JPH01171638A - Adsorbent for serum amyloid a protein - Google Patents
Adsorbent for serum amyloid a proteinInfo
- Publication number
- JPH01171638A JPH01171638A JP62330617A JP33061787A JPH01171638A JP H01171638 A JPH01171638 A JP H01171638A JP 62330617 A JP62330617 A JP 62330617A JP 33061787 A JP33061787 A JP 33061787A JP H01171638 A JPH01171638 A JP H01171638A
- Authority
- JP
- Japan
- Prior art keywords
- protein
- polyanion
- water
- adsorbent
- compd
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 101710190759 Serum amyloid A protein Proteins 0.000 title claims abstract description 28
- 239000003463 adsorbent Substances 0.000 title claims abstract description 24
- 102000054727 Serum Amyloid A Human genes 0.000 title claims abstract description 8
- 229920000447 polyanionic polymer Polymers 0.000 claims abstract description 9
- 150000004676 glycans Chemical class 0.000 claims abstract description 8
- 229920001282 polysaccharide Polymers 0.000 claims abstract description 8
- 239000005017 polysaccharide Substances 0.000 claims abstract description 8
- 150000001875 compounds Chemical class 0.000 claims description 17
- 230000007717 exclusion Effects 0.000 claims description 8
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 3
- QAOWNCQODCNURD-UHFFFAOYSA-L sulfate group Chemical group S(=O)(=O)([O-])[O-] QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 claims description 2
- 238000000034 method Methods 0.000 abstract description 6
- 229920001059 synthetic polymer Polymers 0.000 abstract description 5
- 229920002125 Sokalan® Polymers 0.000 abstract description 4
- 229920002678 cellulose Polymers 0.000 abstract description 4
- 239000001913 cellulose Substances 0.000 abstract description 4
- 239000004584 polyacrylic acid Substances 0.000 abstract description 4
- 239000011521 glass Substances 0.000 abstract description 3
- 229920002554 vinyl polymer Polymers 0.000 abstract description 3
- 229920000936 Agarose Polymers 0.000 abstract description 2
- LSNNMFCWUKXFEE-UHFFFAOYSA-M Bisulfite Chemical compound OS([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-M 0.000 abstract description 2
- 108010010234 HDL Lipoproteins Proteins 0.000 abstract description 2
- 102000015779 HDL Lipoproteins Human genes 0.000 abstract description 2
- 239000004372 Polyvinyl alcohol Substances 0.000 abstract description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 abstract description 2
- 239000011324 bead Substances 0.000 abstract description 2
- 229920000058 polyacrylate Polymers 0.000 abstract description 2
- 229920002451 polyvinyl alcohol Polymers 0.000 abstract description 2
- 239000000741 silica gel Substances 0.000 abstract description 2
- 229910002027 silica gel Inorganic materials 0.000 abstract description 2
- 239000002250 absorbent Substances 0.000 abstract 1
- 230000002745 absorbent Effects 0.000 abstract 1
- 230000003247 decreasing effect Effects 0.000 abstract 1
- 239000000499 gel Substances 0.000 description 27
- 239000000969 carrier Substances 0.000 description 10
- 125000000524 functional group Chemical group 0.000 description 9
- 102000004169 proteins and genes Human genes 0.000 description 8
- 108090000623 proteins and genes Proteins 0.000 description 8
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 8
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 7
- 210000002381 plasma Anatomy 0.000 description 7
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 239000008280 blood Substances 0.000 description 6
- 201000010099 disease Diseases 0.000 description 6
- 239000011148 porous material Substances 0.000 description 6
- 239000002243 precursor Substances 0.000 description 6
- 238000001179 sorption measurement Methods 0.000 description 6
- 229920002307 Dextran Polymers 0.000 description 5
- 206010002022 amyloidosis Diseases 0.000 description 5
- 229960002086 dextran Drugs 0.000 description 5
- 239000002245 particle Substances 0.000 description 5
- 210000002966 serum Anatomy 0.000 description 5
- 238000011282 treatment Methods 0.000 description 5
- 208000023769 AA amyloidosis Diseases 0.000 description 4
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 4
- 206010039811 Secondary amyloidosis Diseases 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 102000007592 Apolipoproteins Human genes 0.000 description 3
- 108010071619 Apolipoproteins Proteins 0.000 description 3
- 108700028909 Serum Amyloid A Proteins 0.000 description 3
- 239000002131 composite material Substances 0.000 description 3
- 102000034238 globular proteins Human genes 0.000 description 3
- 108091005896 globular proteins Proteins 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 238000002965 ELISA Methods 0.000 description 2
- 239000011543 agarose gel Substances 0.000 description 2
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 2
- 125000003277 amino group Chemical group 0.000 description 2
- 125000000129 anionic group Chemical group 0.000 description 2
- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 2
- 238000005056 compaction Methods 0.000 description 2
- 229960000633 dextran sulfate Drugs 0.000 description 2
- -1 dextran sulfate Chemical group 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 238000000746 purification Methods 0.000 description 2
- 239000006228 supernatant Substances 0.000 description 2
- SQDAZGGFXASXDW-UHFFFAOYSA-N 5-bromo-2-(trifluoromethoxy)pyridine Chemical group FC(F)(F)OC1=CC=C(Br)C=N1 SQDAZGGFXASXDW-UHFFFAOYSA-N 0.000 description 1
- 102000004506 Blood Proteins Human genes 0.000 description 1
