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Development of a novel RANKL-based peptide, microglial healing peptide1-AcN (MHP1-AcN), for treatment of ischemic stroke

机译:新型基于RANKL的肽,小胶质愈合肽1-AcN(MHP1-AcN)的开发,用于治疗缺血性中风

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Although the regulation of post-ischemic inflammation is an important strategy to treat ischemic stroke, all clinical trials have failed to show its efficacy. To solve the problem, we previously developed a novel partial peptide of RANKL, microglial healing peptide 1 (MHP1), which could reduce ischemic injury by inhibiting Toll-like receptor (TLR) induced inflammation. However, optimization of the peptide was necessary to increase the stability and efficacies for clinical use. According to information gathered through HPLC/MS in serum, we have newly designed a series of modified MHP1 peptides and have found that N-terminal acetylation and C-terminal amidation in MHP1 (MHP1-AcN), can strengthen its anti-inflammatory effects and increase its stability with anti-osteoclastogenic effects. Anti-TLR activity was reported to be reduced in MHP1 when incubated at 37?°C for 24?hrs, but MHP1-AcN could keep the activity under the same condition. The therapeutic effect of MHP1-AcN was observed in transient ischemic stroke model at lower dose than MHP1. Importantly, MHP1-AcN did not affect thrombolytic effects of tissue plasminogen activator (tPA) and inhibited tPA-induced hemorrhagic transformation. These findings indicated that MHP1-AcN was stable and effective anti-TLR signal peptide and could be a promising agent for treating stroke patients receiving tPA and endovascular therapy.
机译:尽管调节缺血后炎症是治疗缺血性中风的重要策略,但所有临床试验均未显示其功效。为了解决该问题,我们先前开发了一种新型的RANKL部分肽,小胶质愈合肽1(MHP1),可以通过抑制Toll样受体(TLR)诱导的炎症减轻缺血性损伤。然而,肽的优化对于增加临床用途的稳定性和功效是必需的。根据通过血清中HPLC / MS收集的信息,我们新设计了一系列修饰的MHP1肽,并发现MHP1(MHP1-AcN)的N端乙酰化和C端酰胺化可以增强其抗炎作用,并且具有抗破骨细胞作用,提高了稳定性。据报道,在37°C下孵育24小时后,MHP1中的抗TLR活性降低,但是MHP1-AcN可以在相同条件下保持该活性。在短暂性缺血性卒中模型中,MHP1-AcN的治疗剂量低于MHP1。重要的是,MHP1-AcN不会影响组织纤溶酶原激活物(tPA)的溶栓作用,并抑制tPA引起的出血性转化。这些发现表明,MHP1-AcN是稳定且有效的抗TLR信号肽,并且可能是治疗接受tPA和血管内治疗的中风患者的有前途的药物。

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