CN117224558B - Application of RNA editing enzyme inhibitor in preparation of medicines for preventing and/or treating hepatic fibrosis - Google Patents

Application of RNA editing enzyme inhibitor in preparation of medicines for preventing and/or treating hepatic fibrosis Download PDF

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CN117224558B
CN117224558B CN202311052459.1A CN202311052459A CN117224558B CN 117224558 B CN117224558 B CN 117224558B CN 202311052459 A CN202311052459 A CN 202311052459A CN 117224558 B CN117224558 B CN 117224558B
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liver
fibrosis
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liver fibrosis
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CN117224558A (en
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陈树翰
张琪
刘秋莉
陆地
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Third Affiliated Hospital Sun Yat Sen University
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Third Affiliated Hospital Sun Yat Sen University
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Abstract

The invention relates to an application of an RNA editing enzyme inhibitor in preparing a medicament for preventing and/or treating hepatic fibrosis, belonging to the technical field of biological medicines. The invention proves that the RNA editing enzyme inhibitor 8-Aza can inhibit the expression of hepatic fibrosis marker molecule protein at the cellular level and the animal level for the first time, thereby inhibiting the activation of hepatic stellate cells. The RNA editing enzyme inhibitor 8-Aza can inhibit the liver fibrosis level of mice induced by CCl 4, including improving abnormal liver function, inhibiting transcription and expression of liver fibrosis related genes of liver tissues, obviously reducing collagen deposition of liver tissues and change of pathological structures of the liver tissues, and has obvious liver fibrosis resisting effect.

