CN104083803B - A kind of biomembrane for Ocular surface healing and preparation method thereof - Google Patents

A kind of biomembrane for Ocular surface healing and preparation method thereof Download PDF

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CN104083803B
CN104083803B CN201310109216.7A CN201310109216A CN104083803B CN 104083803 B CN104083803 B CN 104083803B CN 201310109216 A CN201310109216 A CN 201310109216A CN 104083803 B CN104083803 B CN 104083803B
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amniotic membrane
biomembrane
protection liquid
concentration
preparation
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CN104083803A (en
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刘博文
刘影
王二浩
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SHAANXI BOAO REGENERATION MEDICAL CO Ltd
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SHAANXI BOAO REGENERATION MEDICAL CO Ltd
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Abstract

A kind of biomembrane that can be used for Ocular surface healing and preparation method thereof, biomembrane of the present invention is the collagem membrane structure of one deck densification, main component is NTx and III Collagen Type VI and all kinds of active factors, thickness is 0.01 ~ 0.05mm, hot strength is 30 ~ 60MPa, stitch tear power is 5 ~ 15N, has the effect suppressing cicatrix and inflammation.Compared with existing product, biomembrane of the present invention can retain various natural component and structure in amniotic membrane, and identical treatment effect, and mechanical strength is close with fresh amnion, and guarantees that biomembrane is without any viral hidden danger.Biomembrane of the present invention is applicable to the reparation of Ocular surface burns and conjunctival damage, has the function of good promotion epithelium, anti-inflammatory, suppression cicatrix, and good therapeutic effect.

Description

A kind of biomembrane for Ocular surface healing and preparation method thereof
Technical field
The invention belongs to tissue engineering medical biomaterial technical field, be specifically related to a kind of biomembrane for Ocular surface healing and preparation method thereof.
Background technology
Amniotic membrane, from cytotrophoblast derivation, is the internal layer of embryo's duplicature, and by epithelium layer, basement membrane becomes with without blood vessel matrix group, comprises multiple collagen protein and laminin,LN, fibronectin, glycosaminoglycans, hyaluronic acid etc. in amniotic membrane.The existence of these active substances just, can promote that epithelial sticking divides a word with a hyphen at the end of a line, and induction epithelial differentiation, prevents epithelial apoptosis, make amniotic membrane serve as one " transplantable basement membrane " and promote epithelization.In addition, a lot of somatomedin is also included in amnion stroma, such as nerve growth factor (NGF), hepatocyte growth factor (HGF), keratinocyte growth factor (KGF), transforminggrowthfactor-α (TGF-α), transforming growth factor-beta 1 (TGF-β 1), epidermal growth factor (EGF), basic fibroblast growth factor (bFGF) (Koizumi, N.J, etal, GrowthfactormRNAandproteininpreservedhumanamnioticmembra ne.CurrEyeRes, 2000.20 (3): p.173-7), inhibiting angiogenesis, albumen (the Hao of antiinflammatory, Y.et, al, Identificationofantiangiogenicandantiinflammatoryprotein sinhumanamnioticmembrane.Cornea, p.348-52) and some native protein enzyme inhibition factors (BK 2000.19 (3):, N, etal, Analysisofhumanamnioticmembranecomponentsasproteinaseinh ibitorsfordevelopmentoftherapeuticagentofrecalcitrantker atitis.TrophoblastRes, 1999 (13): p.459-466.), they can promote eye table epithelization, alleviate inflammatory reaction, proliferation of fibrous tissue and new vessels is suppressed to be formed.Therefore, the application of amniotic membrane in eye table is rebuild in recent years gets most of the attention.
Because fresh amnion and cold preservation amniotic membrane farthest can retain various natural collagen and active factors composition, therefore Clinical practice effect is better.But because this kind of amniotic membrane is without viral inactivation treatment, its aseptic condition cannot be guaranteed, there is virus disseminating hidden danger.Recent domestic also has some amniotic membrane products, is all through lyophilizing, de-cell process or the air-dry process of room temperature; Although, amniotic membrane through lyophilizing can reach desirable moisture content (general 1 ~ 10%), but freezing, freeze thawing, in drying and storage process, there is multiple induced protein degeneration factor (as the selection of cryoprotective agent and freeze drying protectant, the selection etc. of freezing rate), make wayward, the consuming time length of freeze-drying process, cost high, easily cause protein denaturation, amniotic membrane becomes fragile, cause amniotic membrane easily to be torn in operation, need repeatedly to change, extend operating time; And room temperature method that is air-dry, that dry makes moisture evaporation process longer, and the effect of drying and dehydrating undesirable (general moisture content >13%); In addition, amniotic membrane is large losses natural collagen, especially active factors composition after de-cell process, have impact on Clinical practice effect.
