Literature DB >> 24250683

Evaluation of Anti-nociceptive and Anti-inflammatory Activities of Novel Chalcone Derivatives.

Ali Razmi1, Afshin Zarghi, Sara Arfaee, Nima Naderi, Mehrdad Faizi.   

Abstract

Chalcone (1,3-diarylprop-2-en-1-one) derivatives have been introduced as selective cyclooxygenase-2 inhibitors. In the present study, anti-nociceptive and anti-inflammatory effects of eight novel compounds were evaluated in male mice and Wistar rats by using the writhing and formalin-induced paw edema tests respectively. The activities of the compounds were compared with celecoxib as a reference drug. Then, novel compounds were divided into two regioisomeric groups based on the position of the methylsulfonyl substitution. Compounds with substituents such as: 1) H, 2) Me, 3) F and 4) Cl at para position of the phenyl ring of (E)-3-(4-Methanesulfonylphenyl)-1-phenylprop-2 en-1-one were selected in the first group. The regioisomer compounds with 5) H, 6) Me, 7) F and 8) OMe substitutions at C-4 of phenyl ring of (E)-1-(4-Methanesulfonylphenyl)-3-phenylprop-2-en-1-one were chosen as second group. All compounds showed dose-dependent anti-nociceptive activity in writhing test. Interestingly, the potency of anti-nociceptive effect of compounds 1, 2, 5 and 6 were significantly higher than celecoxib. The regioisomeric compounds 1 and 5 with high anti-nociceptive effects, showed a significant dose-dependent anti inflammatory activity in the paw edema test as well. The results showed that compounds with no substituent or small size substituents at para position of the phenyl ring are the most potent compound in writhing test. Our results revealed that the introduction of a bulky group such as methoxy or chlorine at the vicinal aromatic chain of the derivatives decreases the anti-inflammatory/ anti-nociceptive effects. The comparison of estimated ED50 of each pair of the regioisomeric compounds indicates that the relative position of SO2Me to carbonyl moiety did not affect the potency.

Entities:  

Keywords:  Anti-inflammatory activity; Anti-nociceptive activity; Chalcone; Cyclooxygenase; Paw edema test; Writhing test

Year:  2013        PMID: 24250683      PMCID: PMC3813361     

Source DB:  PubMed          Journal:  Iran J Pharm Res        ISSN: 1726-6882            Impact factor:   1.696


Introduction

There are couples of mediators involving in the inflammation process including cytokines, cell adhesion molecules and autacoids such as prostaglandins (PGs). PGs, especially PGE2, increase the tissue blood flow and cause pain (1, 2). Non-steroidal anti-inflammatory drugs (NSAIDs) are the inhibitors of prostaglandin G/H synthase (cyclooxygenase; COX) and are used in attenuation of pain and inflammation. Unwanted effects on different systems, such as gastric mucosa and coagulation process, are related to the reduction of PG synthesis due to the inhibition of COX enzymes (3). Discovery of COX-2 isoform, an isoform predominantly expressed in inflamed tissues, unlike the COX-1 isoform which is constitutively expressed with homeostatic functions, encouraged researchers to synthesize selective COX-2 inhibitors (4, 5). The inhibition of COX-1 is the main cause of gastric ulcer, a significant side effect of NSAIDs. COX-2 enzyme has a negligible role in gastrointestinal homeostasis, but it may assist COX-1 in protecting gastric mucosa against damaging stimuli (6, 7). Clinical trial studies revealed that COX-2 selective inhibitors are more tolerable than traditional NSAIDs due to the diminished gastric side effects (8-10). Despite some debates about the cardiovascular safety of COX-2 selective inhibitors (11) which led to the withdrawal of rofecoxib from market, further studies did not find any relationship between the COX-2 selective inhibition and the increase in risk of cardiovascular problems in compare with the traditional NSAIDs (12). NSAIDs, except for salicylate derivatives, block arachidonic acid access to tyrosine 385 at the apex of catalytic channel of COX-1 and COX-2. There are some sequential differences between two isoforms of COX which have been utilized by medicinal chemists to produce selective COX-2 inhibitors. A crucial difference between the two isoforms of COX is at the position of 523 of the enzyme where valine is substituted for isoleucine. This makes a side pocket on the COX-2 enzymatic active site which is missed in COX-1. In addition, the existence of a large aromatic amino acid (phenylalanine) at the position 503 in COX-1 prevents the access of COX-2 selective inhibitors to the active site of COX-1,while the small leucine at the same position in COX-2 provides an extended space for the action of large COX-2inhibitormoiety (13). One of the frequently used structures to obtain a selective COX-2 inhibitor is the substitution of a pharmacophore group such as SO2NH2 or SO2Me at the para position on diarylheterocycles class. In concordance, paramethylsulfonylchalcone (1,3-diarylprop-2-en 1-one) derivatives showing COX-2 selective inhibitory properties in molecular modeling and in-vitro studies were made (14). This study is designed for in-vivo evaluation of the antinociceptive and anti-inflammatory effect of different chalcone derivatives which can lead to the better understanding of the structure-activity relationship in COX-2 selective inhibitors and will give information about the anti-nociceptive and anti-inflammatory efficacy of these novel compounds.

