CN101313873B - Biology polypeptide medicament blood vessel bracket and preparation method thereof - Google Patents

Biology polypeptide medicament blood vessel bracket and preparation method thereof Download PDF

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CN101313873B
CN101313873B CN 200710105816 CN200710105816A CN101313873B CN 101313873 B CN101313873 B CN 101313873B CN 200710105816 CN200710105816 CN 200710105816 CN 200710105816 A CN200710105816 A CN 200710105816A CN 101313873 B CN101313873 B CN 101313873B
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medicine
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polypeptide
glycine
preparation
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CN101313873A (en
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余占江
蒲忠杰
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Lepu Medical Technology Beijing Co Ltd
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Abstract

The invention relates to a biologic polypeptide medicine blood vessel support and a preparation method thereof. The biologic polypeptide medicine blood vessel support comprises a support body and active medicines. The support body which is medical material with pores and good biocompatibility is made from stainless steel, cobalt-base alloy, titanium alloy, nickel-titanium alloy or polylactic acid biopolymer; the active medicines comprise a biologic polypeptide medicine and a smooth muscle cell proliferation inhibition medicine. The support is characterized in that: the support body with the pores has the biologic polypeptide medicine fixed on the internal surface of the body and the smooth muscle cell proliferation inhibition medicine coated on the external surface of the body. The preparation me(3) carrying out the after-treatment of the surface of the support body; (4) preparing the medicines; (5) coating the external surface; (6) fixing the medicine onto the internal surface; (7) carrying out the process step of low temperature drying. The support can selectively absorb endothelium progenitor cells which quickly differentiate into endothelium cells to promote the restoration of the endothelium after the support is built in; the support can also effectively inhibit the proliferation and migration of vascular smooth muscle cells, persistently and effectively reduce the formation of a new inner membrane, effectively prevent restenosis inside the support, and avoid the risk of potentially fatal late thrombosis.

Description

A kind of biological polypeptide medicament intravascular stent and preparation method thereof
Technical field
The invention belongs to medical instruments field, relate to a kind of biological polypeptide medicament intravascular stent and preparation method thereof.
Background technology
From 1987, uncommon lattice water (Sigwart) etc. has been used for metal rack in the blood vessel since the coronary artery first, for treatment blood vessel blockage disease provides good approach, yet restenosis is the main cause that influences percutaneous coronary intervention (pci) (PCI) curative effect always in the intravascular stent.The main mechanism of restenosis is the delay of the hypertrophy and the blood vessel endotheliumization of tunica intima in the intravascular stent, and therefore, the control in-stent restenosis mainly is the quick reparation that promotes blood vessel endothelium, suppresses the hyper-proliferative of smooth muscle cell.
The extensive use of bracket for eluting medicament has significantly reduced the generation of restenosis in the intravascular stent, though bracket for eluting medicament can effectively suppress the propagation of smooth muscle cell, reduces and the prevention neointimal hyperplasia, has postponed the reparation of blood vessel endothelium; Though CD34 antibody engineering support can be according to Ag-Ab binding isotherm capturing endothelial ancestral cell in blood vessel, at the quick endothelialization in intravascular stent surface, the specificity of ignoring smooth muscle cell suppresses.Therefore, preparation is endothelialization and do not influence smooth muscle cell proliferation fast, even the drug stent that can suppress smooth muscle cell proliferation to a certain extent has great importance for the sickness rate of further reduction thrombosis and in-stent restenosis.
Summary of the invention
The objective of the invention is to address the above problem and a kind of biological polypeptide medicament intravascular stent and preparation method thereof is provided, adopt the intravascular stent inner surface fixed biologically polypeptide in hole with holes, this biological polypeptide can the more seizure endothelial progenitor cells of the bonded mode of receptors ligand (EPCs), can after inserting, support be divided into endotheliocyte fast, promote the reparation of endothelium, and increase the biocompatibility of support inner surface; Apply inhibition smooth muscle cell proliferation medicine at rack outer surface, can effectively reduce the formation of thrombosis and the sickness rate of in-stent restenosis by the propagation that suppresses smooth muscle cell.
