Patent Application
20240158442
The invention belongs to the technical field of medicine, and in particular relates to a multifunctional polypeptide and application thereof in the field of medicine.
Globally, the morbidity and mortality of thrombotic diseases rank first. Cerebral blood clots lead to cerebral infarction, clinically known as ischemic stroke, or stroke. Stroke causes disability in a large number of people and seriously affects their quality of life. Therefore, it is urgent to develop a safe and effective drug for this disease. The problems encountered during the treatment of cerebral infarction are very complicated. First, the thrombolytic drugs currently available cannot cross the blood-brain barrier. Even if these drugs have crossed the blood-brain barrier and caused thrombolysis successfully, this ischemia-reperfusion process will lead to the generation of a large number of free radicals, which will damage the brain tissue and lead to death. Therefore, the drug for the treatment of stroke so far is tPA. However, tPA also has limited effect that it only works within three hours after the onset of stroke in patients. tPA may also cause systemic bleeding, causing harm to the patient. In addition, tPA fails to solve the damage to brain tissue caused by ischemia-reperfusion.
Carnosine (L-Carnosine) is a dipeptide composed of two amino acids, β-alanine and L-histidine. Carnosine has a strong anti-oxidative capacity and is beneficial to human body. Carnosine has been shown to clear off reactive oxygen species (ROS) and α-β-unsaturated aldehydes formed during oxidative stress by the excessive oxidation of fatty acids on cell membrane. Carnosine has anti-inflammatory, anti-glycation, anti-oxidative and chelating function, it can serve as a nonprescription food supplement and it is promising in the prevention and auxiliary treatment of chronic diseases such as cardiovascular diseases and neurodegenerative diseases. The neuroprotective mechanism of carnosine can prevent permanent cerebral ischemia in animal experiments. The supplementation of carnosine is believed to help alleviate some of the age-related neurological diseases, such as Alzheimer's disease, Parkinson's disease, etc. Carnosine is also an important intracellular antioxidant. Carnosine is not only non-toxic, but also has strong anti-oxidative effect, so it has attracted widespread attention as a new food additive and pharmaceutical reagent. Carnosine participates in the peroxidative reaction in the cell. In addition to inhibiting the peroxidation processes on cell membrane, carnosine can also inhibit relevant peroxidation reactions within the cell. In medical field, carnosine can prevent Alzheimer's disease, as well as nerve and brain degeneration. In 1900, Gulewitsch from Russia first discovered carnosine, and then scientists from multiple countries extracted and isolated other histidine dipeptide derivatives from different types of muscle tissue, such as anserine, which is a dipeptide composed of β-alanine and 1-methyl-L-histidine, as well as balenine (also known as ophidine), which is composed of β-alanine and 3-methyl-L-histidine. The amount of these carnosine and carnosine derivatives vary in different animals, and the amount and ratio of these histidine dipeptides are also different among different species, with certain specificity. Not only present in muscle tissue, these histidine dipeptides are also found in other types of tissue, such as brain tissue. These carnosine derivatives are water-soluble and have strong and significant anti-oxidative, anti-aging, and uric acid-lowering functions. They have been used as natural antioxidants and uric acid-lowering diet therapy in food industry, and they also have certain neuroprotective functions.
Although carnosine and carnosine derivatives have significant protecting effect for nerve cells, it often requires high dose, which can lead to side effects. In addition, they do not have thrombolysis function, which limits their practical clinical applications. Although peptides with thrombolytic activity have thrombolysis function, they cannot protect or repair the damage of nerve cells.
The invention relates to a multifunctional polypeptide and application thereof in the field of medicine. The polypeptide consists of oligopeptide with thrombolytic function linked to carnosine composed of histidine, 1-methylhistidine and 3-methylhistidine, anserine or ophidine, etc., so as to form a polypeptide compound with both the protecting function of carnosine, anserine or ophidine and the thrombolytic function of oligopeptide. Surprisingly, the polypeptide can easily pass the blood-brain barrier, and exhibit good biological activity through intravenous administration, thus is promising in the treatment of neurological diseases, especially brain damage and stroke. The technical embodiments of the present invention are described below.
In one aspect, the present invention provides a multifunctional polypeptide consisting of one or more of at least one Pro-Ala-Lys, Ala-Lys-Pro, Lys-Ala-Pro and a fragment and derived peptide thereof, with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus; wherein the fragment is selected from Pro-Ala, Ala-Lys, Lys-Pro, Lys-Ala, Ala-Pro, Pro, Ala or Lys; wherein the derived peptide is selected from Ala-Arg-Pro-Ala-Lys, Arg-Pro-Ala-Lys, Ala-Arg-Ala-Lys-Pro, Ala-Arg-Lys-Ala-Pro, Arg-Ala-Lys-Pro, Arg-Lys-Ala-Pro, Gly-Arg-Pro-Ala-Lys, Gly-Arg-Ala-Lys-Pro, Gly-Arg-Lys-Ala-Pro, Gln-Arg-Pro-Ala-Lys, Gln-Arg-Ala-Lys-Pro or Gln-Arg-Lys-Ala-Pro. Wherein, the derived peptides Ala-Arg-Pro-Ala-Lys and Arg-Pro-Ala-Lys are degradation products or metabolites of the thrombolytic-active oligopeptide fibrin beta chain (P6A).
