TW391964B - Pharmaceutical compositions for inhibiting vascular smooth muscle cell migration - Google Patents
Pharmaceutical compositions for inhibiting vascular smooth muscle cell migration Download PDFInfo
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- TW391964B TW391964B TW85106434A TW85106434A TW391964B TW 391964 B TW391964 B TW 391964B TW 85106434 A TW85106434 A TW 85106434A TW 85106434 A TW85106434 A TW 85106434A TW 391964 B TW391964 B TW 391964B
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經濟部4-央榡準局員工消費合作社印製 _A7 _______ ' "B7_ 五、發明説明(1 ) 發明背景 •細胞位移在傷口的復原,發炎反應,成人呼吸窘迫症候 群,和惡性腫瘤的侵襲上扮演重要的角色。(Savani等,臨 床診斷期刊95:1 158-1 168; Kullmann等,美國呼吸系統細胞 分子生物期刊 8:83-88,1993; Brooks等,細胞:79,115Υ- ΐ 164, 1994) 。 血 管平滑 肌細胞 從組織 液位移 到内膜 在新内 膜形成過程所導致的血管疾病,如動脈粥狀硬;化,PTCA 伴隨持續變窄,繞道靜脈的動脈粥狀硬化(jacks〇n等,動脈 粥狀硬化和血栓形成13:1218^1226,1993; Brown等,心 臟血管研究28:1815-1820, 1995;. Bell和Madri,美國病理學 期刊1 37:7- 1 2, 1 990)的致病原理上扮演關键性的角色。 在動物模式中血管受傷後利用抗生長因子的抗體刺激平滑 肌細胞的位移或利用胜肽阻斷整合素(jlltegrin)所導致的细 跑位移發現可以抑制新内膜的形成(Ferns等,科學253:1129 1132,1991.,Choi等,血管外科手術期刊 10,12 5-135, 1994) 進行經皮透照法冠狀血管造型術(PTC A)後血管持續變窄 被證實是一種組織的反應,可以區分爲早期和晚期。血栓 形成和/或血管症攣可能是造成早期反應發生在p T C a後幾 小時或幾天的原因。晚期反應看來是有明顯的Smc位移, 項生和血管的改型。在這些疾病中,SMC數目的累積很明顯 是經由組織液位移至内膜,是造成疾病的致病原因。血管 平滑肌細胞的過度增生和位移可能是造成伴随PTC A,動 脈切除,雷射血管造型術和動脈繞道移植手術的冠狀動脈 國家標準(CNS ) A4規格(210x297公釐) I - - (請先閱讀背面之注意事項本頁) 厂衣------ΐτ----- A7 A7 經濟部中央標準局員工消費合作社印製 五、發明説明(2 持續阻塞的主要機制。參照,,内膜平滑肌細胞的增生是經皮 透照法冠狀血管造型術(PTC A)後冠狀動脈重複變窄的原因 。” Austin等·,美國心臟學院期刊8:369-375(八月1985)。 經由經皮透照法冠狀血管造型術(PTC A),動脈切除,雷 射血管造型術和動脈繞道移植手術等外科手術阻止動脈的 阻塞後,伴隨的血管持續變窄還是一種主要的長期副作用 。在約3 5 %進行P T C A的病人中,重複阻塞在這些過程三 到六個月内發生。現在用於治療血管持續變窄的策略包括 機械性介入如利用儀器stents或藥物治療包括肝素,低分子 量肝素’香豆素,阿司匹靈,魚油,鈣離子拮抗物,類固 醇,和前列腺素。這些策略無法抑制重複阻塞的發生率並 對治療和防止血管持績變窄無效。參照”防止經皮透照法冠 狀血管造型術(PTCA)血管持續變窄;尋找種”魔街子彈 "Hermans等,美國心臟期刊122:171_187(七月ΐ99ι)。 持續變窄的致病原因中,細胞過度增生和位移的發生是 因爲在血液和受傷的動脈血管壁的細胞性組成產生生長因 子’刺激平滑肌細胞增生導致血管持續變窄。 抑制平滑肌細胞位移的藥劑在治療和防止持續變窄方面 :有效。本發明提供—些化合物當平滑肌細胞位移的抑制 發明摘要 本發明提供一種抑制血管平滑肌細胞在 動物體内位移之方法,包含施予該目標藥有、他哺= 化合物。 π双重式I的 本...承尺度適用中國国家標準(cns )姆姚(训X 297公潑) (請先閱讀背面之注意事項再本頁)Printed by the Ministry of Economic Affairs 4-Central Bureau Staff Consumer Cooperatives _A7 _______ '" B7_ V. Description of the invention (1) Background of the invention • Cell displacement in wound healing, inflammation response, adult respiratory distress syndrome, and invasion of malignant tumors Play an important role. (Savani et al., Journal of Clinical Diagnostics 95: 1 158-1 168; Kullmann et al., American Journal of Respiratory Cell Molecular Biology 8: 83-88, 1993; Brooks et al., Cells: 79, 115 , -Υ 164, 1994). Vascular smooth muscle cells from the fluid to the endometrium during the formation of neointimal formation of vascular diseases such as atherosclerosis; PTCA accompanied by continuous narrowing, atherosclerosis of bypass veins (jacksOn etc., atherosclerosis 13: 1218 ^ 1226, 1993; Brown et al. Cardiovascular Research 28: 1815-1820, 1995; Bell and Madri, American Journal of Pathology 1 37: 7- 1, 2, 990) It plays a key role in principle. In animal models, the use of anti-growth factor antibodies to stimulate the displacement of smooth muscle cells after vascular injury or the sprint displacement caused by peptide blocking integrin (jlltegrin) was found to inhibit the formation of new intima (Ferns et al., Science 253: 1129 1132, 1991., Choi et al., Journal of Vascular Surgery 10, 12 5-135, 1994) The persistent narrowing of blood vessels after percutaneous transluminal coronary angioplasty (PTC A) was confirmed to be a tissue response, which can Divided into early and late. Thrombosis and / or vasoconstriction may be responsible for early reactions occurring hours or days after p T C a. The late response appears to be a significant Smc shift, hormonal and vascular remodeling. In these diseases, the accumulation of SMC number is obviously caused by the displacement of tissue fluid to the endometrium, which is the cause of the disease. Excessive proliferation and displacement of vascular smooth muscle cells may be caused by the National Standard for Coronary Artery (CNS) A4 (210x297 mm) with PTC A, arterectomy, laser angioplasty, and arterial bypass grafting I--(Please read first Note on the back page) Factory clothes ------ ΐτ ----- A7 A7 Printed by the Consumers' Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs 5. Description of the invention (2 Main mechanism of continuous blockage. See, Endometrium The proliferation