WO1998021949A1 - Medical use of composition comprising fatty acids - Google Patents
Medical use of composition comprising fatty acids Download PDFInfo
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- WO1998021949A1 WO1998021949A1 PCT/IL1997/000366 IL9700366W WO9821949A1 WO 1998021949 A1 WO1998021949 A1 WO 1998021949A1 IL 9700366 W IL9700366 W IL 9700366W WO 9821949 A1 WO9821949 A1 WO 9821949A1
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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
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/22—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
- A61K31/23—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms
Definitions
- the present invention relates to a method for alleviating symptoms of multiple sclerosis by administration of a fatty acid combination; use of such combination in the manufacture of a medicament therefore, a composition of matter, pharmaceutical formulation and nutritional composition having potentially MS symptoms alleviating activity, and a method for testing a chemical substance for alleviating symptoms of multiple sclerosis in an animal model.
- the present inventor has previously described a novel composition which comprises a combination of ⁇ -linolenic acid and linoleic acid, in defined proportions, which is potentially useful in enhancing memory, producing analgesia, regulating sleep, inhibiting senility symptoms, and in treating Alzheimer's disease and related dementia, and epilepsy (see U.S. Patents Nos. 4,851,431, 5, 120,763, 5,288,755, 5,416,114 and
- MS multiple sclerosis
- MS is characterized by active degradation of central nervous system myelin, with clinical symptoms dependent on the brain areas which undergo demyelination. While the etiology of MS is unknown, one of the major symptoms associated with MS is the deterioration of cognitive functions.
- the present invention provides a method for alleviating symptoms of multiple sclerosis in a mammal which comprises administering to the mammal, in absence of a carrier or diluent which comprises at least one member of the group consisting of Cs-is saturated fatty acids, oleic acid and derivatives of these acids, an effective multiple sclerosis symptoms alleviating amount of a composition of matter which comprises (a) at least one compound selected from the group consisting of linolenic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amides of linolenic acid being both physiologically hydrolyzable and pharmacologically acceptable, and (b) at least one compound selected from the group consisting of linoleic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amides of linoleic acid being both physiologically hydrolyzable and pharmacologically acceptable, and wherein based
- the invention provides a method for alleviating symptoms of multiple sclerosis in a mammal which comprises administering to the mammal, an effective multiple sclerosis symptoms alleviating amount of a pharmaceutical formulation which comprises at least one pharmaceutically acceptable substance selected from the group consisting of diluents, carriers and adjuvants except a carrier or diluent which comprises at least one member of the group consisting of Cs-is saturated fatty acids, oleic acid and derivatives of these acids; together with an active combination of: (a) at least one compound selected from the group consisting of linolenic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amides of linolenic acid being both physiologically hydrolyzable and pharmacologically acceptable; and (b) at least one compound selected from the group consisting of linoleic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amide
- the invention provides a method for alleviating symptoms of multiple sclerosis in a mammal which comprises administering to the mammal, an effective multiple sclerosis symptoms alleviating amount of a nutritional composition including an orally ingestible carrier or diluent except a carrier or diluent which comprises at least one member of the group consisting of Cs-is saturated fatty acids, oleic acid and derivatives of these acids; together with an active combination of: (a) at least one compound selected from the group consisting of linolenic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amides of linolenic acid being both physiologically hydrolyzable and pharmacologically acceptable; and (b) at least one compound selected from the group consisting of linoleic acid and salts, esters, and amides thereof, calculated as the free acid, the salts, esters, and amides of linoleic acid being both physiologically
- the present invention provides use of the combination of linolenic and linoleic acids as defined herein, in the manufacture of a medicament for alleviation of symptoms of multiple sclerosis.
- a medicament may take the form of pharmaceutical formulations or nutritional compositions, as described herein.
- the invention provides a method for testing a chemical substance in an animal model for potential use in alleviating symptoms of multiple sclerosis, which comprises the steps of (1) treating laboratory rats with a sub-clinical dose of EAE such that (i) compared with EAE-treated rats, their life is prolonged to a period of more than 14 days and (ii) they nevertheless exhibit some EAE symptoms, including at least drunken gait with ataxia; and (2) treating rats resulting from step (1) with said substance, a positive test result being one in which rats treated in this step have a statistically significant prolonged life compared with a control group from step (1) not treated with said substance.
- the term "linolenic acid" without qualification, as used in the present specification and claims, means exclusively ⁇ -linolenic acid (9,12,15- octadecatrienoic acid). Also, reference in the present specification and claims to alleviating symptoms of multiple sclerosis is intended to relate also to alleviating symptoms of other demyelinating diseases where the context permits. Moreover, reference in the present specification and claims to "derivatives" of Cs-is saturated fatty acids and oleic acid is intended to include salts, esters and amides thereof.
