CN113832611B - Phase-change coaxial nanofiber membrane for epidermal desensitization treatment and preparation method and application thereof - Google Patents

Phase-change coaxial nanofiber membrane for epidermal desensitization treatment and preparation method and application thereof Download PDF

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CN113832611B
CN113832611B CN202111254586.0A CN202111254586A CN113832611B CN 113832611 B CN113832611 B CN 113832611B CN 202111254586 A CN202111254586 A CN 202111254586A CN 113832611 B CN113832611 B CN 113832611B
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nanofiber membrane
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epidermal
allergen
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CN113832611A (en
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丁杨
周建平
汪瑱
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China Pharmaceutical University
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    • DTEXTILES; PAPER
    • D04BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04HMAKING TEXTILE FABRICS, e.g. FROM FIBRES OR FILAMENTARY MATERIAL; FABRICS MADE BY SUCH PROCESSES OR APPARATUS, e.g. FELTS, NON-WOVEN FABRICS; COTTON-WOOL; WADDING ; NON-WOVEN FABRICS FROM STAPLE FIBRES, FILAMENTS OR YARNS, BONDED WITH AT LEAST ONE WEB-LIKE MATERIAL DURING THEIR CONSOLIDATION
    • D04H1/00Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres
    • D04H1/70Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres characterised by the method of forming fleeces or layers, e.g. reorientation of fibres
    • D04H1/72Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres characterised by the method of forming fleeces or layers, e.g. reorientation of fibres the fibres being randomly arranged
    • D04H1/728Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres characterised by the method of forming fleeces or layers, e.g. reorientation of fibres the fibres being randomly arranged by electro-spinning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/35Allergens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/35Allergens
    • A61K39/36Allergens from pollen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/39Medicinal preparations containing antigens or antibodies characterised by the immunostimulating additives, e.g. chemical adjuvants
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y40/00Manufacture or treatment of nanostructures
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y5/00Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery
    • DTEXTILES; PAPER
    • D01NATURAL OR MAN-MADE THREADS OR FIBRES; SPINNING
    • D01FCHEMICAL FEATURES IN THE MANUFACTURE OF ARTIFICIAL FILAMENTS, THREADS, FIBRES, BRISTLES OR RIBBONS; APPARATUS SPECIALLY ADAPTED FOR THE MANUFACTURE OF CARBON FILAMENTS
    • D01F1/00General methods for the manufacture of artificial filaments or the like
    • D01F1/02Addition of substances to the spinning solution or to the melt
    • D01F1/10Other agents for modifying properties
    • DTEXTILES; PAPER
    • D04BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04HMAKING TEXTILE FABRICS, e.g. FROM FIBRES OR FILAMENTARY MATERIAL; FABRICS MADE BY SUCH PROCESSES OR APPARATUS, e.g. FELTS, NON-WOVEN FABRICS; COTTON-WOOL; WADDING ; NON-WOVEN FABRICS FROM STAPLE FIBRES, FILAMENTS OR YARNS, BONDED WITH AT LEAST ONE WEB-LIKE MATERIAL DURING THEIR CONSOLIDATION
    • D04H1/00Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres
    • D04H1/40Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres from fleeces or layers composed of fibres without existing or potential cohesive properties
    • D04H1/42Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres from fleeces or layers composed of fibres without existing or potential cohesive properties characterised by the use of certain kinds of fibres insofar as this use has no preponderant influence on the consolidation of the fleece
    • D04H1/4382Stretched reticular film fibres; Composite fibres; Mixed fibres; Ultrafine fibres; Fibres for artificial leather
    • D04H1/43825Composite fibres
    • D04H1/43828Composite fibres sheath-core
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55561CpG containing adjuvants; Oligonucleotide containing adjuvants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55572Lipopolysaccharides; Lipid A; Monophosphoryl lipid A
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55577Saponins; Quil A; QS21; ISCOMS

Abstract

The invention belongs to the technical field of biological medicines, and discloses a coaxial nanofiber membrane loaded with an allergen-adjuvant composition, and a preparation method and application thereof. The coaxial nanofiber is prepared by adopting an electrostatic spinning technology, and takes a hydrophilic polymer as a shell and a hydrophobic phase-change material as a core. The invention relates to an allergen-adjuvant composition, wherein a coaxial nanofiber shell layer is used for loading allergen, and a core layer is used for loading adjuvant. The invention can realize the solid-liquid conversion process of the core layer material by utilizing the heating device, and promote the release of the adjuvant and the increase of the permeability of the skin cuticle. The nanofiber membrane achieves epidermal desensitization therapy by application to the skin of a patient within a course of treatment, and can be self-administered and monitored by the patient.

