EP1281085A1 - Dynamic superparamagnetic markers - Google Patents

Dynamic superparamagnetic markers

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Publication number
EP1281085A1
EP1281085A1 EP01933876A EP01933876A EP1281085A1 EP 1281085 A1 EP1281085 A1 EP 1281085A1 EP 01933876 A EP01933876 A EP 01933876A EP 01933876 A EP01933876 A EP 01933876A EP 1281085 A1 EP1281085 A1 EP 1281085A1
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EP
European Patent Office
Prior art keywords
cells
fields
beads
field
bound
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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EP01933876A
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German (de)
French (fr)
Inventor
Martin Koch
Ernst Stetter
Bernhard Wolf
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KOCH, MARTIN
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Individual
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Publication date
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Publication of EP1281085A1 publication Critical patent/EP1281085A1/en
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/569Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
    • G01N33/56966Animal cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/18Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes
    • A61K49/1818Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles
    • A61K49/1821Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles
    • A61K49/1824Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles
    • A61K49/1827Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles having a (super)(para)magnetic core, being a solid MRI-active material, e.g. magnetite, or composed of a plurality of MRI-active, organic agents, e.g. Gd-chelates, or nuclei, e.g. Eu3+, encapsulated or entrapped in the core of the coated or functionalised nanoparticle
    • A61K49/1851Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles having a (super)(para)magnetic core, being a solid MRI-active material, e.g. magnetite, or composed of a plurality of MRI-active, organic agents, e.g. Gd-chelates, or nuclei, e.g. Eu3+, encapsulated or entrapped in the core of the coated or functionalised nanoparticle having a (super)(para)magnetic core coated or functionalised with an organic macromolecular compound, i.e. oligomeric, polymeric, dendrimeric organic molecule
    • A61K49/1863Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles having a (super)(para)magnetic core, being a solid MRI-active material, e.g. magnetite, or composed of a plurality of MRI-active, organic agents, e.g. Gd-chelates, or nuclei, e.g. Eu3+, encapsulated or entrapped in the core of the coated or functionalised nanoparticle having a (super)(para)magnetic core coated or functionalised with an organic macromolecular compound, i.e. oligomeric, polymeric, dendrimeric organic molecule the organic macromolecular compound being a polysaccharide or derivative thereof, e.g. chitosan, chitin, cellulose, pectin, starch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/18Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes
    • A61K49/1818Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles
    • A61K49/1821Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles
    • A61K49/1824Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles
    • A61K49/1827Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles having a (super)(para)magnetic core, being a solid MRI-active material, e.g. magnetite, or composed of a plurality of MRI-active, organic agents, e.g. Gd-chelates, or nuclei, e.g. Eu3+, encapsulated or entrapped in the core of the coated or functionalised nanoparticle
    • A61K49/1875Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes particles, e.g. uncoated or non-functionalised microparticles or nanoparticles coated or functionalised microparticles or nanoparticles coated or functionalised nanoparticles having a (super)(para)magnetic core, being a solid MRI-active material, e.g. magnetite, or composed of a plurality of MRI-active, organic agents, e.g. Gd-chelates, or nuclei, e.g. Eu3+, encapsulated or entrapped in the core of the coated or functionalised nanoparticle coated or functionalised with an antibody
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/18Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes
    • A61K49/1896Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by a special physical form, e.g. emulsions, microcapsules, liposomes not provided for elsewhere, e.g. cells, viruses, ghosts, red blood cells, virus capsides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3618Magnetic separation
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/543Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
    • G01N33/54313Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals the carrier being characterised by its particulate form
    • G01N33/54326Magnetic particles

Definitions

  • the invention relates to the use of dynamic magnetic fields (DM fields) or DM field generators for recognizing and / or sorting cells, cell components or pathogens, the use of these fields or field generators for cleaning pathogen liquids, methods or methods for treatment of infected cells or tumor cells, the use of superparamagnetically labeled active ingredients for the production of a preparation for use in a method for the treatment of infected cells or tumor cells, which comprises treatment with a DM field or DM field generator, and the combination of Superparamagically labeled active ingredients or superparaqmagnetic beads with a generator of a DM field.
  • DM fields dynamic magnetic fields
  • DM field generators for recognizing and / or sorting cells, cell components or pathogens
  • these fields or field generators for cleaning pathogen liquids
  • methods or methods for treatment of infected cells or tumor cells the use of superparamagnetically labeled active ingredients for the production of a preparation for use in a method for the treatment of infected cells or tumor cells, which
  • Plasmodium a protozoan called Plasmodium
  • erythrocytes where it releases the heme by absorbing the protein component from hemoglobin, which then stored in long chains.
  • Alternating fields succeeded in inhibiting this chain formation or destroying existing chains.
  • a 33 to 70% drop in the number of parasites was achieved.
  • the weakly oscillating magnetic fields that were used in these experiments at Washington University are low-frequency magnetic fields. They are intended to help deprive the malaria pathogen of its death by destroying the heme structures formed in the erythrocytes.
  • the divalent iron ion in the heme molecule is magnetic only in the deoxygenated state, so that venous blood is of particular interest.
  • a method of a Danish company (MEDICO- CHEMICAL LAB, APS) is also known, in which magnetized medicine is injected directly into the bloodstream and at the location where the treatment is to take place, for example at the site of a tumor strong magnetic DC field is captured and enriched.
  • the problem here was to build up a magnetic field that is strong enough to hold the active substance at the desired location.
  • Magnetic fields generated by a permanent magnet are used in particular in the MACS technology mentioned at the outset. These inhomogeneous, static magnetic sliding fields are independent of material constants (J.C. Maxwell, On Faraday's Lines of Force, Scientific Papers 1 855, 1 856, reprinted by Dower, New York 1 952) and can therefore penetrate liquids and Reach the magnetic particles contained therein and act on them.
  • the magnetic system cannot be changed after it has been installed in the system. There is no doubt that a large number of magnetically marked objects (e.g. cells) are attracted to a strong permanent magnet in solution, albeit to different extents.