- the combination of active components, or composition of matter, useful in the invention preferably consists of from about 14.3 to about 25.0% by weight of component (a) and about 85.7 to about 75.0% by weight of component (b), more preferably from about 16.3 to about 24.4% by weight of component (a) and about 83.7 to about 75.6% by weight of component (b).
- a special memory enhancement effect has been noted when the composition of matter consists of from about 15.0 to about 24.5% (preferably about 20.0 to about 24.4%) by weight of component (a) and about 85.0 to about 75.5% (preferably about 80.0 to about 75.6%) by weight of component (b), or from about 16.7% (preferably about 18.2%) to about 22.2% by weight of component (a) and about 83.8% (preferably about 81.8%) to about 77.8% by weight of component (b); and particularly when the composition consists of either about 22.2% by weight of component (a) and about 77.8% by weight of component (b), or about 20.0% by weight of component (a) and about 80.0% by weight of component (b), or about 19.0% by weight of component (a) and about 81.0% by weight of component (b).
- the preferred percentage proportions by weight are also of course applicable to the relationship between the at least one compound selected from linolenic acid and physiologically non-deleterious and hydrolyzable derivatives thereof, and the at least one compound selected from linoleic acid and physiologically non-deleterious and hydrolyzable derivatives thereof (calculated as the free acids), in the nutritional compositions of the invention.
- suitable salts there may be mentioned the ammonium, sodium, potassium, calcium and magnesium salts as salts with substituted mono- and di-substituted amines and the analogous saturated heterocyclic compounds containing an NH group in the ring, so long as the amines and the analogues in question are physiologically acceptable.
- suitable esters there may be mentioned, for example, the ethyl and glyceryl esters.
- Amides of the acids may also be utilized, e.g. amides of the acids with substituted mono- and di-substituted amines and with the analogous saturated heterocyclic compounds containing an NH group in the ring, so long as the amines and the analogues in question are physiologically acceptable.
- the pharmaceutical formulations useful in the present invention may be adapted for oral, parenteral or rectal administration, and it may be in the form of dosage units.
- the diluents, carriers and adjuvants are those conventionally used in pharmaceutical and veterinary formulation.
- the pharmaceutical formulations may be utilized as e.g. tablets, capsules, emulsions, solutions, syrups or suspensions.
- the formulations may be utilized as ampoules, or otherwise as suspensions, solutions or emulsions in aqueous or oily vehicles.
- the need for suspending, stabilizing and/or dispersing agents will of course take account of the fact of the solubility or otherwise of the linoleic and linolenic acids, or of their derivatives used in the formulations, in the vehicles which are used in particular embodiments. Thus, for example, where the acids themselves are used, account will be taken of the fact that these have a relatively low water solubility and in general a relatively high oil solubility.
- the formulations may additionally contain e.g. physiologically compatible preservatives and antioxidants.
- the pharmaceutical formulations may also be utilized as suppositories with conventional suppository bases such as cocoa butter or other glycerides.
- the formulations may be made available in a depot form which will release the active composition slowly in the body, over a preselected time period.
- the nutritional compositions useful in the invention include as a necessary component an orally ingestible diluent or carrier; this may for example comprise a substance selected from sugar-based confectionery, a manufactured cereal, a fruit or vegetable product, a beverage or beverage concentrate, or any inert diluent, carrier or excipient known in the pharmaceutical art. It is intended generally that ingredients (a) and (b), as previously defined, may be used in nutritional compositions in any of the forms in which these are known and practiced in the art.
- the nutritional compositions may take the form of, e.g., sugar-based confectionery such as candies or chocolate, breakfast cereals, fruit or vegetable purees or beverages, other beverages (including those based on carbonated water), or beverage concentrates generally (including those in the form of e.g. powders, granules, flakes or crystals, which intended to be mixed with hot or cold water and/or milk).
- beverage concentrates generally (including those in the form of e.g. powders, granules, flakes or crystals, which intended to be mixed with hot or cold water and/or milk).
- the nutritional compositions may also generally be in the form of powders, tablets, capsules, solutions, concentrates, syrups, suspensions, gels or dispersions. It will be evident that when the nutritional compositions take the form of dispersions or suspensions, it will usually be necessary to use an acceptable (i.e.
- non-toxic and otherwise suitable dispersing or suspending agent as is well known in the nutritional and pharmaceutical arts.
- these compositions are utilized in the form of capsules, it will be evident that gelatin or other known suitable ingestible materials may be used for encapsulation.
