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研究论文

主客体络合驱动的开环葫芦脲对琥珀胆碱神经肌肉阻滞的快速拮抗

张丹维a,*, 高睿a, 冯科b, 余尚博b, 王辉b, 周伟a,*, 黎占亭a,b,*   

  1. a复旦大学化学系 上海 200438;
    b金属有机化学全国重点实验室 中国科学院上海有机化学研究所 中国科学院大学 上海 200032
  • 收稿日期:2026-01-26 修回日期:2026-04-06
  • 基金资助:
    国家自然科学基金(No. 22531011, 22271059)资助项目.

Acyclic Cucurbit[n]uril as Supramolecular Antagonist for Rapidly Reversing the Neuromuscular Blockade of Succinylcholine through Host-Guest Complexation

Dan-Wei Zhanga,*, Rui Gaoa, Ke Fengb, Shang-Bo Yub, Hui Wanga, Wei Zhoua,*, Zhan-Ting Lia,b,*   

  1. aDepartment of Chemistry, Fudan University, 2205 Songhu Road, Shanghai 200438;
    bState Key Laboratory of Organometallic Chemistry, Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences, University of Chinese Academy of Sciences, 345 Lingling Lu, Shanghai 200032
  • Received:2026-01-26 Revised:2026-04-06
  • Contact: *E-mail: zhangdw@fudan.edu.cn, zhouw@fudan.edu.cn, ztli@mail.sioc.ac.cn
  • Supported by:
    National Natural Science Foundation of China (No. 22531011 and 22271059).

设计合成了七个新的开环葫芦脲化合物, 用于研究其通过主客体结合拮抗琥珀胆碱肌肉松弛活性的功能。研究发现化合物ACB-p2具有高水溶性和生物相容性,对小鼠的最大耐受剂量高达1500毫克/千克。化合物ACB-p2对临床唯一的短效神经肌肉阻滞剂琥珀胆碱(SCH)具有高结合亲和力(结合常数Ka = 1.7 × 105 M-1)。1H核磁共振实验和密度泛函理论计算研究表明,ACB-p2主要通过其疏水空腔包结琥珀胆碱的胆碱片段实现高效结合,并进一步通过多重分子间C-H•••O-氢键作用稳定。大鼠试验模型揭示, 80 和160 mg/kg剂量的ACB-p2可快速拮抗琥珀胆碱引发的神经肌肉阻滞作用,能将大鼠自主呼吸恢复时间从平均195秒显著缩短至38和23秒,分别对应于11.8和5.9倍的治疗指数, 显示出开环葫芦脲快速拮抗琥珀胆碱的潜力。

关键词: 主客体化学, 开环葫芦脲, 琥珀胆碱, 解药, 神经肌肉阻滞, 超分子拮抗, 药物设计

Seven new acyclic cucurbit[n]urils have been prepared. One of the compounds (ACB-p2) displays high water-solubility and high biocompatibility, with maximum tolerated dose reaching 1500 mg/kg for mice. The compound is revealed to have high binding affinity (Ka = 1.7 × 105 M-1) in water for succinylcholine (SCH), clinically used short-duration neuromuscular blocking agent. 1H NMR and density functional theory calculation show that ACB-p2 binds to SCH mainly by encapsulating the choline segment of SCH in its hydrophobic cavity, which is stabilized by multiple intermolecular C-H۰۰۰O hydrogen bonds. The high binding affinity of ACB-p2 for SCH leads to rapid antagonism of the neuromuscular blockade of SCH. For rats, compound ACB-p2 of the 80 and 160 mg/kg doses is capable of shortening the recovery time for spontaneous respiration averagely from 195 seconds to 38 and 23 seconds, respectively, corresponding to therapeutic an index of 11.8 and 5.9.

Key words: host-guest chemistry, acyclic cucurbit[n]uril, succinylcholine, antidote, neuromuscular blockade, supramolecular antagonism, drug design