CN110433283A - A kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis - Google Patents

A kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis Download PDF

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CN110433283A
CN110433283A CN201910733119.2A CN201910733119A CN110433283A CN 110433283 A CN110433283 A CN 110433283A CN 201910733119 A CN201910733119 A CN 201910733119A CN 110433283 A CN110433283 A CN 110433283A
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peripheral blood
rich plasma
platelet rich
dermatitis
drug
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CN110433283B (en
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马亚东
黄宗堂
曹娜
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Fengze Kang Biomedicine (shenzhen) Co Ltd
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Fengze Kang Biomedicine (shenzhen) Co Ltd
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Abstract

The present invention relates to stem cell medicine technical fields, in particular to a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis, including peripheral blood multipotential cell, platelet rich plasma, inducer and solvent.Pass through the synergistic effect of three, it can control and mitigate the inflammatory reaction of skin, the outburst of inflammatory reaction is effectively controlled within the acute knock-on phase for deactivating hormone, simultaneously also containing ingredient the effect of promoting cutaneous immunisation and repair skin in product, skin can be helped to improve resistance, allergy repeatedly is avoided, state of gradually getting well.

Description

A kind of joint platelet rich plasma preparation of peripheral blood multipotential cell active matter is for sugar The drug and its preparation method and application of Corticodependence dermatitis
Technical field
The present invention relates to stem cell medicine technical field, in particular to a kind of peripheral blood multipotential cell active matter joint is rich Thrombocyte plasma preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis.
Background technique
The clinical manifestation of Corticosteroid addictive dermatitis be face red spot, papule, flush, telangiectasis, Dry, tight, itch, furfur etc., its treatment of the cause of disease is difficult, and recurrent exerbation, patient applies remission after hormone, after deactivating Symptom recurrence is further continued for being thusly-formed vicious circle using hormone medicine, and dermatitis is increasingly heavier, and recurrence frequency is higher and higher, To causing very big puzzlement on outpatients mental state.What the disease treated current more application is the substitution external application of non-hormonal anti-inflammatory drug, but Curative effect is not still very satisfied.
Summary of the invention
In view of the above technical problems, the purpose of the present invention is to provide a kind of peripheral blood multipotential cell active matter joint is rich Thrombocyte plasma preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis, life provided by the invention Object preparation has preferable therapeutic effect to for Corticosteroid addictive dermatitis.
In order to solve the above technical problems, specific technical solution:
A kind of joint platelet rich plasma preparation of peripheral blood multipotential cell active matter is used for Corticodependence skin Scorching drug, including peripheral blood multipotential cell, platelet rich plasma, inducer and solvent.
Wherein, the inducer includes following component: the epidermal growth factor of 50-300ng/mL, 10-200ng/mL Insulin-like growth factor-i, the basic fibroblast growth factor of 1-100ng/mL, 1-100ng/mL blood vessel endothelium Growth factor, the gamma interferon of 100-2000U/mL, the hematopoietin of 0.1-10U/mL, 50-200ug/mL it is anti- Bad hematic acid.
The peripheral blood multipotential cell is no less than 200 × 10 in content4A cell/mL.In the platelet rich plasma It is at least 300 × 10 containing concentration3The blood platelet of a cell/mL, red blood cell concentration are lower than 300 × 106A cell/mL.
The solvent is physiological saline.
The present invention also provides peripheral blood multipotential cell active matter joint platelet rich plasma preparations for sugared cortical hormone The preparation method of the drug of plain dependence facial dermatitis, comprising the following steps: peripheral blood multipotential cell suspends be distributed in rich blood first Mixture is obtained in platelet-poor plasma, then inducer and solvent are mixed to get solution, then mix mixture and solution, obtain Peripheral blood multipotential cell active matter combines the drug that platelet rich plasma preparation is used for Corticosteroid addictive dermatitis.
