CN111991417A - Hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surface - Google Patents

Hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surface Download PDF

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Publication number
CN111991417A
CN111991417A CN202011070468.XA CN202011070468A CN111991417A CN 111991417 A CN111991417 A CN 111991417A CN 202011070468 A CN202011070468 A CN 202011070468A CN 111991417 A CN111991417 A CN 111991417A
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hypochlorous acid
acid gel
gel
physiologically responsive
poloxamer
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乐龙
刘永军
张健
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Nanjing Dongwanxianzhuo Biotechnology R & D Co ltd
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Nanjing Dongwanxianzhuo Biotechnology R & D Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/20Elemental chlorine; Inorganic compounds releasing chlorine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/02Local antiseptics

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Inorganic Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Dermatology (AREA)
  • Oncology (AREA)
  • Communicable Diseases (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

The invention discloses hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surfaces, and belongs to the technical field of medical instruments. The active ingredients with the functions of inhibiting bacteria and promoting wound healing and the like are added into the temperature-sensitive sterile hydrogel matrix, are in a sol state with good fluidity at room temperature, are quickly gelled and solidified at physiological temperature, complete physical isolation on skin wounds, simultaneously play the function of a physiological active material and promote the wound healing.

Description

Hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surface
Technical Field
The invention belongs to the field of medical instruments, and relates to hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surfaces.
Skin and soft tissue infection is one of the clinically common infection types, is a local inflammatory disease caused by invasion of epidermis, dermis and subcutaneous tissues by conditional pathogenic bacteria, is clinically common and comprises folliculitis, furuncle, carbuncle, lymphangitis, acute cellulitis, burn wound infection, operation incision infection, bedsore infection, diabetic foot and the like. In addition, early and timely prevention and control of infection are also important targets for the standardized treatment of wounds. At present, antibiotic medicines or disinfection preservatives such as iodophor and the like are mainly applied clinically for treating skin soft tissue or wound infection, but the effect of applying the iodophor is not ideal, and the local administration of the antibacterial medicines can promote wound healing and prevent infection spreading. Antibiotic drugs have great side effects, and more bacteria have drug resistance to traditional bactericidal drugs. The temperature-sensitive hydrogel dressing has a temperature-sensitive group which has the Lowest Critical Solution Temperature (LCST), and the volume of the temperature-sensitive hydrogel dressing is suddenly shrunk or expanded near the LCST, so that the volume transformation from a sol phase to a shrunk phase, namely the transformation from a liquid state to a solid state, is generated. The liquid state is at low temperature, and when the liquid state is acted on the wound surface of a human body, the liquid state is converted into a gel state to cover the wound surface, so that the wound surface is kept moist, and the wound surface healing is accelerated. Therefore, compared with the traditional dressing, the temperature-sensitive gel has the following characteristics: providing a humid environment, maintaining electrolyte balance and accelerating wound healing; secondly, antibacterial components are loaded to inhibit microbial infection of the wound surface; and thirdly, external stimulation is resisted, and secondary infection of the wound is prevented.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide hypochlorous acid gel with physiological responsiveness and application thereof in skin wounds, wherein the physiological responsiveness temperature-sensitive hypochlorous acid gel is non-toxic and has good safety.
In order to achieve the purpose, the invention adopts the following technical scheme to realize the purpose:
a) wound repair materials, sodium hyaluronate and/or hyaluronic acid derivatives;
b) bacteriostatic components, hypochlorous acid and/or hypochlorite;
c) a temperature sensitive matrix material consisting of poloxamer 407 and/or poloxamer 188;
d) the pH buffer comprises sodium chloride, potassium chloride, sulfuric acid, hydrochloric acid, phosphoric acid, phosphate or other soluble salts;
e) solvent, purified water.
In the hypochlorous acid gel with physiological responsiveness, the mass concentration (w/v) of sodium hyaluronate is less than or equal to 1%, the mass concentration (w/v) of poloxamer 407 is 17% -21%, the mass concentration (w/v) of poloxamer 188 is 1% -3%, and the mass concentration (w/v) of hypochlorous acid is 0.01% -0-2.00%.
Preferably, pharmaceutically acceptable pharmaceutical excipients are further added into the chitosan gel with physiological responsiveness.
Further preferably, the pharmaceutical excipients comprise one or more of a viscosity regulator, a suspending agent, an antioxidant, a stabilizer and a humectant.
Preferably, the water is water for injection, physiological saline or purified water.
Preferably, the sodium hyaluronate derivative is a sodium hyaluronate cross-linked polymer, a hyaluronic acid ester or a metal hyaluronate.
Preferably, the gelling temperature of the hypochlorous acid gel with physiological responsiveness is between 30 and 37 ℃.
The preparation method of the hypochlorous acid gel with physiological responsiveness comprises the following steps:
putting poloxamer 407 and/or poloxamer 188 into normal saline, water for injection or purified water in a clean environment at a temperature of lower than 28 ℃, and stirring until the poloxamer is completely swelled; adding hyaluronic acid and/or its derivative, and mixing; adding hypochlorous acid and/or sodium hypochlorite, and regulating the pH value of the system by hydrochloric acid to obtain the hypochlorous acid gel with physiological responsiveness.
The temperature-sensitive gel system for the skin wound is uniformly sprayed on the wound in a sol state at room temperature (lower than 28 ℃) through the spray bottle, and the sol rapidly completes phase transformation to form gel under the action of body temperature, so that the proliferation of pathogenic microorganisms of the wound can be effectively inhibited, the invasion of external pathogens is resisted, a moist wound environment is formed, and the healing of the wound is promoted.
Detailed Description
The present invention will now be described in detail with reference to examples, which are illustrative, not restrictive, and are not to be construed as limiting the scope of the invention.
Example 1:
this example demonstrates the following materials contained in the present invention:
component concentration (mass percentage)
Figure BDA0002714177550000021
After the solution is prepared by the formula, the pH value is 3-7; the available chlorine should be 90-200 mg/L.
Example 2:
this example demonstrates the following materials contained in the present invention:
component concentration (mass percentage)
Figure BDA0002714177550000031
After the solution is prepared by the formula, the pH value is 3-7; the available chlorine should be 90-200 mg/L.
Example 3:
this example demonstrates the following materials contained in the present invention:
component concentration (mass percentage)
Figure BDA0002714177550000032
After the solution is prepared by the formula, the pH value is 3-7; the available chlorine should be 90-200 mg/L.
Example 4:
experiment for testing bacteriostatic effect
The culture broth of Staphylococcus aureus (9 h) was suspended, and 3 tubes of each of the test solutions (examples 1, 2, and 3, and a commercially available hypochlorous acid disinfectant) and PBS (5mL) were prepared. 100. mu.L of the above bacterial suspension was dropped into each of the test sample solution and the control sample solution, and mixed well. Timing, acting for 20min, respectively putting sample solutions (0.5mL) into test tubes containing 5mL of PBS, fully and uniformly mixing, appropriately diluting, then taking 2-3 dilutions, respectively absorbing 1mL, placing in 3 plates, pouring 15mL of nutrient agar culture medium cooled to 40-45 ℃, rotating the plates to fully and uniformly mix the agar, turning the plates after agar solidification, culturing for 48h at 37 ℃, counting viable bacteria colonies, repeating the test for 3 times, and calculating the bacteriostasis rate, wherein the bacteria inhibition rate is shown in Table 1:
table 1 comparison of bacteriostatic rates of examples 1, 2 and 3
Sample type Bacteriostatic ratio (%)
5mL PBS 0
Example 1 90.8
Example 2 91.0
Example 3 93.0
Commercial hypochlorous acid disinfectant 85.0
The results in table 1 show that the bacteriostatic levels of examples 1, 2 and 3 are higher than those of the commercial hypochlorous acid disinfectant, so that the disinfectant has a stronger bacteriostatic effect and stronger killing capability on bacteria at wounds.
Example 5: hypochlorous acid temperature-sensitive gel experiment for promoting wound healing
1. Rat wound model establishment
Feeding with common feed for 3 days before experiment, and freely taking food and drinking water at room temperature of (22 + -1) deg.C and relative humidity of 40-70%; after the rats are fasted for 12 hours (preferably 24 hours) without water prohibition and are successfully anesthetized by intraperitoneal injection with 10% chloral hydrate according to 0.4ml/100g of body weight, a 5% iodine tincture and 75% alcohol local sterilization operation area is used, the back of the rats is cut off with fur with the diameter of 4 x 4cm, sodium sulfide is used for depilation treatment, after gentian violet is marked on the depilation area, a circular full-thickness skin ulcer model with the diameter of about 2.0cm x 2.0cm is prepared on the back of the rats by taking the spine as a midline by a surgical method, the wound surface is coated once a day by glacial acetic acid, a 5cm x 7cm 4-layer gauze block is used for binding and fixing, and a defect skin rat model is formed after 1 week.
2. Grouping of laboratory animals
The 48 skin ulcer rats were randomly divided into:
(1) blank control group
(2) Hypochlorous acid temperature-sensitive gel group (experiment group)
(3) Skin ulcer model set (model set)
(4) Skin ulcer positive group (recovery new liquid)
3. Method of administration
The wound surface is evenly sprayed with hypochlorous acid temperature-sensitive gel after the local disinfection every day in the experimental group; the control group is sprayed with the new healing liquid after local disinfection on the wound surface, and the new healing liquid is applied once a day on the basis of soaking the wound surface. The wound surface was washed with normal saline daily in the model group. The blank control group was administered with physiological saline on the back daily
4. Observation index
Calculating the wound healing rate after molding and at the end of observation (according to the specified time of each group respectively),
shrinkage rate (original area-unhealed wound area)/original area of wound surface × 100%
5. Results of the experiment
TABLE 1 wound area and shrinkage before and after administration for each group of rats
Figure BDA0002714177550000051
The wound surface shrinkage of the model group is 38.81%, and compared with the model group, the skin wound surface shrinkage of the rat in the positive control group is 83.36%; the highest shrinkage rate of the hypochlorous acid temperature-sensitive gel group is 82.36 percent.