- compositions useful in the invention may further include any of the known vitamins.
- such compositions may comprise at least one water-soluble vitamin selected from thiamine, riboflavin, niacin, pyridoxine, pantothenic acid, biotin, folic acid, cobalamin and ascorbic acid.
- such compositions may comprise at least one oil-soluble vitamin selected from retinol, calciferol, tocopherol and menadione.
- the nutritional compositions may also comprise in combined form at least one element selected from sodium, potassium, calcium, phosphorus, magnesium, chlorine and sulfur, and additionally or alternatively, at least one element selected from iron, copper, iodine, manganese, cobalt, zinc, molybdenum, fluorine, selenium and chromium. These compositions may also contain other natural or synthetic antioxidants.
- the nutritional compositions useful in the present invention may also comprise other unsaturated fatty acids, such as for example those known to be metabolized in the body to prostaglandins, e.g. dihomo-gamma-linolenic acid, arachidonic and eicosapentaenoic acids, as well as physiologically compatible derivatives thereof, such as salts, esters and amides of such acids.
- unsaturated fatty acids such as for example those known to be metabolized in the body to prostaglandins, e.g. dihomo-gamma-linolenic acid, arachidonic and eicosapentaenoic acids, as well as physiologically compatible derivatives thereof, such as salts, esters and amides of such acids.
- a suitable dosage of the combination of linolenic and linoleic acid will be an amount within the range of 5-10 g per day, for an adult of average weight of 75 kg, but the physician will be able to determine the dosage rate according to the needs of an individual patient.
- This generalization does not preclude administering lower dosages, e.g. within the range of 0.1 to 5 g per day, or higher dosages above 5 g and up to 10, 20, 30, 40 or even 50 g per day, as may be determined by medical practitioners.
- compositions which comprise components (a) and (b) as defined herein and within the range of relative proportions defined herein, and which comprise also as a further component (c) at least one member of the group consisting of C . ⁇ s saturated fatty acids, oleic acid and derivatives of these acids, in an amount which does not prevent the composition having potentially MS symptoms alleviating activity, as determined by testing such composition in an animal model; as well as a pharmaceutical formulation and nutritional composition comprising components (a), (b) and (c).
- EAE Experimental Allergic Encephalomyelitis
- Rats who received a full dose in a preliminary study survived from 11-14 days compared to rats which received the diluted dose who survived 26-27 days (n 10 rats per group).
- SR-3 1:4 ⁇ -linolenic acid/linoleic acid mixture
- this study we used the semiquantitative method of Yu, G.S.M., et al., Effect of prenatal iron deficiency on myelination in rat pups, Am. J. Pathol, 125 (1986) 620-624, where the amount of myelin was evaluated on a 5 point scale.
- Test material -linolenic (0.92 g/ml) and linoleic (0.90 g/ml) free fatty acids, both 99% pure (as evaluated by capillary gas chromatography), were purchased from Sigma (L2367 and L1376). The test substances were stored in the dark at 4° C. A fresh stock solution (1 ml) was prepared every 3 days by mixing 0.40 ml of 1 :4 ⁇ -linolenic acid/linoleic acid mixture, mineral oil (0.59 ml) and ⁇ -tocopherol (0.02 ml). Animals:
- mice Male Lewis rats (230-270g body wt.) were used. They were housed individually in hanging, stainless steel, wire-mesh cages in a well- ventilated room that was air-conditioned by means of a system designed to maintain the room temperature at an average of 22° C and a relative humidity of about 45%. The room was illuminated by fluorescent light that simulated the spectrum of the sun (Vita-Lite; Dura-Test; Clifton NJ) to permit an artificial 24h cycle of 12h of light daily (from 6 am to 6 pm). Tap water and Altromine C-1000 diet were available ad libitum The diet contained 5.1% fat. Summary of experimental design:
- 10 rats received SR-3, and 10 rats received mineral oil (+ ⁇ -tocopherol). Subsequently they became very ill, exhibited flaccid paralysis of the hind limbs.
- the brains of these rats were analyzed by Luxol method. No behavioral studies were performed on these rats.
- the Morris water tank a circular tank (110 cm in diameter), was filled with water (to the level of 40 cm), which was made opaque by the addition of powdered milk, so that rats swimming in the tank were unable to see an escape platform (7.5 cm in diameter) submerged 2 cm below water level.
- Each animal was released facing the wall in one of four predetermined starting points each separated by 90 cm around the inner perimeter. While the rat was in the tank, it was able to observe the contents of the room. Special care was given to keep things in the room in the same location. The rat could navigate in the tank only by external cues. Each rat was tested 8 times per day in the tank. The order of the starting point was determined by random selection, to prevent possible effects of a magnetic field. Each rat was allowed 120 sec.
