EP1171131A1 - Arzneimittel enthaltend hemmstoffe der zellvolumenregulierten humanen kinase h-sgk - Google Patents
Arzneimittel enthaltend hemmstoffe der zellvolumenregulierten humanen kinase h-sgkInfo
- Publication number
- EP1171131A1 EP1171131A1 EP00922655A EP00922655A EP1171131A1 EP 1171131 A1 EP1171131 A1 EP 1171131A1 EP 00922655 A EP00922655 A EP 00922655A EP 00922655 A EP00922655 A EP 00922655A EP 1171131 A1 EP1171131 A1 EP 1171131A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- sgk
- kinase
- expression
- human kinase
- medicament
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
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Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/4738—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4741—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having oxygen as a ring hetero atom, e.g. tubocuraran derivatives, noscapine, bicuculline
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
- A61K31/553—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having at least one nitrogen and one oxygen as ring hetero atoms, e.g. loxapine, staurosporine
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/005—Enzyme inhibitors
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- 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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- 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
- A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/08—Antiepileptics; Anticonvulsants
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- A—HUMAN NECESSITIES
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- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/08—Antiallergic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
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- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
Definitions
- the present invention relates to medicaments containing inhibitors or activators of the cell volume regulated human kinase h-sgk.
- Such drugs are suitable for the therapy of disease states in which an increased or decreased expression of the h-sgk is found.
- the h-sgk and processes for their preparation have already been described in EP-0 861 896, the content of which is expressly intended to be part of the present description.
- h-sgk human serum and glucocorticoid dependent kinase (serine / threonine kinase)
- MDEG mammalian degenerin
- BNC brain Na + - channel
- TGFßi tumor growth factor ßi
- NKCC Na + , K + , 2Cl ' transporters
- Transdominant inhibitory kinase mutation-altered h-sgk: lysine at position 127 was replaced by arginine (K127R); the mutation lies in the catalytic region and prevents the catalytic function of the kinase.
- Increased expression of h-sgk is increasingly found in diabetes mellitus, arteriosclerosis, Alzheimer's disease, liver cirrhosis, Crohn's disease, explosive pancreatitis, pulmonary fibrosis and chronic bronchitis.
- the increased formation of h-sgk can be explained by stimulation of expression by TGFßi (Fig. 1). Fibrosive diseases are caused by increased formation and reduced breakdown of matrix proteins. Both are effects of TGFßi.
- the increased Expression of the matrix proteins can be prevented by inhibiting the NKCC with furosemide (FIG. 2). So far it was unclear whether the increased expression of h-sgk is only the consequence or cause of the disease.
- the stimulating effect of h-sgk on the ENaC can be prevented by kinase inhibitors, such as, for example, staurosporine (Sigma, D-82041 Deisenhofen) or chelerythrine (Sigma, loc. Cit.) (FIG. 4).
- kinase inhibitors such as, for example, staurosporine (Sigma, D-82041 Deisenhofen) or chelerythrine (Sigma, loc. Cit.) (FIG. 4).
- the effect of h-sgk on the ENaC can be suppressed, for example, by transdominant inhibitory kinase (FIG. 5).
- Inhibitors of h-sgk such as staurosporine, chelerythrine or other kinase inhibitors, could therefore be used in the therapy of the abovementioned diseases.
- all known kinase inhibitors can be used.
- kinase inhibitors are also commercially available in many cases, for example from Calbiochem-Novabiochem GmbH, Lisztweg 1, D-65812 Bad Soden (see “1998 General Catalog”). Additional kinase inhibitors are available from other commercial and non-commercial sources known to those skilled in the art.
- the h-sgk is increasingly expressed in epileptic seizures.
- the functional data we found show that the effects are suitable for reducing the excitability of neurons, since the activation of the NKCC leads to a decrease in the extracellular K + concentration, which results in hyperpolarization and thus inhibition of the activity of neurons .