The technical solution used in the present invention: a kind of biological polypeptide medicament intravascular stent, comprise rack body, active medicine, its rack body is the medical material with good biocompatibility in hole with holes, selects rustless steel, cobalt-base alloys, titanium alloy, Nitinol or polylactic acid bioabsorbable polymer material for use; Active medicine comprises biological polypeptide medicine, anti-smooth muscle cell proliferation medicine; The described rack body inner surface that has hole is fixed with the biological polypeptide medicine, and outer surface is coated with anti-smooth muscle cell proliferation medicine.
A kind of preparation method of biological polypeptide medicament intravascular stent, at first rack body is prepared a large amount of holes by chemistry or physical method, or form the coating in one deck hole with holes at rack surface, then at the rack body inner surface embedding in hole with holes, fixing and coating, dip-coating RGD biological polypeptide medicine, again in the outer surface embedding of rack body, fixing and be coated with the active medicine that one or more can suppress vascular smooth muscle cell proliferation and migration.
Described polypeptide drugs are dissolved in the phosphate buffer, directly are fixed in the hole of rack body inner surface; Described anti-smooth muscle cell proliferation medicine directly is dissolved in the organic solvent or is sprayed at the rack body outer surface by the polymer of biodegradable polymer, degradable biological macromolecular material not.
Described preparation method comprise the pretreatment on 1. rack body surface, 2. prepare hole, 3. the rack body surface post processing, 4. medicine preparation, 5. outer surface apply, 6. inner surface fix, 7. low temperature drying technology step, wherein:
1. the pretreatment on rack body surface: working concentration is 99.5% acetone analytical pure solution, or concentration is 75% medical ethanol solvent, utilizing frequency is 28~100khz ultrasonic waves for cleaning rack body material, clean 5~15min, remove the impurity on bulk material surface, bulk material after cleaning is placed in the drying machine, and temperature is set in 30~40 ℃, takes out standby behind dry 30~60min;
2. prepare hole: be to adopt acid solution corrosion pore, the rack body material is immersed in the corrosive liquid of 0~100 ℃ of temperature, described corrosive liquid preferred concentration is 1~38% hydrochloric acid, or containing the hydrochloric acid mixed acid solution of the sulphuric acid composition of 1~38% mixed in hydrochloric acid 1~98%, etching time forms single size nanoscale hole after being controlled at 1min~480h according to concentration, temperature difference; The method that adopts anodic oxidation or differential arc oxidation, differential of the arc nitrogenize to combine again, carry out the compound hole of nanoscale that anodic oxidation prepares many sizes by anodic pulse equipment, its electrolyte preferred concentration is that 1~38% hydrochloric acid solution or concentration are 1~98% sulfuric acid solution, time 1~20min, electric current 0.01~0.1A, 25~3000 hertz of frequencies;
3. the post processing on rack body surface: the bulk material elder generation working concentration of handling well above-mentioned is 99.5% acetone analytical pure solution, and utilizing frequency through distilled water again is 28~100khz ultrasonic waves for cleaning bulk material, 5~15min; Bulk material after will cleaning at last is placed in the drying machine, and temperature is set in 30~40 ℃, takes out standby behind dry 30~60min; Or be 1~38% hydrochloric acid solution with the distilled water compound concentration, bulk material is immersed in the solution for preparing, be placed in the vacuum drying oven, solidified in 0.5~72 hour 20~100 ℃ of dryings;
4. the preparation of medicine: the be weight percentage RGD biological polypeptide medicine of 0.01-10% of formulation content; The medicine of anti-smooth muscle cell proliferation is an organic solution, and organic solution can be selected 0.2~5% oxolane or acetone for use, this medicine directly is dissolved in the organic solvent, and fully dissolving; The percentage by weight of described active medicine and organic solution is 1: 10~1: 10000;
5. outer surface applies the medicine of anti-smooth muscle cell proliferation: rack body is installed on the flush coater, adopts sacculus protective cradle inner surface, then the above-mentioned active medicine for preparing or polymer dispersion liquid are coated in uniformly the outer surface of rack body; Rack body with coating is put in the vacuum drying oven again, solidifies in 0.5~72 hour 20~100 ℃ of dryings;
The pretreatment on above-mentioned 1. rack body surface, 3. the rack body surface post processing, 5. the outer surface coating step can repeatedly repeat, or only repeat 5. outer surface coating step, the polymer dispersion liquid of repetitive coatings active medicine or different component is until reaching drug loading;
6. the fixing RGD biological polypeptide medicine that promotes endothelial cell growth of inner surface: take off the protectiveness sacculus, with the rack body dip-coating of band coating in content is weight percentage the solution of RGD biological polypeptide medicine of 0.01-10% 0.5~2 hour;
7. cold drying: rack body is taken out low temperature-20~-60 ℃ drying from the RGD drug solution.