  • the dynamic marking technique according to the invention now makes it possible to work with magnetic movement fields (dynamic magnetic fields, hereinafter referred to as DM fields).
  • DM fields dynamic magnetic fields
  • These can be combined in such a way that even in standing (without Hall effect) or moving liquids with low to high (eg reliable) viscosity, dynamic effects can be generated on stationary or moving marked objects.
  • the frequency of these magnetic fields can be selected so that they can also be regarded as independent of the material constants (the frequency-dependent summand of the first Maxwell's equation is negligible here, the first summand is completely independent of the material constants).
  • the weakly oscillating fields that were used in the aforementioned experiments at the University of Washington against malaria can also be caused by a DM field generator used in the present invention, if the otherwise elongated DM field generator is made round, the stator comparable to a three-phase machine, and for example as a kind of cuff around an arm, a leg or the whole body.
  • a DM field generator used in the present invention, if the otherwise elongated DM field generator is made round, the stator comparable to a three-phase machine, and for example as a kind of cuff around an arm, a leg or the whole body.
  • non-ring-shaped DM field generators are preferably used.
  • DM fields to cause mechanical stress on infected tissue or tumor tissue, e.g. by applying superparamagnetic beads _j.ii close to a tumor or an infected organ (e.g. liver, brain)
  • the DM field generator can be adapted to the corresponding requirements in terms of shape, power and frequency.
  • the invention relates to the use of dynamic magnetic fields (DM fields) that can be generated by AC-supplied multiphase systems, or of DM field generators for recognizing and / or sorting cells, cell components or pathogens, in particular those cells, cell components or pathogens, to the superparamagnetic Beads are bound.
  • DM fields dynamic magnetic fields
  • the invention also relates to the use of DM fields or DM field generators for the purification of liquids from pathogens, in particular those to which superparamagnetic beads are bound.
  • the invention also relates to methods or methods for diagnosis
  • the invention also relates to the use of superparamagnetically labeled active ingredients for the manufacture of a preparation for use in a method for treating infected cells or tumor cells, which comprises treatment with a DM field or with a DM field generator and superparamagnetic beads, which (a) administered (eg injected) at the location of the cells, (b) maneuvered there with a DM field or DM field generator (especially through body cavities) and / or (c) to the cells mentioned, eg via antibodies bound to the beads, specific for antigens on the cells to be treated (which are bound, in particular, directly or via spacers or liposomes, which are bound to the beads), or are specifically bound and, if desired, an active ingredient which is active against infection or tumors (directly or via carry a spacer covalently attached to the beads or in liposomes attached to the beads); and the combination of superparamagically labeled active ingredients or superparamagnetic beads with a generator of a DM field (DM field generator).
  • DM fields dynamic magnetic fields are those that can be generated by the DM field generators described in more detail below. be generated in particular. These are wandering (or pulsating) magnetic fields that arise from the superposition of 2 or more alternating fields that are staggered in time and location.
  • DM fields or DM field generators and superparamagnetic beads means in particular that DM fields or DM field generators are used to set the superparamagnetic beads, in particular those bound to cells, cell components and / or pathogens, in motion, for example in longitudinal motion or rotation, or (by generating static alternating fields using a DM field generator) to form structures such as barriers or saber-shaped structures from them.
  • DM field generators are described in WO 95/19217, their dimensions and shape can be adapted to the needs
  • Microscope stage can be used up to whole-body coil systems). In principle, they correspond to "linear motors".
  • AC-supplied multiphase systems that is to say those with 2 or more coils which are spatially offset relative to one another and which are actuated at different times, are used as DM generators, for example in combination with a frequency converter.
  • the multiphase system is preferably embedded in a magnetic material, whereby concentration and amplification are achieved.
  • the windings can, for example, be introduced into a slotted, ferromagnetic, laminated core in which the laminations are insulated from one another (for example by insulating lacquers such as shellac, plastics or paper).
  • resistors or coils are interposed between the supply network and the multiphase systems - this enables the DM alternating field amplitude to be varied. Concrete embodiments for such
  • the DM field generators are fixed, so that the DM field is only generated by the alternating current, but they can preferably also be displaceable during the DM field generation.
  • the generation of the magnetic motion field is therefore solely or at least mainly responsible for the AC supply of the multiphase system, but the location of the DM field can also be varied by shifting the DM field generator. This distinguishes the DM fields significantly from the relative movement of permanent magnets or (direct or alternating current controlled) single-phase electromagnets.
  • Detection of cells, cell components or pathogens means that after marking with superparamagnetic beads they can be set in rotation or moved in a directional manner by applying magnetic movement fields and can thus be observed and recognized (identified) in the presence of unmarked cells, preferably microscopically.
  • a method for diagnosis for example detection of diseased cells from tissue cells or blood is also the subject of the present invention.
  • Sorting cells, cell components or pathogens means that appropriately superparamagnetically labeled cells, cell components or pathogens from solutions by applying, for example, as from magnetic motion fields or by creating structures (Fig. 4, (18)) from mixtures with unmarked counterparts can be sorted out or enriched, for example from flowing solutions by directing them to one side and only branching off there, or from standing L solutions, in particular blood preserves, blood serum preserves or blood plasma preserves or nutrient media, for example for organ transplantation or cell cultures, which must be free of pathogens) by likewise concentrating them on one site, for example on one side, and removing them there (for example by suction).
  • the advantage is that, for example, culture media for cell culture or canned blood can be cleaned in this way. By sequentially using different antibodies, several components can be obtained from one sample.
  • Cell components are, for example, organelles such as lysosomes, endoplasmic reticulum, vesicles of the cell membrane (e.g. micro soes, channelicular membrane vesicles from biliary tubules) and the like.
  • Pathogens are also cancer cells, e.g. Tumor cells (for example capable of forming metastases), such as blood cancer cells, or abnormally proliferating cells from bone marrow.
  • Pathogens are, for example, bacteria including mycoplasma, viruses (e.g. HIV, hepatitis viruses such as HCV), fungi (such as yeasts) or parasites (such as protozoa, e.g. trypanosomes or plasmodia, worms or the like).