- inhibition of MDEG should inhibit neuronal excitability. Accordingly, activators of the kinase that cross the blood-brain barrier could be used successfully in epileptic seizures. Conversely, inhibition of the kinase with pharmaceuticals that cross the blood-brain barrier could increase attention and the ability to learn.
- Activators of kinases have also long been known to the person skilled in the art, of which the protein kinase C activators are of particular interest (see, for example, Calbiochem-Novabiochem 1998 General Catalog, loc. Cit.). Additional kinase activators are available from other commercial and non-commercial sources known to those skilled in the art. Since the Na + , K + , 2Cr cotransport and the Na + channel are crucial for renal Na + absorption and an increased renal Na + absorption is associated with hypertension, it must be assumed that increased expression of the kinase increases Hypertension and decreased expression of the kinase lead to hypotension.
- the present invention thus also relates to the use of inhibitors of h-sgk for the production of medicaments for the treatment of diabetes mellitus, arteriosclerosis, M. Alzheimer's, liver cirrhosis, M. Crohn, fibrosing pancreatitis, pulmonary fibrosis, chronic bronchitis, radiation fibrosis, scleroderma, cystic fibrosis and other fibrosing diseases and for the treatment of arterial hypertension.
- medicinal products containing inhibitors or activators of h-sgk can be used to regulate neuronal excitability.
- the use of the inhibitors staurosporine or chelerythrine and their analogs is particularly advantageous.
- the h-sgk is expressed only sparingly in the normal kidney. Individual cells in the glomerulum, late proximal and distal tubules show clear h-sgk expression. In contrast, there are clusters of cells with massive h-sgk expression in the diabetic kidney.
- Massively h-sgk-expressing cells are increasingly found in the vessel walls of arteriosclerotic vessels.
- Alzheimer There are only a few cells in the normal brain that express h-sgk. These cells are probably oligodentroglia cells. In brains with Alzheimer's disease, the number of h-sgk-expressing cells has increased significantly.
- the h-sgk In normal intestinal tissue, the h-sgk is only expressed in the enterocytes. In Crohn's disease, however, the kinase is also found in the connective tissue.
- Fibrosive pancreatitis In the normal pancreas, the h-sgk is found in acinar cells and also in gang cells. There are isolated h-sgk-expressing mononuclear cells around the pancreatic ducts. The expression of kinase is significantly increased in fibrosing pancreatitis.
- TGFß TGFß ! stimulated (Fig. 1). Since TGFßj is formed in fibrosis-inflamed tissue, this finding explains the increased expression of h-sgk in inflamed tissue. TGFßi stimulates the expression of the matrix protein Biglycan, an effect that is prevented by the NKCC inhibitor furosemide:
- TGFßi stimulates the expression of biglycan.
- the NKCC inhibitor furosemide the effect of TGFßi on biglycan expression is completely prevented.
- the fibrosing effect of TGFßi therefore requires activation of the NKCC (Fig. 2).
- the stimulation of the epithelial ENaC by the h-sgk can be reversed by coexpression of the transdominant-inhibitory kinase h-sgk: As FIG. 5 shows, the stimulating effect of the h-sgk coexpression on the ENaC-mediated Na + current can be reversed Co-expression of a transdominant inhibitory kinase can be prevented.
- This transdominant-inhibitory kinase (compare with "definitions") is so modified on the catalytic unit that it can no longer function. However, since it attaches to the substrate, it displaces the active kinase and thus suppresses its effect.
- the transdominant-inhibitory kinase not only prevents the increase in ENaC activity by exogenous h-sgk, but also apparently suppresses stimulation by the endogenous h-sgk.
- MDEG is completely switched off by coexpression with h-sgk: As FIG. 6 shows, the expression of MDEG in oocytes induces a strong Na + current, which is activated by lowering the extracellular pH. The channel is completely blocked by coexpression with h-sgk. It must be concluded from this that the h-sgk inhibits neuronal excitability. Examples:
- Tissues from normal pancreas, liver, vessels, brain, lungs, kidney and intestines, as well as tissues with diabetic nephropathy, arteriosclerosis, Alzheimer's disease, liver cirrhosis, Crohn's disease, fibrosing pancreatitis and pulmonary fibrosis were found in 4% paraformaldehyde / 0.1 M sodium phosphate Buffer (pH 7.2) embedded in Praffm for 4 hours.