Amniotic membrane product disclosed in US Patent No. 006152142A and US006326019B1 is that cesarean Placenta Hominis blunt separation after cleaning up removes chorion, epithelium is upwards laid on cellulose nitrate filter paper, DMEM is stored in afterwards: in glycerol by 1:1, frozen in-80 DEG C of refrigerators, prepared amniotic membrane, without de-cell, drying and sterilization treatment, therefore farthest remains the integrity of amniotic membrane composition and structure; But Problems existing has: 1. retain costs is too high, and be inconvenient to transport; 2. have passed through freezing when preserving, need thaw at RT again during use, these two processes all can cause the destruction of collagen membrane protein structure, become frangible; 3. adopt nitrocellulose filter paper to be substrate in preparation, in use need amniotic membrane to tear it down, natively frangible amniotic membrane is more easily torn or curling, bring inconvenience to clinical manipulation; 4. viral inactivation treatment is not carried out to amniotic membrane, there is virus disseminating hidden danger.
Chinese patent CN03150838.3 and Chinese patent CN200480023933.7 and Chinese patent application 200410075361.9 disclose a kind of can the room temperature preparation method of bioamnion of preserving, by the chorion blunt separation of Placenta Hominis, be layered on after cleaning on nitrocellulose filter paper, pack after lyophilization, 60Coradiation sterilizing.Prepared amniotic membrane, similar with above-mentioned United States Patent (USP), have passed through freezing, equally to a certain extent destruction is caused to amniotic membrane, make it become fragile, easily tear in Clinical practice; It also adopts nitrocellulose filter paper as substrate, and during use, amniotic membrane not easily takes off, and easily occurs curling, brings unnecessary trouble, expend operating time, delay the state of an illness to operation.
Chinese patent application 201010113960.0 disclose one at low temperatures (-20 ~ 4 DEG C) use matrigel amnion stroma is rebuild and repairs, employing colored dyes dyes, sterilize with Co 60 after plastic film mulch, drying, thus save amnioic epithelium and substrate preferably, but under lower than zero degree condition, carry out amnion stroma reconstruction, amniotic membrane still can be caused to become fragile; After plastic film mulch, amniotic membrane is torn to cause from substrate and to tear or curling, and be difficult to epithelial surface and the basal surface of identification amniotic membrane, make troubles to clinical manipulation.
US Patent No. 2003/0187515A1 and US2004/0048796A1 discloses a kind of human acellular amniotic membrane, adopts 0.1 ~ 1.0% sodium deoxycholate solution to soak amniotic membrane, and recycling cell scraper strikes off visible cellular material on amniotic membrane.Although the method can remove cell effectively, also make many cytokine (VEGFs simultaneously, fibroblast growth factor, TGF-1, platelet-derived somatomedin A and B, pigment epidermal derived factors) content loss (LimLS, PohRW, RiauAK, BeuermanRW, TanD, MehtaJS, Biologicalandultrastructuralpropertiesofacelagraft, afreeze-dried γ-irradiatedhumanamnioticmembrane, ArchOphthalmol.2010,128 (10): 1303-10).
In sum, how to make amniotic material both retain each effective constituents in fresh amnion, be conducive to again clinical manipulation and preserve transport, become amniotic membrane and rebuild problem demanding prompt solution for eye table.
Summary of the invention
The object of this invention is to provide a kind of biomembrane for Ocular surface healing and preparation method thereof, prepared biomembrane can retain natural structure and the composition of fresh amnion, and identical treatment effect, mechanical strength is close with fresh amnion, and guarantees that biomembrane is without any viral hidden danger.
Biomembrane for Ocular surface healing proposed by the invention, for the collagem membrane structure of one deck densification, main component is NTx and III Collagen Type VI and all kinds of active factors, thickness is 0.01 ~ 0.05mm, hot strength is 30 ~ 60MPa, stitch tear power is 5 ~ 15N, has the effect suppressing cicatrix and inflammation; Wherein each class active factors comprises basic fibroblast growth factor (bFGF), epidermal growth factor (EGF), hepatocyte growth factor (HGF), cutin somatomedin (KGF), tissue metal proteases inhibitive factor (TIMP).
