CN115025235B - Compound for treating facial nerve injury disease and preparation method and application thereof - Google Patents
Compound for treating facial nerve injury disease and preparation method and application thereof Download PDFInfo
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Abstract
The invention provides a compound of tetrahedral framework nucleic acid and miR-22, which is more excellent in stability and treatment effectiveness than the compound of the tetrahedral framework nucleic acid and miR-22 reported in the prior art through unique cohesive end linkage compounding, can promote the uptake of cells to miR-22, effectively improves the microenvironment after facial nerve injury, provides conditions for axon regeneration, and has a good treatment effect on facial nerve injury.
Description
Technical Field
The invention belongs to the field of biological medicine, and particularly relates to a compound for treating facial nerve injury diseases, and a preparation method and application thereof.
Background
The facial nerve is the longest peripheral nerve of the human body in the bone canal, and the walk from the brain stem to the facial muscle tissue is complex and powerful, and governs the movement of maxillofacial muscles, secretion of glands, taste, hearing and the like. Most maxillofacial surgeries are centered on the facial nerve, which makes them very susceptible to iatrogenic injuries. Oral and maxillofacial surgery has been reported to account for 40% of the causes of injury, with temporomandibular joint replacement being the most common cause of iatrogenic facial nerve injury associated with maxillofacial surgery. The resection of other head and neck pathological changes accounts for 25%, the otorhinolaryngological operation accounts for 17%, the medical cosmetology operation accounts for 11%, and other operations account for 7%. If the injury is not repaired in time or the repair effect is not good, the injury will cause different degrees of hypofunction of the dominant effector muscle group, facial expression loss, abnormal lacrimal/salivary gland secretion and the like, and seriously affect the physical and mental health of the patient.
After facial nerve injury, the patient's recovery correlates well with the severity of the trauma or symptoms. If mechanical axons are excessively destroyed, the patient may require a longer recovery time with severe dysfunction and sequelae (e.g., numbness, tingling, burning or severe pain). Currently, various therapeutic means, such as expressive muscle training, electrical stimulation, neural decompression, neural anastomosis, neural transplantation, etc., have been developed clinically according to the degree of injury. Despite the advances in microsurgical techniques, achieving good repair of facial nerves following injury remains a clinical problem, and the major drawback of current nerve repair is the inability to ensure complete recovery of nerve function. Furthermore, in existing peripheral nerve regeneration studies, relatively few people are concerned with the facial nerve, which makes drugs that can effectively treat facial nerve regeneration deficient.
MicroRNAs (miRNAs) are a group of short, non-coding microrna sequences that are widely expressed in the nervous system by binding to 3 untranslated regions (3-UTRs) of messenger RNAs (mrnas) that regulate gene expression at the transcriptional level and cellular response to extracellular stimuli, of which miRNA-22-3p (miR-22, gene id. However, its clinical use is greatly limited due to its inherent instability.
DNA Tetrahedra (TDN), also called tetrahedral framework nucleic acids or tetrahedral framework nucleic acids (tFNAs), is a tetrahedral structure consisting of 4 highly specific single-stranded DNAs through a simple annealing process based on the base complementary pairing principle. Due to the advantages of good biocompatibility, histocyte permeability, programmability and the like, the miRNAs are suitable therapeutic vectors for delivering the miRNAs into cells and improving the biological application rate of the miRNAs.
Patent application CN20211029324.0 discloses a complex of tetrahedral framework nucleic acid and miR-22 for the treatment of optic nerve injury. However, miR-22 is linked to 1 to 4 single strands constituting the tetrahedral framework nucleic acid via the deoxyribonucleotide sequence-TTTTT-single strand, and is linked to the vertices of the tetrahedral framework nucleic acid. However, the stability of the complex still remains to be further improved. Particularly, compared with the optic nerve injury disease which can be directly administrated by adopting vitreous injection, the difficulty of facial nerve injury administration is that the medicine is fused with body fluid after entering the injury part, and serum and enzyme in the body fluid can directly influence the stability of the medicine, which has higher requirement on the stability of the medicine, so that the existing medicine carrying systems of tetrahedral framework nucleic acid and miR-22 are difficult to realize the effective treatment of the facial nerve injury. Therefore, a more stable and effective miRNA drug delivery system needs to be established for treating facial nerve injury diseases.