Described rack body inner surface fixed biological polypeptide pharmaceutical pack vinculum polypeptide and annular polypeptide, wherein linear polypeptide comprises arginine-glycine-aspartic acid (RGD), glycine-arginine-glycine-aspartic acid (GRGD), arginine-glycine-aspartic acid-serine (RGDS), glycine-arginine-glycine-aspartic acid-serine (GRGDS), glycine-arginine-glycine-aspartic acid-serine-network propylhomoserin (GRGDSY), glycine-arginine-glycine-aspartic acid-serine-proline-cysteine (GRGDSPC) can be selected wherein any for use or appoint several; Wherein annular polypeptide comprises ARG-GLY-ASP-PHE-D-VAL cyclic peptide (cyclo-RGDFV), aspartic acid-phenylalanine-lysine-arginine-glycine-aspartic acid cyclic peptide (cyclo-DFKRGD), arginine-glycine-aspartic acid-serine-Ala-Ala cyclic peptide (cyclo-RGD-SAA), penicillamine cyclic peptide (cyclo-GpenGRGDSPCA) can be selected wherein any for use or appoint several.
The anti-smooth muscle cell proliferation medicine that described rack body outer surface applies comprises sirolimus, tacrolimus, Ai Luomosi, immunosuppressant ABT-578, dexamethasone, mizoribine, rapamycin, paclitaxel and derivant thereof, D actinomycin D, vincristine and derivant thereof, statins, 2-chlorine Deoxyadenosine, ribozyme, batimastat, Halofuginone, C-protease inhibitor, probucol, VEGF (VEGF), the estradiol class can be selected wherein any for use or appoint several.
The described biodegradable polymer or the polymer of biodegradable polymer not comprise the homopolymer of lactide, Acetic acid, hydroxy-, bimol. cyclic ester, 6-caprolactone and between the two or in three's copolymer, cellulose family, polyvidon, polyvinyl alcohol, arabic gum, sodium alginate, gelatin, polymethyl methacrylate, polybutyl methacrylate, ethylene-vinyl alcohol copolymer or the ethylene-vinyl acetate copolymer one or more.
Carry out 8. the effectiveness experiment after the described 7. low temperature drying technology step, 9. release in vitro is measured.
The present invention has following actively useful effect:
1. adopt and prepare the nanoscale hole at rack body, by the control hole degree of depth and fixed size polypeptide drugs and the effectively release of the anti-smooth muscle proliferation medicine of control, this nanoscale hole is to the not influence of the mechanical performance of instrument body, proved by animal experiment that its safety and effectiveness all are not less than even a little more than existing polymeric medicine eluting instrument;
2. at fixing arginine-glycine-aspartic acid (RGD) polypeptide drugs of support inner surface, utilize the special capturing endothelial ancestral cell of the bonded mode of integrin receptor (EPCs) of arginine-glycine-aspartic acid (RGD) polypeptide and endothelial progenitor cells, promote quick differentiation and the propagation of endothelial progenitor cells at rack surface, integrin alpha v beta 3 receptor and α 5 β1Shou Tis had bigger affinity, especially arginine-glycine-aspartic acid (RGD) cyclic peptide and the trim penicillamine cyclic peptide (cyclo-GpenGRGDSPCA) thereof that the integrin alpha v beta 3 receptor are had bigger affinity than α 5 β1Shou Tis, not only can pass through the more seizure endothelial progenitor cells of the bonded mode of receptors ligand (EPCs), make it be divided into vascular endothelial cell fast at rack surface, promote the reparation of blood vessel endothelium, and the propagation of smooth muscle cell is not influenced;
3. arginine-glycine-aspartic acid (RGD) polypeptide drugs are fixed on the support inner surface that is formed with the metal hole, utilize effectively fixedly arginine-glycine-aspartic acid (RGD) polypeptide drugs of the size of hole and the degree of depth;
4. apply arginine-glycine-aspartic acid (RGD) polypeptide drugs at same support inner surface, the outer surface coating effectively suppresses one or more of smooth muscle cell proliferation active medicine, effectively suppresses vascular smooth muscle cell proliferation and migration; Animal experiment shows that the present invention optionally adsorbs endothelial progenitor cells and vascular endothelial cell, and support can be repaired endothelium fast in 1 day, and can continuous and effective reduces the formation of new intima, effectively prevents and treats in-stent restenosis, avoids the risk of tardy property thrombosis.
