WO2011091461A1 - Verbindungen zur verwendung bei der behandlung von erkrankungen - Google Patents
Verbindungen zur verwendung bei der behandlung von erkrankungen Download PDFInfo
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- WO2011091461A1 WO2011091461A1 PCT/AT2011/000050 AT2011000050W WO2011091461A1 WO 2011091461 A1 WO2011091461 A1 WO 2011091461A1 AT 2011000050 W AT2011000050 W AT 2011000050W WO 2011091461 A1 WO2011091461 A1 WO 2011091461A1
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- Prior art keywords
- compound
- diseases
- hydrazide
- eosinophilic
- epo
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Definitions
- the subject invention relates to compounds for the treatment of inflammatory diseases associated with eosinophil peroxidase.
- Human enzymes of the class of peroxidases are part of the non-specific immune defense. They are released in high concentrations in the defense against pathogenic microorganisms and catalyze various oxidation reactions of biomolecules, thereby inactivating invaders, such as bacteria and viruses. However, overproduction of these proteins often leads to oxidative damage to the body's own tissues and inflammation is the result.
- milk contains lactoperoxidase (LPO), which has antimicrobial and antioxidant properties.
- Table 1 Examples of "autoenzyme-induced” diseases in the course of which peroxidases are involved in overproduction (see also Davies, MJ et al., Antioxidants & Redox Signaling 10 (2008) 1199-1234).
- MS Multiple Sclerosis
- the EPO is considered the main cause of many diseases, especially the chronic course of bronchial asthma. With a well-tolerated inhibitor, a true cure for chronic bronchial asthma could be provided for the first time. The same applies to multiple sclerosis, ulcerative colitis, cystic fibrosis and other inflammatory processes in which EPO is the main causative agent. These serious and in the western world strongly increasing illnesses show mostly a chronic course and could be treated so far only with very small success.
- EPO eosinophil peroxidase
- non-specific tissue damage include the destruc ⁇ tion of cells / cell walls, as EPO is capable of very high due to the posi tive charge ⁇ (pl> 11) to penetrate the lipid membrane of cells. EPO therefore destroys cells and tissues on the way to the target sites of infection, causing inflammation.
- eosinophils contribute to the pathogenesis of allergen-driven diseases, such as bronchial asthma. Bronchial asthma is referred to as inflammation or increased sensitivity of the mucous membranes of the bronchi, which leads to constriction of the respiratory tract. This disease is based on the stimulation of certain immune cells, so-called mast cells, via cytokines, such as interleukin 5 (IL 5).
- IL 5 interleukin 5
- mast cells and eosinophilic granulocytes are attracted to the bronchial area. These cells release substances (especially histamine) that, among other things, contract the airway muscles and stimulate mucus production in the lungs. This reaction usually takes place very quickly, within 15 to 30 minutes after contact with the causative agent and / or stress. Later
- inflammatory cells eosinophilic granulocytes migrate into the walls of the bronchi, where they trigger the chronic course (inflammation).
- EPO enzyme intermediate
- diffusible free radicals which are produced in the enzymatic reaction system EP0 / H 2 0 2 .
- EPO is able to oxidize diverse small molecules.
- physiologically relevant enzyme substrates include nitrite (NO 2 - ), bromide
- the oxidation product " OSCN, the transcription factor NF- ⁇ , is much stronger than N0 2 ' and therefore acts pro-inflammatory in the MAP kinase system (Wang, J. et al., Arch Biochem Biophys 445 (2006) 256-260)
- reaction products function as part of the passive immune defense and attack large parasites that have invaded the body, thereby fulfilling the physiological role of EPO.
- EPO is involved in the biochemistry of the vasoactive, ie vasodilator, substance nitric oxide (NO), which plays an essential role in angiogenesis, regulation of blood pressure, dilatation of the bronchi (eg in neonates) as well as other physiological phenomena. It is believed that NO is oxidized by EPO Compound I and Compound II when NO + is released and reacts with superoxide to form peroxynitrite (ONOO ⁇ ). This highly reactive compound (a marker of oxidative stress) attacks lipids and proteins, producing nitrotyrosines and lipid peroxides.
