CN116098895A - Application of Compound Apostatin-1 in the Preparation of Drugs for Treating Cerebrovascular Diseases - Google Patents

Application of Compound Apostatin-1 in the Preparation of Drugs for Treating Cerebrovascular Diseases Download PDF

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CN116098895A
CN116098895A CN202310142194.8A CN202310142194A CN116098895A CN 116098895 A CN116098895 A CN 116098895A CN 202310142194 A CN202310142194 A CN 202310142194A CN 116098895 A CN116098895 A CN 116098895A
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apostatin
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张慧灵
曹睿琪
阿里·萨伊德
陈薇
刘峰
敖桂珍
苏玛
朱永铭
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Suzhou University
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Abstract

The invention relates to an application of a compound Apostatin-1 in preparing a medicament for treating cerebrovascular diseases, after cerebral ischemia, nerve cells in brain tissues undergo programmed necrosis and apoptosis, and autophagy flow is blocked. Whereas Apostatin-1 is capable of inhibiting apoptosis and programmed necrosis by inhibiting tumor necrosis factor receptor-related death domain proteins and restoring autophagy flow. The invention discovers that the compound can obviously reduce the volume of cerebral infarction in the acute stage of focal cerebral ischemia of mice and obviously improve the neurological symptoms thereof, can reduce the damage of neurons, astrocytes and microglial cells induced by oxygen glucose deprivation, has the function of cerebral neuroprotection and has the therapeutic effect on cerebrovascular diseases.

Description

化合物Apostatin-1在制备治疗脑血管疾病的药物中的应用Application of Compound Apostatin-1 in the Preparation of Drugs for Treating Cerebrovascular Diseases

技术领域technical field

本发明涉及生物制药技术领域,尤其涉及一种化合物Apostatin-1在制备治疗脑血管疾病的药物中的应用。The invention relates to the technical field of biopharmaceuticals, in particular to the application of a compound Apostatin-1 in the preparation of drugs for treating cerebrovascular diseases.

背景技术Background technique

脑卒中是一组以脑组织缺血及出血性损伤症状为主要临床表现的疾病,又称脑中风或脑血管意外。该病发病急,有极高的致残率和致死率,是当今世界上导致死亡的第二大病因,且随着人口老龄化变得越来越严重。急性缺血性脑卒中(急性脑梗死)是最常见的卒中类型,占我国脑卒中的69.6%~70.8%,我国住院急性缺血性脑卒中患者发病后1个月内病死率约为2.3%~3.2%,3个月时病死率9%~9.6%,致死/残疾率为34.5%~37.1%,1年病死率14.4%~15.4%,致死/残疾率为33.4%~33.8%,已成为我国排名第一的致死/残疾原因。Stroke is a group of diseases whose main clinical manifestations are cerebral tissue ischemia and hemorrhagic injury symptoms, also known as cerebral apoplexy or cerebrovascular accident. The disease has an acute onset and high morbidity and mortality rates. It is the second leading cause of death in the world today, and it is becoming more and more serious with the aging of the population. Acute ischemic stroke (acute cerebral infarction) is the most common type of stroke, accounting for 69.6% to 70.8% of strokes in my country, and the mortality rate of hospitalized patients with acute ischemic stroke in my country is about 2.3% within one month after onset ~3.2%, 9%~9.6% fatality rate at 3 months, 34.5%~37.1% fatality/disability rate, 14.4%~15.4% fatality rate 1 year, 33.4%~33.8% fatality/disability rate, has become The #1 cause of death/disability in our country.