Specifically, the multifunctional polypeptide in the present invention consists of one or more of Pro-Ala-Lys, Ala-Lys-Pro, Lys-Ala-Pro and dipeptide fragments (to form dipeptide, tripeptide or pentapeptide etc.), with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus; including: β-Ala-His-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro, Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala, β-Ala-His-Ala-Lys, β-Ala-His-Lys-Pro, β-Ala-His-Lys-Ala, β-Ala-His-Ala-Pro, Pro-Ala-β-Ala-His, Ala-Lys-β-Ala-His, Lys-Pro-β-Ala-His, Lys-Ala-β-Ala-His, Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-β-Ala-His-β-Ala-His-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-β-Ala-His, β-Ala-His-Ala-Lys-β-Ala-His, β-Ala-His-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-β-Ala-His, β-Ala-His-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-Ala, β-Ala-His-Pro-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys-Pro, β-Ala-His-Lys-Pro-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys-Ala, β-Ala-His-Lys-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala-Pro, β-Ala-His-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Pro-Ala, β-Ala-His-Pro-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys-Pro, β-Ala-His-Lys-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys-Ala, β-Ala-His-Lys-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala-Pro, β-Ala-His-Ala-Pro-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Pro-Ala, β-Ala-His-Pro-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys-Pro, β-Ala-His-Lys-Pro-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys-Ala, β-Ala-His-Lys-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Pro, β-Ala-His-Ala-Pro-Lys-Ala-Pro, Pro-Ala-Lys-Pro-Ala-β-Ala-His, Pro-Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-Pro-β-Ala-His, Lys-Pro-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-Ala-β-Ala-His, Lys-Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-Pro-β-Ala-His, Ala-Pro-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Pro-Ala-β-Ala-His, Pro-Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-Pro-β-Ala-His, Lys-Pro-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-Ala-β-Ala-His, Lys-Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-Pro-β-Ala-His, Ala-Pro-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Pro-Ala-β-Ala-His, Pro-Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Pro-β-Ala-His, Lys-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-β-Ala-His, Lys-Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Pro-β-Ala-His, Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-Ala-β-Ala-His, β-Ala-His-Pro-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Pro-Ala-β-Ala-His, β-Ala-His-Pro-Ala-Ala-Lys-Pro-β-Ala-His,β-Ala-His-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pr0-Lys-Ala-Pro-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His, which form carnosine, anserine or ophidine respectively with β-Ala, which is the same as below.
Wherein, the multifunctional polypeptide in the present invention consists of two of Pro-Ala-Lys, Ala-Lys-Pro and Lys-Ala-Pro to form a hexapeptide, and it has carnosine, anserine or ophidine at its C-terminus and/or N-terminus; including: Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, Pro-Ala-Lys-Lys-Ala-Pro-β-Ala-His, Ala-Lys-Pro-Pro-Ala-Lys-β-Ala-His, Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Lys-Ala-Pro-β-Ala-His, Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Pro-Ala-Lys-Lys-Ala-Pro, β-Ala-His-Ala-Lys-Pro-Pro-Ala-Lys, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Wherein, the multifunctional polypeptide in the present invention consists of (Pro-Ala-Lys)n, (Ala-Lys-Pro)n or (Lys-Ala-Pro)n, and it has carnosine, anserine or ophidine at its C-terminus and/or N-terminus; n is an integer between 2-6; including: β-Ala-His-Pro-Ala-Lys-Pro-Ala-Lys, Pro-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-Pro, Ala-Lys-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro, Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Wherein, the multifunctional polypeptide in the present invention consists of the derived peptides of Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro, and it has carnosine, anserine or ophidine at its C-terminus and/or N-terminus; including: Ala-Arg-Pro-Ala-Lys-β-Ala-His, Arg-Pro-Ala-Lys-β-Ala-His, Ala-Arg-Ala-Lys-Pro-β-Ala-His, Ala-Arg-Lys-Ala-Pro-β-Ala-His, Arg-Ala-Lys-Pro-β-Ala-His, Arg-Lys-Ala-Pro-β-Ala-His, Gly-Arg-Pro-Ala-Lys-β-Ala-His, Gln-Arg-Pro-Ala-Lys-β-Ala-His, Gly-Arg-Ala-Lys-Pro-β-Ala-His, Gly-Arg-Lys-Ala-Pro-β-Ala-His, Gln-Arg-Ala-Lys-Pro-β-Ala-His, Gln-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Arg-Pro-Ala-Lys, β-Ala-His-Arg-Pro-Ala-Lys, β-Ala-His-Ala-Arg-Ala-Lys-Pro, β-Ala-His-Ala-Arg-Lys-Ala-Pro, β-Ala-His-Arg-Ala-Lys-Pro, β-Ala-His-Arg-Lys-Ala-Pro, β-Ala-His-Gly-Arg-Pro-Ala-Lys, β-Ala-His-Gln-Arg-Pro-Ala-Lys, β-Ala-His-Gly-Arg-Ala-Lys-Pro, β-Ala-His-Gly-Arg-Lys-Ala-Pro, β-Ala-His-Gln-Arg-Ala-Lys-Pro, β-Ala-His-Gln-Arg-Lys-Ala-Pro, β-Ala-His-Ala-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Gly-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Gln-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Gly-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Gly-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Gln-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Gln-Arg-Lys-Ala-Pro-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Wherein, the multifunctional polypeptide in the present invention consists of Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro and amino acid Pro, Ala or/and Lys (amino acid fragments), and it has carnosine, anserine or ophidine at its C-terminus and/or N-terminus; including: β-Ala-His-Pro-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala, β-Ala-His-Lys-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys, β-Ala-His-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Pro, β-Ala-His-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala, β-Ala-His-Lys-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys, β-Ala-His-Pro-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Pro, β-Ala-His-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala, β-Ala-His-Lys-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys, Pro-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Pro-β-Ala-His, Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-β-Ala-His, Lys-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-β-Ala-His, Pro-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Pro-β-Ala-His, Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-β-Ala-His, Lys-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-β-Ala-His, Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Pro-β-Ala-His,Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-β-Ala-His, Lys-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-β-Ala-His, β-Ala-His-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Pro-β-Ala-His, β-Ala-His-Ala-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-β-Ala-His, β-Ala-His-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-β-Ala-His, β-Ala-His-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Further, the