DE102008003467A1 - Flavonoids as agents for the prophylaxis and treatment of neurodegenerative and other protein deficiency diseases - Google Patents
Flavonoids as agents for the prophylaxis and treatment of neurodegenerative and other protein deficiency diseases Download PDFInfo
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Abstract
Die Erfindung betrifft die Verwendung von synthetisch hergestellten oder aus Pflanzen stammenden Flavonoiden, deren Derivate bzw. Abbauprodukte zur therapeutischen und prophylaktischen Behandlung dieser Aggregations- und Fehlfaltungserkrankungen. Hierunter fallen insbesondere Zubereitungen aus Helmkraut (Scutellaria) und Pflanzen mit ähnlichen Inhaltsstoffen (z. B. Petersilie, Sellerie und Kamille und Chrysanthemen) sowie den darin enthaltenden Inhaltsstoffen in Reinform oder in Kombinationen (ein, Baicalin etc.) als therapeutisch und/oder prophylaktisch wirksame Substanzen bei Prion-Infektionen und anderer neurodegenerativer Proteinfehlfaltungskrankheiten (Alzheimersche Krankheit, Parkinsonsche Krankheit, Huntingtonsche Krankheit, senile Amyloidose, Tauopathien etc.) bei Mensch und Tier.The invention relates to the use of synthetically produced or derived from plants flavonoids, their derivatives or degradation products for the therapeutic and prophylactic treatment of these aggregation and misfolding diseases. This includes, in particular, preparations of skullcap (Scutellaria) and plants with similar ingredients (eg parsley, celery and chamomile and chrysanthemums) and the ingredients contained therein in pure form or in combinations (a, baicalin, etc.) as therapeutic and / or prophylactic active substances in prion infections and other neurodegenerative protein deficiency diseases (Alzheimer's disease, Parkinson's disease, Huntington's disease, senile amyloidosis, tauopathies, etc.) in humans and animals.
Description
1. Technisches Gebiet1. Technical area
Mit der vorliegenden Erfindung wird eine neue Möglichkeit zur Behandlung von Proteinfehlfaltungs- und Proteinaggregationskrankheiten vorgestellt.With The present invention provides a new way to Treatment of protein deficiency and protein aggregation diseases presented.
Die Erfindung betrifft die Verwendung von synthetisch hergestellten (einschl. chemischer Modifikationen z. B. Acetylierung, Hydroxylierung, Halogenierung, Methylierung, Carbonylierung, Alkylierung, Glykosylierung, Veresterung, Oxidation, Hydrolyse, Kondensation, Polymerisation) oder aus Pflanzen stammenden Flavonoiden, deren Derivate bzw. Abbauprodukte zur therapeutischen und prophylaktischen Behandlung dieser Aggregations- und Fehlfaltungserkrankungen. Hierunter fallen insbesondere Zubereitungen aus Helmkraut (Scutellaria) und Pflanzen mit ähnlichen Inhaltsstoffen (z. B. Petersilie, Sellerie und Kamille und Chrysanthemen) sowie den darin enthaltende Inhaltsstoffe in Reinform oder in Kombinationen (einschließlich der bereits bekannten Stoffe Baicalein, Baicalin etc.) als therapeutisch und/oder prophylaktisch wirksame Substanzen bei Prion-Infektionen und anderer neurodegenerativer Proteinfehlfaltungskrankheiten (Alzheimer'sche Krankheit, Parkinson'sche Krankheit, Huntington'sche Krankheit, senile Amyloidose, Tauopathien, etc.) bei Mensch und Tier. Bislang gibt es für diese Proteinfehlfaltungs- und -aggregrationskrankheiten keine ausreichend wirksame ursächliche Therapie.The The invention relates to the use of synthetically produced (including chemical modifications eg acetylation, hydroxylation, Halogenation, methylation, carbonylation, alkylation, glycosylation, Esterification, oxidation, hydrolysis, condensation, polymerization) or plant-derived flavonoids, their derivatives or degradation products for the therapeutic and prophylactic treatment of these aggregation and misfolding diseases. These include, in particular, preparations from Scullcap (Scutellaria) and plants with similar Ingredients (eg parsley, celery and chamomile and chrysanthemums) and the ingredients contained therein in pure form or in combinations (including the already known substances baicalein, Baicalin etc.) as therapeutically and / or prophylactically effective Substances in prion infections and other neurodegenerative Protein Deficiency Diseases (Alzheimer's Disease, Parkinson's Disease) Disease, Huntington's disease, senile amyloidosis, tauopathies, etc.) in humans and animals. So far, for these protein deficiency and aggregation diseases are not sufficiently effective causative agents Therapy.
2. Proteinfehlfaltungs – und Proteinaggregationskrankheiten2. Protein Misfolding and Protein aggregation diseases
2.1 Formen der Erkrankung2.1 forms of the disease
Die
Proteine, die bei Proteinaggregations- und -fehlfaltungserkrankungen
beteiligt sind, sind in Tabelle 1 genannt. Tabelle 1: Proteine, die bei Proteinaggregations-
und -fehlfaltungserkrankungen beteiligt sind
Molekulare Grundlage dieser Erkrankungen ist dabei die Fehlfaltung und Aggregation jeweils eines spezifischen Proteins (siehe Tabelle 1). Diese Fehlfaltung kann entweder spontan oder durch eine Mutation in diesem Protein erfolgen, durch einen Co-Faktor, Alterungsprozesse oder durch Infektionen ausgelöst werden. Während des Aggregationsprozesses bilden sich aus dem betreffenden fehlgefalteten Protein Oligomere, die sich in Multimeren und/oder Fibrillen zusammenlagern. Die Fehlfaltung ist ursächlich für die jeweilige Erkrankung entweder durch Verlust der physiologischen Aktivität des Proteins oder durch direkte oder indirekte toxische Effekte auf die umgebenden Zellen oder den gesamten Organismus. Die Aggregate können als winzigste Partikel (die ungefärbt weder licht- noch elektronenmikroskopisch darstellbar sind) oder als Amyloide (s. u.) in Körperzellen abgelagert werden. Bei den neurodegenerativen Proteinfehlfaltungskrankheiten sind davon vorwiegend Neuronen, Astrozyten, Mikro- und/oder Makroglia-Zellen betroffen sowie die diese umgebenden Extrazellularräume oder die Körperflüssigkeiten betroffen. Nach Färbung mit Congorot können diese sichtbar gemacht werden. Die Aggregation ist zumeist mit einer Umfaltung des Proteins in β-Faltblattreiche Strukturen verbunden. Es ist nach wie vor ungeklärt, welcher Bestandteil während des Aggregationsprozesses für die zyto- und neurotoxischen Wirkungen verantwortlich ist.The molecular basis of these diseases is the misfolding and aggregation of a specific protein (see Table 1). This misfolding can occur either spontaneously or by a mutation in this protein, be triggered by a cofactor, aging processes or infections. During the aggregation process, the misfolded protein forms oligomers that assemble into multimers and / or fibrils. The misfolding is the cause of the disease either by loss of the physiological activity of the protein or by direct or indirect toxic effects on the surrounding cells or the whole organism. The aggregates can be deposited as miniscule particles (which can not be visualized by light or electron microscopy) or as amyloids (see below) in body cells. Neurodegenerative protein deficiency diseases primarily affect neurons, astrocytes, micro- and / or macroglial cells and affect the surrounding extracellular spaces or body fluids. After staining with Congo red they can be visualized. The aggregation is mostly with a refolding of the protein into β-sheet-rich structures connected. It is still unclear which component is responsible for the cytotoxic and neurotoxic effects during the aggregation process.