  • viruses e.g. HIV, hepatitis viruses such as HCV
  • fungi such as yeasts
  • parasites such as protozoa, e.g. trypanosomes or plasmodia, worms or the like.
  • the superparamagnetic labeling is preferably achieved by superparamagnetically labeled antibodies or by superparamagnetically labeled liposomes, which have also bound antibodies which are specific for the corresponding cells or pathogens, ie specifically or intensively expressed there, and bind them.
  • These antibodies are, for example, against (for example expressed on the cell surface) tumor antigens, on the cell surface (for example by antigen-presenting proteins such as those of the main compatibility complex (major Histocompatibility Complex) or the like) presented peptides (for example from pathogens such as viruses or mycoplasma) or directed directly to the antigens themselves and available by standard methods.
  • the sorting of cells, cell components or pathogens is also possible by means of correspondingly superparamagnetically labeled antibodies or liposomes, the labeled components also being able to be enriched at certain points from flowing or standing liquids and then selectively derived or suctioned off.
  • the cleaning of liquids from cells, cell components or pathogens also works in an analogous manner.
  • infected cells or tumor cells can be carried out, for example, extracorporeally (for example in cell or tissue cultures, for example for culturing liver cells from a virus-infected liver, or from isolated bone marrow of a tumor patient, in order to remove infected or tumor cells in each case and thus enable reimplantation ).
  • extracorporeally for example in cell or tissue cultures, for example for culturing liver cells from a virus-infected liver, or from isolated bone marrow of a tumor patient, in order to remove infected or tumor cells in each case and thus enable reimplantation ).
  • the treatment can also be carried out in the body, preferably in the case of a warm-blooded animal, such as a person, in particular if the person requires appropriate treatment.
  • Antibody and superparamagnetic labeled beads preferably loaded with one or more active ingredients, can be administered to a warm-blooded animal and are put into motion by means of DM fields after "docking" on the diseased tissue, which on the one hand mechanically stresses the diseased cells and on the other hand exposes them to the active substance (for example, because this reaches the interior of the cell through the DM field).
  • Unlabelled beads can also be used (especially in body cavities such as the lungs, gastrointestinal tract, abdominal cavity, pleural space, brain cavities, spinal canal, cavities in the area of muscle fascia etc.). These can first be maneuvered to the desired location (e.g. tumor, infected organ, e.g. liver) using DM fields and then set in motion on site, thus making the diseased areas accessible to the body's defenses through mechanical stress.
  • desired location e.g. tumor, infected organ, e.g. liver
  • the invention also relates to the use of 'superparamagnetically labeled active ingredients for the preparation of a preparation for use in a method for treating infected cells or tumor cells, which comprises treatment with a DM field, and to the combination of superparamagetically labeled active ingredients or superparamagnetic beads with a generator a DM field, in particular as described above or in WO 95/19217.
  • Superparamagnetic beads are known, can be produced by methods known per se or are commercially available.
  • the term “bead” does not necessarily mean spherical, but is used in the sense of "particle”.
  • the international patent application WO 85/02772 describes particles based on a carbohydrate, polyamino acid or plastic matrix.
  • carbohydrate matrices can be found in PCT / SE82 / 00381, PCT / SE83 / 00106 and PCT / SE83 / 00268, for corresponding polyamino acid matrices in US 4,247,406;
  • Plastic matrices for example based on polymers made of acrylates, polystyrene, etc., are also known.
  • iron oxide particles are in the matrix embedded.
  • the patent US 4,219,411 describes polystyrene and in particular on polymers of acrylic acid and its derivatives
  • suitable particle matrices are US 3,957,741 and US 4,035,316.
  • Superparamagnetic means in particular that the permeability U j . lies between that of paramagnetic materials and that of ferromagnetic materials (otherwise,
  • the superparamagnetic properties are preferably achieved by embedding metal oxides, especially iron oxide (Fe 3 0 4 ), or other suitable metals or alloys.
  • the metal particles are preferably fine and of relatively uniform size, so that the resulting particle diameter preferably has the sizes mentioned below.
  • the metals are in particular iron, nickel or cobalt, or alloys, for example gadolinium, dysprosium or erbium
  • Vanadium, or other transition metals can contain. iron oxide
  • ferrites such as lithium ferrites, are also suitable.
  • Preferred beads have an average diameter of 2 ⁇ m or less, in particular 1 ⁇ m or less (in order not to get stuck in the capillary system, for example), preferably from 30 to 1000 nm, in particular from 30 to 300 nm.
  • Beads with biodegradable are particularly preferred Matrix, e.g. from carbohydrates ten (especially polysaccharides) or polyamino acids. All of these beads, as well as analogs thereof, are suitable for the purposes of the present invention.
  • the beads can also be additionally marked with low activity by gamma emitters (such as technetium-99m) in order to track the movement of globules loaded with active substances by means of a gamma camera, for example in the body.
  • gamma emitters such as technetium-99m
  • BioMag ® beads of approximately 1 ⁇ m in size are offered, which consist of an iron oxide core with a silane shell and are functionalized with amino or carboxy groups, which covalently bind to proteins (such as Antibodies, avidin, streptavidin), glycoproteins, polysaccharides, lectins and other ligands allowed.
  • proteins such as Antibodies, avidin, streptavidin
  • Sigma-Aldrich also offers superparamagnetic beads with a diameter of approx. 1 ⁇ m based on iron oxide, which carry either carboxy or amino groups on the surface as functional groups.
  • Other superparamagnetic beads are offered by Deutsche Dynal GmbH, Hamburg, Germany, and by a number of other companies.