multifunctional polypeptide in the present invention includes: β-Ala-His-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro, β-Ala-His-Arg-Pro-Ala-Lys, β-Ala-His-Arg-Ala-Lys-Pro, β-Ala-His-Arg-Lys-Ala-Pro, β-Ala-His-Pro-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala, β-Ala-His-Lys-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys, β-Ala-His-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Pro, β-Ala-His-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala, β-Ala-His-Lys-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys, β-Ala-His-Pro-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Pro, β-Ala-His-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala, β-Ala-His-Lys-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys, β-Ala-His-Ala-Arg-Pro-Ala-Lys, β-Ala-His-Ala-Arg-Ala-Lys-Pro, β-Ala-His-Ala-Arg-Lys-Ala-Pro, β-Ala-His-Gly-Arg-Pro-Ala-Lys, β-Ala-His-Gln-Arg-Pro-Ala-Lys, β-Ala-His-Gly-Arg-Ala-Lys-Pro, β-Ala-His-Gly-Arg-Lys-Ala-Pro, β-Ala-His-Gln-Arg-Ala-Lys-Pro, β-Ala-His-Gln-Arg-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Pro-Ala, β-Ala-His-Pro-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys-Pro, β-Ala-His-Lys-Pro-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Lys-Ala, β-Ala-His-Lys-Ala-Pro-Ala-Lys, β-Ala-His-Pro-Ala-Lys-Ala-Pro, β-Ala-His-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Pro-Ala, β-Ala-His-Pro-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys-Pro, β-Ala-His-Lys-Pro-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Lys-Ala, β-Ala-His-Lys-Ala-Ala-Lys-Pro, β-Ala-His-Ala-Lys-Pro-Ala-Pro, β-Ala-His-Ala-Pro-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Pro-Ala, β-Ala-His-Pro-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys-Pro, β-Ala-His-Lys-Pro-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Lys-Ala, β-Ala-His-Lys-Ala-Lys-Ala-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Pro, β-Ala-His-Ala-Pro-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Pro-Ala-Lys-Lys-Ala-Pro, β-Ala-His-Ala-Lys-Pro-Pro-Ala-Lys, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro, β-Ala-His-Pro-Ala-Lys-Pro-Ala-Lys, β-Ala-His-Ala-Lys-Pro-Ala-Lys-Pro, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro, Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-β-Ala-His, Arg-Pro-Ala-Ly-β-Ala-His, Arg-Ala-Lys-Pro-β-Ala-His, Arg-Lys-Ala-Pro-β-Ala-His, Pro-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Pro-β-Ala-His, Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-β-Ala-His, Lys-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-β-Ala-His, Pro-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Pro-β-Ala-His, Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-β-Ala-His, Lys-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-β-Ala-His, Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Pro-β-Ala-His, Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-β-Ala-His, Lys-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-β-Ala-His, Ala-Arg-Pro-Ala-Ly-β-Ala-His, Ala-Arg-Ala-Lys-Pro-β-Ala-His, Ala-Arg-Lys-Ala-Pro-β-Ala-His, Gly-Arg-Pro-Ala-Lys-β-Ala-His, Gln-Arg-Pro-Ala-Ly-β-Ala-His, Gly-Arg-Ala-Lys-Pro-β-Ala-His, Gly-Arg-Lys-Ala-Pro-β-Ala-His, Gln-Arg-Ala-Lys-Pro-β-Ala-His, Gln-Arg-Lys-Ala-Pro-β-Ala-His, Pro-Ala-Lys-Pro-Ala-β-Ala-His, Pro-Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-Pro-β-Ala-His, Lys-Pro-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Lys-Ala-β-Ala-His, Lys-Ala-Pro-Ala-Lys-β-Ala-His, Pro-Ala-Lys-Ala-Pro-β-Ala-His, Ala-Pro-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Pro-Ala-β-Ala-His, Pro-Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-Pro-β-Ala-His, Lys-Pro-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Lys-Ala-β-Ala-His, Lys-Ala-Ala-Lys-Pro-β-Ala-His, Ala-Lys-Pro-Ala-Pro-β-Ala-His, Ala-Pro-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Pro-Ala-β-Ala-His, Pro-Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Pro-β-Ala-His, Lys-Pro-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-β-Ala-His, Lys-Ala-Lys-Ala-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Pro-β-Ala-His, Ala-Pro-Lys-Ala-Pro-β-Ala-His, Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, Pro-Ala-Lys-Lys-Ala-Pro-β-Ala-His, Ala-Lys-Pro-Pro-Ala-Lys-β-Ala-His, Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Lys-Ala-Pro-β-Ala-His, Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, Pro-Ala-Lys-Pro-Ala-Lys-β-Ala-His, Ala-Lys-Pro-Ala-Lys-Pro-β-Ala-His, Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-β-Ala-His,β-Ala-His-Arg-Pro-Ala-Ly-β-Ala-His,β-Ala-His-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Pro-Ala-Lys-β-Ala-His,β-Ala-His-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-β-Ala-His,β-Ala-His-Ala-Lys-Pro-Pro-β-Ala-His, β-Ala-His-Ala-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-β-Ala-His, β-Ala-His-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-β-Ala-His, β-Ala-His-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-β-Ala-His, β-Ala-His-Ala-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Gly-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Gln-Arg-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Gly-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Gly-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Gln-Arg-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Gln-Arg-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Pro-Ala-β-Ala-His, β-Ala-His-Pro-Ala-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-β-Ala-His, β-Ala-His-Lys-Ala-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His, β-Ala-His-Pro-Ala-Lys-Pro-Ala-Lys-β-Ala-His, β-Ala-His-Ala-Lys-Pro-Ala-Lys-Pro-β-Ala-His, β-Ala-His-Lys-Ala-Pro-Lys-Ala-Pro-β-Ala-His;
wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Preferably, His is His, that is, it forms carnosine with β-Ala.