- Tissue sections were dewaxed and hybridized as previously described (Kandolf, R., D. Ameis, P. Kirschner, A. Canu, PH Hofschneider, Proc. Natl. Acad. Sci.
- the hybridization mixture contained either 35 S-labeled sense RNA coding for h-sgk or 35 S-labeled antisense RNA (500 ng / ml in each case) complementary to the latter in 10 mM Tris-HCl, pH 7.4; 50% (vol / vol) deionized formamide; 600 mM NaCl; 1mM EDTA; 0.02% polyvinyl pyrrolidone; 0.02% Ficoll; 0.05% calf serum albumin; 10% dextran sulfate; 10 mM dithiothreitol; 200 ⁇ g / ml denatured sonicated salmon sperm DNA and 100 ⁇ g / ml rabbit liver tRNA.
- Hybridization with RNA samples was carried out at 42 ° C for 18 hours. The slides were washed as described (Hohenadl et al., 1991; Klingel et al., 1992), and then incubated for 1 hour at 55 ° C. in 2x standard sodium citrate. Non-hybridized single-stranded RNA samples were digested by RNase A (20 ⁇ g / ml) in 10 mM Tris-HCl, pH 8.0 / 0.5 M NaCl for 30 min at 37 ° C. Tissue samples were then autoradiographed for three weeks (Klingel et al., 1992) and stained with hematoxylin / eosin.
- Example 2 Transcriptional regulation of Biglykan and the h-sgk.
- DIG-Easy-Hyb The digoxigenin (DIG) labeled samples were generated by PCR as previously described in detail (Waldegger et al. (1997) PNAS 94: 4440-4445). For autoradiography, the filters were averaged 5 min. exposed to an X-ray film (Kodak).
- Example 3 Two-electrode voltage clamp and tracer flow experiments.
- the dissection of Xenopus laevis, the extraction and treatment of the oocytes have been described in detail earlier (Busch et al. 1992).
- the oocytes were each cultured with 1 ng of
- NKCC NKCC, ENaC or MDEG injected with or without simultaneous injection of the h-sgk.
- Two-electrode voltage and current clamp experiments could be carried out 2-8 days after the injection. Furosemide inhibitable Na + influx through the NKCC was by
- Na + uptake in the oocytes was determined, which was determined using a scintillation counter.
- Na + currents (ENaC) were filtered at 10 Hz and recorded with a recorder.
- Bath solution contained: 96 mM NaCl, 2 mM KC1, 1.8 mM CaCl 2 , 1 mM MgCl 2 , and 5 mM HEPES at pH 7.5 and the holding potential was -50 mV.
- the pH was adjusted by titration with HC1 or NaOH.
- the flow rate of the bath liquid was set to 20 ml / min, resulting in a complete change of solution in the measuring chamber within
- h-sgk is stimulated by TGFßi.
- TGFßi The effect of TGFß is shown after 0.5 to 6h (top).
- Phorbol ester PDD (4-alpha-phorbol-12,13-didecanoate; stimulates protein kinase C) and Ca ⁇ ionophore ionomycin (Sigma, loc. Cit .; increases intracellular Ca ⁇ concentration) also stimulate h-sgk expression ( below).
- NKCC osmotic cell swelling
- Fig. 4 Stimulation of the ENaC by h-sgk:
- the current through the ENaC (I) increases massively through co-expression with h-sgk.
- Treatment of the oocytes with the kinase inhibitors staurosporin (S) or chelerythrin (C) prevents the activation of the Na + channel by h-sgk.