  • active substances which can be used according to the invention are, in particular, antitumor chemotherapeutic agents which (alone or as a combination of two or more of the substances mentioned) can be used as active substances according to the invention, in particular those contained in the following list:
  • alkylating agents such as dacarbazines (DTIC domes); Mustard gas derivatives such as mechlorethamines (mustarges); Ethyleneimine derivatives, eg triethyleneethiophosphoramide (thio-tepa); Procarbazine (Matu lane); Alkyl sulfonates such as busulfan (myeleran); cyclophosphamide; 4-hydroxyperoxycyclophosphamide (4-HC); mafosfamide; ifosfamide; Melphalan (Alkeran); Chlorambucil (Leukeran); Nitrosoureas such as cyclohexylnitrosourea (meCCNU; Carmustin, BCNU, BiCNU) orLomustin (CCNU, CeeNU), cis-platinum (II) -diamine dichloride (platinol or cisplatin); Carboplatin (paraplatin); preferably other organo
  • antitumor antibiotics preferably selected from the group consisting of bleomycin (blenoxanes); Anthracyclines such as daunomycin, dactinomycin (Cosmegen), daunorubicin (cerubidine), doxorubicin (Adriamycin, Rubex), epirubicin, esorubicin, idarubicin (idamycin), plicamycin (mithracin, formerly known as mithramycin end) and in particular cross-linking network Antitumor antibiotics, such as mitomycin C (mitomycin, mutamycin);
  • Anthracyclines such as daunomycin, dactinomycin (Cosmegen), daunorubicin (cerubidine), doxorubicin (Adriamycin, Rubex), epirubicin, esorubicin, idarubicin (idamycin), plicamycin (mithracin, formerly known as mithramycin
  • C antimetabolites, e.g. Folic acid analogues such as methotrexate (Folex, Mexate) or tri-etrexate; Purine nucleoside analogues such as
  • 5-fluorouracil fluorouracil, 5-FU
  • 5-fluorodesoxyuridine floxuridine, FUDR
  • cytosine arabinoside Ara-C, cytarabine, Cytosar-U or
  • Tarabin PFS fludarabine phosphate (Fludara) or 5-azacytidine
  • Hydroxy urea (hydrea) or polyamine biosynthesis inhibitors, especially ornithine decarboxylase or S-adenosylmethionine decarboxylase inhibitors, e.g. those mentioned in EP 0 456 1 33, in particular 4-amidino-1-indanone-2 '-amininohydrazone;
  • (D) plant alkaloids in particular vinca alkaloids, such as viriblastin (Velban), vincristine (Oncovin) or vindesine; Epipodophylloxoxins such as etoposide (VP-1 6, VePesid) or teniposide (VM-26, Vumon);
  • vinca alkaloids such as viriblastin (Velban), vincristine (Oncovin) or vindesine
  • Epipodophylloxoxins such as etoposide (VP-1 6, VePesid) or teniposide (VM-26, Vumon)
  • adrenocorticoids such as prednisone (Deltason) or dexamethasone (Decadron); Progestins such as hydroxyprogesterone (Prodox), megestrolace tat (Megace) or medroxyprogesterone (Provera, Depo-Provera); Androgens such as testosterone or fluoxymesterone (halotestin); Estrogens such as diethylstilbestrol (DES), estradiol or chlorotriansien (Tace); synthetic analogs of LHRH, such as goserelin (Zoladex); Synthetic analogs of LH-releasing hormones, such as leuprolide (Lupron, Lupron Depot); Antiandrogens such as flutamide (Eulexin); Anti-estrogens such as tamoxifen; Aromatase inhibitors such as aminogluthetimide (cytadren), lent
  • Modifiers for biological processes include lymphokines, such as aldesleukin (human recombinant IL-2, proleukin); or interferons, such as interferon- ⁇ (Intron-A, Roferon) or interferon "B ⁇ B j D '(see EP 0 205 404);
  • lymphokines such as aldesleukin (human recombinant IL-2, proleukin)
  • interferons such as interferon- ⁇ (Intron-A, Roferon) or interferon "B ⁇ B j D '(see EP 0 205 404);
  • (H) antisense oligonucleotides or oligonucleotide derivatives for example targeting raf (see WO 95/32987) or PKC, targeting SAMDC (PCT application WO 96/05298); or (I) mixed-acting agents or agents with other or unknown mechanisms of action, for example S-triazine derivatives, for example altrematin (hexals); Enzymes such as asparaginase (Elspar); Methylhydrazine derivatives such as dacarbazine and procarbazine; Matrix metalloproteinase inhibitors, hexamethylmelamine, pentamethylmelela; Anthraquinones such as Mitoxantrone (Novantrone); Mitotic spindle poisons such as paclitaxel (Taxol), epothilone A, epothilone B, epothilone derivatives or discodermolide; Streptozocin (Zanosar);
  • Antiidiotype antibodies such as TriaAb® or CeaVac® (Titan Pharmaceuticals, Inc.) and with the from eleven,.
  • Amino acid-containing section of the TAT protein of the AIDS virus which causes the penetration of cell membranes, conjugated (for example recombining) proteins, such as proteins influencing cell regulation or correspondingly modified antibodies, the degenerate proteins, such as degenerate tyrosine or within the cancer cell Can bind and thus inactivate serine / threonine kinases).
  • antiviral agents such as e.g. Inhibitors of reverse transcriptase or retroviral proteases, such as HIV protease, or active substances which are active against virus hepatitis (such as HCV), such as interferon (in particular interferon-alpha-2) and / or ribavirin, or antibodies are used.
  • Inhibitors of reverse transcriptase or retroviral proteases such as HIV protease
  • active substances which are active against virus hepatitis such as HCV
  • interferon in particular interferon-alpha-2
  • ribavirin ribavirin
  • Salts of active ingredients with basic Groups can be, for example, acid addition salts, such as halides, methanesulfonates or sulfates, active substances with acidic groups can be salts with bases, such as metals or ammonium salts of ammonia or substituted amines.
  • the active compounds can either be directly (preferably via spacers) covalently coupled (conjugated) to superparamagnetic beads, or incorporated into liposomes which are or can be labeled with superparamagnetic beads which are non-covalent (for example by antigens conjugated with lipids) the liposome surface are presented and allow the docking of antibodies marked by superparamagnetic beads, or are bound using the biotin / avidin or biotin / streptavidin interaction), or are covalently bound to the liposomes by direct binding or binding via spacers (ge - Bund.e.g.
