CN111956812A - Pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis - Google Patents
Pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis Download PDFInfo
- Publication number
- CN111956812A CN111956812A CN202010828154.5A CN202010828154A CN111956812A CN 111956812 A CN111956812 A CN 111956812A CN 202010828154 A CN202010828154 A CN 202010828154A CN 111956812 A CN111956812 A CN 111956812A
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- Prior art keywords
- nitric oxide
- treatment
- gastritis
- pharmaceutical preparation
- liquid matrix
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- 208000007882 Gastritis Diseases 0.000 title claims abstract description 49
- 238000003745 diagnosis Methods 0.000 title claims abstract description 41
- 239000000825 pharmaceutical preparation Substances 0.000 title claims abstract description 26
- MWUXSHHQAYIFBG-UHFFFAOYSA-N Nitric oxide Chemical compound O=[N] MWUXSHHQAYIFBG-UHFFFAOYSA-N 0.000 claims abstract description 102
- 239000007788 liquid Substances 0.000 claims abstract description 27
- 239000011159 matrix material Substances 0.000 claims abstract description 27
- 238000002360 preparation method Methods 0.000 claims abstract description 27
- 102000004887 Transforming Growth Factor beta Human genes 0.000 claims abstract description 8
- 108090001012 Transforming Growth Factor beta Proteins 0.000 claims abstract description 8
- ZRKFYGHZFMAOKI-QMGMOQQFSA-N tgfbeta Chemical compound C([C@H](NC(=O)[C@H](C(C)C)NC(=O)CNC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CC(C)C)NC(=O)CNC(=O)[C@H](C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](N)CCSC)C(C)C)[C@@H](C)CC)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(O)=O)C1=CC=C(O)C=C1 ZRKFYGHZFMAOKI-QMGMOQQFSA-N 0.000 claims abstract description 8
- JLPULHDHAOZNQI-ZTIMHPMXSA-N 1-hexadecanoyl-2-(9Z,12Z-octadecadienoyl)-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCC\C=C/C\C=C/CCCCC JLPULHDHAOZNQI-ZTIMHPMXSA-N 0.000 claims abstract description 7
- RVGRUAULSDPKGF-UHFFFAOYSA-N Poloxamer Chemical compound C1CO1.CC1CO1 RVGRUAULSDPKGF-UHFFFAOYSA-N 0.000 claims abstract description 7
- 229960000502 poloxamer Drugs 0.000 claims abstract description 7
- 229920001983 poloxamer Polymers 0.000 claims abstract description 7
- 239000008347 soybean phospholipid Substances 0.000 claims abstract description 7
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 claims abstract description 6
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims abstract description 6
- 239000001768 carboxy methyl cellulose Substances 0.000 claims abstract description 6
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 claims abstract description 6
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 claims abstract description 6
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 claims abstract description 6
- 239000000811 xylitol Substances 0.000 claims abstract description 6
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 claims abstract description 6
- 229960002675 xylitol Drugs 0.000 claims abstract description 6
- 235000010447 xylitol Nutrition 0.000 claims abstract description 6
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- DKGAVHZHDRPRBM-UHFFFAOYSA-N Tert-Butanol Chemical compound CC(C)(C)O DKGAVHZHDRPRBM-UHFFFAOYSA-N 0.000 claims description 9
- 238000002156 mixing Methods 0.000 claims description 9
- 239000000843 powder Substances 0.000 claims description 8
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 8
- 238000002604 ultrasonography Methods 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 6
- 238000000034 method Methods 0.000 claims description 5
- 239000003242 anti bacterial agent Substances 0.000 claims description 4
- 239000003963 antioxidant agent Substances 0.000 claims description 4
- 239000000796 flavoring agent Substances 0.000 claims description 4
- 235000013355 food flavoring agent Nutrition 0.000 claims description 4
- 239000007924 injection Substances 0.000 claims description 4
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- 239000006174 pH buffer Substances 0.000 claims description 4
- 229940124597 therapeutic agent Drugs 0.000 claims description 4
- 238000001816 cooling Methods 0.000 claims description 3
- 238000011049 filling Methods 0.000 claims description 3
- 238000004108 freeze drying Methods 0.000 claims description 3
- 229920006395 saturated elastomer Polymers 0.000 claims description 3
- 239000008215 water for injection Substances 0.000 claims description 3
- 230000000694 effects Effects 0.000 description 20
- 210000002784 stomach Anatomy 0.000 description 16
- 206010030113 Oedema Diseases 0.000 description 11