Description of drawings
Fig. 1 is the cross section view of biological polypeptide medicament intravascular stent structural representation of the present invention;
Fig. 2 is the rack body vertical view in hole with holes of the present invention.
The specific embodiment
Consult Fig. 1, shown in Figure 2, a kind of biological polypeptide medicament intravascular stent mainly comprises rack body 1, active medicine 2 etc.; Its rack body 1 can be selected metal materials such as rustless steel, cobalt-base alloys, titanium alloy, Nitinol for use by the medical material manufacturing with good biocompatibility, and described active medicine 2 comprises biological polypeptide medicine 201, anti-smooth muscle cell proliferation medicine 202.The present invention is at fixing arginine-glycine-aspartic acid (RGD) the biological polypeptide medicine 201 of rack body 1 inner surface in hole 101 with holes, is coated with anti-smooth muscle cell proliferation medicine 202 at the outer surface of rack body 1.
A kind of preparation method of biological polypeptide medicament intravascular stent, at first by chemistry or physics, as the combination of method such as burn into anodic oxidation, differential arc oxidation, differential of the arc nitrogenize or these methods to a large amount of hole 101 of rack body 1 preparation, or form the coating in one deck hole 101 with holes at rack surface, rack body is by the medical material manufacturing with good biocompatibility, can select metal materials such as rustless steel, cobalt-base alloys, titanium alloy, Nitinol for use, also can select the bioabsorbable polymer material of polylactic acid for use; Adopt special process protective cradle inner surface then, the hole that reserves the support inner surface is so that the fixed biologically polypeptide, while is in the outer surface embedding of rack body 1, fix and be coated with one or more active medicines that can suppress vascular smooth muscle cell proliferation and migration 202, as the mixture of arginine-glycine-aspartic acid (RGD) biological polypeptide medicine, described anti-smooth muscle cell proliferation medicine 202 can directly be dissolved in the organic solvent or by biodegradable polymer not, the polymer of degradable biological macromolecular material is sprayed at rack body 1 outer surface; Adopt different coating processes at the rack body 1 inner surface embedding in hole 101 with holes, fixing RGD biological polypeptide medicine 201 at last, as penicillamine cyclic peptide (cyclo-GpenGRGDSPCA), described polypeptide drugs 201 may be dissolved in the phosphate buffer, directly are coated in the hole 101 of rack body 1 inner surface; The fixed biological polypeptide medicine 201 of described rack body 1 inner surface comprises linear polypeptide and annular polypeptide, wherein linear polypeptide comprises arginine-glycine-aspartic acid (RGD), glycine-arginine-glycine-aspartic acid (GRGD), arginine-glycine-aspartic acid-serine (RGDS), glycine-arginine-glycine-aspartic acid-serine (GRGDS), glycine-arginine-glycine-aspartic acid-serine-network propylhomoserin (GRGDSY), glycine-arginine-glycine-aspartic acid-serine-proline-cysteine (GRGDSPC) isoreactivity medicine 2 can be selected wherein any for use or appoint several; Wherein annular polypeptide comprises ARG-GLY-ASP-PHE-D-VAL cyclic peptide (cyclo-RGDFV), aspartic acid-phenylalanine-lysine-arginine-glycine-aspartic acid cyclic peptide (cyclo-DFKRGD), arginine-glycine-aspartic acid-serine-Ala-Ala cyclic peptide (cyclo-RGD-SAA), penicillamine cyclic peptide (cyclo-GpenGRGDSPCA) isoreactivity medicine 2 can be selected wherein any for use or appoint several.