- Rats were anesthetized with sodium pentobarbital and their brains were removed en bloc. Each brain was fixed in 2% glutaraldehyde for 4 hours, and then transferred to buffer for further processing. Paraffin-embedded tissue was cut at 6 ⁇ and stained with Luxol fast blue. The dye Luxol fast blue was of the sulfonated copper phthalocyanine type. The degree of myelination was graded semiquantitatively by microscope examination of the sections, independently by two pathologists, each having no knowledge either of results obtained by the other, or the type of treatment the rat received. The degree of agreement between the two pathologists was 97%.
- a grading system of 0 - 5 was designated as follows: 0, total absence of blue staining; 1, faint blue staining; 2, mild patchy confluent blue staining with focally uncomplicated areas; and 5, complete, confluent, blue staining (Yu, et al. loc cit., 1986). Synaptosomes and determination fatty acids and cholesterol:
- Synaptosomes were prepared as suggested by Whittler, V.P. et al., "The subcellular fractionation of brain tissue with special reference to the preparation of synaptosomes and their component organelles" in R. Fried (Ed.), Methods in Neurochemistry, NY, Marcel Dekker, 1972, pp. 1-52. Brain tissues were homogenized on ice in 0.32M sucrose, pH 7.0, and centrifuged at 23,000 x g for 20 min. at 1° C. The supernatant was discarded, the pellet resuspended in 6 ml of 0.32M sucrose, applied to a discontinuous sucrose gradient (0.32M, 0.8M.
- Lipids were extracted from the membranes in a vial containing 15 ml chloroform methanol (1:2 vol./vol.) according to Polch-Pi, I., et al., A simple method for the isolation and purification of total lipids from animal tissues, J. Biol. Che ., 226 (1957) 497-509. Recovery of synaptosomes was greater than 87% and the purity was determined by electron microscopy. Lipids were analyzed for fatty acids composition by gas chromatography (Varian, SP-2330 Supelco column, BPx70 Capillary column 50m, 0.33mm ID, Model DB-23 SGE).
- the level of motor activity was assessed in an open field apparatus (75 cm x 75 cm), by recording the number of horizontal (infrared photobeam crossing) and rearing (determined from videotaping) movements made during the 15 min. sessions (Brandeis, R. et al., The use of the Morris Water Maze in the study of memory and learning, Int. J. Neurosci., 48 (1984) 29-69.) Passive avoidance:
- the Passive Avoidance box consisted of a bright and dark compartment. During the training trial, (day 20) the rats were placed into the bright compartment. After the rats entered the dark compartment a shock was delivered (0.5 mA. 3 s). Twenty four hours later the rats were again placed in the bright compartment and the latency to re- enter the dark compartment was measured (maximum duration: 360 s). Short entry latencies indicated poor avoidance learning. Body weight:
- Body temperature was measured by a telethermometer (YSI Telethermometer, Model 43TA, Yellow Springs, Ohio). Statistical Analysis:
- the dEAE rats were lighter.
- the average body weight was 3.110.9 and 3.010.8 for SR-3 treated rats.
- the dEAE rats (which did not receive SR-3) covered a much longer distance (2.5 times longer) (Table III).
- the profile of fatty acids of the dEAE treated rats was significantly different from the profile of the control rats (p ⁇ 0.01). There was an increase in the level of the 16:0 fatty acid, and there was a decrease in the level of 18:2(n-6), 18:3(n-3), 20:3(n-6), and 20:4(n-6) (p ⁇ 0.01).
- the treatment with SR-3 corrected those changes (p ⁇ 0.05).
- the fatty acids profile of dEAE rats differs from that of normal rats, mostly noted in a reduction in total fatty acids in the synaptosome (2.5 to 1.8, p ⁇ 0.01), an increase in the ratio of saturated/unsaturated fatty acids (1.1 to 1.3, p ⁇ 0.05), and a significant increase in the cholesterol level (6.8 to 8.6, p ⁇ 0.01).
- Treatment by SR-3 was able to modify the abnormal profile (Table IV).
- Table IV Fatty acid composition of frontal cortex synaptosomes in EAE rats with or without SR-3 treatment.
- LDL low density lipoprotein
- Lipids and fatty acids are major components of myelin. Therefore, changes in the fatty acid metabolism or in the bioavailability of fatty acids and lipids in the brain will induce the modification of myelin and of the neuronal membrane structure. It is interesting that in 1983, it was reported that deficiency in n-3 fatty acids is associated with an increased susceptibility to EAE, requiring a smaller dose of antigen to induce it (Dhopeshwarkar, G.A., Nutrition and Brain Development, NY, Plenum, 1983).