Description

Phase-change coaxial nanofiber membrane for epidermal desensitization treatment and preparation method and application thereof
Technical Field
The invention belongs to the technical field of biomedicine, and particularly relates to a phase-transition coaxial nanofiber membrane for epidermal desensitization treatment as well as a preparation method and application thereof.
Background
Allergy (allergy) is a type of recurrent hypersensitivity induced by the body's immune mechanisms. It is a world-wide public health phenomenon, with 30% -40% of the world population ever or suffering from allergic disease.
Desensitization therapy (also known as allergen-specific immunotherapy), which utilizes repeated exposure of patients to increasing doses of allergens to control or alleviate allergic symptoms, is considered the only "causal therapy" that may alter the natural course of allergic disease.
The World Health Organization (WHO), the World Allergy Organization (WAO), fully confirm the clinical efficacy of desensitization therapy, with subcutaneous immunotherapy (SCIT) being the gold standard and widely used. Although expensive and requiring the involvement of a specialized physician for each injection, it is currently considered the standard desensitization approach. Slight adverse reactions such as swelling of an injection part and the like can be seen by subcutaneous injection of the allergen, and the risk of systemic severe adverse reactions such as urticaria, asthma attack, allergy and the like is accompanied, and the incidence rate of the systemic adverse reactions accounts for 5.9 percent of the total number of patients; the estimated mortality rate was 1 out of 250 million injections, with an average of 3-4 deaths per year.
The french biotechnology company DBV Technology developed viasin peanout patches based on epidermal immunotherapy (EPIT) demonstrating the possibility of desensitization treatment by the epidermal route. By repeated application of the allergen on the skin, directed against potent antigen presenting cells in the epidermis, langerhans Cells (LC), causes the allergen to diffuse into the avascular epidermal layers of the skin, generally without any significant transdermal penetration. Allergens delivered to the epidermis are captured and processed by LC, migrate to draining lymph nodes, and present antigens to CD4 + T cells. Regulatory T cells (CD 4) + CD25 + Treg) after differentiation, cytokines such as TGF-beta, IL-10 and the like are generated to play a desensitization treatment role: 1. directly inhibiting the activation and degranulation of mast cells and basophils and inhibiting the activity of eosinophils; 2. direct inhibition of Th 2-associated cellular activity; 3. modulation of IL-4, IL-5 induced B cell activityAllowing the B cell to switch from secreting IgE to producing antigen specific IgG1, igG4, igA.
However, the effect of Viaskin is influenced by the skin condition, e.g. by application to the damaged skin surface of the stratum corneum, which causes a Th 2-directed immune response, i.e. a local or systemic allergic reaction. Secondly, viaskin acts as a closed system, hydrates the skin, dissolves allergens and interacts with epidermal immune cells, however, the existence of the natural barrier of the stratum corneum greatly limits the antigen uptake of epidermal LC, and sweat generated by the skin at the application part is difficult to volatilize out through a patch, and finally red swelling, eczema and even inflammation of the skin are caused. Therefore, by designing a safe and comfortable transdermal drug delivery system and simultaneously delivering the allergen and the immunologic adjuvant, the problems of safety and compliance faced by the current desensitization treatment are solved, and the epidermal desensitization treatment effect is enhanced, so that the transdermal drug delivery system is the most promising research direction of allergic symptoms in the field of treatment.
Disclosure of Invention
In order to solve the technical problems in the prior art, the invention discloses a coaxial nanofiber membrane loaded with an allergen-adjuvant composition, and a preparation method and application thereof. The coaxial nanofiber is prepared by adopting an electrostatic spinning technology, takes a hydrophilic polymer as a shell layer, loads an allergen, takes a phase transition material as a core layer, and loads an adjuvant.
The technical scheme of the invention is as follows:
the first object of the invention is to provide a preparation method of a coaxial nanofiber membrane for epidermal desensitization treatment, which comprises the following steps:
step 1, mixing a hydrophilic polymer with deionized water, stirring the mixture under a heating condition until the hydrophilic polymer is dissolved to prepare a hydrophilic polymer solution, cooling the hydrophilic polymer solution to room temperature, mixing the hydrophilic polymer solution with allergen, and fully stirring the mixture until the hydrophilic polymer is dissolved to obtain a shell solution of coaxial electrostatic spinning;
adding the phase transition material and the immunologic adjuvant into a mixed solution of dichloromethane and ethanol, and ultrasonically dissolving to obtain a core layer solution of coaxial electrostatic spinning;
preferably, the volume ratio of the dichloromethane to the ethanol in the mixed solution is 4:1-1:4 (v/v);
and 2, respectively pouring the shell layer solution and the core layer solution into an injector with a coaxial needle, and preparing the coaxial nanofiber membrane by a coaxial electrostatic spinning process.
