The invention belongs to the technical field of biological medicines, and discloses a new medical application of an
hERG / Kv11.1 channel activator NS-1643, so that new application of old medicines is realized. The NS-1643 is traditionally used for anti-arrhythmia research and development, it is found for the first time that NS-1643 can effectively treat
cardiotoxicity induced by
anthracycline drugs (such as
doxorubicin), and meanwhile NS-1643 can be used for preventing or treating
ferroptosis-related cardiovascular diseases such as
myocardial ischemia reperfusion injury,
myocardial infarction and
heart failure. The invention further provides a pharmaceutical composition containing the NS-1643, the NS-1643 or pharmaceutical salt, ester, solvate and the like of the NS-1643 are taken as active ingredients of the composition, and the active ingredients are matched with auxiliary ingredients acceptable in biological
pharmacy, so that the composition can be prepared into sterile dosage forms such as injections, oral preparations and the like, and the process is stable and controllable.
Cell experiments prove that NS-1643 has a remarkable protective effect on
ferroptosis-induced
myocardial cell injury (EC50 is approximately equal to 2.7 mu M); animal experiments prove that the
doxorubicin-induced mouse
death risk can be completely reversed, the heart function is remarkably improved, and
myocardial fibrosis and
lipid peroxidation damage are relieved. The application expands the clinical application range of NS-1643, has the advantages of high clinical transformation potential, clear
treatment effect and the like, provides a new effective strategy for prevention and treatment of
anthracycline cardiotoxicity and related cardiovascular diseases, and has important clinical application value and industrial transformation prospect.