  • the liposome envelope such as amino groups of lecithins, or amino, hydroxyl or carboxy groups on acyl residues, which belong to the liposome-forming phospholipids, or the like).
  • superparamagnetic material for example directly corresponding iron oxide particles, can be built directly into the liposomes.
  • Superparamagnetic beads labeled only with antibodies can also be used, since they also recognize corresponding diseased cells and make them accessible for treatment with DM fields.
  • a liposome dispersion which can be used in the context of the invention comprises a) one or more phospholipids of the formula A,
  • R A C 10 . 20 acyl, R B is hydrogen or C 10 . 20 -acyl, R a , R b and R c are hydrogen or C, _ 4 -alkyl and n are an integer from two to four, if desired b) another phospholipid or more phospholipids; c) the active ingredient (s) and d) a pharmaceutically acceptable carrier liquid and, if desired, further auxiliaries and / or preservatives.
  • the production process for these dispersions is characterized in that a solution or suspension of components a) and c) or a), b) and c), preferably a) and b), in a weight ratio of 20: 1 to 1 : 5, in particular from 5: 1 to 1: 1, converted into a dispersion by dilution with water, then the organic solvent is removed, for example by centrifugation, gel filtration, ultrafiltration or in particular by dialysis, e.g. B.
  • tangehtial dialysis preferably against water, the dispersion obtained, preferably after addition of auxiliaries or preservatives, if necessary with adjustment to an acceptable pH by adding pharmaceutically acceptable buffers such as phosphate salts or organic acids (pure or dissolved in water), such as Acetic acid or citric acid, preferably between pH 3 and 6, e.g. B. pH 4 - 5, if it does not already have the correct active ingredient concentration, preferably concentrated to an active ingredient concentration of 0.2 to 30 mg / ml, in particular 1 to 20 mg / ml, the concentration preferably by the latter methods for removing an organic solvent, in particular by ultrafiltration, for. B. using an apparatus for performing tangential dialysis and ultrafiltration.
  • pharmaceutically acceptable buffers such as phosphate salts or organic acids (pure or dissolved in water), such as Acetic acid or citric acid, preferably between pH 3 and 6, e.g. B. pH 4 - 5, if it does not already have the correct active ingredient concentration, preferably concentrated to
  • the dispersion which can be prepared by this process and stabilized by phospholipids is stable at room temperature for at least several hours, is reproducible with regard to the proportion of the components and is toxicologically harmless and is therefore particularly suitable for oral or intravenous administration to warm-blooded animals, in particular special people, suitable.
  • the order of magnitude of the particles obtained in the dispersion is variable and is preferably between about 1.0 x 10 " 8 to about 1.0 x 10 " 5 m, in particular between about 10 "7 and about 2 x 10 ⁇ 6 m.
  • R A and R B are 10 _ 20 acyl, preferably straight-chain C 10 _ 20 alkanoyl having an even number of carbon atoms (unsubstituted or substituted with the meanings of C, in particular by functional groups containing a coupling allow for antibodies, beads or the like, for example hydroxyl, amino or carboxyl) and straight-chain C ⁇ 0 _ 20 alkenoyl with a double bond and an even number of carbon atoms (unsubstituted or substituted, in particular by functional groups that couple to antibodies , Beads or the like, for example hydroxyl, amino or carboxyl, where amino or hydroxyl should not be bound to C atoms from which the double bond originates for reasons of stability).
  • Straight chain C 10 . 20 -alkanoyl R A and R B with an even number of carbon atoms are, for example, n-dodecanoyl, n-tetradecanoyl, n-hexadecanoyl or n-octadecanoyl.
  • Straight-chain C 10 _ 20 alkenoyl R A and R B with a double bond and an even number of C atoms are, for example, 6-cis, 6-trans, 9-cis or 9-trans-dodecenoyl, -tetradecenoyl, - hexadecenoyl, octadecenoyl or icosenoyl, especially 9-cis-octadecenoyl (oleoyl).
  • n is an integer from two to four, preferably two.
  • the group of the formula - (C n H 2n ) - represents unbranched or branched alkylene, for example 1,1-ethylene, 1,1-, 1,2- or 1,3-propylene or 1,2-, 1,3- or 1,4-butylene.
  • Phospholipids of the formula A are, for example, naturally occurring cephalins in which R a , R b and R c are hydrogen or naturally occurring lecithins in which R a , R b and R c are methyl, for example cephaline or lecithin from soybeans, bovine brain and bovine liver or hen's egg with different or identical acyl groups R A and R B or mixtures thereof.
  • the term "naturally occurring" phospholipids of the formula A "defines phospholipids which have no uniform composition with respect to R A and R B.
  • Such natural phospholipids are also lecithins and kephalins, the acyl groups R A and R B of which are structurally indefinable and derived from naturally occurring fatty acid mixtures are.
  • Synthetic, essentially pure phospholipids of the formula A with different or identical acyl groups R A and R B are preferred.
  • the term “synthetic” phospholipid of the formula A defines phospholipids which have a uniform composition with respect to R A and R B.
  • Such synthetic phospholipids are preferably the lecithins and kephalins defined below, the acyl groups R A and R B of which have a defined structure and are derived from a defined fatty acid with a degree of purity higher than approximately 95%.
  • R A and R B can be the same or different and unsaturated or saturated.
  • substantially pure phospholipid defines a degree of purity of more than 70% (by weight) of the phospholipid of formula A, which can be determined using suitable determination methods, e.g. paper chromatographically, is detectable.
  • Alkanoyl with an even number of carbon atoms and R B the meaning straight chain C 10 .
  • R A is n-do decanoyl, n-tetradecanoyl, n-hexadecanoyl or n-octadecanoyl and R B is 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexad- cenoyl, 9-cis-octadecenoyl or 9-cis-icosenoyl.
  • R a , R b and R c are methyl and n is 2.
  • a very particularly preferred phospholipid of the formula A is synthetic 1-n-hexadecanoyl-2- (9-cis-octadecenoyl) -3-sn-phosphatidylcholine with one Purity more than 95%.