Wherein, the multifunctional polypeptide in the present invention consists of one of Pro-Ala-Lys, Ala-Lys-Pro and Lys-Ala-Pro and it couples with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus, including:
wherein His is one of His, 1-Methyl-His or β-Methyl-His. Preferably, His is His, that is, it forms carnosine with β-Ala.
Preferably, the multifunctional polypeptide in the present invention is formed by Pro-Ala-Lys coupled with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus, including:
wherein His is one of His, 1-Methyl-His or β-Methyl-His. Preferably, His is His, that is, it forms carnosine with β-Ala.
Preferably, the multifunctional polypeptide in the present invention is formed by Ala-Lys-Pro coupled with a carnosine, anserine or Ophidine at its C-terminus and/or N-terminus, including:
wherein His is one of His, 1-Methyl-His or β-Methyl-His. Preferably, His is His, that is, it forms carnosine with β-Ala.
Preferably, the multifunctional polypeptide in the present invention is formed by Lys-Ala-Pro coupled with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus, including:
wherein His is one of His, 1-Methyl-His or β-Methyl-His. Preferably, His is His, that is, it forms carnosine with β-Ala.
More preferably, the multifunctional polypeptide in the present invention includes:
Wherein His is one of His, 1-Methyl-His or β-Methyl-His.
Most preferably, the multifunctional polypeptide in the present invention includes:
wherein His is His, that is, it forms carnosine with β-Ala.
On another aspect, the present invention also provides the aforementioned multifunctional polypeptide or its salt used in medicine. The present invention also provides the aforementioned multifunctional polypeptide or its salt used for treating neurological diseases. The present invention also provides a method for treating neurological diseases by using the aforementioned multifunctional polypeptide or its salt.
Specifically, the neurological disease may be ischemic stroke, hemorrhagic stroke, brain trauma, Alzheimer's disease, Parkinson's disease or other neurodegenerative diseases. Preferably, the neurological disease is ischemic stroke.
The multifunctional polypeptide or its salt provided by the invention can be prepared as drug. The aforementioned drug is injectable agent. Specifically, the injectable agent is powder or injectable solution. Further, the aforementioned drug is administered intravenously. The aforementioned drug can also be developed into other different dosage forms depending on the purpose, including sprays, oral tablets, capsules, buccal tablets, granules and suppositories, etc. The aforementioned drug can be the compound itself, or any form of salt, such as acetate, hydrochloride, etc. Salt form of the polypeptide drug is one of the common means to improve the physical and chemical properties of drug molecules as well as enhance druggability. The aforementioned drug can be any form of salt.
In another aspect, the present invention also provides a method of preparing various multifunctional polypeptides of the present invention by solid-phase synthesis, however, it is more convenient to use liquid-phase synthesis for some of the peptides.
In order to determine the application of the synthetic peptides provided by the present invention in neurological diseases, the present invention uses SD rats as experimental objects, and performs middle cerebral artery occlusion method (MCAO) to prepare rat model of cerebral ischemia. These rats were injected drugs intravenously 1-2 hours after ischemia, and a behavioral observation and scoring was conducted for each animal after 22-24 hours. After the behavioral observation, the experimental rats were euthanized and their brains were removed, cut to sections and stained with TTC for quantitative analysis, and the cerebral infarct volume % was calculated.
The synthetic peptide of the present invention creatively combines the thrombolytic functional oligopeptide with a carnosine, anserine or ophidine, etc. to develop a mosaic synthetic peptide, which unexpectedly passes the blood-brain barrier through intravenous injection, enters the brain, and plays an effective role in treating neurological diseases. Such synthetic peptides are preferably used in the treatment of ischemic stroke, hemorrhagic stroke, brain trauma, Alzheimer's disease, Parkinson's disease and other neurodegenerative diseases. The present invention only needs 3 mg/kg intravenous injection dose of the multifunctional polypeptide to achieve remarkable therapeutic effect, which is equivalent to the effect achieved by clinically active standard polypeptide NA1. The synthetic peptide consists of thrombolytic active oligopeptide and carnosine, anserine or ophidine, all of which are natural amino acids or peptides with safety and reliablity.
The thrombolytic active oligopeptide used in the present invention is a polypeptide containing Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro, and the polypeptide can be the combination of any two different or identical fragments, or can be the combination of these fragments with smaller fragments. The polypeptide includes a polypeptide formed by Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro linked to each other, including Pro-Ala-Lys-Ala-Lys-Pro, Pro-Ala-Lys-Lys-Ala-Pro, Ala-Lys-Pro-Pro-Ala-Lys, Lys-Ala-Pro-Pro-Ala-Lys, Ala-Lys-Pro-Lys-Ala-Pro, Pro-Ala-Lys-Ala-Lys-Pro, Lys-Ala-Pro-Ala-Lys-Pro, Lys-Ala-Pro-Pro-Ala-Lys, Lys-Ala-Pro-Lys-Ala-Pro. Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro may also couple with itself to form multimers, such as (Pro-Ala-Lys)n, (Ala-Lys-Pro)n or (Lys-Ala-Pro)n, wherein n may be between 2 to 6, especially 2.