缺血性脑卒中的发病机制复杂,涉及过氧化、能量代谢障碍、钙超载、兴奋性氨基酸毒性等多种机制。组织型纤维酶原激活剂(tissue plasminogen activator,t-PA,静脉注射)是目前临床上用于缺血性脑卒中治疗的药物,它可以溶解血栓,使血管再通,从而恢复血流。但由于组织型纤维酶原激活剂(t-PA)的治疗窗较窄(仅中风后4.5小时使用有效)及易引起出血,仅有小部分患者得到溶栓治疗。因此,发现新的缺血性脑卒中治疗药物是一件亟待解决的问题。减少缺血性脑卒中后中枢神经细胞死亡是目前公认的缺血性脑卒中治疗策略。缺血性脑卒中发生后,脑梗死中心区和半暗带发生了凋亡,程序性坏死,铁死亡等多种细胞死亡形式。虽然,已有研究发现程序性坏死抑制剂Nec-1和凋亡抑制剂Z-VEID和Z-IETD均能减少脑缺血诱导的脑梗死体积。但是,单一地调控某一种死亡通路,可能无法完全逆转缺血性脑卒中诱导的中枢神经系统损伤。并且,如果保护细胞死亡,但没有恢复细胞稳态,包括清除神经细胞中受损的细胞器和错误折叠蛋白,细胞将处于持久失能和病理状态。因此,寻找治疗缺血性脑卒中新的靶点,具有新作用机制、不良反应少的药物是一件急需解决的问题。The pathogenesis of ischemic stroke is complex, involving multiple mechanisms such as peroxidation, energy metabolism disorder, calcium overload, and excitatory amino acid toxicity. Tissue plasminogen activator (tissue plasminogen activator, t-PA, intravenous injection) is a drug currently used clinically in the treatment of ischemic stroke. It can dissolve thrombus, recanalize blood vessels, and restore blood flow. However, due to the narrow therapeutic window of tissue plasminogen activator (t-PA) (it is effective only 4.5 hours after stroke) and easy to cause bleeding, only a small number of patients receive thrombolytic therapy. Therefore, finding new therapeutic drugs for ischemic stroke is an urgent problem to be solved. Reducing central nervous cell death after ischemic stroke is a currently recognized therapeutic strategy for ischemic stroke. After the occurrence of ischemic stroke, various forms of cell death such as apoptosis, programmed necrosis, and ferroptosis occurred in the central area of cerebral infarction and the penumbra. Although, it has been found that necroptosis inhibitor Nec-1 and apoptosis inhibitors Z-VEID and Z-IETD can reduce cerebral infarct volume induced by cerebral ischemia. However, single regulation of a certain death pathway may not completely reverse the central nervous system damage induced by ischemic stroke. And, if cell death is guarded, but cell homeostasis is not restored, including the removal of damaged organelles and misfolded proteins in neurons, the cells are left in a persistently disabled and pathological state. Therefore, finding a new target for the treatment of ischemic stroke, a drug with a new mechanism of action and less adverse reactions is an urgent problem to be solved.

发明内容Contents of the invention

为解决上述技术问题,本发明提供了Apostatin-1的新用途,Apostatin-1是Tradd蛋白的靶向抑制剂,同时具有减少凋亡,程序性坏死,激活自噬的功能。现有技术中仅研究了其对阿尔茨海默病的治疗的作用,尚未有该药物抗缺血性脑卒中作用的报道,本发明首次发现,Apostatin-1在缺血性脑卒中等脑血管疾病中具有显著的保护作用。In order to solve the above technical problems, the present invention provides a new application of Apostatin-1. Apostatin-1 is a targeted inhibitor of Tradd protein and has the functions of reducing apoptosis, programmed necrosis and activating autophagy. In the prior art, only its effect on the treatment of Alzheimer's disease has been studied, and there is no report on the anti-ischemic stroke effect of the drug. The present invention finds for the first time that Apostatin-1 is effective in ischemic stroke and other cerebrovascular diseases. significant protective effect against disease.

本发明的第一个目的是提供化合物Apostatin-1在制备治疗脑血管疾病的药物中的应用。The first object of the present invention is to provide the application of compound Apostatin-1 in the preparation of medicaments for treating cerebrovascular diseases.

进一步地,所述脑血管疾病为脑缺血性疾病。Further, the cerebrovascular disease is cerebral ischemic disease.

进一步地,所述脑缺血性疾病为缺血性脑卒中。Further, the cerebral ischemic disease is ischemic stroke.

进一步地,所述缺血性脑卒中为缺血再灌注脑卒中。Further, the ischemic stroke is ischemia-reperfusion stroke.

进一步地,所述药物的给药剂量为至少3nmol。Further, the dosage of the drug is at least 3 nmol.

进一步地,所述药物的给药方式为脑室注射。Further, the drug is administered by intracerebroventricular injection.

本发明的第二个目的是提供一种治疗脑血管疾病的药物,所述药物包括Apostatin-1。The second object of the present invention is to provide a medicine for treating cerebrovascular diseases, said medicine comprising Apostatin-1.