Further, in the shell solution in the step 1, the concentration of the hydrophilic polymer is 5-20% (w/v);
the hydrophilic polymer is selected from one or more of polyvinylpyrrolidone (PVP), polyvinyl alcohol (PVA), polyethylene oxide (PEO), gelatin (gelatin), collagen (collagen), silk Fibroin (SF), sodium alginate (NaAlg), hyaluronic Acid (HA).
Further, in the shell solution in the step 1, the concentration of the allergen is 0.1-2% (w/v).
The allergen is selected from one or more of respiratory, food or skin allergens;
preferably, the allergen is selected from one or more of house dust mite, artemisia annua pollen, artemisia argyi pollen, ragweed pollen, milk, peanut, egg, soybean and cashew nut;
preferably, step 1 is mixing the allergen after preparation into an extract, leachate, peptide, recombinant or synthetic product with a hydrophilic polymer solution.
Further, in the core layer solution in the step 1, the concentration of the phase transition material is 10% -40% (w/v);
the phase transition material is fatty acid, fatty alcohol and/or binary eutectic thereof, preferably, the phase transition material is selected from one or more of Capric Acid (CA), lauric Acid (LA), palmitic Acid (PA), stearic Acid (SA), myristic Acid (MA), and Tetradecanol (TD).
Further, in the core layer solution in the step 1, the concentration of the immunologic adjuvant is 0.1-20% (w/v); in certain specific embodiments, the concentration of the immunoadjuvant is 0.1-10% (w/v);
the immunological adjuvant is selected from monophosphoryl lipid A (MPL A, TLR2 agonist), CRX-675 (MPL analogue, TLR2 agonist), R837 (imiquimod, TLR7 agonist), AZD8848 (TLR 7 agonist), R848 (Rasimon, TLR7/8 agonist), VTX-1463 (TLR 8 agonist), cpG ODN (TLR 9 agonist), 1018ISS (TLR 9 agonist), qbG, viamin D 3 (vitamin D derivative).
Further, the coaxial electrostatic spinning process in the step 2 is that the voltage is 15-25kV, the flow rate of a shell layer is 0.5-1.5mL/h, the flow rate of a core layer is 0.05-0.5mL/h, the receiving distance is 10-20cm, the rotating speed of a roller is 0-150rpm, the ambient temperature is 20-30 ℃, and the humidity is 20-70%.
The second purpose of the invention is to provide the coaxial nanofiber membrane prepared by the preparation method;
preferably, the coaxial nanofiber membrane comprises a shell layer and a core layer, wherein the shell layer is a hydrophilic polymer loaded with allergen, the core layer is a phase transition material loaded with immune adjuvant;
preferably, the diameter of the coaxial nanofiber is 100 nm-1 μm;
preferably, the coaxial nanofiber membrane prepared by the preparation method comprises, by mass, 50-75% (w/w) of the hydrophilic polymer, 0.1-10% (w/w) of the allergen, 5-30% (w/w) of the phase change material, and 0.1-10% (w/w) of the immunoadjuvant.
The dose of the allergen loaded on the coaxial nanofiber membrane is 1 to 500 mu g/cm 2 The dose of the adjuvant is 1 to 500 mu g/cm 2
The third purpose of the invention is to provide the application of the coaxial nanofiber membrane in preparing the medicines for the epidermal desensitization treatment.
The coaxial nanofiber membrane allows for the delivery of respiratory, food, skin allergens to the skin, achieving epidermal desensitization treatment by repeated application of the nanofiber membrane on the patient's skin; the nanofiber membrane application site may be a different area of the body, preferably above the back or on the inside of the arm; the application time, frequency and treatment course of the nanofiber membrane can be 6-48h every time, 1-15 days apart, and the nanofiber membrane can be continuously used for 1-36 months.
Preferably, the coaxial nanofiber membrane is heated in use, and the heating device can be used for realizing the solid-to-liquid conversion of the core layer of the coaxial nanofiber membrane, promoting the adjuvant release process and simultaneously promoting the permeability of the stratum corneum to the drugs and the adjuvants to be increased.
More preferably, the heating temperature is 34 to 43 ℃. Preferably, the core layer of the coaxial nanofibers is capable of transforming from a solid state to a liquid state in a heated state.