The thrombolytic active oligopeptide used in the present invention also includes the degradation product P6A of the fibrin beta chain, Ala-Arg-Pro-Ala-Ly and the further metabolized product Arg-Pro-Ala-Ly, as well as the relevant thrombolytic active oligopeptides Ala-Arg-Ala-Lys-Pro; Ala-Arg-Lys-Ala-Pro; Arg-Ala-Lys-Pro; Arg-Lys-Ala-Pro, etc. The thrombolytic active oligopeptide used in the present invention further includes Gly-Arg-Pro-Ala-Ly and Gln-Arg-Pro-Ala-Ly, and Gly-Arg-Ala-Lys-Pro, Gly-Arg-Lys-Ala-Pro, Gln-Arg-Ala-Lys-Pro and Gln-Arg-Lys-Ala-Pro.
The present invention also includes the combination of Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro with any one of amino acid Pro, Ala or Lys, such as Pro-Pro-Ala-Lys; Pro-Ala-Lys-Pro; Ala-Pro-Ala-Lys; Pro-Ala-Lys-Ala; Lys-Pro-Ala-Lys; Pro-Ala-Lys-Lys; Pro-Ala-Lys-Pro; Ala-Lys-Pro-Pro; Ala-Ala-Lys-Pro; Ala-Lys-Pro-Ala; Lys-Ala-Lys-Pro; Ala-Lys-Pro-Lys; Pro-Lys-Ala-Pro; Lys-Ala-Pro-Pro; Ala-Lys-Ala-Pro; Lys-Ala-Pro-Ala; Lys-Lys-Ala-Pro; Lys-Ala-Pro-Lys.
The present invention also includes the combination of Pro-Ala-Lys, Ala-Lys-Pro or Lys-Ala-Pro with any one of Pro-Ala, Ala-Lys, Lys-Pro, Lys-Ala and Ala-Pro, such as Pro-Ala-Lys-Pro-Ala; Pro-Ala-Pro-Ala-Lys; Pro-Ala-Lys-Ala-Lys; Ala-Lys-Pro-Ala-Lys; Pro-Ala-Lys-Lys-Pro; Lys-Pro-Pro-Ala-Lys; Pro-Ala-Lys-Lys-Ala; Lys-Ala-Pro-Ala-Lys; Pro-Ala-Lys-Ala-Pro; Ala-Pro-Pro-Ala-Lys; Ala-Lys-Pro-Pro-Ala; Pro-Ala-Ala-Lys-Pro; Ala-Lys-Pro-Ala-Lys; Ala-Lys-Ala-Lys-Pro; Ala-Lys-Pro-Lys-Pro; Lys-Pro-Ala-Lys-Pro; Ala-Lys-Pro-Lys-Ala; Lys-Ala-Ala-Lys-Pro; Ala-Lys-Pro-Ala-Pro; Ala-Pro-Ala-Lys-Pro; Lys-Ala-Pro-Pro-Ala; Pro-Ala-Lys-Ala-Pro; Lys-Ala-Pro-Ala-Lys; Ala-Lys-Lys-Ala-Pro; Lys-Ala-Pro-Lys-Pro; Lys-Pro-Lys-Ala-Pro; Lys-Ala-Pro-Lys-Ala; Lys-Ala-Lys-Ala-Pro; Lys-Ala-Pro-Ala-Pro; Ala-Pro-Lys-Ala-Pro.
The Patent application CN101190941, CN103665107, and CN105884905 also described these thrombolytic functional peptides, and the described polypeptides are certainly included in the present invention.
The multifunctional polypeptide of the present invention can be obtained by the aforementioned thrombolytic active oligopeptide coupled with a carnosine, anserine or ophidine at its C-terminus and/or N-terminus.
The synthetic peptide of the present invention is easy to synthesize. During the synthesis process, the derivatives of carnosine, anserine or ophidine may be used as synthetic fragments to replace the corresponding two amino acids to further simplify the synthesis of the peptide of interest. In addition, some short peptides, such as polypeptides that are no more than six amino acid long, can be obtained through liquid-phase synthesis to further reduce the cost as well as to make large-scale production and product quality supervision easier in the future. The polypeptide of the present invention provides a new option for the treatment of neurological diseases, especially for the treatment of ischemic stroke, hemorrhagic stroke, brain trauma, Alzheimer's disease, Parkinson's disease and other neurodegenerative diseases.
In order to make the object, technical solutions and advantages of the present invention more clear, the present invention will be further described in details below in conjunction with the accompanying drawings.
The experimental SD rat was weighed and anesthetized with chloral hydrate. After anesthesia, the limbs of the rat were fixed, and the rat was placed in a supine position, connected to the small-animal monitor, and monitored for important physiological parameters such as body temperature, blood pressure and heart rate, etc. The rat's neck was shaved and disinfected with 75% alcohol cotton ball. A middle incision of about 2 cm length was then made on the neck of the experimental rat, and the submandibular gland of the rat was bluntly separated while avoiding damage to the gland. Then, the left common carotid artery (CCA) of the experimental rat was bluntly separated, and the internal carotid artery (ICA) and external carotid artery (ECA) were carefully separated upward along the CCA. Any damage to vagus nerves was avoided during the separation. The CCA and ICA were clamped respectively with two artery clamps, and the distal end of the ECA was cut off and a silicone suture emboli was inserted into the ECA “port” to the ICA artery clamp, then the artery clamp was quickly loosened and the tip of the suture emboli was put in through the artery clamp quickly before clamping the ICA again. This step was repeated and the suture emboli was put in further until the black mark of the suture emboli reached the bifurcation of the ECA and ICA, and the tip of the suture emboli blocked the middle cerebral artery and then the ECA “port” and the suture emboli was tied tightly using a thread in order to prevent the “escape” of suture emboli or bleeding after the rat waked up. The artery clamps on the CCA and ICA were then loosed and removed to restore the tissue to its original position, and an appropriate amount of penicillin was applied to prevent wound infection. A medical suture needle with thread was used to suture, and the wound was disinfected using povidone-iodine again after the suturation. The experimental rats were monitored with the small-animal monitor to evaluate if their physiological parameters were normal, and the rats were placed on a small-animal electric blanket to keep their body temperature until they waked up, and placed in animal cages.
