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CN101057840B - Application of Vam3 in preparation of medicine for treating chronic obstructive pulmonary disease - Google Patents

Application of Vam3 in preparation of medicine for treating chronic obstructive pulmonary disease Download PDF

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CN101057840B
CN101057840B CN2006100762994A CN200610076299A CN101057840B CN 101057840 B CN101057840 B CN 101057840B CN 2006100762994 A CN2006100762994 A CN 2006100762994A CN 200610076299 A CN200610076299 A CN 200610076299A CN 101057840 B CN101057840 B CN 101057840B
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李怡棠
程桂芳
林茂
姚春所
黄开胜
刘柏合
白金叶
李娜
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Abstract

本发明公开了式(I)所示的Vam3(Amurensin H)在制备预防和/或治疗慢性阻塞性肺疾病的药物中的新的应用。

Figure 200610076299.4_AB_0
The invention discloses a new application of Vam3 (Amurensin H) represented by formula (I) in the preparation of medicaments for preventing and/or treating chronic obstructive pulmonary disease.
Figure 200610076299.4_AB_0

Description

Vam3在制备治疗慢性阻塞性肺疾病的药物中的应用 Application of Vam3 in preparation of medicine for treating chronic obstructive pulmonary disease

技术领域technical field

本发明涉及式(I)所示的Vam3(Amurensin H)的新医药用途。The present invention relates to the new medical application of Vam3 (Amurensin H) shown in formula (I).

背景技术Background technique

慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是一种全球范围内常见的慢性病,目前在全球死亡原因中排名第四,据世界卫生组织预测,到2020年,COPD将在全球疾病发病中排名第五,死亡原因中排名第三。Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) is a common chronic disease worldwide, currently ranking fourth in the global cause of death, according to the World Health Organization forecast, by 2020, COPD will be in the global disease incidence Ranked fifth and third among causes of death.

COPD是一种不完全可逆的气流受限特征的疾病,与肺部对有害气体或有毒颗粒的异常炎症反应有关,其慢性炎症反应遍及气道、肺实质和肺血管。参与COPD的细胞有中性粒细胞、T淋巴细胞和巨噬细胞等炎性细胞,当细胞被激活后释放多种炎性介质,如白三烯B4(LTB4)、白细胞介素8(IL-8)、RANTES、Eotaxin、肿瘤坏死因子α(TNFα)、基质金属蛋白酶9(MMP-9)等,参与肺实质破坏、肺血管等炎症反应。病理变化特征表现为肺泡腔炎性细胞(如巨噬细胞)浸润、小支气管和细支气管周围灶性炎性细胞浸润,肺组织边缘肺泡腔扩张、破坏,肺泡壁变宽,其上皮细胞肿胀、变圆、部分脱落。COPD与慢性支气管炎和肺气肿密切相关,但定义上有所不同,支气管哮喘与特应性变态反应有关,其气流受限具可逆性(与慢性气管炎合并时会出现气流受限不完全可逆)。现在尚无药物能遏制COPD病情的进行性发展,其药物治疗的研究进展相当缓慢,目前临床常常将治疗哮喘的药物用于治疗COPD,由于COPD的发病机制不同于哮喘,难以取得满意的疗效。COPD is a disease characterized by not fully reversible airflow limitation associated with an abnormal inflammatory response of the lungs to noxious gases or noxious particles, with chronic inflammation throughout the airways, lung parenchyma, and pulmonary vessels. The cells involved in COPD include inflammatory cells such as neutrophils, T lymphocytes, and macrophages. When the cells are activated, they release various inflammatory mediators, such as leukotriene B 4 (LTB 4 ), interleukin 8 ( IL-8), RANTES, Eotaxin, tumor necrosis factor α (TNFα), matrix metalloproteinase 9 (MMP-9), etc., participate in lung parenchymal destruction, pulmonary vascular and other inflammatory reactions. The pathological changes are characterized by infiltration of inflammatory cells (such as macrophages) in the alveolar space, focal inflammatory cell infiltration around the small bronchus and bronchioles, expansion and destruction of the alveolar space at the edge of the lung tissue, widening of the alveolar wall, swelling of the epithelial cells, Rounded and partly peeled off. COPD is closely related to chronic bronchitis and emphysema, but differs in definition, bronchial asthma is related to atopic allergy, and its airflow limitation is reversible (incomplete airflow limitation occurs when combined with chronic bronchitis reversible). At present, there is no drug that can curb the progressive development of COPD, and the research progress of its drug treatment is quite slow. At present, drugs for treating asthma are often used in clinical practice to treat COPD. Because the pathogenesis of COPD is different from that of asthma, it is difficult to obtain satisfactory curative effect.

