WO2020231024A1 - 고시페틴을 포함하는 퇴행성 뇌질환 예방 또는 치료용 조성물 - Google Patents
고시페틴을 포함하는 퇴행성 뇌질환 예방 또는 치료용 조성물 Download PDFInfo
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- WO2020231024A1 WO2020231024A1 PCT/KR2020/005080 KR2020005080W WO2020231024A1 WO 2020231024 A1 WO2020231024 A1 WO 2020231024A1 KR 2020005080 W KR2020005080 W KR 2020005080W WO 2020231024 A1 WO2020231024 A1 WO 2020231024A1
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- gocipetin
- disease
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- A61K31/35—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
- A61K31/352—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline
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- A23L—FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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Definitions
- Alzheimer's disease which accounts for about half of senile dementia diseases, currently does not have effective causative agents, and there is no prevention method.
- the drugs prescribed by the U.S. Food and Drug Administration (FDA) for Alzheimer's disease patients include acetylcholine esterase inhibitors and glutamic acid receptor inhibitors, but all of them only act to relieve symptoms.
- Huntington's disease causes apoptosis by aggregation of a protein called huntingtin and accumulating in the cells.
- huntingtin a protein called huntingtin and accumulating in the cells.
- CAG repeat sequence is genetically generated in the huntingtin gene
- more than 100 glutamine is attached to the N-terminus of the protein, making it difficult to form a normal protein structure.
- the function of the chaperone protein is weakened, it becomes difficult to form a three-dimensional structure of the protein, and the proteins in which misfolding has occurred are entangled with each other to form an aggregate.
- Parkinson's disease the aggregation of ⁇ -synuclein protein increases, forming a thread-shaped structure, thus having an amyloid fiber structure.
- Korean Patent Publication No. 10-1424547 and Korean Patent Publication No. 10-2015-0047687 disclose compositions for treating degenerative brain diseases including products fermented by lactic acid bacteria or lactic acid bacteria, but these are degenerative such as dementia. Since the therapeutic effect of brain diseases was not high, there was a limit to commercial application.
- the present inventors have completed the present invention by confirming that gossypetin, a small molecule substance derived from a natural product, is excellent in the prevention and treatment efficacy of degenerative brain diseases.
- An object of the present invention is to provide a pharmaceutical composition for preventing or treating degenerative brain diseases, including gossypetin or a salt thereof.
- Another object of the present invention is to provide a health functional food composition for preventing or improving degenerative brain diseases, including gosipetin or a salt thereof.
- Another object of the present invention is to provide a pharmaceutical composition for improving memory or cognitive function comprising gocifetin or a salt thereof.
- Another object of the present invention is to provide a health functional food composition for improving memory or cognitive function, including gosipetin or a salt thereof.
- Another object of the present invention is to provide a method for preventing or treating degenerative brain diseases, comprising administering a composition containing gocipetin or a salt thereof to an individual other than humans.
- gocipetin is excellent in inhibiting protein aggregation in brain cells, and it is excellent in preventing and treating degenerative brain diseases and improving memory even in animal experiments, the composition comprising gocipetin of the present invention It can be usefully used in preventing and treating degenerative brain diseases and improving memory and cognitive function.
- 1 is a result showing the efficacy of gosipetin inhibiting protein aggregation in cells.
- (a) is the measurement of the amount of protein aggregates produced that did not pass through the filter after the cells were treated with gosipetin, and (b) the amount of protein aggregates was determined by electrophoresis on the gel.
- (c) shows the generation of protein aggregates in cells and the decrease due to gocipetin treatment as agglutination of green fluorescent protein, and
- (d) is a quantitative analysis.
- (e) compares and analyzes the amount of insoluble aggregates compared to soluble protein aggregates, and (f) analyzes the amount of water-soluble protein aggregates.
- (g) is a result of measuring the number of cells having such protein aggregates
- (h) is a result of measuring the total number of cells having expression of a fluorescent protein.
- Figure 4 is a result of seeing the learning function improvement effect by measuring the escape time (escape latency) of the Alzheimer's induction mouse through the Morris water maze test for gosipetin.
- FIG. 7 is a result of biochemically measuring the degree of deposition of amyloid aggregates in the mouse brain for gosipetin.
