蛋白依賴環(huán)核苷酸磷酸二酯酶的活性[33]。endprint
3 麥角甾酮的藥代動力學(xué)
基于麥角甾酮體內(nèi)藥理學(xué)的研究基礎(chǔ),文獻(xiàn)報(bào)道了采用高效液相色譜-紫外檢測器聯(lián)用(HPLC-UV)、高效液相色譜-熒光檢測器聯(lián)用(HPLC-FLD)、高效液相色譜-質(zhì)譜儀聯(lián)用(HPLC-MS)、RRLC-MSn和等測定方法研究了麥角甾酮及其代謝產(chǎn)物在血漿、大便、尿液和組織等分布及排泄。
3.1 血漿藥代動力學(xué) 給大鼠灌胃劑量為20 mg·kg-1的麥角甾酮后,3.81 h達(dá)到最大血藥濃度1.29 mg·L-1[34-35]。報(bào)道顯示,麥角甾酮結(jié)合人血清白蛋白對于麥角甾酮的藥代動力學(xué)有重要的影響,構(gòu)象研究表明麥角甾酮的存在降低了人血清白蛋白中α螺旋的含量并誘導(dǎo)蛋白質(zhì)多肽輕微的展開[36-37]。麥角甾酮可以結(jié)合到人血清白蛋白的位點(diǎn),與分子建模的結(jié)果一致。
3.2 組織分布 趙英永等研究麥角甾酮在肺、脾、肝、腸、腎、心臟、胃、附睪、腦組織的組織分布,給藥后9 h麥角甾酮在不同組織的分布達(dá)到最大濃度,12 h后麥角甾酮在不同組織濃度顯著的降低。麥角甾酮在肺、脾和肝濃度較高,麥角甾酮在組織的分布與血流量有關(guān)。組織麥角甾酮AUC降序?yàn)榉巍⑵?、肝、血漿、腸道、腎臟、心臟、胃、附睪、腦。麥角甾酮?jiǎng)t主要分布在血液供給豐富的組織如肺、脾、肝、腎,表明麥角甾酮分布是依賴于血液流動或器官的灌注率。另外口服麥角甾酮后24 h麥角甾酮在膽汁排泄率為34.14%[38]。
3.3 尿液及糞便的排泄 采用建立的HPLC-FLD方法測定麥角甾酮在血漿、大便及尿液中的含量,結(jié)果發(fā)現(xiàn)麥角甾酮在血漿及大便含量高,特別是在大便中的含量較高,24 h內(nèi)麥角甾酮給藥量約57%通過大便排出體外,6~8 h時(shí)達(dá)到最大排出量,而麥角甾酮在尿液中的含量低于檢測限,這一結(jié)果顯示麥角甾酮是在膽汁中經(jīng)大便排出。代謝產(chǎn)物epoxyergone僅僅在大便能夠被檢測到,而在血漿和尿液沒有檢測到代謝產(chǎn)物。在24 h內(nèi)有1%的麥角甾酮轉(zhuǎn)化為代謝產(chǎn)物,在8~10 h達(dá)到最大排出量,和麥角甾酮相比,代謝產(chǎn)物的排出遲于麥角甾酮2 h[39]。結(jié)果表明麥角甾酮的排泄途徑是通過大便排泄而不是尿液(藥物經(jīng)尿排泄可能造成腎損傷)。Sun等建立熒光分析方法測定麥角甾酮在血漿、大便及尿液中的含量,該方法能快速定量測定大鼠血漿,糞便和尿液中麥角甾酮含量[40]。
4 麥角甾酮的含量測定研究
到目前為止,文獻(xiàn)報(bào)道了HPLC-UV,HPLC-FLD,HPLC-MS等測定不同中藥中麥角甾酮的方法,但由于麥角甾酮含量極低,HPLC-UV方法無法精確測定麥角甾酮的含量。由于麥角甾酮有較強(qiáng)的熒光強(qiáng)度,HPLC-FLD是測定麥角甾酮的理想方法,文獻(xiàn)報(bào)道了HPLC-FLD測定豬苓中麥角甾酮的測定方法,同時(shí)與HPLC-UV方法進(jìn)行了比較[41-43]。因?yàn)闊晒鈾z測技術(shù)具有高的靈敏度和選擇性,復(fù)雜的物質(zhì)體系(如中藥提取物)中的微量成分能被直接的測定,因此應(yīng)用HPLC-FLD方法對豬苓藥材中的麥角甾酮進(jìn)行含量測定。
趙英永等建立HPLC-MS方法測定豬苓中包括麥角甾酮在內(nèi)的8個(gè)甾體類化合物的含量[44]。相比傳統(tǒng)的HPLC-UV和HPLC-ELSD測定方法,HPLC-MS對低含量成分的測定顯示出良好的選擇性和高靈敏度,該方法可用于定量分析麥角甾酮。孫洋等研究麥角甾酮與人血清白蛋白和牛血清白蛋白的相互作用,吸收光譜和熒光光譜研究表明麥角甾酮與血清白蛋白結(jié)合導(dǎo)致藍(lán)移與顯著的強(qiáng)度變化[45]。
麥角甾酮是雷丸藥材的主要成分之一,胡珊梅等建立了紫外-可見分光光度法測定雷丸中麥角甾酮含量的方法[46]。此方法操作簡便,重復(fù)性好,結(jié)果準(zhǔn)確可靠,可用于雷丸的定性定量分析,以控制雷丸藥材及相關(guān)產(chǎn)品的質(zhì)量。