Vam3(Amurensin H),由本申请人从山葡萄根乙醇提取物中首次分离得到,现已可化学合成,结构式如式(I)所示,制备方法见“山葡萄提取物治疗炎症疾病的用途”(申请号03134647.2,公开号CN1600304)。Vam3抗COPD的作用现未见报道。Vam3 (Amurensin H), which was isolated for the first time by the applicant from the ethanol extract of Vitis vinifera root, can now be chemically synthesized. No. 03134647.2, Publication No. CN1600304). The anti-COPD effect of Vam3 has not been reported yet.

Figure S06176299420060427D000021
Figure S06176299420060427D000021

发明内容Contents of the invention

长期吸烟是最常见的人类COPD致病因素,我们实验室用香烟诱导模拟小鼠COPD模型,拟研究Vam3对香烟诱导的小鼠COPD的缓解作用。Long-term smoking is the most common pathogenic factor of human COPD. Our laboratory uses cigarettes to induce a simulated mouse COPD model, and intends to study the effect of Vam3 on cigarette-induced COPD in mice.

本发明目的在于提供人工合成或半合成成份在制备抗COPD疾病药物中的应用。Vam3在剂量50、100、200mg/kg下灌胃给药,对香烟诱导的COPD小鼠BALF中炎性细胞因子TNFa、IL-8的生成有抑制作用;对趋化因子RANTES、Eotaxin的分泌有抑制作用;对BALF中炎性细胞,主要是中性粒细胞和巨噬细胞的募集有抑制作用;对小鼠肺部病理变化有逆转作用。The purpose of the present invention is to provide the application of synthetic or semi-synthetic ingredients in the preparation of anti-COPD disease medicines. Intragastric administration of Vam3 at doses of 50, 100, and 200 mg/kg inhibited the production of inflammatory cytokines TNFa and IL-8 in BALF of cigarette-induced COPD mice; Inhibitory effect; inhibits the recruitment of inflammatory cells in BALF, mainly neutrophils and macrophages; reverses the pathological changes in the lungs of mice.

具体实施方式Detailed ways

方法:SPF级雄性BALB/c小鼠,18-20g,随机分为正常对照组、模型对照组、阳性对照组(特布他林,10mg/kg,灌胃给药)、药物处理组(Vam350、100、200mg/kg,灌胃给药),每组10只。将小鼠置于4L容器内,每日烟熏(金健牌香烟,焦油含量小于16mg),一周五次,连续四周,每日烟熏前1小时灌胃给药。小鼠在末次烟熏后1小时,以苯巴比妥钠麻醉,用0.6mL预冷的PBS缓冲液(pH7.0)肺部灌流,冲洗3次,吸出支气管肺泡灌洗液(BALF),250×g离心10min,上清用于分析TNFα、IL-8、RANTES、Eotaxin的含量。细胞用PBS缓冲液重悬,计数,细胞涂片后用瑞氏-吉姆萨染色,分析BALF中炎性细胞总数及中性粒细胞、巨噬细胞数量的变化。Methods: SPF grade male BALB/c mice, 18-20g, were randomly divided into normal control group, model control group, positive control group (terbutaline, 10mg/kg, intragastric administration), drug treatment group (Vam350 , 100, 200mg/kg, intragastric administration), 10 rats in each group. The mice were placed in a 4L container and smoked (Jinjian brand cigarettes, tar content less than 16mg) every day, five times a week, for four consecutive weeks, administered orally 1 hour before the daily smoke. One hour after the last smoke, the mice were anesthetized with phenobarbital sodium, perfused with 0.6 mL of pre-cooled PBS buffer (pH 7.0), rinsed three times, and sucked out the bronchoalveolar lavage fluid (BALF). After centrifugation at 250×g for 10 min, the supernatant was used to analyze the contents of TNFα, IL-8, RANTES, and Eotaxin. The cells were resuspended in PBS buffer, counted, and stained with Wright-Giemsa after cell smears to analyze the changes in the total number of inflammatory cells, neutrophils, and macrophages in the BALF.