- 208000025865 Ulcer Diseases 0.000 description 11
- 239000007789 gas Substances 0.000 description 10
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 9
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- 239000002840 nitric oxide donor Substances 0.000 description 8
- 241000700159 Rattus Species 0.000 description 6
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- 241001465754 Metazoa Species 0.000 description 5
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- 208000035475 disorder Diseases 0.000 description 5
- 230000036269 ulceration Effects 0.000 description 5
- 206010061218 Inflammation Diseases 0.000 description 4
- 230000004054 inflammatory process Effects 0.000 description 4
- 239000008183 oral pharmaceutical preparation Substances 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 230000002496 gastric effect Effects 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- OAKJQQAXSVQMHS-UHFFFAOYSA-N Hydrazine Chemical compound NN OAKJQQAXSVQMHS-UHFFFAOYSA-N 0.000 description 2
- 108090001007 Interleukin-8 Proteins 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 238000007792 addition Methods 0.000 description 2
- 230000003110 anti-inflammatory effect Effects 0.000 description 2
- FCPVYOBCFFNJFS-LQDWTQKMSA-M benzylpenicillin sodium Chemical compound [Na+].N([C@H]1[C@H]2SC([C@@H](N2C1=O)C([O-])=O)(C)C)C(=O)CC1=CC=CC=C1 FCPVYOBCFFNJFS-LQDWTQKMSA-M 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 230000002255 enzymatic effect Effects 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 239000002480 mineral oil Substances 0.000 description 2
- 235000010446 mineral oil Nutrition 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 231100000331 toxic Toxicity 0.000 description 2
- 230000002588 toxic effect Effects 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 239000004475 Arginine Substances 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 206010015548 Euthanasia Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 102000003896 Myeloperoxidases Human genes 0.000 description 1
- 108090000235 Myeloperoxidases Proteins 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- IOVCWXUNBOPUCH-UHFFFAOYSA-M Nitrite anion Chemical compound [O-]N=O IOVCWXUNBOPUCH-UHFFFAOYSA-M 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000007107 Stomach Ulcer Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- YEESUBCSWGVPCE-UHFFFAOYSA-N azanylidyneoxidanium iron(2+) pentacyanide Chemical compound [Fe++].[C-]#N.[C-]#N.[C-]#N.[C-]#N.[C-]#N.N#[O+] YEESUBCSWGVPCE-UHFFFAOYSA-N 0.000 description 1
- 210000004082 barrier epithelial cell Anatomy 0.000 description 1
- 230000007227 biological adhesion Effects 0.000 description 1
- 238000005422 blasting Methods 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000012217 deletion Methods 0.000 description 1
- 230000037430 deletion Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
- 230000004890 epithelial barrier function Effects 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 210000001156 gastric mucosa Anatomy 0.000 description 1
- 201000005917 gastric ulcer Diseases 0.000 description 1
- 230000001146 hypoxic effect Effects 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 210000004347 intestinal mucosa Anatomy 0.000 description 1
- 230000002147 killing effect Effects 0.000 description 1
- 210000000265 leukocyte Anatomy 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- HAWPXGHAZFHHAD-UHFFFAOYSA-N mechlorethamine Chemical class ClCCN(C)CCCl HAWPXGHAZFHHAD-UHFFFAOYSA-N 0.000 description 1
- 229960004961 mechlorethamine Drugs 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 230000004089 microcirculation Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 210000002464 muscle smooth vascular Anatomy 0.000 description 1
- 150000002828 nitro derivatives Chemical class 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- -1 nitroprusside Chemical class 0.000 description 1
- 229960002460 nitroprusside Drugs 0.000 description 1
- XKLJHFLUAHKGGU-UHFFFAOYSA-N nitrous amide Chemical compound ON=N XKLJHFLUAHKGGU-UHFFFAOYSA-N 0.000 description 1
- 229940079901 oral rehydration salt formulations Drugs 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 230000004963 pathophysiological condition Effects 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000000770 proinflammatory effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 150000003180 prostaglandins Chemical class 0.000 description 1
- 210000001187 pylorus Anatomy 0.000 description 1
- 230000002040 relaxant effect Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 230000001502 supplementing effect Effects 0.000 description 1