进一步地,所述药物由0.1-100%的Apostatin-1和99.9-0%的药用辅料组成。Further, the medicine is composed of 0.1-100% of Apostatin-1 and 99.9-0% of pharmaceutical excipients.

借由上述方案,本发明至少具有以下优点:By means of the above solution, the present invention has at least the following advantages:

本发明发现Apostatin-1可以治疗包含缺血性脑损伤在内的脑血管疾病,发现了药物的新用途。该化合物能明显减少小鼠局灶性脑缺血急性期脑梗死体积及显著改善其神经症状,具有脑神经保护作用,尤其对脑缺血性疾病具有较好的效果。The present invention finds that Apostatin-1 can treat cerebrovascular diseases including ischemic brain injury, and discovers a new application of the drug. The compound can significantly reduce the volume of cerebral infarction in the acute stage of focal cerebral ischemia in mice and significantly improve its neurological symptoms, has protective effects on brain neurons, and has a good effect especially on cerebral ischemic diseases.

上述说明仅是本发明技术方案的概述,为了能够更清楚了解本发明的技术手段,并可依照说明书的内容予以实施,以下以本发明的较佳实施例并配合详细附图说明如后。The above description is only an overview of the technical solutions of the present invention. In order to understand the technical means of the present invention more clearly and implement them according to the contents of the description, the preferred embodiments of the present invention are described below with detailed drawings.

附图说明Description of drawings

为了使本发明的内容更容易被清楚地理解,下面根据本发明的具体实施例并结合附图,对本发明做进一步详细的说明。In order to make the content of the present invention more clearly understood, the present invention will be further described in detail below according to the specific embodiments of the present invention and in conjunction with the accompanying drawings.

图1为本发明实施例1中化合物Apostatin-1(Apt-1)对于减少脑缺血小鼠急性期的脑梗死体积的影响示意图;Mean±SD,n=10;Figure 1 is a schematic diagram of the effect of the compound Apostatin-1 (Apt-1) in Example 1 of the present invention on reducing the volume of cerebral infarction in mice with cerebral ischemia in the acute phase; Mean±SD, n=10;

图2为本发明实施例1中化合物Apostatin-1(Apt-1)对改善脑缺血小鼠的神经症状的影响示意图;Mean±SD,n=10;Figure 2 is a schematic diagram of the effect of the compound Apostatin-1 (Apt-1) in Example 1 of the present invention on improving the neurological symptoms of mice with cerebral ischemia; Mean ± SD, n = 10;

图3为本发明实施例1中化合物Apostatin-1(Apt-1)对改善脑缺血小鼠的右肢使用率的影响示意图;Mean±SD,n=10;其中,与模型组比较,*p<0.05,**p<0.01;3 is a schematic diagram of the effect of compound Apostatin-1 (Apt-1) in Example 1 of the present invention on improving the right limb usage rate of mice with cerebral ischemia; Mean±SD, n=10; wherein, compared with the model group, * p<0.05, **p<0.01;

图4为本发明实施例2中化合物Apostatin-1(Apt-1)和对照药依达拉奉(Edaravone)对改善氧糖剥夺诱导的人神经元细胞损伤的影响示意图;mean±SD,n=3;4 is a schematic diagram of the effect of the compound Apostatin-1 (Apt-1) and the control drug Edaravone (Edaravone) on improving oxygen-glucose deprivation-induced human neuron cell damage in Example 2 of the present invention; mean±SD, n= 3;

图5为本发明实施例2中化合物Apostatin-1(Apt-1)和对照药依达拉奉(Edaravone)对改善氧糖剥夺诱导的人星形胶质细胞损伤的影响示意图;mean±SD,n=3;Figure 5 is a schematic diagram of the effect of the compound Apostatin-1 (Apt-1) and the control drug Edaravone (Edaravone) on improving oxygen-glucose deprivation-induced human astrocyte damage in Example 2 of the present invention; mean ± SD, n=3;

图6为本发明实施例2中化合物Apostatin-1(Apt-1)和对照药依达拉奉(Edaravone)对改善氧糖剥夺诱导的人小胶质细胞损伤的影响示意图;mean±SD,n=3;其中,与正常组(non-OGD)比较,##p<0.01,与模型组(OGD)比较,**p<0.01。6 is a schematic diagram of the effect of the compound Apostatin-1 (Apt-1) and the control drug Edaravone (Edaravone) on improving oxygen-glucose deprivation-induced human microglial damage in Example 2 of the present invention; mean ± SD, n =3; Among them, compared with the normal group (non-OGD), ## p<0.01, compared with the model group (OGD), **p<0.01.