The nanofiber membrane is applied to the skin of a patient, and the diffusion of allergen and adjuvant in the membrane promotes the migration and activation of Langerhans cells in the epidermis, thereby inducing a desensitization reaction; the epidermal route does not require the use of means to disrupt the stratum corneum integrity of the skin; the epidermal route avoids allergens entering the blood circulation.
The nanofiber membrane can be used and monitored by a patient, the allergen dosage can be adjusted by applying membranes with different areas in the treatment process, and the frequency or the application time can be flexibly adjusted according to the immune reaction degree.
Compared with the prior art, the invention has the advantages that:
1. the nanofiber membrane prepared by the electrostatic spinning technology has excellent air permeability, and is beneficial to eliminating side effects of local eczema, inflammation and the like caused by poor air permeability of the traditional membrane.
2. The combined use of allergen and immunological adjuvant can change the property of skin to allergen inflammatory reaction, i.e. change from Th2 type to Th1 type, and induce synergistic effect in vivo to enhance immune response. By using immune adjuvants such as toll-like receptor (TLR) ligands for inducing Th1 or Treg cell immune response, the occurrence of anaphylactic reaction can be reduced, the efficacy of immunotherapy can be enhanced, the treatment time can be shortened, and safe and efficient desensitization treatment can be realized.
3. Warming is used to control drug release and affect stratum corneum penetration properties: (1) Promote the solid-liquid phase change of the core of the coaxial nano fiber, and enhance the capability of releasing the medicine from the membrane and diffusing the medicine to the skin; (2) Structural changes are brought to the skin, thereby reversibly changing the permeability of the stratum corneum; (3) The distribution and diffusion of the drug in the different skin layers can be improved.
4. The nanofiber membrane can be used and monitored by a patient, the allergen dosage can be adjusted by applying membranes with different areas in the treatment process, and the frequency or the application time can be flexibly adjusted according to the degree of immune response.
Drawings
FIG. 1 is a photograph and Scanning Electron Microscope (SEM) image of a coaxial nanofiber membrane; wherein, (a) is a photograph of the coaxial nanofiber membrane, (b) is an SEM image of the coaxial nanofiber membrane, and (c) is a diameter distribution diagram of the coaxial nanofiber membrane.
FIG. 2 is a laser confocal microscope (CLSM) view of coaxial nanofibers;
FIG. 3 is an infrared (FT-IR) plot of nanofibers;
FIG. 4 is a Differential Scanning Calorimetry (DSC) curve of a coaxial nanofiber;
FIG. 5 is an in vitro release profile of a coaxial nanofiber membrane; wherein (a) the in vitro release profile of the adjuvant and (b) the in vitro release profile of the allergen.
FIG. 6 is an in vivo safety evaluation of coaxial nanofiber membranes;
FIG. 7 is an in-skin distribution study of coaxial nanofiber membranes; wherein, (a) a mouse dorsal fluorescence image, (b) a skin slice fluorescence image;
FIG. 8 lymph node migration study of coaxial nanofiber membranes; wherein, (a) an intra-lymph node Cy5 fluorescence image; (b) quantification of Cy5 fluorescence in lymph nodes; (c) DiI fluorescence image within lymph nodes; (d) quantification of DiI fluorescence within lymph nodes;
FIG. 9 pharmacodynamic evaluation of coaxial nanofiber membranes; wherein, (a) Penh value; (b) allergen-specific IgE concentration in serum; (c) total number of cells in alveolar lavage fluid; (d) proportion of eosinophils in alveolar lavage fluid.
Detailed Description
The present invention provides some specific examples, but the present invention is not limited by these examples.
The invention discloses a coaxial nanofiber membrane loaded with an allergen-adjuvant composition, and a preparation method and application thereof. The coaxial nanofiber membrane is prepared by adopting an electrostatic spinning method, and takes a hydrophilic polymer as a shell and a hydrophobic phase-change material as a core. The invention relates to an allergen-adjuvant composition, wherein a shell layer of a coaxial nanofiber membrane is loaded with allergen, and a core layer is loaded with adjuvant. The coaxial nanofiber membrane can realize the solid-liquid conversion process of the core layer material by utilizing a heating device, and the release of an adjuvant and the increase of the permeability of the skin stratum corneum are promoted. The nanofiber membrane allows for the delivery of respiratory, food, skin allergens to the skin, and epidermal desensitization treatment is achieved by repeated application of the nanofiber membrane to the skin of a patient.
