Summary of the invention
The present invention will solve the technical problem that lacks the marker carrier that swells successful and can peel off completely in current Endoscopic submucosal dissection (ESD), a kind of temperature-sensitive hydrogel is provided, this temperature-sensitive hydrogel is PLA-PEG-PLA (PLGA-PEG-PLGA) triblock copolymer of temperature-induced type gelatinizing-in-situ, use the serve as a mark injection carrier of thing methylene blue of this PLGA-PEG-PLGA copolymer solution, can guarantee to cut in ESD operation complete, and can reduce perforation and hemorrhage risk, improve security and the efficiency of operation, alleviate patient's misery.
In addition, also need to provide a kind of preparation method of temperature-sensitive hydrogel and the application in Endoscopic submucosal dissection thereof.
In order to solve the problems of the technologies described above, the present invention is achieved through the following technical solutions:
In one aspect of the invention, a kind of temperature-sensitive hydrogel is provided, described temperature-sensitive hydrogel is PLGA-PEG-PLGA triblock copolymer, wherein, PLGA is hydrophobicity PLGA, PEG is hydrophilic polyglycol polymkeric substance, and in described PLGA multipolymer, rac-Lactide (LA) is 2~4: 1 with the mass ratio of glycollide (GA), and described rac-Lactide and the quality of glycollide sum and the mass ratio of PEG i.e. (LA+GA)/PEG are 1~2: 1.
Preferably, in described PLGA multipolymer, the mass ratio of rac-Lactide and glycollide is 2.5: 1; The quality of described rac-Lactide and glycollide sum and the mass ratio of PEG i.e. (LA+GA)/PEG are 2: 1.
Preferably, described PEG polymkeric substance comprises PEG1000 and PEG1500, and the mass ratio of this PEG1000 and PEG1500 is 1: 1.
In another aspect of this invention, provide a kind of preparation method of temperature-sensitive hydrogel, comprised the following steps:
(1) after PEG1000 and PEG1500 are mixed with certain mass ratio, vacuum back-flow 2~4 hours at suitable temperature, removes the moisture content in PEG1000 and PEG1500;
(2) add rac-Lactide, glycollide, the lower outside temperature of the condition that vacuumizes be heated to 80~100 DEG C 5~20 minutes to dissolution of solid, the mass ratio of the described rac-Lactide adding and glycollide is 2~4: 1, and the quality of this rac-Lactide and glycollide sum and the mass ratio of PEG total amount are 1~2: 1;
(3) be cooled to after room temperature, add catalyzer, with reflux condensate device 120~160 DEG C of reactions of temperature outside 6~12 hours, stop heating and vacuumize 20~40 minutes, be cooled to room temperature, obtain product P LGA-PEG-PLGA triblock copolymer.
Preferably, in step (3) afterwards, also comprise the steps (4):
In ice bath, dissolve products therefrom with distilled water, be heated to 60~90 DEG C and produce precipitation, abandoning supernatant, repeat this Solution and precipitation operation 2~4 times, remove unreacted glycollide, rac-Lactide and low-molecular weight copolymer, collect not water-soluble precipitation, must remove the PLGA-PEG-PLGA triblock copolymer product after impurity.
Preferably, in step (4) afterwards, also comprise the steps (5):
By after products therefrom vacuum lyophilization in cryopreservation.
Preferably, in one embodiment of the invention, the rac-Lactide in step (2) and the mass ratio of glycollide are 2.5: 1, and the quality of this rac-Lactide and glycollide sum and the mass ratio of PEG total amount are 2: 1, in step (3), 142 DEG C of reactions of temperature outside 8 hours.
In another aspect of this invention, also provide the application of above-mentioned temperature-sensitive hydrogel, for the preparation of the marker carrier in Endoscopic submucosal dissection.
Front at Endoscopic submucosal dissection (ESD), the triblock copolymer solution of the present invention that contains 0.2%wt concentration methylene blue marker is injected into the submucosa of early gastric cancer diseased region by endoscopic injection pin, under 37 DEG C of body temperature conditions, in one minute, copolymer solution can change to semi-solid gel shape, remain on intra-operative mucosal protrusion, can prevent that marker methylene blue is in submucosal diffusion, increase the accuracy of operation.And copolymer solution of the present invention is applied in ESD operation as methylene blue marker carrier, can reduce bleeding risk, increases bump height, is conducive to operation and carries out smoothly.