具体实施方式Detailed ways

下面结合附图和具体实施例对本发明作进一步说明,以使本领域的技术人员可以更好地理解本发明并能予以实施,但所举实施例不作为对本发明的限定。The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments, so that those skilled in the art can better understand the present invention and implement it, but the examples given are not intended to limit the present invention.

申请人研究发现脑缺血发生后,脑组织及缺血性星形胶质细胞发生程序性坏死和凋亡并且自噬流被阻断。而Apostatin-1能够通过抑制肿瘤坏死因子受体相关死亡域蛋白(TRADD)而抑制细胞程序性坏死和凋亡,并激活自噬。因此,进一步发现Apostatin-1可以治疗缺血性脑卒中。The applicant's research found that after cerebral ischemia, brain tissue and ischemic astrocytes undergo programmed necrosis and apoptosis, and autophagy flow is blocked. Apostatin-1 inhibits programmed necrosis and apoptosis and activates autophagy by inhibiting tumor necrosis factor receptor-associated death domain protein (TRADD). Therefore, it was further found that Apostatin-1 can treat ischemic stroke.

同时,Apt-1具有激活自噬的作用。根据很多文献报道在脑梗死时自噬流是阻断的,此时单纯地激活自噬反而会增加脑梗死体积。但是我们发现,Apt-1不仅可以激活自噬,还能通过间接抑制RIPK1而保护溶酶体,促进自噬流的恢复。所以,Apt-1不但能够减少中枢神经细胞死亡,还能恢复自噬流,帮助细胞清除损伤细胞器和老化的蛋白,恢复细胞内环境,进一步保护细胞。我们在实施例1中,我们在缺血再灌注6小时后再给予Apt-1,发现其仍能减少脑缺血诱导的脑梗死体积,说明Apt-1具有较宽的治疗窗。在实施例2中检测了Apt-1对不同神经细胞的体外氧糖剥夺模型(该模型适用于缺血性脑卒中,创伤性脑损伤,新生儿缺血缺氧性脑病等疾病的研究)的保护作用,发现Apt-1对氧糖剥夺诱导的神经元,星形胶质细胞和小胶质细胞均具有保护作用。At the same time, Apt-1 can activate autophagy. According to many literature reports, autophagy flow is blocked during cerebral infarction, and at this time, simply activating autophagy will increase the volume of cerebral infarction. However, we found that Apt-1 can not only activate autophagy, but also protect lysosomes by indirectly inhibiting RIPK1, and promote the restoration of autophagic flux. Therefore, Apt-1 can not only reduce central nervous cell death, but also restore autophagy flow, help cells remove damaged organelles and aging proteins, restore the intracellular environment, and further protect cells. In Example 1, we administered Apt-1 after 6 hours of ischemia-reperfusion, and found that it could still reduce the volume of cerebral infarction induced by cerebral ischemia, indicating that Apt-1 has a wider therapeutic window. In Example 2, the effect of Apt-1 on the in vitro oxygen-glucose deprivation model (this model is applicable to ischemic stroke, traumatic brain injury, neonatal ischemic-hypoxic encephalopathy and other diseases) of different nerve cells was detected. Protective effect, Apt-1 was found to have a protective effect on neurons, astrocytes and microglia induced by oxygen-glucose deprivation.

