WO1998006743A1 - Acylated peptide cytolytic peptide inhibitors - Google Patents
Acylated peptide cytolytic peptide inhibitors Download PDFInfo
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- WO1998006743A1 WO1998006743A1 PCT/AU1997/000511 AU9700511W WO9806743A1 WO 1998006743 A1 WO1998006743 A1 WO 1998006743A1 AU 9700511 W AU9700511 W AU 9700511W WO 9806743 A1 WO9806743 A1 WO 9806743A1
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- amino acid
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K7/00—Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
- C07K7/04—Linear peptides containing only normal peptide links
- C07K7/06—Linear peptides containing only normal peptide links having 5 to 11 amino acids
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/08—Tripeptides
- C07K5/0802—Tripeptides with the first amino acid being neutral
- C07K5/0812—Tripeptides with the first amino acid being neutral and aromatic or cycloaliphatic
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/08—Tripeptides
- C07K5/0819—Tripeptides with the first amino acid being acidic
Definitions
- the present invention relates to unique peptide/fatty acid hybrid molecules and to novel peptides.
- the invention relates to peptide/fatty acid hybrid molecules which inhibit cytolytic peptides such as melittin.
- the invention also relates to pharmaceutical compositions including these inhibitors and to methods of inhibiting cytolytic peptides.
- cytolytic peptides such as melittin.
- the invention also relates to pharmaceutical compositions including these inhibitors and to methods of inhibiting cytolytic peptides.
- BACKGROUND OF THE INVENTION Melittin is a 26 residue peptide in which the first 20 residues form an amphipathic helix with a bend, or hinge, in the region of a proline residue at position 14, Schroder et al 1971, although the bend is much more prominent in structures deduced by X-ray crystallography than from NMR, Terwillinger and Eisenberg 1982.
- a number of theories for the mechanism by which melittin induces cell lysis have been proposed (
- the present inventors have now determined a novel formula which defines compounds which have the ability to inhibit the activity of lytic peptides such as mellitin.
- Compounds synthesised according to this formula have demonstrated the ability to inhibit melittin-induced haemolysis and melittin-induced lysis of CEM T cell lymphoma cells using the 90° light scatter parameter of the flow cytometer as described by eston et al. 1994.
- Melittin is considered to be a convenient model for a typical cytolytic peptide.
- the present invention provides a compound of the formula:
- R is a hydrophobic group of substantially the same size and charge as a fatty acid acyl group with a carbon chain of 3 to 19 carbon atoms
- A is absent or a hydrophobic amino acid
- B is an amino acid
- X is an amino acid, with the proviso that if A is phenylalanine, B is aspartic acid and X is cysteine or cysteic acid, then R is not a fatty acid acyl group with a carbon chain of 8 carbon atoms.
- R- is a fatty acid acyl group with a carbon chain of 3 to 19 carbon atoms.
- R- may be a substituted or unsubstituted fatty acyl group and may be saturated or unsaturated, cyclic or acyclic.
- the fatty acyl group preferably has a carbon chain of 6 to 19 carbon atoms and more preferably from 9 to 16 carbon atoms.
- the fatty acid may terminate in an amino group (eg. II-amino- undecanoic acid), an aromatic ring (eg. cinnamic acid), a hydroxylated aromatic ring (eg caffeic acid), a cyclopentene ring (eg. Chaulmoogric acid) or a hydroxy group.
- an amino group eg. II-amino- undecanoic acid
- an aromatic ring eg. cinnamic acid
- a hydroxylated aromatic ring eg caffeic acid
- a cyclopentene ring eg. Chaulmoogric acid
- the fatty acyl group may also be a branched chain fatty acid.
- the branched chain fatty acid is phytanic acid.
- the branched chain fatty acid is preferable in cases where it is desirable to reduce the toxicity of the molecule.
- A is an aromatic amino acid.
- the aromatic amino acid may be selected from phenylalanine, tryptophan, tyrosine and phenylglycine.