1. Preparation of coaxial nanofiber membranes
The preparation steps of the coaxial nanofiber membrane are as follows:
step 1:
mixing a hydrophilic polymer with deionized water, stirring under a heating condition until the hydrophilic polymer is dissolved to prepare a hydrophilic polymer solution, cooling the hydrophilic polymer solution to room temperature, mixing with an allergen, and fully stirring until the hydrophilic polymer solution is dissolved to obtain a shell layer solution of coaxial electrostatic spinning;
adding the phase transition material and the immunologic adjuvant into a mixed solution of dichloromethane and ethanol, and ultrasonically dissolving to obtain a core layer solution of coaxial electrostatic spinning;
step 2:
and respectively pouring the shell layer solution and the core layer solution into an injector with a coaxial needle head, and preparing the coaxial nanofiber membrane by a coaxial electrostatic spinning process.
The amounts and proportions of the reactants are detailed in table 1.
TABLE 1 formulation composition of coaxial nanofiber membranes
Figure BDA0003323460850000061
TABLE 2 coaxial electrospinning process parameters
Figure BDA0003323460850000071
2. Coaxial nanofiber membrane property study
Subsequent studies were conducted using the formulation shown in working example 2, with the coaxial nanofiber membrane constructed under the process shown in working example 12.
1. Coaxial nanofiber diameter and morphology
The surface morphology of the nanofibers was observed using a Scanning Electron Microscope (SEM), and the fiber diameters and diameter distributions were calculated. The SEM result is shown in figure 1, the diameter of the prepared drug-loaded nano-fiber is (205.1 +/-89.8) nm, the diameter distribution is uniform, the shape is good, and no adhesion exists.
2. Coaxial nanofiber membrane drug distribution
Fluorescence-labeled nanofibers were prepared, in which the allergen was labeled with Cy5, the adjuvant was replaced with DiI, and the fluorescence distribution of the drug in the nanofibers was analyzed using a Confocal Laser Scanning Microscope (CLSM), and as a result, as shown in fig. 2, both the red fluorescence of the allergen and the green fluorescence of the adjuvant were distributed in the nanofibers, the allergen in situ nanofibers were in the shell, and the adjuvant was distributed in the core.
The composition of the nanofiber membrane was analyzed using a fourier transform infrared spectrometer (FT-IR), and the results are shown in fig. 3, which demonstrates successful loading of allergen and adjuvant in the coaxial nanofiber membrane from characteristic peaks.
The prepared coaxial nanofiber membrane is subjected to component analysis, and the result shows that: comprises 66.45% (w/w) of hydrophilic polymer, 6.64% (w/w) of allergen, 26.58% (w/w) of phase transition material, and 0.3% (w/w) of immunologic adjuvant, wherein the coaxial nanofiber membrane is loaded with the allergen with the dose of 100 mu g/cm 2 Adjuvant dose of 5 μ g/cm 2
3. Coaxial nanofiber membrane phase transition property investigation
Phase Change Materials (PCM) and phase transition temperature of the coaxial nanofiber membrane were tested by Differential Scanning Calorimeter (DSC), all tests were performed under nitrogen atmosphere (50 mL/min). The experimental temperature range is 0-100 ℃, and the heating rate is 5 ℃/min.
The results of the experiment are shown in fig. 4, where LA/SA PCM forms a dibasic fatty acid eutectic mixture, and shows a single eutectic peak in DSC measurement, which has the lowest phase transition temperature of 40.7 ℃. For the coaxial nanofiber, the phase transition temperature is 40.3 ℃, which can meet the requirements of realizing phase transition and promoting drug release at 41 ℃.
4. In vitro transmembrane release of coaxial nanofiber membranes
The area is 1cm 2 The coaxial nanofiber membrane of (2) was placed over a cellulose acetate semipermeable membrane with a pore size of (0.22 μm), and then a layer of filter paper was placed over the system. The sample was sandwiched between the supply and receiving cells of a Franz diffusion cell. The receiving cell was added with 7mL of PBS buffer (pH 7.4). Franz diffusion cells were placed on a transdermal delivery apparatus at a constant temperature of 32 + -1 deg.C and 500rpm for in vitro delivery experiments. 0.2mL of the release solution was removed at the set time point and then supplemented with an equal volume of fresh solution. The drug concentration was determined by HPLC and the cumulative amount released was calculated.