- NO substance nitric oxide
- this important regulatory diatomic signaling molecule is no longer available due to the trapping of NO, as a result of which important biological functions (eg as a messenger substance) can no longer or only partially be fulfilled (Abu-Soud, HM et al., Biochem 40 (2001). 11866-11875).
- WO 2008/121670 describes pyrimidinylhydrazides and their use in the treatment of bronchial asthma.
- WO 00/073280 describes catechin-substituted hydrazones and their use in the treatment of bronchial asthma.
- WO 2009/145360 relates to phenyl or thiophene derivatives, which can also be used for the treatment of bronchial asthma.
- WO 2004/080377 discloses phenylhydrazides which are suitable for modulating potassium channels in cells, whereby, inter alia, diseases such as bronchial asthma can be treated.
- R 1 is CH 2, NH, O, S or a single bond
- R2, R3, R4, R5 and Rg are independently H, OH, F, Cl, Br, I or a Ci to C5 alkyl group and
- R 7 is H, OH, NH 2 , NH-NH 2 or CH 3 .
- a further aspect of the present invention relates to hydroxides of the general formula (I):
- R x is a he ⁇ terozyklische compound (heterocyclic group) such as pyridine, indole, pyrazole or pyrimidine, or an aromatic compound (aromatic Radical), such as naphthol, benzene or phenylaminoethane.
- Substituent Ri is CH2, NH, 0, S or a single bond and the substituents R2, R3, R4, R5 and Rg are independent of ⁇ H, F, Cl, Br, I or a 0 ⁇ to C5 alkyl group, R7 is each H, OH, NH 2 , NH-NH 2 or CH 3 .
- EPO eosinophil peroxidase
- the compounds according to the invention are selective for eosinophil peroxidase (occurrence in white blood cells) and the homologous lactoperoxidase (occurrence in breast milk and in saliva). However, these compounds are unable to inhibit myeloperoxidase, in particular human myeloperoxidase to the same extent, which allows the targeted use of these compounds as a specific drug, selectively against EPO.
- the compounds of this invention are well known in the art and are prepared by known methods (see, e.g., Finger, GC, et al., J Am Chem Soc 81 (1959) 94-101). Most N-arylglycines, as well as their esters, hydrazides, and other derivatives, are used to bioassay their tuberculostatic potential. p-Alkylanilines and p-cyclohexylanilines are prepared by Beckmann rearrangement of oximes of the corresponding p-substituted acetophenones.
- p-Alkoxyanilines are prepared by alkylation of p-benzalaminophenol with alkyl halides and NaOH in aqueous ethanol with subsequent hydrolysis of the aldimines with HCl. (Tien, NB et al., Org Chem 23 (1958) 186-8).
- diseases especially inflammatory He ⁇ diseases which are related to eosinophil peroxidase
- diseases and conditions which are due to increased activity of EPO in an individual (see, eg, Davies, MJ., Et al. Antioxidants & Redox Signaling 10 (2008) 1199-1234; Wang, J. et al., Arch Biochem Biophys 445 (2006) 256-260; Mitra, SN, et al., Redox Report 5 (2000) 215-224)
- the connection between the EPO activity and diseases which are the result of the EPO activity is also sufficient in the art. well known.
- 3-bromotyrosines biomarkers
- GC-S gas chromatography-mass spectrometry
- Tumors can also be the result of increased EPO activity, since this leads to oxidative damage to the DNA, which is caused by infections by reactive oxygen species (eg bromo nucleotides, singlet oxygen) (eg Schistosoma haematobium and bladder cancer, or Opisthorcis vicerrini and cholangiocarcinoma (Bile duct cancer) (Mitra et al., Redox Report 5 (2000) 215-224)
- reactive oxygen species eg bromo nucleotides, singlet oxygen
- eg Schistosoma haematobium and bladder cancer, or Opisthorcis vicerrini and cholangiocarcinoma (Bile duct cancer) Mitra et al., Redox Report 5 (2000) 215-224
- An alternative term for "diseases, especially inflammatory diseases associated with eosinophil peroxidase” are diseases resulting from increased EPO activity in the body The increased activity refers to an average individual who does not have
- lipid bilayers as well as membrane proteins and cell walls are modified (bromo- and nitrotyrosines, lipid peroxides), disintegrated and finally destroyed (Wang, J. et al., Arch Biochem Biophys 445 (2006) 256-260), which leads to tissue damage and necrosis, which inhibits the tissue-destroying effect of EPO while maintaining the tissue-forming function of eosinophilic granulocytes, which may be irreversible or chronic Course of bronchial asthma (EPO inhibitor) to be stopped and even given a cure approach by this new drug group.