  • Preferred natural, essentially pure phospholipids of the formula A are in particular lecithin (L- ⁇ -phosphatidylcholine) from soybeans or chicken eggs.
  • Components a), b) and c) or a) and c) are contained in the carrier liquid d) as liposomes in such a way that no solids or solid aggregates such as micelles form for several days to weeks, and the liquid with the components mentioned, if appropriate after filtration, preferably orally or intravenously, can be applied.
  • non-toxic auxiliaries for example water-soluble auxiliaries which are suitable for producing isotonic conditions, for example ionic additives such as table salt or nonionic additives (scaffolding agents) such as sorbitol, mannitol or glucose or water-soluble stabilizers for the liposome dispersion such as lactose, fructose or sucrose.
  • ionic additives such as table salt or nonionic additives (scaffolding agents) such as sorbitol, mannitol or glucose or water-soluble stabilizers for the liposome dispersion such as lactose, fructose or sucrose.
  • emulsifiers such as oleic acid, nonionic surfactants of the fatty acid polyhydroxy alcohol ester type such as sorbitan monolaurate, oleate, stearate or palmitate, sorbitan tristearate or trioleate, polyoxyethylene adducts of fatty acid, polyhydroxy alcohol esters such as polyoxyethylene sorbitan monolaurate, oleate, stearate, palmitate, tristearate or trioleate, polyethylene glycol fatty acid esters such as polyoxyethyl stearate, polyethylene glycol 400 stearate 2000, polyethylene glycol stearate, in particular ethylene oxide-propylene oxide block polymers of the Pluronic ® type (Wyandotte Chem. Corp.) or Synperonic ® (ICI).
  • Pluronic ® type Wide Chem. Corp.
  • Synperonic ® Synperonic ®
  • the liposomes can be separated from free active substance, for example by gel filtration, so that little or no active substance is present outside the liposomes in the remaining dispersion.
  • Superparamagnetic beads can either be subsequently covalently bound (for example by adding bifunctional cross-linkers), or antigenic components that are incorporated into the membrane (for example recombinant membrane proteins such as CD4 or CD8, or low molecular weight haptens, such as dinitrophenol, which are present, for example, instead of the radicals R a , R b or R c ), to which superparamagnetic beads conjugated with the corresponding antibodies can then be bound, or by binding biotin over one Spacers, for example instead of one of the radicals R a , R b and / or R c , and binding of superparamagnetic conjugated with avidin or streptavidin Beads the supermparamagnetically labeled liposomes; the liposome (s) themselves are loaded with these particles with paramagnetic materials, such as the smallest iron oxide particles, which are added directly during the production of the liposomes, and are themselves a kind of superparamagnetic beads.
  • conjugated superparamagnetic beads especially against infected cells, such as HIV-infected lymphocytes or virus (eg HCV) -infected liver cells, or tumor cells
  • active ingredient-containing liposomes coupled with superparamagnetic beads and corresponding antibodies, which are each after injection Enrich at the location of the tumor and which are set in motion directly by means of the DM fields and thus enable anti-tumor effects directly at the location of the infected cells or tumor site due to mechanical stress or, in the case of liposomes, additional drug release under the influence of the DM field.
  • the use of antibodies directed against parasites is also possible.
  • the routes of administration include, inter alia, enteral, such as nasal, oral or rectal; or parenteral, such as intradermal, subcutaneous, intramuscular, but in particular intravascular (especially intravenous), intralumbar, intracranial or intracavitary (eg into the abdominal cavity or other body cavities, in muscular fasciae or the like) injection or intravascular infusion ,
  • enteral such as nasal, oral or rectal
  • parenteral such as intradermal, subcutaneous, intramuscular, but in particular intravascular (especially intravenous), intralumbar, intracranial or intracavitary (eg into the abdominal cavity or other body cavities, in muscular fasciae or the like) injection or intravascular infusion ,
  • the enteral (eg oral) administration is particularly suitable for the treatment of diseases which are accessible from the intestinal, lung, pharynx, mouth and / or nasal lumen.
  • the superparamagnetic beads for example coupled with active substances or active substance-carrying liposomes, can be applied to the desired ones by means of DM fields Places to be maneuvered in the body.
  • Parenteral administration is particularly suitable for the treatment of diseases that can be reached via the bloodstream (in particular infusion, intravascular injection), behind the blood-brain barrier are protected from the access of the active substance or from body cavities (eg abdominal cavity, interpleural gap, interfascicular wall) , Spinal fluid or the like) are accessible, and in the case of the body cavities there is in turn the possibility of maneuvering superparamagnetically labeled active ingredient or appropriately labeled active ingredient-containing liposomes to the desired locations by means of DM fields.
  • Administration can be local (at the site of the disease to be treated, e.g. by injection) or systemic (e.g. by intravascular injection or infusion).
  • the warm-blooded animals e.g. B.
  • doses to be administered expressed as the amount of active substance, vary depending on the species, age, individual condition, mode of application and the particular clinical picture and are in particular between about non-polymeric active ingredients (other than proteins or antibodies) 0.1 mg and about 10 g, preferably between about 0.4 mg and about 4 g, e.g. B. at about 1 mg to 1.5 g per person per day, divided into preferably 1 to 3 individual doses, the z. B. can be the same size.
  • the dose, expressed as the amount of the active substance is preferably between 0.05 and 50 mg, in particular between 0.1 and 10 mg, per person and day. Children are usually given half the dose of adults. If necessary, the treatment can be carried out as necessary to treat tumors and / or to prevent the formation of metastases.
  • reaction partner A active substances or liposomes (with or without antibody marking, loaded with active substance)
  • reaction partner B superparamagnetic beads
  • reaction partner A Infection-, parasite- or tumor-specific antibodies
  • reaction partner B in each case
  • heterobifunctional coupling reagents which initially contain reactive groups or those containing functional groups, in particular hydroxyl, amino, carboxy, epoxy, thiol or diene groups, which are present on the molecule to be coupled or the surface of the beads or liposo Forms thereof can react and then subsequently or in the same batch at essentially the same time with groups on the molecules or antibodies to be bound.