Description

Application of RNA editing enzyme inhibitor in preparation of medicines for preventing and/or treating hepatic fibrosis
Technical Field
The invention relates to the technical field of biological medicines, in particular to application of an RNA editing enzyme inhibitor in preparation of a medicine for preventing and/or treating liver fibrosis.
Background
Liver fibrosis is an abnormal repair response of chronic liver injury caused by a variety of causes, such as environmental toxicity, infection, metabolic causes, or other genetic factors including autoimmune hepatitis, can lead to chronic liver injury inflammation and fibrosis. The disease is mainly characterized by diffuse overproduction and deposition of extracellular matrix in the liver. Whereas activation or transformation of hepatic stellate cells into myofibroblasts is the primary driver of the disease. As the normal structure and physiological function of liver tissue is gradually destroyed, scar tissue gradually replaces liver parenchyma and further progresses to cirrhosis, liver failure or cancer, ultimately leading to death of the patient.
At present, various chronic liver diseases become global health burden; about 200 tens of thousands of deaths are caused annually, of which about 100 tens of thousands die from liver cirrhosis-related complications. At present, surgery and liver transplantation are the only opportunities for long-term survival in patients with severe liver disease. However, the availability of a suitable source of liver and the overall cost of surgery limit the clinical utility of this protocol. In addition, liver fibrosis often exhibits active progression once initiated, other therapies, such as long-term antiviral therapy and anti-liver fibrosis therapy directed to fibrous tissue proliferation and degradation, may have an ameliorating effect early in the disease but fail to prevent fibrosis progression in the late stages. Thus, the search for therapeutic alternatives and the search for new preventive strategies is particularly urgent.
A-to-I RNA editing is one of the most common types of RNA editing in mammals, and is widely involved in a variety of gene regulatory mechanisms at the transcriptional and posttranscriptional levels. RNA editing enzyme ADAR1 is one of the family members of proteins that catalyze the occurrence of such RNA editing patterns. Studies in ADAR1 mutant mice indicate that ADAR1 is critical for a variety of physiological functions, including embryonic development, immune response, and B and T lymphocyte development. Under physiological conditions, ADAR1 can prevent not only liver injury and liver fibrosis caused by inflammation, but also heart failure caused by myocardial cell inflammation. Under pathological conditions, the existing research proves that the up-regulation of ADAR1 expression in tumor cells can promote the formation and self-renewal of tumor stem cells. The deletion of tumor cell ADAR1 overcomes resistance to PD-1 checkpoint blockade caused by inactivation of cellular antigen presentation. The use of the inhibitor 8-azaadenosine (8-Azaadenosine, 8-Aza) can reduce tumor invasion, but no report has been found on the treatment of liver fibrosis with the RNA editing enzyme inhibitor 8-Aza.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide the application of the RNA editing enzyme inhibitor in preparing medicaments for preventing and/or treating liver fibrosis.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
in a first aspect, the present invention provides the use of an RNA editing enzyme inhibitor for the preparation of a medicament for the prevention and/or treatment of liver fibrosis.
In a second aspect, the invention provides the use of an RNA editing enzyme inhibitor in the manufacture of a medicament for reversing liver fibrosis.
The invention discovers that the RNA editing enzyme inhibitor can effectively treat hepatic fibrosis at the cellular level and the animal level for the first time, and discovers that the hepatic fibrosis marker molecule protein expression level of hepatic stellate cells is inhibited by adopting the RNA editing enzyme inhibitor 8-Aza to treat human hepatic stellate cells; the mouse model with liver fibrosis treated by RNA editing enzyme inhibitor 8-Aza has the effects of reversing liver fibrosis, and the mouse liver function index is found to be normal, liver tissue collagen deposition and liver tissue pathological structure reduction are achieved.
As a preferred embodiment of the use according to the invention, the RNA editing enzyme inhibitor is an A-to-I RNA editing enzyme inhibitor.
As a preferred embodiment of the use according to the invention, the RNA editing enzyme inhibitor is 8-azaadenosine.
As a preferred embodiment of the use of the present invention, the agent for preventing and/or treating hepatic fibrosis can inhibit activation of hepatic stellate cells and/or transformation to myofibroblasts; the inhibition of hepatic stellate cell activation and/or conversion to myofibroblasts is to inhibit expression of the marker molecules COL1A1, pdgfrβ and α -SMA.
As a preferred embodiment of the use of the present invention, the agent for preventing and/or treating liver fibrosis can improve liver dysfunction, inhibit collagen deposition in liver tissue and change in pathological structure of liver tissue.
As a preferred embodiment of the use according to the present invention, the drug for preventing and/or treating liver fibrosis is in the form of at least one of a capsule, a tablet, an oral preparation, a microcapsule preparation, an injection, a suppository, a spray, an ointment, a gel, a solution, a powder, a lotion, a tincture, an oil, a cream and an aerosol.
As a preferred embodiment of the use of the present invention, the agent for preventing and/or treating liver fibrosis is used for at least one of intravenous injection, intramuscular injection, subcutaneous injection and intraperitoneal injection.