Experimental

Animals Male NMRI albino mice weighing 18-22 g and male Wistar rats weighing 150-250 g were used. All animals accessed to the standard food and water and were housed in 12-h dark/light cycle in a controlled condition at 23-25ºC. All animals were transferred to the experiment room 2 h before the trial. This study is approved by the institutional animal care and use committee of Shahid Beheshti University of Medical Sciences and all pharmacological experiments were performed in accordance with National Institute of Health (NIH) Principles of Laboratory Animal Care (NIH publication #85-23). In all tests, adequate considerations were adopted to reduce pain or discomfort of animals. Compounds Celecoxib powder (Sigma-Aldrich), formalin 5% made from formaldehyde 37% and acetic acid (Merck, Germany) were used. The novel chalcone derivatives were synthesized based on the previously described methods (14). The novel compounds were divided into two regioisomeric sets. In the first group, methylsulfonyl was placed at the para position of the phenyl ring attached to the C-3 of chalcone and H, Me, F, and Cl- substitutes were positioned at para position of the phenyl ring attached to the C-1 of the derivatives (1, 2, 3 and 4 respectively). In the second set H, Me, F, and OMe substitutes were placed at the para positions of C-3 phenyl ring of chalcone-derived substances (5, 6, 7 and 8 in the same order), and pharmacophore moiety (methylsulfonyl) was placed at the para position of the C-1-conjugated phenyl ring (see Figure 1). Selectivity and potency of these compounds were previously shown by ligand binding assay (14). Celecoxib and chalcone derivatives were dispersed in a solution containing 1% of Tween 80 in normal saline.
Figure 1

Chemical structure of the chalcone derivatives

Chemical structure of the chalcone derivatives Group1: R1 = SO2Me; R2: 1 = H, 2 = Me, 3 = F, 4 = Cl Group2: R2 = SO2Me; R1: 5 = H, 6 = Me, 7 = F, 8 = OMe Writhing test Mice were used for the writhing test to study the anti-nociceptive activities of the novel compounds. The study was performed at 0900 h to 1300 h. Animals were divided into groups of eight each. Tween 1% in normal saline was used as vehicle (control group). Celecoxib and the novel compounds were dispersed in the vehicle by shaking and using ultrasonic machine, and were administered via intraperitoneal (4) injection. Thirty minutes later, 0.1 mL acetic acid 1% was injected peritoneally. The response was assessed by counting the number of abdominal constrictions (writhes) for the duration of 21 min, starting 5 min after the injection of acetic acid solution (15, 16). The dose of the compounds which could reduce the number of writhes to 50% of the mean value of the control group was considered as estimated ED50. Each animal received only one dose of any drug and participated only in one trial. Formalin-induced paw edema test The anti-inflammatory activities of celecoxib and the novel compounds were assessed using the rat paw edema test utilizing 40 μL formalin 5% as a phlogistic agent. A mark was made on the lateral malleolus and the paw was dipped in mercury column under the sign and the volume of paw was calculated as described before (17, 18). The initial volume of paw was measured before the injection of formalin solution. Then, the novel compounds, celecoxib, or Tween 1% saline, as the control solution, were administrated intraperitoneally. After 45 min, formalin was injected subcutaneously into the subplantar tissue of the right paw of all groups. The volume of paw was measured in different treatment groups, 4 h following the formalin injection. The amount of increase in paw volume (edema volume) was calculated by subtracting the volumes before and 4 h after the injection of formalin (19). The dose which could reduce the edema volume to 50% of the mean value of the control group was considered as estimated ED50 of celecoxib, and the novel compounds as well. Each animal received only one dose of each drug and participated only in one trial. Statistical analysis Data were reported as mean ± SEM. Estimated ED50 and exact confidence intervals were determined using the method described by Tallarida (20). The slop deviation of the doseresponse curve was analyzed using Fieller’s theorem. All mentioned computations were performed by using Microsoft Excel. One-way ANOVA followed by Tukey’s post test was used to compare applied doses of each compound with control group. P < 0.05 was considere significant in all tests.