Considering that 41 ℃ enables the phase transition material PCM material of the coaxial nanofiber core to complete the phase transition and promote the release of the adjuvant, the nanofiber membrane was heated at 41 ℃ for 20min to observe the release behavior of the drug in the nanofibers, and the results are shown in fig. 5. It can be observed that after 2h, the adjuvant release was about 26% after 20min heating at 41 ℃, while the unheated group was only 10%, indicating that heat can promote the coaxial nanofiber core solid-liquid phase change and promote the release of adjuvant. After 12h of in vitro release, about 50% of the adjuvant was released from the nanofibers, 48h reached 70% or more, and the adjuvant was released at 32 ℃ to less than 20% (fig. 5 a). For the allergen, the release was essentially in equilibrium after 24h and could reach more than 80% after 48h (fig. 5 b).
5. Evaluation of in vivo safety
The experiment was divided into 3 groups: the kit comprises (1) a hypodermic injection group, (2) a nanofiber membrane group, and (3) a nanofiber membrane +41 ℃ group.
Mice were injected subcutaneously with each of the injections (containing 1)00 ug allergen) or coaxial nanofiber membranes (about 1 cm) 2 Containing 100 μ g allergen) was applied to the back of a previously depilated mouse, and the nanofiber membrane +41 ℃ treatment group was heated to 41 ℃ with an external heat source after attachment of the nanofiber membrane. Sera were prepared by bleeding mouse eye orbits at 0h,2h,6h,12h,24h and 48h, and the safety of epidermal desensitization treatment was evaluated by quantifying allergen concentrations in serum samples using an ELISA kit.
The concentration of the allergen in the serum after administration is shown in fig. 6, and the allergen administered by subcutaneous injection is easy to enter blood circulation, thereby causing the occurrence of systemic severe adverse reactions such as allergy and the like; the desensitization treatment of the two nanofiber membrane treatment groups by the skin route has basically unchanged allergen concentration in blood whether being heated or not in the administration process, which indicates that the epidermal desensitization treatment has higher safety compared with the traditional subcutaneous desensitization treatment.
6. In vivo experiments and in-skin distribution of coaxial nanofiber membranes
The experiment was divided into 3 groups: the kit comprises (1) a blank control group, (2) a nanofiber membrane group, and (3) a nanofiber membrane +41 ℃ group.
The blank control group was left untreated, and two nanofiber membrane treatment groups were applied to a nanofiber membrane (about 1 cm) 2 ) Applied to the back of a mouse which is depilated in advance, the nanofiber membrane +41 ℃ treatment group is heated to 41 ℃ by adopting an external heat source after being attached with the nanofiber membrane. After 48h, detecting the distribution condition of the back fluorescence by using a living body imager; and the skin under the collecting membrane was collected, cryosectioned, DAPI stained, and used for fluorescence imaging. Wherein the allergen is labelled with Cy5 and the adjuvant is replaced by DiI.
At 48h post-administration, the fluorescence distribution in the back and in the skin of the mice is shown in fig. 7, and significant fluorescence was detected in the back of the mice of both nanofiber membrane treated groups, indicating successful release of the allergen and adjuvant from the membrane and into the skin (fig. 7 a). After heating at 41 ℃ for 20min, the mouse active epidermal layer can detect obvious fluorescence distribution of the allergen (Cy 5) and the adjuvant (DiI), while in the unheated group, most of the drug is retained in the horny layer (figure 7 b), which shows that the warm heat obviously promotes the release of the drug from the nanofiber and the capability of penetrating the horny layer.
7. Coaxial nanofiber membrane for promoting Langerhans cell migration capability investigation to lymph node
The experiment was divided into 3 groups: the kit comprises (1) a blank control group, (2) a nanofiber membrane group, and (3) a nanofiber membrane +41 ℃ group.
The blank control group was left untreated, and two nanofiber membrane treatment groups were applied to a nanofiber membrane (1 cm) 2 ) Applied to the back of a mouse which is depilated in advance, the nanofiber membrane +41 ℃ treatment group is heated to 41 ℃ by adopting an external heat source after being attached with the nanofiber membrane. After 48h, the mice were sacrificed, the underarm and inguinal lymph nodes were removed and observed for lymph node tendency in a live fluorescence imager. Wherein the allergen is labelled with Cy5 and the adjuvant is replaced with DiI.
After 48h of administration, lymph node ex vivo fluorescence imaging results are shown in FIG. 8, and epidermal Langerhans cells migrated to skin draining lymph nodes after uptake of Cy 5-allergen and adjuvant (DiI). After warming at 41 ℃ for 20min, the fluorescence intensity of Cy 5-allergen in mouse lymph node was significantly increased, indicating that heat increased the distribution of Cy 5-allergen in the epidermis and promoted the Langerhans cell migration (FIGS. 8a, b). In the adjuvant (DiI), the heat significantly promoted the release of the drug from the nanofibers and the ability to penetrate the stratum corneum, and the fluorescence intensity of Cy 5-allergen in lymph nodes was significantly enhanced after the adjuvant was added, which was caused by the adjuvant promoting keratinocytes in the epidermis to secrete cytokines such as TNF- α, IL-1 β, etc., and increasing the langerhans cell migration (fig. 8c, d).