2.2 Mechanismen der Inhibition2.2 Mechanisms of inhibition
Folgende verschiedene therapeutische Strategien werden im Augenblick intensiv verfolgt, um diese Erkrankungen zu behandeln:
- a) Direkte Interaktion mit dem aggregierenden Protein
- b) Beeinflussung posttranslationaler Prozesse, die die Proteinaggregation fördern
- c) Auflösung der Fibrillen und Aggregate
- a) Direct interaction with the aggregating protein
- b) Influencing post-translational processes that promote protein aggregation
- c) Dissolution of fibrils and aggregates
a) Direkte Interaktion mit dem aggregierenden Proteina) Direct interaction with the aggregating protein
Eine Möglichkeit zur Inhibition der Aggregation ist die Verwendung von kleinen Peptiden, die sich in die entstehen Fibrillen einlagern und den Aggregationsprozess beenden. Diese Peptide wurden mittels „structure based designs” synthetisiert und sind in-vitro effektive Inhibitoren bei der Aggregation des Amyloid-β-Proteins (Aβ) bei Alzheimer und des Amylins bei Diabetes (Typ II). Die therapeutischen Anwendungen sind jedoch limitiert, da die Peptide im Körper leicht abgebaut werden können und Immunogen sind. Eine Gefahr ist zudem, dass sich während des Inhibitionsprozesses, toxische Zwischenprodukte bilden können.A Ability to inhibit aggregation is the use of small peptides that accumulate in the resulting fibrils and stop the aggregation process. These peptides were analyzed by means of "structure based designs "are synthesized and are effective in vitro Inhibitors of aggregation of the amyloid β-protein (Aβ) in Alzheimer's disease and of amylin in diabetes (Type II). The therapeutic applications are limited, however, since the peptides can be easily broken down in the body and immunogen are. Another danger is that during the inhibition process, can form toxic intermediates.
Eine weitere Möglichkeit, Inhibitoren zu finden, ist die Testung von Substanz-Bibliotheken mittels Hochdurchsatzverfahren (High-throughput screening). Diese Screenings werden mit zellbasierten und zellfreien Assays durchgeführt und konnten bereits zahlreiche Moleküle identifizieren, die die Aggregation von Amyloid-β-Protein, Prionen, Tau-Protein und Huntingtin in-vitro inhibieren. Eine therapeutische Wirkung dieser Proteine in-vivo ist jedoch bislang nicht beschrieben worden.A Another possibility to find inhibitors is the testing substance libraries using high-throughput techniques (high-throughput screening). These screenings are using cell-based and cell-free Assays have been performed and have been able to handle numerous molecules identify the aggregation of amyloid β-protein, Inhibiting prions, tau protein and huntingtin in vitro. A therapeutic However, the effect of these proteins in vivo has not been described so far Service.
Eine dritte Möglichkeit, um eine Aggregation zu verhindern, ist die Stabilisierung des nativen Proteins durch die direkte Bindung eines Moleküls. Dies konnte bereits bei Tansthyretin und Superoxid-Dismutase gezeigt werden.A third way to prevent aggregation is the stabilization of the native protein by direct binding of a molecule. This was already possible with Tansthyretin and Superoxide dismutase are shown.
Zu
den antiaggregatorischen Wirkstoffen zählen:
Zu
den Substanzen, die die native Konformation stabilisieren, zählen:
b) Beeinflussung posttranslationaler Prozesse, die die Proteinaggregation fördernb) influencing post-translational processes, promoting protein aggregation
Ein anderer Ansatzpunkt ist die Hemmung sekundärer Prozesse, die die Protein-Aggregation beeinflussen. Ein Beispiel sind Proteasen, die das Amyloid-Precursor-protein (APP) proteolytisch spalten und dadurch das für die Alzheimer-Erkrankung verantwortliche Amyloid-β-Protein bilden. Durch Hemmung dieser Proteasen (β- und γ-Sekretase) kann daher auch die Akkumulation des Aβ-Proteins verhindert werden. Verschiedene Substanzen wurden bereits in-vitro gefunden, die spezifisch diese Proteasen hemmen können. Bis auf wenige Ausnahmen, können diese Substanzen jedoch nicht die Blut-Hirnschranke überwinden. Ein weiteres Problem ist, dass durch die Hemmung vor allem der β-Sekretase toxische Nebeneffekte auftreten, die andere Prozesse wie synaptische Plastizität und Myelinbildung der Nerven negativ beeinflussen können.One Another starting point is the inhibition of secondary processes, that influence protein aggregation. An example is proteases, which proteolytically cleave the amyloid precursor protein (APP) and thereby responsible for Alzheimer's disease Form amyloid β-protein. By inhibition of these proteases (β- and γ-secretase) may therefore also accumulate of the Aβ protein. Various substances have already been found in vitro, specifically those proteases can inhibit. With a few exceptions, you can However, these substances do not cross the blood-brain barrier. Another problem is that by inhibiting especially the β-secretase toxic side effects occur, the other processes such as synaptic Affect plasticity and myelin formation of the nerves adversely can.
