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ApTOLL is a first-in-class neuroprotective drug developed by AptaTargets. It is an unmodified single-stranded DNA aptamer (ssDNA) that acts as a highly specific antagonist of Toll-like receptor 4 (TLR4), a key receptor in the innate immune system. By binding to and inhibiting TLR4, ApTOLL blocks the inflammatory cascade triggered after acute ischemic events such as stroke or myocardial infarction, thereby reducing inflammation-induced cell damage and improving functional outcomes. The drug has demonstrated significant neuroprotective effects in preclinical models and clinical trials for acute ischemic stroke, including reduced mortality and infarct volume. It is administered intravenously and is being investigated for use in both acute ischemic stroke (AIS) and ST-elevation myocardial infarction (STEMI)[1][2][3][5][7][8].
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