of smooth muscle cells is responsible for the repeated narrowing of coronary arteries after percutaneous transluminal coronary angioplasty (PTC A). "Austin et al., Journal of the American College of Cardiology 8: 369-375 (August 1985). Percutaneous Surgical procedures such as transluminal coronary angioplasty (PTC A), arterectomy, laser angioplasty, and arterial bypass graft surgery to prevent obstruction of the artery, the concomitant narrowing of the blood vessels is still a major long-term side effect. In about 3 In 5% of patients undergoing PTCA, repeated occlusions occur within three to six months of these procedures. Strategies currently used to treat persistent narrowing of blood vessels include mechanical interventions such as the use of instrument stents or drugs Treatments include heparin, low molecular weight heparin 'coumarin, aspirin, fish oil, calcium antagonists, steroids, and prostaglandins. These strategies fail to suppress the incidence of repeated obstructions and are ineffective in treating and preventing narrowing of blood vessel performance Refer to "Preventing Percutaneous Transluminal Coronary Angioplasty (PTCA) Vascular Narrowing; Looking for Species", "Magic Street Bullet" & Hermans et al., American Heart Journal 122: 171_187 (July ΐ99ι) Among the reasons, the excessive cell proliferation and displacement occur because the growth of the cellular components in the blood and the walls of the injured arterial wall produces growth factors that stimulate the proliferation of smooth muscle cells and cause the blood vessels to continue to narrow. Agents that inhibit the displacement of smooth muscle cells treat and prevent continuous changes. Narrow aspect: effective. The present invention provides compounds that inhibit the displacement of smooth muscle cells. SUMMARY OF THE INVENTION The present invention provides a method for inhibiting the displacement of vascular smooth muscle cells in an animal, which comprises administering the target drug to other compounds, π double. The original ... bearing standard of formula I applies Chinese national standard (cns) Mu Yao (training X 297 public splash) (Please Read the note on the back of another page)
五、發明説明(3 ) A7 ^B7V. Description of the invention (3) A7 ^ B7
經濟部中央標準局員工消費合作社印製 Ο 〇— -丨丨 II 其中該R>R3獨自是氫,-CH3,-<3-((ν〇6烷基),或-C-Ar ', 其中Ar視須要可被苯基取代,r2是吡咯烷基,六亞甲基亞 胺基,或哌啶基;和製藥學上可接受的鹽類和其溶化物。 本發明之詳細説明 本發明是關於發現一組精選的化合物,其中式I化合物對 抑制血管平滑肌細胞位移很有效^本發明所提供的治療方 法是在人類或其他哺乳動物身上施予所須劑量的式i或式^ ,化合物,或製藥學上可接受的鹽或其溶化物,以有效抑 制血管平滑肌細胞位移。 、抑詞被疋義爲包括爲一般人所接受的意思,即預 ^性處理在病人體内發生的平滑肌細胞的位移,和持續檢 查和/或處理存在的平滑肌細胞位移。因此,如適合的話,、 本方法同時包括醫療和或預防性處理。 哨’ —般上,此化合物的配方是普通的賦形劑,稀釋液 劑,可壓縮成藥片’或調配成萬靈丹以便於口服施予一,或 (請先閣讀背面之注意事項再%^本頁) 訂 ;Λ·—Printed by the Consumer Cooperatives of the Central Bureau of Standards of the Ministry of Economic Affairs 〇 〇-丨 丨 II where R > R3 is hydrogen alone, -CH3,-< 3-((ν〇6alkyl), or -C-Ar ', Wherein Ar may be substituted by phenyl, r2 is pyrrolidinyl, hexamethyleneimino, or piperidinyl; and pharmaceutically acceptable salts and solvates thereof. DETAILED DESCRIPTION OF THE INVENTION The present invention is Regarding the discovery of a selected group of compounds, wherein the compound of formula I is effective in inhibiting the displacement of vascular smooth muscle cells. The treatment method provided by the present invention is to administer a compound of formula i or formula ^ to a human or other mammal. Or a pharmaceutically acceptable salt or solvate thereof to effectively inhibit the displacement of vascular smooth muscle cells. The word "suppression" is synonymous to include the meaning accepted by the general population, that is, the pretreatment of smooth muscle cells that occur in patients. Displacement, and continuous examination and / or treatment of smooth muscle cell displacements that are present. Therefore, if appropriate, the method includes both medical and or prophylactic treatment. Whistle '-In general, this compound is formulated as an ordinary excipient, dilute Release solution, can be compressed into tablets ’or formulated as a panacea for oral administration, or (please read the precautions on the back first and then% ^ this page) Order; Λ · —
