CN113546217A - Modified acellular myocardial matrix gel and preparation method thereof - Google Patents

Modified acellular myocardial matrix gel and preparation method thereof Download PDF

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CN113546217A
CN113546217A CN202110799369.3A CN202110799369A CN113546217A CN 113546217 A CN113546217 A CN 113546217A CN 202110799369 A CN202110799369 A CN 202110799369A CN 113546217 A CN113546217 A CN 113546217A
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acellular
myocardial
matrix
gel
myocardial matrix
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全大萍
杨习锋
陈诗浩
陈嘉欣
刘云奇
白莹
殷胜利
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Sun Yat Sen University
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Abstract

The invention aims to provide a modified acellular myocardial matrix gel and a preparation method thereof, which solve the problem that the existing acellular myocardial material has poor effects in the aspects of maintaining myocardial activity, inhibiting myocardial fibrosis, promoting myocardial regeneration, improving cardiac function and the like, and the modified acellular myocardial matrix gel comprises the following components: the acellular myocardial matrix comprises, by weight, 0.1-5% of Agrin proteoglycan, 0.5-5% of cathexin A6 Annexin A6 and 0.1-5% of cathexin D Cathepsin, 0.1-5% of Galectin 1 Galectin, 0.1-5% of the acellular myocardial matrix, 0.1-5% of Annexin A6, 0.1-5% of the acellular myocardial matrix and 0.1-1% of the Annexin A6, wherein the content of the inhibitor 47 is 0.1-1% of the acellular myocardial matrix.

Description

Modified acellular myocardial matrix gel and preparation method thereof
Technical Field
The invention relates to the technical field of myocardial infarction treatment, in particular to a modified acellular myocardial matrix gel and a preparation method thereof.
Background
Myocardial infarction is the most common type of coronary heart disease, in which a coronary artery plaque ruptures to form a thrombus, suddenly blocks the coronary artery, and causes myocardial necrosis caused by acute and persistent ischemia and hypoxia. The number of patients suffering from myocardial infarction in China is about 250 thousands, and at least 60 thousands of new-onset patients are treated every year. The disease has the characteristics of sudden onset of disease, serious illness and high fatality rate, and becomes one of the leading causes of death of people in China. After myocardial infarction occurs, areas of myocardial infarction appear. Meanwhile, inflammatory cells infiltrate, the inflammatory cells secrete matrix metalloproteinase and other degradation active substances to degrade extracellular matrix, the infarct area is replaced by scar fibrous tissues, myocardial cells at the infarct edge area are necrotic or apoptotic due to the loss of extracellular matrix support, the infarct area is further expanded, the ventricular wall is thinned, the ventricular wall tumor is formed, the ventricular wall is expanded, the stress of the ventricular wall is increased, the functional damage of normal myocardial cells is aggravated, the negative ventricular reconstruction is further aggravated, and finally, the heart failure and death are caused.
The main treatment principle of myocardial infarction is to recover myocardial blood supply, relieve myocardial ischemia symptoms and improve cardiac function. At present, the main treatment measures comprise drug therapy, including antiplatelet, anticoagulation, nitrate drugs, b receptor blockers, angiotensin converting enzyme inhibitors and other drugs; myocardial reperfusion therapy including thrombolytic therapy, coronary intervention therapy; coronary artery bypass graft (coronary bypass graft). The treatment means greatly improves the emergency treatment rate and the long-term survival rate of patients with myocardial infarction, but because the treatment schemes cannot maintain the vitality of myocardial cells and repair myocardium and only can delay but not stop or reverse the ventricular remodeling process, a higher proportion of patients still develop into the heart insufficiency (heart failure) stage and finally develop into the end-stage heart failure, and only can treat by means of heart transplantation.