The anti-smooth muscle cell proliferation medicine 202 that described rack body 1 outer surface applies comprises sirolimus, tacrolimus, Ai Luomosi, immunosuppressant ABT-578, dexamethasone, mizoribine, rapamycin, paclitaxel and derivant thereof, D actinomycin D, vincristine and derivant thereof, statins, 2-chlorine Deoxyadenosine, ribozyme, batimastat, Halofuginone, C-protease inhibitor, probucol, VEGF (VEGF), estradiol class isoreactivity medicine 2 can be selected wherein any for use or appoint several.
The described biodegradable polymer or the polymer of biodegradable polymer not comprise the homopolymer of lactide, Acetic acid, hydroxy-, bimol. cyclic ester, 6-caprolactone and between the two or in three's copolymer, cellulose family, polyvidon, polyvinyl alcohol, arabic gum, sodium alginate, gelatin, polymethyl methacrylate, polybutyl methacrylate, ethylene-vinyl alcohol copolymer or the ethylene-vinyl acetate copolymer one or more.
Described preparation method mainly comprise the pretreatment on 1. rack body surface, 2. prepare hole, 3. the rack body surface post processing, 4. medicine preparation, 5. outer surface apply, 6. inner surface fix, 7. processing step such as cold drying, wherein:
1. the pretreatment on rack body surface: select the rustless steel bare bracket for use, working concentration is 99.5% acetone analytical pure solution, or concentration is 75% medical ethanol solvent, utilizing frequency is 28~100khz ultrasonic waves for cleaning rack body material, clean 5~15min, remove the impurity on bulk material surface, the bulk material after cleaning is placed in the drying machine, temperature is set in 30~40 ℃, takes out standby behind dry 30~60min;
2. prepare hole: adopting acid solution corrosion pore is that the rack body material is immersed in the corrosive liquid of 0~100 ℃ of temperature, described corrosive liquid preferred concentration is 1~38% hydrochloric acid, or containing the hydrochloric acid mixed acid solution of the sulphuric acid composition of 1~38% mixed in hydrochloric acid 1~98%, etching time forms single size nanoscale hole after being controlled at 1min~480h according to concentration, temperature difference; The method that adopts anodic oxidation or differential arc oxidation, differential of the arc nitrogenize to combine again, carry out the compound hole of nanoscale that anodic oxidation prepares many sizes by anodic pulse equipment, its electrolyte preferred concentration is that 1~38% hydrochloric acid solution or concentration are 1~98% sulfuric acid solution, time 1~20min, electric current 0.01~0.1A, 25~3000 hertz of frequencies;
3. the post processing on rack body surface: the bulk material elder generation working concentration of handling well above-mentioned is 99.5% acetone analytical pure solution, and utilizing frequency through distilled water again is 28~100khz ultrasonic waves for cleaning bulk material, 5~15min; Bulk material after will cleaning at last is placed in the drying machine, and temperature is set in 30~40 ℃, takes out standby behind dry 30~60min; Or be 1~38% hydrochloric acid solution with the distilled water compound concentration, bulk material is immersed in the solution for preparing, be placed in the vacuum drying oven, solidified in 0.5~72 hour 20~100 ℃ of dryings;
4. the preparation of medicine: the be weight percentage RGD biological polypeptide medicine 201 of 0.01-10% of formulation content; The medicine 202 of anti-smooth muscle cell proliferation is an organic solution, and organic solution can be selected 0.2~5% oxolane or acetone for use, this medicine directly is dissolved in the organic solvent, and fully dissolving; The percentage by weight of described active medicine and organic solution is 1: 10~1: 10000;
5. outer surface applies the medicine of anti-smooth muscle cell proliferation: bulk material is installed on the flush coater, adopts sacculus protective cradle inner surface, then the above-mentioned active medicine for preparing or polymer dispersion liquid are coated in uniformly the outer surface of rack body; Rack body with coating is put in the vacuum drying oven again, solidifies in 0.5~72 hour 20~100 ℃ of dryings;
The pretreatment on above-mentioned 1. rack body surface, 3. the rack body surface post processing, 5. the outer surface coating step can repeatedly repeat, or only repeat 5. outer surface coating step, the polymer dispersion liquid of repetitive coatings active medicine or different component is until reaching drug loading;
6. the fixing RGD biological polypeptide medicine that promotes endothelial cell growth of inner surface: carefully take off the protectiveness sacculus, with the rack body dip-coating of band coating in content is weight percentage the solution of RGD biological polypeptide medicine 201 of anti-smooth muscle cell proliferation of 0.01-10% 0.5~2 hour;
7. cold drying: rack body is taken out low temperature-20~-60 ℃ drying from the RGD drug solution.