Auch die Phosphorylierung von Proteinen ist ein Target bei der Suche nach wirksamen Substanzen. Beispiele sind dabei die (Hyper-)Phosphorylierung des tau-Proteins bei Tauopathien und des α-Synuklein bei Parkinson. Ansatzpunkt ist hier die Hemmung der entsprechenden Kinasen, die für die Phosphorylierung verantwortlich sind. Auch konnten bereits verschiedene Substanzen in-vitro identifiziert werden, die die Kinasen inhibieren. Ein schwerwiegendes Problem ist jedoch, dass diese Kinasen mehrere Substrate besitzen und daher durch Hemmung auch anderer Stoffwechselwege wieder toxische Nebeneffekte auftreten.The phosphorylation of proteins is also a target in the search for effective substances. Examples are the (hyper) phosphorylation of the tau protein in tauopathies and the α-synuclein in Parkinson's disease. Starting point here is the inhibition of the corresponding kinases that ver for the phosphorylation ver are responsible. Also, various substances have been identified in vitro that inhibit the kinases. A serious problem, however, is that these kinases have multiple substrates and therefore toxic side effects occur again by inhibiting other metabolic pathways.
Schließlich bilden Oxidationsprozesse bei der Fibrillenbildung eine wichtige Rolle. Während der Aggregation von Aβ, α-Synuklein und Huntingtin treten sogenannte „reactive oxygen species (ROS)” auf, die neurotoxisch sind und darüber hinaus die Aggregation selbst beschleunigen. Die Verwendung von Antioxidantien wie Polyphenolen (z. B. Curcumin) und Metall-Chelatoren ist daher eine Möglichkeit, diese Prozesse aufzuhalten bzw. zu stoppen. In-vitro konnten so bereits inhibitorische Effekte gezeigt werden.After all Oxidation processes are important in fibril formation Role. During the aggregation of Aβ, α-synuclein and huntingtin occur so-called "reactive oxygen species (ROS) "that are neurotoxic and above in addition, accelerate the aggregation itself. The usage of Antioxidants such as polyphenols (eg curcumin) and metal chelators is therefore a way to stop these processes or to stop. In vitro, inhibitory effects were already possible to be shown.
Zu
den Substanzen, die Proteolyse des Amyloid-Precursor Proteins inhibieren,
gehören:
Zu
den Substanzen, die Phosphorylierung hemmen, gehören:
Zu
den Substanzen, die die Oxidation hemmen, gehören:
c) Auflösung der Aggregatec) Resolution of the aggregates
Eine weitere therapeutische Möglichkeit ist der Versuch, die in der Zelle vorhandenen Proteinabbau-Mechanismen zu verstärken. Dazu kann man entweder die Bildung spezifischer Chaperones induzieren oder autophagische Prozesse („macroautophagy”) zu fördern. Chaperone dienen zum einen der korrekten Faltung eines Proteins oder können fehlgefaltete Proteine dem zellulären Abbau zuführen. Von einem Chaperon – hsp70- konnte gezeigt werden, dass es sowohl Aβ-Oligomere als auch mutierte Huntingtin-Proteine dem proteolytischen Abbau zuführen kann. Es konnten bereits verschiedene Substanzen identifiziert werden, die die Bildung von hsp70 induzieren und in-vitro die Bildung von Aggregaten hemmten. Da diese Substanzen jedoch meist auch andere Chaperon inhibieren, können schwerwiegende Nebenfolgen in-vivo nicht ausgeschlossen werden. Schließlich wurde bei der Aggregation von α-Synuklein und mutiertem Huntingtin beobachtet, dass sie von der Zelle in bestimmte Regionen, den sogenannten Aggresomen transportiert wird. In diesen Organellen werden die Ag gregate entweder mittels Macroautophagie abgebaut oder in unschädliche Fibrillen eingelagert. Daher ist ein therapeutisches Target die Erhöhung der autophagischen Aktivität. Es gibt eine Reihe von Substanzen, die diesen Effekt besitzen, ein Problem ist dabei jedoch, dass dabei auch Proteine mit Anti-Tumor-Eigenschaften abgebaut werden.A Another therapeutic option is the trial, the amplify protein degradation mechanisms present in the cell. For this one can either induce the formation of specific chaperones or to promote autophagic processes ("macroautophagy"). Chaperones serve for the correct folding of a protein or can misfolded proteins become cellular Perform removal. From a chaperone - hsp70- could be shown to both Aβ oligomers and mutated Apply huntingtin proteins to proteolytic degradation can. Various substances have already been identified which induce the formation of hsp70 and in vitro the formation of Aggregates inhibited. However, these substances are usually different Chaperone can inhibit serious side effects can not be excluded in vivo. Finally became in the aggregation of α-synuclein and mutant huntingtin observed that they move from the cell to certain regions, the so-called Aggresomes is transported. In these organelles are the Ag gregate either degraded by macroautophagy or innocuous Embedded fibrils. Therefore, a therapeutic target is the Increase in autophagic activity. There is a number of substances that have this effect are a problem However, there are proteins with anti-tumor properties be reduced.
Zu
den die Chaperon-Funktion erhöhenden Substanzen gehören:
Aktivierung
der Auflösung von Aggregaten
2.3 Inhibitoren bei Prion-Erkrankungen2.3 Inhibitors of prion diseases
Prion-Infektionen sind übertragbare Proteinfehlfaltungskrankheiten bei Mensch und Tier, für die In-vitro- wie auch In-vivo-(Tier-)Modelle existieren, in denen eine mögliche prophylaktische und/oder therapeutische Wirkung von chemischen Substanzen festgestellt werden kann. Prion-Erkrankungen (Creutzfeldt-Jakob-Erkrankung, BSE, Scrapie) werden durch die Fehlfaltung eines körpereigenen Proteins, dem Prion (PrPC) ausgelöst. Diese Fehlfaltung, auch Konversion genannt, kann durch Infektion, Mutation oder sporadische (zufällige) Ereignisse ausgelöst werden. Das fehlgefaltete Protein (PrPSc) besitzt die Eigenschaft, diese Fehlfaltung auf andere PrPC-Moleküle zu übertragen. Dies bewirkt eine Aggregation und Akkumulation von fehlgefalteten PrPSc-Molekülen vor allem im CNS. Einhergehend mit der Ausbildung der Aggregate kommt es zu neurodegenerativen Ereignissen im ZNS, die letztlich zum Tod führen.Prion infections are transmissible protein deficiency diseases in humans and animals for which In-vi tro- as well as in-vivo (animal) models exist in which a possible prophylactic and / or therapeutic effect of chemical substances can be detected. Prion diseases (Creutzfeldt-Jakob disease, BSE, scrapie) are triggered by the misfolding of a body protein, the prion (PrP C ). This misfolding, also called conversion, can be triggered by infection, mutation, or sporadic (random) events. The misfolded protein (PrP Sc ) has the property of transferring this misfolding to other PrP C molecules. This causes aggregation and accumulation of misfolded PrP Sc molecules, especially in the CNS. Along with the formation of the aggregates, neurodegenerative events occur in the CNS that ultimately lead to death.