- 230000002195 synergetic effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/22—Echographic preparations; Ultrasound imaging preparations ; Optoacoustic imaging preparations
- A61K49/222—Echographic preparations; Ultrasound imaging preparations ; Optoacoustic imaging preparations characterised by a special physical form, e.g. emulsions, liposomes
- A61K49/223—Microbubbles, hollow microspheres, free gas bubbles, gas microspheres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/18—Growth factors; Growth regulators
- A61K38/1841—Transforming growth factor [TGF]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
- A61K47/38—Cellulose; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5015—Organic compounds, e.g. fats, sugars
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5021—Organic macromolecular compounds
- A61K9/5031—Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, poly(lactide-co-glycolide)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Inorganic Chemistry (AREA)
- Organic Chemistry (AREA)
- Gastroenterology & Hepatology (AREA)
- Molecular Biology (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Zoology (AREA)
- Biochemistry (AREA)
- Immunology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Physics & Mathematics (AREA)
- Acoustics & Sound (AREA)
- Radiology & Medical Imaging (AREA)
- Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
The invention relates to a pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis, which comprises a liquid matrix and nitric oxide microbubbles, wherein the nitric oxide microbubbles are uniformly dispersed in the liquid matrix. The liquid matrix consists of xylitol, sodium carboxymethylcellulose and transforming growth factor-beta, the mass ratio of the xylitol to the sodium carboxymethylcellulose is 1-5: 10, and the concentration of the transforming growth factor-beta in the liquid matrix is 10 mg/L. The nitric oxide microbubble is composed of a vesicle formed by wrapping nitric oxide gas by taking soybean phospholipid and poloxamer as vesicle membrane materials, the particle size range is 2-5 mu m, and the concentration is 6 multiplied by 106~8×106one/mL. The medicinal preparation is used for ultrasonic diagnosis and treatment of gastritis after being orally taken.
Description
Technical Field
The invention relates to an in-situ preparation for diagnosing and treating gastritis, in particular to a pharmaceutical preparation for ultrasonically diagnosing and treating gastritis.
Background
The research finds that the nitric oxide has good treatment potential on the inflammation. Through animal experiments of inflammation models, nitric oxide mainly plays an anti-inflammatory role in the initial stage of inflammation, and the specific roles comprise: maintaining microcirculation integrity, relaxing vascular smooth muscle, increasing intestinal mucosa blood flow, inhibiting adhesion and accumulation of platelets and leukocytes on the surface of endothelial cells, preventing thrombosis, inhibiting myeloperoxidase activity, protecting epithelial barrier, and promoting repair of epithelial tissue.
Nitric oxide plays a dual role in the progression of inflammation, both its protective role and its killing toxicity and pro-inflammatory effects, depending mainly on the site, amount and duration of nitric oxide production. In the hypoxic gastric environment, nitric oxide exerts mainly anti-inflammatory and gastric protective effects. Most of the reported methods for supplementing nitric oxide in vivo have been the use of nitric oxide donor compounds. Nitric oxide donor compounds fall into two classes: non-enzymogenic and enzymogenic forms. Most of non-enzymatic nitric oxide donor compounds come from nitro compounds, including nitroprusside, organic or inorganic nitrite and nitrate, nitrosamine, nitrogen mustard, hydrazine and the like, and have small dosage and large toxic and side effects. The enzymatic nitric oxide donor compound (such as arginine) needs to be decomposed by in vivo biological enzymes to produce nitric oxide molecules. The nitric oxide molecules generated by the above nitric oxide donor compounds cannot be concentrated in the stomach for acting, so the diagnosis and treatment of gastritis by using the nitric oxide donor compounds are poor.
The oral medicine preparation has the advantages of convenient taking, quick absorption and quick effect taking, and is easily accepted by patients. The nitric oxide molecule is in gaseous form, and nitric oxide gas (NO) is slightly soluble in water, and has a solubility of only 5.6X 10 in water at 20 deg.C-3g/L (equivalent to 0.186. mu. mol/L), and cannot be directly prepared into oral pharmaceutical preparations.
