KR101003890B1 - Composition of docetaxel-loaded thermosensitive liquid suppository for rectal administration - Google Patents

Composition of docetaxel-loaded thermosensitive liquid suppository for rectal administration Download PDF

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KR101003890B1
KR101003890B1 KR1020100034417A KR20100034417A KR101003890B1 KR 101003890 B1 KR101003890 B1 KR 101003890B1 KR 1020100034417 A KR1020100034417 A KR 1020100034417A KR 20100034417 A KR20100034417 A KR 20100034417A KR 101003890 B1 KR101003890 B1 KR 101003890B1
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docetaxel
liquid suppository
administration
composition
rectal administration
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최한곤
용철순
여우현
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영남대학교 산학협력단
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Priority to PCT/KR2011/002662 priority patent/WO2011129627A2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/337Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0031Rectum, anus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels

Abstract

PURPOSE: A temperature-sensitive liquid suppository composition containing docetaxel for colorectal administration is provided to remove administration risk by introducing liquid suppository system and to prevent suppression by CYP and P-GP. CONSTITUTION: A temperature-sensitive liquid suppository composition containing docetaxel for colorectal administration contains 25-35 weight% of poloxamer, 2-10 weight% of polysorbate 80, 54-72.99 weight% of water and 0.01-1 weight% of docetaxel as an active ingredient. The gelling temperature of the composition is 30-36°C. The poloxamer is P 124, P 188, P 237, P 338 or P 407.

Description

Composition of docetaxel-containing thermosensitive liquid suppository for rectal administration {Composition of docetaxel-loaded thermosensitive liquid suppository for rectal administration}

The present invention relates to a new docetaxel dosage formulation, which is substantially applicable, to a docetaxel-containing thermosensitive liquid suppository for rectal administration, which is liquid at room temperature and has a property of forming a gel in the body and adhering to the mucosa.

In the case of docetaxel, an active ingredient of the present invention, an existing product is provided with an injection called Taxotere® (Taxotere®; Sanofiaventis), which is a solubilized formulation using polysorbate 80 together with ethanol. infusion), but has the disadvantage of causing side effects such as hypersensitivity reactions when administered to patients (Engels et al., Anticancer Drugs, 18 (2), 95-103 (2007); Sparreboom, et. al., Anticancer Drugs. 9 (1), 1-17 (1998).

In addition, oral administration of docetaxel is almost impossible due to CYP and P-GP inhibition and very low bioavailability (Woo et al., Pharm. Res., 20 (1), 24-). 30, (2003). Therefore, in order to increase the solubility and absorption of docetaxel, docetaxel is added to a polymer such as albumin to synthesize a polymer medicine (Musumeci et al., Int. J. Pharm., 325, 172-179 (2008)), attempts to cause glycosylation or ON intramolecular acylation (Schellens et al., Eur. J. Pharm. Sci., 12, 103-110 (2000)), or polysorbate 80 ( Gao et al., Drug Dev. Ind. Pharm., 34 (11), 1227-1237 (2008)), polysaccharides (Henni-Silhadi et al., Pharm. Res., 24 (12), 2317-2326 (2008)) and polosamers (Elsabahy et. al., Biomacromolecules, 8 (7), 2250-2257 (2007)) to form micelles or emulsions with surfactants, or poloxamers (Chen et al., Drug Dev. Ind. Pharm., 34 (6), 588-594 (2008)), polylactic-glycolic acid (Le Garrec et al., J. Control. Rel., 99 (1), 83-101 (2004)) and phospholipids (Straubinger et al., Methods) Enzymol., 391, 97-117 (2005)) and the like and solid dispersions such as liposomes And microcapsules (Musumeci et al., Int. J. Pharm., 325, 172-179 (2008); Schellens et al., Eur. J. Pharm. Sci., 12, 103-110 (2000) Woo et al., Pharm.Res., 20 (1), 24-30, (2003)) Although studies have been reported to develop oral or injectable drugs, there have been no satisfactory results and so far docetaxel-containing suppository products. Was not reported.