- (a) is the measurement of the amount of amyloid aggregates that have not passed through the filter among protein aggregates accumulated in the brain, and
- (b) is the measurement of the amount of soluble amyloid aggregates.
- (c) is an analysis of the amyloid aggregated polymer accumulated in the brain by electrophoresis on a gel
- (d) is a comparative analysis of the amounts of amyloid monoliths and polymers, respectively.
- FIG. 11 is a result of comparing the efficacy of gocipetin and the degree of inhibition of intracellular protein aggregation for compounds known to significantly inhibit the aggregation of A ⁇ and tau proteins in vitro.
- FIG. 12 is a result of comparing the effect of gocipetin in a Y-maze experiment on the degree of improvement of short-term memory ability of Alzheimer's dementia-induced mice for compounds known to significantly inhibit aggregation of A ⁇ and tau proteins in vitro.
- One aspect of the present invention provides a pharmaceutical composition for preventing or treating degenerative brain diseases, including gossypetin or a salt thereof.
- Another aspect of the present invention provides a health functional food composition for improving memory or cognitive function, comprising gosipetin or a salt thereof.
- “gocifetin” may be a compound represented by the following Formula 1:
- the degenerative brain disease is caused by one or more of protein aggregation, increased VRK2 activity, increased decomposition amount of chaperone protein, abnormal folding of protein, lewy body formation, polyglutamine aggregation, and glial inflammatory response, or pathology.
- the protein aggregation may be expressed in an appropriate manner, and the protein aggregation may be aggregation of amyloid A ⁇ , tau protein, huntingtin, and ⁇ -synuclein, but is not limited thereto.
- “memory/cognitive function” refers to the ability to efficiently manipulate knowledge and information, and includes all processes of thinking, speaking, remembering, judging, and executing using the brain. Memory and cognitive function may be lost or impaired due to brain cell damage, which may appear as symptoms such as forgetfulness, memory loss, and memory disorder.
- the pharmaceutical composition containing gocifetin or a pharmaceutically acceptable salt thereof according to the present invention respectively, according to a conventional method, external preparations such as powders, granules, tablets, capsules, suspensions, emulsions, syrups, aerosols, and sterile injections It may be formulated and used in the form of a solution, and may have a formulation of cream, gel, patch, spray, ointment, warning agent, lotion, liniment, pasta, or cataplasma, but is not limited thereto.
- Another aspect of the present invention provides a health functional food composition for improving memory or cognitive function, comprising gosipetin or a salt thereof.
- composition may include gocipetin as an active ingredient.
- the composition of the present invention includes various nutrients, vitamins, electrolytes, flavoring agents, colorants, pectic acids and salts thereof, alginic acid and salts thereof, organic acids, protective colloidal thickeners, pH adjusters, stabilizers, preservatives, glycerin, alcohols, Carbonating agents used in carbonated beverages may be contained.
- the composition of the present invention may contain flesh for the production of natural fruit juice, fruit juice beverage and vegetable beverage. These components may be used independently or in combination. The proportion of these additives is not very important, but it is generally selected in the range of 0.01-0.20 parts by weight per 100 parts by weight of the composition of the present invention.
- ingredients that may be added include fats and oils, moisturizers, emollients, surfactants, organic and inorganic pigments, organic powders, ultraviolet absorbers, preservatives, fungicides, antioxidants, plant extracts, pH adjusters, alcohols, pigments, fragrances, Blood circulation accelerators, cold sensation agents, restrictors, and purified water.
- oil and fat components examples include ester oils and fats, hydrocarbon oils, silicone oils, fluorine oils, animal oils and vegetable oils.
- ester oils include glyceryl tri2-ethylhexanoate, cetyl 2-ethylhexanoate, isopropyl myristate, butyl myristate, isopropyl palmitate, ethyl stearate, octyl palmitate, isocetyl isostearate, stearic acid.
- hydrocarbon-based fats and oils examples include hydrocarbon-based fats such as squalene, liquid paraffin, alpha-olefin oligomer, isoparaffin, ceresin, paraffin, liquid isoparaffin, polybuden, microcrystalline wax, and petrolatum.