- EPO inhibitor reactive oxidation products
- the compounds of the invention include, inter alia, pharmaceutically acceptable acid addition salts ⁇ table, inventiveness under which is understood as meaning those salts selected from the salts of hydrochloric, hydrobromic, sulfuric, phosphoric, methanesulfonic, acetic, fumaric, succinic, lactic, citric, tartaric and maleic acids, the salts of hydrochloric, hydrobromic, sulfuric, phosphoric, and acetic acid are particularly preferred.
- R7 has a free amino group, preferably a hydrazide group.
- the amino groups of such compounds having the general formulas (I) or (IIIa) and (IV) are advantageous for its action as an EPO inhibitor. That is, the compounds of the invention should have the free amino group at the site of action. However, it is possible, in order to increase the compatibility of the compounds according to the invention, to provide the amino group with a protective group which is optionally removed at the site of action (prodrug concept).
- R 7 of the compound of the general formula (III) may also be an H, OH or CH 3 radical. Such compounds are also able to inhibit eosinophilic peroxidase with high efficiency.
- R 1 is -NH 3, the hydrazide having the general formula (IV):
- the Ci to C5 alkyl group is selected from the group consisting of CH3 and CH2CH3.
- a further preferred embodiment of the invention is constricting vorlie ⁇ R] _ CH2, NH, 0 or S, particularly preferably NH or 0, R 2 is F or H, R 3 is Cl, Br or H, R 4 is Cl, F, CH 3 or H, R 5 and R 6 are H and R 7 is OH or NH-NH 2 .
- the compound (III) according to the invention has the following substituents (see Table A):
- the compound is selected from the group consisting of 2-fluoro-phenylaminoethane-hydrazide, 4-fluoro-phenylaminoethane-hydrazide, 2,4-di-fluoro-phenylaminoethane-hydrazide, 4-chloro-phenylaminoethane Hydrazide, 3-chloro-4-fluoro-phenylaminoethane hydrazide, 3-bromo-4-fluoro-phenylaminoethane hydrazide, 4-methyl-phenylaminoethane hydrazide, phenylaminoethane hydrazide, 2- [(4-chlorophenyl) sulfanyl] acetohydrazide, 2- (4-fluorophenoxy) acetohydrazide, 2- (2-bromophenoxy) acetohydrazide, N- (2-fluorophenyl) g
- inflammatory diseases can be treated with the compounds according to the invention, the cause of which can be found in an excessive EPO activity.
- Eosinophilic granulocytes and EPO are part of the non-specific immune defense. Especially in inflammatory processes accumulations of these white blood cells, which can also cause chronic inflammation.
- the inflammatory disease is preferably selected from the group consisting of bronchial asthma, multiple sclerosis, cystic fibrosis, ulcerative colitis, Crohn's disease, rhinitis, endometriosis, sinusitis, eosinophilic esophagitis, Shulman's syndrome (eosinophilic fascitis), endocarditis, Churg-Strauss syndrome, Dermatoses, preferably herpes gastotoinis or eosinophilic dermatosis, Hand-Schüller-Christian syndrome (ASCD), cardiovascular diseases, preferably endocarditis and hypertension due to inflammatory processes of the vessel walls.
- bronchial asthma preferably selected from the group consisting of bronchial asthma, multiple sclerosis, cystic fibrosis, ulcerative colitis, Crohn's disease, rhinitis, endometriosis, sinusitis, eosinophilic esophagitis, Shulman's syndrome (eo
- EPO eosinophils peroxidase
- EPO and / or their reaction products could be detected in various inflamed organs and tissues and secretions derived therefrom.