On the other hand, the conventional suppository system is a solid suppository that is solid at room temperature and melts or softens in the body to release an active ingredient because polyglycol or witepsol is used as a base. Suppositories have been used in the formulation of analgesic antipyretics, anesthetics, and hemorrhoids treatments because active ingredients are absorbed without first-passing effects in the gastrointestinal tract and liver and can also resolve patient discomfort, such as pain caused by injection. However, since these solid suppositories are solid at room temperature, patients feel foreign object and rejection when administered, and there is a risk of first passing effect due to colon peristalsis of the large intestine at the rectum after administration. There are also difficulties in the development of pharmaceutical preparations due to manufacturing difficulties (Huang et al., Yakuzaigaku , 47, 42-48 (1987)).

Therefore, to solve this problem, a new type of suppository composition called liquid suppository has been developed that is liquid at room temperature and forms gel in the body. This liquid suppository is based on gelling temperature of 30 ~ 36 ℃ using two or more poloxamers as a base, and by adding carbopol, polycarbophil, or sodium alginate, which have bioadhesive polymers, to have proper gel strength and bioadhesive power. It is easy to administer and adheres to the rectal mucosa after administration, so that it does not escape extracorporeally and enters the colon end (Choi et al., Int . J. Pharm ., 165, 33-44 (1998); Choi et al., Int . J. Pharm ., 190, 13-19 (1999); Choi et al., Int . J. Pharm ., 165, 23-32 (1998). In addition, this liquid suppository is easier to manufacture than conventional suppositories, such as not undergoing a melting step during preparation, and the active ingredients of acetaminophen, propranolol, diclofenac sodium salt, insulin, and prostaglandin E1 are applied to the liquid suppository in vivo. The utilization rate was increased [Korean Patent Application Publication Nos. 96-4566, 96-7637, 96-7638, PCT / KR97 / 0032, PCT / KR97 / 0042].

However, when the existing liquid suppository system is applied to the docetaxel as an active ingredient, its solubility is not increased, so that it is difficult to homogenize the formulation and its bioavailability is low, so that it cannot be applied as a practical formulation. In addition, bioadhesive polymers such as carbopol, polycarbophil or sodium alginate, which are used as gel strength and bioadhesive modifiers, take a long time to swell during manufacture, and especially when added together with docetaxel, an active ingredient, cause substantial phase separation. The preparation of possible formulations is not possible.

Thus, the new rectal solution that eliminates the risk of administration of the existing docetaxel injection and prevents phase separation of the existing liquid suppository system, as well as the convenience and efficacy of the administration of the existing suppository, is easy to manufacture, and the solubility of the docetaxel that is not easily dissolved in water is increased. There is an urgent need for the development of a washing-cell-containing temperature sensitive liquid suppository.

1. Korean Patent Application Publication No. 96-4566 2. Korean Patent Application Publication No. 96-7637 3. Korean Patent Application Publication No. 96-7638 4.PCT / KR97 / 0032 5.PCT / KR97 / 0042

1. Engels et al., Anticancer Drugs, 18 (2), 95-103 (2007); Sparreboom, et al., Anticancer Drugs. 9 (1), 1-17 (1998) 2. Woo et al., Pharm. Res., 20 (1), 24-30, (2003) 3. Musumeci et al., Int. J. Pharm., 325, 172-179 (2008) 4. Schellens et al., Eur. J. Pharm. Sci., 12, 103-110 (2000) 5. Gao et al., Drug Dev. Ind. Pharm., 34 (11), 1227-1237 (2008) 6. Henni-Silhadi et al., Pharm. Res., 24 (12), 2317-2326 (2008) Elsabahy et al., Biomacromolecules, 8 (7), 2250-2257 (2007) 8. Chen et al., Drug Dev. Ind. Pharm., 34 (6), 588-594 (2008) 9. Le Garrec et al., J. Control. Rel., 99 (1), 83-101 (2004) 10. Straubinger et al., Methods Enzymol., 391, 97-117 (2005) 11. Musumeci et al., Int. J. Pharm., 325, 172-179 (2008); Schellens et al., Eur. J. Pharm. Sci., 12, 103-110 (2000) 12. Woo et al., Pharm. Res., 20 (1), 24-30, (2003) 13. (Huang et al., Yakuzaigaku, 47, 42-48 (1987) 14. Choi et al., Int. J. Pharm., 165, 33-44 (1998) 15. Choi et al., Int. J. Pharm., 190, 13-19 (1999) 16. Choi et al., Int. J. Pharm., 165, 23-32 (1998)