- Silicone-based fats and oils include polymethylsilicone, methylphenylsilicone, methylcyclopolysiloxane, octamethylpolysiloxane, decamethylpolysiloxane, dodecamethylcyclosiloxane, dimethylsiloxane/methylcetyloxysiloxane copolymer, dimethylsiloxane/methylsteaoxysiloxane copolymer, alkyl And modified silicone oil and amino-modified silicone oil.
- Animal or vegetable oils include avocado oil, almond oil, olive oil, sesame oil, rice bran oil, new flower oil, soybean oil, corn oil, rapeseed oil, almond oil, palm kernel oil, palm oil, castor oil, sunflower oil, grape seed oil.
- Cottonseed Oil, Palm Oil Cucuine Nut Oil, Wheat Germ Oil, Rice Germ Oil, Shea Butter, Walnut Colostrum Oil, Marker Demi Anut Oil, Meadow Home Oil, Egg Yolk Oil, Tallow Oil, Horse Oil, Mink Oil, Orange Rape Oil, Jojoba Oil
- Animal or plant fats such as canderry wax, carnauba wax, liquid lanolin, and hydrogenated castor oil.
- the moisturizing agent examples include a water-soluble low-molecular moisturizer, a fat-soluble molecular moisturizer, a water-soluble polymer, and a fat-soluble polymer.
- emollient agent examples include long-chain acyl glutamate cholesteryl ester, hydroxystearate cholesteryl, 12-hydroxystearic acid, stearic acid, rosin acid, and lanolin fatty acid cholesteryl ester.
- surfactant examples include nonionic surfactants, anionic surfactants, cationic surfactants, and amphoteric surfactants.
- anionic surfactants fatty acid soap, alpha-acyl sulfonate, alkyl sulfonate, alkyl allyl sulfonate, alkyl naphthalene sulfonate, alkyl sulfate, POE alkyl ether sulfate, alkylamide sulfate, alkyl phosphate, POE alkyl phosphate, alkylamide phosphate , Alkyloylalkyltaurine salt, N-acylamino acid salt, POE alkylether carboxylate, alkylsulfosuccinate, sodium alkylsulfoacetate, acylated hydrolyzed collagen peptide salt, perfluoroalkylphosphoric acid ester, and the like. .
- Cationic surfactants include alkyl trimethyl ammonium chloride, stearyl trimethyl ammonium chloride, stearyl trimethyl ammonium bromide, cetostearyl trimethyl ammonium chloride, distearyl dimethyl ammonium chloride, stearyldimethylbenzyl ammonium chloride, behenyl trimethyl ammonium bromide, and chloride.
- Benzalkonium diethylaminoethyl amide stearate, dimethylaminopropyl amide stearate, lanolin derivative quaternary ammonium salt, and the like.
- amphoteric surfactants include carboxybetaine type, amidebetaine type, sulfobetaine type, hydroxysulfobetaine type, amide sulfobetaine type, phosphobetaine type, aminocarboxylate type, imidazoline derivative type, amideamine type, etc. Amphoteric surfactants, and the like.
- organic and inorganic pigments include silicic acid, silicic anhydride, magnesium silicate, talc, sericite, mica, kaolin, bengala, clay, bentonite, titanium coated mica, bismuth oxychloride, zirconium oxide, magnesium oxide, zinc oxide, titanium oxide, aluminum oxide.
- Inorganic pigments such as calcium sulfate, barium sulfate, magnesium sulfate, calcium carbonate, magnesium carbonate, iron oxide, ultramarine, chromium oxide, chromium hydroxide, calamine, and complexes thereof; Polyamide, polyester, polypropylene, polystyrene, polyurethane, vinyl resin, urea resin, phenol resin, fluorine resin, silicon resin, acrylic resin, melamine resin, epoxy resin, polycarbonate resin, divinylbenzene-styrene copolymer, Organic pigments, such as silk powder, cellulose, CI pigment yellow, and CI pigment orange, and complex pigments of these inorganic pigments and organic pigments, etc. are mentioned.