- 108010017384 Blood Proteins Proteins 0.000 description 1
- PTHCMJGKKRQCBF-UHFFFAOYSA-N Cellulose, microcrystalline Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC)C(CO)O1 PTHCMJGKKRQCBF-UHFFFAOYSA-N 0.000 description 1
- 229920002101 Chitin Chemical group 0.000 description 1
- 229920001661 Chitosan Chemical group 0.000 description 1
- 229920002567 Chondroitin Polymers 0.000 description 1
- 229920001287 Chondroitin sulfate Chemical group 0.000 description 1
- 208000014526 Conduction disease Diseases 0.000 description 1
- 206010012289 Dementia Diseases 0.000 description 1
- BRLQWZUYTZBJKN-UHFFFAOYSA-N Epichlorohydrin Chemical compound ClCC1CO1 BRLQWZUYTZBJKN-UHFFFAOYSA-N 0.000 description 1
- 108010023302 HDL Cholesterol Proteins 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical group OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 208000003456 Juvenile Arthritis Diseases 0.000 description 1
- 206010059176 Juvenile idiopathic arthritis Diseases 0.000 description 1
- 108090001030 Lipoproteins Proteins 0.000 description 1
- 102000004895 Lipoproteins Human genes 0.000 description 1
- 208000032376 Lung infection Diseases 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000025966 Neurological disease Diseases 0.000 description 1
- 206010053159 Organ failure Diseases 0.000 description 1
- 229920002845 Poly(methacrylic acid) Polymers 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 229920000805 Polyaspartic acid Polymers 0.000 description 1
- 108010020346 Polyglutamic Acid Proteins 0.000 description 1
- 239000004793 Polystyrene Substances 0.000 description 1
- 125000004018 acid anhydride group Chemical group 0.000 description 1
- 125000003172 aldehyde group Chemical group 0.000 description 1
- 125000003368 amide group Chemical group 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 235000012000 cholesterol Nutrition 0.000 description 1
- DLGJWSVWTWEWBJ-HGGSSLSASA-N chondroitin Chemical group CC(O)=N[C@@H]1[C@H](O)O[C@H](CO)[C@H](O)[C@@H]1OC1[C@H](O)[C@H](O)C=C(C(O)=O)O1 DLGJWSVWTWEWBJ-HGGSSLSASA-N 0.000 description 1
- 229940059329 chondroitin sulfate Drugs 0.000 description 1
- 208000019069 chronic childhood arthritis Diseases 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 229920003045 dextran sodium sulfate Polymers 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 230000002255 enzymatic effect Effects 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000005227 gel permeation chromatography Methods 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 201000002215 juvenile rheumatoid arthritis Diseases 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000005229 liver cell Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 238000002616 plasmapheresis Methods 0.000 description 1
- 229920000172 poly(styrenesulfonic acid) Polymers 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 108010064470 polyaspartate Proteins 0.000 description 1
- 229920002643 polyglutamic acid Polymers 0.000 description 1
- 229920000137 polyphosphoric acid Polymers 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 229940005642 polystyrene sulfonic acid Drugs 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 208000008128 pulmonary tuberculosis Diseases 0.000 description 1
- 206010039073 rheumatoid arthritis Diseases 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 125000005372 silanol group Chemical group 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 150000005846 sugar alcohols Polymers 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 239000013076 target substance Substances 0.000 description 1
- 125000003396 thiol group Chemical group [H]S* 0.000 description 1
- 210000001685 thyroid gland Anatomy 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
Landscapes
- External Artificial Organs (AREA)
- Solid-Sorbent Or Filter-Aiding Compositions (AREA)
Abstract
Description
【発明の詳細な説明】
[産業上の利用分野]
本発明は血液などに含まれる血清アミロイドA (Se
rum AmyloId A、 、以下SAAという)
蛋白を除去するためのSAA蛋白用吸着体に関する。[Detailed Description of the Invention] [Industrial Application Field] The present invention is directed to serum amyloid A (Se
rum AmyloId A, , hereinafter referred to as SAA)
The present invention relates to an adsorbent for SAA proteins for removing proteins.
[従来の技術および発明が解決しようとする問題点]
アミロイド−シスはアミロイド物質と呼ばれるβ−フィ
ブリル状の蛋白が血管、臓器およびその他の組織に沈管
し、心、腎などの臓器不全、心刺激伝導障害、進行性痴
呆、脳血管障害、神経障害などの重篤な障害を惹きおこ
す疾患である。[Prior art and problems to be solved by the invention] Amyloidosis is a phenomenon in which β-fibrillar proteins called amyloid substances are deposited in blood vessels, organs, and other tissues, leading to organ failure in the heart, kidneys, etc., and cardiac stimulation. It is a disease that causes serious disorders such as conduction disorders, progressive dementia, cerebrovascular disorders, and neurological disorders.
アミロイド−シスには原発性、続発性、家族性、老人性
などの病型が存在することが知られている。続発性アミ
ロイド−シスは、慢性関節リウマチ、若年性関節リウマ
チ、肺化膿症、肺結核などの疾患に続発して起こり、好
発部位としてY、〜、甲状腺、膵、肝、牌などがあげら
れる。It is known that amyloidosis has disease types such as primary, secondary, familial, and senile. Secondary amyloidosis occurs secondary to diseases such as chronic rheumatoid arthritis, juvenile rheumatoid arthritis, pulmonary suppuration, and pulmonary tuberculosis, and frequently occurs in the Y, thyroid, pancreas, liver, and tablets.
アミロイド−シス沈着物質の蛋白組織は病型により異な
る。続発性アミロイド−シスでは、アミロイドルシス沈
着物質はアミロイドA(Amylotd A、 見、T
AAという)蛋白と呼ばれる分子量が11500でアミ
ノ酸76個からなる蛋白質により形成されている。The protein organization of amyloid-cis deposits differs depending on the disease type. In secondary amyloidosis, the amyloidosis deposits are amyloid A (Amyloid A).