  • Noncovalent binding is possible by coupling, for example, avidin or streptavidin to reaction partner A, biotin to the reaction partner B to be bound, or vice versa.
  • the covalent coupling can be carried out, for example, on epoxy groups or carboxy groups functionalized as activated esters (reactive form).
  • the reactive carboxy groups can also be prepared in situ (for example using reagents customary in peptide chemistry, for example for the preparation of 1-hydroxybenzotriazole, succinimide or N-hydroxysuccinimide esters, or in-situ derivatization, for example with carbodiimides, such as dicyclohexylcarbodiimide, with carbonylimidazole, with N- [(dimethylamino) -1H-1, 2, 3-triazo-lo [4, 5-b] pyridin-1-ylmethylene] -N-methylmethanaminiumhexa- fluorophosphate-N-oxide (HATU ); with 2- (1H-benzotriazol-1 -yl) -1, 1, 3, 3-tetramethyluronium tetrafluoroborate (HBTU), with 2- (pyridon-1
  • heterobifunctional reagents which can be used are those which comprise a group which reacts with amino, hydroxyl or mercapto groups and which contain a further group which is a disulfide and subsequently with the liberation of a mercapto group (for example with dithiothreitol or similar reducing agents) ) can be implemented.
  • Other possible heterobifunctional reagents e.g. an amino reactive group and a photoactivatable group, e.g. N-hydroxysuccinimidoyl-4-azido-salicylic acid.
  • Still other heterobifunctional reagents include e.g. one amino and one mercapto-reactive group, or two different amino-reactive groups, e.g.
  • Succini idoyl-maleimide derivatives such as succinimidoyl-butylphenyl-maleicide, N- ⁇ -maleimidocaproic acid or N- ( ⁇ -maleimidocaproic acid), or the like.
  • An example of a hydroxy- and sulfhydryl-reactive heterobifunctional reagent is N- ( ⁇ -maleimidophenyl) isocyanate.
  • superparamagnetic beads or other reaction partners B can be activated by cyanogen bromide, but can also be activated by epoxy, nitrophenyl chloroformate, N-hydroxysuccinimide or chloroformate groups, by polyacrylic acid residues (photo-activatable), epoxide groups, bromoacetyl groups, epichlorohydrin groups activation, tresyl chloride activation, vinyl sulfone activation, or the like.
  • New combination products e.g. of antibodies with superparamagnetic beads, or of active substances with liposomes and / or with active substances
  • the invention relates in particular to the embodiments of the invention mentioned in the examples.
  • FIG. 1 Illustrations Fig. 1: The Lorentz force is described by Antoon Lorentz himself as an electrical force and is indeed formally similar the electrical distance effect (coulomb force).
  • the Lorentz force acts on electrical charges in a magnetic field.
  • the demonstration experiment in FIG. 1 demonstrates the effect of the Lorentz force on ions.
  • a dynamic, homogeneous magnetic field is generated (see WO 95/19217), which penetrates a transparent plastic container (3) filled with a mixture of table salt, water and sand (1), which is hermetically sealed from the environment.
  • the DM field is guided through layered plates (also field return path plates (2)) with little loss. Layered laminated cores are not necessary at very low frequencies of the dynamic fields (eg 15 Hz or less).
  • FIG. 2 This time only shows the magnetic aspects.
  • a transparent plastic container (8) which is filled with water, is located above a DM field generator (6).
  • a magnetite ball (7) can e.g. be moved longitudinally in and against the direction of the arrow. This is not possible with a piece of aluminum instead of the magnetite ball (7).
  • (9) symbolizes a closed field line, (10) a slot section with a winding section. It is not possible to describe a quantum mechanical multi-particle problem exactly, but the purely magnetic character of the effect of the DM field can be demonstrated.
  • Fig. 3 The figure shows one of the possible applications of the invention.
  • the sample (15) lying under the microscope (12) in front of its objective (13) on the microscope table (14) contains, for example, cells, cell components or pathogens and a relatively very small number (in extreme cases only 1) with superparamagnetic beads (above corresponding antibodies bound) labeled cells, Cell components or pathogens.
  • DM field generators (11) integrated into the microscope table for generating the field structures can be seen lying on both sides of the sample. These can be 2 active DM field generators, a DM field generator and a magnetic return path or just a DM field generator without a return path.
  • the sample is penetrated by a dynamic magnetic field, for example variable in amplitude, frequency and direction.
  • the observer can now independently change, for example, the frequency, amplitude or direction of the dynamic magnetic field passing through the sample.
  • electronic circuits similar to classic frequency converters, are controlled by control devices, for example foot pedals, switches or the like, or are controlled and switched.
  • the marked objects are correspondingly influenced electromagnetically.
  • constant / non-constant rotations of the marked objects can be achieved in a mathematically positive or negative sense.
  • the dynamic magnetic field can also be divided into several independent static alternating magnetic fields by observing the control circuits, which results in a magnetic "solidification" of the observed objects. All this enables the observation of individually marked objects between a large number of other unmarked objects with a high selectivity.
  • Fig. 4 This figure shows (16) disordered marked objects (e.g. cells). These are set into rotational movements in (17) (see description of this in FIG. 3). Opposing rotational movements can also be achieved, or permanent changes in the rotational movement. Under (18) one
  • Moving movements of the marked objects can be achieved, through which other, also unmarked objects can be marked and transported.
  • the following examples serve to illustrate the invention without restricting its scope.
  • Example 1 Labeling of lymphocytes Extraction of lymphocytes from blood: 20 IU heparin per ml blood are placed in a 20 ml injection syringe and venous blood is drawn up therein. About 4 ml of Macrodex 6% (from Knoll, Ludwigshafen, Germany) are added to this heparin blood and the syringe is placed in a stand at room temperature for about 1 hour. After this time, the almost erythrocyte-free supernatant is taken up in a second syringe with a cannula. The blood is mixed 1: 1 with phosphate-buffered saline (PBS) (150 mM sodium chloride, 150 mM sodium phosphate, pH 7.2).