Disclosure of Invention
The invention aims to provide a compound for treating facial nerve injury diseases and a preparation method and application thereof.
The invention provides a compound for treating facial nerve injury diseases, which is formed by connecting tetrahedral framework nucleic acid and miR-22 through a cohesive end, wherein the molar ratio of the tetrahedral framework nucleic acid to the miR-22 is 1 (1-4).
Further, the molar ratio of the tetrahedral framework nucleic acid to the miR-22 is 1:1.
Further, the tetrahedral framework nucleic acid is formed by base complementary pairing of 4 single-stranded DNAs, at least one of which has a cohesive end sequence a connected to the 3 'end or the 5' end; the miR-22 is miR-22 with a cohesive end sequence b connected to the 3 'end or the 5' segment; the cohesive end sequence a is complementary or reverse complementary to the cohesive end sequence b.
Furthermore, the sequence of the sticky end sequence a is shown as SEQ ID NO.6, and the sequence of the sticky end sequence b is shown as SEQ ID NO. 7;
preferably, the cohesive end sequence a is linked to the single-stranded DNA by a linker sequence; more preferably, the linking sequence is TT.
Furthermore, one of the 4 single strands is connected with a cohesive end sequence a at the 5 'end, and the miR-22 is miR-22 with a cohesive end sequence b connected with the 5' segment.
Furthermore, the sequences of the 4 single-stranded DNAs are respectively and independently selected from the sequences shown in SEQ ID NO. 1-4 one by one; the sequence of the miR-22 is shown in SEQ ID NO. 5.
The invention also provides a preparation method of the compound, which comprises the following steps:
incubating nucleic acid with a tetrahedral framework and miR-22 at 20-30 ℃ for 20-40 min; the vertex of the tetrahedral framework nucleic acid is connected with a cohesive end sequence a, the miR-22 is connected with a cohesive end sequence b, and the cohesive end sequence a is complementary or reverse complementary to the cohesive end sequence b.
Further, 4 single-stranded DNAs of tetrahedral framework nucleic acid are placed at a temperature sufficient for denaturation and maintained for more than 10min, and then the temperature is reduced to 2-8 ℃ and maintained for more than 20 min; the 3 'end or 5' segment of at least one of the four single-stranded DNAs is connected with a cohesive end sequence a.
The invention also provides the application of the compound in the medicine for treating facial nerve injury diseases; preferably, the facial nerve injury disease comprises loss of facial expression, abnormal lacrimal/salivary gland secretion.
Further, the above-mentioned drugs are drugs that promote repair of facial nerves.
Experimental results show that the compound of the tetrahedral framework nucleic acid and the miR-22 is compounded through unique viscous terminal linkage, so that the compound of the tetrahedral framework nucleic acid and the miR-22, which is reported in the prior art, has more excellent stability and more excellent treatment effectiveness, can promote the uptake of cells to the miR-22, improve the microenvironment after facial nerve injury, provide conditions for axon regeneration, and has a good treatment effect on the facial nerve injury.
Obviously, many modifications, substitutions, and variations are possible in light of the above teachings of the invention, without departing from the basic technical spirit of the invention, as defined by the following claims.
The present invention will be described in further detail with reference to the following examples. This should not be understood as limiting the scope of the above-described subject matter of the present invention to the following examples. All the technologies realized based on the above contents of the present invention belong to the scope of the present invention.
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FIG. 1 is (a) a gel of nucleic acids PAGE carrying different fluorophores (green: FAM, red: cy5, combined: orange); (b) a PAGE gel of nucleic acids after Gelred countercoloration of the nucleic acid dye; (c) a nucleic acid PAGE gel map carrying FAM green fluorophore; (d) a nucleic acid PAGE gel image carrying a Cy5 red fluorophore; lane (1 miR-22-FAM,2 css 3,3: css 3-miR22-FAM,4: tFNAs-Cy5,5: ctFNAs-Cy5,6
FIG. 2 is (a) TEM and AFM images of tFNAs; (b) TEM and AFM images of ctFNAs-miR22.
FIG. 3 shows (a) the particle size and Zeta potential of tFNAs; (b) the grain size and Zeta potential of ctFNAs-miR 22; and (c) a statistical table of the particle size and potential of tFNAs and ctFNAs-miR22.