It is made up of a protein called AA protein, which has a molecular weight of 11,500 and consists of 76 amino acids.
また、それぞれの病型において沈着するアミロイド−シ
ス沈着物質に対応する前駆物質が患者血液中に存在する
ことか明らかになり一つつある。続発性アミロイドーシ
スでは高密度リポ蛋白(IIIgh Der+5ity
Lipoproteins以下HDLとい5)のアポ
リポ蛋白のひとつであるSAA蛋白がAA蛋白(う前駆
物質であるとされている。このSAA蛋白は分7− m
約1.2000で、肝細胞で産生され、血液中でiID
I、のアポリポ蛋白となり体内を循環しl i)Lか
ら離れて加水分解され、AA蛋白となノて組織に沈着す
ると考ズられている。またSAA ffl白は、It
D Lの中°Cは密度の高い分子量175入105 で
あるIIDLJのアポリポ蛋白として存在していると考
えられている。Furthermore, it is becoming clear that precursor substances corresponding to amyloid-cis deposits deposited in each disease type exist in patient blood. In secondary amyloidosis, high-density lipoprotein (IIIgh Der+5ity
SAA protein, which is one of the apolipoproteins of lipoproteins (hereinafter referred to as HDL5), is said to be a precursor of AA protein.
approximately 1.2000, produced in liver cells and iID in the blood
It is thought that it circulates in the body as an apolipoprotein of I, and then is separated from L and hydrolyzed, becoming AA protein and deposited in tissues. Also SAA ffl white is It
It is believed that the medium DLJ exists as a dense apolipoprotein of IIDLJ with a molecular weight of 175/105.
アミロイド−シスは前記のごとく重篤な疾患であり、死
亡率も高いことからその治療法について盛んに研究され
てきたが、これまでのところを効な治療法、とくに薬物
療法は見出されていない。As mentioned above, amyloidosis is a serious disease with a high mortality rate, so treatments for it have been actively researched, but so far no effective treatment, especially drug therapy, has been found. do not have.
一方近年盛んに行なわれるようになってきた体外循環に
よる血液浄化法、とりわけ血漿交換法によりアミロイド
ーシスを治療する試みがなされており、前記の前駆物質
を多量に含有する患者血漿を正常血漿と交換することに
より症状の軽快、病変の進行停止が見られるとの報告が
なされている。On the other hand, attempts have been made to treat amyloidosis using blood purification methods using extracorporeal circulation, which have become popular in recent years, particularly plasma exchange methods, in which patient plasma containing large amounts of the aforementioned precursors is exchanged with normal plasma. It has been reported that symptoms are alleviated and the progression of lesions is halted.
体外循環による血液浄化法とりわけ血漿交換法は現在の
ところ最も、有効な治療法であるが、高価かつ貴重な正
常血漿あるいは血漿製剤を大量に使用すること、また患
者血漿中に含まれる前駆物質以外の有用成分も同時に廃
棄されるなどの欠点を有しているため、前駆物質をより
選択的に除去する方法の開発が強く望まれている。Blood purification through extracorporeal circulation, especially plasmapheresis, is currently the most effective treatment, but it requires the use of large amounts of expensive and valuable normal plasma or plasma preparations, and it requires the use of precursors other than those contained in the patient's plasma. However, there is a strong demand for the development of a method for more selectively removing the precursors, as the useful components of the precursors are also discarded at the same time.
本発明は叙上の問題点を解決し、l! D Lを大きく
減少させることなく SAA蛋白を選択的に除去しうる
安価なSAA蛋白用吸着体を提供することを目的とする
ものである。The present invention solves the above problems and provides l! The object of the present invention is to provide an inexpensive adsorbent for SAA protein that can selectively remove SAA protein without significantly reducing DL.
L問題点を解決するための手段]
本発明は、水不溶性担体の表面の少なくとも一部にポリ
アニオン化合物を有するSAA蛋白用吸着体に関−づる
。Means for Solving Problem L] The present invention relates to an adsorbent for SAA protein having a polyanionic compound on at least a portion of the surface of a water-insoluble carrier.
[実施例コ
本発明に用いるポリアニオン化合物は、pHが中性付近
で負に帯電するような官能基を含有するものであればい
かなるものでもよく、とくに限定されるものではない。[Example] The polyanion compound used in the present invention is not particularly limited, and may be any compound containing a functional group that is negatively charged when the pH is near neutral.
本発明に用いるポリアニオン化合物の代表例としては、
たとえばポリアクリル酸、ポリビニルスルフォン酸、ポ
リビニルりん酸、ポリスチレンスルフォン酸、ポリスチ
レンりん酸、ポリグルタミン酸、ポリアスパラギン酸、
ポリメタクリル酸、ポリりん酸、スチレン−マレイン酸
共重合体などの合成ポリアニオン化合物、さらにはヘパ
リン、デキストラン硫酸、コンドロイチン、コンドロイ
チン硫酸、キチン、キトサンなどのアニオン性官能基含
有多糖類などがあげられるが、これらに限定されるもの
ではない。Representative examples of polyanionic compounds used in the present invention include:
For example, polyacrylic acid, polyvinyl sulfonic acid, polyvinyl phosphoric acid, polystyrene sulfonic acid, polystyrene phosphoric acid, polyglutamic acid, polyaspartic acid,
Examples include synthetic polyanionic compounds such as polymethacrylic acid, polyphosphoric acid, and styrene-maleic acid copolymers, as well as polysaccharides containing anionic functional groups such as heparin, dextran sulfate, chondroitin, chondroitin sulfate, chitin, and chitosan. , but not limited to these.