Therefore, new therapeutic approaches are being sought to repair damaged myocardium in an attempt to inhibit negative left ventricular remodeling and improve damaged cardiac function. The rapid development of stem cells and tissue engineering provides a new option for the treatment of myocardial infarction. At present, the applications of stem cells and tissue engineering in the aspect of myocardial infarction treatment mainly comprise forms of stem cell transplantation, tissue engineering myocardial tissue transplantation, independent application of biological materials and the like. In the application of stem cells and tissue engineering, the biomaterial can be used as a carrier or a scaffold material to be jointly applied with stem cells or bioactive molecules, medicaments and the like on one hand, and on the other hand, part of the biomaterial has certain mechanical and physical properties and part of bioactivity and can be independently used for treating myocardial infarction. The biological material for repairing myocardial infarction mainly comprises synthetic material, natural material and biological (animal) source material. Wherein, the biological (animal) biological material, especially the acellular myocardial matrix material has excellent cell affinity, can form biospecific interaction with host cells, has the specificity of repairing heart tissues, and becomes the biological (animal) biological material which is most researched in the field of treating myocardial infarction. Based on acellular myocardial matrix materials, Ventrigel for treating myocardial infarction has been developed abroadTMThe acellular myocardial matrix material product is prepared, and clinical test I phase is completed, and the safety and the effectiveness of the material are preliminarily proved to be displayed, but the material is a product digested by digestive enzymes such as pepsin and the like, the content of specific components of heart tissues is low, and on the other hand, the acellular myocardial matrix material still contains the work which is not beneficial to improving the heart due to the complexity of the acellular myocardial matrix materialThe existence of energy components, which maintain the vitality of cardiac muscle, inhibit the cardiac fibrosis, promote the regeneration of cardiac muscle, improve the cardiac function and the like, is still to be improved.
Disclosure of Invention
The invention aims to provide a modified acellular myocardial matrix gel and a preparation method thereof, and solves the problem that the existing acellular myocardial material has poor effects in maintaining myocardial activity, inhibiting myocardial fibrosis, promoting myocardial regeneration, improving cardiac function and the like.
The above object of the present invention is achieved by the following technical solutions:
a modified acellular myocardial matrix gel comprising:
the acellular myocardial matrix comprises, by weight, 0.1-5% of Agrin proteoglycan, 0.5-5% of cathexin A6 Annexin A6 and 0.1-5% of cathexin D Cathepsin, 0.1-5% of Galectin 1 Galectin, 0.1-5% of the acellular myocardial matrix, 0.1-5% of Annexin A6, 0.1-5% of the acellular myocardial matrix and 0.1-1% of the Annexin A6, wherein the content of the inhibitor 47 is 0.1-1% of the acellular myocardial matrix.
Further, the HSP47 inhibitor is a Col003 inhibitor.
A preparation method of modified acellular myocardial matrix gel comprises the following steps:
s1, preparing acellular myocardial matrix;
s2 preparation of acellular myocardial matrix pre-gel
S3, preparing the modified acellular myocardial matrix gel.
Further, the step S1 includes the following sub-steps:
s11, taking the pig heart, and stripping the intima and adventitia, and the tissues such as fat, nerve and blood vessel. Freezing in a refrigerator at-80 deg.C to harden, and slicing with a meat slicer;
s12, washing with sterilized water for 3 times, and shaking for 30min each time;
s13, digesting the mixture of 0.05 percent of pancreatin and 0.025 percent of EDTA for 3 to 8 hours at the temperature of 37 ℃ until the tissue becomes thin and becomes transparent, and stopping digestion;
s14, placing the mixture into a 3% triton x100 aqueous solution, and shaking for 24 h;
s15, adding a 4% sodium deoxycholate aqueous solution, and shaking for 24 h;
s16, washing for 4-6 times to remove the cell-removing reagent;
s17 freeze-drying to obtain the acellular myocardial matrix.
Further, the step S2 includes the following sub-steps:
s21, freeze-drying and mechanically pulverizing the cardiac muscle acellular matrix to prepare powder;
s22, carrying out enzymolysis or acid dissolution on the myocardial acellular matrix powder, carrying out stirring digestion to obtain a myocardial acellular matrix digestive juice, and storing at a low temperature of 4 ℃ for later use;
and S23, adding an alkaline substance to adjust the pH value to 7.4, and adding PBS buffer to adjust the salt ion concentration until the solution is gelatinized to obtain the acellular myocardial matrix pre-gel.