5 展望
近幾年,藥用真菌的研究越來越受到重視,尤其廣泛分布于多種藥用真菌的麥角甾酮吸引了研究者們更多的關(guān)注。研究已證實(shí)麥角甾酮有利尿、治療慢性腎臟病、抗癌、抗腫瘤、免疫抑制等多種生物活性?;谒幚韺W(xué)、代謝組學(xué)、細(xì)胞生物學(xué)的研究方法,從整體動物到細(xì)胞分子水平,麥角甾酮治療慢性腎病和細(xì)胞毒活性及其機(jī)制研究已經(jīng)取得了一些成果。麥角甾酮可通過誘導(dǎo)多種腫瘤細(xì)胞凋亡和抑制腫瘤轉(zhuǎn)移起到抗腫瘤作用。但目前的研究大多局限于細(xì)胞水平,對麥角甾酮在整體水平的抗腫瘤作用及其機(jī)制還有待更加深入地研究。麥角甾酮抗腫瘤方面的進(jìn)一步研究能夠使麥角甾酮有望成為一種廣譜抗癌新藥。
慢性腎臟病是威脅人類健康的重要疾病之一,相關(guān)研究成果已表明麥角甾酮對慢性腎臟病有較好的治療效果。藥代動力學(xué)的結(jié)果證明麥角甾酮是通過糞便排泄而不經(jīng)過尿液排泄,可以避免長期使用麥角甾酮而造成腎損傷。藥理和代謝組學(xué)的結(jié)果證明麥角甾酮對慢性腎臟病的治療顯示了良好的效果。雖然實(shí)驗(yàn)研究顯示麥角甾酮在防治慢性腎臟病上有廣闊的應(yīng)用前景,但現(xiàn)有的研究大部分還僅局限于體外細(xì)胞實(shí)驗(yàn)和動物模型研究,而尚未有麥角甾酮臨床研究成果的報(bào)道。因此,對麥角甾酮進(jìn)一步深入開展臨床研究是十分必要的,這可以為治療慢性腎臟病藥物的篩選和開發(fā)提供新的參考,進(jìn)而為麥角甾酮及真菌類中藥的應(yīng)用提供廣闊的前景。
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Research progress on pharmacology,pharmacokinetics and
determination of ergosta-4,6,8(14),22-tetraen-3-one
CHEN Han,CHEN Dan-qian,LI Quan-fu,LI Peng-fei,CHEN Hua,ZHAO Ying-yong*
(Key Laboratory of Resource Biology and Biotechnology in Western China,Ministry of Education,
the College of Life Sciences,Northwest University,Xi′an 710069,China)
[Abstract] Ergosta-4,6,8(14),22-tetraen-3-one (ergone) is one of main components in many medicinal fungi. Ergone has been reported to possess the activities of diuresis,cytotoxicity,antitumor,immunosuppression,as well as treatment of chronic kidney disease. According to reported literatures,an overview of spectroscopy characteristics,content determination,pharmacological activity and pharmacokinetics,etc. for ergone is presented in this review. Furthermore,the present review can provide a certain reference value for the further study and development of ergone.
[Key words] ergosta-4,6,8(14),22-tetraen-3-one; diuresis; chronic kidney disease; pharmacokinetics; content determination
doi:10.4268/cjcmm20142004
[責(zé)任編輯 張寧寧]endprint
中國中藥雜志2014年20期