FIG. 4 shows the intake of ctFNAS-miR22 by RAW 264.7. (a) Detecting the rapid ingestion of miR-22 and ctFNAS-miR22 by RAW264.7 within 3 hours through flow cytometry; (b) Cellular immunofluorescence assay efficient uptake of miR-22, ctFNAS-miR22 by RAW264.7 within 3 hours (red: cy5 fluorophore; green: phalloidin; blue: DAPI), scale: 5 μm
FIG. 5 shows the uptake of ctFNAS-miR22 by SCs. (a) Detecting the rapid ingestion of miR-22 and ctFNAS-miR22 by SCs in 12 hours by flow cytometry; (b) Carrying out cell immunofluorescence detection on SCs to efficiently take miR-22 and ctFNAS-miR22 within 12 hours; and (3) red color: a Cy5 fluorophore; green: a cytoskeleton; blue, nuclei, scale: 5 μm.
FIG. 6 shows that ctFNAs-miR22 promotes the proliferation and migration of SCs. Detecting an SCs image in a proliferation stage by an EdU method; (b) statistical analysis of EdU; (c) 24 hour invasion assay images; (d) statistic analysis of SCs vertical migration; (e) 24 hour scratch test images; (f) statistical analysis of SCs horizontal migration. The statistical data are mean ± sd (n = 3), and statistical differences were indicated by one-way variance analysis, P < 0.05, P < 0.01, P < 0.001, P < 0.0001.
FIG. 7 shows that ctFNAs-miR22 promotes macrophage migration by Schwann cells. (a) Macrophage scratch experimental images under different culture environments within 24 hours; (b) schematic representation of co-culture scratch experiment; (c) Statistical analysis of the horizontal migration of RAW264.7, the data were all means ± standard deviation (n = 3), and statistical differences were indicated by one-way variance analysis, with P < 0.05, P < 0.01, P < 0.001, and P < 0.0001. (d) 24 hour RAW264.7 vertically migrated images; (e) schematic representation of the coculture invasion experiment.
FIG. 8 shows that ctFNAs-miR22 promotes the expression of anti-inflammatory factors in a microenvironment constructed by damaged macrophages and Schwann cells. (a) Schematic diagram of the influence of ctFNAs-miR22 on inflammatory factors in a microenvironment after injury; (b) ELISA detection of TNF-alpha released from RAW264.7 for statistical analysis; (c) ELISA detection of IL-10 statistical analysis of RAW264.7 release. The statistical data are mean ± sd (n = 3), and statistical differences were indicated by one-way variance analysis, P < 0.05, P < 0.01, P < 0.001, P < 0.0001.
FIG. 9 shows that ctFNAs-miR22 promotes FGF-9 expression in the microenvironment constructed by macrophages and Schwann cells after injury. (d) Schematic diagram of the effect of ctFNAs-miR22 on cytokines in the microenvironment after injury; (e) ELISA detects FGF-9 released by RSCs after different treatments in a co-culture environment. Mean ± standard deviation of statistical data (n = 3), corrected by one-way analysis of variance, tukey test: * P < 0.05, P < 0.01, P < 0.001, P < 0.0001, representing a statistical difference.
FIG. 10 is the change in whisker movement at different times in rats after different treatments. (a) video recording of rat whisker movement. The palpal extension (1) and palpal contraction (2) movements were recorded on the operative (left) and control (right) sides, and the amplitude and frequency of palpal movement from the sagittal line (Fr-Occ) was observed. (b) video-based whisker motion score statistics. Statistics were performed according to the Vibrissa scoring criteria, with data all mean ± standard deviation (n = 5), corrected by one-way anova, tukey test: * P < 0.05, P < 0.01, P < 0.001, P < 0.0001, indicating a statistical difference.
Fig. 11 is the results of HE staining of facial nerve tissue at different times for different treated posterior nerves, scale: 20 μm.
Fig. 12 shows toluidine blue staining of facial nerve tissue at different times for different treated posterior nerves, scale: 50 μm.
Fig. 13 is an image of facial nerve tissue under transmission electron microscope. (a) Electron microscope tissue images of normal facial nerve tissue (1) and nerve tissue (2) behind the forceps; (b) Electron microscopy histograms of the posterior nerves at different times with different treatments, scale: 5 μm.
FIG. 14 is (a) immunofluorescence detection of β -III Tubulin expression; red: β -III Tubulin, blue: nucleus, scale: 20 μm; (b) histochemical staining to detect expression of MBP, scale: 20. and mu m.