Further, the content of the myocardial acellular matrix in the acellular myocardial matrix pre-gel prepared in the step S2 is 0.1mg-30 mg/ml.
Further, the step S3 includes the following sub-steps:
s31, adding Agrin proteoglycan, Cathepsin D Cathepsin, Galectin 1, Annexin A6 and HSP47 inhibitor to the acellular myocardial matrix pre-gel prepared in the step S2;
and S32, obtaining the modified acellular myocardial matrix gel after the temperature is raised to 37 ℃ and/or the crosslinking agent is added for crosslinking.
Further, the cross-linking agent is one or more of the following: glutaraldehyde, EDC and genipin.
In conclusion, the beneficial technical effects of the invention are as follows:
(1) compared with the existing acellular myocardial matrix gel, the invention has relatively high content of Agrin proteoglycan; cathepsin D (CTSD) Cathepsin; galectin 1(LGALS1) Galectin 1; annexin a6(ANXA6) Annexin a 6; can provide strengthening functions of promoting the regeneration of myocardial cells, protecting ischemic myocardium, regulating immune cells, resisting inflammation, maintaining the myocardial contraction capacity and the like for the treatment of myocardial infarction;
(2) compared with the existing acellular myocardial matrix gel, the acellular myocardial matrix gel has relatively low heat shock protein 47 content, and can relieve myocardial fibrosis.
Drawings
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention will be further described in detail with reference to the accompanying drawings, in which:
FIG. 1 shows the results of cell viability assays after cardiomyocytes were seeded in two gel materials and cultured for 1 day, 3 days, and 7 days;
FIG. 2 is the pulse frequency of cardiomyocytes at different culture periods after two gel materials are seeded on the cardiomyocytes;
FIG. 3 is a graph of rat cardiac function measurements and left ventricular short axis shortening scores;
FIG. 4 is a comparison of the statistical results of myocardial infarction area.
Detailed Description
In order to more clearly illustrate the embodiments or technical solutions in the prior art of the present invention, the drawings and technical solutions required to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
The invention is further described below with reference to the accompanying drawings.
According to the injection of 50 mul in myocardium, the injection concentration is 1mg/ml acellular myocardial matrix gel, the required acellular myocardial matrix content is 50 mug, and the contents of other added specific components are calculated as the following table:
Figure BDA0003164089560000061
the main functions of the components are as follows:
acellular myocardial matrix: mainly comprises collagen, glycosaminoglycan (GAG), adhesive protein, various growth factors and other small molecule active substances, and is a basic material for treating myocardial infarction.
Agrin proteoglycan: proteomics detection shows that the Agrin is one of specific components contained in the acellular myocardial matrix and accounts for 0.52 percent of the acellular myocardial matrix. The Agrin can decompose the dystrophin-glycoprotein complex through a mechanism and induce and promote mouse and human multifunctional stem cells to be redifferentiated into myocardial cells through a signal path mediated by Yap and ERK. In vivo, single subcutaneous injection of agrin can also promote cardiac regeneration of adult mice with myocardial infarction;
cathepsin D (CTSD) Cathepsin: proteomics detection shows that CTSD is one of specific components contained in the acellular myocardial matrix and accounts for 1.11% of the acellular myocardial matrix. . Research shows that myocardial CTSD up-regulation induced by myocardial infarction can protect cardiac remodeling after infarction and delay cardiac function deterioration, and the exertion of the mechanism is probably related to the maintenance of myocardial autophagy flow. Autophagy is a process of degrading and recycling intracellular substances commonly existing in eukaryotic cells, and is generally considered to have a protective effect on ischemic myocardium;