The object of the present invention,

Eliminate the risk of administration of injectables, the only existing formulation of docetaxel,

It solves the problem of docetaxel's pharmacological properties that are inhibited by CYP and P-GP during oral administration, resulting in extremely low bioavailability.

It solved the problem that the first time avoidance effect could not be properly obtained by transitioning to the colon terminal after administration, which is a disadvantage of the existing suppository,

Not only can the convenience of administration be obtained,

Phase separation does not occur when applied to the existing liquid suppository system, which is easy to manufacture and increases the solubility of poorly soluble docetaxel, thereby preventing precipitation.

Finally, there is provided a docetaxel-containing thermosensitive liquid suppository for rectal administration which can exhibit applicable bioavailability as a practical formulation.

Through the following specific aspects of the present invention it was possible to achieve the above object:

(1) 25 to 35% by weight of poloxamer, 2 to 10% by weight of polysorbate 80, 54 to 72.99% by weight of water and 0.01 to 1% by weight of docetaxel as an active ingredient,

Docetaxel-containing thermosensitive liquid suppository composition for rectal administration, characterized in that the gelation temperature is 30 ~ 36 ℃; or

(2) The docetaxel-containing thermosensitive liquid for rectal administration according to (1), wherein the poloxamer is a mixture of two or more selected from the group consisting of P 124, P 188, P 237, P 338, and P 407. Suppository composition.

Docetaxel-containing temperature sensitive liquid suppository composition for rectal administration according to the present invention,

Unlike the injection of Docetaxel, which is the only existing formulation, the introduction of the liquid suppository system not only eliminates the risk of administration but also provides convenience of administration.

Unlike oral administration, it is not inhibited by CYP and P-GP

Unlike the existing suppository system, it has the proper bioadhesive power and does not migrate to the end of the colon, so that the first pass avoidance effect can be obtained.

Unlike the existing liquid suppository system, it achieves perfect solubilization of poorly soluble docetaxel, so that no precipitate is formed and no phase separation occurs, so that a homogeneous and stable formulation can be obtained.

Finally, an absolute bioavailability of 29% was achieved, which is a value representing the bioavailability applicable as a practical formulation, unlike oral formulations.

Therefore, the composition of the present invention is expected to make a significant contribution to patients and medical staff requiring docetaxel administration by providing new, safe, convenient and effective dosage forms of docetaxel.

1 is an example of the results measured using a viscometer to see the gel time and gel strength. (Solid line, Example 2; short dashed line, Example 3; long dashed line, Example 1)
Figure 2 shows a device for measuring bio-adhesion produced by itself. (A, self-made two-handed scale; B, weight; C, vial; D, liquid suppository; E, rat mucosal tissue; F, jockey)
Figure 3 shows the blood concentration after rectal administration of the docetaxel-containing temperature-sensitive liquid suppository composition for rectal administration, oral administration of the docetaxel solution and intravenous administration of the docetaxel solution to the animal. (●, control group administered with docetaxel solution; ▼, control group administered orally with docetaxel solution; ○, Example 1 rectal administration group)

Referring to each composition component contained in the docetaxel-containing temperature sensitive liquid suppository composition for rectal administration according to the present invention in more detail as follows.