- this proves the passive immune response of EPO in the context of phagocytosis, on the other hand, the tissue-destroying effect of EPO and its reaction products is also massively demonstrated.
- EPO could be radioimmunologically detected, as well as 3-bromotyrosine by means of gas chromatography mass spectroscopy (GC-MS) (Aldridge et al., Free Radical Biology & Medicine 33 (2002) 847-856).
- GC-MS gas chromatography mass spectroscopy
- EPO has been shown to be a cause of endocarditis in the presence of bromide (Slungaard, A. et al., J Exp Med. 173 (1991) 117-26).
- Endocarditis is an inflammation of the inner lining of the heart, which lines the heart cavities and the cardiac portion of the arteries and veins and also forms the structure of the heart valve sails. Basically, every person can contract endocarditis, and left untreated, the disease is usually fatal. Antibiotics can be used to treat endocarditis.
- ulcerative colitis is a disease caused by EPO. Wang et al. have observed that EPO-free mice (EPO knock-out mouse line) hardly develop ulcerative colitis compared to the wild type. Also, Crohn's disease is a chronic inflammatory disease of the intestinal tract associated with the non-specific immune defense and EPO (Wang, J. et al., Arch Biochem Biophys 445 (2006) 256-260).
- EPO is also decisively involved in allergic diseases such as rhinitis (Hrdlick-ova, B. et al., Int Arch Allergy Immunol. 150 (2009) 184-91).
- EPO skin diseases
- skin diseases such as Herpes Gastotionis, a blistering autoimmune disease that develops during pregnancy.
- Eosinophilic dermatoses are common in other mammals as well. to (dogs, cats) (Scheman, AJ et al., Arch Dermatol 125 (1989) 1079-83).
- Hodgkin's lymphoma (synonym: Hodgkin's disease or Lymphogranulomatose, Hodgkin's disease, abbreviated HD) is a malignant tumor of the lymphatic system. In studies with radioactively labeled monoclonal antibodies to EPO directly at the site of the tumor, it has been shown that EPO is involved in apoptosis. (Samoszuk, MK et al J Nucl Med., 34 (1993) 1246-53).
- Hand-Schüller-Christian syndrome usually affects 2- to 5-year-old children, adolescents and middle-aged adults. This form accounts for about 15-40% of Langerhans cell histiocytoses. In about 30% of the affected people it comes to systemic involvement involving the liver, spleen, lungs, skin and lymph nodes.
- the classic hand-Schüller Christian triad with bone lesions, exophthalmos and diabetes insipidus is rare. Systemic involvement of multiple organs has a poor prognosis and the need for aggressive chemotherapy and possibly stem cell transplantation. Otherwise, the disease may regress by itself, if necessary under chemotherapy. Studies have found a massive release of EPO. Ultimately, EPO is the cause of the massive tissue damage caused by this disease (Zabucchi, G. et al J Pathol 163 (1991) 225-31).
- the compounds according to the invention can be administered in different ways. Depending on the disease, the compounds can be administered systemically or locally.
- the compounds according to the invention in particular phenyl-amino-ethane-hydrazide (PAEH) or its derivatives, are therefore preferably formulated in an intravenous, intracavitary, oral, intraperitoneal, inhalational and topical administration form.
- PAEH phenyl-amino-ethane-hydrazide
- the compound of the invention in particular phenyl-amino-ethane-hydrazide or
- the pharmaceutical composition according to the invention comprises, in addition to the compounds according to the invention, auxiliaries, such as e.g. Disintegrants and stabilizers, carriers and diluents.
- auxiliaries such as e.g. Disintegrants and stabilizers, carriers and diluents.
- excipients, carriers and diluents are gelatin, natural sugars (such as cane sugar or milk sugar, lecithin, pectin, starch (eg corn starch) and starch derivatives, cyclodextrins and cyclodextrin derivatives, polyvinylpyrrolidone, gelatin, gum arabic, alginic acid, tylose, talc, lycopodium, silicic acid (eg colloidal), levulose, tragacanth, sodium chloride, stearates, magnesium and calcium salts of fatty acids having 12 to 22 carbon atoms, in particular the saturated (eg stearates), polyethylene glycol having an average molecular weight between 200 and 20,000, preferably between 200 and 5,000, in particular between 200 and 1000, or mixtures thereof and / or polymers of vinylpyrrolidone and / or copolymers of vinylpyrrolidone and vinyl acetate, esters of aliphatic saturated
- a further aspect of the present invention relates to a pharmaceutical composition
- a pharmaceutical composition comprising a compound as described herein for the treatment and / or prevention of diseases, in particular inflammatory diseases, which are associated with eosinophilic peroxidase.