.II - 1 I -6- ____________"B7__ 五、發明説明(4 ) 經由肌肉内或靜脈内的途徑施予。本化合物可以經皮施予 ’也可調配成持續釋放的形式或類似的方法施予。 本發明方法所使用的式I化合物可以根據那些在美國申請 專利案號4,133,814,4,418,068,和4,380,635皆有收綠的參 考資料中已建立的步驟製備。一般上,該步驟以含6 -羥基 和2-(4 -羥苯基)的苯並P塞吩爲起始。起始化合物被保護, 燒化,和去保護以形成式I之化合物。製備此化合物的實例 在上面所提到的美國申請專利中有提供。 本發明亦包括以下备化合物_的使用:.II-1 I -6- ____________ " B7__ V. Description of the Invention (4) Administration by intramuscular or intravenous route. The present compound can be administered transdermally, or it can be formulated in a sustained release form or a similar method. The compounds of formula I used in the method of the present invention can be prepared according to established procedures in reference materials which have been filed in U.S. Patent Nos. 4,133,814, 4,418,068, and 4,380,635. Generally, this step starts with a 6-hydroxy and 2- (4-hydroxyphenyl) benzo-p-thiophene. The starting compounds are protected, calcined, and deprotected to form compounds of formula I. Examples of the preparation of this compound are provided in the U.S. patents mentioned above. The invention also includes the use of the following compounds:
經濟部中央標準局員工消費合作社印製 苯基的被取代包括苯基被C「C6烷基,c「c4燒氧基,羥 基,确基,氯,氟,或tr(氯或氟)甲基取代一或二次。 本發明方法所用的化合物來自於製藥學上可接受之酸和 -7- 本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公釐) 經濟部中央標準局員工消費合作社印製 A7 B7 五、發明説明(5 ) 各種不同的有機和無機酸和鹼類組成的驗加鹽類和包括藥 物化學上常使用,製藥學上可接受的鹽類。這些鹽類亦是 此發明之一部分。用來形成這些鹽類的典型無機酸包括氳 氯酸,氫溴酸’氫破酸,硝酸’硫酸’鱗酸’連二鱗酸, 和相似的鹽類。亦可利用衍生自有機酸的鹽類,如單脂族 和二致酸,苯基取代鏈燒酸,趣基鍵燒酸,羧基鏈燒二酸 ,芳香族酸,脂族和芳香族磺酸。這些在製藥學上可被接 受的鹽類因此包括醋酸鹽,苯醋酸鹽,三氯醋酸鹽,丙晞 酸鹽'抗壞血酸鹽,苯钾酸鹽,氯苯鉀酸鹽,二硝基苯鉀 酸鹽,羥基苯鉀酸鹽,甲氧苯鉀酸鹽’醋酸基苯鉀酸鹽, 荼-2 -苯鉀酸鹽,溴化物,異丁酸鹽,丁酸苯酯,点-羥基 丁酸鹽,丁炔-1,4-二酸鹽,己炔-1,4-二酸鹽,癸酸鹽 ,辛酸鹽,氣化物,桂皮酸鹽,檸檬酸鹽,钟酸鹽,反丁 缔二酸鹽,乙醇酸鹽,庚酸鹽,馬尿酸鹽,乳酸鹽,蘋果 酸鹽,馬來酸鹽,羥基馬來酸鹽,丙二酸鹽,杏仁酸鹽, 甲磺酸鹽,煙酸鹽,異煙酸鹽,硝酸鹽,草酸鹽,鄭苯二 曱酸鹽,三鄰苯二甲酸鹽,磷酸鹽,單氫磷酸鹽,二氫磷 酸鹽,偏磷酸鹽,焦磷酸鹽,丙炔酸鹽,丙酸鹽,丙酸苯 酯,水楊酸鹽,癸二酸鹽,丁二酸鹽,辛二酸鹽,硫酸鹽 ,二硫酸鹽,焦硫酸鹽,亞硫酸鹽,磺酸鹽,苯磺酸鹽, 鄰-溴苯磺酸鹽,氣苯磺酸鹽,乙磺酸韹,2-羥基乙磺酸鹽 ,甲磺酸鹽,荼-2-磺酸鹽,曱苯磺酸鹽,二甲苯磺酸鹽, 酒石酸鹽,和其它相似的鹽類。較佳的鹽爲氣化氫鹽。 製藥學上可接受的典型酸加鹽類是由式I之化合物和等莫 本紙張尺度適用中國國家標準(CNS ) Α4規格(210X297公羞) (請先閲讀背面之注意事項再本頁) 訂 A7 "B7 經濟部中央標準局員工消費合作社印製 五、發明説明(6 爾濃度或過量的酸反應。反應物一般上和一相對溶劑如乙 醚或木結合。鹽類一般上在約一小時到1 0天内從溶液中沉 澱出來並可經由過濾的方法分離,溶劑可經由傳統方法除 去。 ' 平常用於形成鹽類的鹼包括氨水和鹼和鹼土金屬氳氧化 物,碳酸鹽和碳酸氫鹽,也包括脂肪族和芳香族胺,脂二 胺和羥基烷基胺。製備外加鹽類特別有用的鹼包括氫氧化 銨’碳酸鉀,碳酸氫鈉,氫氧化鈣,甲基胺,二乙基胺, 乙亞'基二胺,環六烷基胺,乙飞I胺。 製藥學上可接受的鹽類一般上比其衍生化合物有更強的 溶解性,因此通常較可調配成液體或乳劑配方。 醫藥配方可經由熟知的配方製備。例如,化合物可以用 賦形劑,稀釋液或載劑,調配成藥片,膠囊,懸浮液,粉 末,和相似物。適用於該配方的賦形劑,稀釋液或載劑的 實例包括:添加劑和補充劑如澱粉,糖,甘露糖,和矽酸的 衍生物;附著劑如羧甲基纖維素和其他纖維素衍生物,藻 ^白酸鹽,明膠’和聚乙缔,比洛燒酮;潤歷劑如甘油,崩 解劑如洋菜膠’碳酸鈉,碳酸氫鈉,延遲溶解的藥劑如石 壤’吸收作用加速劑如季按化合物;界面活性劑如乙酸乙 醇,單硬脂酸甘油;吸收性載劑如瓷土和漿土;和潤滑劑 如滑石,硬脂酸鈣和鎂,和固體聚乙二醇。 、化。物也可以調配成萬靈丹或便於口服施予的溶液或壌 \非經腸道施予,例如經由肌肉内,皮下或靜脈内途徑施 予的各敗。除此之外,此化合物很適合調配成劑量持續釋 (請先閲讀背面之注意事項再^^本頁〕Substitution of printed phenyl groups in the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs includes the substitution of phenyl groups by C, C6 alkyl, c, C4, oxy, hydroxy, chloro, fluoro, or tr (chloro or fluoro) methyl Substitute one or two times. The compound used in the method of the present invention comes from a pharmaceutically acceptable acid and -7- This paper size applies to Chinese National Standard (CNS) A4 specification (210X297 mm) Employees' Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs Print A7 B7 V. Description of the invention (5) A variety of different organic and inorganic acids and bases are added to the test salt and include salts commonly used in medicinal chemistry and pharmaceutically acceptable. These salts are also this Part of the invention. Typical inorganic acids used to form these salts include chlorochloric acid, hydrobromic acid, hydrolytic acid, nitric acid, sulfuric acid, phosphonic acid, and diphosphonic acid, and similar salts. Derived from Salts of organic acids, such as mono- and di-acids, phenyl-substituted alkanoic acids, aryl-substituted alkanoic acids, carboxy-chain dian acids, aromatic acids, aliphatic and aromatic sulfonic acids. These are used in pharmacy Acceptable salts therefore include acetate, Acetate, trichloroacetate, propionate 'ascorbate, phenyl potassium salt, chlorophenyl potassium salt, dinitrobenzene potassium salt, hydroxyphenyl potassium salt, methoxyphenyl potassium salt' acetate phenyl potassium salt, Bromide, isobutyrate, phenyl butyrate, p-hydroxybutyrate, butyne-1,4-diacid, hexyne-1,4-diacid, caprate, caprylate, gas Compounds, cinnamate, citrate, bellate, fumarate, glycolate, heptanoate, maleate, lactate, malate, maleate, hydroxymaleate , Malonate, alginate, mesylate, nicotinate, isonicotinate, nitrate, oxalate, benzene dibenzoate, triphthalate, phosphate, mono Hydrogen phosphate, dihydrogen phosphate, metaphosphate, pyrophosphate, propionate, propionate, phenyl propionate, salicylate, sebacate, succinate, suberate , Sulfate, disulfate, pyrosulfate, sulfite, sulfonate, benzenesulfonate, o-bromobenzenesulfonate, gas benzenesulfonate, europium ethanesulfonate, 2 -Isethionate, methanesulfonate, tau-2-sulfonate, toluene sulfonate, xylene sulfonate, tartrate, and other similar salts. The preferred salt is hydrogenated hydrogen gas. Salt. Typical pharmaceutically acceptable acid-added salts are made of compounds of formula I and equivalent. The paper size applies Chinese National Standard (CNS) A4 specification (210X297). (Please read the precautions on the back before this page. ) Order A7 " B7 Printed by the Consumer Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs. 5. Description of the invention (6 mol concentration or excess acid reaction. The reactants are generally combined with a relative solvent such as ether or wood. Salts are generally at about It can be precipitated from the solution within one hour to 10 days and can be separated by filtration. The solvent can be removed by conventional methods. 'The bases commonly used to form salts include ammonia and alkali and alkaline earth metal osmium oxides, carbonates and carbonates. Hydrogen salts also include aliphatic and aromatic amines, aliphatic diamines and hydroxyalkylamines. Particularly useful bases for the preparation of additional salts include ammonium hydroxide 'potassium carbonate, sodium bicarbonate, calcium hydroxide, methylamine, diethylamine, ethylene'diamine, cyclohexaalkylamine, ethidium amine . Pharmaceutically acceptable salts are generally more soluble than their derivatized compounds and are therefore generally more formulated into liquid or emulsion formulations. Pharmaceutical formulations can be prepared via well-known formulations. For example, the compounds can be formulated with excipients, diluents or carriers into tablets, capsules, suspensions, powders, and the like. Examples of excipients, diluents or carriers suitable for this formulation include: additives and supplements such as starch, sugar, mannose, and derivatives of silicic acid; attachment agents such as carboxymethyl cellulose and other cellulose derivatives Substances, alginate, white salt, gelatin 'and polyethylene, bilobenone; calendars such as glycerin, disintegrants such as agar gelatin' sodium carbonate, sodium bicarbonate, delaying dissolution agents such as stone soil 'absorption Action accelerators such as quaternary compounds; surfactants such as ethanol acetate, glyceryl monostearate; absorbent carriers such as china clay and pulp; and lubricants such as talc, calcium and magnesium stearate, and solid polyethylene glycols . , Chemical. The material can also be formulated as a panacea or a solution that facilitates oral administration or is administered parenterally, such as via intramuscular, subcutaneous or intravenous routes. In addition, this compound is very suitable for the formulation of sustained release (please read the precautions on the back before ^^ this page)
、1T --8:艮."1111.: -9-, 1T --8: Gen. " 1111 .: -9-
五、發明説明( A7 經濟'部中央標準局員工消費合作社印製 族形式和相似物。此配方可能超過一段時間内,可以很— 致的只或較常在腸道的特定部位釋放活性成份。渡上 ,包封π保護性的基質可以用如聚合性物質或蟻。 Β 根據本發明,抑制平滑肌細胞位移所須的式I化合物的枝 定劑量依病情的嚴重情況,施予的途徑,和相關的因子由 主扣醫生决定。-般上,可接受和有效的單日劑量爲約〇. 1 到約1 000毫克/天。更典型爲從約50到約2〇〇毫声/天。如 須要有效抑制平滑肌細胞位移,此劑量將施予須I接受治 療的病人,從每天一次到约三-次,或更多次。 局部施予抑制作用所須劑量的活性化合物以抑制平滑肌 細胞位移或血管持續變窄可以經由不同的㈣在或靠近受 影響部位施予。這裡局部施予技術的實例並不是想限於這 些技術,只是顯7ΙΤ已知的技術。實例包括局部導管施予, 位置特異性載劑,植入,直接注射,或直接施予。 經由導管直接施予允許藥劑直接施予到受影響的患處-β 利用氣球導管的局部施予的實例在Ερ〇 383 492 Α2和美國 申請專利4,636,195(W〇linsky,1月13日,1987)中有説明。 經由植入方法局部施予爲用外科手術將含藥截的基質植 入患處。植入的基質經由擴散作用,化學反應,或溶劑活 性劑釋放藥劑。Lange,科學249:1527 1533 (9 月,1990)。一 經由植入方法局部施予的實例是利用stent。stent是被設 計爲機械式阻止冠狀動脈蹋掉和持續變窄β將藥劑加入 stent直接將藥劑施予在受影響的部位。經由此技術局部施 予在Kohn,藥物治療技術(1〇月,199〇)中有説明。 -10- 本紙張尺度適用中國國家標準(CNS ) Α4規格(2.10X297公釐) 請 閱 讀 背 意 事 項 再V. Description of the invention (A7 Economy, Ministry of Economy, Central Standards Bureau, Consumer Cooperatives, Printed Family Forms and Similars. This formula may be more than a period of time, and it may be only or more often that the active ingredient is released in a specific part of the intestine. For example, the encapsulating π-protective matrix can be used, for example, a polymerizable substance or ant. B. According to the present invention, the branching dose of the compound of the formula I required to inhibit smooth muscle cell displacement depends on the severity of the disease, the route of administration, and The relevant factors are determined by the lead physician.