Poloxamers contained as a base in the docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to the present invention are known to not cause damage to biological mucosa. In the present invention, a mixture of two or more selected from the group consisting of P 124, P 188, P 237, P 338 and P 407 is selected from commercially available poloxamers. The poloxamer base is contained in an amount of 25 to 35% by weight in the composition of the present invention, and the poloxamer base is preferably configured such that the gelation temperature of the composition of the present invention is maintained in the range of 30 to 36 ℃. If the gelation temperature is less than 30 ℃ the liquid suppository for rectal administration at room temperature becomes a solid phase, it is difficult to administer rectal, when it exceeds 36 ℃ because it becomes liquid in the body there is a possibility to escape out of the body. In addition, when the poloxamer base is less than 25% by weight in the composition of the present invention, the gelation temperature of the present invention is less than 30 ℃ exhibits a problem or docetaxel as an active ingredient is not completely solubilized and precipitates are formed. The problem is shown.

In the docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to the present invention, polysorbate 80 used to increase the solubility of docetaxel is contained in an amount of 2 to 10% by weight. The amount of docetaxel that can be dissolved is determined by the weight of polysorbate 80. If the content of polysorbate 80 is less than 2% by weight, there is a problem that cannot be dissolved by the amount of docetaxel, which is the object of the present invention, and when it exceeds 10% by weight, docetaxel may be dissolved more but shows a very strong gel strength. Due to its strong viscosity in production, it is difficult to manufacture, it is difficult to administer, and there is a risk of damaging the rectal mucosa.

The method of formulating the docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to the present invention is well known to those skilled in the art, and includes a conventional excipient and diluent including conventional gelling temperature and gel strength modifier, and the like. It may be prepared in the form.

The docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to the present invention has a gelation temperature of 30 to 36 ° C. and has an appropriate gel strength and bioadhesive power, so that it is liquid at room temperature and forms a gel phase in the body for easy administration. It is not attached to the rectal mucosa and does not escape to the outside and does not migrate to the end of the colon.

Hereinafter, the present invention will be described in more detail with reference to Examples, but the present invention is not limited by the following Examples.

Example  1 to 8 and Comparative example  1 to 7

Polysorbate 80 in which the active ingredient was dissolved in the composition as shown in Table 1 and Table 2 was added to water at room temperature, and then dissolved by adding poloxamer at 4 ° C. The solution was left in the refrigerator for one day to remove bubbles to prepare a docetaxel-containing temperature sensitive liquid suppository composition for rectal administration.

As a result of observation after 1 day, docetaxel was completely dissolved in transparent liquid suppositories in Examples 1 to 8 and Comparative Examples 4 to 7, but as in Comparative Examples 1 to 2, polysorbate 80 was used for rectal administration of the present invention. When less than 2% by weight in the liquid suppository composition, docetaxel, an active ingredient, did not dissolve and showed a tendency to precipitate. In addition, as in the case of Comparative Example 3, even when poloxamer is less than 25% by weight in the rectal liquid suppository composition of the present invention showed a tendency to precipitate without melting. However, as in the case of Examples 1 to 8 and Comparative Examples 5 to 7, when the polysorbate 80 and poloxamer are 2% by weight and 25% by weight or more in the liquid suppository composition for rectal administration of the present invention, Docetaxel was completely dissolved in the liquid suppository composition. In the case of Comparative Example 4, the poloxamer content was slightly insufficient as 24 wt%, but the polysorbate 80 content was sufficient as 10 wt%, so that docetaxel was completely dissolved.

Figure 112010023821315-pat00001

Figure 112010023821315-pat00002

Experimental Example  One : Gelation temperature

2 g of each of Examples 1 to 8 and Comparative Examples 4 to 7 prepared above were put together with a magnetic bar in a 10 ml vial container, and placed in a thermostat at 4 ° C., and then a digital thermometer was inserted into the sample so as not to contact the magnetic bar. The temperature at which the magnetic bar completely stopped was raised to a gelation temperature while the temperature was increased at a rate of 1 ° C./min while stirring at a constant speed.