- organic powder examples include metal soaps such as calcium stearate; Alkyl phosphate metal salts, such as sodium zinc cetylate, a zinc laurylate, and calcium laurylate; Acylamino acid polyvalent metal salts such as N-lauroyl-beta-alanine calcium, N-lauroyl-beta-alanine zinc, and N-lauroyl glycine calcium; Amide sulfonic acid polyvalent metal salts such as N-lauroyl-taurine calcium and N-palmitoyl-taurine calcium; N, such as N-epsilon-lauroyl-L-lysine, N-epsilon-palmitoyl lizine, N-alpha-paritoylolnitine, N-alpha-lauroylarginine, N-alpha-hardened tallow fatty acid acylarginine, etc.
- metal soaps such as calcium stearate
- N-acyl polypeptides such as N-lauroylglycylglycine
- Alpha-amino fatty acids such as alpha-aminocaprylic acid and alpha-aminolauric acid
- Polyethylene polypropylene, nylon, polymethyl methacrylate, polystyrene, divinylbenzene/styrene copolymer, ethylene tetrafluoride, and the like.
- UV absorbers include paraaminobenzoic acid, ethyl paraaminobenzoate, amyl paraaminobenzoate, octyl paraaminobenzoate, ethylene glycol salicylate, phenyl salicylate, octyl salicylate, benzyl salicate, butyl phenyl salicylate, homomentyl salicylate, benzyl cinnamate , Paramethoxycinnamic acid-2-ethoxyethyl, paramethoxycinnamic acid octyl, diparamethoxycinnamic acid mono-2-ethylhexane glyceryl, paramethoxycinnamic acid isopropyl, diisopropyl ⁇ diisopropyl cinnamic acid ester mixture, right Cannic acid, ethyl urocanate, hydroxymethoxybenzophenone, hydroxymethoxybenz
- antioxidant examples include butylhydroxyanisole, propyl gallic acid, and elisorbic acid.
- pH adjuster examples include citric acid, sodium citrate, malic acid, sodium malate, pmalic acid, sodium pmarate, succinic acid, sodium succinate, sodium hydroxide, sodium monohydrogen phosphate, and the like.
- Examples of the alcohol include higher alcohols such as ethyl alcohol.
- the formulation of the present invention is a lotion, paste, cream or gel, animal fibers, plant fibers, wax, paraffin, starch, tracant, cellulose derivatives, polyethylene glycol, silicone, bentonite, silica, talc, or zinc oxide, etc. are used as carrier components. Can be used.
- lactose When the formulation of the present invention is a powder or spray, lactose, talc, silica, aluminum hydroxide, calcium silicate, or polyamide powder may be used as a carrier component.
- lactose talc
- silica aluminum hydroxide
- calcium silicate or polyamide powder
- propellants such as butane or dimethyl ether.
- a liquid diluent such as water, ethanol or propylene glycol as a carrier component, an ethoxylated isostearyl alcohol, a suspending agent such as polyoxyethylene sorbitol ester and polyoxyethylene sorbitan ester, microcrystalline Cellulose, aluminum metahydroxide, bentonite, agar or tracant, and the like may be used.
- the formulation of the present invention is a surfactant containing cleansing, as a carrier component, aliphatic alcohol sulfate, aliphatic alcohol ether sulfate, sulfosuccinic acid monoester, isethionate, imidazolinium derivative, methyltaurate, sarcosinate, fatty acid amide Ether sulfates, alkylamidobetaines, fatty alcohols, fatty acid glycerides, fatty acid diethanolamides, vegetable oils, linoline derivatives, or ethoxylated glycerol fatty acid esters may be used.
- Another aspect of the present invention provides a method for preventing or treating degenerative brain diseases, comprising administering the pharmaceutical composition to an individual.
- “individual” means a subject in need of treatment of a disease. Specifically, it may refer to mammals such as human or non-human primates, mice, rats, dogs, cats, horses, and cows, and more specifically, animals other than humans, Or it may mean a human, but is not limited thereto.
- the pharmaceutical composition according to the present invention may be administered in a pharmaceutically effective amount.
- the "pharmaceutically effective amount” means an amount sufficient to treat a disease with a reasonable benefit/risk ratio applicable to medical treatment, and the effective dose level is the type of patient's disease, severity, drug activity, and sensitivity to drugs. , Administration time, route of administration and rate of excretion, duration of treatment, factors including drugs used concurrently, and other factors well known in the medical field.