Folgende Substanzen bzw. Substanzklassen wurden beschrieben, mit denen die Prion-Infektionen und Pathogenese beeinflusst werden kann:
- • multicyclische anionische Moleküle
(Congo Red):
Gervasoni et al. 2004 - • polyanionische sulph. Polysaccharide (Pentosan Polysulphat):
Ouidja et al. 2007 - • Polyene Antibiotika (Amphotericin B):
McKenzie et al. 1994 - • Anthracycline (Iodoxorubicin):
Tagliavini et al. 1997 - • cyclische Tetrapyrrole (Porphyrine, Phthalocyanine):
Priola et al. 2000 - • Peptide (β-sheet breaker):
Soto et al. 2000 - • *Acridine Derivate (Quinacrin):
Benito-León et al. 2004 - • *Phenothiazin Derivate (Chlorpromazin):
Korth et al. 2001 - • Polyamine (SuperFect; DOSPA):
Supattapone et al. 2001 - • Induktoren der Aggregation (Suramin):
Gilch et al. 2001 - • mAbs gegen PrP; rekombinante anti-PrP Fab-Fragmente:
White et al. 2003 - • RNAi:
Pfeifer et al. 2006 - • Curcumin:
Caughey et al., 2003 - • Cyclodextrine:
Prior et al. 2007
- • multicyclic anionic molecules (Congo Red):
Gervasoni et al. 2004 - • polyanionic sulph. Polysaccharides (pentosan polysulphate):
Ouidja et al. 2007 - • Polyene antibiotics (Amphotericin B):
McKenzie et al. 1994 - • Anthracycline (Iodoxorubicin):
Tagliavini et al. 1997 - Cyclic tetrapyrroles (porphyrins, phthalocyanines):
Priola et al. 2000 - Peptides (β-sheet breaker):
Soto et al. 2000 - • * acridine derivatives (quinacrine):
Benito-Leon et al. 2004 - • * Phenothiazine derivatives (chlorpromazine):
Korth et al. 2001 - • Polyamines (SuperFect; DOSPA):
Supattapone et al. 2001 - • Inducers of aggregation (suramin):
Gilch et al. 2001 - MAbs to PrP; Recombinant anti-PrP Fab fragments:
White et al. 2003 - • RNAi:
Pfeifer et al. 2006 - Curcumin:
Caughey et al., 2003 - Cyclodextrins:
Prior et al. 2007
All diese Substanzen zeichnen sich jedoch durch eine hohe Toxizität und erhebliche Nebenwirkungen aus, so dass eine prophylaktische oder therapeutische Wirkdosis in vivo nur marginal ist oder fehlt. Ferner besitzen sie häufig keine ausreichende Penetranz durch die Blut-Hirn-Schranke, so dass nur eine ungenügende Wirkstoffkonzentration im ZNS zustande kommt.Alles However, these substances are characterized by a high toxicity and significant side effects, making a prophylactic or therapeutic dose in vivo is only marginal or absent. Furthermore, they often do not possess sufficient penetrance through the blood-brain barrier, leaving only an insufficient drug concentration in the CNS.
2.4 Fazit2.4 Conclusion
Es muss festgestellt werden, dass es verschiedene Strategien für eine prophylaktische und/oder therapeutische Behandlung bei Proteinfehlfaltungskrankheiten gibt. Es ist bislang aber noch keine chemische Substanz verfügbar, für die am lebenden Tier oder beim Menschen eine ausreichende prophylaktische oder therapeutische Wirkung gezeigt werden konnte. Ein wichtiger Aspekt hierbei ist vor allem, dass bei einem Großteil der eingeschlagenen Therapiewege schwerwiegende Nebenwirkungen durch das verabreichte Mittel auftraten.It It must be noted that there are different strategies for a prophylactic and / or therapeutic treatment for protein misfolding diseases gives. However, no chemical substance is available yet, sufficient for those on the living animal or in humans prophylactic or therapeutic effect could be shown. An important aspect of this is, above all, that in the majority the course of therapy has serious side effects the administered agent occurred.
3. Helmkraut (scutellaria) und dessen Inhaltsstoffe3. Skullcap (scutellaria) and its ingredients
Im Rahmen der vorliegenden Erfindung wurden zwei Pflanzeninhaltsstoffe (Baicalein, Baicalin) aus der Gruppe der Flavonoide gefunden, die in-vitro spezifisch die Fehlfaltung des Prionproteins (Konversion) inhibieren und bestehende Aggregate auflösen können. Diese Stoffe stammen aus dem Helmkraut Scutellaria lateriflora. Auch der Tee, der aus diesem Kraut zubereitet wurde, besitzt diese in-vitro Aktivität. Es wurde schließlich gezeigt, dass der Tee im Tierversuch den Ausbruch der Prion-Erkrankung signifikant verzögern kann. Pathologische Untersuchungen der behandelten Mäuse zeigten, dass die Applikation unbedenklich ist. Da die molekularen Mechanismen der Prionkrankheiten denen anderer Proteinaggregationskrankheiten ähnlich sind, lässt sich die Wirkung der Inhaltsstoffe aus dem Helmkraut auch auf andere Krankheiten wie Alzheimer, Parkinson usw. übertragen. Helmkrauttee stellt damit u. a. ein wirksames Therapeutikum gegen diese Aggregationskrankheiten dar. Im Folgenden wird daher auf das Helmkraut, dessen Inhaltsstoffe und deren bisher bekannte therapeutische Wirksamkeit eingegangen.in the Within the scope of the present invention were two plant ingredients (Baicalein, Baicalin) from the group of flavonoids found that in vitro specifically the misfolding of the prion protein (conversion) inhibit and dissolve existing aggregates. These substances come from the scullcap Scutellaria lateriflora. Even the tea, which was prepared from this herb, has these in vitro activity. It was finally shown that the tea in the animal experiment the outbreak of the prion illness significantly can delay. Pathological investigations of the treated Mice showed that the application is harmless. There the molecular mechanisms of prion diseases are similar to those of other protein aggregation diseases are, can the effect of the ingredients from the Helmkraut is also transmitted to other diseases such as Alzheimer's, Parkinson's, etc. Helmkrauttee thus represents u. a. an effective therapeutic against these aggregation diseases Helmkraut, its ingredients and their previously known therapeutic Effectiveness received.