- the stimulation of the ENaC by h-sgk can be reversed by coexpression of the transdominant-inhibitory kinase: Oocytes that express ENaC and h-sgk simultaneously have much larger currents (I) than oocytes that only express ENaC. Co-expression of the transdominant-inhibitory kinase prevents stimulation of the ENaC by the h-sgk.
- the current through the MDEG (I) increases with the duration of the incubation [day (T) 1 - 4].
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| DE19917990A DE19917990A1 (de) | 1999-04-20 | 1999-04-20 | Arzneimittel enthaltend Hemmstoffe der zellvolumenregulierten humanen Kinase h-sgk |
| DE19917990 | 1999-04-20 | ||
| PCT/EP2000/003578 WO2000062781A1 (de) | 1999-04-20 | 2000-04-19 | Arzneimittel enthaltend hemmstoffe der zellvolumenregulierten humanen kinase h-sgk |
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| DE10042137A1 (de) * | 2000-08-28 | 2002-03-14 | Florian Lang | sgk2 und sgk3 als diagnostische und therapeutische Targets |
| DE10113876A1 (de) * | 2001-03-21 | 2002-09-26 | Eberhard Karls Uni Medizinisch | Quantitative diagnostische Analyse der Hypertonie |
| DE60233398D1 (de) * | 2001-04-27 | 2009-10-01 | Cold Spring Harbor Lab | Linderung der gedächtnisdefizite und gedächtniskomponenten von psychiatrischen funktionsstörungen durch veränderung der atypischen pkm-aktivität |
| DE10149393A1 (de) * | 2001-09-28 | 2003-04-24 | Florian Lang | sgk1 als diagnostisches und therapeutisches target |
| DE10225844A1 (de) * | 2002-06-04 | 2003-12-18 | Lang Florian | sgk und nedd als diagnostische und therapeutische targets |
| DE10305212A1 (de) * | 2003-02-07 | 2004-08-19 | Florian Prof. Dr.med. Lang | Verwendung der sgk-Genfamilie zur Diagnose und zur Therapie von Katarakt und Glaukom |
| AU2003215623B2 (en) * | 2003-03-03 | 2009-10-22 | Florian Lang | Sgk1 as diagnostic and therapeutic target |
| WO2004084889A1 (en) * | 2003-03-28 | 2004-10-07 | Pfizer Inc. | Use of protein kinase c inhibitor for suppressing sustained slow postsynaptic excitation (sspe) of enteric neurons |
| DE10346913A1 (de) | 2003-10-09 | 2005-05-04 | Merck Patent Gmbh | Acylhydrazonderivate |
| WO2005084702A1 (ja) * | 2004-03-02 | 2005-09-15 | Hokkaido Technology Licensing Office Co., Ltd. | 臓器線維症予防・治療剤 |
| WO2005094796A2 (en) * | 2004-03-11 | 2005-10-13 | Merck Patent Gmbh | Methods for interfering with fibrosis |
| AU2005229496A1 (en) * | 2004-03-11 | 2005-10-13 | Merck Patent Gmbh | Methods for modulating glutamate receptors for treating neuropsychiatric disorders comprising the use of modulators of serum and glucocorticoid inducible kinases |
| WO2005106491A2 (en) * | 2004-04-30 | 2005-11-10 | Bayer Healthcare Ag | Diagnostics and therapeutics for diseases associated with serum/glucocorticoid regulated kinase 1 (sgk1) |
| WO2005118832A2 (en) * | 2004-06-01 | 2005-12-15 | Bayer Healthcare Ag | Diagnostics and therapeutics for diseases associated with serum/glucocorticoid regulated kinase-like protein (sgkl) |
| DE102004030987A1 (de) * | 2004-06-26 | 2006-01-12 | Merck Patent Gmbh | Ortho-substituierte (3-Hydroxyphenyl)-essigsäure-benzyliden-hydrazide |