The drug to be tested was prepared as 3 mg/mL solution. The drug was dosed via tail vein 1-2 h after the suturation.
During the drug administration, the rat was fastened with a fastening device, and the drug to be tested was injected into the tail vein of the rat at 3 mg/kg using 1 mL syringe, the drug was injected slowly to reduce the cardiopulmonary load of the experimental rat.
The animals were divided into different test groups, with 6 rats for each group. Model group: After the suturation, an equal amount of normal saline was given via tail vein; Drug groups S1 (NA1), S4 (β-Ala-His-Lys-Ala-Pro) and S5 (Pro-Ala-Lys-β-Ala-His): administered via tail vein after the suturation;
NA1 (nerinetide) is a neuroprotective agent (Michael Tymianski and Jonathan D. Garman. Model systems and treatment regimes for treatment of neurological disease. 2015, US Patent, U.S. Pat. No. 8,940,699B2), which can interfere with postsynaptic density protein 95 (PSD-95) by terminating the production of intracellular NO free radicals. In preclinical ischemic stroke model, NA1 can reduce the infarct size of experimental cerebral ischemia-reperfusion in animals (cynomolgus monkeys), and improve the functional prognosis, therefore is a good positive control. Dr. Hill studied the efficacy and safety of intravenous injection of a novel neuropeptide NA-1 (2.6 mg/kg) in patients with acute ischemic stroke (AIS) undergoing endovascular thrombectomy, and showed that the treatment with NA1 improved patient's prognosis. (Michael D Hill et al. Efficacy and safety of nerinetide for the treatment of acute ischaemic stroke (ESCAPE-NA1): a multicentre, double-blind, randomised controlled trial. Lancet. Published online Feb. 20, 2020).
Sham group: the internal carotid artery (ICA) and external carotid artery (ECA) were separated without the suturation thereafter, and an equal amount of normal saline was administered via tail vein.
The behavioral observation and scoring were performed on each animal 22-24h after the suturation.
The technicians who did not participate in the above experimental procedure were asked to perform the scoring blindly according to the scoring scale below.
After the behavioral observation, experimental rats were euthanized and their brains were removed. The brain tissue was transversely cut into 6 slices with a 2 mm thickness, then transferred to TTC staining solution, incubated in a 37° C. incubator without light for 10 min, and taken pictures. The TTC-stained brain tissue and the remaining non-stained brain tissue were stored at −20° C.
The quantitative analysis of photos after TTC staining was performed using Image J software.
Cerebral infarction volume %=(total infarct area*slice thickness)/(total brain slice area*slice thickness)*100%.
1.1. The TTC quantification results are shown in Table 1:
As shown by the quantification results after TTC in Table 1, the rats with cerebral ischemia injected with normal saline had an infarct volume of 0.390±0.028; the rats with cerebral ischemia injected with 3 mg/kg β-Ala-His-Lys-Ala-Pro had an infarct volume of 0.155±0.044; the rats with cerebral ischemia injected with 3mg/kg Pro-Ala-Lys-β-Ala-His had an infarct volume of 0.147±0.051; and as a comparison, the rats with cerebral ischemia injected with 3 mg/kg NA1 had an infarct volume of 0.157±0.040. As a control, the Sham group had an infarct volume of 0.044±0.005. Compared with normal saline, the other three groups had significant biological activities and the result of S4 and S5 were not statistically different from S1.
1.2 The behavioral scoring results are shown in Table 2:
As shown in Table 2, the synthetic peptides of the present invention have physiological activities. the rats with cerebral ischemia injected with normal saline had a behavioral score of 3.8±0.8; the rats with cerebral ischemia injected with 3 mg/kg β-Ala-His-Lys-Ala-Pro had a behavioral score of 2.0±0.9; the rats with cerebral ischemia injected with 3mg/kg Pro-Ala-Lys-β-Ala-His had a behavioral score of 1.8±0.8; and as a comparison, the rats with cerebral ischemia given 3 mg/kg NA1 intravenously had a behavioral score of 2.0±0.6. As a control, the Sham group had a behavioral score of 1.0±0.0. Compared with normal saline, the other three groups had significant biological activities, and the result of S4 and S5 were not statistically different from S1.
Preparation method: an amount of test substance was weighted and fully dissolved using water for injection to the required concentration, and was filtered with a 0.22 μm filter to sterilize. Taking 280 g×14 animals in each group as an example, the specific information is shown in Table 3 below.
Preparation method: an amount of test substance was weighted (compound purity is calculated as 100%), prepared to the required concentration, and filtered with a 0.22 μm filter to sterilize. Taking 280 g×14 animals as an example, see Table 4 below for specific information.
Animal strain: Sprague-Dawley (SD) rats; grade: SPF grade. Body weight: 200.01-240.03 g when the accommodation started, 213.79-278.79 g when grouping. Age: about 5-7 weeks old during the accommodation, and 6-8 weeks old when grouping. Source: SPF (Beijing) Biotechnology Co., Ltd., Beijing, China.
Animals were accommodated to the environment for 5 days after received; unqualified animals were excluded from this experiment.