- the pharmaceutical composition of the invention is preferably in the form of an infusion, tablet, capsule, cream, gel, emulsion or patch.
- Yet another aspect of the present invention relates to the use of the compounds of the present invention for the manufacture of a medicament for the treatment and / or prevention of diseases, particularly inflammatory diseases, associated with eosinophil peroxidase.
- Another aspect of the present invention relates to A method for the treatment and / or prevention of diseases, in particular inflammatory diseases, which are associated with eosinophilic peroxidase, by administering one or more of the compounds according to the invention.
- IC50 is the inhibitor concentration that is needed to inhibit an enzyme, here EPO, to 50%. This concentration is determined UV-vis spectrophotometrically at 290 nm at steady state with a monochlorodimedone MCD assay.
- Eosinophilic peroxidase forms a variety of different enzyme intermediates and is able to catalyze a large number of redox reactions.
- the physiological role of EPO is the oxidation of bromide or thiocyanate to hypobromous acid or Hypothiocyante (also known as halogenation cycle). And it is precisely this reaction to inhibit it.
- hypobromous acid or Hypothiocyante also known as halogenation cycle.
- the enzyme can also undergo the so-called peroxidase cycle.
- the extent of inhibition of physiological bromide oxidation was determined photometrically with monochlorodimedone.
- the halogenation rate (initial slope of the curve at 290 nm) with inhibitor was set in relation to a blank value (without inhibitor) and from this the inactivation rate (in%) was determined. This was plotted against the inhibitor concentration (x-axis) in a graph (y-axis) and the IC50 value for each inhibitor was determined from the hyperbolic fit of the curve.
- Table 2 Example of phenyl-amino-ethane hydrazide derivatives and the inhibitory potential (IC50: concentration at which 50% of the enzyme activity is inhibited)
- the compound (3) 2-fluorophenyl-NH-ethane hydrazide has an IC 50 value for EPO of 0.009 ⁇ , but for MPO a significantly higher IC 50 value of 1.900 or 8.800 ⁇ . That is, this substance is a very good inhibitor for EPO, but not for MPO from the same family of human peroxidase enzymes.
- Phenyl-amino-ethane hydrazide shows an IC 50 value of 2.229 ⁇ . This potential can already lead, with good tolerability as an inhibitor for therapeutic use.
- example number (3) shows 2-fluorophenyl-NH-ethane hydrazide more than 200 times potential with an IC value of 0.009 ⁇ . As a result, very low therapeutic concentrations are possible, thereby minimizing any unwanted side effects.
- Isoniazid was found to have an ICsg of 6.04 ⁇ .
- Isopropylisonicotinohydrazide (iproniazid), studied. It was surprisingly found that iproniazid has an IC5Q value of over 500 ⁇ .
- animal models can be used. With the help of animal models, it is possible to prove experimentally to what extent pharmacologically active substances have the corresponding effect.
- bronchial asthma Several factors are responsible for the severity and progress of bronchial asthma (1): allergens, emotional stress, exercise, cold air and all combinations of these factors.
- the pathophysiological response is very complex, but a "red thread" to our target, the EPO T-helper 2 (Th2) cells, leads to interleukin release, especially IL-5, which causes the release of eotaxins Migration of eosinophil granulocytes to the pulmonary site
- the allergy-induced IgE levels and IgE receptors on the eosinophils lead to degranulation and release of proteins with a 60% share of EPO EPO catalyzes the oxidation of halides and thiocyanate where highly reactive oxidation products which are released to ward off parasites and microorganisms, but also act gewebszerstörend (in the case of asthma and other chroni ⁇ rule diseases). Therefore, a "chronic model" is needed, whereby it has to be proven if
- Balb / c mice weighing 18-21 g are kept in a one-week acclimatization phase.