Results

The results of anti-nociceptive effects of compounds are shown in Table 1. All compounds showed a significant analgesic effect in writhing test. Compounds with hydrogen or methyl substituent had more potency among the first group of the compounds which have methylsulfonyl group at para position of the first phenyl (conjugated with C=O group directly). Assortment of potency of the compounds in the first group was as follows: 1 = 2 > 4 > 3. In addition, the ED50 of compounds 1 and 2 were significantly less than that of celecoxib. Amongst the compounds of the second group, with methylsulfonyl substituted at para position of C-3 phenyl, hydrogen or methyl substitution showed the maximum potency which was significantly more than the reference drug celecoxib. Potency arrangement in this group was: 6 > 5 > 8. Although significant reduction in writhes was observed in mice treated with compound 7 at the doses of 10, 20 and 40 mg/ kg compared to control group, a significant dose-response relationship was not determined for this compound. There was no significant difference between the two regioisomeric groups.
Table 1

Effects of 8 chalcone-derived compounds on acetic acid induced abdominal constriction in mice; Response represents the number of constriction; *p < 0.05, **p < 0.01, ***p < 0.005 significant differences compared to control group (n = 8); p-values: significance level for deviation of slope from zero; ND: Not determined due to no significant dose-response relationship.

Compound R1 R2 Dose (mg/kg) Response (n) Mean ± SEM Estimated ED50 Mean (95%Confidence Interval) p-value p-value
Control034.4 ± 5.8
Celecoxib 1023.7 ± 6.00.03390.0339
2018.5 ± 2.9
4012.5 ± 4.0 *
8010.6 ± 5.2 *
1 SO2MeH1.2521.5 ± 3.32.2 (1.3-3.7)0.0000
2.520.0 ± 3.9
56.1 ± 3.1 ***
202.6 ± 1.46 ***
2 SO2MeMe517.2 ± 4.73.2 (0.9-10.3)0.0076
105.8 ± 1.7 ***
207.1 ± 3.1 ***
403.1 ± 1.4 ***
3 SO2MeF2036.2 ± 8.761.8 (38.1-99.9)0.0085
4017.3 ± 6.4
8017.2 ± 5.7
1009.7 ± 3.9
4 SO2MeCl525.8 ± 3.816.7 (9.9-27. 9)0.0025
1022.1 ± 3.6
2017.5 ± 4.5
408.7 ± 4.2 **
5 HSO2Me519.6 ± 4.98.1 (4.0-16.5)0.0265
1018.3 ± 3.9
206.1 ± 2.0 **
408.0 ± 2.8 **
6 MeSO2Me1.2515.1 ± 4.11.1 (0.3-2.9)0.0073
2.515.6 ± 2.5
57.1 ± 1.7 **
105.6 ± 2.5 ***
7 FSO2Me2.512.7 ± 3.2ND0.1601
516.6 ± 7.5
1012.8 ± 3.9 *
2011.5 ± 3.1 *
408.5 ± 3.0 **
8 OMeSO2Me2030.1 ± 6.261.8 (36.5-104.6)0.0037
8013.7 ± 3.2
1606.8 ± 5.1 **
Effects of 8 chalcone-derived compounds on acetic acid induced abdominal constriction in mice; Response represents the number of constriction; *p < 0.05, **p < 0.01, ***p < 0.005 significant differences compared to control group (n = 8); p-values: significance level for deviation of slope from zero; ND: Not determined due to no significant dose-response relationship. The results of the paw edema test are reported in Table 2.
Table 2