8. Evaluation of pharmacodynamics
The experiment was divided into 5 groups: the kit comprises (1) an unmodeled group, (2) a blank control group, (3) a subcutaneous injection group, (4) a nanofiber membrane group and (5) a nanofiber membrane +41 ℃ group.
Wherein (1) the non-established model is a normal mouse and is not treated;
(2) The placebo group was asthmatic mice, not receiving treatment;
(3) The subcutaneous group was asthmatic mice, receiving subcutaneous injection therapy (100 μ g of allergen + 1mg of aluminium hydroxide gel) 1 time per week for 8 times;
(4) Sodium (A)The group of rice fiber membranes is asthmatic mice, and the back of the asthmatic mice is subjected to nanofiber membrane treatment (about 1 cm) after depilation 2 100 ug of allergen and 5 ug of adjuvant) 1 time a week for 48 hours each time for 8 times;
(5) The nanofiber membrane +41 ℃ group was asthmatic mice, which received nanofiber membrane treatment (about 1 cm) after back depilation 2 100 mug allergen and 5 mug adjuvant) after the nanofiber membrane is attached, the temperature is heated to 41 ℃ by adopting an external heat source, 1 time per week, 48 hours each time, and 8 times in total.
8.1 mouse airway hyperreactivity assay
And detecting the change of the airway hyperreactivity of the mouse by using a mouse noninvasive lung function detector. When the measurement is carried out, the ambient environment is kept quiet, solutions of methacholine with various concentrations (3.125 mg/mL,6.25mg/mL,12.5mg/mL,25mg/mL and 50 mg/mL) are prepared, the measurement is carried out on mice respectively, and the Penh value is used as an index for reflecting the airway reactivity to evaluate the curative effect of the nanofiber membrane.
As shown in fig. 9 (a), after 8 weeks of treatment, the Penh values of the mice in the treated group were decreased to different degrees compared with those in the blank control group. The Penh value of the nanofiber membrane at the temperature of +41 ℃ is reduced most obviously, and the nanofiber membrane is close to that of an unfinished module, so that the treatment effect is best; the Penh value of the nanofiber membrane group and the subcutaneous injection group is obviously reduced compared with that of a blank control group, but is higher than that of the nanofiber membrane +41 ℃.
8.2 mouse allergen-specific IgE assay
Blood is taken from mouse orbit to prepare serum, and allergen specific IgE is quantitatively determined through an ELISA kit and used for evaluating the treatment effect of the nanofiber membrane.
The specific IgE concentration reflects the treatment effect, as shown in fig. 9 (b), after 8 weeks of treatment, the IgE value of the nanofiber membrane +41 ℃ group is reduced most obviously, and the treatment effect is the best; the IgE values of the nanofiber membrane group and the subcutaneous injection group are obviously reduced compared with that of a blank control group, but are higher than those of the nanofiber membrane group and the 41 ℃ group.
8.3 Total bronchoalveolar lavage fluid (BALF) cells and differential counts
Mice were sacrificed and fixed in supine position, trachea intubated, lavage 3 times with 0.01M PBS 0.5mL alveolus, repeated slow aspiration 3 times per lavage, recovery recorded (should be greater than 80%), bronchoalveolar lavage fluid recovered, 4 ℃ 1000r/min, centrifugation 3min, resuspension of the pellet followed by total cell count recording, and smears were prepared. Staining the smear by Liu's staining method, and counting the proportion of eosinophilic granulocyte.
The total number of cells in BALF and the proportion of eosinophils reflect the inflammatory condition of the lung. As shown in fig. 9 (c, d), the total number of inflammatory cells and the proportion of eosinophils in the mice in the treated group were decreased to a different extent compared to the blank control group, wherein the total number of cells and the proportion of eosinophils in the nanofiber membrane +41 ℃ group were close to those in the non-model group, and the treatment effect was the best; the total cell count and eosinophil fraction were significantly reduced in the nanofiber membrane group and the subcutaneous injection group, but were higher than in the nanofiber membrane +41 ℃ group.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention in other forms, and any person skilled in the art may apply the above-mentioned technical details to other fields of equivalent embodiments with equivalent changes or modifications, but all simple modifications, equivalent changes and modifications made to the above embodiments according to the technical spirit of the present invention may still fall within the protection scope of the technical solution of the present invention.