Below provide preferred embodiment:
Embodiment 1
Present embodiment is coated with the anti-smooth muscle cell proliferation medicine 202 of rapamycin at fixing arginine-glycine-aspartic acid (RGD) polypeptide drugs 201 of rack body 1 inner surface that has hole 101 at rack body 1 outer surface;
1. the pretreatment on rack body surface, 2. prepare hole, 3. the aftertreatment technology step on rack body surface is ditto described;
4. the preparation of medicine: the 0.2g rapamycin is added in the 10ml tetrahydrofuran solution;
5. outer surface applies: with the pertusate rack body inner surface of sacculus boundary belt, and be uniformly dispersed under the medicine room temperature condition with above-mentioned preparation, be sprayed at rack outer surface, air set 60min then; Repeat 5. outer surface coating step, reach 2.2 μ g/mm up to drug loading 2To prop up and be placed on drying in the vacuum drying oven;
6. inner surface is fixed: described biological polypeptide medicine 201 is selected 0.5g penicillamine cyclic peptide (cyclo-GpenGRGDSPCA) for use, be dissolved in the phosphate buffered solution, its proportioning percentage by weight is: potassium dihydrogen phosphate 1.36g, add 0.1mol/L sodium hydroxide solution 79ml, all the other are diluted to 200ml promptly for water, and the support after applying is immersed in the described penicillamine cyclic peptide solution 5min~2 hour;
7. cold drying: rack body is taken out low temperature-20~-60 ℃ lyophilizing from above-mentioned RGD drug solution;
8. effectiveness experiment: safety and effectiveness experiment to RGD biological polypeptide drug stent of the present invention are to carry out in Chinese Xiao Xiong's pig model, and experimental result comprises the change of the new intima area that is recorded by endothelialization observation, coronary angiography quantitative analysis (QCA) and tectology; In pig model, compare with the support of no medication coat, RGD biological polypeptide drug stent is inserted back 30 days new intima areas at support and is obviously reduced, and this shows, RGD biological polypeptide drug stent can continue to reduce new intima formation in pig model, prevents restenosis and thrombosis;
9. release in vitro is measured: it is to be placed in the extracorporeal circulation apparatus propping up that RGD biological polypeptide drug stent release in vitro of the present invention is measured, add a certain amount of, as the 4% bSA phosphate buffer 0.1mol/L of 500ml, pH 7.4, and keeping temperature is 37 ± 0.5 ℃; Change release medium weekly one time, at 6h, 1 day, 2 days, 7 days, 14 days and 30 days taking-up drug stents, analyze the residual volume of medicine in RGD biological polypeptide drug stent respectively with efficient liquid-phase chromatography method (HPLC).
Embodiment 2
1. the pretreatment on rack body surface, 2. prepare hole, 3. the aftertreatment technology step on rack body surface is ditto described;
4. the preparation of medicine: 0.1g polylactic acid (PLA) is added in the 10ml tetrahydrofuran solution, preparation biological polypeptide medicine 201, add the 0.5g rapamycin again, the mixed proportion of rapamycin and arginine-glycine-aspartic acid (RGD) polypeptide drugs is 0.1~10;
5. outer surface applies: with pertusate rack body 1 inner surface of sacculus boundary belt, and the medicine room temperature condition of above-mentioned preparation mixed down be uniformly dispersed, the polymer dispersion liquid that will be enclosed with said medicine then is coated on the outer surface of support, air set 30min equably; Repeat aforesaid operations and reach 2.5 μ g/mm up to drug-loaded layer weight 2Support 1 with coating places vacuum drying oven dry again;
6. inner surface is fixed: take by weighing 0.5g penicillamine cyclic peptide (cyclo-GpenGRGDSPCA), be dissolved in the phosphate buffered solution, its proportioning percentage by weight is: potassium dihydrogen phosphate 1.36g, add 0.1mol/L sodium hydroxide solution 79ml, all the other are diluted to 200ml promptly for water, and the support of spraying is immersed in the described penicillamine cyclic peptide solution 5min~2 hour;
Described 7. cold drying, 8. effectiveness experiment, 9. release in vitro is measured with embodiment 1.