The biomembranous preparation method for Ocular surface healing that the present invention proposes, being is raw material with amniotic membrane, through raw material sterilization, antibacterial process, conservation treatment, vacuum drying and pack and irradiation sterilization step, finally obtains biomembrane product; Concrete steps comprise:
Step one, raw material are sterilized: after normal saline cleaning amniotic membrane, to be soaked in disinfectant solution 0.5 ~ 5 hour, then to clean up by purified water; Any one of described disinfectant solution to be the NaOH aqueous solution of 0.1 ~ 0.5M or the aqueous hydrogen peroxide solution of 1 ~ 3g/L or the peroxide acetate aqueous solution of 0.1 ~ 0.5g/L or volumetric concentration the be ethanol water of 60% ~ 90%;
Wherein, adopt medicining liquid dipping amniotic membrane, effectively can sterilize to amniotic membrane, the load of microorganisms of often opening amniotic membrane is controlled at 1cfu/cm 2below, the pollution of entrained microorganism is avoided to cause feed stock pollution to subsequent processes and environment; Meanwhile, these disinfectant solution also have the effect of inactivation of viruses, to ensure the biological safety of amniotic membrane, and avoid the virus contamination in subsequent processes.
Step 2, antibacterial process: being soaked in containing antibiotic normal saline or pH by the amniotic membrane after sterilization is 0.2 ~ 1h in the phosphate buffer of 7.0; Described antibiotic and concentration thereof are any one or several combinations of 50 μ g/mL penicillins, 50 μ g/mL streptomycins, 4 μ g/mL gentamycins and 2.5 μ g/mL amphotericin Bs;
Adopt antibiotic solution process, mainly suppress or kill in amniotic membrane the various antibacterials that may carry.
Step 3, conservation treatment: the amniotic membrane after step 2 process is placed in hybrid protection liquid concussion 1 ~ 24h; Described hybrid protection liquid is dry-run protection liquid and anti-radiation protection liquid by volume the mixing of 1:1 ~ 2; Wherein, dry-run protection liquid is the aqueous trehalose solution of 1 ~ 15g/L concentration or the glycerine water solution of 15 ~ 40% volumetric concentrations, and anti-radiation protection liquid is the tea polyphenols aqueous solution of the aqueous ascorbic acid of 5 ~ 15g/L concentration or the Osmitrol of 1 ~ 10g/L concentration or 0.5 ~ 5g/L concentration;
Trehalose is nonreducing sugar, can form hydrogen bond, make protein molecule still keep normal conformation under exsiccosis, maintain function at the position of the dry dehydration of protein with hydroxyl and molecule; And its vitrification point is higher, the destruction of ice crystal cell membrane in freezing process can be avoided.Glycerol belongs to osmosis type protective agent, can stable protein function in drying and dehydrating process.Be more prone at present explain this protective effect with " water substitutes hypothesis ": namely think that protein surface has water membrane, the conformation of Protein requirement and function are played an important role; In high-temperature drying procedures, lose moisture film and protein conformation can be made to change and inactivation.This step adopts trehalose or glycerol to carry out conservation treatment, and natural collagen protein and active factors in amniotic membrane can be avoided to lose in a large number in follow-up drying and dehydrating.
Usually, the free radical (as hydroxyl radical free radical, superoxide radical etc.) in a large number with extremely strong oxidisability produced in irradiation sterilization process, understand the one-level of heavy damage protein, secondary and tertiary structure, the physicochemical property of protein and biological property are destroyed.And ascorbic acid, mannitol and tea polyphenols are effective scavengers of this kind of oxidative free radical, thus play the effect of protected protein matter.
The drying protectant that the present invention adopts and irradiation protective agent, all have protective effect to the collagen component of amniotic membrane and structure, can avoid the loss of amniotic membrane mechanical strength in dry and irradiation process.Test proves, the amniotic membrane hot strength through conservation treatment is 30 ~ 60MPa, and stitch tear power is 5 ~ 15N, improves 40 ~ 60% with compared with conservation treatment; Prove that this step can the collagen structure of available protecting amniotic membrane inside and mechanical performance thereof, overcome in Clinical practice the shortcoming being unfavorable for sewing up, and improve the anti-degradation capability of biomembrane product.