- B is a hydrophilic amino acid.
- B is a positively or negatively charged amino acid.
- B is an amino acid selected from asparagine, glutamine, aspartic acid and glutamic acid.
- X is a hydrophobic amino acid or a sulphur containing amino acid. X may be an amino acid selected from cysteine, cystine, cysteic acid, methionine, penicillamine and a cysteine derivative in which the -SH group is blocked (e.g. by acetamidomethyl).
- X is an amino acid of the general formula: NH 2 -CH(CH 2 )R-COOH where R is H, (CH 2 )nCH 3 , CH(CH 3 ) 2 , CH(CH 3 )C 2 H 5 and n is 0 to 3.
- R is H, (CH 2 )nCH 3 , CH(CH 3 ) 2 , CH(CH 3 )C 2 H 5 and n is 0 to 3.
- X is isoleucine.
- the compound is selected from
- the present invention provides a peptide of the formula Ac-IVIWDC-NH 2 , Ac-IVIFDC(Acm)-NH 2 , Ac-IVIFDS-NH 2 , Ac- IVIFDV-NH 2 , Ac-XVIGDC-NH 2 , Ac-IVIFNC-NH 2 , IVIFNC-NH 2 , Ac-IVIFDM- NH 2 , (Ac-IVIFD) 2 K-NH 2 , Ac-IVILDC-NH 2) Ac-(NorLeu)VI(pg)DC-NH2.
- Ac- IVIFN-Abu-NH 2 Ac-IVIFN-Abu-NH 2 or Ac-LL NFI-NH 2 .
- the compounds or peptides of the present invention may be incorporated into larger molecules where the larger molecules substantially retain the activity of the compouns or peptides of the present invention.
- the compounds or peptides of the invention may be in dimeric form.
- the compounds or peptides of the present invention may also be conjugated or attached to molecules, such as carrier molecules, where the conjugation or attachment does not significantly affect the abililty of the compound or peptide to inhibit the cytolytic activity of compounds such as melittin.
- the conjugated or attached molecules may be peptides or single amino acids.
- Modifications of the peptides contemplated herein include, but are not limited to, modifications to side chains, incorporation of unnatural amino acids and/or their derivatives during peptide synthesis and the use of crosslinkers and other methods which impose conformational constraints on the peptides.
- side chain modifications contemplated by the present invention include modifications of amino groups such as by reductive alkylation by reaction with an aldehyde followed by reduction with
- the guanidine group of arginine residues may be modified by the formation of heterocyclic condensation products with reagents such as
- the carboxyl group may be modified by carbodiimide activation via O-acylisourea formation followed by subsequent derivitisation, for example, to a corresponding amide.
- Tryptophan residues may be modified by, for example, oxidation with N-bromosuccinimide or alkylation of the indole ring with 2-hydroxy- 5-bitrobenzyl bromide or sulphenyl halides.
- Tyrosine residues on the other hand, may be altered by nitration with tetranitromethane to form 3- nitrotyrosine derivative.
- Modification of the imidazole ring of a histidine residue may be accomplished by alkylation with iodoacetic acid derivatives or N- carbethoxylation with diethylpyrocarbonate.
- Examples of incorporating unnatural amino acids and derivatives during peptide synthesis include, but are not limited to, use of norleucine,
- the peptides may be synthesised using solution synthesis or solid phase synthesis as described, for example, in Chapter 9 entitled “Peptide Synthesis” by Atherton and Sheppard which is included in a publication entitled “Synthetic Vaccines” edited by Nicholson and published by Blackwell Scientific Publications.
- a solid phase support is utilised which may be polystyrene gel beads wherein the polystyrene may be cross-linked with a small proportion of divinylbenzene (e.g. 1%) which is further swollen by lipophilic solvents such as dichloromethane or more polar solvents such as dimethylformamide (DMF).
- the polystyrene may be functionalised with chloromethyl or anionomethyl groups.
- cross-linked and functionalised polydimethyl-acrylamide gel is used which may be highly solvated and swollen by DMF and other dipolar aprolic solvents.