Detailed Description
The raw materials and equipment used in the invention are known products, and are obtained by purchasing products sold in the market.
Example 1 Synthesis of a Complex of tetrahedral framework nucleic acid (tFNA) and miR-22 (ctFNAs-miR 22)
1. Synthesis of
Four DNA single strands (S1, S2, cS3, S4, see Table 1 in sequence) were dissolved in TM Buffer (10 mM Tris-HCl,50mM MgCl 2 pH = 8.0), the final concentration of the four DNA single strands is 1000nM, mixing thoroughly, heating rapidly to 95 ℃ for 10 minutes, then cooling rapidly to 4 ℃ for more than 20 minutes to obtain ctFNA; and the DNA is incubated with cmiR-22 (the sequence is shown in table 1) for 30 minutes at room temperature according to the proportion of 1:1, and a novel DNA nano-complex ctFNAs-miR22 is synthesized through sticky ends based on base complementary pairing.
2. Identification
Detecting ctFNA-miR22 by using PAGE electrophoresis; detecting the shape of ctFNA-miR22 by using a transmission electron microscope; and (3) detecting the zeta potential and the particle size of ctFNA-miR22 by using a nano particle size potentiometer.
3. Identification results
Electrophoresis results show that the molecular weight of the band of ctFNA-miR22 is remarkably higher than that of miR-22, single-stranded DNA and DNA tetrahedrons (tFNAs, ctFNAs), and that the single-stranded DNA is assembled together (figure 1).
The transmission electron microscope detects the particles with the tetrahedral structure (figure 2), and the zeta potential and the particle size detected by the nanometer particle size potentiometer (figure 3).
TABLE 1 nucleotide sequences related to the invention
* Wherein Cy5 and FAM fluorescent labeling groups are used for tracing
The beneficial effects of the present invention will be further described in the following experimental examples, wherein ctFNA-miR22 mentioned in the experimental examples is prepared by the method of example 1, and in some experiments, for tracing, ctFNA-miR22 is prepared by replacing S1 with a single chain of 5 'segment modified Cy5 fluorophore, and/or ctFNA-miR22 is prepared by replacing cmiR-22 with a single chain of 3' segment modified FAM fluorophore.
The beneficial effects of the present invention are demonstrated by the following experimental examples.
Experimental example 1 uptake of ctFNAs-miR22 by SCs cells and RAW264.7 cells
1. Method for producing a composite material
In order to detect the capacity of taking ctFNAs-miR22 by SCs cells and RAW264.7 cells, the content and the location of the medicament in the SCs are observed after the ctFNAs-miR22 is incubated for a certain time by using flow cytometry and a cell immunofluorescence staining method. Grouping setting: control groups (SCs without any treatment), 250nM Cy5-miR-22, 250nM Cy5-ctFNAs-miR22.
2. Results
As shown in FIGS. 4-5,3h, the uptake of ctFNAs-miR22 by RAW264.7 cells was as high as 99.30%, while the amount of miR-22 taken up at this time was only about 4.28%.12h, about 66.20% of the SCs cells were able to take up ctFNAs-miR22, while miR 22-uptake cells were only about 5.94%. Observation under a laser confocal microscope shows that red fluorescence is miR22/ctFNAS-miR22 modified with a Cy5 fluorophore, green fluorescence is a cytoskeleton, the ctFNAS-miR22 after being absorbed in large amount is uniformly distributed in cytoplasm in a scattered point shape, and only a small amount of miR22 is absorbed by SCs/RAW 264.7. The results show that the ctFNAS-miR22 delivery system can help miR-22 to be rapidly and efficiently taken up by cells.
Experimental example 2, ctFNAs-miR22 regulates and controls interaction between SCs and macrophages to improve microenvironment after injury
1. Method for producing a composite material
Co-culturing SCs with macrophages; grouping setting: control group (RAW 264.7/SCs without any treatment), LPS (1. Mu.g/mL) lesion group, LPS + miR-22 (250 nM) treatment group, LPS + tFNAs (250 nM) treatment group, LPS + ctFNAs-miR22 (250 nM) treatment group, were examined as follows:
(1) Observing the influence of ctFNAs-miR22 on the proliferation and migration of SCs under a microscope;
(2) Observing the influence of ctFNAs-miR22 mediated SCs on promoting macrophage migration under a microscope
(3) Detecting the secretion of cell factors in the co-culture environment by using an enzyme-labeling instrument;
(4) Detecting the expression of Bax, caspase-3 and BCL-2 by using immunofluorescence and Western blot;
2. results
As shown in FIG. 6, ctFNAs-miR22 promotes the proliferation and migration of SCs. compared with ctFNA and single-chain miR22, ctFNA-miR22 can inhibit apoptosis caused by NMDA.