3.1. Analyse von Helmkraut (scutellaria) und dessen Inhaltsstoffen3.1. Analysis of scullcap (scutellaria) and its ingredients
Die Helmkräuter (Scutellaria) gehören zur der Familie der Lippenblütler (Lamiaceae).The Helmet herbs (Scutellaria) belong to the family the Labiatae (Lamiaceae).
Es
sind ca. 360 Arten bekannt, die in der traditionellen Medizin Asiens,
Nordamerikas und Europas verwendet werden (
3.2. Flavonoide3.2. flavonoids
Die
Flavonoide sind eine Gruppe von wasserlöslichen Pflanzenfarbstoffen
und spielen eine wichtige Rolle im Stoffwechsel vieler Pflanzen.
Sie gehören zusammen mit den Phenolsäuren zu den
Polyphenolen. Bislang sind mehr als 8.000 Polyphenole bekannt. Flavonoide
können in folgende Gruppen eingeteilt werden:
3.3. Bisher bekannte Wirkungen der Flavonoide3.3. Previously known effects of flavonoids
-
Antibakteriell:
Cushnie TP,& Lamb AJ. (2005) Cushnie TP, & Lamb AJ. (2005) -
Antiviral:
Serkedjieva J et al. (2007) Serkedjieva J et al. (2007) -
Anti-Inflammatorisch:
Talhouk et al. (2007) Talhouk et al. (2007) -
Anti-Cancerogen:
Li al (2007) Li al (2007) -
Anti-amyloid:
Porat et al. (2006), Rivière et al. (2006), Shoval et al.. (2007) Porat et al. (2006), Rivière et al. (2006), Shoval et al. (2007)
In diesen drei Veröffentlichungen wurden jedoch ausnahmslos in-vitro-Daten zur antiamyloidalen Wirkung der Flavonoide gezeigt. Bisher gibt es hierzu noch keine Daten zur Wirksamkeit der Flavonoide in vivo (z. B. im Tierversuch).In however, these three publications have been invariably In vitro data on the antiamyloid effect of flavonoids are shown. So far, there are no data on the efficacy of flavonoids in vivo (eg in animal experiments).
3.4. Baicalein und Baicalin3.4. Baicalein and Baicalin
Baicalein
und Baicalin gehören zur Gruppe der Flavone. Baicalein
ist ein 5,6,7-Trihydroxy-flavone, Baicalin besitzt im Vergleich
zum Baicalein einen zusätzliche Zucker-Ring und wird als
Biacalein-7-Glucuronide bezeichnet (
3.5. Scutellaria-Arten mit Baicalein und Baicalin:3.5. Scutellaria species with baicalein and baicalin:
Beide
Flavonoide können aus verschiedenen Scutellaria-Arten isoliert
werden, wobei Scutellaria baicalensis die am intensivsten untersuchte
Art darstellt (
3.6. Inhibitorische Effekte von Baicalein und Baicalin3.6. Inhibitory effects of baicalein and Baicalin
3.6.1. Anti-aggregatorische Eigenschaften von Baicalein in-vitro:3.6.1. Anti-aggregatory properties of Baicalein in vitro:
-
a) Hemmung der Aggregation von 1SS-alpha-lactalbumin
(
Bomhoff et al. 2006 Bomhoff et al. 2006 -
b) Hemmung der Aggregation von alpha-Synuclein (
Zhu et al. 2004 Zhu et al. 2004 -
c) indirekte Hemmung der Blutblättchen-Aggregation
durch Hemmung von Oxygenasen (
Kälvegren et al. 2007 Kälvegren et al. 2007
Anti-aggregatorische Eigenschaften von Baicalein in-vivo sind bisher nicht beschrieben worden.Antiaggregatory Properties of Baicalein in vivo have not previously been described Service.
3.6.2. Antioxidative Eigenschaften von Baicalein in vitro und in vivo:3.6.2. Antioxidant properties of Baicalein in vitro and in vivo:
-
Ciesielska et al. 2002Ciesielska et al. 2002
3.6.3. Anti-Cancerogene Wirkungen von Baicalein in-vitro3.6.3. Anti-cancerogenic effects of Baicalein in vitro
-
Chao et al. (2007) Chao et al. (2007)
Aufgabe der ErfindungObject of the invention
Der Erfindung lag die Aufgabe zugrunde, Substanzen zu finden, die für die therapeutische Behandlung von Proteinfehlfaltungs- und -aggregationskrankheiten geeignet sind.Of the Invention was the object of finding substances for the therapeutic treatment of protein deficiency and aggregation diseases are suitable.
Lösung der AufgabeSolution of the task
Die Aufgabe wurde gemäß den Merkmalen der Patentansprüche gelöst. Als Ausgangspunkt und exemplarisches Beispiel wurden Prion-Erkrankungen gewählt.The Task has been in accordance with the features of the claims solved. As a starting point and exemplary example were Prion diseases chosen.
Mit der vorliegenden Erfindung wird eine neue Möglichkeit zur Behandlung von Proteinfehlfaltungs – und Proteinaggregationskrankheiten vorgestellt.With The present invention provides a new way to Treatment of protein misfolding and protein aggregation diseases presented.