galectin 1(LGALS1) Galectin 1: the LGALS1 is one of specific components contained in the acellular myocardial matrix and accounts for 0.28 percent of the acellular myocardial matrix through proteomic detection. Studies have shown that LGALS1 can modulate cell-cell and cell-matrix interactions, immune responses, apoptosis, cell cycle, RNA splicing, and tumor transformation. Can regulate and control immune cells, has strong anti-inflammatory effect, and can prevent Trypanosoma cruzi infection and myocardial cell injury;
annexin a6(ANXA6) Annexin a 6: : proteomics detection shows that ANXA6 is one of specific components contained in the acellular myocardial matrix and accounts for 0.38% of the acellular myocardial matrix. . Research shows that annexin A6 and sarcomere alpha-actin have physical interaction to change the contractility of cardiac muscle cells, and the fact that annexin A6 may play an important role in excitation and contraction is suggested;
col 003: an inhibitor of heat shock protein 47(HSP47) heat shock protein 47. The detection of proteomics shows that HSP47 is one of specific components contained in the acellular myocardial matrix and accounts for 0.41 percent of the acellular myocardial matrix. . Research shows that HSP47 plays an important role in the post-infarction fibrosis process in myocardial tissue in an infarct area of a myocardial infarction mouse model. In theory we could block in vivo expression of bFGF and HSP47 to reduce atrial fibrosis and delay progression of atrial fibrillation.
The preparation method of the modified acellular myocardial matrix gel comprises the following steps:
(1) preparation of acellular myocardial matrix
1) Taking pig heart, stripping intima and adventitia, and tissues such as fat, nerve and blood vessel which can be stripped. Freezing in a refrigerator at-80 deg.C to harden, and slicing with a meat slicer
2) Washing with sterilized water for 3 times (shaking for 30min each time)
3) 0.05% of pancreatin and 0.025% of EDTA, digesting for 3-8 h at 37 ℃ (the tissue becomes thinner and transparent after digestion, so as to prevent over digestion)
4) 3% triton x100 aqueous solution, shaking for 24h
5) Adding 4% sodium deoxycholate aqueous solution, shaking for 24 hr
6) Washing with water for 4-6 times to remove the cell-removing reagent.
7) Freeze drying to obtain acellular myocardial matrix
(2) Preparation of acellular myocardial matrix Pre-gel (acellular matrix concentration range (0.1 mg-30 mg/ml))
Freeze-drying and mechanically pulverizing the cardiac muscle acellular matrix to prepare powder, carrying out enzymolysis or acid dissolution (usually adding an acid pepsin solution) on the cardiac muscle acellular matrix powder, carrying out stirring digestion to obtain cardiac muscle acellular matrix digestive juice, and storing at a low temperature of 4 ℃ for later use. Further, a pre-gel is obtained by adjusting the pH value (pH ≈ 7.4) by adding an alkaline substance such as sodium hydroxide, and then adjusting the salt ion concentration (usually, the gelation reaction is promoted at a lower salt ion concentration (0.5 × PBS) and inhibited at a higher salt ion concentration (1.5 × PBS)) by adding a PBS buffer.
(3) Preparation of modified acellular myocardial matrix gel
Modified components: the following components are added into the acellular myocardial matrix pre-gel in the step, and the modified acellular myocardial matrix gel can be obtained by further adjusting the temperature (generally raising the temperature to 37 ℃) or adding a cross-linking agent (one of glutaraldehyde, EDC, genipin and the like).
Agrin proteoglycan; cathepsin D (CTSD) Cathepsin; galectin 1(LGALS1) Galectin 1; annexin a6(ANXA6) Annexin a 6; col 003: (HSP47) an inhibitor of heat shock protein 47.