实施例1Example 1

雄性C57小鼠,随机分为对照组(假手术组)、模型组、Apostatin-1(Apt-1)给药组(3nmol),每组10只。采用线栓法制作小鼠短暂性大脑中动脉闭塞模型(tMCAO)。缺血60min后再灌注,再灌注6小时时侧脑室注射Apostatin-1(Apt-1)。将小鼠断头取脑并切片观察Apostatin-1(Apt-1)对脑缺血急性期脑梗死体积的影响。在处死小鼠前采用Longa法对再灌注后(I/R)的小鼠进行脑缺血急性期的神经症状评分,评分越高,神经功能缺陷越明显。并通过圆桶实验观察小鼠右肢使用率以评估小鼠神经症状改善。Male C57 mice were randomly divided into a control group (sham operation group), a model group, and an Apostatin-1 (Apt-1) administration group (3 nmol), 10 in each group. The mouse model of transient middle cerebral artery occlusion (tMCAO) was established by suture method. After 60 minutes of ischemia and reperfusion, Apostatin-1 (Apt-1) was injected into the lateral ventricle at 6 hours after reperfusion. The mice were decapitated and the brains were taken out and sliced to observe the effect of Apostatin-1 (Apt-1) on the volume of cerebral infarction in the acute stage of cerebral ischemia. Before the mice were sacrificed, the Longa method was used to score the neurological symptoms of the mice after reperfusion (I/R) in the acute stage of cerebral ischemia. The higher the score, the more obvious the neurological deficit. The use rate of the right limb of the mice was observed through the barrel test to evaluate the improvement of the neurological symptoms of the mice.

圆桶实验:小鼠放在圆桶中,观察其前肢触及桶壁的使用情况。待小鼠的前肢从桶壁上放下后记录下左右肢贴桶壁的情况。按这样的方法测,每只鼠测10次。最终统计公式为(非受损前肢运动次数-受损前肢运动次数)/(非受损前肢运动次数+受损前肢运动次数+前肢共同运动次数)。如表1所示为神经症状评分标准。Drum test: mice are placed in a drum, and the use of their forelimbs to touch the wall of the drum is observed. After the mouse's forelimbs were lowered from the barrel wall, the situation of the left and right limbs sticking to the barrel wall was recorded. According to this method, each mouse was tested 10 times. The final statistical formula was (the number of movements of the non-impaired forelimb - the number of movements of the damaged forelimb)/(the number of movements of the non-impaired forelimb + the number of movements of the damaged forelimb + the number of common movements of the forelimb). The scoring criteria for neurological symptoms are shown in Table 1.

表1Table 1

评分score 神经症状nervous symptoms 00 正常,神经功能没有损伤Normal, no neurological damage 11 左侧前肢伸展不完全,神经功能轻微损伤Incomplete extension of the left forelimb, slight neurological damage 22 小鼠行走时向瘫痪侧转圈,神经功能中度损伤When the mice walk in circles towards the paralyzed side, the neurological function is moderately damaged 33 小鼠行走时向瘫痪侧倾倒,神经功能重度损伤The mouse fell to the paralyzed side when walking, and the neurological function was severely damaged 44 小鼠完全不能行走,意识出现障碍Mice can't walk at all, and their consciousness is impaired

结果见图1-3。由图1可知,化合物Apostatin-1(Apt-1)能够减少脑缺血小鼠急性期的脑梗死体积。由图2可知,化合物Apostatin-1(Apt-1)能够降低脑缺血小鼠的神经症状评分。由图3可知:化合物Apostatin-1(Apt-1)能够改善脑缺血小鼠的右肢使用率。The results are shown in Figure 1-3. It can be seen from FIG. 1 that the compound Apostatin-1 (Apt-1) can reduce the volume of cerebral infarction in mice with cerebral ischemia in the acute phase. It can be seen from Fig. 2 that the compound Apostatin-1 (Apt-1) can reduce the neurological symptom score of mice with cerebral ischemia. It can be seen from FIG. 3 that the compound Apostatin-1 (Apt-1) can improve the right limb usage rate of cerebral ischemia mice.

以上结果表明:Apostatin-1(Apt-1)对缺血性脑损伤具有一定的保护作用,可以用于这一类的疾病的预防和治疗。The above results show that: Apostatin-1 (Apt-1) has a certain protective effect on ischemic brain injury, and can be used for the prevention and treatment of this type of disease.