Die Erfindung betrifft die Verwendung von synthetisch hergestellten (einschl. chemisch hergestellter Modifikationen desselben (z. B. Acetylierung, Hydroxylierung, Halogenierung, Methylierung, Carbonylierung, Alkylierung, Glykosylierung, Veresterung, Oxidation, Hydrolyse, Kondensation, Polymerisation)) oder aus Pflanzen stammenden Flavonoiden, deren Derivate oder Abbauprodukte zur therapeutischen und prophylaktischen Behandlung dieser Proteinfehlfaltungs- und -aggregationserkrankungen. Hierunter fallen insbesondere Zubereitungen aus Helmkraut (Scutellaria) und Pflanzen mit ähnlichen Inhaltsstoffen (z. B. Petersilie, Sellerie und Kamille und Chrysanthemen) sowie den darin enthaltenen Inhaltsstoffen in Reinform oder in Kombinationen (einschließlich der bereits bekannten Stoffe Baicalein, Bai calin etc.). Diese Stoffe sind zur Prophylaxe und/oder Therapie bei Prion-Infektionen und anderen neurodegenerativer Proteinfehlfaltungs- und -aggregationskrankheiten (Alzheimer'sche Krankheit, Parkinson'sche Krankheit, Huntington'sche Krankheit, senile Amyloidose, Tauopathien, etc.) bei Mensch und Tier geeignet.The The invention relates to the use of synthetically produced (including chemically produced modifications thereof (eg Acetylation, hydroxylation, halogenation, methylation, carbonylation, alkylation, Glycosylation, esterification, oxidation, hydrolysis, condensation, Polymerization)) or plant-derived flavonoids whose Derivatives or degradation products for therapeutic and prophylactic Treatment of these protein deficiency and aggregation diseases. These include, in particular, preparations of scullcap (Scutellaria) and plants with similar ingredients (eg parsley, Celery and chamomile and chrysanthemums) and the contained therein Ingredients in their pure form or in combinations (including the already known substances Baicalein, Bai calin etc.). These substances are for prophylaxis and / or therapy in prion infections and other neurodegenerative protein deficiency and aggregation diseases (Alzheimer's disease, Parkinson's disease, Huntington's disease Disease, senile amyloidosis, tauopathies, etc.) in humans and Animal suitable.
Die Erfindung betrifft auch Zubereitungen aus Helmkraut (scutellaria) und artverwandter Pflanzen sowie darin enthaltene Inhaltsstoffe in Reinform oder in Kombinationen (einschließlich der bereits bekannten Stoffen Baicalein, Baicalin etc.), die daher als Therapeutikum und/oder Prophylaktikum bei Proteinfehlfaltungs- und -aggregationskrankheiten von Mensch und Tier eingesetzt werden können.The Invention also relates to preparations of skullcap (scutellaria) and related plants and ingredients contained therein in pure form or in combinations (including the already known substances Baicalein, Baicalin etc.), therefore, as a therapeutic agent and / or prophylactic in protein deficiency and aggregation diseases can be used by humans and animals.
Die Erfindung soll anhand von Ausführungsbeispielen näher beschrieben werden, ohne sie auf diese Beispiele zu reduzieren.The Invention is intended to be based on exemplary embodiments without reducing them to these examples.
Ausführungsbeispieleembodiments
Nachweis der Wirksamkeit von Flavonoiden als Inhibitoren bei Proteinfehlfaltungs- und -aggregagtionskrankheitenEvidence of the efficacy of flavonoids as inhibitors of protein deficiency and aggregagtion diseases
Die Wirksamkeit von Flavonoiden gegenüber diesen Erkrankungen konnte am Beispiel des Helmkrauts und seiner Inhaltstoffe im Rahmen von In-vivo-Untersuchungen am lebenden Organismus gezeigt werden. Daneben konnte die Antiaggregatorische-Aktivität auch in vitro nachgewiesen werden. Die Substanzen inhibieren nicht nur die Neubildung, sondern führen des weiteren auch zur Auflösung bereits existierender Aggregate.The Effectiveness of flavonoids against these diseases could by the example of the helmet and its ingredients in the frame from in vivo studies on living organism. In addition, the antiaggregatory activity could also in be detected in vitro. The substances not only inhibit the New formation, but also lead to the dissolution already existing aggregates.
Beispiel 1example 1
Wirkung in-vitroEffect in vitro
Die
Wirksamkeit wurde in-vitro in 2 Testsystemen überprüft.
In einem zellfreien Konversionsassay wird rekombinant hergestelltes
Prionprotein zusammen mit infektiösen PrPSc inkubiert.
Mittels spezifischer Antikörper kann die anschließende
Fehlfaltung (Konversion) des Prionproteins als auch die Empfänglichkeit
der PrPSc-Aggregate für den proteolytischen
Abbau nachgewiesen werden. Dieser Assay wurde von den Autoren/Erfindern
entwickelt und bereits publiziert (
Beispiel 2Example 2
Zellfreier AssayCell-free assay
In
dem zellfreien Assay wurde gezeigt, dass die Flavonoide Baicalein,
als auch Baicalin die Konversion des Prionproteins konzentrationsabhängig
hemmen können (
Beispiel 3Example 3
Zellbasierter AssayCell-based assay
In
dem zweiten, zellbasierten Assay konnte ebenfalls die anti-Prionen
Wirkung nachgewiesen werden. Hierbei wurde mit Zellen gearbeitet,
die permanent mit einem Scrapie-Erreger infiziert sind. Auch hier
zeigen sowohl Baicalein, Baicalin (
Beispiel 4Example 4
Wirkung in-vivoEffect in vivo
Schließlich
wurde die therapeutische Wirkung des Helmkrauttees im Mausmodell
untersucht. Dazu wurden sechs Wildtyp-Mäuse verwendet,
die intrazerebral (i. c.) mit einem Scrapie-Erreger infiziert (inokuliert) wurden
(
Es wurde insofern gezeigt, dass Tee (Extrakt mit heißem Wasser) des Helmkrauts (scutellaria) die Inkubationszeit einer Prion-Infektion wirksam, d. h. um bis zu 60 Tagen, verzögern kann, was einer Erreger-Titerreduktion um den Faktor von 100.000 entspricht. Die Wirkung beruht wahrscheinlich auf 2 Inhaltsstoffen, den Flavonoiden Baicalein und Baicalin.It has been shown that tea (extract with hot water) of the skullcap (scutellaria) the In incubation time of a prion infection, ie by up to 60 days, which corresponds to a pathogen titer reduction by a factor of 100,000. The effect is probably based on 2 ingredients, the flavonoids Baicalein and Baicalin.