Claims (8)

1. biological polypeptide medicament intravascular stent, comprise rack body, active medicine, its rack body is the medical material with good biocompatibility in hole with holes, selects rustless steel, cobalt-base alloys, titanium alloy, Nitinol or polylactic acid bioabsorbable polymer material for use; Active medicine comprises biological polypeptide medicine, anti-smooth muscle cell proliferation medicine; It is characterized in that described rack body (1) inner surface that has hole (101) is fixed with biological polypeptide medicine (201), outer surface is coated with anti-smooth muscle cell proliferation medicine (202); Wherein said hole (101) is the compound hole of nanoscale of many sizes; Described biological polypeptide medicine (201) is for containing the linear polypeptide and the annular polypeptide of arginine-glycine-aspartic acid.
2. the preparation method of a biological polypeptide medicament intravascular stent, at first rack body (1) is prepared a large amount of holes (101) by chemistry or physical method, or form the coating in one deck hole with holes (101) at rack surface, it is characterized in that, in the outer surface embedding of rack body (1), fixing and be coated with one or more active medicines that can suppress vascular smooth muscle cell proliferation and migration (202), then in rack body (1) the inner surface embedding of hole with holes (101), fix and coating, dip-coating RGD biological polypeptide medicine (201).
3. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 2 is characterized in that described polypeptide drugs (201) are dissolved in the phosphate buffer, directly is fixed in the hole (101) of rack body (1) inner surface; Described anti-smooth muscle cell proliferation medicine (202) directly is dissolved in the organic solvent or is sprayed at rack body (1) outer surface by the polymer of biodegradable polymer, degradable biological macromolecular material not.
4. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 2, it is characterized in that described preparation method comprise the pretreatment on 1. rack body surface, 2. prepare hole, 3. the rack body surface post processing, 4. medicine preparation, 5. outer surface apply, 6. inner surface fix, 7. low temperature drying technology step, wherein:
1. the pretreatment on rack body surface: working concentration is 99.5% acetone analytical pure solution, or concentration is 75% medical ethanol solvent, utilizing frequency is 28~100khz ultrasonic waves for cleaning rack body material, clean 5~15min, remove the impurity on bulk material surface, bulk material after cleaning is placed in the drying machine, and temperature is set in 30~40 ℃, takes out standby behind dry 30~60min;
2. prepare hole: be to adopt acid solution corrosion pore, the rack body material is immersed in the corrosive liquid of 0~100 ℃ of temperature, described corrosive liquid preferred concentration is 1~38% hydrochloric acid, or containing the hydrochloric acid mixed acid solution of the sulphuric acid composition of 1~38% mixed in hydrochloric acid 1~98%, etching time forms single size nanoscale hole after being controlled at 1min~480h according to concentration, temperature difference; The method that adopts anodic oxidation or differential arc oxidation, differential of the arc nitrogenize to combine again, carry out the compound hole of nanoscale that anodic oxidation prepares many sizes by anodic pulse equipment, its electrolyte preferred concentration is that 1~38% hydrochloric acid solution or concentration are 1~98% sulfuric acid solution, time 1~20min, electric current 0.01~0.1A, 25~3000 hertz of frequencies;
3. the post processing on rack body surface: the bulk material elder generation working concentration of handling well above-mentioned is 99.5% acetone analytical pure solution, and utilizing frequency through distilled water again is 28~100khz ultrasonic waves for cleaning bulk material, 5~15min; Bulk material after will cleaning at last is placed in the drying machine, and temperature is set in 30~40 ℃, takes out standby behind dry 30~60min; Or be 1~38% hydrochloric acid solution with the distilled water compound concentration, bulk material is immersed in the solution for preparing, be placed in the vacuum drying oven, solidified in 0.5~72 hour 20~100 ℃ of dryings;