Experimental methods and analysis of results:
experiment one: in vitro cell culture experiments
The effect of the formulation of example 1 and the simple acellular myocardial matrix gel on myocardial cell culture was explored:
(1) adding the modified acellular myocardial matrix gel prepared according to the formula in example 1 and the pure acellular myocardial matrix gel into six-hole plates according to 100ul per hole, and adding 48-hole plates into 7ul per hole to prepare hydrogel;
(2) extracting cardiomyocytes according to 8 × 105cells/well are planted in six-hole plate with 8 × 10 planting density4Planting cells/wells in 48-hole plates at a density;
(3) placing the glass slides in a 48-well plate to make a hydrogel to ensure that the cells on each slide are approximately the same;
(4) soaking the hydrogel prepared into 75% alcohol for 1h for disinfection, washing the hydrogel for three times by 1XPBS, and then inoculating cells;
(5) cell viability was measured 1 day, 3 days, and 7 days after the two gel materials were implanted into myocardial cells of suckling mice by the CCK-8 method.
The results are shown in FIG. 1, wherein the CCK8 method is used, MYO refers to pure acellular myocardial matrix gel, and FORMULA1 refers to the formulation of example 1.
Figure 1 the results show: the viability of the cardiomyocytes planted in the gel of the formula of example 1 is significantly higher than that of the cardiomyocytes planted in the gel of the acellular myocardial matrix alone (p is less than 0.05), which indicates that the gel of the formula of example 1 is more beneficial to the growth of the cardiomyocytes.
Further observing cell behaviors, the specific method is as follows: after the two gel materials are planted with the myocardial cells and cultured for 7 days, the contraction pulsation of the myocardial cells of the porcine acellular myocardial matrix gel group is found to be more regular and larger than that of the other two groups by observing cell behaviors. By counting the beating frequency of the cardiomyocytes in different culture periods after the two gel materials are planted on the cardiomyocytes, the beating frequency of the cardiomyocytes in the gel group in the example 1 is found to be remarkably higher than that of a pure acellular myocardial matrix gel (p is less than 0.05) within 8 days of culture, and the details are shown in figure 2.
Experiment two: in vivo animal experiments
The effect of the formula1 on the in-vivo repair of the acute myocardial infarction of the rat is explored and compared with that of the pure acellular myocardial matrix gel.
(1) SD rat 250 + -10 g (male and female are not limited), 2% sodium pentobarbital is anesthetized by intraperitoneal injection (25mg/kg), and skin is prepared and disinfected at chest and neck;
(2) after the rats were anesthetized, the trachea was cannulated.
(3) According to the coronary artery anterior descending root ligation method, a rat acute myocardial infarction model is prepared.
(4) Dividing rats into 2 groups randomly, namely, a pure acellular myocardial matrix hydrogel group, a formula1 modified gel group and 10 modified gels in each group; sucking 50 μ l of gel material with 1ml micro-injector, performing 3-4-point injection transplantation on the edge of the cardiac stem, closing the thoracic cavity, sequentially suturing rib, muscle and skin, removing tracheal cannula, and feeding separately after waking to perform cardiac function detection and pathological sampling staining.
(5) After 4 weeks of transplantation, cardiac function test was performed, after each group of rats was marked, the rats were anesthetized and breast preserved, fixed on a rat plate for up-going echocardiography, 5 cardiac cycles were recorded, and left ventricular ejection fraction (LVEF%) and left ventricular minor axis shortening fraction (LVFS%) were counted.
The results are shown in FIG. 3, where the left ventricular ejection fraction is LVEF%) and the left ventricular short axis shortening fraction is LVFS%, MYO refers to pure acellular myocardial matrix gel, FORMULA1 refers to example 1)
The left ventricular ejection fraction (LVEF%) is normally 50% -70%, less than 50% cardiac insufficiency, excessive cardiac hypertrophy; left ventricular minor axis fractional shortening (LVFS%) is normally 25% -45%.
Figure 3 the results show: both the left ventricular ejection fraction (LVEF%) and the left ventricular short axis shortening fraction (LVFS%) of the modified gel group of example 1 were significantly increased (p <0.05) compared to the acellular myocardial matrix hydrogel alone group.