FIG. 7 shows that ctFNAs-miR22 promotes macrophage migration by Schwann cells.
FIG. 8 shows that ctFNAs-miR22 promotes the expression of anti-inflammatory factors in the microenvironment constructed by macrophages and Schwann cells after injury.
FIG. 9 shows that ctFNAs-miR22 promotes the expression of FGF-9 in the microenvironment constructed by macrophages and Schwann cells after injury.
The results of the experimental example show that ctFNAs-miR22 can enhance the interaction between SCs and macrophages, promote SCs-mediated M2 macrophage polarization, improve the microenvironment after injury and provide conditions for axon regeneration.
Experimental example 3, ctFNAs-miR22 promotes repair of rat facial nerve injury
1. The method comprises the following steps:
establishing a rat facial nerve clamp injury model 1) weighing the weight of each rat, diluting chloral hydrate in proportion, and performing intraperitoneal injection anesthesia.
2) Taking facial nerve as operation side, scraping hair around the back of left ear, and sterilizing with iodophor and 75% alcohol.
3) The posterior margin of the left ear is incised by 0.5-1mm, the muscular fascia is separated, the papillary foramen is exposed, and after the facial nerve is found, the facial nerve trunk is clamped by a straight hemostatic forceps perpendicular to the facial nerve forceps for 60 seconds. The jaws were then sutured with 3-0 silk suture adjacent to the muscle marking the injury site. The surrounding skin was sutured with 3-0 nylon thread and the injured area was re-surfaced on the skin. After operation, antibiotics are added into drinking water of rats to prevent postoperative infection.
4) 24 hours after model establishment, they were randomly assigned to 4 groups (6 rats per group): injury group (60 μ L physiological saline), miR-22 treatment group (250nM 60 μ L), tFNAs treatment group (250nM 60 μ L), ctFNAs-miR22 treatment group (250nM 60 μ L). The first injection was performed 24 hours after modeling, and every other day injections were taken for 3 weeks. The control group was normal mice (3) and each rat in the remaining groups had no surgical operation on the right lateral nerve.
2. In vivo detection:
a) Whisker tremor experiment in rats
B) Facial nerve HE staining
C) Toluidine blue dyeing
D) Transmission electron microscope
E) Immunohistochemistry
F) Immunofluorescence
2. As a result, the
Rat whisker tremor experiment (fig. 10): palpus dyskinesia was observed 24 hours after the facial nerve forceps were injured, palpus on the operation side completely stopped moving, some rats also had facial paralysis such as eyelid dyskinesia, and healthy side palpus could move with high frequency and large amplitude. After the treatment of ctFNAs-miR22 for two weeks, the almost complete recovery of the movement amplitude of the surgical palpus can be observed until the movement frequency and amplitude of the surgical palpus are recovered to normal in the third week.
Facial nerve HE staining (fig. 11): the normal control group has regular arrangement of nerve fiber tissues, compact structure and uniform shape and distribution of cell nucleuses. After the forceps are injured, the nerve fiber structure is destroyed, and fracture, gap, edema, vacuole degeneration and the like occur. After two weeks of ctFNAs-miRNA22 treatment, the density of the fibers was significantly increased and the fiber alignment was more compact and regular compared to the other treatment groups. After three weeks of treatment, the fiber regeneration of the ctFNAs-miRNA22 group is more obvious, and the fiber morphology of the group is closer to that of the control group.
