The Research Center of Chiral Drugs, Innovation Research Institute of Traditional Chinese Medicine (IRI), Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
NMPA Key Laboratory for Quality Evaluation of Traditional Chinese Medicine (Traditional Chinese Patent Medicine), Zhejiang Institute for Food and Drug Control, Hangzhou 310052, China.
Phytomedicine. 2023 Oct;119:154972. doi: 10.1016/j.phymed.2023.154972. Epub 2023 Jul 23.
As first-line clinical drugs, tripterygium glycoside tablets (TGTs) often have inconsistent efficacy and toxic side effects, mainly due to inadequate quality control. Therefore, clinically relevant quality standards for TGTs are urgently required.
Based on chemical substances and considering pharmacological efficacy, we aimed to develop an effective quality evaluation method for TGTs.
Representative commercial samples of TGTs were collected from different manufacturers, and qualitative UHPLC/LTQ-Orbitrap-MS and quantitative UHPLC-MS/MS analysis methods were successfully applied to evaluate their quality similarities and differences based on their chemical properties. Then the anti-immunity, anti-inflammatory and antitumor activities of TGTs and related monomers were evaluated using Jurkat, RAW264.7, MIA PaCa-2, and PANC-1 as cellular models. Subsequently, we predicted and verified small molecule-DCTPP1 interactions via molecular docking using the established DCTPP1 enzymatic activity assay. Finally, we performed a gray relational analysis to evaluate the chemical characteristics and biological effects of TGTs produced by different manufacturers.
We collected 24 batches of TGTs (D01-D24) from 5 manufacturers (Co. A, Co. B, Co. C, Co. D, Co. E) for quality evaluation. The chemical composition analysis revealed significant differences in the substance bases of the samples. The D02, D18-D20 samples from Co. B constituted a separate group that differed from other samples, mainly in their absence of diterpenoids and triterpenoids, including triptolide, triptophenolide, and triptonide. In vitro anti-immunity, antitumor and anti-inflammatory tests using the same TGT concentration revealed that, except for D02, D18-D20, the remaining 20 samples exhibited different degrees of anti-immunity, antitumor and anti-inflammatory activity. Our experiments verified that triptolide, triptophenolide, and triptonide were all DCTPP1 inhibitors, and that TGTs generally exhibited DCTPP1 enzyme inhibitory activity. Moreover, the inhibitory activity of D02, D18-D20 samples from Co. B was much lower than that of the other samples, with a nearly tenfold difference in IC. Further comprehensive analysis revealed a high correlation between DCTPP1 enzyme inhibition activity and the anti-immunity and antitumor and anti-inflammatory activities of these samples.
The established DCTPP1 enzymatic activity assay proved suitable for quantitative pharmacological and pharmaceutical analysis to complement the existing quality control system for TGTs and to evaluate their effectiveness.
雷公藤多苷片(TGTs)作为一线临床药物,疗效不一且具有毒副作用,主要是由于质量控制不足。因此,临床上急需相关的 TGT 质量标准。
基于化学物质,并考虑到药理学功效,我们旨在开发一种有效的 TGT 质量评估方法。
从不同制造商处采集了代表性的 TGT 商业样本,并成功应用了定性 UHPLC/LTQ-Orbitrap-MS 和定量 UHPLC-MS/MS 分析方法,根据其化学性质评估其质量相似性和差异性。然后,使用 Jurkat、RAW264.7、MIA PaCa-2 和 PANC-1 作为细胞模型,评估 TGT 及其相关单体的抗免疫、抗炎和抗肿瘤活性。随后,我们使用建立的 DCTPP1 酶活性测定法,通过分子对接预测和验证小分子-DCTPP1 相互作用。最后,我们进行了灰色关联分析,以评估不同制造商生产的 TGT 的化学特征和生物学效应。
我们从 5 家制造商(A 公司、B 公司、C 公司、D 公司和 E 公司)收集了 24 批 TGT(D01-D24)进行质量评估。化学成分分析显示样品的物质基础存在显著差异。B 公司的 D02、D18-D20 样品构成了一个单独的组,与其他样品不同,主要表现在它们缺乏雷公藤内酯、三萜类化合物,包括雷公藤内酯、雷公藤内酯醇和雷公藤甲素。使用相同的 TGT 浓度进行体外抗免疫、抗肿瘤和抗炎试验表明,除了 D02、D18-D20 之外,其余 20 个样品表现出不同程度的抗免疫、抗肿瘤和抗炎活性。我们的实验验证了雷公藤内酯、雷公藤内酯醇和雷公藤甲素都是 DCTPP1 抑制剂,而 TGT 通常表现出 DCTPP1 酶抑制活性。此外,B 公司的 D02、D18-D20 样品的抑制活性远低于其他样品,IC 值相差近十倍。进一步的综合分析表明,DCTPP1 酶抑制活性与这些样品的抗免疫、抗肿瘤和抗炎活性高度相关。
所建立的 DCTPP1 酶活性测定法适合于定量药理学和药物学分析,可补充 TGT 现有的质量控制系统,并评估其疗效。