- the concentration of the administered gocifetin may be 0.1 mg/kg or more and 500 mg/kg or less, based on the body weight of the administered individual, and specifically 0.1 mg/kg or more and 100 mg/kg or less, 0.5 mg/kg or more and 100 mg/kg.
- the pharmaceutical composition according to the present invention may be administered as an individual therapeutic agent or administered in combination with other therapeutic agents, may be administered sequentially or simultaneously with a conventional therapeutic agent, and may be administered single or multiple. It is important to administer an amount capable of obtaining the maximum effect in a minimum amount without side effects in consideration of all the above factors, and this can be easily determined by a person skilled in the art to which the present invention pertains.
- the pharmaceutical composition of the present invention can be administered to a subject by various routes. All modes of administration can be expected, for example, by oral administration, subcutaneous, intravenous, intramuscular, intrauterine dura mater or intracerebrovascular injection.
- the pharmaceutical composition of the present invention is determined according to the type of drug as an active ingredient, along with various related factors such as the disease to be treated, the route of administration, the age, sex, weight, and severity of the disease.
- VRK2 a kinase
- VRK2 inhibition is expected to inhibit polyglutamine aggregation, and to determine whether gocipetin has an inhibitory effect on VRK2 activity, the degree of inhibition of VRK2 activity was measured by treating gocipetin at various concentrations.
- gocipetin is effective in preventing and treating Alzheimer's, and it was confirmed that it has a very excellent effect on improving cognitive function.
- Example 3-1 Tissue analysis of Alzheimer-induced mouse brain treated with gocipetin
- Alzheimer's-inducing mice (5xFAD) were extracted from the brains of the group fed and not fed gocipetin to make sections, and then analyzed the level of production of A ⁇ amyloid aggregates by the Thioflavin S staining method.
- Figs. 6A-6C the tissues of the hippocampus
- Figs. 6D-6F the frontal lobe
- Example 3-2 Biochemical analysis of the hippocampal region of the brain of Alzheimer's-induced mice treated with gocifetin
- a ⁇ amyloid protein is a protein produced by cleaving an APP amyloid precursor protein by an enzyme.
- Western blot was performed to check whether the decrease in A ⁇ amyloid protein was caused by a decrease in the amount of APP amyloid precursor protein, it was confirmed that the amount of APP amyloid precursor protein did not change (Figs. 7F and 7G). .
- Example 3-3 Analysis of the degree of gliosis due to hyperactivity of microglia in Alzheimer's-induced mouse brain treated with gocifetin
- Alzheimer's-inducing mice (5xFAD) were extracted from the brains of the group fed and not fed gocipetin to make sections, and then to the antibody against IB-1, a specific protein of microglia, and GFAP, a specific protein of astrocytes. The distribution and proliferation of microglia and astrocytes were analyzed using the anti-antibody.
- gliosis When observing the hippocampus (Figs. 8A-8B, Figs. 9A-9B) and frontal lobe (Figs. 8C-8D, Fig. 9C-9D) tissues of the brain, hyperactivity of microglia and astrocytes in the group of mice fed with gocipetin, That is, it can be seen that gliosis is greatly reduced.
- 5xFAD an Alzheimer's induction mouse model
- 5xFAD was administered orally at 10 mg/kg each of gocipetin (GSP), rosmarinic acid, and rachmoid for 15 weeks from the time of 8 weeks of age
- GSP gocipetin
- rosmarinic acid rosmarinic acid
- rachmoid for 15 weeks from the time of 8 weeks of age
- Example 5-2 Alzheimer's prevention and treatment effect confirmed through an underwater maze experiment
- 5xFAD a dementia-inducing mouse
- GSP gocipetin
- rosmarinic acid rosmarinic acid
- rachmoid a substance that influences the cognitive function.
- an underwater maze experiment was performed to test cognitive function.
- the platform was removed on the 6th day, and then it was confirmed how much memory the platform was.
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Abstract
Description
Claims (9)
- 고시페틴(Gossypetin) 또는 이의 염을 포함하는, 퇴행성 뇌질환 예방 또는 치료용 약학적 조성물.
- 제1항에 있어서, 상기 퇴행성 뇌질환은 VRK2의 활성 증가, 베타 아밀로이드(Aβ) 단백질의 응집, 및 타우 단백질의 응집 중에서 선택되는 하나 이상의 원인에 의해 발병하는 것인, 퇴행성 뇌질환 예방 또는 치료용 약학적 조성물.