As in Examples 1 to 8 of Table 3, when the docetaxel-containing temperature sensitive liquid suppository composition for rectal administration of the present invention is 10 wt% or less of polysorbate 80 and 25 to 35 wt% of poloxamer, the gelation temperature is 30 to 36 ° C. In consideration of the fact that the liquid suppository for rectal administration including docetaxel has been found to be easy to manufacture and administer because of the liquid state at room temperature and to immediately form a gel in the body. However, as in Comparative Examples 5 to 7, when the polysorbate 80 in the rectal liquid suppository composition of the present invention is more than 10% by weight or poloxamer is more than 35% by weight, the gelation temperature is less than 30 ℃ liquid state at room temperature The administration was inconvenient because of the viscous gel state. In addition, as in Comparative Example 4, when the poloxamer is less than 25% by weight in the liquid suppository composition for rectal administration of the present invention, the gelation temperature is higher than 36 ° C. to maintain the same liquid state as when the gel is not formed in the body. Indicates a tendency.

Figure 112010023821315-pat00003

Experimental Example  2 : Gel time

Gelation time was measured using a Physica MCR 301 viscometer. The temperature was fixed at 36 ° C. and the shear rate [d (gamma) / dt] was set to 100 1 / s and measured for 40 minutes. An example of the measurement result is shown in FIG. 1. When the viscosity of the liquid suppository exceeded 4 Pas, it was judged to be gelation, and the time at that time was taken as the gelation time.

Considering that the gelation time of Examples 1 to 8 is 4-7 minutes, as shown in Table 4, the new rectal docetaxel liquid suppository of the present invention using polysorbate 80 can be prevented from gelling rapidly after administration. And it was confirmed that the drug can be efficiently absorbed.

Figure 112010023821315-pat00004

Experimental Example  3: Gel strength

Gelation time was measured using a Physica MCR 301 viscometer. The temperature was fixed at 36 ° C. and the shear rate [d (gamma) / dt] was set to 100 1 / s and measured for 40 minutes. An example of the measurement result is shown in FIG. 1. After the viscosity of the liquid suppository reached the highest point, the viscosity when the viscosity was maintained for at least 10 minutes was measured by gel strength.

Considering that the gel strengths of Examples 1 to 8 correspond to 8-15 Pas, which is an appropriate numerical range as shown in Table 5, the new rectal tocetaxel liquid suppository prepared with polysorbate 80 was administered. Afterwards it turned out that it did not get out of the body.

Figure 112010023821315-pat00005

Experimental Example  4: bioadhesion test

Two vials are settled in the bioadhesion measuring apparatus as shown in FIG. 2, and the rectal mucosa of the rabbit is attached to both vials, and about 0.05 g of Examples 1 to 8 are inserted between the two rectal mucosa, and then the weights are sequentially placed. The bioadhesive force was measured by converting the weight of the two vials from each other into the force per unit area. Considering that the bioadhesion of Examples 1 to 8 corresponds to an appropriate value (10 to 50 × 10 2 dyne / cm 2 ), as shown in Table 6, the new rectal docetaxel liquid suppository of the present invention using polysorbate 80 is used. It was found that after administration, it adhered to the rectal mucosa and did not escape out of the body and did not migrate to the end of the colon.