4. the preparation of medicine: the be weight percentage RGD biological polypeptide medicine (201) of 0.01-10% of formulation content; The medicine of anti-smooth muscle cell proliferation is an organic solution, and organic solution can be selected 0.2~5% oxolane or acetone for use, this medicine directly is dissolved in the organic solvent, and fully dissolving; The percentage by weight of described active medicine and organic solution is 1: 10~1: 10000;
5. outer surface applies the medicine of anti-smooth muscle cell proliferation: rack body (1) is installed on the flush coater, adopts sacculus protective cradle inner surface, then the above-mentioned active medicine for preparing or polymer dispersion liquid are coated in uniformly the outer surface of rack body; Rack body (1) with coating is put in the vacuum drying oven again, solidifies in 0.5~72 hour 20~100 ℃ of dryings;
The pretreatment on above-mentioned 1. rack body surface, 3. the rack body surface post processing, 5. the outer surface coating step can repeatedly repeat, or only repeat 5. outer surface coating step, the polymer dispersion liquid of repetitive coatings active medicine or different component is until reaching drug loading;
6. the fixing RGD biological polypeptide medicine that promotes endothelial cell growth of inner surface: take off the protectiveness sacculus, with rack body (1) dip-coating of band coating in content is weight percentage the solution of RGD biological polypeptide medicine (201) of 0.01-10% 0.5~2 hour;
7. cold drying: rack body (1) is taken out low temperature-20~-60 ℃ drying from the RGD drug solution.
5. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 2, it is characterized in that described rack body (1) the fixed biological polypeptide medicine of inner surface (201) comprises linear polypeptide and annular polypeptide, wherein linear polypeptide comprises arginine-glycine-aspartic acid (RGD), glycine-arginine-glycine-aspartic acid (GRGD), arginine-glycine-aspartic acid-serine (RGDS), glycine-arginine-glycine-aspartic acid-serine (GRGDS), glycine-arginine-glycine-aspartic acid-serine-network propylhomoserin (GRGDSY), glycine-arginine-glycine-aspartic acid-serine-proline-cysteine (GRGDSPC) can be selected wherein any for use or appoint several; Wherein annular polypeptide comprises ARG-GLY-ASP-PHE-D-VAL cyclic peptide (cyclo-RGDFV), aspartic acid-phenylalanine-lysine-arginine-glycine-aspartic acid cyclic peptide (cyclo-DFKRGD), arginine-glycine-aspartic acid-serine-Ala-Ala cyclic peptide (cyclo-RGD-SAA), penicillamine cyclic peptide (cyclo-GpenGRGDSPCA) can be selected wherein any for use or appoint several.
6. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 2 is characterized in that the anti-smooth muscle cell proliferation medicine (202) that described rack body (1) outer surface applies comprises sirolimus, tacrolimus, Ai Luomosi, immunosuppressant ABT-578, dexamethasone, mizoribine, rapamycin, paclitaxel and derivant thereof, D actinomycin D, vincristine and derivant thereof, statins, 2-chlorine Deoxyadenosine, ribozyme, batimastat, Halofuginone, the C-protease inhibitor, probucol, VEGF (VEGF), the estradiol class can be selected wherein any for use or appoint several.
7. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 2, it is characterized in that the described biodegradable polymer or the polymer of biodegradable polymer not, comprise the homopolymer of lactide, Acetic acid, hydroxy-, bimol. cyclic ester, 6-caprolactone and between the two or in three's copolymer, cellulose family, polyvidon, polyvinyl alcohol, arabic gum, sodium alginate, gelatin, polymethyl methacrylate, polybutyl methacrylate, ethylene-vinyl alcohol copolymer or the ethylene-vinyl acetate copolymer one or more.
8. the preparation method of a kind of biological polypeptide medicament intravascular stent according to claim 4 is characterized in that carrying out after the described 7. low temperature drying technology step 8. effectiveness experiment, 9. release in vitro is measured.
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