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is-0.08 ~ 0.1Mpa, and temperature is 40 ~ 55 DEG C, 0.1 ~ 5 hour drying time;
Usually, in vacuum drier, vacuum is when-0.095Mpa, the boiling point of water about 37 DEG C, far below protein inactivation temperature (being about 60 DEG C), the present invention carries out vacuum and heating drying processed to amniotic membrane under 40 ~ 55 DEG C of conditions, protein can be prevented because of high-temperature denatured inactivation, overcome amniotic membrane and become fragile after lyophilization, be unfavorable for the defect that operation stitching operates;
In addition, due to the process of this step amniotic membrane drying protective agent, the good mechanical performance of amniotic membrane can at utmost be retained.Due to the individual variation of donor, amniotic membrane thickness has larger difference, generally at 0.01 ~ 0.05mm, hot strength in 30 ~ 65Mpa, suture tears power at 5 ~ 15N.The experiment proved that, cold preservation amniotic membrane thickness and fresh amnion difference are little, but the mechanical strength of amniotic membrane declines comparatively obvious, and hot strength is 30 ~ 50MPa, and suture tears power is 5 ~ 12N; And the mechanical strength of lyophilizing amniotic membrane declines obviously, hot strength is 10 ~ 25MPa, and suture tears power is 2 ~ 8N; The thickness of human acellular amniotic membrane declines obviously (0.005 ~ 0.02mm), and cause the loss of mechanical strength comparatively large, hot strength is 15 ~ 30MPa, and suture tears power is 3 ~ 10N; And drying of the present invention is protected and after irradiation protection, the amniotic membrane that vacuum drying obtains, thickness is 0.01 ~ 0.05mm, and hot strength is 30 ~ 60MPa, and stitch tear power is 5 ~ 15N.Meanwhile, the present invention adopts vacuum drying can improve dehydrate efficiency, method is simple, consumption energy consumption time few, production cost is low, is applicable to large-scale production.
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, after cutting and Vacuum Package, adopt sterilization by ionizing radiation process, namely obtain biomembrane product; Described ionizing radiation can be radiated by gamma-ray or high-energy electron beam irradiation, and dosage is 15 ~ 30kGy.
This step can ensure that amniotic membrane is in aseptic condition for Clinical practice, and ionizing radiation has the effect of inactivation of virus simultaneously, and viral inactivation treatment is again to ensure the biological safety of amniotic membrane.
Biomembrane prepared by the present invention is compared with natural component in untreated fresh amnion, and the content of contained collagen and active factors and fresh amnion is more or less the same.After testing, biomembrane contains NTx 251.3 ± 1.3 μ g/mg, III Collagen Type VI 305.5 ± 2.5 μ g/mg, type Ⅳ collagen 38.6 ± 0.7 μ g/mg, hepatocyte growth factor 56.9 ± 1.2 μ g/mg; And containing NTx 303.5 ± 5.3 μ g/mg, III Collagen Type VI 384.2 ± 4.5 μ g/mg in fresh amnion, type Ⅳ collagen 53.6 ± 1.7 μ g/mg, hepatocyte growth factor 89.9 ± 3.2 μ g/mg.The biomembrane that as can be seen here prepared by the inventive method effectively can retain collagen and active factors composition in natural amniotic membrane.
Biomembrane prepared by the present invention, can the internal structure of the natural amniotic membrane of available protecting, maintains the mechanical strength close to fresh amnion.After testing, biomembrane average tensile strength of the present invention is 58.1 ± 2.4MPa, the average tensile strength of fresh amnion is 63.4 ± 3.1MPa, amniotic membrane average tensile strength through vacuum freeze-drying process is only 18.3 ± 1.1MPa, and only through the biomembrane average tensile strength of vacuum drying treatment be 40.9 ± 3.1Mpa.Can find out, the hot strength of frozen dried amniotic membrane reduces more than 70% relative to fresh amnion, easy drawing crack; The biomembranous hot strength of the present invention is than the only decline 8% of fresh amnion, but ratio is only through the biomembranous height about 50% of vacuum drying treatment, close to the intensity of fresh amnion.Prove that dry-run protection process serves the effect of protection amniotic membrane structure in vacuum drying, also illustrate that the protective agent that adopts in the inventive method can the collagen structure of the natural amniotic membrane of available protecting and composition, reduce the destruction to amniotic membrane in drying.
Compared with existing product, biomembrane of the present invention can retain various natural component and structure in amniotic membrane, and identical treatment effect, and mechanical strength is close with fresh amnion, and guarantees that biomembrane is without any viral hidden danger.Compared with prior art, preparation method of the present invention has the following advantages:
(1) biomembrane adopting preparation method of the present invention to obtain, effectively can remain the various active skull cap components of amniotic membrane, as type i collagen, III Collagen Type VI, type Ⅳ collagen and epidermal growth factor (EGF), hepatocyte growth factor (HGF), cutin somatomedin (KGF), basic fibroblast growth factor (bFGF), tissue metal proteases inhibitive factor (TIMP) etc.; Through proving the detection of above composition, biomembrane product of the present invention differs with the content of fresh amnion and is only 10 ~ 20%, illustrates that preparation method of the present invention effectively can retain the various natural components of amniotic membrane.
(2) the vacuum dehydration process of the present invention's employing, moisture is being removed lower than under temperature of protein denaturation, not only reach drying and dehydrating effect (moisture content 5 ~ 10%), biomembrane can long-term room-temperature preserve, convenient transportation, also overcome the protein inactivation made because of freezing processing in amniotic membrane, cause amniotic membrane to become fragile, improve the situation that amniotic membrane in Clinical practice is torn; Through experimental verification, the biomembrane adopting the present invention to obtain has clear improvement in mechanical strength than the amniotic membrane adopting lyophilization process to obtain, and its hot strength improves 180 ~ 200% than the latter.