- Other supports can be utilised based on polyethylene glycol which is usually grafted or otherwise attached to the surface of inert polystyrene beads.
- use may be made of commercial solid supports or resins which are selected from PAL-PEG, PAK-PEG, KA, KR or TGR.
- reversible blocking groups which have the dual function of masking unwanted reactivity in the ⁇ - amino, carboxy or side chain functional groups and of destroying the dipolar character of amino acids and peptides which render them inactive.
- Such functional groups can be selected from t-butyl esters of the structure RCO- OCMe 3 -CO-NHR which are known as t-butoxy carboxyl or ROC derivatives.
- Use may also be made of the corresponding benzyl esters having the structure RCO-OCH 2 -C 6 H 5 and urethanes having the structure C6H5CH 2 O CO-NHR which are known as the benzyloxycarbonyl or Z-derivatives.
- Use may also be made of derivatives of fluorenyl methanol and especially the fluorenyl-methoxy carbonyl or Fmoc group.
- Each of these types of protecting group is capable of independent cleavage in the presence of one other so that frequent use is made, for example, of BOC-benzyl and Fmoc- tertiary butyl protection strategies.
- the Na-protected amino acid or peptide with a condensing reagent and are reacted immediately with the amino component (the carboxy or C-protected amino acid or peptide).
- Dicyclohexylcarbodiimide, the BOP reagent (referred to on page 216 of the Nicholson reference), O'Benzotriazole-N, N, N'N'-tetra methyl-uronium hexaflurophosphate (HBTU) and its analogous tetrafluroborate are frequently used condensing agents.
- the attachment of the first amino acid to the solid phase support may be carried out using BOC-amino acids in any suitable manner.
- BOC amino acids are attached to chloromethyl resin by warming the triethyl ammonium salts with the resin.
- Fmoc-amino acids may be coupled to the p-alkoxybenzyl alcohol resin in similar manner.
- use may be made of various linkage agents or "handles" to join the first amino acid to the resin.
- p-hydroxymethyl phenylactic acid linked to aminomethyl polystyrene may be used for this purpose.
- the hydrophobic group may be added to the peptide chain using similar techniques.
- fatty acid molecules may be added to a dipeptide or peptide chain in the same way as that of the Fmoc protected amino acids.
- the present inventors have also determined and describe herein a molecular model of the inhibitor compounds of the present invention. In view of this information, a person skilled in the art will be able to design non-peptide structures which, in three dimensional terms mimic the compounds of the present invention. It is believed that these non-peptide structures will also mimic the physiological effects of the compounds of the present invention. It is intended that such non-peptide structures are also included within the scope of the present invention.
- the present invention extends to a structure the three dimensional form of which substantially corresponds to the three dimensional form of the compounds of the first or second aspects of the present invention, wherein the structure is capable of inhibiting the lytic activity of cytolytic peptides.
- the present invention provides a pharmaceutical composition including a compound or structure according to the first, second or third aspect of the present invention and a pharmaceutically acceptable carrier.
- the present invention provides a method of inhibiting a cytolytic peptide which method includes administering to a subject in need thereof an effective amount of a compound or structure according to the first, second or third aspect of the present invention.
- the compounds of the present invention are essentially amphipathic molecules. It is envisaged that these amphipathic molecules will inhibit cytolytic peptides such as melittin.
- Aromatic amino acids are an amino acid which contains a heterocyclic structure, the heterocyclic structure having the ability to undergo electrophilic substitution reactions.
- Aromatic amino acids therefore include tyrosine, phenylalanine, phenylglycine and tryptophan.
- FIG. 1 Flow cytometric analysis of the effect of melittin and inhibitors.
- CEM cells were analysed before (A) or after (B) melittin treatment.
- Density plots depict propidium iodide penetration (fluorescence) on the verticle axis and forward angle light scatter on the horizontal axis. Cell numbers are indicated by grey shading density.
