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Application of tripterygium glycoside tablet in preparation of medicine for relieving and/or treating hemophagocytic syndrome related symptoms

A technology of vine polyglycoside tablets and blood cells, which is applied in the field of medicine, can solve the problems of hemophagocytic syndrome without very effective treatment methods and poor curative effects, and achieve the goal of relieving hemophagocytic related symptoms, having less toxic and side effects, and curbing cytokine storms Effect

Active Publication Date: 2020-11-20
JIANGSU PROVINCIAL HOSPITAL OF TCM
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] At present, there is no very effective treatment for hemophagocytic syndrome. The general treatment refers to the HLH-2004 regimen, that is, gamma globulin + dexamethasone + etoposide + cyclosporine A, but the curative effect is not good

Method used

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  • Application of tripterygium glycoside tablet in preparation of medicine for relieving and/or treating hemophagocytic syndrome related symptoms
  • Application of tripterygium glycoside tablet in preparation of medicine for relieving and/or treating hemophagocytic syndrome related symptoms
  • Application of tripterygium glycoside tablet in preparation of medicine for relieving and/or treating hemophagocytic syndrome related symptoms

Examples

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Effect test

Embodiment 1

[0030]Example 1: Tripterygium wilfordii polyglycoside tablets can quickly curb the cytokine storm and relieve the patient's hemophagocytosis-related symptoms.

[0031] The patient, a 44-year-old woman, was admitted to the hospital in December 2017 because of "fever for 3 months and abdominal distension for 3 weeks". Medical history: Fever began in September 2017, and the body temperature fluctuated at 37.4-38.1°C, accompanied by dull pain in the lower abdomen. In October 2017, a cough occurred, with less sputum, white color, high fever, heat peak 39.0 ℃, accompanied by abdominal distension, blood test: white blood cell count 2.28×10 9 / L, hemoglobin 122g / L, platelet 133×10 9 / L. Chest CT plain scan showed: infection in the middle and lower lobe of the right lung and tongue segment of the left lung, enlarged spleen, and peritoneal effusion. Cervical lymph node color Doppler ultrasound: right cervical (region IV) lymph node enlargement; bilateral axillary lymph node enlargeme...

Embodiment 2

[0033] Example 2: Tripterygium wilfordii polyglycoside tablets can significantly alleviate the symptoms related to hemophagocytosis in patients.

[0034] The patient is a 50-year-old male who was admitted to the hospital in December 2019. After being admitted to the hospital, he had repeated high fever, with a temperature peak of 40.1°C ( Image 6 A); neutrophils minimum 0.72×10 9 / L, minimum hemoglobin 71g / L, platelet minimum 26×10 9 / L; plasma fibrinogen 1.15g / L ( Image 6 B); serum ferritin 9453ng / mL ( Image 6 C), LDH: 1892U / L; EBV-DNA: 6×10 4 copies; among the 12 serum cytokines detected in the laboratory, IL-1β=98.83pg / mL, IL-10=25.98pg / mL, TNF-α=23.34pg / mL; whole abdominal CT scan showed splenomegaly. Diagnosis of EBV-positive NK-T cell lymphoma, nasal type, extranodal NK-T, with hemophagocytic syndrome. At the beginning of admission, the HLH-2004 regimen was adopted, namely, dexamethasone 10mg qd, etoposide 150mg biw, and intravenous gamma globulin 20g qd. The sy...

Embodiment 3

[0035] Example 3: Tripterygium wilfordii polyglycoside tablets can alleviate the patient's hemophagocytosis-related symptoms.

[0036] The patient was a 27-year-old male who was admitted to the hospital in February 2020. On admission, anemia, hemoglobin 76g / L, platelet 50×10 9 / L; plasma fibrinogen 0.93g / L; ferritin>1500.0ng / mL; mild liver damage, AST=147U / L, ALT=178U / L, total bilirubin (TBIL) 42.21μmol / L, LDH=2036U / L; EBV-DNA has 676 copies; chest CT plain scan shows splenomegaly. A diagnosis of EBV-positive B-cell lymphoma with hemophagocytic syndrome was made. On February 27, 2020, he started to treat with tripterygium glycosides tablets 10 mg tid, accompanied by dexamethasone, febuxostat, and Xiaoyu pills. After one week of treatment with tripterygium glycosides, the plasma fibrinogen level rose to 1.59g / L, liver function gradually recovered, ALT returned to normal level (27U / L), AST dropped to 52U / L, and total bilirubin TBIL dropped to 1.59g / L. To 35.2μmol / L, LDH drop...

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Abstract

The invention discloses a novel medical application of a tripterygium glycoside tablet, and particularly discloses an application of the tripterygium glycoside tablet in preparation of a medicine forrelieving and / or treating hemophagocytic syndrome related symptoms. Researches prove that the tripterygium glycoside tablet can significantly relieve the hemophagocytic syndrome related symptoms of patients, namely, can remarkably relieve repeated high fever, obviously relieve abdominal distension, relieve splenomegaly, reduce ascites and rapidly reduce the content of soluble CD25 in blood, and also has significant curative effects on recovery of hematopoietic functions and coagulation functions. The orally taken tripterygium glycoside tablet can rapidly inhibit cytokine storm and rapidly relieve various hemophagocytic syndrome related symptoms, has small toxic and side effects, can provide conditions for subsequent treatment including chemotherapy and hematopoietic stem cell transplantation, has a good cost-benefit ratio, and can greatly reduce the clinical treatment cost of the patients.

Description

technical field [0001] The invention belongs to the field of medicine, and specifically relates to the new application of tripterygium glycosides tablets, more specifically, the application of tripterygium glycosides tablets in the preparation of medicines for alleviating and / or treating symptoms related to hemophagocytic syndrome. Background technique [0002] Hemophagocytic Syndrome, also known as Hemophagocytic Lymphohistiocytosis (HLH), is one of the most serious clinical diseases, generally manifested as persistent fever, hepatosplenomegaly, hematopenia, low Plasma fibrinosis or hypertriglyceridemia, hyperferritinemia, and hemophagocytosis in the bone marrow, liver, spleen, or lymph nodes. HLH is divided into two types: primary and secondary. Primary HLH includes familial HLH, Griscelli syndrome type Ⅱ, Chediak-Higashi syndrome and other genetic diseases. The onset of primary HLH usually occurs in childhood and is mainly caused by various infections. Secondary or acqu...

Claims

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Application Information

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IPC IPC(8): A61K36/37A61K9/20A61P7/00
CPCA61K36/37A61K9/20A61P7/00
Inventor 朱学军陈碧清代兴斌姜鹏君徐祖琼田芳孔祥图
Owner JIANGSU PROVINCIAL HOSPITAL OF TCM
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