Therefore, nitric oxide has a good treatment potential on gastritis, but nitric oxide is a gas, and no research report that nitric oxide can be efficiently carried in oral pharmaceutical preparations is found at present. Therefore, the preparation of oral pharmaceutical preparations carrying nitric oxide gas with high efficiency is a limiting bottleneck in exerting the effect of nitric oxide for ultrasonic diagnosis and treatment of gastritis.
Disclosure of Invention
The invention aims to overcome the defects of the prior art (namely, the lack of an oral pharmaceutical preparation carrying nitric oxide gas efficiently) and provide a pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis, so that the invention provides sufficient guarantee for ensuring the effective diagnosis and treatment of the nitric oxide and meets the requirements of clinical treatment on safety, effectiveness, convenience and economy.
The inventor finds that soybean phospholipid and poloxamer, which are 2-5 mu m microbubbles formed by wrapping nitrogen monoxide with a bubble film material, have good ultrasonic imaging and cavitation blasting effects at the same time, and can be used as an effective preparation for ultrasonic imaging and treatment of gastritis. In addition, transforming growth factor-beta (TGF-beta) and nitric oxide molecules work synergistically to increase the efficacy of the treatment of gastritis.
Through a large number of experiments, the invention obtains the medicinal preparation capable of ultrasonically diagnosing and treating the gastritis, and the medicinal preparation comprises a liquid matrix and nitric oxide microbubbles, wherein the nitric oxide microbubbles are uniformly dispersed in the liquid matrix.
The liquid matrix is composed of xylitol, sodium carboxymethylcellulose and transforming growth factor-beta.
The mass ratio of the xylitol to the sodium carboxymethylcellulose in the liquid matrix is 1-5: 10, and the concentration of the transforming growth factor-beta in the liquid matrix is 10 mg/L.
The liquid matrix is further added with: flavoring agents, pH buffers, antibacterial agents, antioxidants, and therapeutic agents.
The nitric oxide microbubble is composed of a vesicle formed by wrapping nitric oxide gas by taking soybean phospholipid and poloxamer as vesicle membrane materials.
The particle size of the nitric oxide microbubbles is 2 to 5 μm.
The concentration of the nitric oxide microvesicle in the pharmaceutical preparation is 6 × 106~8×106one/mL.
The preparation method of the medicinal preparation for ultrasonic diagnosis and treatment of gastritis is characterized by comprising the following steps of:
a: dispersing the liquid matrix component in 10 times of 8 ℃ injection water by mass, placing the mixture in a refrigerator at 4-8 ℃ overnight, and slowly dissolving the mixture to form a liquid matrix solution;
b: mixing soybean phospholipid and poloxamer in a mass ratio of 1: 25, dissolving the mixture in anhydrous tert-butyl alcohol with the mass of 10 times of that of 65 ℃, slowly cooling the mixture until the solution is solidified, standing the mixture overnight at the temperature of-10 ℃, freeze-drying the mixture to obtain loose freeze-dried powder, transferring the loose freeze-dried powder into a bottle with a plug, filling nitric oxide gas into the bottle until the nitric oxide gas is saturated, adding water for injection with the mass of 5 times of the freeze-dried powder, and uniformly mixing the mixture to form nitric oxide microbubble solution;
c: adding the nitric oxide microbubble solution prepared in the step b into the liquid matrix solution prepared in the step a at the temperature of 10 ℃ until the concentration of the nitric oxide microbubbles in the pharmaceutical preparation is 6 multiplied by 106~8×106And (4) shaking lightly and mixing uniformly to prepare a medicinal preparation for ultrasonic diagnosis and gastritis treatment, and storing in a sealed environment at 15-20 ℃.
The liquid matrix solution described above is further added with: flavoring agents, pH buffers, antibacterial agents, antioxidants, and therapeutic agents.
The medicinal preparation is used for ultrasonic diagnosis and treatment of gastritis after being orally taken.
The pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis of the invention has the following advantages: the medicinal preparation for ultrasonic diagnosis and treatment of gastritis has the functions of biological adhesion in stomach and slow release and long-acting effect, and has good affinity and biocompatibility to gastric epithelial mucosa; the pharmaceutical preparation for ultrasonic diagnosis and gastritis treatment does not use any nitric oxide donor compound, and does not generate adverse reaction and toxic or side effect on body tissues because of the nitric oxide donor compound; the medicinal preparation is convenient to use, and is adhered to the surface of the stomach wall immediately after entering the stomach by oral administration, so that the ultrasonic diagnosis and treatment of the gastritis are realized; fourthly, the storage and the transportation of the medicinal preparation are convenient.