-Generally, an acceptable and effective single daily dose is from about 0.1 to about 1,000 mg / day. More typically it is from about 50 to about 2000 milliseconds / day. If it is necessary to effectively inhibit smooth muscle cell displacement, this dose will be administered to patients receiving Treatment I, from once to about three-times, or more. Topical administration of the required amount of the active compound to inhibit the smooth muscle cell displacement Or the narrowing of the blood vessels can be administered via different ridges at or near the affected site. The examples of topical application techniques here are not intended to be limited to these techniques, but are only known to 71IT. These include local catheter administration, site-specific vehicle, implantation, direct injection, or direct administration. Direct administration via a catheter allows the agent to be administered directly to the affected area-β Examples of local administration using a balloon catheter are Ep 0383 492 A2 and U.S. Patent No. 4,636,195 (Wolinsky, January 13, 1987). Topical administration via implantation is the surgical implantation of a medicated matrix into the affected area. The injected matrix releases the agent via diffusion, chemical reactions, or solvent-active agents. Lange, Science 249: 1527 1533 (September, 1990). An example of local administration via implantation methods is the use of stents. Stents are designed to Mechanically stop the coronary artery from falling out and continuously narrow β. Add the agent to the stent to directly administer the agent to the affected site. Topical administration via this technique is described in Kohn, Drug Therapy Techniques (October, 199〇) -10- This paper size applies to Chinese National Standard (CNS) Α4 specification (2.10X297 mm) Please read the note again
ί 訂 經濟部中央標準局員工消費合作社印製 A7 ------______ 五、發明説明(S ) ~~ :--— 另一種施予系統的實例爲將含藥劑的聚合物以液態的形 式注入患處。此聚合物因此形成體内植入進行治療作用。/ 此技街在 PCTWO 90/03768 (Donn,4@19 日,199〇)有説明。 另一個實例爲經由聚合性内照填充物傳遞藥劑。此技術 利用一導管將聚合性内植體送到血管腔内部的表面。在可 生物分解的聚合物内植體中加入藥劑使它在手術部位釋放 。在 PCT WO 90/01969 (Schindler, 8 月 23, 1989)。 經由植入方法局部施予的最後實例爲直接注射胞囊或微 粒到患處。這些微粒可能由二些物質如蛋白質,脂類,碳 水化合物,或合成的聚合物組成。這些微粒有藥劑混入其 中或在微粒外圍形成一層膜。混入性微粒的傳遞系統在ί Order A7 printed by the Consumer Cooperatives of the Central Bureau of Standards of the Ministry of Economic Affairs ------______ V. Description of the Invention (S) ~~: --- Another example of the administration system is to use a polymer containing a drug in a liquid state. The form is injected into the affected area. This polymer thus forms an implant in vivo for therapeutic effects. / This technology street is described in PCTWO 90/03768 (Donn, 4 @ 19, 199〇). Another example is the delivery of a medicament via a polymerizable backfill. This technique uses a catheter to deliver a polymerized implant to a surface inside the vessel lumen. Adding a drug to a biodegradable polymer implant allows it to be released at the surgical site. In PCT WO 90/01969 (Schindler, August 23, 1989). A final example of local administration via implantation methods is the direct injection of cysts or microparticles into the affected area. These particles may consist of two substances such as proteins, lipids, carbohydrates, or synthetic polymers. These particles have agents mixed into them or form a film around the particles. The delivery system of mixed particles is
Lange 發表於科學 249:1527 1533( 9,月,1990)和Lange, Science 249: 1527 1533 (September, 1990) and
Mathiovvitz等發表於聚合物應用科學期刊26:8〇9 (1981) 的文獻中有説明。 由特異性部位載劑局部施卞爲將藥劑附著於能將藥物 導引至患處的載劑。這些傳遞技術的實例包括利用載劑如 蛋白質配位體或單株抗體。Lange發表於科學249:1527 1 5 3 3 (9 月)。 經由直接給予的局部施予包括局部給予。—種經由直接 給予的局部施予的實例是在動脈繞道移植手術的過程中直 接使用此藥劑。 通常較佳施予式I化合物的形式爲一種酸加鹽,像習慣上 施予帶驗基,如症基環的藥劑一般。經由口服施予此化合 物到年老的病人(如絕經期的女性病人)也有好處。因爲這 本紙浪尺度適用中國國家標準(CNS ) A4規格(210X297公釐) (請先閱讀背面之注意事項再^Γ本頁) 再 訂 經濟部中央標準局員工消費合作社印製 A7 B7 五、發明説明(9 ) 個目的便有下列口服劑量形式。 坠方 以下的配方中,"活性成份"代表—種式i之化合物、 配方1 :明膠膠囊 硬明膠膠囊製備如下: 成份 量(毫克/膠囊) 活性成份 0. 1-1000 澱粉,NF 0-6 5 0 澱粉)充動粉末 ^0-6 50 矽流體3 5 0厘司 0-15 混合各成份,通過4 5號篩孔美國分子篩,填入硬明膠膠 囊。 