Figure 112010023821315-pat00006

Experimental Example  5: animal experiment

Five 250 ± 20 g Sprague-Dawley male rats were fasted for 24-36 hours before the experiment, and Example 1 of Table 1 was inserted by 2 ml / kg (5 mg / kg of docetaxel) near the inner 4 cm of the rectum. . At a given time, 0.2 ml of blood was collected through the right femoral artery and 1.5 ml of acetonitrile and 50 µl of propylparaben (5 µg / ml, acetonitrile) were added to the plasma (150 µl) obtained by centrifugation. Centrifuged at 12,000 g for 8 minutes, the protein was precipitated, the supernatant was taken and evaporated for 3 hours and then dissolved in 100 [mu] l of the mobile phase solvent. This solution was subjected to high performance liquid chromatography [HPLC, Jasco UV-975, Japan, an Inertsil C8-3 column (particle size 5 μm, length and diameter, 150 × 4.6 mm)], and the mobile phase was acetonitrile adjusted to pH 5.0. The concentration of docetaxel in the blood was quantified using a mixed solution of acetic acid (49:51), a flow rate of 1 ml / min, and a UV absorbance value of 232 nm.

As a control, a conventional injection product, Taxotere® (Taxotere®) (40 mg / ml) was also orally administered to 5 Sprague-Dawley male rats (docetaxel 30 mg / kg equivalent) through the right femoral artery at a given time. 0.2 ml of blood was extracted and pretreated, and the concentration of docetaxel in the blood was quantified by the high performance liquid chromatography (HPLC) method. In addition, to evaluate bioavailability, a diluted solution (0.5 mg / 100 ml) of the existing injection product Taxoteel® (Taxotere®) was similarly injected intravenously (5 mg / kg of docetaxel) into 5 Sprague-Dawley male rats. At the given time, 0.2 ml of blood was drawn through the right femoral artery and pretreated, and the concentration of docetaxel in the blood was quantified by the high-performance liquid chromatograph (HPLC) method.

When rectal administration of the docetaxel-containing temperature sensitive liquid suppository composition (Example 1) for rectal administration of the present invention which increased the solubility of docetaxel as an active ingredient, as shown in Table 7, the AUC was high and the absolute bioavailability compared to intravenous injection was about 30%. Came out closer. However, the docetaxel solution was orally administered at 30 mg / kg 6 times higher than rectal administration (5 mg / kg), but the absolute bioavailability was only about 3%. Therefore, when the docetaxel-containing temperature sensitive liquid suppository composition (Example 1) for rectal administration of the present invention showed an increase in absolute bioavailability of about 10 times as compared to oral administration of the docetaxel solution. This is because, in the rectum, docetaxel, unlike gastrointestinal absorption, is absorbed well by CYP and P-GP, absorbed well, completely dissolved by poloxamer and polysorbate 80, and promoted absorption in the rectum by poloxamer. It seems to have increased.

The graph of blood concentrations after rectal administration of Example 1 and intravenous administration of oral administration of docetaxel solution is shown in FIG. 3.

Figure 112010023821315-pat00007

The docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to the present invention has reached an absolute bioavailability of about 30% and shows an increase in absolute bioavailability of about 10 times as compared to oral administration of docetaxel solution to a practical formulation. Not only can it be applied, but the risk of administration is much lower than that of the only existing drug, which is expected to increase the preference of medical staff or patients. It is expected to make a significant contribution to medical staff. On the other hand, it is expected to be more economically available due to the easy manufacturing method.

Claims (2)

25 to 35 weight percent poloxamer, 2 to 10 weight percent polysorbate 80, 54 to 72.99 weight percent water and 0.01 to 1 weight percent docetaxel as active ingredients,
Docetaxel-containing thermosensitive liquid suppository composition for rectal administration, characterized in that the gelation temperature is 30 ~ 36 ℃.
The docetaxel-containing thermosensitive liquid suppository composition for rectal administration according to claim 1, wherein the poloxamer is a mixture of two or more selected from the group consisting of P 124, P 188, P 237, P 338, and P 407.
KR1020100034417A 2010-04-14 2010-04-14 Composition of docetaxel-loaded thermosensitive liquid suppository for rectal administration KR101003890B1 (en)

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KR102357795B1 (en) * 2019-04-19 2022-02-04 한양대학교 산학협력단 Thermosensitive composition comprising phosphatidic acid and the use thereof

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