- Dust mites or grass pollen stimulates.
- the allergen is administered intranasally daily for 7 weeks. This stimulation results directly in asthma symptomatology with acute airway hyperresponsiveness (AHR) and eosinophilic airway inflammation (Johnson et al., 2004, Am J Respir Crit Care Med 169: 378-385;
- AHR acute airway hyperresponsiveness
- eosinophilic airway inflammation Johnson et al., 2004, Am J Respir Crit Care Med 169: 378-385;
- Inflammation parameters eosinophils and EPO in the BALB (bronchioalveolar fluid) supernatant are finally measured by ELISA.
- EPO bronchioalveolar fluid
- the therapy group receives the compounds according to the invention (1-10 mg / kg body weight daily) while the control group receives a placebo.
- the parameters for the development of the allergy and chronic inflammation of the respiratory tract and lungs include the number of exacerbations (severe seizure) and the extent of the AHR.
- a third group may be treated conventionally with dexamethasone (and others).
- the effects of the compounds according to the invention in diseases of the sinuses and the hyphae can be determined with the same animal model as bronchial asthma.
- Rat Animal models for proof of efficacy of drug candidates for endometriosis are well established and easy to perform. Rat (Neto JN, Coelho TM, Aguiar GC, Carvalho LR, de Araujo AG, Girao MJ, Schor E. Experimental endometriosis reduction in rats treated with Uncaria tomentosa (cat's claw) ex- tract. Eur J Obstet Gynecol Reprod Biol. 2010 Oct. 26) and mouse (Lu Y, et al., Hum Reprod. 25 (2010): 1014-25) are the common experimental animals. Human fragments of endometriosis tissue are transplanted into the test animals. After three to four weeks of adaptation time, the compounds according to the invention can be tested "simply” and compared with a placebo group or with a group which is treated by conventional therapy.
- Inflammatory bowel diseases eg Crohn's disease and ulcerative colitis
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Abstract
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EP3323428A1 (de) * | 2016-11-17 | 2018-05-23 | CNRS Centre National de la Recherche Scientifique | Selektive c-flip-hemmer als antikrebsmittel |
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AU2013302177A1 (en) * | 2012-08-10 | 2015-03-26 | Mcmaster University | Antibacterial inhibitors |
TWI689490B (zh) | 2013-03-15 | 2020-04-01 | 英商邊緣生物科技有限公司 | 用於治療纖維化之經取代之芳族化合物及相關方法 |
DK3203998T3 (da) * | 2014-10-10 | 2021-05-31 | Liminal Biosciences Ltd | Substituerede aromatiske forbindelser og farmaceutiske sammensætninger til forebyggelse og behandling af diabetes |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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EP3323428A1 (de) * | 2016-11-17 | 2018-05-23 | CNRS Centre National de la Recherche Scientifique | Selektive c-flip-hemmer als antikrebsmittel |
WO2018091647A1 (en) * | 2016-11-17 | 2018-05-24 | Centre National De La Recherche Scientifique - Cnrs - | Selective c-flip inhibitors as anticancer agents |
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EP2528595A1 (de) | 2012-12-05 |
US20130065962A1 (en) | 2013-03-14 |
CN104958286A (zh) | 2015-10-07 |
AU2011208939A1 (en) | 2012-08-30 |
EP2965755A1 (de) | 2016-01-13 |
EP2528595B1 (de) | 2015-08-05 |
MX2012008815A (es) | 2012-11-23 |
SG182786A1 (en) | 2012-09-27 |
KR20120128644A (ko) | 2012-11-27 |
AU2011208939B2 (en) | 2015-07-09 |
BR112012018772A2 (pt) | 2016-04-12 |
CN104958286B (zh) | 2018-01-05 |
JP2013518061A (ja) | 2013-05-20 |
JP5788907B2 (ja) | 2015-10-07 |
CN102858329B (zh) | 2015-06-17 |
AT509045B1 (de) | 2011-06-15 |
AT509045A4 (de) | 2011-06-15 |
CN102858329A (zh) | 2013-01-02 |
CA2788326A1 (en) | 2011-08-04 |
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