Wherein, the peripheral blood multipotential cell is obtained by following steps:
(1) peripheral blood mononuclear cells trypsase 0.1-0.2g/mL and Collagenase 0.05-0.08g/mL, In 30-60min is digested at 37 DEG C, then 200 mesh are collected by filtration cell, then with erythrocyte cracked liquid, water-bath 3-5min under the conditions of 4 DEG C Remove red blood cell to obtain the final product;
(2) peripheral blood mononuclear cells that step (1) obtains is seeded in stem cell media, in 37 DEG C, 5%CO2 Under the conditions of be incubated for 15-25h in the incubator, discard culture medium, rejoin in fresh stem cell media, connect to stem cell When nearly 80-90% fusion, passage amplification cultivation is carried out;
(3) peripheral blood mononuclear cells that inoculation is in cell culture medium in step (2) is expanded into 5-10 generation, collected Culture supernatant filters 0.22 μm of sterilizing filter of supernatant, merging filtrate.
Wherein the stem cell media is 1640 culture medium of RMPI, adds following component: cow's serum, 160-220ml/ L;PHA, 16-30g/L;L-Glutamine, 8-12g/L;Glutathione, 8-14g/L;Non sulphate glycosaminoglycan, 0.1-0.3g/ L;Lipoic acid, 0.1-0.3g/L;Penicillin, 0.005-0.01g/L.
The platelet rich plasma preparation method is aseptically, peripheral blood to be dispensed into PRP thixotroping separation gel and is mentioned Pipe is taken, the 8-12min under 1500-2000g centrifugation, the blood plasma on thixotroping separation gel upper layer is platelet rich plasma.
The peripheral blood multipotential cell active matter combines platelet rich plasma preparation and is used for Corticosteroid addictive dermatitis Drug application, preparation treatment be used for Corticosteroid addictive dermatitis drug application.
Compared with prior art, the present invention provides a kind of peripheral blood multipotential cell active matters to combine platelet rich plasma Preparation is used for the drug and its preparation method and application of Corticosteroid addictive dermatitis, peripheral blood multipotential cell, Fu Xue little Plate blood plasma, inducer can control and mitigate the inflammatory reaction of skin by the synergistic effect of three, in the urgency for deactivating hormone Property the knock-on phase in effectively control the outburst of inflammatory reaction, while in product also containing promoting cutaneous immunisation and repairing skin the effect of Ingredient can help skin to improve resistance, avoid allergy repeatedly, state of gradually getting well.
Specific embodiment
In order to make relevant technical staff in the field more fully understand technical solution of the present invention, below in conjunction with of the invention real Mode is applied, the technical solution in embodiment of the present invention is clearly and completely described, it is clear that described embodiment Only some embodiments of the invention, rather than whole embodiments.
A kind of joint platelet rich plasma preparation of peripheral blood multipotential cell active matter is used for Corticodependence skin Scorching drug, including peripheral blood multipotential cell, platelet rich plasma, inducer and solvent.
Wherein, the inducer includes following component: the pancreas islet of the epidermal growth factor of 200ng/mL, 100ng/mL Plain like growth factor -1, the basic fibroblast growth factor of 80ng/mL, 70ng/mL vascular endothelial growth factor, The gamma interferon of 800U/mL, the hematopoietin of 5U/mL, 150ug/mL ascorbic acid.
The peripheral blood multipotential cell is no less than 200 × 10 in content4A cell/mL.In the platelet rich plasma It is at least 300 × 10 containing concentration3The blood platelet of a cell/mL, red blood cell concentration are lower than 300 × 106A cell/mL.The solvent For physiological saline.
The peripheral blood multipotential cell active matter combines platelet rich plasma preparation and is used for Corticosteroid addictive dermatitis Drug preparation method, comprising the following steps: peripheral blood multipotential cell suspends first to be distributed in platelet rich plasma To mixture, then inducer and solvent are mixed to get solution, then mix mixture and solution, obtain peripheral blood pluripotency Cell activity Internet of Things close the drug that platelet rich plasma preparation is used for Corticosteroid addictive dermatitis.