(3) because the present invention adopts dry-run protection and irradiation conservation treatment; can reduce collagen membrane albumen and active factors structural damage; the biomembranous mechanical strength of effective maintenance and degradation time (see Fig. 2); remain good mechanical performance; make the stitching in clinical practice that biomembrane can not occur to tear, guarantee its situation being applied to eye table Post operation and there will not be the repairing effect that causes because of too fast degraded not good.Experiment proves, through the biomembranous tear edge of conservation treatment than undressed raising 40 ~ 60%.
(4) the present invention adopt inactivation of virus and antibacterial processing method, effectively can reduce the load of microorganisms of amniotic membrane, each viroid that thorough deactivation may be carried, biomembranous safety is effectively ensured.In the present invention, virus inactivating method is through the checking of Military Medical Science Institute of PLA, can ensure each viroid (as HIV, HBV, HCV, syphilis etc.) deactivation completely, drastically increase the safety of Clinical practice.
Biomembrane the present invention prepared and fresh amnion are respectively used to the contrast experiment of Ocular surface burns and the reparation of conjunctival damage animal model, Ocular surface damage and the conjunctival damage of postoperative 4 weeks laboratory animals are all effectively repaired, result proves that biomembrane remains the function of good promotion epithelium, anti-inflammatory, suppression cicatrix, in the reparation of Ocular surface burns and conjunctival damage, have good therapeutic effect (see Fig. 4 and Fig. 5).Illustrate that biomembrane of the present invention effectively remains various natural component and the structure of amniotic membrane, there is the therapeutical effect with fresh amnion equivalence.
Accompanying drawing explanation
Accompanying drawing 1 is NTx, the III Collagen Type VI familial combined hyperlipidemia collagen immunization histochemical staining Comparative result photo of the biomembrane prepared of the present invention and fresh amnion; Wherein, A, B, C, D are the biomembranous photo of the present invention, and E, F, G, H are the contrast photo of fresh amnion; A and E is NTx coloration result, B and F is III Collagen Type VI coloration result, C and G is type Ⅳ collagen coloration result, D and H is negative control coloration result.Can find out, in biomembrane and fresh amnion, NTx, III Collagen Type VI familial combined hyperlipidemia collagen have stronger positive expression, prove that preparation method of the present invention can retain the natural collagen composition in amniotic membrane; Also can be seen by coloration result; in biomembrane prepared by the present invention, each collagen distribution is orderly; the clear in structure such as amniotic epithelial cells layer, compacted zone, fibrocyte layer are visible, illustrate that in the inventive method, dry-run protection and irradiation protection can protect the natural structure of amniotic membrane effectively.
Accompanying drawing 2 is the contrast experiment's photo adopting irradiation conservation treatment effect in the inventive method; Contrast experiment is the results contrast of the Proteinase K Solution degraded 1h biomembrane of different disposal being adopted 0.2mg/mL concentration; Wherein, A is the contrast biomembrane without irradiation sterilization, and visible biomembrane integrity is better, has signs of degradation, and membrane portions is damaged; B is without conservation treatment but through the biomembrane of irradiation sterilization, visible film is almost degradable; C is again through the biomembrane of irradiation sterilization after conservation treatment (ascorbic acid process), and visible biomembrane integrity is better, has Partial digestion phenomenon.The biomembranous degradation rate illustrating again through irradiation sterilization after conservation treatment is starkly lower than without conservation treatment; And identical with the degraded situation without irradiation, prove that protective agent that the present invention adopts can available protecting amniotic membrane, reduce irradiation to the damage of film.
Accompanying drawing 3 is adopt outward appearance photo between the biomembrane implantation in rabbit cornea flaggy prepared of the present invention after 8 weeks and HE stained photographs thereof.Demonstrate and still can keep more complete membranaceous form in implantation after 8 weeks, there is not bacterial plaque in implant site, rabbit cornea festers, inflammation, cicatrix etc., illustrate that biomembrane and the rabbit corneal flaggy histocompatibility of implantation are good, merged by absorption gradually, also illustrate that the inventive method thoroughly can remove the microbial contamination in material, ensures the safety of biomembrane itself.