As a preferred embodiment of the use according to the present invention, the agent for preventing and/or treating liver fibrosis is administered intraperitoneally at a dose of 2mg per 1kg body weight of the organism. In the experimental process, the RNA editing enzyme inhibitor with the concentration of 2mg/kg can obviously reduce liver function indexes of mice with liver fibrosis, reduce liver tissue collagen deposition and change of pathological structures of liver tissues, and effectively relieve liver fibrosis of the mice.
In a third aspect, the invention provides a medicament for treating liver fibrosis, the medicament comprising an RNA editing enzyme inhibitor and a pharmaceutically acceptable carrier.
As a preferred embodiment of the use according to the invention, the RNA editing enzyme inhibitor is 8-azaadenosine.
Compared with the prior art, the invention has the beneficial effects that:
The invention proves that the RNA editing enzyme inhibitor 8-Aza can inhibit the expression of hepatic fibrosis marker molecule protein at the cellular level and the animal level for the first time, thereby inhibiting the activation of hepatic stellate cells. The 8-Aza can inhibit the liver fibrosis level of mice induced by CCl 4, including improving abnormal liver function, inhibiting transcription and expression of liver fibrosis related genes of liver tissues, obviously reducing collagen deposition of the liver tissues and change of pathological structures of the liver tissues, and has obvious anti-liver fibrosis effect.
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FIG. 1 is a graph showing the analysis results of ADAR1 mRNA expression levels in the normal healthy group and the liver cirrhosis group in experimental example 1;
FIG. 2 shows protein expression levels of COL1A1, PDGFR beta and alpha-SMA, which are markers of hepatic fibrosis of hepatic stellate cells treated with 8-Aza in Experimental example 2;
FIG. 3 is a schematic diagram of a liver fibrosis mouse model and a dosing regimen in Experimental example 3;
FIG. 4 shows the results of liver function index detection of mice in each experimental group in experimental example 3, wherein the liver function index comprises glutamic pyruvic transaminase (ALT), glutamic oxaloacetic transaminase (AST) and Lactate Dehydrogenase (LDH) in serum, wherein A is AST, B is ALT, and C is LDH;
FIG. 5 shows the results of HE staining, masson staining and sirius red staining of the liver of mice of each experimental group in experimental example 3;
FIG. 6 shows mRNA transcription levels of hepatic fibrosis marker molecules of mice in each experimental group in experimental example 3, wherein A is type I collagen (Colla 1), B is platelet-derived growth factor receptor beta (Pdgfr beta), and C is alpha smooth muscle actin (Acta 2);
FIG. 7 shows the expression level of a hepatic fibrosis marker a-SMA (Acta 2 gene-encoded protein) protein in mice of each experimental group in experimental example 3;
In the above graph, "+" "indicates that there is a statistical difference between the two groups," + "" is p < 0.05, "p < 0.01," p < 0.001, "p < 0.0001.
Detailed Description
For a better description of the objects, technical solutions and advantages of the present invention, the present invention will be further described with reference to the following specific examples.
The reagents and consumables used in the following examples were all commercially available without any particular explanation.
In the following experimental examples, 8-azaadenosine (hereinafter, referred to as 8-Aza) was used as an RNA editing enzyme inhibitor.
8-Aza was supplied by Tocres under the trade designation 6868/10.
Hepatic stellate cells are human hepatic stellate cell line LX2, purchased from cell banks of institute of biochemistry and cell biology, academy of sciences of china (Shanghai, china).
C57BL/6 male mice were supplied by Guangdong Kangdong Biotechnology Co.
Experimental example 1 analysis of liver tissue ADAR1 Gene expression in patients with liver cirrhosis
After liver fibrosis occurs in patients, liver cirrhosis is liable to develop as the normal structure and physiological functions of liver tissue are destroyed. To investigate the relationship between ADAR1 and liver cirrhosis, in the data of ADAR1 mRNA expression levels of liver tissues of liver cirrhosis patients (origin GEO Dataset public sequencing platform (GEO 14323)), sequencing results of ADAR1 genes in normal healthy control group and liver tissues of liver cirrhosis patients were selected, respectively, and statistical analysis was performed, and the results are shown in table 1 and fig. 1.
TABLE 1 analysis of the expression level of ADAR1 in the normal healthy group and the liver cirrhosis group
As shown in table 1 and fig. 1, the mRNA level of ADAR1 was higher in the liver cirrhosis group than in the normal healthy group, indicating that ADAR1 was associated with liver cirrhosis, and since liver fibrosis is a necessary link for various chronic liver diseases to progress to end-stage liver diseases such as liver cirrhosis, blocking or reversing the progress of liver fibrosis is advantageous for delaying or even reversing the progress of liver cirrhosis, and thus the following experiments consider whether or not the use of ADAR1 inhibitors can be used for treating liver fibrosis.
Experimental example 28-Effect of Aza on hepatic stellate cells
Activation or differentiation of hepatic stellate cells into myofibroblasts is a core pathogenesis of hepatic fibrosis, so this experiment treats hepatic stellate cells by 8-Aza, and observes changes in hepatic stellate cells to evaluate the effect of 8-Aza on hepatic stellate cells.
(1) Preparation of the reagent:
8-Aza was dissolved in DMSO to prepare a 10mM stock solution.
(2) The experimental contents are as follows:
Human hepatic stellate cell line LX2 was inoculated with DMEM high sugar medium containing 10% fetal bovine serum and cultured overnight at 37 ℃ under 5% co 2.
The total protein was extracted and the expression levels of hepatic fibrosis marker type I collagen (COL 1A 1), platelet-derived growth factor receptor beta (PDGFR beta) and alpha smooth muscle actin (alpha-SMA) in the cells were detected by Western Blot (WB) by adding 8-Aza to a cell culture medium to a final concentration of 8-Aza of 10. Mu.M, culturing for 24 hours and 48 hours, and collecting the cells, and the results are shown in FIG. 2.