实施例1 Vam3对COPD小鼠支气管肺泡灌洗液(BALF)中炎症介质生成抑制作用Example 1 Vam3 inhibits the generation of inflammatory mediators in COPD mouse bronchoalveolar lavage fluid (BALF)

(1)Vam3对COPD小鼠BALF中TNFα生成抑制作用(1) Inhibitory effect of Vam3 on TNFα production in BALF of COPD mice

前炎性细胞因子TNFα是COPD的发病过程中的启动因子。COPD患者的TNFα水平高于正常人,培养的支气管上皮细胞与香烟的烟雾接触可分泌TNFα。TNFα可促使中性粒细胞脱颗粒,诱导起到粘膜细胞增生和高分泌,增加上皮细胞IL-8生成,增加巨噬细胞基质金属蛋白酶生成,促进气道高反应性。本实验目的在于考察Vam3对COPD小鼠BALF中TNFα生成的影响,结果见表1。The proinflammatory cytokine TNFα is an initiating factor in the pathogenesis of COPD. The level of TNFα in COPD patients is higher than that of normal people, and the cultured bronchial epithelial cells can secrete TNFα in contact with cigarette smoke. TNFα can promote neutrophil degranulation, induce mucosal cell proliferation and hypersecretion, increase the production of IL-8 in epithelial cells, increase the production of matrix metalloproteinases in macrophages, and promote airway hyperresponsiveness. The purpose of this experiment is to investigate the effect of Vam3 on the production of TNFα in the BALF of COPD mice. The results are shown in Table 1.

表1 Vam3对COPD小鼠BALF中TNFa生成的影响Table 1 Effect of Vam3 on TNFa production in BALF of COPD mice

Figure S06176299420060427D000031
Figure S06176299420060427D000031

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中TNFa的生成。Results: Vam3 at doses of 50, 100, and 200 mg/kg was administered orally to COPD model mice, which could reduce the production of TNFa in the BALF of mice.

(2)Vam3对COPD小鼠BALF中IL-8生成抑制作用(2) Inhibitory effect of Vam3 on IL-8 production in BALF of COPD mice

肺上皮细胞、纤维母细胞、内皮细胞和肺泡巨噬细胞在香烟的诱导下可表达IL-8,IL-8是中性粒细胞趋化、内皮细胞黏附和脱颗粒的重要介质,IL-8可激活中性粒细胞5-脂氧酶,趋化CD8+T细胞,在COPD病理过程中发挥重要作用。本实验目的在于考察Vam3对COPD小鼠BALF中IL-8生成的影响,结果见表2。Lung epithelial cells, fibroblasts, endothelial cells and alveolar macrophages can express IL-8 under the induction of cigarettes. IL-8 is an important mediator of neutrophil chemotaxis, endothelial cell adhesion and degranulation. IL-8 It can activate neutrophil 5-lipoxygenase, chemoattract CD8 + T cells, and play an important role in the pathological process of COPD. The purpose of this experiment is to investigate the effect of Vam3 on the production of IL-8 in the BALF of COPD mice. The results are shown in Table 2.

表2 Vam3对COPD小鼠BALF中IL-8的影响Table 2 Effect of Vam3 on IL-8 in BALF of COPD mice

Figure S06176299420060427D000041
Figure S06176299420060427D000041

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中IL-8的生成。Results: Vam3 at doses of 50, 100, and 200 mg/kg was administered orally to COPD model mice, which could reduce the production of IL-8 in the BALF of mice.

(3)Vam3对COPD小鼠BALF中RANTES分泌抑制作用(3) Inhibitory effect of Vam3 on RANTES secretion in BALF of COPD mice

炎症细胞的迁移受到趋化因子的调节,各种结构细胞和炎性细胞均可分泌这些小分子蛋白,COPD发病过程中RANTES分泌增加,趋化单核/巨噬细胞,T淋巴细胞,嗜酸性细胞。本实验目的在于考察Vam3对COPD小鼠BALF中RANTES分泌的影响,结果见表3。The migration of inflammatory cells is regulated by chemokines, and various structural cells and inflammatory cells can secrete these small molecular proteins. During the pathogenesis of COPD, the secretion of RANTES increases, chemoattracting monocytes/macrophages, T lymphocytes, and eosinophils cell. The purpose of this experiment is to investigate the effect of Vam3 on the secretion of RANTES in the BALF of COPD mice. The results are shown in Table 3.

表3 Vam3对COPD小鼠BALF中RANTES分泌的影响Table 3 Effect of Vam3 on RANTES secretion in BALF of COPD mice

Figure S06176299420060427D000042
Figure S06176299420060427D000042

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比,**P<0.01,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group, ** P<0.01, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中RANTES的分泌。Results: Vam3 at doses of 50, 100, and 200 mg/kg was administered orally to COPD model mice, which could reduce the secretion of RANTES in the BALF of the mice.