Accompanying drawing 4 is the outward appearance contrast photo adopting different membrane material to repair lagophthalmos table chemical burn experiment; Wherein, A, B, C are the experimental conditions adopting fresh amnion to repair: A, B, C are respectively postoperative 0 day, 2 weeks, 4 weeks photos, can obviously find out, lagophthalmos post-operative conditions is good, rabbit corneal when 4 weeks after surgery is repaired, corneal transparency, without blood vessel and cicatrization; D, E, F adopt the experimental conditions of Biomembran repair of the present invention: D, E, F are respectively postoperative 0 day, 2 weeks, 4 weeks photos, can obviously find out, lagophthalmos post-operative conditions is good, rabbit corneal when 4 weeks is after surgery transparent, without angiogenesis, there is not the phenomenon of redness, inflammation, corneal ulcer, scarring, identical with the effect that fresh amnion is repaired; G, H, I are the experimental conditions (blank) not using membrane material to repair: G, H, I are respectively postoperative 0 day, 2 weeks, 4 weeks photos, can obviously find out, lagophthalmos post-operative recovery is poor, cornea has subregion to occur inflammatory reaction and scar tissue, experimental rabbit cornea fails to repair all the time, do not form continuous print multilamellar corneal epithelial cell, corneal lamellar also can not repaired.Illustrate that the inventive method effectively remains the various natural components in amniotic membrane, ensure that in biomembrane and promote that the biological activity such as epithelization, anti-inflammatory, the generation of suppression cicatrix plays a role, with fresh amnion, there is equivalent action.
Accompanying drawing 5 is the outward appearance contrast photo adopting different membrane material to repair rabbit conjunctival extirpation experiment; Wherein, A, B, C are the experimental conditions adopting fresh amnion to repair: A, B, C are respectively postoperative 1 week, 2 weeks, 4 weeks photos, can obviously find out, rabbit conjunctival defect is repaired after amnion transplantation, conjunctival epithelial cell is formed again, conjunctiva is smooth, is formed without blood vessel and symblepharon; D, E, F adopt the experimental conditions of Biomembran repair of the present invention: D, E, F are respectively postoperative 1 week, 2 weeks, 4 weeks photos, can obviously find out, lagophthalmos post-operative conditions is good, conjunctiva defect is repaired after the transfer, conjunctiva is smooth, formed without blood vessel and symblepharon, identical with fresh amnion repairing effect; G, H, I are the experimental conditions (blank) not using membrane material to repair: G, H, I are respectively postoperative 1 week, 2 weeks, 4 weeks photos, and result shows, and conjunctiva defect place conjunctiva could not be repaired, and form scarring, epithelization does not complete.Prove that the inventive method effectively remains the various natural components in amniotic membrane, it promotes that the biological activitys such as epithelization, anti-inflammatory, the generation of suppression cicatrix play a role, and has effects equivalent with fresh amnion.
Detailed description of the invention
Below in conjunction with example, technical solution of the present invention and effect thereof are further described.In example, amniotic membrane raw material comes from Shenyang Silver Sea (3S) Eye Hospital amniotic membrane storehouse.
embodiment 1,
Step one, raw material are sterilized: after normal saline cleaning amniotic membrane 3 times, the NaOH aqueous solution being placed in 0.5M soaks 0.5 hour, then cleans 3 times by purified water;
Step 2, antibacterial process: the amniotic membrane after sterilization to be soaked in the normal saline of the streptomycin of penicillin containing 50 μ g/mL and 50 μ g/mL 15 minutes;
Step 3, conservation treatment: the amniotic membrane after step 2 process is soaked in hybrid protection liquid and shakes 24 hours; Hybrid protection liquid is dry-run protection liquid and anti-radiation protection liquid by volume the mixing of 1:1; Wherein dry-run protection liquid is the aqueous trehalose solution of 1g/L concentration; Anti-radiation protection liquid is the aqueous ascorbic acid of 5g/L concentration;
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is 0.1Mpa, and control temperature is 40 DEG C, 5 hours drying times;
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, specification cutting on demand Vacuum Package, finally adopt dosage to be the radiated by gamma-ray sterilization treatment of 15kGy.
Biomembrane prepared by this example, remains multiple collagen and active component, and vacuum drying temperature is 40 DEG C, close with animal normal physiological body temperature, avoids excessive temperature and causes protein denaturation inactivation, has the corneal injury therapeutic effect be equal to fresh amnion.This example is longer for drying time, and biomembrane moisture content is about 5%, is conducive to long-term preservation.Adopt lagophthalmos table damage model to evaluate this film effectiveness, result as shown in Figure 4, shows biomembrane prepared by this example and has the good result suppressing blood vessel, anti-inflammatory, suppression cicatrix to generate.
embodiment 2,
Step one, raw material are sterilized: clean amniotic membrane 5 times with normal saline, are placed in 75% alcoholic solution and soak 5 hours, then clean 10 times by purified water;
Step 2, antibacterial process: the pH being soaked in the amniotic membrane after sterilization containing 4 μ g/mL gentamycins and 2.5 μ g/mL amphotericin Bs is 1h in the phosphate buffer of 7.0;
Step 3, conservation treatment: the amniotic membrane after step 2 process is soaked in hybrid protection liquid and shakes 1 hour; Hybrid protection liquid be dry-run protection liquid with anti-radiation protection liquid by volume 1:2 mix; Wherein dry-run protection liquid is volumetric concentration is 40% glycerine water solution; Radiation protective is the Osmitrol of 10g/L;
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is-0.08Mpa, and control temperature is 55 DEG C, 0.1 hour drying time.