As shown in FIG. 2, the expression of hepatic fibrosis marker molecules COL1A1, PDGFR beta and alpha-SMA was inhibited in the 8-Aza-treated hepatic stellate cells compared to the hepatic stellate cells without the 8-Aza treatment, indicating that 8-Aza has an effect of inhibiting the expression of hepatic fibrosis marker molecules in the hepatic stellate cells.
Experimental example 38-Effect of Aza on liver fibrosis mice
To investigate the effect of 8-Aza on liver fibrosis mice, the effect of 8-Aza on liver fibrosis treatment was assessed by animal experiments.
(1) Preparation of reagents
At the time of use, CCl 4 was formulated as a 20% (v/v) solution with olive oil.
8-Aza was dissolved in DMSO and prepared as a 25mg/ml stock solution. At the time of use, the solution was diluted 100 times with PBS and prepared as 0.25mg/ml working solution.
(2) Preparation of liver fibrosis mouse model
The C57BL/6 male mice of 6-8 weeks of age were selected and given 20% CCl 4 solution, 20% CCl 4 solution was given to the mice by intraperitoneal injection at a dose of 0.5ml/kg, twice weekly for 6 weeks.
(3) Drug treatment
C57BL/6 male mice were randomly divided into 4 groups, olive oil group (5), CCl 4 group (6), PBS group (6) and 8-Aza group (6). Except for the olive oil group, the rest 3 groups were given 20% ccl 4 solution. After 4 weeks of CCl 4 solution administration, olive oil and CCl 4 groups were not subjected to any treatment while modeling, PBS group was given by weight (containing 1% DMSO, v/v), 8-Aza group was given by weight 8-Aza to a final concentration of 2mg/kg, 3 times per week for 2 weeks, and the dosing regimen is shown in FIG. 3.
(4) Sampling and detection
After 24h of the last administration, mice were anesthetized, blood was collected from the fundus venous plexus, placed in a refrigerator at 4℃overnight, blood samples were centrifuged at 2500rpm at 4℃for 15min, the supernatant serum was aspirated, and after 10-fold dilution with PBS, the liver function indexes glutamic pyruvic transaminase (ALT), glutamic oxaloacetic transaminase (AST) and Lactate Dehydrogenase (LDH) were detected, the results are shown in FIG. 4 and Table 2.
The abdominal cavity of the mice after blood withdrawal was opened and pre-chilled PBS was slowly perfused through the portal vein in an amount of 10 ml/mouse. Then, the left lobe of the liver is immersed in tissue fixing liquid to prepare paraffin sections, and HE staining, masson staining and sirius red staining are carried out. And extracting RNA from part of livers to detect mRNA levels of marker molecules Col1al, pdgfrβ and Acta2 of the liver tissue fibrosis of the mice, and extracting protein from part of livers to detect the expression level of alpha-SMA (Acta 2 encoding protein) of the liver tissue fibrosis marker molecules of the mice. HE staining, masson staining and sirius red staining results are shown in FIG. 5, hepatic fibrosis marker mRNA transcription level results are shown in FIG. 6, and hepatic fibrosis marker protein expression level results are shown in FIG. 7.
TABLE 2 results of liver function index detection in serum of each experimental group
As shown in table 2 and fig. 4, the ALT/AST/LDH activity was significantly increased in the serum of the cci 4 group mice compared to the olive oil group; compared with PBS group, serum ALT/AST/LDH activity of 8-Aza mice is obviously reduced, which indicates that 8-Aza can improve liver function abnormality caused by CCl 4, namely 8-Aza can improve liver function abnormality caused by liver fibrosis.
As shown in fig. 5, the results of HE staining of liver tissue of mice show that liver hepatocytes of olive oil group are normal in structure and liver lobule is normal in structure, and no damage is seen; the liver lobules of CCl 4 group and PBS group are seriously damaged, the structure is disordered, obvious swelling and deformation are caused, and sheet necrosis exists; compared with PBS group, the 8-Aza group has obviously reduced sheet necrosis area and obvious edema improvement. The results of Masson staining and sirius red staining of mouse liver tissue showed that olive oil group liver tissue had no collagen deposition, and that there was a large amount of collagen deposition in CCl 4 group and PBS group. The 8-Aza group showed significantly less collagen fibers than the PBS group, but some of them were still seen to have significantly improved collagen fibers. The above staining results show that 8-Aza can significantly improve the liver fibrosis degree of mice induced by CCl 4, namely 8-Aza has the effect of improving the liver fibrosis degree.
As shown in fig. 6, mRNA levels of the Pdgfr β, colla1 and Acta2 genes were significantly up-regulated in the liver tissue of the cci 4 and PBS groups of mice compared to the olive oil group; compared with the PBS group, the mRNA levels of Pdgfr β, collal and Acta2 genes of the liver tissue of the 8-Aza group mice are obviously reduced, and the difference is statistically significant. As shown in fig. 7, compared with olive oil group, the liver fibrosis marker molecules alpha-SMA protein expression levels of CCl 4 group and PBS group are obviously increased; compared with the PBS group, the expression quantity of the hepatic fibrosis marker molecule protein alpha-SMA of the 8-Aza group is obviously reduced.
The results show that the 8-Aza can obviously relieve liver tissue injury of mice, reduce liver collagen deposition, reverse liver fibrosis symptoms of the mice and has obvious anti-fibrosis effect.
Finally, it should be noted that the above embodiments are only for illustrating the technical solution of the present invention and not for limiting the scope of the present invention, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that the technical solution of the present invention may be modified or substituted equally without departing from the spirit and scope of the technical solution of the present invention.