Wherein, the peripheral blood multipotential cell is obtained by following steps: (1) peripheral blood mononuclear cells tryptose Enzyme 0.2g/mL and Collagenase 0.05g/mL, digests 60min at 37 DEG C, and then 200 mesh are collected by filtration cell, then with red Cell pyrolysis liquid, water-bath 5min removal red blood cell under the conditions of 4 DEG C to obtain the final product;(2) the single core of peripheral blood obtained step (1) is thin Born of the same parents are seeded in stem cell media, in 37 DEG C, 5%CO2Under the conditions of be incubated in the incubator for 24 hours, discard culture medium, again It is added in fresh stem cell media, when stem cell is merged close to 80-90%, carries out passage amplification cultivation;(3) by step (2) peripheral blood mononuclear cells being seeded in stem cell media in expanded for 5 generations, collects culture supernatant, supernatant is used 0.22 μm of sterilizing filter filtering, merging filtrate.
Wherein the stem cell media is 1640 culture medium of RMPI, adds following component: cow's serum, 220ml/L; PHA, 20g/L;L-Glutamine, 10g/L;Glutathione, 10g/L;Non sulphate glycosaminoglycan, 0.3g/L;Lipoic acid, 0.2g/L;Penicillin, 0.01g/L.
The platelet rich plasma preparation method is aseptically, peripheral blood to be dispensed into PRP thixotroping separation gel and is mentioned Pipe is taken, the 12min under 2000g centrifugation, the blood plasma on thixotroping separation gel upper layer is platelet rich plasma.
For verification the verifying results, clinical test is taken:
1, patient is selected, treatment group and control group are randomly divided into.Treatment group and control group are in age, gender, the course of disease and disease Shape scoring etc. is comparable without significant difference.Patient selection criteria has following (1), (2) item, and (3), (4) At least one.
(1) there is the fixed position external application hormone product history of two weeks or more;(2) it deactivates containing 2~10 days originals after hormone product There are disease or Repigmentation or exacerbation;There is hormone dependant phenomenon (to bounce, original disease or Repigmentation or add after being discontinued Weight, symptom mitigates after reuse);(3) typically skin lesion: using erythema, papule, drying and furfur as the more of basic lesions Sample skin lesion, it is difficult to other skin diseases exponent;(4) subjective symptom: conscious part itch burns sample pain, tight swollen sense Or it is dry uncomfortable, above-mentioned symptom heat aggravates, mitigates to the cold.
30 out-patients, male 5, female 25 are selected altogether;Age between 20~50 years old, external application hormone 2 months~3 Year, through multiple desensitization treatment, less effective.
2, treatment method: peripheral blood multipotential cell is no less than 200 × 10 in content4Treatment group: intracutaneous injection enters, note Penetrate peripheral blood multipotential cell 2 × 106A mixed liquor, the next day additional 1 medication, dose is the same as the first time.1 treatment is observed weekly Effect, 15 days are 1 course for the treatment of.
Control group: 5% Butyl flufenamate of external application observes weekly 1 curative effect 3 times a day, and 15 days are 1 treatment Journey.
3, curative effect determinate standard
(1) skin lesion degree scores
4 objective indicators: flush, telangiectasis, pigment change and acneform eruptions;
1 subjective index: sense of discomfort.
Ranking criterion are as follows: 0 point be nothing, 1 point be it is slight, 2 points be moderate, 3 points be severe;Full marks are 15 points.
(2) clinical efficacy determines
The integrated value of patient is calculated separately before treating and after treatment, and calculates integral slip according to formula:
Integrate slip=(pre-treatment score-post treatment integral)/pre-treatment score × 100%.
By recovery from illness, effective, effective, invalid 4 standards, total effective rate is to fully recover plus effective calculating.It is discontinued after 1 week, occurs Obvious flush, papule, itch etc. are recurrence.
Recovery from illness :≤1 is integrated after treatment.
It is effective: integral slip >=70%.
Effective: integral slip is 40%~69%.
Invalid: integral decreases below 40%.
4, result
Treatment group and control group complete the entire course for the treatment of as required respectively.Symptom score is shown in Table 1;Therapeutic effect is shown in Table 2.
1 treatment group of table is compared with control group symptom score
Group Number of cases Before treatment Treat 3d Treat 7d Treat 14d
Treatment group 15 13.12±2.47 11.24±3.42 9.54±2.94 1.98±41.43
Control group 15 13.24±2.71 12.13±4.37 11.72±1.96 8.47±2.64
2 two groups of curative effects of table compare
Group It fully recovers (number of cases, %) Effective (number of cases, %) Effectively (number of cases, %) (number of cases, %) in vain
Treatment group 2471 1037 547 0
Control group 2415 954 8431 469
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art For member, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also answered It is considered as protection scope of the present invention.