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, specification carries out cutting and Vacuum Package on demand, and finally employing dosage is the radiated by gamma-ray sterilization treatment of 30kGy.
Biomembrane prepared by this example, remains multiple collagen and active component, and vacuum drying temperature is 55 DEG C, still lower than the deactivation temperature of most of albumen, and be only 0.1 hour drying time, to amniotic membrane thickness effect less (being less than 10%), ensure that the operability that amniotic membrane is performed the operation; And drying time is extremely short, remain the biological activity of amniotic membrane, there is the conjunctival damage therapeutic effect be equal to fresh amnion.Adopt rabbit conjunctival defect model to evaluate its effectiveness, as shown in Figure 5, the biomembrane showing this example has the good result suppressing blood vessel, anti-inflammatory, suppression cicatrix to generate to result.
embodiment 3,
Step one, raw material are sterilized: clean amniotic membrane 4 times with normal saline, are placed in 1g/L aqueous hydrogen peroxide solution and soak 1 hour, then clean 6 times by purified water;
Step 2, antibacterial process: the amniotic membrane after sterilization to be soaked in the normal saline containing 50 μ g/mL penicillins and 2.5 μ g/mL amphotericin Bs 30 minutes;
Step 3, conservation treatment: the amniotic membrane after step 2 process is soaked in hybrid protection liquid and shakes 24 hours; Hybrid protection liquid is dry-run protection liquid and anti-radiation protection liquid the mixing of 1:1.5 by volume; Wherein dry-run protection liquid is the aqueous trehalose solution of 15g/L; Anti-radiation protection liquid is the tea polyphenols aqueous solution of 5g/L.
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is 0.05Mpa, and control temperature is 45 DEG C, 2 hours drying times.
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, specification carries out cutting and Vacuum Package on demand, and finally employing dosage is the radiated by gamma-ray sterilization treatment of 25kGy.
This example adopts the aqueous trehalose of 15g/L and the tea polyphenols solution of 5g/L to carry out dry-run protection and irradiation protection; in hybrid protection agent, trehalose concentration is higher; protein structure can be effectively avoided to be damaged in drying and irradiation sterilization in dry-run protection; its hot strength testing result shows; protect the hot strength of amniotic membrane close to fresh amnion through protective agent; the biomembrane of proved example effectively can be reduced in the loss of mechanical strength in preparation, makes biomembrane in Clinical practice, there will not be the phenomenon of easily tearing, not easily sewing up.
embodiment 4,
Step one, raw material are sterilized: clean amniotic membrane 5 times with normal saline, are placed in 0.1g/L peroxide acetate aqueous solution and soak 3 hours, then clean 5 times by purified water;
Step 2, antibacterial process: the amniotic membrane after sterilization is soaked in 1/2h in the normal saline containing 50 μ g/mL penicillins;
Step 3, conservation treatment: be soaked in by the amniotic membrane after step 2 process in hybrid protection liquid, shake 12 hours; Hybrid protection liquid be dry-run protection liquid with anti-radiation protection liquid by volume 1:1.2 mix; Wherein dry-run protection liquid is the aqueous trehalose solution of 10g/L; Anti-radiation protection liquid is the aqueous ascorbic acid of 15g/L;
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is-0.05Mpa, and control temperature is 50 DEG C, 1 hour drying time;
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, specification on demand carries out cutting and Vacuum Package, and finally employing dosage is the high-energy electron beam irradiation sterilization treatment of 15kGy.