实施例2Example 2

将人神经元细胞(SY5Y),人星形胶质细胞(HA),人小胶质细胞(HMC3)用完全培养基混匀分别接种在无菌96孔板中(每孔约1500-2000个细胞),接种后置于细胞孵育箱中培养,采用无血清DMEM:CCK-8溶液=9:1比例配置CCK-8混合液。吸弃96孔板中原培养基后,每孔加入100μl CCK-8混合液,孵育2h后,利用酶标仪测量450nm处的吸光度。以目前临床上使用的神经保护药依达拉奉(Edaravone)为阳性对照药,检测药物Apostatin-1(Apt-1)对细胞氧糖剥夺再复氧模型(即OGD/Re,缺血3h后再灌注24h)的保护作用。如图4,5,6所示为三种细胞的CCK-8检测结果。结果显示Apostatin-1对OGD诱导的神经元细胞、星形胶质细胞、小胶质细胞均具有保护作用,并且10mM剂量的Apostatin-1的效果与100mM的依达拉奉效果相当。Mix human neuron cells (SY5Y), human astrocytes (HA), and human microglial cells (HMC3) with complete medium and inoculate them in sterile 96-well plates (about 1500-2000 per well Cells), placed in a cell incubator for culture after inoculation, using serum-free DMEM:CCK-8 solution = 9:1 ratio to prepare a CCK-8 mixture. After aspirating and discarding the original medium in the 96-well plate, add 100 μl of CCK-8 mixture to each well, and after incubation for 2 hours, measure the absorbance at 450 nm with a microplate reader. Taking Edaravone, a neuroprotective drug currently used clinically, as a positive control drug, the effect of the drug Apostatin-1 (Apt-1) on the cellular oxygen-glucose deprivation reoxygenation model (ie OGD/Re, after 3 hours of ischemia) was tested. The protective effect of reperfusion 24h). Figures 4, 5, and 6 show the CCK-8 detection results of the three types of cells. The results showed that Apostatin-1 had a protective effect on neurons, astrocytes and microglia induced by OGD, and the effect of 10mM dose of Apostatin-1 was equivalent to that of 100mM Edaravone.

显然,上述实施例仅仅是为清楚地说明所作的举例,并非对实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式变化或变动。这里无需也无法对所有的实施方式予以穷举。而由此所引申出的显而易见的变化或变动仍处于本发明创造的保护范围之中。Apparently, the above-mentioned embodiments are only examples for clear description, and are not intended to limit the implementation. For those of ordinary skill in the art, on the basis of the above description, other changes or changes in various forms can also be made. It is not necessary and impossible to exhaustively list all the implementation manners here. However, the obvious changes or changes derived therefrom are still within the scope of protection of the present invention.

Claims (8)

1.化合物Apostatin-1在制备治疗脑血管疾病的药物中的应用。1. Application of compound Apostatin-1 in the preparation of medicines for treating cerebrovascular diseases. 2.根据权利要求1所述的应用,其特征在于:所述脑血管疾病为脑缺血性疾病。2. The application according to claim 1, characterized in that: the cerebrovascular disease is cerebral ischemic disease. 3.根据权利要求2所述的应用,其特征在于:所述脑缺血性疾病为缺血性脑卒中。3. The application according to claim 2, characterized in that: the cerebral ischemic disease is ischemic stroke. 4.根据权利要求3所述的应用,其特征在于:所述缺血性脑卒中为缺血再灌注脑卒中。4. The application according to claim 3, characterized in that: said ischemic stroke is ischemia-reperfusion stroke. 5.根据权利要求1所述的应用,其特征在于:所述药物的给药剂量为至少3nmol。5. The application according to claim 1, characterized in that: the dosage of the drug is at least 3 nmol. 6.根据权利要求1所述的应用,其特征在于:所述药物的给药方式为脑室注射。6. The application according to claim 1, characterized in that: the drug is administered by intracerebroventricular injection. 7.一种治疗脑血管疾病的药物,其特征在于:所述药物包括Apostatin-1。7. A medicament for treating cerebrovascular diseases, characterized in that the medicament includes Apostatin-1. 8.根据权利要求7所述的药物,其特征在于:所述药物由0.1-100%的Apostatin-1和99.9-0%的药用辅料组成。8. The medicine according to claim 7, characterized in that: the medicine is composed of 0.1-100% Apostatin-1 and 99.9-0% pharmaceutical excipients.
CN202310142194.8A 2023-02-21 2023-02-21 Application of Compound Apostatin-1 in the Preparation of Drugs for Treating Cerebrovascular Diseases Pending CN116098895A (en)

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WO2021257697A1 (en) * 2020-06-16 2021-12-23 President And Fellows Of Harvard College Compounds and methods for blocking apoptosis and inducing autophagy

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