Die Ergebnisse zeigen dass die Behandlung von Scrapie-infizierten Tieren mit Helmkrauttee einen signifikanten therapeutischen Effekt aufweist. Dieser Effekt lässt sich zum einen auf eine spezifische Wechselwirkung von Baicalein/Baicalin mit dem fehlgefalteten bzw. aggregierten Prionprotein zurückführen zum anderen auf allgemeine neuroprotektive Effekte der Flavonoide.The Results show that the treatment of scrapie-infected animals with scotch tea has a significant therapeutic effect. This effect can be reduced to a specific Interaction of Baicalein / Baicalin with the misfolded or aggregated prion protein to another on general neuroprotective effects of flavonoids.
Legende zu den Figuren:Legend to the figures:
Die Detektion im Westernblot erfolgte mit dem monoklonalen Antikörper P4 mittels Chemilumineszenz.
- A: Baicalein inhibiert effizient die Bildung von PrPres. In den Spuren 1–2 sind Proteinase K (PK)-resistente PrPres Fragmente in Proben ohne Baicalein zu sehen, in den Spuren 3–4 Pro ben nach Inkubation mit 10.0 mM Baicalein, in den Spuren 5–6 mit 1.0 mM Baicalein, and in den Spuren 7–8 nach Inkubation mit 0.1 mM Baicalein.
- B: Hemmung der PrPres Bildung durch Baicalin. PK-resistente Fragmente ohne Baicalin (Spuren 1–2), mit 10 mM Baicalin (Spuren 3–4), 1.0 mM Baicalin (Spuren 5–6) und 0.1 mM Baicalin (Spuren 7–8).
- C: Keine Hemmung der PrPres-Bildung durch das Flavonoid Epicatechin: Proben ohne Epicatechin (Spuren 1–2), nach Inkubation mit 10 mM Epicatechin (Spuren 3–4), mit 1.0 mM Epicatechin (Spuren 5–6) und 0.1 mM Epicatechin (Spuren 7–8).
- A: Baicalein efficiently inhibits the formation of PrP res . In lanes 1-2 are proteinase K (PK) to see -resistant PrP res fragments in samples without baicalein, in lanes 3-4 Pro ben after incubation with 10.0 mM baicalein, in lanes 5-6 with 1.0 mM baicalein, and in lanes 7-8 after incubation with 0.1 mM Baicalein.
- B: inhibition of PrP res formation by Baicalin. PK-resistant fragments without baicalin (lanes 1-2), with 10 mM Baicalin (lanes 3-4), 1.0 mM Baicalin (lanes 5-6) and 0.1 mM Baicalin (lanes 7-8).
- C: No inhibition of PrP res formation by the flavonoid epicatechin: samples without epicatechin (lanes 1-2), after incubation with 10 mM epicatechin (lanes 3-4), with 1.0 mM epicatechin (lanes 5-6) and 0.1 mM Epicatechin (lanes 7-8).
Es
handelt sich um die gleichen Westernblots von
- A: Baicalein löst PrPSc-Aggregate effizient nach Inkubation mit PK auf Spuren 1–2 zeigen PK-resistente PrPSc-Aggregate ohne Baicalein, Spuren 3–4 Proben nach Inkubation mit 10.0 mM Baicalein, Spuren 5–6 mit 1.0 mM Baicalein, und Spuren 7–8 Proben nach Inkubation von 0.1 mM Baicalein.
- B: Auflösung der PrPSc-Aggregate durch Baicalin. PK-resistente Aggregate ohne Baicalin (Spuren 1–2), nach Inkubation mit 10 mM baicalin (Spuren 3–4), 1.0 mM baicalin (Spuren 5–6) und 0.1 mM baicalin (Spuren 7–8).
- C: Keine Auflösung der PrPSc-Aggregate durch Epicatechin: Proben ohne Epicatechin (Spuren 1–2), nach Inkubation mit 10 mM Epicatechin (Spuren 3–4), mit 1.0 mM Epicatechin und 0.1 mM Epicatechin.
- A: Baicalein dissolves PrP Sc aggregates efficiently after incubation with PK on lanes 1-2 show PK-resistant PrP Sc aggregates without baicalein, lanes 3-4 samples after incubation with 10.0 mM Baicalein, lanes 5-6 with 1.0 mM Baicalein, and Lanes 7-8 samples after incubation of 0.1 mM Baicalein.
- B: dissolution of the PrP Sc aggregates by Baicalin. PK-resistant aggregates without baicalin (lanes 1-2), after incubation with 10 mM baicalin (lanes 3-4), 1.0 mM baicalin (lanes 5-6) and 0.1 mM baicalin (lanes 7-8).
- C: No dissolution of PrP Sc aggregates by epicatechin: samples without epicatechin (lanes 1-2), after incubation with 10 mM epicatechin (lanes 3-4), with 1.0 mM epicatechin and 0.1 mM epicatechin.
Die Detektion im Westernblot erfolgte mit dem monoklonalen Antikörper P4 mittels Chemilumineszenz.
- A: Helmkrauttee hemmt die Bildung of PrPres. Spuren 1–2 zeigen PK-resistente PrPres-Fragmente in Proben ohne Tee, Spuren 3–4 Proben nach Inkubation mit Tee, Spuren 5–6 mit Tee (1:10 Verdünnung), und Spuren 7–8 nach Inkubation mit Tee (1:100 Verdünnung).
- B: Helmkrauttee löst PrPSc-Aggregate nach Inkubation mit PK auf.
- A: Helmkrauttee inhibits the formation of PrP res . Lanes 1-2 show PK-resistant PrP res fragments in samples without tea, lanes 3-4 samples after incubation with tea, lanes 5-6 with tea (1:10 dilution), and lanes 7-8 after incubation with tea ( 1: 100 dilution).
- B: Helmkrauttee dissolves PrP Sc aggregates after incubation with PK.
Es handelt sich um die gleichen Westernblots von Abbildung, die nach Entfernen des Antikörpers mittels „Stripping” mit einem neuem Antikörper (Ra 10) re-inkubiert wurden. Spuren 1–2 zeigen PK-resistente PrPSc Aggregate ohne Tee, Spuren 3–4 Proben nach Inkubation mit Tee, Spuren 5–6 mit Tee (1:10 Verdünnung), und Spuren 7–8 nach Inkubation mit Tee (1:100 Verdünnung).These are the same Western blots of Figure that were "incubated" after removal of the antibody by stripping with a new antibody (Ra 10). Lanes 1-2 show PK-resistant PrP Sc aggregates without tea, lanes 3-4 samples after incubation with tea, lanes 5-6 with tea (1:10 dilution), and lanes 7-8 after incubation with tea (1: 100 Dilution).