これらのなかでも、硫酸エステル基を含有するポリアニ
オン化合物を用いるのが好ましい。Among these, it is preferable to use a polyanionic compound containing a sulfate ester group.
ポリアニオン化合物を水不溶性担体の表面の少なくとも
一部に固定するために、ポリアニオン化合物を導入する
方法としては種々の方法を用いうるが、強固な共有結合
を形成する固定化法が好ましい。Various methods can be used to introduce the polyanionic compound to at least a portion of the surface of the water-insoluble carrier, but an immobilization method that forms a strong covalent bond is preferred.
ポリアニオン化合物のうち硫酸エステル基を含有する化
合物としては硫酸エステル基の他に水不溶性担体への固
定に利用しうる官能基を有する化合物が好ましい。なか
でも多価アルコールの部分硫酸エステル化物、とりわけ
糖類の硫酸エステル化物(硫酸化多糖類)が硫酸エステ
ル基、固定に必要な官能基双方を含んでいるうえに、生
体適合性、活性共に高く、さらに容易に水不溶性担体に
固定できるため好ましい。その他のポリアニオン化合物
もアニオン性官能基以外に固定に利用できる官能基を有
するものが好ましい。Among the polyanion compounds, the compound containing a sulfate ester group is preferably a compound having a functional group that can be used for immobilization on a water-insoluble carrier in addition to the sulfate ester group. Among them, partially sulfated esters of polyhydric alcohols, especially sulfated saccharides (sulfated polysaccharides), contain both sulfate groups and functional groups necessary for fixation, and are highly biocompatible and active. Furthermore, it is preferable because it can be easily immobilized on a water-insoluble carrier. Other polyanionic compounds preferably have a functional group that can be used for fixation in addition to the anionic functional group.
本発明に用いる水不溶性担体としては無機担体、合成高
分子もしくは多糖類からなる有機担体または有機担体お
よび無機担体からなる複合担体のいずれであってもよい
が、血液中に存在するSAA蛋白の存在環境からいえば
親水性の水不溶性担体が好ましく、さらには目的物質以
外の物質の吸着、いわゆる非特異吸着が少ないものが好
ましい。さらには担体表面に固定化反応に用いうる官能
基あるいは容易に活性化しうる官能基が存在していると
好都合である。これらの官能基の代表例としてはアミノ
基、カルボキシル基、水酸基、チオール基、酸無水物琶
、サクシニルイミド基、塩tQ L%、アルデヒド基、
アミド基、エボキシク、シラノール基などがあげられる
。The water-insoluble carrier used in the present invention may be an inorganic carrier, an organic carrier consisting of a synthetic polymer or polysaccharide, or a composite carrier consisting of an organic carrier and an inorganic carrier, but the presence of SAA protein present in blood From an environmental point of view, a hydrophilic water-insoluble carrier is preferred, and a carrier with less adsorption of substances other than the target substance, so-called non-specific adsorption, is more preferred. Furthermore, it is advantageous if a functional group that can be used for the immobilization reaction or a functional group that can be easily activated exists on the surface of the carrier. Representative examples of these functional groups include amino group, carboxyl group, hydroxyl group, thiol group, acid anhydride group, succinylimide group, salt tQ L%, aldehyde group,
Examples include amide group, eboxy group, and silanol group.
本発明に用いる好ま1.い水不溶性担体の代表例と(−
ではガラスピーズ、シリカゲルなどの無機担体、架橋ポ
リビニルアルコール、架)エポリアクリレート、架橋ポ
リアミドなどの合成高分子や結晶性セルロース、架橋セ
ルロース、架橋アガロース、架橋デキストランなどの多
糖類からなる有機担体など、さらには無機担体表面を合
成高分子化合物または多糖類などでコーティングした有
機担体と無機担体の複合担体、合成高分子化合物よりな
る担体表面を多糖類でコーティングしたような有機担体
と有機担体の複合担体などがあげられる・バ、本発明は
これらのみに限定されるものではない。これらのながで
はとくに、水酸基含有化合物より構成されてなる水不溶
性担体は生体的適合性がよい、非特異吸着が少ないなど
の点か・ち好まし7い。Preferably used in the present invention 1. Representative examples of water-insoluble carriers and (-
Inorganic carriers such as glass beads and silica gel, synthetic polymers such as cross-linked polyvinyl alcohol, cross-linked polyacrylate, and cross-linked polyamide, and organic carriers made of polysaccharides such as crystalline cellulose, cross-linked cellulose, cross-linked agarose, and cross-linked dextran, etc. Furthermore, composite carriers of organic carriers and inorganic carriers whose surfaces are coated with synthetic polymeric compounds or polysaccharides, and composite carriers of organic carriers and organic carriers whose surfaces are coated with polysaccharides made of synthetic polymeric compounds. However, the present invention is not limited to these. Among these carriers, a water-insoluble carrier composed of a hydroxyl group-containing compound is particularly preferred because of its good biocompatibility and low nonspecific adsorption.
本発明の吸着体の形状は粒状、繊維状、膜状あるいはホ
ローフ?イバー状などいずれの形状であってもよく、ま
た吸着体の微細構造は多孔質あるいは非多孔質のいずれ
であってもよいが6、単位体積あたりの高い吸着能をう
るためには比表面積か大きいこと、すなわち多孔質であ
ることが好ましい。Is the shape of the adsorbent of the present invention granular, fibrous, film-like, or hollow? The adsorbent may have any shape, such as a fiber-like shape, and the fine structure of the adsorbent may be porous or non-porous6, but in order to obtain a high adsorption capacity per unit volume, it is necessary to Preferably, it is large, ie porous.