式I化合物的特殊膠囊配方實例爲其中該化合物爲 raloxifene,包括那些顏示如下: 配方2 : Raloxifene膠囊 成份 量(毫克/膠囊) Raloxifene 1 澱粉,NF 112 澱粉流動粉末 22 5.3 矽流體3 5 0厘司 1.7 配方3 : Raloxifene膠囊 成份 量(毫克/膠囊) _ Raloxifene 5 澱粉,NF 10 8 澱粉流動粉末 22 5.3 矽流體3 5 0厘司 1.7 -12- (請先閱讀背面之注意事項再%本頁) tr i) ly 本紙張尺度適用中國國家標準(CNS ) A4规格(210X297公釐〉Mathiovvitz et al. Are described in a literature published in the Journal of Applied Sciences 26: 809 (1981). Topical application from a specific site carrier is to attach the agent to a carrier that can direct the drug to the affected area. Examples of these delivery technologies include the use of carriers such as protein ligands or monoclonal antibodies. Lange published in Science 249: 1527 1 5 3 3 (September). Local administration by direct administration includes local administration. An example of a topical administration via direct administration is the direct use of this agent during an arterial bypass graft surgery. It is generally preferred to administer the compound of Formula I in the form of an acid addition salt, as is customary for the administration of a test base such as a symptom ring. It is also beneficial to administer this compound orally to older patients, such as menopausal women. Because this paper scale is applicable to Chinese National Standard (CNS) A4 specification (210X297 mm) (please read the notes on the back before ^ Γ this page). Reprint the A7 B7 printed by the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs. 5. Description of the invention (9) The purpose is to have the following oral dosage forms. In the following formulas, the "active ingredient" represents-a compound of formula i, Formula 1: Gelatin capsules Hard gelatin capsules are prepared as follows: Ingredient amount (mg / capsule) Active ingredient 0.1-1000 starch, NF 0 -6 5 0 starch) filling powder ^ 0-6 50 silicon fluid 3 5 0 centiliter 0-15 Mix the ingredients, pass through 4 # 5 mesh US molecular sieve, and fill in hard gelatin capsules. An example of a special capsule formulation of a compound of formula I is where the compound is raloxifene, including those shown below: Formulation 2: Raloxifene Capsule Content (mg / capsule) Raloxifene 1 Starch, NF 112 Starch Flowing Powder 22 5.3 Silicon Fluid 3 50% Division 1.7 Formula 3: Raloxifene Capsule Content (mg / capsule) _ Raloxifene 5 Starch, NF 10 8 Starch Flowing Powder 22 5.3 Silicone Fluid 3 5 0 Cent Division 1.7 -12- (Please read the precautions on the back first and then % this page ) tr i) ly This paper size is applicable to China National Standard (CNS) A4 specification (210X297 mm>
A 五、發明説明(10 ) 經濟部中央標準局員工消費合作社印製 配方4:Raloxifene膠囊 成份 量(毫克/膠囊) Raloxifene 10 澱粉,NF 103 澱粉流動粉末 2 2 5.3 矽流體3 5 0厘司 1.7 配方5 :Raloxifene膠囊 成份 量(毫克/膠囊) Raloxifene 一5 0 澱粉,NF 1 5 0 搬粉流動粉末 397 矽流體3 50厘司 3.0 上述之特異性配方在提供的合理的變異範圍内可以改變。 利用下面的成份製備一 種藥片配方: 配方6 :藥片 成份 量(毫克/藥片) 活性成份 0.0 1-1000 纖維素,微結晶質 0-650 二氧化矽,烘燻的 0-650 硬脂酸 0-15 混合這些組成份並壓縮形成藥片。 、 各含0.1-1000 mg活性成份的藥片可選擇製備如下: -13- 本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公釐) (請先閱讀背面之注意事項再本頁)A 5. Description of the invention (10) Formula 4 printed by the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs 4: Raloxifene capsules (mg / capsule) Raloxifene 10 starch, NF 103 starch flowing powder 2 2 5.3 Silicone fluid 3 5 0 centiliter 1.7 Formulation 5: Raloxifene Capsules (mg / capsule) Raloxifene-50 starch, NF 1 50, powder moving powder 397 silicon fluid 3 50 centiliter 3.0 The above specific formula can be changed within the reasonable range of variation provided. Use the following ingredients to prepare a tablet formula: Formula 6: Tablet Ingredient Amount (mg / tablet) Active Ingredient 0.0 1-1000 Cellulose, Microcrystalline 0-650 Silicon Dioxide, Baking Smoked 0-650 Stearic Acid 0- 15 Mix these ingredients and compress to form a tablet. 1. Each tablet containing 0.1-1000 mg of active ingredient can be prepared as follows: -13- This paper size applies to Chinese National Standard (CNS) A4 (210X297 mm) (Please read the precautions on the back before this page)
、1T A7. B7 五、發明説明(η ) 藥片 成份 量(毫克/藥片) 活性成份 澱粉 纖維素,微結晶質 聚乙缔P比哈炫^酮 (在水中爲1 0 %溶液) 羧曱基鈉纖維素 硬脂-酸巍 Talc 0.1-1000 45 3 5 4 4.5 D.5 將活性成份,澱粉,和纖維素通過4 5號篩孔美國分子篩 ,再混合均勻。聚乙烯吡咯烷酮溶液與前面得到的粉末混 合再通過14號篩孔美國分子篩。所產生的顆粒在50。-60°C 下乾燥再通過18號篩孔美國分子篩。將先前通過60號篩孔 美國分子篩的羧甲基鈉纖維素,硬脂酸鎂和Talc,加入顆 粒中,混合後用藥片製造機壓縮成藥片。· 每5毫升的劑量含0 · 1 -1 0 0 0毫克藥劑的懸浮液製備如下 (請先閱讀背面之注意事項再$本頁) 纸 _I_本 經濟部中央橾準局員工消費合作社印製 張, 1T A7. B7 V. Description of the invention (η) Tablet composition (mg / tablet) Active ingredient starch cellulose, microcrystalline polyethylene P Bihaxonone (10% solution in water) Carboxymethyl Sodium cellulose stearin-acid Talc 0.1-1000 45 3 5 4 4.5 D.5 Pass the active ingredients, starch, and cellulose through a No. 4 sieve US molecular sieve, and then mix well. The polyvinylpyrrolidone solution was mixed with the previously obtained powder and passed through a No. 14 sieve US molecular sieve. The resulting particles are at 50. Dry at -60 ° C and pass through a No. 18 mesh US molecular sieve. Carboxymethylcellulose, magnesium stearate and Talc previously passed through a No. 60 sieve US molecular sieve were added to the granules, mixed and compressed into tablets using a tablet making machine. · A suspension containing 0 · 1-1 0 0 0 mg of medicine per 5 ml dose is prepared as follows (please read the precautions on the back before $ this page) Zhang