Detailed Description
Hereinafter, specific embodiments of the present invention will be described in detail. It should be noted that technical features or combinations of technical features described in the following embodiments should not be considered as being isolated, and they may be combined with each other to achieve better technical effects.
EXAMPLE 1 preparation of pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis
The pharmaceutical preparation for ultrasonic diagnosis and gastritis treatment of the experimental group is prepared according to the component proportion of the table 1, and the pharmaceutical preparation specifically comprises the following steps:
a: dispersing each component of the liquid matrix in 10 times of the mass of 8 ℃ injection water, placing the mixture in a refrigerator at 4-8 ℃ overnight, and slowly dissolving the mixture to form a liquid matrix solution;
b: mixing soybean phospholipid and poloxamer in a mass ratio of 1: 25, dissolving the mixture in anhydrous tert-butyl alcohol with the mass of 10 times of that of 65 ℃, slowly cooling the mixture until the solution is solidified, standing the mixture overnight at the temperature of-10 ℃, freeze-drying the mixture to obtain loose freeze-dried powder, transferring the loose freeze-dried powder into a bottle with a plug, filling nitric oxide gas into the bottle until the nitric oxide gas is saturated, adding water for injection with the mass of 5 times of the freeze-dried powder, and uniformly mixing the mixture to form nitric oxide microbubble solution;
c: and (c) adding the nitric oxide microbubble solution prepared in the step (b) into the liquid matrix solution prepared in the step (a) at the temperature of 10 ℃, adjusting the concentration of the nitric oxide microbubbles in the medicinal preparation according to the design shown in the table 1, shaking gently and mixing uniformly to prepare the medicinal preparation for ultrasonic diagnosis and gastritis treatment, and storing in a sealed environment at the temperature of 15-20 ℃.
Control formulations were prepared with reference to the experimental group according to the component ratios of table 1. The experimental groups are configured according to the components and the proportion within the protection scope of the claims of the application, and the control groups are the deletion of a certain component or the mass percentage of the component beyond the protection scope of the claims of the application.
TABLE 1 compositions of the pharmaceutical preparations of the experimental and control groups
Note: "√" represents the term prepared according to the concentrations and methods of the experimental group of example 1; "/" indicates that the item is absent; represents that the component is replaced by the component in the parentheses of the component; PG represents a prostaglandin; NO represents nitric oxide gas; o is2Represents oxygen; n is a radical of2Representing nitrogen.
EXAMPLE 2 pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis
(1) Establishment of gastritis model animal
Male SD rats with the body weight of 180-. The abdominal skin of the rat was disinfected with 0.5% iodophor, the abdomen was opened along the lower edge of the left rib, and the stomach was gently pulled out. The gastric ulcer preparation forceps (patent No.: ZL2009200151947) were used to clamp the area of the stomach 3mm from the pylorus, the needle of a syringe which had previously been filled with 0.18mL of mineral oil and 0.02mL of 60% acetic acid was inserted into the stomach cavity of the clamping region, 0.18mL of mineral oil and 0.02mL of 60% acetic acid were injected into the stomach cavity of the clamping region, acetic acid was aspirated from the stomach after 45 seconds, 2mL of physiological saline was injected into the stomach cavity, and the reaction was stopped after 1 min. Resetting the stomach, dripping 0.1mL of penicillin sodium injection (80 ten thousand units of penicillin sodium is added into 4mL of normal saline and mixed evenly) into the incision, and closing the abdomen layer by layer. Postoperative rats were fasted and had free access to oral rehydration salt. The intraoperative procedure was gently kneaded and aseptic manipulation was noted to reduce adhesions. After 12 days, an ELASA detection kit is used for detecting the IL-8 level of serum, and when the IL-8 level is obviously higher than that of a normal rat, the establishment of a gastritis model animal is proved to be successful.
(2) Ultrasonic diagnosis of various groups of medicinal preparations and effect of treating gastritis
Selecting rats successfully modeled after gastritis, averagely dividing the rats into a plurality of groups according to the design of table 1, performing intragastric administration for 1mL in 1, 3, 5, 7 and 9 days, then performing ultrasonic examination on the stomach by using a small animal ultrasonic imaging instrument, reserving images, performing euthanasia on the animals after 12 days of conventional feeding, observing the pathophysiological conditions of the stomach part through histological staining, particularly observing whether edema, ulcer and other conditions occur in mucous membrane and lower tissues thereof, and comprehensively evaluating the diagnosis effect of each group of medicinal preparations and the gastritis treatment effect.