- the possible link between the profile of fatty acids and the cholesterol level to learning and cognitive capacity is the optimal level of neuronal membrane function, expressed as the "membrane fluidity" index.
- An optimal index allows the exchange of ions between the inside and outside of the membrane. This process is crucial for the transfer of neuronal information and to proper activity of membrane receptors. Cholesterol induces rigidity of the membrane, and essential fatty acids increase the fluidity index.
- the Morris water maze and passive avoidance are two behavioral techniques which enable selected assessments of learning to be made. They are widely used, both in evaluating learning deficits induced by brain lesions and pharmacological agents, as well as for evaluating new 'learning enhancer' drugs (see e.g. Cunnane et al., loc cit. 1989). It is clear, however, that these methods examine different aspects of learning abilities.
- the Morris water maze and passive avoidance are two behavioral techniques which enable selected assessments of learning to be made. They are widely used, both in evaluating learning deficits induced by brain lesions and pharmacological agents, as well as for evaluating new 'learning enhancer' drugs (see e.g. Cunnane et al., loc cit. 1989). It is clear, however, that these methods examine different aspects of learning abilities.
- the Morris water maze and passive avoidance are two behavioral techniques which enable selected assessments of learning to be made. They are widely used, both in evaluating learning deficits induced by brain lesions and pharmacological agents,
- the changes in the level of myelin (as measured by Luxol), the changes in the fatty acids profile, and the motor symptoms observed after the dilute EAE treatment all contribute to the validity of the dilution procedure as providing a faithful model of the early stages of MS, confirmed by the changes in the level of myelin which are comparable to changes observed in MS, and by changes in the fatty acids profile.
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Abstract
Description
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Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU48823/97A AU4882397A (en) | 1996-11-20 | 1997-11-13 | Medical use of composition comprising fatty acids |
GB9911472A GB2333957A (en) | 1996-11-20 | 1997-11-13 | Medical use of composition comprising fatty acids |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IL11966196A IL119661A0 (en) | 1996-11-20 | 1996-11-20 | Medical use of composition comprising fatty acids |
IL119661 | 1996-11-20 |
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Publication Number | Publication Date |
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WO1998021949A1 true WO1998021949A1 (en) | 1998-05-28 |
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Application Number | Title | Priority Date | Filing Date |
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PCT/IL1997/000366 WO1998021949A1 (en) | 1996-11-20 | 1997-11-13 | Medical use of composition comprising fatty acids |
Country Status (4)
Country | Link |
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AU (1) | AU4882397A (en) |
GB (1) | GB2333957A (en) |
IL (1) | IL119661A0 (en) |
WO (1) | WO1998021949A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6713511B1 (en) | 1998-08-11 | 2004-03-30 | Zvi Yehuda | Fatty acid derivatives |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3993775A (en) * | 1974-04-25 | 1976-11-23 | John Williams | Immuno-suppressive agents |
US4386072A (en) * | 1981-06-26 | 1983-05-31 | Horrobin David F | Treatment of disorders of inflammation and immunity and disorders associated with smooth muscle spasm and compositions therefor |
US5194448A (en) * | 1989-11-30 | 1993-03-16 | Croda International Plc | Use of nervonic acid and long chain fatty acids for the treatment of demyelinating disorders |
-
1996
- 1996-11-20 IL IL11966196A patent/IL119661A0/en unknown
-
1997
- 1997-11-13 AU AU48823/97A patent/AU4882397A/en not_active Abandoned
- 1997-11-13 GB GB9911472A patent/GB2333957A/en not_active Withdrawn
- 1997-11-13 WO PCT/IL1997/000366 patent/WO1998021949A1/en active Application Filing
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3993775A (en) * | 1974-04-25 | 1976-11-23 | John Williams | Immuno-suppressive agents |
US4386072A (en) * | 1981-06-26 | 1983-05-31 | Horrobin David F | Treatment of disorders of inflammation and immunity and disorders associated with smooth muscle spasm and compositions therefor |
US5194448A (en) * | 1989-11-30 | 1993-03-16 | Croda International Plc | Use of nervonic acid and long chain fatty acids for the treatment of demyelinating disorders |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6713511B1 (en) | 1998-08-11 | 2004-03-30 | Zvi Yehuda | Fatty acid derivatives |
Also Published As
Publication number | Publication date |
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GB9911472D0 (en) | 1999-07-14 |
GB2333957A (en) | 1999-08-11 |
IL119661A0 (en) | 1997-02-18 |
AU4882397A (en) | 1998-06-10 |
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