本発明の吸着体は、血液、血清、血漿およびその希釈液
またはこれらの液に血球除去や血清タンパク除去などの
前処理を施!7たものなどのようなSAA蛋白を含む溶
液よりSAA蛋白を除去するために用いることができ、
続発性アミロイドーンス患者の体外循環治療用吸着体と
しても用いることができる。たとえば、体外苗種治療用
吸着体として用いるばあい、吸着体の圧密化を防ぐため
には充分な機械的強度を存し、さらに単位体積あたりの
高い吸着量をうるためには多孔質の性状を有する吸着体
であるのが好ま(7い。そのような吸着体としては、た
とえば水不溶性担体にポリアニオン化合物を固定してな
る本発明の吸着体において水不溶性担体としてゲルを用
いるばあい、ががるゲルは硬質ゲルであり、かつ多孔質
とくに全多孔質のゲルであるのが好ましく、さらには細
孔径は、12000の分子量をもつSAA蛋白がゲル内
に侵入できるのに充分な大きさであることが好ましい。The adsorbent of the present invention can be used by subjecting blood, serum, plasma, diluted liquids thereof, or these liquids to pretreatment such as blood cell removal and serum protein removal. It can be used to remove SAA proteins from solutions containing SAA proteins, such as
It can also be used as an adsorbent for extracorporeal circulation treatment of patients with secondary amyloidosis. For example, when used as an adsorbent for in vitro seedling treatment, it must have sufficient mechanical strength to prevent compaction of the adsorbent, and must also have porous properties to obtain a high adsorption amount per unit volume. Preferably, it is an adsorbent having (7. Preferably, the gel is a rigid gel and is porous, especially completely porous, and the pore size is large enough to allow the SAA protein with a molecular weight of 12,000 to penetrate into the gel. It is preferable.
ここでぃう硬質ゲルとは後記参考例に示すごとく、ゲル
を円筒状カラムに均一に充填し、水性流体を流し。As shown in the reference example below, the hard gel referred to here is made by uniformly filling a cylindrical column with gel and flowing an aqueous fluid through it.
た際の圧力損失と流量の関係が、0.3kg/cm’ま
で直線関係にあるものをいう。また多孔質とは細孔容積
が20%以上ぐ比表面積が3ni’/g以Fのものであ
ることを意味し、SAA蛋白がゲル内に侵入できるのに
充分な大きさの細孔径とは、ゲルの細孔径の目安として
よく用いられる排除限界分子量が12000以と(球状
蛋白質を用いてえられた値)の大きさを意味する。さら
にはゲル内へSAA蛋白が、拡散しやすくなることから
排除限界分子量が30万以りであることが好ましい。The relationship between pressure loss and flow rate is linear up to 0.3 kg/cm'. Furthermore, porous means that the pore volume is 20% or more and the specific surface area is 3 ni'/g or less, and the pore diameter is large enough for SAA protein to penetrate into the gel. , means a size with an exclusion limit molecular weight of 12,000 or more (a value obtained using a globular protein), which is often used as a guideline for the pore diameter of a gel. Furthermore, it is preferable that the exclusion limit molecular weight is 300,000 or more, since this facilitates the diffusion of SAA protein into the gel.
一方、排除限界分子量が1億をこえるものは吸着体の機
械的強度が弱くなるかまたは吸着体の固形分含量が小さ
すぎて充分な吸着容量かえられないなどの理由から実用
に耐えなくなる傾向がある。したがって排除限界分子量
は1億以下が好ましく、さらには5000万以下が好ま
しい。On the other hand, those with an exclusion limit molecular weight of more than 100 million tend to be unsuitable for practical use because the mechanical strength of the adsorbent is weakened or the solid content of the adsorbent is too small to provide sufficient adsorption capacity. be. Therefore, the exclusion limit molecular weight is preferably 100 million or less, more preferably 50 million or less.
排除限界分子量とはたとえば「実験高速液体りロマトグ
ラフィ」 (波多野傅行、花卉俊彦共著、鞠化学同人発
行)などの湿害に記載されているごとく、ゲル浸透クロ
マトグラフィにおいて細孔内に侵入できない、すなわち
排除される分子のうち最も小さい分子量を有するものの
分子量をいう。The exclusion limit molecular weight is a molecular weight that cannot penetrate into the pores in gel permeation chromatography, as described in "Experimental High-Performance Liquid Lichromatography" (co-authored by Fuyuki Hatano and Toshihiko Hana, published by Mari Kagaku Dojin). In other words, it refers to the molecular weight of the one having the smallest molecular weight among the excluded molecules.
つぎに実施例に基づいて本発明の吸着体およびその製法
をさらに詳細に説明するが、本発明はもとよりこれらの
みに限られるものではない。Next, the adsorbent of the present invention and its manufacturing method will be explained in more detail based on Examples, but the present invention is not limited to these.
参考例
両端に孔径151M1のフィルターを装着したガラス製
円筒カラム(内径9+am 、カラム長さ1501!1
111)にアガロースゲル(バイオラド(Blorad
o)社製のBiogel A301.粒径50〜100
メツシユ)、ポリマー硬質ゲル(東洋曹達工業■製のト
ヨパールHW65、粒径50〜100ρ、およびチッソ
■製のセルロファインGC−700、粒径45〜105
加)をそれぞれ均一に充填し、ベリスタティックポンプ
により水を流し、流量と圧力損失ΔPとの関係を求めた
。その結果を第1図に示す。Reference example A glass cylindrical column (inner diameter 9+am, column length 1501!1) equipped with a filter with a pore diameter of 151M1 at both ends
111) on agarose gel (Bolorad
o) Biogel A301. Particle size 50-100
Polymer hard gel (Toyo Pearl HW65 manufactured by Toyo Soda Kogyo ■, particle size 50-100ρ, and Cellulofine GC-700 manufactured by Chisso ■, particle size 45-105
(Additional) was filled uniformly in each case, water was flowed through the tubes using a veristatic pump, and the relationship between the flow rate and the pressure loss ΔP was determined. The results are shown in FIG.