本 ,-βThis, -β
五、發明説明( A7 ^7 配方8 :懸沣谗 成份 活性成份 甲基鈉纖維素 糖漿 苯甲酸溶液 芳香劑 顏料 加純水到 量(毫克Z5毫升) 〇· 1 - 1 000 毫克 50毫克 1.25毫克 〇. 10毫升 q.v. qv. 毫升 經濟部中央標隼局員工消費合作社印製 將此藥劑通過 45 #1¾ 3{ ~~' ~一 一 - 糖漿形成-種平m國分子筛再與致甲基納纖維素和 積。攪拌稀冑再加入足量的水以達到所需的體 ii赶步驟 ,本發月之化合物有抑制血管平滑肌細胞位移的能力,其 證據如下: 、 豬大動脈平滑肌細胞 諸大動脈是從本地屠宰場新鮮屠宰的去勢公豬身上得到 。利用與先前插述過的方法(bcmin等,1989)相似的步驟準 備平滑肌細胞。簡而言之,將大動脈垂直切下,用刮顙刀 片將血管内皮細胞從血管腔表面小心括下。大動脈再用由 Dubecco改氣的Eagles培養液,1〇%胎牛血清,l麩胺 (2mM),盤尼西林(1〇〇單位/毫升),和鏈霉素微克/ 毫升)所組成的無菌培養液清洗。再將狹長的中央的平滑肌 -15. (請先鬩讀背面之注意事項再本頁) 丹本 訂 本紙張妓適用中國國家樣準(CNS) (训心7公楚) B91964 A7 ___’ "§7 五、發明説明(13) 細胞從外膜剝下再切成1 - 2 m m的碎片&將此外植體置於 2 4洞含上述培養基的培養盤中。觀察細皰在5 _ 7天内從外 植體長起來的情形。1 0 - 1 4天後,移出外植體,將細胞用 胰酶消化,再培養在含15毫升培養液的丁”瓶予中。 人類平滑肌細胞 人類冠狀動脈和大動脈平滑肌細胞是購自Cl〇netic公司 (San Diego, CA)。兩種細胞都在豬平滑肌細胞所用的培養基 中培養。 平滑k細胞位移的分析 - 導引衍生自豬和人類動脈的平滑肌細胞到衍生自血小板 的生長因子濃度梯度是用改良式B〇den氏9 6橫洞系統和孔徑 爲8微米的聚碳酸鹽濾紙(Neur〇 Pr〇be,Ine , 經濟部中央標準局員工消費合作社印製 進行。將培養在T75瓶子的平滑肌細胞移到無酚紅的 Dubecco氏含2%胎牛企清,l-乾胺(2mM),盤尼西林(1〇〇 單位/毫升),鏈霉素(100微克/毫升)的改良式Eagles/F12培 養基(DMEM/F-12)中培養。2 4小時後,利用無酴紅的胰 / E D T A將細胞胰酶化。將細胞(2.5 χ i 〇 —6細胞/毫升)懸浮 於1 %缺少血小板的血漿和不同濃度式I化合物的無酚紅 DMEM/F-12。將一百微升細胞懸浮液加入改良式如乂如口氏 盤子洞的上層。洞的下層加滿43微升含1%缺少血小板血漿 ’ 5ng/毫升PDGI^不同濃度的化合物的DMEM/F_12 3將 盤子置於37°C 5% C〇2培養5小時》將發生位移作用的薄 膜從盤予移出,薄膜上層的細胞用棉花棒刮下。移到薄膜 下層的細胞在甲醇t固定並用Diff-Quick染色溶液(Baxter) -16- 本纸張 21GX297公釐) A7 飞7 391964 五、發明説明(Μ ) 染巴細胞位私的情形用微滴定盤色譜分析儀(Tlierm〇Max,V. Description of the invention (A7 ^ 7 Formula 8: Suspended ingredients Active ingredient methyl sodium cellulose syrup benzoic acid solution Aromatic pigments Add pure water (mg Z5 ml) 〇 1-1 000 mg 50 mg 1.25 mg 〇.10 ml qv qv. Ml Printed by the Consumer Cooperative of the Central Bureau of Standards of the Ministry of Economic Affairs. Pass this medicine through 45 # 1¾ 3 {~~ '~ one-one-syrup formation-seed flat m molecular sieve, and methyl nanofiber Mix and dilute the mixture and add enough water to achieve the required body time. The compounds in this hair have the ability to inhibit the displacement of vascular smooth muscle cells. The evidence is as follows: 1. The aorta of porcine aorta smooth muscle cells are from Obtained from freshly slaughtered castrated boars at a local slaughterhouse. Smooth muscle cells were prepared using procedures similar to those previously described (bcmin et al., 1989). In short, the aorta was cut vertically and the blood vessels were scraped with a scraping blade. Endothelial cells are carefully enclosed from the surface of the vascular cavity. The aorta is reused with Eagles broth modified by Dubecco, 10% fetal bovine serum, 1 glutamine (2 mM), penicillin (100 units / ml) , And streptomycin microg / ml). Then the narrow central smooth muscle is -15. (Please read the notes on the back first and then this page) The Danish bound paper prostitute is applicable to the Chinese National Standard (CNS) (Xinxin 7 Gongchu) B91964 A7 ___ '" §7 V. Description of the invention (13) The cells are peeled from the outer membrane and cut into 1-2 mm fragments & the additional implant is placed in a 24-well culture dish containing the above-mentioned medium. Observe how the fine vesicles grow from the explants within 5-7 days. After 10 to 14 days, the explants were removed, the cells were digested with trypsin, and cultured in a Ding bottle containing 15 ml of culture medium. Human smooth muscle cells Human coronary and aortic smooth muscle cells were purchased from Cl. Netic Corporation (San Diego, CA). Both cells were cultured in the medium used for porcine smooth muscle cells. Analysis of smooth k-cell displacement-channeling smooth muscle cells derived from porcine and human arteries to platelet-derived growth factor concentration gradients It was printed with a modified Boden 96-hole system and a polycarbonate filter paper (NeurOPrObe, Ine, the Central Standards Bureau Employees Cooperative of the Ministry