Claims (9)

1. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation is used for Corticosteroid addictive dermatitis Drug, which is characterized in that including peripheral blood multipotential cell, platelet rich plasma, inducer and solvent.
2. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 1 is for sugar The drug of Corticodependence dermatitis, which is characterized in that the inducer includes following component: the table of 50-300ng/mL Skin growth factor, the insulin-like growth factor-i of 10-200ng/mL, 1-100ng/mL basic fibroblast growth because The promoting erythrocyte of son, the vascular endothelial growth factor of 1-100ng/mL, the gamma interferon of 100-2000U/mL, 0.1-10U/mL Generate the ascorbic acid of element, 50-200ug/mL.
3. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 1 is for sugar The drug of Corticodependence dermatitis, which is characterized in that the peripheral blood multipotential cell is no less than 200 × 10 in content4 A cell/mL.
4. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 1 is for sugar The drug of Corticodependence dermatitis, which is characterized in that be at least 300 × 10 containing concentration in the platelet rich plasma3It is a Cell/mL blood platelet, red blood cell concentration are lower than 300 × 106A cell/mL.
5. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 1 is for sugar The drug of Corticodependence dermatitis, which is characterized in that the solvent is physiological saline.
6. being used according to claim 1 to a kind of joint platelet rich plasma preparation of peripheral blood multipotential cell active matter described in 5 In the preparation method of the drug of Corticosteroid addictive dermatitis, which comprises the following steps: peripheral blood pluripotency is thin Born of the same parents suspend to be distributed in platelet rich plasma first obtains mixture, and then inducer and solvent are mixed to get solution, then will Mixture and solution mixing obtain the joint platelet rich plasma preparation of peripheral blood multipotential cell active matter for glucocorticoid The drug of dependence facial dermatitis.
7. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 6 is for sugar The process for preparing medicine of Corticodependence dermatitis, which is characterized in that the peripheral blood multipotential cell passes through following steps It obtains:
(1) peripheral blood mononuclear cells trypsase 0.1-0.2g/mL and Collagenase 0.05-0.08g/mL, at 37 DEG C Lower digestion 30-60min, then 200 mesh are collected by filtration cell, then with erythrocyte cracked liquid, and water-bath 3-5min is removed under the conditions of 4 DEG C Red blood cell to obtain the final product;
(2) peripheral blood mononuclear cells that step (1) obtains is seeded in stem cell media, in 37 DEG C, 5%CO2Under the conditions of It is incubated for 15-25h in the incubator, discards culture medium, rejoins in fresh stem cell media, to stem cell close to 80- When 90% fusion, passage amplification cultivation is carried out;
(3) peripheral blood mononuclear cells being seeded in stem cell media in step (2) is expanded into 5-10 generation, collected in culture Clear liquid filters 0.22 μm of sterilizing filter of supernatant, merging filtrate.
8. a kind of peripheral blood multipotential cell active matter joint platelet rich plasma preparation according to claim 6 is for sugar The process for preparing medicine of Corticodependence dermatitis, which is characterized in that the platelet rich plasma preparation method is, sterile Under the conditions of, peripheral blood is dispensed into PRP thixotroping separation gel extraction tube, the 8-12min under 1500-2000g centrifugation, thixotroping separation gel The blood plasma on upper layer is platelet rich plasma.
9. being used according to claim 1 to a kind of joint platelet rich plasma preparation of peripheral blood multipotential cell active matter described in 5 In the application of the drug of Corticosteroid addictive dermatitis, which is characterized in that be used for Corticodependence in preparation treatment The application of dermatitis drug.
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