- the effect of peptide inhibitors 31 (C) and 38 (D) are shown. In these assays, the inhibitors were added to the cells before the addition of melittin as in Methods.
- Quadrants were set manually such that 90% of normal undamaged cells were located in quadrant 4.
- Figure 2 Ultraviolet fluorescence spectra of the tryptophan residue in melittin. Excitation wavelength 290 NM, temperature 24°C.
- the solid line is the spectrum of melittin alone, the broken line that of melittin + a two molar excess of IVIFDC and the dotted line that of melittin + an equimolar spin-labelled IVIFDC.
- the solvent was me thanol/ water, 60/40: in plot B, pH 7.4,
- FIG. 3 EPR spectra of spin-labelled IVIFDC.
- A SL-IVIFDC in pH 7.4. 0.05 M Tris buffer.
- B SL-IVIFDC in the buffer + equimolar melittin. Spectrum taken at 28 ⁇ C, end to end width of spectrum 0.08 mT.
- Figure 4 Ball and stick model of melittin from the coordinates of Terwillinger and Eisenberg (3).
- Figure 5 Diagrams showing relative configuration of modelled inhibitor peptide (IVIFDC) to melittin protein; (a) & (b), relative position of peptide within melittin; the cysteine residue of the peptide (Cysl) does not appear to interact with the melittin surface as it projects away from the protein; (c) & (d), peptide hydrophobic residue He 1, Val 2 and He 3 are in close proximity to protein hydrophobic residues He 20, Leu 16 and Leu 13 respectively, and are therefore likely to be involved in protein-peptide interactions; furthermore. Phe 4 of the peptide is adjacent to Trp 19 of the melittin protein.
- IVIFDC modelled inhibitor peptide
- the haemolytic effect of melittin in the presence of the inhibitor analogues was determined over the range of 20:1 to 1:1 inhibitor to melittin (w/w).
- the amount of melittin used was determined from a concentration titration curve and a quantity equal to a limiting concentration was used to allow a more sensitive means of assessing inhibition with the peptides.
- Peptides were dissolved in dimethyl sulphoxide (DMSO) at 5 mg/ml and diluted our in phosphate buffered saline (PBS).
- the putative inhibitor peptides were titrated in duplicate by two-fold dilutions (50 ⁇ l) in 96-well U- bottomed microtitre plates (Nunc, Denmark) and pre-incubated with either 5 or 10 ⁇ g/ml final concentration of melittin (50 ⁇ l) for 1 h at 22°C. After this incubation, 0.6% suspension of washed human red blood cells (lOO ⁇ l) were added for a further 1 hour. Plates were centrifuged at 150 x g for 5 min, and 100 ⁇ l aliquot's were transferred to a 96-well polyvinylchloride plate (Dynatech Laboratories, Alexandria, Va).
- Haemolysis was assessed by measurement of optical density at 405 nm with an automatic EAR 400 SF ELISA plate reader (SLT Lab instruments, Groedig/Salzburg, Austria). The percentage of haemolysis was calculated by comparison with absorbances from a buffer blank ("no lysis” control) and a sample treated with 0.1% Triton X-100 ("maximum lysis” control). The degree of peptide inhibition of melittin haemolysis was calculated by comparing the percentage of homologous in the presence and absence of peptide inhibitors. Flow Cytometrv
- Flow cytometry uses analysis of the scattering of laser from cells moving in a fluid stream to give information about the state of the cells.
- Light scattering in the direction of the laser beam is an indication of cell size.
- Light scattered at right angle to the beam is an indication of cell granularity, which increases in damaged cells (Shapiro, 1995).
- fluorescent molecules can be added to the cells and their specific fluorescence, when excited by the laser beam can be measured by light emission at right angles to the laser beam. This fluorescence can give information about the composition or state of the cells, depending on the specific fluorescent dye used.
- CEM human lymphoma cells were used in these experiments.
- the cells were grown in RPMl 1640 medium containing 10% foetal calf serum.