The condition standard for breeding environment: National Standard GB14925-2010 of the People's Republic of China;
The control system for breeding environment: WINCC7.3 EMS series computer room environment monitoring system;
Animal selection: Animals that passed the examination during the accommodation, whose body weight met the experimental requirements and total NSS score less than or equal to 3 were chosen as test animals.
The establishment of rat model: the rats were placed in an anesthesia induction box filled with 3.0% isoflurane for anesthesia induction. Anesthesia-induced animals were transferred to the operating table, and anesthesia was maintained with 2.0%˜2.5% isoflurane at 200 mL/min using a small-animal gas anesthesia machine, and the eyelid reflex and pain response of the rats were observed. The surgery can be started only after the eyelid reflex response and the pain response on limbs and tail disappeared.
A. Isolating and exposing blood vessels: the skin of the surgical area was shaved, and the rat was placed under a surgical microscope. The skin of the rat was cut along the midline with ophthalmic scissors, with a cut of about 2 cm length. Through the right neck of the rat, the muscle tissue of the right neck was bluntly isolated and opened with a microforcep to expose the right common carotid artery (CCA), and then isolated upward along the common carotid artery to further expose the external carotid artery (ECA) and internal carotid artery (ICA);
B. The ECA was ligated and the ICA was temporarily clamped; the proximal end and distal end of CCA were threaded separately, the distal end was tied tightly and the proximal end was tied with a loose knot, and a small incision was made between the two threads;
C. Inserting the suture emboli: A No. 4-0 suture emboli was inserted through the incision of CCA, pushed slowly and gently into the internal carotid artery, and stopped at the artery clamp of ICA, the pre-set thread was tied tightly (to avoid severe bleeding when pushing the suture emboli), then the artery clamp that blocked the blood flow of ICA was removed, and the suture emboli was immediately pushed into ICA until entering into the cranium. At the moment, one should be careful not to insert the suture emboli into the pterygopalatine artery, which is another branch of the internal carotid artery (the pterygopalatine artery is one of the extra-cranial branches of ICA; when the suture emboli entered the pterygopalatine artery to a depth of about 10 mm, it cannot be inserted further, at the moment one should slightly draw back the suture emboli, adjust the direction, and insert again);
D. Fixing the suture emboli and suturing the incision: if one felt slight resistance when the suture emboli was inserted about 18 mm depth from the bifurcation of the common carotid artery, it means that the tip of the suture emboli has entered into the cerebral anterior artery (ACA), and the side wall of the suture emboli has blocked the opening of the middle cerebral artery; at the moment, the insertion was terminated and the time was recorded. The artery clamp on CCA was removed, and the incision was closed after there was no active bleeding observed;
E. Performing cerebral reperfusion: the ischemic rat was placed at room temperature, and the anesthesia was induced 120 mins thereafter; the suture emboli was slowly and lightly drawn to pull the tip of suture emboli back into the external carotid artery while maintaining anesthesia, in order to perform the middle cerebral artery reperfusion;
F. Disinfecting the incision with povidone-iodine.
Group design: model control group, positive drug treatment group, S5 low-dose group, S5 medium-dose group, and S5 high-dose group;
Sex ratio: according to what has been reported by J W Simpkins (Simpkins J W, Rajakumar G, Zhang Y Q, Simpkins C E, Greenwald D, Yu C J, Bodor N, Day A L (1997) Estrogens may reduce mortality and ischemic damage caused by middle cerebral artery occlusion in the female rat. J Neurosurg 87:724-730) and R L Roof (Roof R L, Duvdevani R, Braswell L, Stein D G (1994) Progesterone facilitates cognitive recovery and reduces secondary neuronal loss caused by cortical contusion injury in male rats. Exp Neurol 129: 64-69), estrogen and progesterone have neuroprotective effects on ischemic cerebral infarction in adult rats. In order to exclude the influence of estrogen and progesterone on experimental results, all the animals in this experiment were male;
Grouping method: random grouping was performed according to the latest body weight of rats before grouping.
See Table 5 below for specific grouping information.
Route of Administration: Intravenous injection (iv);
Dosing frequency and cycle: dose once immediately (within 10 min) after reperfusion, and the day of surgery is defined as D1 (Day1).
Animals observed: all the surviving experimental animals planned to be observed;
Observation time: once a day, and the frequency can be increased if the animal starts to behave abnormal;
What was observed: including but not limited to general manifestations, behavioral status, eye, mouth, nose and mouth area, ear, hair and skin, feces, urine, genital organ and other toxic symptoms. A detailed description was required if there was any abnormality.
Animals measured: all the surviving experimental animals planned to be measured;
Measurement time: the body weight was measured at least twice during the accommodation, and each batch of rats were weighed once on the day before the surgery and on the day of dissection to calculate the amount of drug administered and the anesthetic applied; the body weight was measured twice a week after the surgery.
Examination method: the animal was euthanized, the brain was quickly removed and placed in a −20° C. refrigerator until the brain tissue became hard, then the rat brain was taken out and cut into 2 mm thick slices, and a total of 6 slices from the olfactory bulb to the back were placed in a six-well plate filled with 0.5% TTC solution (prepared with 0.9% sodium chloride injectable solution), incubated in a 37° C. incubator without light for 20 min, and then stored in 4% formaldehyde solution without light.
The normal tissue was stained rose red, and infarcted tissue was stained white. Each brain section was placed in order on a filter paper, and taken pictures using digital camera, and the white tissue was carefully removed and weighed. The infarct size (%) was calculated as the percentage of the infarct tissue weight to the whole brain weight. The inhibition rate (%) of each drug treatment group was calculated based on the infarct size, and the inhibition rate calculation formula was as follows:
The measurement results were expressed as mean ±standard deviation. The data from a group will not be included in the statistical comparison if the sample number of this group was less than 3.