Claims (7)

  1. Use of 8-aza-adenosine in preparing medicament for preventing and/or treating liver fibrosis.
  2. Application of 8-aza-adenosine in preparing medicine for reversing hepatic fibrosis.
  3. 3. The use according to claim 1, wherein the agent for preventing and/or treating liver fibrosis inhibits hepatic stellate cell activation and/or conversion to myofibroblasts; the inhibition of hepatic stellate cell activation and/or conversion to myofibroblasts is to inhibit expression of the marker molecules COL1A1, pdgfrβ and α -SMA.
  4. 4. The use according to claim 1, wherein the medicament for preventing and/or treating liver fibrosis is capable of improving liver dysfunction, inhibiting collagen deposition in liver tissue and altering pathological structure of liver tissue.
  5. 5. The use according to claim 1, wherein the medicament for preventing and/or treating liver fibrosis is in the form of at least one of a capsule, a tablet, a microcapsule, an injection, a suppository, a spray, an ointment, a gel, a solution, a powder, a lotion, a tincture, an oil, a cream and an aerosol.
  6. 6. The use according to claim 1, wherein the medicament for preventing and/or treating liver fibrosis is for at least one of intravenous injection, intramuscular injection, subcutaneous injection and intraperitoneal injection.
  7. 7. The use according to claim 6, wherein the medicament for preventing and/or treating liver fibrosis is administered intraperitoneally at a dose of 2mg per 1kg body weight of the organism.
CN202311052459.1A 2023-08-21 2023-08-21 Application of RNA editing enzyme inhibitor in preparation of medicines for preventing and/or treating hepatic fibrosis Active CN117224558B (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2006203699A1 (en) * 2000-02-10 2006-09-21 New York University Adenosine A2A receptor antagonists for treating and preventing hepatic fibrosis, cirrhosis and fatty liver
CN107875164A (en) * 2017-11-16 2018-04-06 中国药科大学 A kind of medicine for treating liver fibrosis

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2006203699A1 (en) * 2000-02-10 2006-09-21 New York University Adenosine A2A receptor antagonists for treating and preventing hepatic fibrosis, cirrhosis and fatty liver
CN107875164A (en) * 2017-11-16 2018-04-06 中国药科大学 A kind of medicine for treating liver fibrosis

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
ADAR1-mediated RNA editing is a novel oncogenic process in thyroid cancer and regulates miR-200 activity.;Julia, Ramírez-Moya;Allison R, Baker;Frank J, Slack;Pilar, Santisteban;Oncogene;20201231;第39卷(第18期);3738-3753 *
Hepatitis B virus evades immune recognition via RNA adenosine deaminase ADAR1-mediated viral RNA editing in hepatocytes;Liyuan Wang;Cellular & Molecular Immunology;20210712;第18卷;1871-1882 *

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