- the cells were washed with phosphate buffered saline and resuspended in the same buffer at a density of 1 x 10 6 cells/ml.
- Flow cytometry was performed using a Coulter EPICS® flow cytometer. Illumination was carried out using a 488 nm argon ion laser, 0.25 ml of cell suspension was placed in the cytometer tubes and 1 ⁇ l of propidium iodide (1 mg/ml) was added. Inhibitors, dissolved to 5 mg/ml dimethly sulphoxide were then added. After approximately 5000 data points has been collected, the tube was removed, melittin was added to 5 ⁇ g and data collection was continued. Weston et al (1994) showed that cells change their 90° light scattering properties when exposed to melittin. We have measured the extent of these changes by but have concentrated our analyses on two additional parameters.
- the first is measurement of cell membrane integrity by exclusion of the dye propidium iodide.
- Cells with intact membranes do not take up this dye and do not become fluorescently stained.
- Cells with damaged membranes take up the dye, which binds to their nucleic acids and becomes brightly fluorescent.
- Cell viability can therefore be measured at the same time as light scattering and is indicated by the proportion of cells that are not fluorescent in the presence of the propidium iodide.
- the proportion of cells with forward light scatter below a defined limit could be used as a reliable index of melittin induced changes and a two dimensional plot of forward scatter versus propidium iodide penetration was found to give a good representation of melittin action and inhibitor effect.
- EPR spectra were collected at 20°C using a Varian E109 X-band spectrometer. Centre field was 0.344T, the sweep width 8 mT and the frequency 9.6800000 Ghz. Quantitation of spectra, sample handling and other conditions were as described by Gordon and Curtain (1988). Ultraviolet Fluorescence Spectroscopy
- Tryptophan fluorescence was measured at 20°C in a Perkin-Elmer MPF3 fluorescence spectrophotometer using an excitation wavelength of 290 nm. Density Gradient Centrifugation
- LUV Large unilamellar vesicles
- the molecular model of the inhibitor peptide was constructed within GEMM (version 7.89, Cammisa, J., Kim, J.R. and Lee, B.K., 1993).
- the initial coordinates of this structure were saved and imported into the Sculpt modelling system (Surles et al., 1994), which allows continual energy- minimization of a protein.
- the coordinates were saved and imported back into GEMM.
- the coordinates for melittin Protein Data Bank Gopher://PDB.BNL.GOV:70/ll/file 2MLT.FULL
- melittin Protein Data Bank Gopher://PDB.BNL.GOV:70/ll/file 2MLT.FULL
- Fig. 1 The changes in forward angle light scatter and propidium iodide penetration induced by melittin are shown in Fig. 1.
- Fig. 1 the percentages of cells in the various quadrants are characteristic of the effects of the peptides.
- the majority cells In a normal cell population, the majority cells have measurements that lie in quadrant 4, but on melittin action the bulk of the cells move to quadrants 1 and 3 indicating increased propidium iodide fluorescence and decreased forward light scatter respectively. It was found that the inhibitory peptides reduced both of these changes, and the reduction increased with increasing excess of inhibitory peptide over melittin concentration (Fig.
- Table I Tryptophan (324nm) fluorescence of MetrizamideTM density gradient fractions of melittin and the inhibitory peptide Ac-IVIFDC-NH 2 in the presence of dipalmitlyl phosphatidyl choline large unilamellar vesicles
- EPR and Ultraviolet Florescence Spectroscopy The EPR spectrum of the spin label on the inhibitor shows that the label is freely rotating with a slight degree of anisotropy. Such a spectrum is to be expected with a label attached through a 2 carbon spacer to a small peptide.
- the fact that the spectrum is unchanged by the addition of melittin indicates that the N-terminal end of the peptide is still capable of free rotation after the inhibitor is bound to the melittin.
- Tryptophan or another aromatic at position 19 is known to be crucial for the activity of melittin (Habermann and Kowallek, 1970; Blondelle and Houghten, 1991; 1991a) and it is possible that the inhibitor masks this residue.