Toluidine blue staining (fig. 12): normal nerves are surrounded by intact perineurium, and dense myelin sheaths surround axons, which are intact in morphology and uniform in size. Whereas a large number of necrotic axons, demyelinating changes and cellular debris were visible after injury until the third week. After one week of treatment, repair-type SCs with abundant cytoplasm and new axons were observed in the treated group, especially in ctFNAs-miRNA22 treated group. In the second week, ctFNAs-miRNA22 showed a large number of progressively mature axons and myelin sheaths compared to the other treatment groups; in the third week, axons in ctFNAs-miRNA22 group became gradually abundant, the myelin sheaths covering the axons were denser, and the sizes and forms were more regular
Transmission electron microscope (fig. 13): in the ctFNAs-miRNA22 group, repair-type SCs containing a large amount of cytoplasm and new axons appeared in the nerve tissue from the first week compared to the other groups, and remyelination of SCs and new axons gradually matured in the second week until the nerve tissue structure approached the control group in the third week.
Immunohistochemistry and immunofluorescence (fig. 14): when the neuron marker protein beta-III Tubulin is detected, the beta-III Tubulin (red color) in each group is obviously reduced compared with that in a control group in the first week after the injury. In the second week, the expression of beta-III Tubulin in the ctFNAs-miRNA22 group is obviously increased compared with other groups, and the change is most obvious in the third week and is always superior to tFNAs and miR-22 treatment groups. Similar changes were observed after detection of myelin marker protein MBP.
In conclusion, the invention provides the compound of the tetrahedral framework nucleic acid and the miR-22, which is more excellent in stability and treatment effectiveness than the compound of the tetrahedral framework nucleic acid and the miR-22 reported in the prior art through unique cohesive end linkage compounding, can effectively promote the uptake of cells to the miR-22, improve the microenvironment after facial nerve injury, provide conditions for axon regeneration, and has a good treatment effect on the facial nerve injury.
SEQUENCE LISTING
<110> Sichuan university
<120> a compound for treating facial nerve injury diseases, and a preparation method and application thereof
<130> GYKH1118-2022P0114940CC
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<170> PatentIn version 3.5
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Claims (11)
1. A compound for treating facial nerve injury diseases is characterized by being formed by connecting tetrahedral framework nucleic acid and miR-22 through cohesive ends, wherein the molar ratio of the tetrahedral framework nucleic acid to the miR-22 is 1 (1~4);
the tetrahedral framework nucleic acid is formed by base complementary pairing of 4 single-stranded DNAs, and the 3 'end or the 5' end of at least one of the four single-stranded DNAs is connected with a cohesive end sequence a; the miR-22 is miR-22 with a cohesive end sequence b connected to the 3 'end or the 5' end; the cohesive end sequence a is complementary or reverse complementary to the cohesive end sequence b;
the sequences of the 4 single-stranded DNAs are respectively and independently selected from the sequences shown in SEQ ID NO. 1-4 one by one; the sequence of the miR-22 is shown in SEQ ID NO. 5.
2. The complex of claim 1, wherein the molar ratio of tetrahedral framework nucleic acids and miR-22 is 1:1.
3. The complex of claim 1, wherein the sequence of the sticky end sequence a is as shown in SEQ ID No.6 and the sequence of the sticky end sequence b is as shown in SEQ ID No. 7.
4. The complex of claim 3, wherein the sticky end sequence a is linked to the single stranded DNA by a linker sequence.
5. The complex of claim 4, wherein the linker sequence is TT.
6. The complex of claim 1, wherein one of the 4 single strands is 5 'linked to a cohesive end sequence a, and the miR-22 is a miR-22 having a 5' segment linked to a cohesive end sequence b.
7. A method for preparing a complex as claimed in any one of claims 1 to 6, comprising the steps of:
incubating nucleic acid with a tetrahedral framework and miR-22 at 20-30 ℃ for 20-40min; the vertex of the tetrahedral framework nucleic acid is connected with a cohesive end sequence a, the miR-22 is connected with a cohesive end sequence b, and the cohesive end sequence a is complementary or reverse complementary to the cohesive end sequence b.
8. The method according to claim 7, wherein 4 single-stranded DNAs of tetrahedral framework nucleic acid are maintained at a temperature sufficient to denature them for 10min or more, and then the temperature is lowered to 2 to 8 ℃ for 20min or more; the 3 'end or 5' segment of at least one of the four single-stranded DNAs is connected with a cohesive end sequence a.
9. Use of the complex of any one of claims 1~6 in the preparation of a medicament for the treatment of a facial nerve injury disease.
10. The use of claim 9, wherein the facial nerve damage disorder comprises loss of facial expression, abnormal lacrimal/salivary gland secretion.
11. The use of claim 9, wherein the medicament is a medicament for promoting repair of facial nerves.
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