The data were input and statistically analyzed by Excel 2010, GraphPad Prism 7, SPSS 22.0 and Stata 15.0 software. Firstly, the LEVENE variance homogeneity test was used for measurement. When the variance was homogeneous (p>0.05), the result from the variance analysis was directly used to determine whether the overall difference was statistically significant. When the overall difference was statistically significant (p<0.05), the Dunnett-t test was used to compare the difference between groups. When the overall difference was not statistically significant (p≥0.05), the statistical analysis was finished. When the LEVENE variance homogeneity test showed that the variance was not homogeneous (p≤0.05), the non-parametric test (Kruskal-Wallis H test) was used. When the Kruskal-Wallis H test showed that the overall difference was statistically significant (p<0.05), the Mann-Whitney U test was used to compare the difference between groups. When the Kruskal-Wallis H test showed that the overall difference was not statistically significant (p≥0.05), the statistical analysis was finished. Detailed description of pathology and other information (if necessary) was made.
The Effect of Test Substances on the Cerebral Infarction Size in Model Animal
The drug treatment for acute ischemic stroke mainly includes two parts, one is to restore blood flow by thrombolytic therapy; the other is to administer neuroprotective agents to treat the secondary neuronal damage caused by ischemia. In this experiment, SD rats were re-perfused 120 min after ischemia to simulate vascular recanalization. Immediately (within 10 min) after the recanalization, the test substance was injected into the tail vein to induce intervention. The brain tissue was taken 24 hours after the treatment and measured by TTC staining for the infarct size of each group, and the inhibition rate was calculated to evaluate the neuroprotective effect of test substances. S1 (3 mg/kg) was used as positive control in this test. The cerebral infarction size and the inhibition rate of cerebral infarction in animals are shown in Table 8. One day after the surgery, TTC staining was performed on the brain tissue of animals to obtain the cerebral infarction size. The cerebral infarction size of the model control group and the positive control group was 24.84±3.39% and 16.74±3.14%, respectively, and the positive control S1 at 3 mg/kg dose showed a good effect of reducing cerebral infarction size, which was significantly different from the effect of the model control group (P<0.0001). The cerebral infarction size of the low-dose group, medium-dose group and high-dose group of test substance S5 were 20.20±4.07%, 18.76±2.50% and 15.70±2.80%, respectively, and the test substance S5 had an effect of inhibiting cerebral tissue infarction at all the stated doses, which was significantly different from the effect of the model control group (P<0.05, P<0.001 and P<0.0001). In addition, the inhibition rate of animal cerebral infarction in each treatment group were calculated, and the inhibition rate of animal cerebral infarction in the positive control group, the test substance S5 low-dose group, S5 medium-dose group, and S5 high-dose group were 33%, 19%, 24% and 37% respectively. The above results suggest that the test substance S5 has a good neuroprotective effect under the experimental conditions, the effect is dose-dependent, and the onset dose of test substance S5 is 0.6 mg/kg.
The main purpose of clinical treatment for cerebral infarction is to restore the patient's neurological function as much as possible and to improve the quality of life after stroke. In this experiment, the animals were evaluated with Bederson scoring 1 hour after ischemia to evaluate the ischemia in animals. One day after modeling, the neurobehavioral function of animals was evaluated with NSS scoring scale in order to evaluate the effect of test substance in improving the neurological function of animals. The Bederson scoring results of animals are shown in Table 9, and the NSS scoring results are shown in Table 10. One hour after ischemia, the Bederson score of all the groups were 3 points, suggesting that the model animals were successfully ischemic. One day after modeling, the NSS score of animals in the model control group, the positive control group, the test substance S5 low-dose group, S5 medium-dose group and S5 high-dose group were 8.62±0.84, 8.00±0.76, 8.23±0.97, 7.92±0.62, and 7.85±0.66, respectively.
The effect of test substance on the weight of model animals: cerebral ischemia-reperfusion is an acute injury model, wherein the weight of experimental animals will drop dramatically after MCAO modeling. Thus, the weight of experimental animals is one of the most basic sensitive parameters to comprehensively reflect the health status of animals. In this experiment, the body weight of all the animals was monitored from first day after the surgery, and the results of animal's body weight change are shown in Table 11. There was no difference in the weight of the animals in each group before modeling. One day after the surgery, the weight of the animals in each group decreased significantly, wherein the animal weight of the model control group, the positive control group, the test substance S5 low-dose group, S5 medium-dose group and S5 high-dose group decreased by 48.92±5.78 g, 48.22±8.23 g, 42.73±8.59 g, 48.83±5.18 g, and 46.66±10.90 g respectively, and there was no significant difference in weight loss between these groups. The above results indicate that the positive control S1 and the test substance S5 have no significant influence on rat's body weight.
This experiment uses the classic suture-embolized MCAO model to evaluate the neuroprotective effect of test substance S5. The test substance was given to animals immediately (within 10 min) after reperfusion in order to induce intervention, and 1 day after treatment, the cerebral infarct size and the inhibition rate by TCC staining, the NSS score, the grid walking test and the body weight change were measured in order to evaluate the neuroprotective effect of the test substance on rat cerebral ischemic stroke. The results showed that:
In summary, the drug efficacy evaluation results from experiments on this animal model showed that the test substance S5 has a significant therapeutic effect on ischemic stroke.
The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the protection scope of the present invention.
| Number | Date | Country | Kind |
|---|---|---|---|
| 202110266153.0 | Mar 2021 | CN | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/CN2022/080446 | 3/11/2022 | WO |