Preferably, the working concentration of described temperature-sensitive hydrogel in Endoscopic submucosal dissection is 15%~30%.
Temperature-sensitive hydrogel of the present invention, it is a kind of PLGA-PEG-PLGA triblock copolymer of temperature-induced type gelatinizing-in-situ, this triblock copolymer is when concentration is 15~30%wt at normal temperatures, exist with liquid state, in solution, form micella, along with the rising of temperature, the hydrogen bond rupture between polymkeric substance and water, micella is assembled, and forms gel.In the time of human body temperature, this polymers soln can become semi-solid gel by rapid conversion, this characteristic has determined that this multipolymer serves as a mark carrier in the stationarity of diseased region, and this material has biodegradability and biocompatibility, can be widely used in pharmaceutical industries.
Embodiment
The present invention has developed a kind of PLGA-PEG-PLGA triblock copolymer of temperature-induced type, in the process that this multipolymer can be changed to body temperature by room temperature in temperature, changed to semi-solid gel state by clear soln, its transition mechanisms is the certain density PLGA-PEG-PLGA aqueous solution, at normal temperature state in solution state, PLGA-PEG-PLGA forms micella in the aqueous solution, in the time that temperature is increased to 34 DEG C~39 DEG C, hydrogen bond rupture between polymkeric substance and water molecules, de-hydration occurs, thereby micella is assembled formation semi-solid gel shape.
In PLGA-PEG-PLGA triblock copolymer of the present invention, PLGA is hydrophobicity PLGA, PEG is hydrophilic polyglycol polymkeric substance, in PLGA multipolymer, the mass ratio of rac-Lactide and glycollide is 2~4: 1, and this rac-Lactide and the quality of glycollide sum and the mass ratio of PEG are 1~2: 1.
The preparation method of PLGA-PEG-PLGA triblock copolymer of the present invention, comprises the following steps:
(1) after PEG1000 and PEG1500 are mixed with certain mass ratio, vacuum back-flow 2~4 hours at suitable temperature, removes the moisture content in PEG1000 and PEG1500;
(2) add rac-Lactide, glycollide, the lower outside temperature of the condition that vacuumizes be heated to 80~100 DEG C 5~20 minutes to dissolution of solid, the rac-Lactide that this adds and the mass ratio of glycollide are 2~4: 1, and the quality of this rac-Lactide and glycollide sum and the mass ratio of PEG total amount are 1~2: 1;
(3) be cooled to after room temperature, add catalyzer, with reflux condensate device 120~160 DEG C of reactions of temperature outside 6~12 hours, stop heating and vacuumize 20~40 minutes, be cooled to room temperature, obtain product P LGA-PEG-PLGA triblock copolymer.
Preferably, in step (3) afterwards, also comprise the steps (4):
In ice bath, dissolve products therefrom with distilled water, be heated to 60~90 DEG C and produce precipitation, abandoning supernatant, repeat this Solution and precipitation operation 2~4 times, remove unreacted glycollide, rac-Lactide and low-molecular weight copolymer, collect not water-soluble precipitation, must remove the PLGA-PEG-PLGA triblock copolymer product after impurity.
Preferably, in step (4) afterwards, also comprise the steps (5):
By after products therefrom vacuum lyophilization in cryopreservation.
The PLGA-PEG-PLGA triblock copolymer bag of preparing with the present invention carries methylene blue marker, can play the effect of good fixing mark in ESD art.Experimental result demonstration, the fixing mark effect of this copolymer solution is better than physiological saline group and height oozes Glycerin Fructose solution group.
In the preparation process of PLGA-PEG-PLGA triblock copolymer of the present invention, the D adding by further adjustment, ratio and temperature of reaction and the time of L-rac-Lactide (LA), glycollide (GA) and PEG, thereby control the phase transition temperature of triblock copolymer, the phase transition temperature of adjusting this multipolymer approaches to 37 DEG C so that this triblock copolymer be better applicable to temperature-induced type in body administration.
Further elaborate the present invention below by specific embodiment.
