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    • 1. 发明申请
    • Prevention and treatment of cardiovascular pathologies with tamoxifen analogues
    • 用他莫昔芬类似物预防和治疗心血管病变
    • US20020068731A1
    • 2002-06-06
    • US09754775
    • 2001-01-04
    • NeoRx Corporation
    • David J. GraingerJames C. MetcalfeLawrence L. KunzRobert W. Schroff
    • A61K031/55A61K031/445A61K031/40A61K031/137
    • A61K31/445A61K31/135A61K31/138A61K31/38A61K31/40G01N2800/32G01N2800/324Y10S514/866
    • A method for treating or preventing cardiovascular pathologies by administering a compound of the formula (I): 1 wherein Z is CnullO or a covalent bond; Y is H or O(C1-C4)alkyl, R1 and R2 are individually (C1-C4)allyl or together with N are a saturated heterocyclic group, R3 is ethyl or chloroethyl, R4 is H, R5 is I, O(C1-C4)alkyl or H and R6 is I, O(C1-C4)alkyl or H with the proviso that when R4, R5, and R6 are H, R3 is not ethyl; or a pharmaceutically acceptable salt thereof, effective to elevate the level of TGF-beta to treat and/or prevent conditions such as atherosclerosis, thrombosis, myocardial infarction, and stroke is provided. Useful compounds include idoxifene, toremifene or salts thereof. Further provided is a method for identifying an agent that elevates the level of TGF-beta. Another embodiment of the invention is an assay or kit to determine TGF-beta in vitro. Also provided is a therapeutic method comprising inhibiting smooth muscle cell proliferation associated with procedural vascular trauma employing the administration of tamoxifen or structural analogs thereof, including compounds of formula (I).
    • 一种治疗或预​​防心血管病变的方法,其通过给予式(I)化合物:其中Z为C = O或共价键; Y为H或O(C1-C4)烷基,R1和R2分别为(C1-C4)烯丙基或与N一起为饱和杂环基,R3为乙基或氯乙基,R4为H,R5为I,O -C4)烷基或H,R6是I,O(C1-C4)烷基或H,条件是当R4,R5和R6是H时,R3不是乙基; 提供有效地提高TGF-β水平以治疗和/或预防诸如动脉粥样硬化,血栓形成,心肌梗塞和中风的病症的药学上可接受的盐或其药学上可接受的盐。 有用的化合物包括异昔芬,托瑞米芬或其盐。 还提供了用于鉴定提高TGF-β水平的试剂的方法。 本发明的另一个实施方案是用于在体外测定TGF-β的测定或试剂盒。 还提供了一种治疗方法,其包括使用给予他莫昔芬或其结构类似物(包括式(I)的化合物)来抑制与程序性血管创伤相关的平滑肌细胞增殖。