Claims (7)

1. A physiologically responsive hypochlorous acid gel, comprising:
a) wound repair materials, sodium hyaluronate and/or hyaluronic acid derivatives;
b) bacteriostatic components, hypochlorous acid and/or hypochlorite;
c) a temperature sensitive matrix material consisting of poloxamer 407 and/or poloxamer 188;
d) the pH buffer comprises sodium chloride, potassium chloride, sulfuric acid, hydrochloric acid, phosphoric acid, phosphate or other soluble salts;
e) solvent, purified water.
In the hypochlorous acid gel with physiological responsiveness, the mass concentration (w/v) of sodium hyaluronate is less than or equal to 1%, the mass concentration (w/v) of poloxamer 407 is 17% -21%, the mass concentration (w/v) of poloxamer 188 is 1% -3%, and the mass concentration (w/v) of hypochlorous acid is 0.01% -0-2.00%.
2. The physiologically responsive hypochlorous acid gel of claim 1, wherein a pharmaceutically acceptable excipient is further added to the physiologically responsive hypochlorous acid gel.
3. The physiologically responsive hypochlorous acid gel according to claim 2, wherein said pharmaceutical excipients comprise one or more of viscosity modifiers, suspending agents, antioxidants, stabilizers, and humectants.
4. The physiologically responsive hypochlorous acid gel according to claim 1, wherein said water is water for injection, physiological saline or purified water.
5. The physiologically responsive hypochlorous gel of claim 1, wherein said sodium hyaluronate derivative is a sodium hyaluronate cross-linked polymer, a hyaluronic acid ester, or a metal hyaluronate.
6. The physiologically responsive hypochlorous acid gel of claim 1, wherein said physiologically responsive hypochlorous acid gel has a gelling temperature between 30 ℃ and 37 ℃.
7. Use of the physiologically responsive hypochlorous acid gel of claim 1 in clinical trials for treating skin wounds.
CN202011070468.XA 2020-10-06 2020-10-06 Hypochlorous acid gel with physiological responsiveness and application thereof in skin wound surface Pending CN111991417A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111603399A (en) * 2020-06-28 2020-09-01 南京东万生物技术有限公司 Oral gargle and preparation method thereof
CN113082050A (en) * 2021-04-26 2021-07-09 贵州扬生医用器材有限公司 Temperature-sensitive gel for gynecology and preparation method thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111603399A (en) * 2020-06-28 2020-09-01 南京东万生物技术有限公司 Oral gargle and preparation method thereof
CN113082050A (en) * 2021-04-26 2021-07-09 贵州扬生医用器材有限公司 Temperature-sensitive gel for gynecology and preparation method thereof

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Application publication date: 20201127