The evaluation results of the groups are shown in table 2, and the total scores of the application effects of the medicinal preparations of the groups are given by integrating the evaluation indexes.
TABLE 2 ultrasonic diagnosis and therapeutic effect of the drug preparations of the experimental group and the control group on gastritis
Group of | Ultrasound image | Level of stomach wall | Gastric mucosa and its underlying tissue | Total score |
Experimental group 1 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 86 |
Experimental group 2 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 88 |
Experimental group 3 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 94 |
Experimental group 4 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 92 |
Experimental group 5 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 91 |
Experimental group 6 | Clear and strong echo | Complete without abnormal conditions | Is returned to normal | 96 |
Control group 1 | Fuzzy, weak echo | Disorder of the heart | Marked edema and ulcer | 15 |
Control group 2 | No image | Disorder of the heart | Marked edema and ulcer | 10 |
Control group 3 | No image | Disorder of the heart | Marked edema and ulcer | 11 |
Control group 4 | Clear and strong echo | Is relatively complete and close to normal | Near normal | 52 |
Control group 5 | Clear and strong echo | Is relatively complete and close to normal | Near normal | 54 |
Control group 6 | Clear and strong echo | Is relatively complete and close to normal | Near normal | 52 |
Control group 7 | Clear and strong echo | Some confusion | Visible edema and ulceration | 38 |
Control group 8 | Clear and strong echo | Some confusion | Visible edema and ulceration | 32 |
Control group 9 | Clear and strong echo | Some confusion | Visible edema and ulceration | 28 |
Control group 10 | Clear and strong echo | Is relatively complete and close to normal | Near normal | 48 |
Control group 11 | Slightly blurred and weak echo | Some confusion | Visible edema and ulceration | 31 |
Control group 12 | Fuzzy, weak echo | Some confusion | Visible edema and ulceration | 25 |
Control group 13 | Slightly blurred and weak echo | Is relatively complete and close to normal | Near normal | 38 |
Control group 14 | Clear and strong echo | Disorder of the heart | Marked edema and ulcer | 10 |
Control group 15 | Clear and strong echo | Disorder of the heart | Marked edema and ulcer | 10 |
Control group 16 | Slightly blurred and weak echo | Is relatively complete and close to normal | Near normal | 41 |
Control group 17 | Fuzzy, strong echo | Is relatively complete and close to normal | Near normal | 40 |
Control group 18 | Slightly fuzzy and strong echo | Is relatively complete and close to normal | Near normal | 38 |
Control group 19 | Virtual image, echo clutter | Is relatively complete and close to normal | Near normal | 34 |
As can be seen from the experimental results in Table 2, the experimental group has good ultrasonic diagnosis and treatment effects on gastritis, particularly the experimental group 6 has clear ultrasonic images, complete stomach wall layers, normal stomach mucosa and lower tissues thereof and good ultrasonic diagnosis and treatment effects on gastritis. Compared with the experimental group, the control group has obviously poor ultrasonic diagnosis and treatment effects on the gastritis, particularly the control groups 1, 2, 3, 5, 14 and 15 have poor ultrasonic diagnosis or treatment effects on the gastritis, and the control group 5 has effective ultrasonic diagnosis or treatment effects on the gastritis but is not suitable for the diabetic patients.
The experimental results in table 2 prove that any component and condition in the technical protection scheme of the present invention are synergistic and indispensable, and that any component and condition in the technical protection scheme of the present invention will have an obvious effect on the ultrasonic diagnosis and treatment effect of gastritis. The medicinal preparation has good ultrasonic diagnosis and treatment effects on gastritis, and has good application prospect.
The above detailed description is specific to possible embodiments of the invention, and the embodiments are not intended to limit the scope of the invention, and all equivalent implementations or modifications that do not depart from the scope of the invention should be construed as being included within the scope of the invention. In addition, various modifications, additions and substitutions in other forms and details may occur to those skilled in the art within the scope and spirit of the invention as disclosed in the claims. It is understood that various modifications, additions, substitutions and the like can be made without departing from the spirit of the invention as disclosed in the accompanying claims.