Embodiment 1
The present embodiment is prepared PLGA-PEG-PLGA triblock copolymer, comprises that step is as follows:
(1) cetomacrogol 1000 (PEG1000) and polyethylene glycol 1500 (PEG1500) are joined in three-necked bottle with the mass ratio of 1: 1, under rotating speed 200r/min condition, oil pump control vacuum tightness is at-0.1MPa, 145 DEG C of outer temperature, 130 DEG C of vacuum cold-water reflux 2h of interior temperature, remove the minority moisture content in PEG1000 and PEG1500;
(2) then logical high pure nitrogen is cooled to room temperature, add rac-Lactide (LA), glycollide (GA), the ratio that makes LA/GA is 2: 1, and (LA+GA)/PEG ratio is 1: 1, and the lower outside temperature of the condition that vacuumizes is heated to 100 DEG C of 5min to dissolution of solid;
(3) logical nitrogen is cooled to room temperature, adds after the sub-tin of octoate catalyst, loads onto reflux condensate device, and in 120 DEG C of reaction 6h of outer temperature, reaction solution is light yellow clarification, stops heating and vacuumizes 20min, naturally cools to room temperature;
(4) in 4 DEG C of ice baths, dissolve products therefrom with distilled water, be heated to 60 DEG C and produce precipitation, abandoning supernatant, repetitive operation 3 times, remove unreacted glycollide, rac-Lactide and low-molecular weight copolymer, collect not water-soluble precipitation and obtain the colourless and light yellow transparent products of thickness;
(5) by after products therefrom vacuum lyophilization in-20 DEG C of preservations.
Embodiment 2
The present embodiment is prepared PLGA-PEG-PLGA triblock copolymer, comprises that step is as follows:
(1) cetomacrogol 1000 (PEG1000) and polyethylene glycol 1500 (PEG1500) are joined in three-necked bottle with the mass ratio of 1: 1, under rotating speed 200r/min condition, oil pump control vacuum tightness is at-0.1MPa, 145 DEG C of outer temperature, 130 DEG C of vacuum cold-water reflux 3h of interior temperature, remove the minority moisture content in PEG1000 and PEG1500;
(2) then fill high pure nitrogen and be cooled to room temperature, add rac-Lactide (LA), glycollide (GA), the ratio that makes LA/GA is 2.5: 1, and (LA+GA)/PEG ratio is 2: 1, and the lower outside temperature of the condition that vacuumizes is heated to 90 DEG C of 10min to dissolution of solid;
(3) logical nitrogen is cooled to room temperature, adds after the sub-tin of octoate catalyst, loads onto reflux condensate device, and in 142 DEG C of reaction 8h of outer temperature, reaction solution is light yellow clarification, stops heating and vacuumizes 30min, naturally cools to room temperature;
(4) in 4 DEG C of ice baths, dissolve products therefrom with distilled water, be heated to 80 DEG C and produce precipitation, abandoning supernatant, repetitive operation 3 times, remove unreacted glycollide, rac-Lactide and low-molecular weight copolymer, collect not water-soluble precipitation and obtain the colourless and light yellow transparent products of thickness;
(5) by after products therefrom vacuum lyophilization in-20 DEG C of preservations.
Embodiment 3
The present embodiment is prepared PLGA-PEG-PLGA triblock copolymer, comprises that step is as follows:
(1) cetomacrogol 1000 (PEG1000) and polyethylene glycol 1500 (PEG1500) are joined in three-necked bottle with the mass ratio of 1: 1, under rotating speed 200r/min condition, oil pump control vacuum tightness is at-0.1MPa, 145 DEG C of outer temperature, 130 DEG C of vacuum cold-water reflux 4h of interior temperature, remove the minority moisture content in PEG1000 and PEG1500;
(2) then fill high pure nitrogen and be cooled to room temperature, add rac-Lactide (LA), glycollide (GA), the ratio that makes LA/GA is 4: 1, and (LA+GA)/PEG ratio is 1.6: 1, and the lower outside temperature of the condition that vacuumizes is heated to 80 DEG C of 20min to dissolution of solid;
(3) logical nitrogen is cooled to room temperature, adds after the sub-tin of octoate catalyst, loads onto reflux condensate device, and in 160 DEG C of reaction 12h of outer temperature, reaction solution is light yellow clarification, stops heating and vacuumizes 30min, naturally cools to room temperature;
(4) in 4 DEG C of ice baths, dissolve products therefrom with distilled water, be heated to 90 DEG C and produce precipitation, abandoning supernatant, repetitive operation 3 times, remove unreacted glycollide, rac-Lactide and low-molecular weight copolymer, collect not water-soluble precipitation and obtain the colourless and light yellow transparent products of thickness;
(5) by after products therefrom vacuum lyophilization in-20 DEG C of preservations.