PK-resistente PrP-Signale auf Ausschnitten eines 96-well Dotblots nach Detektion mit dem pAb Ra 10.
- A: Zellen wurden mit abnehmenden Konzentrationen an Baicalein behandelt: Inkubation von ScN2A Zellen mitl.0 mM Baicalein (Spur 1), 0.1 mM Baicalein (Spur 2), 0.01 mM Baicalein (Spur 3) und unbehandelte ScN2A-Zellen. (Spur 4). Inkubation von SMB Zellen mit 1.0 mM Baicalein (Spur 5), 0.1 mM Baicalein (Spur 6), 0.01 mM Baicalein (Spur 7) und unbehandelte SMB-Zellen (Spur 8).
- B: Zellen wurden mit abnehmenden Konzentrationen an Baicalin behandelt: Inkubation von ScN2A Zellen mitl.0 mM Baicalin (Spur 1), 0.1 mM Baicalin (Spur 2), 0.01 mM Baicalin (Spur 3) und unbehandelte ScN2A-Zellen. (Spur 4). Inkubation von SMB Zellen mit 1.0 mM (Spur 5), 0.1 mM Baicalin (Spur 6), 0.01 mM Baicalin (Spur 7) und unbehandelte SMB-Zellen (Spur 8).
- C: Zellen wurden mit abnehmenden Konzentrationen an Epicatechin behandelt: Inkubation von ScN2A Zellen mitl.0 mM Epicatechin (Spur 1), 0.1 mM Epicatechin (Spur 2), 0.01 mM Epicatechin (Spur 3) und unbehandelte ScN2A-Zellen. (Spur 4). Inkubation von SMB Zellen mit 1.0 mM (Spur 5), 0.1 mM Epicatechin (Spur 6), 0.01 mM Epicatechin (Spur 7) und unbehandelte SMB-Zellen (Spur 8).
- A: Cells were treated with decreasing concentrations of Baicalein: Incubation of ScN 2 A cells with 1.0 mM Baicalein (lane 1), 0.1 mM Baicalein (lane 2), 0.01 mM Baicalein (lane 3) and untreated ScN 2 A cells. (Lane 4). Incubation of SMB cells with 1.0 mM Baicalein (lane 5), 0.1 mM Baicalein (lane 6), 0.01 mM Baicalein (lane 7) and untreated SMB cells (lane 8).
- B: Cells were treated with decreasing concentrations of Baicalin: Incubation of ScN2A cells with 1.0 mM Baicalin (lane 1), 0.1 mM Baicalin (lane 2), 0.01 mM Baicalin (lane 3) and untreated ScN2A cells. (Lane 4). Incubation of SMB cells with 1.0 mM (lane 5), 0.1 mM Baicalin (lane 6), 0.01 mM Baicalin (lane 7) and untreated SMB cells (lane 8).
- C: Cells were treated with decreasing concentrations of epicatechin: Incubation of ScN 2 A cells with 1.0mM epicatechin (lane 1), 0.1mM epicatechin (lane 2), 0.01mM epicatechin (lane 3), and untreated ScN 2 A cells. (Lane 4). Incubation of SMB cells with 1.0 mM (lane 5), 0.1 mM epicatechin (lane 6), 0.01 mM epicatechin (lane 7) and untreated SMB cells (lane 8).
- A: Helmkrauttee inhibiert die PrP/PrPres-Bildung in ScN2A Zellen. Spur 1 zeigt das PK-resistent Fragment der unbehandelten Kontrolle, die Spuren 2–5 Proben, die mit zunehmenden Konzentrationen an Helmkrauttee inkubiert wurden: 1:500 (Spur 2), 1: (Spur 3), 1:20 (Spur 4) and 1:10 (Spur 5).
- B: Helmkrauttee inhibiert die PrP/PrPres-Bildung in SMB-Zellen. Spur 1 zeigt das PK-resistent Fragment der unbehandelten Kontrolle, die Spuren 2–5 Proben, die mit zunehmenden Konzentrationen an Helmkrauttee inkubiert wurden: 1:500 (Spur 2), 1:50 (Spur 3), 1:20 (Spur 4) and 1:10 (Spur 5).
- A: Helmkrauttee inhibits the PrP / PrP res formation in ScN 2 A cells. Lane 1 shows the PK-resistant fragment of the untreated control, the lanes 2-5 samples incubated with increasing concentrations of helmet-scab tea: 1: 500 (lane 2), 1: (lane 3), 1:20 (lane 4) and 1:10 (track 5).
- B: Helmkrauttee inhibits the PrP / PrP res formation in SMB cells. Lane 1 shows the PK-resistant fragment of the untreated control, the lanes 2-5 samples incubated with increasing concentrations of scullcap tea: 1: 500 (lane 2), 1:50 (lane 3), 1:20 (lane 4 ) and 1:10 (lane 5).
Die Detektion im Westernblot erfolgte mit dem polyklonalen Antikörper Ra10 mittels Chemilumineszenz.The Detection in Western blot was carried out with the polyclonal antibody Ra10 by means of chemiluminescence.
C57/B16-Mäuse
wurden intrazerebral mit 30 μl eines 1% RML Hirnhomogenstes
inokuliert.
Blaue Linie: Behandlung mit Helmkrauttee. Die Überlebenszeiten
betrugen bis zu 207 Tage.
Rote Linie: Kontrollmäuse.
Alle Kontrollmäuse starben zwischen 145–153 Tagen.C57 / B16 mice were inoculated intracerebrally with 30 μl of a 1% RML brain homogenate.
Blue line: Treatment with helmet herb tea. The survival times were up to 207 days.
Red line: control mice. All control mice died between 145-153 days.
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ZITATE ENTHALTEN IN DER BESCHREIBUNGQUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list The documents listed by the applicant have been automated generated and is solely for better information recorded by the reader. The list is not part of the German Patent or utility model application. The DPMA takes over no liability for any errors or omissions.
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