This example adopts 10g/L aqueous trehalose and 15g/L ascorbic acid solution carries out drying and irradiation is protected; because the protectant concentration of irradiation is higher; albumen can be more effectively avoided to be damaged in drying and irradiation sterilization process; its degradation property testing result as shown in Figure 2; approximate through the biomembranous degradation rate of overprotection and untreated fresh amnion; proved example biomembrane can effectively reduce protein structure and be damaged in preparation process, ensures can not to play therapeutical effect because of too fast degraded in Clinical practice.
embodiment 5,
Step one, raw material are sterilized: clean amniotic membrane 5 times with normal saline, are placed in 60% alcoholic solution and soak 4 hours, then clean 8 times by purified water;
Step 2, antibacterial process: be in the phosphate buffer (PBS) of 7.0 40 minutes by the pH be soaked in containing 50 μ g/mL streptomycins, 4 μ g/mL gentamycins of the amniotic membrane after sterilization;
Step 3, conservation treatment: the amniotic membrane after step 2 process is soaked in hybrid protection liquid and shakes 8 hours; Hybrid protection liquid is dry-run protection liquid and the 1:1.8 mixing by volume of anti-radiation protection liquid, and wherein dry-run protection liquid is volumetric concentration is 20% glycerine water solution; Anti-radiation protection liquid is the Osmitrol of 8g/L;
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is 0.02Mpa, and control temperature is 48 DEG C, 2.5 hours drying times;
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, specification on demand carries out cutting and Vacuum Package, and finally employing dosage is the high-energy electron beam irradiation sterilization treatment of 30kGy.
Biomembrane prepared by this example adopts the irradiation sterilization of 60% ethanol postincubation 4h and 30kGy high dose, the hidden danger of biomembrane without microbial contamination and potential virus can be guaranteed, although sterilizing dose is higher, but still by dry and irradiation protection, to be vacuum dryingly combined, multiple collagen and active factors in effective reservation fresh amnion, avoid amniotic membrane to be damaged when irradiation; The amniotic membrane prepared by this example is through SABC qualitative detection, result as shown in Figure 1, this example amniotic membrane is compared with fresh amnion, the Germ distribution of NTx, III Collagen Type VI and type Ⅳ collagen is identical, content is close, indirectly confirm that the inventive method effectively can retain the bioactive function of amniotic membrane, ensure to have given play to the repairing effect identical with fresh amnion clinically.

Claims (5)

1., for the biomembranous preparation method of Ocular surface healing, it is characterized in that, concrete steps comprise:
Step one, raw material are sterilized: after normal saline cleaning amniotic membrane, to be soaked in disinfectant solution 0.5 ~ 5 hour, then to clean up by purified water;
Step 2, antibacterial process: being soaked in containing antibiotic normal saline or pH by the amniotic membrane after sterilization is 0.2 ~ 1h in the phosphate buffer of 7.0;
Step 3, conservation treatment: the amniotic membrane after step 2 process is placed in hybrid protection liquid concussion 1 ~ 24h; Described hybrid protection liquid is dry-run protection liquid and anti-radiation protection liquid by volume the mixing of 1:1 ~ 2; Wherein, dry-run protection liquid is the aqueous trehalose solution of 1 ~ 15g/L concentration or the glycerine water solution of 15 ~ 40% volumetric concentrations, and anti-radiation protection liquid is the tea polyphenols aqueous solution of the aqueous ascorbic acid of 5 ~ 15g/L concentration or the Osmitrol of 1 ~ 10g/L concentration or 0.5 ~ 5g/L concentration;
Step 4, vacuum drying: the amniotic membrane after step 3 process is carried out vacuum drying treatment, vacuum is-0.08 ~ 0.1Mpa, and temperature is 40 ~ 55 DEG C, 0.1 ~ 5 hour drying time;
Step 5, packaging and irradiation sterilization: by the amniotic membrane after step 4 process, after cutting and Vacuum Package, adopt sterilization by ionizing radiation process, namely obtain biomembrane product.
2. preparation method according to claim 1, it is characterized in that, any one of to be the NaOH aqueous solution of 0.1 ~ 0.5M or the aqueous hydrogen peroxide solution of 1 ~ 3g/L or the peroxide acetate aqueous solution of 0.1 ~ 0.5g/L or volumetric concentration the be ethanol water of 60% ~ 90% of the disinfectant solution described in step one.
3. preparation method according to claim 1, it is characterized in that, the antibiotic described in step 2 and concentration thereof are any one or several combinations of 50 μ g/mL penicillins, 50 μ g/mL streptomycins, 4 μ g/mL gentamycins and 2.5 μ g/mL amphotericin Bs.
4. preparation method according to claim 1, is characterized in that, the ionizing radiation described in step 5 is radiated by gamma-ray or high-energy electron beam irradiation, and dosage is 15 ~ 30kGy.
5. the biomembrane for preparing of method according to claim 1, it is characterized in that, for the collagem membrane structure of one deck densification, main component is NTx and III Collagen Type VI and all kinds of active factors, thickness is 0.01 ~ 0.05mm, hot strength is 30 ~ 60MPa, and stitch tear power is 5 ~ 15N, has the effect suppressing cicatrix and inflammation; Wherein each class active factors comprises basic fibroblast growth factor, epidermal growth factor, hepatocyte growth factor, cutin somatomedin, tissue metal proteases inhibitive factor.
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