Effects of 8 chalcone-derived compounds on formalin induced paw edema in rat. Response represents the reduction of volume of inflamed paw; *p < 0.05, ** p < 0.01 significant difference compared with control group (n = 8); p-values: significance level for deviation of slope from zero; ND: Not determined due to no significant dose-response relationship

Compound R1 R2 Dose (mg/kg) Response (n) Mean ± SEM Estimated ED50 Mean (95%Confidence Interval) p-value p-value
Control00.221 ± 0.018
Celecoxib 100.218 ± 0.02165.9 (29.2-148.5)0.0078
200.186 ± 0.027
400.088 ± 0.024 **
800.154 ± 0.019
1 SO2MeH50.220 ± 0.015 26.2 (13.8-50.0)0.0020
100.148 ± 0.014 *
200.137 ± 0.015 *
2 SO2MeMe50.170 ± 0.008ND0.0836
100.156 ± 0.025
200.148 ± 0.014
400.128 ± 0.016 **
3 SO2MeF100.204 ± 0.026ND0.1622
200.210 ± 0.008
4000.232 ± 0.052
1000.246 ± 0.008
4 SO2MeCl200.254 ± 0.039ND0.5036
400.218 ± 0.007
800.229 ± 0.023
5 HSO2Me2.50.209 ± 0.01340.4 (11.8-137.6)0.0029
50.164 ± 0.018
100.136 ± 0.010 *
200.144 ± 0.013 **
6 MeSO2Me50.185 ± 0.021ND0.0840
100.164 ± 0.019
200.175 ± 0.022
400.185 ± 0.026
800.112 ± 0.012 **
7 FSO2Me2.50.216 ± 0.02637.7 (6.9-204.4)0.0339
50.169 ± 0.032
100.164 ± 0.018
200.134 ± 0.024
8 OMeSO2Me200.199 ± 0.028ND0.5036
400.156 ± 0.026
800.133 ± 0.024
Effects of 8 chalcone-derived compounds on formalin induced paw edema in rat. Response represents the reduction of volume of inflamed paw; *p < 0.05, ** p < 0.01 significant difference compared with control group (n = 8); p-values: significance level for deviation of slope from zero; ND: Not determined due to no significant dose-response relationship Among the compounds of the first group, compound 1 (10 and 20 mg/kg) and compound 2 (40 mg/kg) showed significant anti-inflammatory effects compared to the control group. However, compounds 3 and 4 did not show a significant anti inflammatory effect in the administered doses. The anti-inflammatory properties of compound 1 were comparable with celecoxib (p > 0.05). In group 2, Compounds 5 (10 and 20 mg/kg) and 6 (80 mg/kg) showed a significant anti-inflammatory effect compared to the control group. Compound 7 and 8 did not produce any significant anti-inflammatory effect in the administered doses. However, a significant net effect in reducing paw edema (p = 0.034) was observed for compound 7. The anti-inflammatory effect of compounds 5 and 7 were comparable with celecoxib (p > 0.05). Moreover, compounds 1 and 5, which are regioisomers, showed no significantly different effect in the test.