PLGA-PGE-PLGA triblock copolymer 2.0mg prepared by above-described embodiment 1-3, is dissolved in 0.6ml deuterochloroform, and NMR (300MHz) identifies polymer architecture, obtains desirable nuclear magnetic resonance map (seeing Fig. 1).Result shows, the chemical shift peak δ value that belongs to PLGA-PEG-PLGA is as follows: δ=5.22ppm (CH of LA), 1.50ppm (CH3of LA), 4.85ppm (CH2of GA), 3.60ppm (CH2of PEG), and 2.75ppm (OH of LA), illustrate that the present invention successfully synthesizes PLGA-PEG-PLGA triblock copolymer.
Embodiment 4
The PLGA-PEG-PLGA triblock copolymer compound concentration that uses above-described embodiment to prepare is respectively 15%, 20%, 25% and 30% aqueous solutions of polymers, together add in 10ml cillin bottle sealed membrane sealing after jumping a queue with magnetic stir bar (3mm × 8mm).After 4 DEG C of balances, cillin bottle is put in diffusion instrument, make circulator bath liquid level higher than aqueous solutions of polymers, temperature programming after startup stirring 100r/min, 4 DEG C start to heat up, 1~2 DEG C/min.Stop stirring and heating after cillin bottle is tilted 90 °, if do not flow to bottleneck in 3s, temperature is now defined as to the phase transition temperature of aqueous solutions of polymers.Each sample replicate(determination) 3 times, results averaged.
Result as shown in Figure 2, Fig. 2 is that the ratio of use LA/GA is 2.5: 1, (LA+GA)/PEG ratio is 2: 1 synthetic triblock copolymers phase transition temperature figure under different concns, along with the continuous increase of triblock copolymer substrate concentration, triblock copolymer aqueous gel temperature range expands.
Embodiment 5
The PLGA-PEG-PLGA triblock copolymer that uses above-described embodiment to prepare is mixed with the solution 10ml of 20%wt concentration, add the methylene blue of 0.02ml, this mixing solutions is injected into pig submucous lamina of stomach, ensures that isolated pig stomach is under 37 DEG C of constant temperatures, observe protuberance effect.
Use normal saline solution 10ml, add the methylene blue of 0.02ml, this mixing solutions is injected into pig submucous lamina of stomach, ensure that isolated pig stomach is under 37 DEG C of constant temperatures, observe protuberance effect.
Use the high Glycerin Fructose solution 10ml that oozes, add the methylene blue of 0.02ml, this mixing solutions is injected into pig submucous lamina of stomach, ensure that isolated pig stomach is under 37 DEG C of constant temperatures, observe protuberance effect.
The mucous membrane top layer of the gel group protuberance of injection is peeled off, peel off mucous membrane top layer along the marker edge of protuberance, observe and peel off effect.
As shown in Figure 3, what Fig. 3 (a) showed is bump height and the diffusions of different methylene blue injection of solution at pig submucous lamina of stomach to result, can be it is evident that by Fig. 3 (a), and the bump height of gel group is the most remarkable; What Fig. 3 (b) showed is the design sketch of peeling off behind mucous membrane top layer, the methylene blue diffusion area maximum of physiological saline group, and gel group not only diffusion area is little, and being marked with to be beneficial to and divesting mucous membrane top layer of gel group, can protect submucosa not accidentally injured.What Fig. 3 (c) showed is that gel group is being peeled off after stratum supravasculare, in the time that operation finishes, the gel of injection can be peeled off completely, does not have gel and remains in wound.
The above embodiment has only expressed embodiments of the present invention, and it describes comparatively concrete and detailed, but can not therefore be interpreted as the restriction to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention should be as the criterion with claims.