- 제1항에 있어서, 상기 퇴행성 뇌질환은 치매, 알츠하이머, 헌팅톤씨 병, 파킨슨씨 병, 다계통위측증(Multiple system atrophy), 다발성경화증(multiple sclerosis), 타우병증(tauopathies), 뇌종양, 피크병 또는 크로이츠펠트-야콥병 으로 이루어진 군에서 선택되는 것인, 퇴행성 뇌질환 예방 또는 치료용 약학적 조성물.
- 고시페틴 또는 이의 염을 포함하는, VRK2 활성 억제용 조성물.
- 고시페틴 또는 이의 염을 포함하는, 기억력 또는 인지기능 개선용 약학적 조성물.
- 고시페틴 또는 이의 염을 포함하는, 퇴행성 뇌질환 예방 또는 개선용 건강기능식품 조성물.
- 고시페틴 또는 이의 염을 포함하는, 기억력 또는 인지기능 개선용 건강기능식품 조성물.
- 고시페틴 또는 이의 염을 포함하는 조성물을 개체에 투여하는 것을 포함하는, 퇴행성 뇌질환 예방 또는 치료방법.
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CN202080049209.0A CN114126607A (zh) | 2019-05-14 | 2020-04-16 | 用于预防或治疗神经退行性疾病的包含棉黄素的组合物 |
EP20806509.4A EP3970716A4 (en) | 2019-05-14 | 2020-04-16 | COMPOSITION WITH GOSSYPETIN FOR PREVENTION OR TREATMENT OF NEURODEGENERATIVE DISEASES |
JP2021568441A JP2022532415A (ja) | 2019-05-14 | 2020-04-16 | ゴッシペチンを含む退行性脳疾患の予防又は治療用組成物 |
BR112021022768A BR112021022768A8 (pt) | 2019-05-14 | 2020-04-16 | Composição e método que compreende gossipetina para prevenção ou tratamento de doença degenerativa |
US17/611,051 US20220304974A1 (en) | 2019-05-14 | 2020-04-16 | Composition comprising gossypetin for prevention or treatment of neurodegenerative disease |
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KR1020190056524A KR102102868B1 (ko) | 2019-05-14 | 2019-05-14 | 고시페틴(Gossypetin)을 포함하는 퇴행성 뇌질환 예방 또는 치료용 조성물 |
KR10-2019-0056524 | 2019-05-14 |
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US (1) | US20220304974A1 (ko) |
EP (1) | EP3970716A4 (ko) |
JP (1) | JP2022532415A (ko) |
KR (1) | KR102102868B1 (ko) |
CN (1) | CN114126607A (ko) |
BR (1) | BR112021022768A8 (ko) |
WO (1) | WO2020231024A1 (ko) |
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WO2009003147A1 (en) * | 2007-06-26 | 2008-12-31 | Parkinson's Institute | Methods and compositions for the treatment of neurological disorders |
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2019
- 2019-05-14 KR KR1020190056524A patent/KR102102868B1/ko active Active
-
2020
- 2020-04-16 WO PCT/KR2020/005080 patent/WO2020231024A1/ko unknown
- 2020-04-16 CN CN202080049209.0A patent/CN114126607A/zh active Pending
- 2020-04-16 EP EP20806509.4A patent/EP3970716A4/en active Pending
- 2020-04-16 JP JP2021568441A patent/JP2022532415A/ja active Pending
- 2020-04-16 US US17/611,051 patent/US20220304974A1/en not_active Abandoned
- 2020-04-16 BR BR112021022768A patent/BR112021022768A8/pt unknown
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Also Published As
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CN114126607A (zh) | 2022-03-01 |
KR102102868B1 (ko) | 2020-04-23 |
BR112021022768A2 (pt) | 2022-02-01 |
BR112021022768A8 (pt) | 2022-08-30 |
EP3970716A1 (en) | 2022-03-23 |
US20220304974A1 (en) | 2022-09-29 |
EP3970716A4 (en) | 2023-05-31 |
JP2022532415A (ja) | 2022-07-14 |
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