Discussion

A group of novel chalcone derivatives possessing a methyl sulfonyl group at the para position of the C-3 phenyl ring having different substituents (H, Me, F, and Cl; 1-4) and the corresponding regioisomers (H, Me, F, and OMe; 5-8) were synthesized previously to investigate the effect of these substituents on anti-nociceptive and anti-inflammatory activities. The in-vitro COX-2 inhibitory studies of these compounds showed that the type of the para-substituents and the position of the SO2Me pharmacophore on the C-1 or C-3 phenyl ring are important for their activities (14). According to our results, the compounds with no substitution or small groups such as methyl at para position of C-3 (1 and 2) or C-1 (5 and 6) phenyl ring are the most potent anti-nociceptive agents in both groups. Interestingly, the potency of these compounds is even higher than reference drug celecoxib. In contrast, the introduction of a larger group such as Chlorine or Methoxyphenyl (4 and 8) decreases the anti-nociceptive activity. These might be explained by steric parameters. On the other hand, compounds having strong electron withdrawing group such as F (3 and 7) show lower activity. These findings indicate that the nature and the size of substituents are important in anti-nociceptive effects of the novel compounds. These results are in agreement with the previous in-vitro study (14). Compounds with no substitution at para position of C-3 or C-1 phenyl (1 and 5) have anti-inflammatory activity comparable with celecoxib. Although the regioisomers with methyl ubstitution (2 and 6) have no significant anti-inflammatory dose-response relationship (p = 0.08 for both regioisomers), at higher doses they show a significant difference in reduction of paw edema compared to vehicle. Since compounds with Cl and OMe substitutions did not show significant anti-inflammatory effects, it could be concluded that bulky substitutions reduce the anti-inflammatory activity of this group of compounds. In parallel with the results of anti-nociceptive evaluation, the regioisomers with F substitution having no anti inflammatory activity suggest that the presence of an electron-withdrawing moiety significantly reduces the anti-inflammatory effect of the compounds. The position of methylsulfonyl at C-1 or C-3 phenyl ring does not affect the anti-nociceptive and anti-inflammatory effects of this series of the compounds. It could be explained with the similar orientation of the regioisomers in interaction with COX-2. The results also indicate that the antinociceptive potency of the novel chalcone derivatives is higher than that of their anti-inflammatory effect. This may be related to other mechanisms of chalcone derivatives involving in pain control (21). Our results revealed that the methylsulfonyl chalcone-derived compounds can be potent analgesic and anti-inflammatory compounds, if the proper substitutes bind with each phenyl ring at the para position. Further pharmacological and toxicological experiments could be led to novel development of drugs for managing pain and inflammation.
  18 in total

1.  An accurate and simple method for measurement of paw edema.

Authors:  M Fereidoni; A Ahmadiani; S Semnanian; M Javan
Journal:  J Pharmacol Toxicol Methods       Date:  2000 Jan-Feb       Impact factor: 1.950

2.  Cardiovascular events associated with rofecoxib in a colorectal adenoma chemoprevention trial.

Authors:  Robert S Bresalier; Robert S Sandler; Hui Quan; James A Bolognese; Bettina Oxenius; Kevin Horgan; Christopher Lines; Robert Riddell; Dion Morton; Angel Lanas; Marvin A Konstam; John A Baron
Journal:  N Engl J Med       Date:  2005-02-15       Impact factor: 91.245

3.  Agonist and antagonist interactions of opioids on acetic acid-induced abdominal stretching in mice.

Authors:  R I Taber; D D Greenhouse; J K Rendell; S Irwin
Journal:  J Pharmacol Exp Ther       Date:  1969-09       Impact factor: 4.030

4.  Design, synthesis, and biological evaluation of 1,3-diarylprop-2-en-1-ones : a novel class of cyclooxygenase-2 inhibitors.

Authors:  Afshin Zarghi; Sara Arfaee; P N Praveen Rao; Edward E Knaus
Journal:  Bioorg Med Chem       Date:  2005-12-13       Impact factor: 3.641

5.  Prostaglandins, aspirin-like drugs and analgesia.

Authors:  S H Ferreira
Journal:  Nat New Biol       Date:  1972-12-13

6.  Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: A randomized controlled trial. Celecoxib Long-term Arthritis Safety Study.

Authors:  F E Silverstein; G Faich; J L Goldstein; L S Simon; T Pincus; A Whelton; R Makuch; G Eisen; N M Agrawal; W F Stenson; A M Burr; W W Zhao; J D Kent; J B Lefkowith; K M Verburg; G S Geis
Journal:  JAMA       Date:  2000-09-13       Impact factor: 56.272

7.  Conversion of prostaglandin G/H synthase-1 into an enzyme sensitive to PGHS-2-selective inhibitors by a double His513 --> Arg and Ile523 --> val mutation.

Authors:  E Wong; C Bayly; H L Waterman; D Riendeau; J A Mancini
Journal:  J Biol Chem       Date:  1997-04-04       Impact factor: 5.157

8.  Efficacy and safety of four doses of lumiracoxib versus diclofenac in patients with knee or hip primary osteoarthritis: a phase II, four-week, multicenter, randomized, double-blind, placebo-controlled trial.

Authors:  Thomas J Schnitzer; Jannie Beier; Piet Geusens; Paul Hasler; Sanjay K Patel; Ingo Senftleber; Xavier Gitton; Alan Moore; Victor S Sloan; Gyula Poór
Journal:  Arthritis Rheum       Date:  2004-08-15

Review 9.  The role of cyclooxygenase selective inhibitors in the gastrointestinal tract.