Claims (10)
1. The medicinal preparation for ultrasonic diagnosis and treatment of gastritis is mainly characterized in that: the pharmaceutical preparation comprises a liquid matrix and nitric oxide microbubbles, wherein the nitric oxide microbubbles are uniformly dispersed in the liquid matrix.
2. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 1, characterized in that: the liquid matrix consists of xylitol, sodium carboxymethyl cellulose and transforming growth factor-beta.
3. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 2, characterized in that: the mass ratio of the xylitol to the sodium carboxymethylcellulose in the liquid matrix is 1-5: 10, and the concentration of the transforming growth factor-beta in the liquid matrix is 10 mg/L.
4. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 2, characterized in that: the liquid matrix is further added with: flavoring agents, pH buffers, antibacterial agents, antioxidants, and therapeutic agents.
5. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 1, characterized in that: the nitric oxide microbubble is composed of a vesicle formed by wrapping nitric oxide gas by taking soybean phospholipid and poloxamer as vesicle membrane materials.
6. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 1, characterized in that: the particle size range of the nitric oxide microbubbles is 2-5 microns.
7. The pharmaceutical preparation for ultrasound diagnosis and treatment of gastritis according to claim 1, characterized in that: the concentration of the nitric oxide microvesicle in a pharmaceutical preparation is 6 x 106~8×106one/mL.
8. A method for preparing a pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis according to claim 1, characterized by comprising the steps of:
a: dispersing the liquid matrix component in 10 times of 8 ℃ injection water by mass, placing the mixture in a refrigerator at 4-8 ℃ overnight, and slowly dissolving the mixture to form a liquid matrix solution;
b: mixing soybean phospholipid and poloxamer in a mass ratio of 1: 25, dissolving in anhydrous tert-butyl alcohol of 10 times the mass of 65 ℃, slowly cooling until the solution is solidified, standing overnight at-10 ℃, freeze-drying to obtain loose freeze-dried powder, transferring into a bottle with a plug, filling nitric oxide gas until the nitric oxide gas is saturated, adding water for injection of 5 times the mass of the freeze-dried powder, and uniformly mixing to form a nitric oxide microbubble solution;
c: adding the nitric oxide microbubble solution prepared in the step b into the liquid matrix solution prepared in the step a at the temperature of 10 ℃ until the concentration of the nitric oxide microbubbles in the pharmaceutical preparation is 6 multiplied by 106~8×106And (4) shaking lightly and mixing uniformly to prepare a medicinal preparation for ultrasonic diagnosis and gastritis treatment, and storing in a sealed environment at 15-20 ℃.
9. A process for the preparation of a pharmaceutical preparation for use in the ultrasonic diagnosis and treatment of gastritis according to claim 8, characterized in that: the liquid matrix solution is further added with: flavoring agents, pH buffers, antibacterial agents, antioxidants, and therapeutic agents.
10. The pharmaceutical preparation for ultrasonic diagnosis and treatment of gastritis according to claim 1, characterized in that: the medicinal preparation is used for ultrasonic diagnosis and treatment of gastritis after being orally taken.
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CN101195029A (en) * | 2006-12-06 | 2008-06-11 | 姜广良 | Application method of nitric oxide donator in enteron mucosal disease |
US20140079679A1 (en) * | 2012-09-19 | 2014-03-20 | Transdermal Biotechnology, Inc. | Prevention and treatment of cardiovascular diseases using systems and methods for transdermal nitric oxide delivery |
CN111228466A (en) * | 2020-02-27 | 2020-06-05 | 温州医科大学 | Hydrogel containing oxygen microbubbles for treating diabetic foot, and preparation method and application thereof |
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CN101195029A (en) * | 2006-12-06 | 2008-06-11 | 姜广良 | Application method of nitric oxide donator in enteron mucosal disease |
US20140079679A1 (en) * | 2012-09-19 | 2014-03-20 | Transdermal Biotechnology, Inc. | Prevention and treatment of cardiovascular diseases using systems and methods for transdermal nitric oxide delivery |
CN111228466A (en) * | 2020-02-27 | 2020-06-05 | 温州医科大学 | Hydrogel containing oxygen microbubbles for treating diabetic foot, and preparation method and application thereof |
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