Claims (19)

1. A phase-change coaxial nanofiber membrane for epidermal desensitization treatment, comprising a shell layer and a core layer, wherein the shell layer is a hydrophilic polymer loaded with an allergen and the core layer is a phase-change material loaded with an immunoadjuvant;
the coaxial nanofiber membrane is prepared by the following method:
step 1, mixing a hydrophilic polymer with deionized water, stirring the mixture under a heating condition until the hydrophilic polymer is dissolved to prepare a hydrophilic polymer solution, cooling the hydrophilic polymer solution to room temperature, mixing the hydrophilic polymer solution with allergen, and fully stirring the mixture until the hydrophilic polymer is dissolved to obtain a shell solution of coaxial electrostatic spinning;
adding the phase transition material and the immunologic adjuvant into a mixed solution of dichloromethane and ethanol, and ultrasonically dissolving to obtain a core layer solution of coaxial electrostatic spinning;
step 2, respectively pouring the shell layer solution and the core layer solution into an injector with a coaxial needle, and preparing a coaxial nanofiber membrane by a coaxial electrostatic spinning process;
the hydrophilic polymer is selected from one or more of polyvinylpyrrolidone, polyvinyl alcohol, polyethylene oxide, gelatin, collagen, silk fibroin, sodium alginate and hyaluronic acid.
2. The phase-change coaxial nanofiber membrane for skin desensitization treatment according to claim 1, wherein the volume ratio of dichloromethane to ethanol in the mixed solution in step 1 is 4:1-1:4.
3. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the concentration of the hydrophilic polymer in the shell solution in step 1 is 5% -20% (w/v).
4. The phase-change coaxial nanofiber membrane for epidermal desensitization therapy according to claim 1, wherein the concentration of allergen in the shell layer solution in step 1 is 0.1-2% (w/v).
5. The phase-change coaxial nanofibrous membrane for epidermal desensitization treatment according to claim 1, characterized in that the allergen is selected from one or more of respiratory, food or skin allergens.
6. The phase change coaxial nanofiber membrane for epidermal desensitization therapy according to claim 5, wherein the allergen is selected from one or more of house dust mites, artemisia annua pollen, artemisia argyi pollen, ragweed pollen, milk, peanuts, eggs, soybeans, cashews.
7. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 4, wherein step 1 is mixing with a hydrophilic polymer solution after preparing the allergen into an extract, leachate, peptide, reconstituted or synthetic product.
8. The phase-change coaxial nanofiber membrane for epidermal desensitization therapy according to claim 1, wherein the concentration of the phase-change material in the core layer solution of step 1 is 10% -40% (w/v).
9. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the phase-change material of step 1 is a fatty acid, a fatty alcohol, and/or a binary eutectic thereof.
10. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 9, wherein the phase transition material in step 1 is selected from one or more of capric acid, lauric acid, palmitic acid, stearic acid, myristic acid, myristyl alcohol.
11. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the concentration of immunoadjuvant in the core layer solution of step 1 is 0.1-20% (w/v).
12. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the immunoadjuvant in step 1 is selected from monophosphoryl lipid A, CRX-675, R837, AZD8848, R848, VTX-1463, cpG ODN, 1018ISS, qbG10, vitamin D, and the like 3 One or more of (a).
13. The phase-change coaxial nanofiber membrane for skin desensitization treatment according to claim 1, wherein the coaxial electrospinning process in step 2 is at a voltage of 15-25kV, a shell flow rate of 0.5-1.5mL/h, a core flow rate of 0.05-0.5mL/h, a receiving distance of 10-20cm, a drum rotation speed of 0-150rpm, an ambient temperature of 20-30 ℃, and a humidity of 20% -70%.
14. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the coaxial nanofibers have a diameter of 100nm to 1 μm.
15. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the coaxial nanofiber membrane comprises 50-75% of hydrophilic polymer, 0.1-10% of allergen, 5-30% of phase-change material, and 0.1-10% of immunoadjuvant by mass.
16. The phase-change coaxial nanofiber membrane for epidermal desensitization treatment according to claim 1, wherein the coaxial nanofiber membrane is loaded with allergen in a dose of 1-500 μ g/cm 2 The dose of the adjuvant is 1 to 500 mu g/cm 2
17. Use of the coaxial nanofiber membrane of claim 1 in the preparation of a medicament for epidermal desensitization therapy.
18. Use according to claim 16, wherein the coaxial nanofibrous membrane is heated in use.
19. Use according to claim 18, wherein the heating temperature is 34-43 ℃.
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