(4)Vam3对COPD小鼠BALF中Eotaxin分泌抑制作用(4) Inhibitory effect of Vam3 on Eotaxin secretion in BALF of COPD mice

过敏性炎症区的细胞的高表达趋化因子受体,Eotaxin通过与其特异性受体相互作用,在嗜酸性粒细胞向炎症区募集中起重要作用。另外,许多文献也报道Eotaxin在相关的效应细胞,如肺泡巨噬细胞和嗜碱性粒细胞的游走中起作用。本实验目的在于考察Vam3对COPD小鼠BALF中Eotaxin分泌的影响,结果见表4。Cells in the allergic inflammatory zone highly express chemokine receptors, and Eotaxin plays an important role in the recruitment of eosinophils to the inflammatory zone by interacting with its specific receptor. In addition, many literatures also reported that Eotaxin plays a role in the migration of related effector cells, such as alveolar macrophages and basophils. The purpose of this experiment is to investigate the effect of Vam3 on the secretion of Eotaxin in the BALF of COPD mice. The results are shown in Table 4.

表4 Vam3对COPD小鼠BALF中Eotaxin分泌的影响Table 4 Effect of Vam3 on Eotaxin secretion in BALF of COPD mice

Figure S06176299420060427D000052
Figure S06176299420060427D000052

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中Eotaxin的分泌。Results: Vam3 at doses of 50, 100, and 200 mg/kg orally administered to COPD model mice can reduce the secretion of Eotaxin in the BALF of mice.

实施例2 Vam3对COPD小鼠BALF中炎性细胞募集的抑制作用Example 2 The inhibitory effect of Vam3 on the recruitment of inflammatory cells in the BALF of COPD mice

(1)Vam3对COPD小鼠BALF中总炎性细胞募集的抑制作用(1) The inhibitory effect of Vam3 on the recruitment of total inflammatory cells in the BALF of COPD mice

COPD以遍及气道、肺实质和肺血管的慢性炎症为特征,这种炎症表现为中性粒细胞、T淋巴细胞和巨噬细胞在肺内增多。激活的炎症细胞释放一系列炎性介质,包括LTB4、IL-8、TNFa和其他能破坏肺结构或维持中性粒细胞炎症的介质。本实验目的在于考察Vam3对COPD小鼠BALF中总炎性细胞募集的影响,结果见表5。COPD is characterized by chronic inflammation throughout the airways, lung parenchyma, and pulmonary vessels, manifested by an increase in neutrophils, T lymphocytes, and macrophages in the lungs. Activated inflammatory cells release a series of inflammatory mediators, including LTB 4 , IL-8, TNFa, and others that can damage lung structures or maintain neutrophil inflammation. The purpose of this experiment is to investigate the effect of Vam3 on the recruitment of total inflammatory cells in the BALF of COPD mice. The results are shown in Table 5.

表5 Vam3对COPD小鼠BALF中总炎性细胞募集的影响Table 5 Effect of Vam3 on the recruitment of total inflammatory cells in the BALF of COPD mice

Figure S06176299420060427D000061
Figure S06176299420060427D000061

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中总炎性细胞的募集。Results: Vam3 administered to COPD model mice at doses of 50, 100, and 200 mg/kg can reduce the recruitment of total inflammatory cells in the BALF of mice.

(2)Vam3对COPD小鼠BALF中中性粒细胞募集的抑制作用(2) Inhibitory effect of Vam3 on neutrophil recruitment in BALF of COPD mice

中性粒细胞在COPD发病中具有重要作用,它可以释放两种丝氨酸蛋白酶,弹性蛋白酶和半胱氨酰蛋白酶-3,诱导动物产生人类肺气肿样的病理变化。中性粒细胞生命短暂,它循环招募到气道以及穿越间隙腔的过程十分迅速。病理研究证明有些COPD患者支气管组织内中性粒细胞数目增加与气流阻塞得程度有关。吸烟的COPD患者气道内中性粒细胞数目增加,特别是那些伴有慢性支气管炎的患者。影响COPD患者肺内中性粒细胞募集的主要因素为IL-8趋化活性增强。本实验目的在于考察Vam3对COPD小鼠BALF中中性粒细胞募集的影响,结果见表6。Neutrophils play an important role in the pathogenesis of COPD. They can release two serine proteases, elastase and cysteinyl protease-3, to induce human emphysema-like pathological changes in animals. Neutrophils are short-lived, and their cyclical recruitment to the airways and across the interstitial lumen is rapid. Pathological studies have shown that the increase in the number of neutrophils in the bronchial tissue of some COPD patients is related to the degree of airflow obstruction. The number of neutrophils in the airways is increased in COPD patients who smoke, especially those with chronic bronchitis. The main factor affecting the recruitment of neutrophils in the lungs of COPD patients is the enhanced chemotactic activity of IL-8. The purpose of this experiment is to investigate the effect of Vam3 on the recruitment of neutrophils in the BALF of COPD mice. The results are shown in Table 6.