of Economy). Smooth muscle cells were transferred to Dubacco's modified-free Eagles / F12 medium containing 2% fetal calf serum, 1-dry amine (2 mM), penicillin (100 units / ml), and streptomycin (100 μg / ml). (DMEM / F-12). After 24 hours, the cells were trypsinized with non-red pancreas / EDTA. Cells (2.5 x i 0-6 cells / ml) were suspended in 1% platelet-deficient plasma And different concentration formulas Compound I without phenol red DMEM / F-12. One hundred microliters of cell suspension was added to the upper layer of the modified Rugao Mouth plate hole. The lower layer of the hole was filled with 43 microliters of 1% platelet-deficient plasma '5ng / Milliliter of PDGI ^ DMEM / F_12 with different concentrations of compound 3 Place the plate at 37 ° C and 5% C02 for 5 hours. Remove the displacement film from the plate and remove the cells on the upper layer of the film with a cotton swab. Remove The cells to the lower layer of the film were fixed in methanol and stained with Diff-Quick staining solution (Baxter) -16- this paper 21GX297 mm) A7 fly 7 391964 5. Description of the invention (M) Microtiter plate for the situation of staining the cells Chromatographic Analyzer (Tlierm〇Max,
Molecular Dynamics, Inc)或經由利用反轉顯微鏡(Nikon,Molecular Dynamics, Inc) or by using an inverted microscope (Nikon,
Inc)計算在40X高倍率視野中細胞數目(HpF)。 本實驗牽涉到將細胞先與化合物培養,將藥劑置於指定 濃度並先處理過的培養基,在不同的瓶子内培養丨8小時。 細胞在這些前處理實驗的分析環境條件和那些用在急速藥 物效應實驗完全一樣。Inc) calculated the number of cells (HpF) in the 40X high magnification field of view. This experiment involved culturing the cells with the compound first, placing the agent at the specified concentration and treating the medium first, and culturing in different bottles for 8 hours. The analytical environmental conditions of cells in these pretreatment experiments are exactly the same as those used in rapid drug effect experiments.
表I 衍生自血小板之生長因子(PT G F )對豬太動脈平滑肌細胞 位移的刺激作用 經 濟部中 央 準員 工 消 合 作 社 印 製 PDGF(ng/ml) 平滑肌細胞位移 (O.D. 650nm) 0.04 0. .0 16 土 0, .008 0.80 0. .009 土 0. .003 1.50 0 , .0 13 士 0, .007 3.00 0, .028 土 0. .008 6.00 0. .058 士 0, .0 10 12.0 0. .052 土 0. .0 07 25.0 0. .047 土 0, .009 -17-本紙張尺度適用中國國家標準(CNS ) A4規格(2I0X297公釐) 391964 A7 "B7 五、發明説明()Table I Stimulating effects of platelet-derived growth factor (PT GF) on porcine taiji arterial smooth muscle cell displacement PDGF (ng / ml) printed by the Central Provincial Consumers Cooperative Co., Ltd. Smooth muscle cell displacement (OD 650nm) 0.04 0. .0 16 Soil 0, .008 0.80 0. .009 soil 0. .003 1.50 0, .0 13 taxi 0, .007 3.00 0, .028 soil 0. .008 6.00 0. .058 taxi 0, .0 10 12.0 0. .052 Soil 0. .0 07 25.0 0. .047 Soil 0, .009 -17- This paper size applies to Chinese National Standard (CNS) A4 (2I0X297 mm) 391964 A7 " B7 V. Description of the invention ()
表II 化合物A *和点-動情二醇抑制血小板生長因子(p D G F)所謗 的發豬大動脈平滑肌細胞位移 " S. M C位移 (O.D. 650 nm) 化合物A 0,〇53 ±〇.〇15 0.03 5 士 0.005 〇_〇3〇±(Γ.〇〇5 0-03 2 ± 0.007 ____^ *化合物Α是由式I而來,其r>R3是氣和l是啦各坑基 上述之活性代表本發明之化合物斜抑制血管平滑肌細胞 的位移及其所造成的效果的潛力。 濃度(η Μ ) 0.0 0. 1.1 0 0 点-動情二醇 〇_〇53 ±0_〇15 0.032 土 0.003 〇-〇23±〇.〇〇3 0-034 土 0.006 (請先閱讀背面之注意事項再f本頁) 訂! 經濟部中央標準局員工消費合作社印製 18- 本紙張尺度適用中國國家標準(CNS ) M規格(210X 297公釐)Table II Compound A * and point-estradiol inhibit the hair aorta smooth muscle cell displacement by the platelet growth factor (p DGF) " S. MC displacement (OD 650 nm) Compound A 0, 〇53 ± 〇.〇15 0.03 5 ± 0.005 〇_〇3〇 ± (Γ.〇〇5 0-03 2 ± 0.007 ____ ^ * Compound A is from formula I, where r > R3 is gas and l is the above-mentioned activity of each pit group Represents the potential of the compounds of the present invention to obliquely inhibit the displacement of vascular smooth muscle cells and the effects they cause. Concentration (η Μ) 0.0 0. 1.1 0 0 point-estrous diol 〇_〇53 ± 0_〇15 0.032 0.00 0.003 〇 -〇23 ± 〇.〇〇3 0-034 Soil 0.006 (Please read the precautions on the back before f this page) Order! Printed by the Consumers' Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs 18- This paper size applies to Chinese national standards (CNS ) M size (210X 297mm)
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US8283377B2 (en) | 2011-02-15 | 2012-10-09 | China Medical University | Method for inhibiting blood vessel stenosis |
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US8283377B2 (en) | 2011-02-15 | 2012-10-09 | China Medical University | Method for inhibiting blood vessel stenosis |
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