第1図の結果からポリマー硬質ゲルが圧力の増加にほぼ
比例して流量が増加するのに対し、アガロースゲルは圧
密化をひきおこし、圧力を増加させても流量が増加しな
いことがわかる。From the results shown in FIG. 1, it can be seen that the flow rate of the polymer hard gel increases almost in proportion to the increase in pressure, whereas the agarose gel causes compaction and the flow rate does not increase even if the pressure is increased.
実施例1
多孔質セルロースゲルであるCKゲルA−3(商品名、
チッソ■製、球状蛋白質の排除限界分子Q5000万、
粒径63〜12!ga ) 100m1に水100
ml、2N水酸化ナトリウム水溶液53m1およびエピ
クロルヒドリン18m1を加え、40℃で2時間撹拌し
た。Example 1 CK gel A-3 (trade name, porous cellulose gel)
Manufactured by Chisso ■, globular protein exclusion limit molecule Q50 million,
Particle size 63~12! ga) 100ml of water per 100m1
ml, 53 ml of 2N aqueous sodium hydroxide solution and 18 ml of epichlorohydrin were added, and the mixture was stirred at 40° C. for 2 hours.
反応後ゲルを濾別、水洗してエポキシ化CKゲルA−3
をえた。After the reaction, the gel was filtered and washed with water to obtain epoxidized CK gel A-3.
I got it.
えられたエポキシ化CKゲルA−3100mlにデキス
トラン硫酸ナトリウム46.5gと少量の水を加えて完
全に溶解したのち、さらに水を加えて全量を 177
mlに調整した。2N水酸化ナトリウム水溶液でI)H
9,2にyS整したのち45℃で16時間静置した。反
応後ゲルを濾別し、水洗してデキストラン硫酸固定化C
KゲルA−3をえた。Add 46.5 g of dextran sodium sulfate and a small amount of water to 100 ml of the obtained epoxidized CK gel A-3 to completely dissolve it, and then add more water to bring the total volume to 177.
Adjusted to ml. I)H with 2N aqueous sodium hydroxide solution
After adjusting the yS to 9.2, it was left standing at 45°C for 16 hours. After the reaction, the gel was filtered and washed with water to remove dextran sulfate immobilized C.
I obtained K gel A-3.
えられたデキストラン硫酸固定化ゲル0.4mlを試験
管にとり、SAA蛋白を含むヒト血清2.4mlを加え
たのち、37°Cで2時間振盪した。振盪後、上澄み液
のSAA蛋白の濃度を測定した。0.4 ml of the resulting dextran sulfate-immobilized gel was placed in a test tube, 2.4 ml of human serum containing SAA protein was added, and the mixture was shaken at 37°C for 2 hours. After shaking, the concentration of SAA protein in the supernatant was measured.
SAA 、蛋白濃度の測定は以下のような固相酵素抗体
法(ELISA)により行なった。すなわち、プレート
にまず希釈した抗SAA抗体(ヘキスト(lloech
st)社製)を滴下し4℃で12時間静置することによ
ってプレートに抗体を固定した。つぎに希釈した検体お
よび標準血清を滴下し室温で3時間静置することによっ
て抗原抗体反応を行ない、ベルオキシターゼ標識抗SA
A抗体を滴下し同様に抗原抗体反応を室温で3時間行な
った。洗浄後酵素発色反応を行ない、その発色の程度を
C5−930(商品名、■島原製作所製)により波長4
92nmで測定した。検体についての発色の程度と標準
血清についての発色の程度とを比較することにより、標
準血清中のSAA蛋白の濃度を1としたときの検体中の
SAA蛋白濃度を求めた。また選択性をみるためにHD
Lコレステロールの濃度も測定した。SAA and protein concentrations were measured by enzyme-linked immunosorbent assay (ELISA) as described below. That is, the plate was first diluted with anti-SAA antibody (Hoechst).
Antibodies were immobilized on the plate by adding dropwise solution (manufactured by St. Co., Ltd.) and allowing the plate to stand at 4°C for 12 hours. Next, the diluted specimen and standard serum were added dropwise and allowed to stand at room temperature for 3 hours to perform an antigen-antibody reaction.
Antibody A was added dropwise and the antigen-antibody reaction was similarly carried out at room temperature for 3 hours. After washing, an enzymatic color reaction is performed, and the degree of color development is measured using C5-930 (trade name, manufactured by Shimabara Seisakusho) at wavelength 4.
Measured at 92 nm. By comparing the degree of color development for the sample and the degree of color development for the standard serum, the SAA protein concentration in the sample was determined, assuming that the concentration of SAA protein in the standard serum was 1. Also, to see the selectivity, HD
The concentration of L-cholesterol was also measured.
その結果を第1表に示す。The results are shown in Table 1.
実施例2
CKゲルA−3100mlのかわりにCKゲルA−22
(商品名、チッソ沖製、球状蛋白質の排除限界分子m
3000万、粒径53〜12FBam ) loOm
lを用いたほかは実施例1と同様にしてデキストラン硫
酸固定化CKゲルA−22をえた。Example 2 CK gel A-22 instead of CK gel A-3100ml
(Product name, manufactured by Chisso Oki, globular protein exclusion limit molecule m
30 million, particle size 53-12FBam) loOm
Dextran sulfate-immobilized CK gel A-22 was obtained in the same manner as in Example 1 except that 1 was used.