表6 Vam3对COPD小鼠BALF中中性粒细胞募集的影响Table 6 Effect of Vam3 on neutrophil recruitment in BALF of COPD mice

Figure S06176299420060427D000071
Figure S06176299420060427D000071

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比,**P<0.01,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group, ** P<0.01, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中中性粒细胞的募集。Results: Vam3 at doses of 50, 100, and 200 mg/kg orally administered to COPD model mice can reduce the recruitment of neutrophils in the BALF of mice.

(3)Vam3对COPD小鼠BALF中巨噬细胞募集的抑制作用(3) Inhibitory effect of Vam3 on macrophage recruitment in BALF of COPD mice

吸烟者和COPD患者肺内巨噬细胞较正常人群水平增加,多聚集在肺泡、细支气管和小气道。肺泡壁巨噬细胞数目和轻中度肺气肿以及COPD患者的小气道疾病程度呈正相关。组织病变和损伤部位可见到COPD缓慢进展和慢性病变与巨噬细胞长期增加平行。巨噬细胞可能通过释放基质金属蛋白酶导致弹性组织降解能力异常增高,诱发肺气肿的发生。本实验目的在于考察Vam3对COPD小鼠BALF中巨噬细胞募集的影响,结果见表7。The level of macrophages in the lungs of smokers and COPD patients is higher than that of normal people, and they mostly gather in alveoli, bronchioles and small airways. The number of alveolar wall macrophages was positively correlated with the degree of small airway disease in patients with mild to moderate emphysema and COPD. Slow progression of COPD and chronic disease paralleled by a long-term increase in macrophages can be seen at sites of tissue disease and injury. Macrophages may lead to an abnormal increase in the degradation capacity of elastic tissue by releasing matrix metalloproteinases, which induces the occurrence of emphysema. The purpose of this experiment is to investigate the effect of Vam3 on the recruitment of macrophages in the BALF of COPD mice. The results are shown in Table 7.

表7 Vam3对COPD小鼠BALF中巨噬细胞募集的影响Table 7 Effect of Vam3 on macrophage recruitment in BALF of COPD mice

Figure S06176299420060427D000072
Figure S06176299420060427D000072

注:括号内为抑制百分率(IR%);*P<0.05,与模型对照组相比;##P<0.01,与正常对照组相比。n=10。Note: In brackets is the inhibition percentage (IR%); * P<0.05, compared with the model control group; ## P<0.01, compared with the normal control group. n=10.

结果:Vam3在剂量50、100、200mg/kg下对COPD模型小鼠灌胃给药,可降低小鼠BALF中巨噬细胞的募集。Results: Vam3 at doses of 50, 100, and 200 mg/kg orally administered to COPD model mice can reduce the recruitment of macrophages in the BALF of mice.

实施例3.Vam3对COPD小鼠肺部病理变化的逆转作用Example 3. Reversal effect of Vam3 on lung pathological changes in COPD mice

对小鼠肺部病理观察可见,模型组肺泡壁变宽,肺泡壁上皮细胞肿胀,变圆,部分脱落,肺泡腔可见巨噬细胞,小支气管和细支气管周围灶性炎性细胞浸润,肺组织边缘肺泡腔扩张。Vam3组肺泡壁上皮细胞肿胀,肺泡腔可见少量巨噬细胞和粒细胞浸润,未见淋巴细胞浸润,小鼠肺组织未见出血。The pathological observation of the mouse lungs showed that the alveolar wall in the model group was widened, the epithelial cells of the alveolar wall were swollen, rounded, and partly shed, macrophages could be seen in the alveolar cavity, focal inflammatory cell infiltration around the small bronchi and bronchioles, lung tissue The marginal alveolar spaces are dilated. In the Vam3 group, the alveolar wall epithelial cells were swollen, and a small amount of macrophages and granulocytes were infiltrated in the alveolar space, but no lymphocyte infiltration was seen, and no hemorrhage was found in the lung tissue of the mice.

结论:Vam3在剂量50、100、200mg/kg下灌胃给药,对香烟诱导的小鼠慢性阻塞性肺淤血、炎性细胞浸润等有一定的治疗作用。Conclusion: Vam3 administered by intragastric administration at doses of 50, 100, and 200 mg/kg has a certain therapeutic effect on chronic obstructive pulmonary congestion and inflammatory cell infiltration in mice induced by cigarettes.

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1. the chemical compound shown in the formula (I) prevents and/or treats application in the medicine of chronic obstructive pulmonary disease as unique active component in preparation
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