| MX2007001155A (es) * | 2004-07-29 | 2007-08-14 | Creabilis Therapeutics Spa | Uso de inhibidores de k-252a y de quinasa para la prevencion o el tratamiento de patologias asociadas con hmgb1. |
| DE102005001053A1 (de) * | 2005-01-07 | 2006-07-20 | Merck Patent Gmbh | Quadratsäurederivate |
| DE102005015255A1 (de) * | 2005-04-04 | 2006-10-05 | Merck Patent Gmbh | Acylhydrazide |
| DE102005035742A1 (de) * | 2005-07-29 | 2007-02-01 | Merck Patent Gmbh | Quadratsäurederivate II |
| DE102005039541A1 (de) * | 2005-08-22 | 2007-03-22 | Merck Patent Gmbh | 3-Oxo-indazol-quadratsäurederivate |
| DE102007002717A1 (de) | 2007-01-18 | 2008-07-24 | Merck Patent Gmbh | Heterocyclische Indazolderivate |
| DE102007022565A1 (de) | 2007-05-14 | 2008-11-20 | Merck Patent Gmbh | Heterocyclische Indazolderivate |
| EP2014651A1 (en) * | 2007-07-12 | 2009-01-14 | Exonhit Therapeutics SA | Compounds and methods for modulating Rho GTPases |
| DE102008010362A1 (de) | 2008-02-18 | 2009-08-20 | Florian Prof. Dr. Lang | Sgk1 als therapeutisches und diagnostisches Target für virale Erkrankungen |
| DE102008010361A1 (de) | 2008-02-18 | 2009-08-20 | Merck Patent Gmbh | sgk1-Inhibitoren zur Prophylaxe und/oder Therapie von viralen Erkrankungen und/oder Karzinomen |
| DE102008010363A1 (de) | 2008-02-18 | 2009-08-20 | Lang, Florian, Prof. Dr.med. | Sgk1 als therapeutisches und diagnostisches Target für karzinomatöse Erkrankungen |
| DE102008029072A1 (de) * | 2008-06-10 | 2009-12-17 | Lang, Florian, Prof. Dr.med. | Sgk3 als therapeutisches und diagnostisches Target für Alterserkrankungen |
| DE102008038222A1 (de) | 2008-08-18 | 2010-02-25 | Merck Patent Gmbh | Indazol-5-carbonsäurehydrazid-derivate |
| DE102008038221A1 (de) | 2008-08-18 | 2010-02-25 | Merck Patent Gmbh | 7-Azaindolderivate |
| DE102008038220A1 (de) | 2008-08-18 | 2010-02-25 | Merck Patent Gmbh | Oxadiazolderivate |
| DE102008059133A1 (de) | 2008-11-26 | 2010-05-27 | Merck Patent Gmbh | Difluorphenyl-diacylhydrazid-derivate |
| EP2637650A2 (en) | 2010-11-10 | 2013-09-18 | National Jewish Health | Methods to test allergic conditions |
| CN107875153A (zh) * | 2017-11-16 | 2018-04-06 | 上海壹志医药科技有限公司 | 去甲白屈菜红碱的药物用途 |
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| US5242397A (en) * | 1989-06-20 | 1993-09-07 | Cedars-Sinai Medical Center | Catheter device and method of use for intramural delivery of protein kinase C and tyrosine protein kinase inhibitors to prevent restenosis after balloon angioplasty |
| US5137912A (en) * | 1991-01-28 | 1992-08-11 | National Science Council Of Republic Of China | Chelerythrine inhibits platelet aggregation--a potential anti-aggregation drug |
| DE4217964A1 (de) * | 1992-05-30 | 1993-12-02 | Goedecke Ag | Indolocarbazol-Imide und deren Verwendung |
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| EP0889127A1 (en) * | 1997-07-01 | 1999-01-07 | Smithkline Beecham Corporation | Serine/threonine protein kinase (H-SGK2) |
| CO4940430A1 (es) * | 1997-07-07 | 2000-07-24 | Novartis Ag | Compuestos policiclicos que contienen estaurosporina hidrogenada con propiedades farmacologicas convenientes y un efecto inhibidor sobre el crecimiento de las celulas tumorales |
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