えられたデキストラン硫酸固定化ゲルを実施例1と同様
の方法にしたがって処理し、SAA蛋白およびHDL−
コレステロールの濃度を測定した。The obtained dextran sulfate-immobilized gel was treated in the same manner as in Example 1, and SAA protein and HDL-
The concentration of cholesterol was measured.
その結果を第1表に示す。The results are shown in Table 1.
実施例3
実施例1でえられたエポキシ化CKゲルA−3100m
lに、片末端アミノ基を有するポリアクリル酸15.6
gを加えたのち、水を加えて全量を156 mlにした
。よく振りまぜたのち50℃で10時間静置した。反応
後ゲルを濾別し、ゲルを水洗してポリアクリル酸固定化
GKゲルA−3をえた。Example 3 Epoxidized CK gel A-3100m obtained in Example 1
15.6 of polyacrylic acid having an amino group at one end
g, and then water was added to bring the total volume to 156 ml. After shaking well, the mixture was allowed to stand at 50°C for 10 hours. After the reaction, the gel was filtered and washed with water to obtain polyacrylic acid-immobilized GK gel A-3.
えられたポリアクリル酸固定化ゲルを実施例1と同様の
方法にしたがって処理し、SAA蛋白およびHDL−コ
レステロールの濃度を測定した。The resulting polyacrylic acid immobilized gel was treated in the same manner as in Example 1, and the concentrations of SAA protein and HDL-cholesterol were measured.
その結果を第1表に示す。The results are shown in Table 1.
比較例1
実施例1でえられたデキストラン硫酸固定化CKゲルA
−30,4mlのかわりに生理食塩水0.24m1を用
いたほかは実施例1と全く同様にしてえられた上澄み液
のSAA蛋白およびHD L−コレステロールの濃度を
測定した。Comparative Example 1 Dextran sulfate-immobilized CK gel A obtained in Example 1
The SAA protein and HD L-cholesterol concentrations of the supernatant obtained in exactly the same manner as in Example 1 except that 0.24 ml of physiological saline was used instead of -30.4 ml were measured.
その結果を第1表に示す。The results are shown in Table 1.
[以下余白]
第1表
第1表の結果から本発明の吸着体を用いるとSAA f
fi白は吸着されるが、IIDLはほとんど吸着されて
いないことがわかる。[Left below] Table 1 From the results in Table 1, when the adsorbent of the present invention is used, SAA f
It can be seen that fi white is adsorbed, but IIDL is hardly adsorbed.
[発明の効果]
本発明の吸着体は安価であり、IIDI、を大きく減少
させることなく、体液中に含まれるSAA 1白を選択
的に除去することができるという効果を奏する。[Effects of the Invention] The adsorbent of the present invention is inexpensive and has the effect of being able to selectively remove SAA 1 contained in body fluids without significantly reducing IIDI.
第1図は3種類のゲルを用いて流速と圧力損失との関係
を調べた結果を示すグラフである。
才1図
圧力損失乙P c kg/Cm2)FIG. 1 is a graph showing the results of investigating the relationship between flow velocity and pressure loss using three types of gels. Figure 1 Pressure loss Pc kg/Cm2)
Claims (1)
ン化合物を有する血清アミロイドA蛋白用吸着体。 2 水不溶性担体が水酸基含有化合物より構成されてな
る特許請求の範囲第1項記載の吸着体。 3 ポリアニオン化合物が硫酸エステル基を含有する特
許請求の範囲第1項記載の吸着体。 4 ポリアニオン化合物が共有結合により水不溶性担体
に固定されてなる特許請求の範囲第1項記載の吸着体。 5 硫酸エステル基含有化合物が硫酸化多糖である特許
請求の範囲第3項記載の吸着体。6 水不溶性担体が、
30万〜5000万の排除限界分子量を有する特許請求
の範囲第1項記載の吸着体。[Claims] 1. An adsorbent for serum amyloid A protein having a polyanionic compound on at least a portion of the surface of a water-insoluble carrier. 2. The adsorbent according to claim 1, wherein the water-insoluble carrier is composed of a hydroxyl group-containing compound. 3. The adsorbent according to claim 1, wherein the polyanion compound contains a sulfate ester group. 4. The adsorbent according to claim 1, wherein the polyanion compound is fixed to a water-insoluble carrier by a covalent bond. 5. The adsorbent according to claim 3, wherein the sulfate group-containing compound is a sulfated polysaccharide. 6 The water-insoluble carrier is
The adsorbent according to claim 1, having an exclusion limit molecular weight of 300,000 to 50,000,000.