- the activity of peptides 31, 35, 38, 31B and 47 supports this hypothesis as the aspartic acid residue would be adjacent to the lys/arg region. However this is obviously not greatly important for inhibition as the substitution of asparagine for aspartic acid has no deleterious effect. It is not surprising that the introduction of a hydrophilic residue (serine) in position 3 destroys activity as it would interfere with the hydrophobic interaction.
- FIG. 5 shows the relative position of the inhibitor superimposed by modelling on the Terwillinger and Eisenberg plot of the melittin structure, assuming interaction of the phenylalanine residue of the inhibitor with the tryptophan melittin.
- the I V I section of the inhibitor lies adjacent to the hydrophobic area of melittin defined by the residues V8. L9, L13, L16 and 120.
- the aspartic acid residue is in the vicinity of K23 and R24 where polarity and hydrophilicity would be expected to encourage interaction.
- the sixth residue is distant from the melittin backbone and thus does not appear to be directly involved in interaction.
- Dimerisation using a terminal lysine instead of cysteine (peptide 39) was also effective in inhibiting haemolysis. Dimerisation was not critical, as the monomeric form of peptide 31 (peptide 31B) caused comparable inhibition to the dimeric form.
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002263789A CA2263789A1 (en) | 1996-08-13 | 1997-08-13 | Acylated peptide cytolytic peptide inhibitors |
EP97934376A EP1012172A4 (en) | 1996-08-13 | 1997-08-13 | Acylated peptide cytolytic peptide inhibitors |
JP50923598A JP2001505541A (en) | 1996-08-13 | 1997-08-13 | Acylated peptide cytolytic peptide inhibitor |
AU37619/97A AU3761997A (en) | 1996-08-13 | 1997-08-13 | Acylated peptide cytolytic peptide inhibitors |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AUPO1611 | 1996-08-13 | ||
AUPO1611A AUPO161196A0 (en) | 1996-08-13 | 1996-08-13 | Novel compounds |
Publications (1)
Publication Number | Publication Date |
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WO1998006743A1 true WO1998006743A1 (en) | 1998-02-19 |
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ID=3795925
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/AU1997/000511 WO1998006743A1 (en) | 1996-08-13 | 1997-08-13 | Acylated peptide cytolytic peptide inhibitors |
Country Status (5)
Country | Link |
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EP (1) | EP1012172A4 (en) |
JP (1) | JP2001505541A (en) |
AU (1) | AUPO161196A0 (en) |
CA (1) | CA2263789A1 (en) |
WO (1) | WO1998006743A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2011141658A1 (en) * | 2010-05-11 | 2011-11-17 | Universite Claude Bernard Lyon I | Peptides with antiprotease activity |
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1996
- 1996-08-13 AU AUPO1611A patent/AUPO161196A0/en not_active Abandoned
-
1997
- 1997-08-13 WO PCT/AU1997/000511 patent/WO1998006743A1/en not_active Application Discontinuation
- 1997-08-13 CA CA002263789A patent/CA2263789A1/en not_active Abandoned
- 1997-08-13 EP EP97934376A patent/EP1012172A4/en not_active Withdrawn
- 1997-08-13 JP JP50923598A patent/JP2001505541A/en active Pending
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Cited By (2)
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WO2011141658A1 (en) * | 2010-05-11 | 2011-11-17 | Universite Claude Bernard Lyon I | Peptides with antiprotease activity |
FR2959992A1 (en) * | 2010-05-11 | 2011-11-18 | Univ Claude Bernard Lyon | PEPTIDES WITH ANTIPROTEASE ACTIVITY |
Also Published As
Publication number | Publication date |
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CA2263789A1 (en) | 1998-02-19 |
AUPO161196A0 (en) | 1996-09-05 |
EP1012172A1 (en) | 2000-06-28 |
EP1012172A4 (en) | 2000-06-28 |
JP2001505541A (en) | 2001-04-24 |
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