Authors:  Byron Cryer
Journal:  Curr Gastroenterol Rep       Date:  2003-12

10.  Selectivity of nonsteroidal antiinflammatory drugs as inhibitors of constitutive and inducible cyclooxygenase.

Authors:  J A Mitchell; P Akarasereenont; C Thiemermann; R J Flower; J R Vane
Journal:  Proc Natl Acad Sci U S A       Date:  1993-12-15       Impact factor: 11.205

View more
  9 in total

1.  hnRNPA2/B1 activates cyclooxygenase-2 and promotes tumor growth in human lung cancers.

Authors:  Yang Xuan; Jingshu Wang; Liying Ban; Jian-Jun Lu; Canhui Yi; Zhenglin Li; Wendan Yu; Mei Li; Tingting Xu; Wenjing Yang; Zhipeng Tang; Ranran Tang; Xiangsheng Xiao; Songshu Meng; Yiming Chen; Quentin Liu; Wenlin Huang; Wei Guo; Xiaonan Cui; Wuguo Deng
Journal:  Mol Oncol       Date:  2015-11-30       Impact factor: 6.603

2.  Design, synthesis and biological evaluation of 5-oxo-1,4,5,6,7,8 hexahydroquinoline derivatives as selective cyclooxygenase-2 inhibitors.

Authors:  Afshin Zarghi; Iman Sabakhi; Vigen Topuzyan; Zahra Hajimahdi; Bahram Daraie
Journal:  Iran J Pharm Res       Date:  2014       Impact factor: 1.696

3.  Evaluation of Anti-Inflammatory and Anti-Nociceptive Effects of Defatted Fruit Extract of Olea europaea.

Authors:  Shamim Sahranavard; Mohammad Kamalinejad; Mehrdad Faizi
Journal:  Iran J Pharm Res       Date:  2014       Impact factor: 1.696

4.  Cytotoxicity of selected novel chalcone derivatives on human breast, lung and hepatic carcinoma cell lines.

Authors:  Maryam Nakhjavani; Afshin Zarghi; Farshad H Shirazi
Journal:  Iran J Pharm Res       Date:  2014       Impact factor: 1.696

5.  Celecoxib Up Regulates the Expression of Drug Efflux Transporter ABCG2 in Breast Cancer Cell Lines.

Authors:  Fatemeh Kalalinia; Fatemeh Elahian; Fatemeh Mosaffa; Javad Behravan
Journal:  Iran J Pharm Res       Date:  2014       Impact factor: 1.696

6.  Domino ring opening and selective O/S-alkylation of cyclic ethers and thioethers.

Authors:  Manickam Bakthadoss; Vishal Agarwal; Thirupathi Reddy Tadiparthi; Mushaf Mohammad
Journal:  Mol Divers       Date:  2020-05-27       Impact factor: 2.943

7.  Preconcentration and Determination of Mefenamic Acid in Pharmaceutical and Biological Fluid Samples by Polymer-grafted Silica Gel Solid-phase Extraction Following High Performance Liquid Chromatography.

Authors:  Hayedeh Bagheri Sadeghi; Homayon Ahmad Panahi; Mahsa Mahabadi; Elham Moniri
Journal:  Iran J Pharm Res       Date:  2015       Impact factor: 1.696

8.  Isoliquiritigenin Derivatives Inhibit RANKL-Induced Osteoclastogenesis by Regulating p38 and NF-κB Activation in RAW 264.7 Cells.

Authors:  Seongtae Jeong; Seahyoung Lee; Kundo Kim; Yunmi Lee; Jiyun Lee; Sena Oh; Jung-Won Choi; Sang Woo Kim; Ki-Chul Hwang; Soyeon Lim
Journal:  Molecules       Date:  2020-08-27       Impact factor: 4.411

9.  Challenging inflammatory process at molecular, cellular and in vivo levels via some new pyrazolyl thiazolones.

Authors:  Perihan A Elzahhar; Rana A Alaaeddine; Rasha Nassra; Azza Ismail; Hala F Labib; Mohamed G Temraz; Ahmed S F Belal; Ahmed F El-Yazbi
Journal:  J Enzyme Inhib Med Chem       Date:  2021-12       Impact factor: 5.051

  9 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.