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP62330617A JPH01171638A (en) | 1987-12-25 | 1987-12-25 | Adsorbent for serum amyloid a protein |
DE88119263T DE3880647T2 (en) | 1987-11-20 | 1988-11-19 | Sorbent for serum amyloid proteins. |
EP88119263A EP0321703B1 (en) | 1987-11-20 | 1988-11-19 | Absorbent for serum amyloid protein |
DE3853219T DE3853219T2 (en) | 1987-11-20 | 1988-11-19 | Method of removing serum amyloid protein. |
EP91119895A EP0476721B1 (en) | 1987-11-20 | 1988-11-19 | A method for removing serum amyloid protein |
US07/729,234 US5216127A (en) | 1987-11-20 | 1991-07-12 | Adsorbent for serum amyloid protein |
US07/948,470 US6037458A (en) | 1987-11-20 | 1992-09-22 | Adsorbent for serum amyloid protein |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP62330617A JPH01171638A (en) | 1987-12-25 | 1987-12-25 | Adsorbent for serum amyloid a protein |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH01171638A true JPH01171638A (en) | 1989-07-06 |
JPH0518625B2 JPH0518625B2 (en) | 1993-03-12 |
Family
ID=18234663
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP62330617A Granted JPH01171638A (en) | 1987-11-20 | 1987-12-25 | Adsorbent for serum amyloid a protein |
Country Status (1)
Country | Link |
---|---|
JP (1) | JPH01171638A (en) |
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WO1994022437A2 (en) * | 1993-03-29 | 1994-10-13 | Queen's University At Kingston | Method for treating amyloidosis |
WO1996025228A1 (en) * | 1995-02-16 | 1996-08-22 | Kanegafuchi Kagaku Kogyo Kabushiki Kaisha | ADSORBENT FOR TUMOR NECROSIS FACTOR α, METHOD OF REMOVAL BY ADSORPTION, AND ADSORPTION DEVICE USING SAID ADSORBENT |
US6127528A (en) * | 1995-02-16 | 2000-10-03 | Kanegafuchi Kagaku Kogyo Kabushiki Kaisha | Process for adsorbing and removing tumor necrosis factor-α |
JP2005537254A (en) * | 2002-07-09 | 2005-12-08 | ユニベルシテア、メディッシュ、セントラム、ユトレヒト | CROSS-β STRUCTURE COMPRISING AMYLOID-BINDING PROTEIN, METHOD FOR DETECTING CROSS-β STRUCTURE, METHOD FOR MODULATION OF CROSS-β STRUCTURE FIBRILLATION, AND METHOD FOR MODULATION OF TOXICITY TRANSPORTED BY CROSS-β STRUCTURE |
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US7754761B2 (en) | 1993-03-29 | 2010-07-13 | Bellus Health (International) Limited | Sulfonated compounds and compositions for treating amyloidosis |
US8178580B2 (en) | 2005-04-15 | 2012-05-15 | Kiacta Sarl | Formulations and methods for treating amyloidosis |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1996009115A1 (en) * | 1994-09-21 | 1996-03-28 | Kanegafuchi Kagaku Kogyo Kabushiki Kaisha | Adsorbent for interleukins, method of removal thereof by adsorption, and device for adsorption |
-
1987
- 1987-12-25 JP JP62330617A patent/JPH01171638A/en active Granted
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US7754761B2 (en) | 1993-03-29 | 2010-07-13 | Bellus Health (International) Limited | Sulfonated compounds and compositions for treating amyloidosis |
WO1994022437A3 (en) * | 1993-03-29 | 1995-02-09 | Univ Kingston | Method for treating amyloidosis |
EP1060750A2 (en) * | 1993-03-29 | 2000-12-20 | Queen's University at Kingston | Method for treating amyloidosis |
EP1060750A3 (en) * | 1993-03-29 | 2003-03-26 | Queen's University at Kingston | Method for treating amyloidosis |
EP1614416A2 (en) * | 1993-03-29 | 2006-01-11 | Queen's University At Kingston | Method for treating amyloidosis |
WO1994022437A2 (en) * | 1993-03-29 | 1994-10-13 | Queen's University At Kingston | Method for treating amyloidosis |
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WO1996025228A1 (en) * | 1995-02-16 | 1996-08-22 | Kanegafuchi Kagaku Kogyo Kabushiki Kaisha | ADSORBENT FOR TUMOR NECROSIS FACTOR α, METHOD OF REMOVAL BY ADSORPTION, AND ADSORPTION DEVICE USING SAID ADSORBENT |
US6127528A (en) * | 1995-02-16 | 2000-10-03 | Kanegafuchi Kagaku Kogyo Kabushiki Kaisha | Process for adsorbing and removing tumor necrosis factor-α |
JP2005537254A (en) * | 2002-07-09 | 2005-12-08 | ユニベルシテア、メディッシュ、セントラム、ユトレヒト | CROSS-β STRUCTURE COMPRISING AMYLOID-BINDING PROTEIN, METHOD FOR DETECTING CROSS-β STRUCTURE, METHOD FOR MODULATION OF CROSS-β STRUCTURE FIBRILLATION, AND METHOD FOR MODULATION OF TOXICITY TRANSPORTED BY CROSS-β STRUCTURE |
JP2007504863A (en) * | 2003-09-12 | 2007-03-08 | アフィリス・フォルシュングス−ウント・エントヴィックルングス・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング | Apheresis equipment |
US8835654B2 (en) | 2004-12-22 | 2014-09-16 | Bhi Limited Partnership | Method and compositions for treating amyloid-related diseases |
US8178580B2 (en) | 2005-04-15 | 2012-05-15 | Kiacta Sarl | Formulations and methods for treating amyloidosis |
US9499480B2 (en) | 2006-10-12 | 2016-11-22 | Bhi Limited Partnership | Methods, compounds, compositions and vehicles for delivering 3-amino-1-propanesulfonic acid |
US10238611B2 (en) | 2006-10-12 | 2019-03-26 | Bellus Health Inc. | Methods, compounds, compositions and vehicles for delivering 3-amino-1-propanesulfonic acid |
US10857109B2 (en) | 2006-10-12 | 2020-12-08 | Bellus Health, Inc. | Methods, compounds, compositions and vehicles for delivering 3-amino-1-propanesulfonic acid |
US11020360B2 (en) | 2006-10-12 | 2021-06-01 | Bellus Health Inc. | Methods, compounds, compositions and vehicles for delivering 3-amino-1-propanesulfonic acid |
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JPH0518625B2 (en) | 1993-03-12 |
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