Further, Masson trichrome staining experiments were performed:
frozen heart specimens were sectioned and Masson stained: the method comprises the following steps of dyeing ponceau red for 5min, washing out red by 2% glacial acetic acid, differentiating by 1% molybdic acid for 3-5min, dyeing by using a light green liquid for several seconds, washing out green by using glacial acetic acid, placing in absolute ethyl alcohol for 2-3min, carrying out transparent sealing, observing under a light mirror, and calculating the stem area ratio by using ImageJ software for 4 sections in each group: the myocardial infarct area ratio is 100% of the myocardial infarct site length/heart peripheral length.
The statistical results are shown in figure 4, and the results show that: the myocardial infarction area of the modified gel group of example 1 was smaller (p <0.05) compared to the acellular myocardial matrix hydrogel group alone.
The above description is only an embodiment of the present invention, but the scope of the present invention is not limited thereto, and any changes or substitutions that are not thought of through the inventive work should be included in the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope defined by the claims.

Claims (8)

1. A modified acellular myocardial matrix gel comprising:
the acellular myocardial matrix comprises, by weight, 0.1-5% of Agrin proteoglycan, 0.5-5% of cathexin A6 Annexin A6 and 0.1-5% of cathexin D Cathepsin, 0.1-5% of Galectin 1 Galectin, 0.1-5% of the acellular myocardial matrix, 0.1-5% of Annexin A6, 0.1-5% of the acellular myocardial matrix and 0.1-1% of the Annexin A6, wherein the content of the inhibitor 47 is 0.1-1% of the acellular myocardial matrix.
2. The modified acellular myocardial matrix gel according to claim 1, wherein the HSP47 inhibitor is a Col003 inhibitor.
3. A method for preparing a modified acellular myocardial matrix gel, which is the modified acellular myocardial matrix gel according to claim 1 or 2, and comprises the following steps:
s1, preparing acellular myocardial matrix;
s2 preparation of acellular myocardial matrix pre-gel
S3, preparing the modified acellular myocardial matrix gel.
4. The method of claim 3, wherein the step S1 comprises the following sub-steps:
s11, taking the pig heart, and stripping the intima and adventitia, and the tissues such as fat, nerve and blood vessel. Freezing in a refrigerator at-80 deg.C to harden, and slicing with a meat slicer;
s12, washing with sterilized water for 3 times, and shaking for 30min each time;
s13, digesting the mixture of 0.05 percent of pancreatin and 0.025 percent of EDTA for 3 to 8 hours at the temperature of 37 ℃ until the tissue becomes thin and becomes transparent, and stopping digestion;
s14, placing the mixture into a 3% triton x100 aqueous solution, and shaking for 24 h;
s15, adding a 4% sodium deoxycholate aqueous solution, and shaking for 24 h;
s16, washing for 4-6 times to remove the cell-removing reagent;
s17 freeze-drying to obtain the acellular myocardial matrix.
5. The method of claim 3, wherein the step S2 comprises the following sub-steps:
s21, freeze-drying and mechanically pulverizing the cardiac muscle acellular matrix to prepare powder;
s22, carrying out enzymolysis or acid dissolution on the myocardial acellular matrix powder, carrying out stirring digestion to obtain a myocardial acellular matrix digestive juice, and storing at a low temperature of 4 ℃ for later use;
and S23, adding an alkaline substance to adjust the pH value to 7.4, and adding PBS buffer to adjust the salt ion concentration until the solution is gelatinized to obtain the acellular myocardial matrix pre-gel.
6. The method of claim 5, wherein the amount of the cardiac muscle acellular matrix in the pre-gel of the acellular cardiac muscle matrix prepared in step S2 is 0.1mg-30 mg/ml.
7. The method of claim 3, wherein the step S3 comprises the following sub-steps:
s31, adding Agrin proteoglycan, Cathepsin D Cathepsin, Galectin 1, Annexin A6 and HSP47 inhibitor to the acellular myocardial matrix pre-gel prepared in the step S2;
and S32, obtaining the modified acellular myocardial matrix gel after the temperature is raised to 37 ℃ and/or the crosslinking agent is added for crosslinking.
8. The method of claim 7, wherein the cross-linking agent is one or more of the following: glutaraldehyde, EDC and genipin.
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