  • PBS phosphate-buffered saline
  • lymphocyte separation medium (Ficoll solution with a density of 1.077 g / ml) are placed in a centrifuge tube and 4 ml of the blood / PBS solution are carefully layered on the separation medium (carefully pipette to mix the phases avoid).
  • the gradient is centrifuged at 400 g (based on the center of the tube) for 30 min at room temperature (during centrifugation, care must be taken to ensure that the centrifuge's electric brake remains switched off during the run); 4 phases are formed: top layer of plasma, including an opaque whitish band (peripheral monocytic blood cells), then the lymphocyte separation medium and, as a pellet, the remaining erythrocytes with the granulocytes.
  • the plasma is aspirated using a Pasteur pipette.
  • existing monocytes can be removed by transferring the layer with the peripheral monocytic blood cells into a Petri dish.
  • the B and T lymphocytes remain in the supernatant here, while other cell types adsorb to the surface of the petri dish.
  • the cells in the supernatant or (if the monocytes are no longer removed) the aspirated plasma are then in a Buffer solution - PBS (as free as possible of calcium and magnesium ions to prevent cell aggregation with one another or on surfaces) with 2 M EDTA and 0.5% bovine serum albumin (BSA), hereinafter referred to as PBS * - and taken up by a nylon Mesh or a nylon filter (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany) to remove lumps.
  • PBS * - bovine serum albumin
  • the pellet with the cells is then labeled with MACS MultiSort Microbeads (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany), which are labeled with CD4 (or CD-8) antibody (it is anti-CD4 antibody (or with anti-CD8 antibody) conjugated beads with iron oxide in a polysaccharide matrix, diameter approx. 50 nm), incubated: The cells (10 7 cells) are taken up in 80 ⁇ l PBS *. After adding 20 ⁇ l of MACS CD4 (or alternatively CD8) microbeads suspension (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany), the mixture is incubated at 4 ° C. for 10 min.
  • the cells are taken up in a 10 to 20-fold amount of PBS *, centrifuged at 300 ⁇ g for 10 min and, after the supernatant has been completely removed, the cell pellet is taken up in 500 ⁇ l buffer of 10 8 labeled cells each.
  • the magnetic enrichment is then carried out by means of columns which are filled with beads made of plastic-coated ferromagnetic material in the presence of a magnetic field:
  • An MS + column (Miltenyi) is placed in the magnetic field of a permanent magnet (separator from Miltenyi).
  • the column is prepared by washing with 500 ⁇ l PBS *; the cell suspension prepared above is then applied.
  • the unlabeled cells are washed out with PBS * (3 x 500 ⁇ l).
  • the column is then removed from the separator, placed over a suitable collecting tube and washed out with 1 ml PBS *.
  • the CD4 (or CD8) cells with magnetically labeled cells are obtained.
  • Example 2 Detection of magnetically marked cells under the microscope
  • the magnetically marked cells produced in Example 1 are then set microscopically in motion (rotation or migration) using a DM field according to the invention (FIG. 3), as a device for producing the magnetic field structures DM field generator (11), 2 active field generators being used , or alternatively 1 active DM field generator and a magnetic return path, or even just a DM field generator without a magnetic return path. It is possible to move the marked cells in this way. This shows that the principle of the invention is actually applicable.
  • the sample under the microscope contains a large number of unlabelled cells and a smaller (depending on the sample also very small) number of labeled cells, marked with the corresponding antibody and the magnetite particles conjugated to it.
  • constant / non-constant rotations of the marked objects in the mathematically positive or negative sense, constant / non-constant rotations of the marked cells are achieved.
  • the dynamic magnetic field is divided into several independent static magnetic fields by observer wiring of the control loops. In this way, the marked cells can solidify. Even so, individual marked cells can be recognized between unmarked cells that remain mobile.
  • Example 3 Model for the transport of salts within a body
  • a DM field generator (6) moves ions by generating traveling fields can be.
  • a dynamic, homogeneous magnetic field according to WO 95/19217, which penetrates the plastic container (3) and is guided through layered plates (field return plates (2)) with little loss, more of the non-magnetic sodium and chloride ions on one side than on the other after completion of the experiment Side of the box.
  • the experiment also shows that it is possible to produce concentration gradients of salts and thus, for example, to investigate the effect of such gradients on cells (for example macrophages, protozoa) in corresponding test arrangements.
  • Example 4 Model for the transport of magnetic particles in a body or in solutions, in particular for sorting superparamagnetically labeled cells and separating them from unlabeled cells
  • FIG. 2 shows a further arrangement with which the movement of a magnetic particle (here a paramagnetic ball (7) - here as a magnetite ball - as a model) is shown.
  • a magnetic particle here a paramagnetic ball (7) - here as a magnetite ball - as a model
  • the disordered beads (16) are either set in motion by magnetic movement fields (e.g. rotation (17) or targeted movement (19)) or they become compact, here linearly expanded structure by means of static alternating fields - Ren trained (this would, for example, in a body, the closing of blood vessels using superparamagnetic shear beads to prevent the blood supply to a tumor or infected tissue and thus kill them).
  • alternating with rotation of cells marked with superparamagnetic beads is also possible (19).

Abstract

The invention relates to: the use of dynamic magnetic fields (DM fields) or DM field generators for identifying and/or sorting cells, cell components or pathogens; the use of said fields or field generators for eliminating pathogens contained in liquids; methods or procedures for treating infected cells or tumour cells; the use of superparamagnetically marked active substances for producing a preparation to be used in a method for treating infected cells or tumour cells, said method comprising treatment with a DM field or DM field generator; and the combination of superparamagnetically marked active substances or superparamagnetic beads with a DM field generator. Fig. 3 illustrates the example of a microscope (12), under which a superparamagnetically marked sample (15) is subjected to the DM alternating field that is created by the field generator (11), thus setting the displaced marked objects (e.g. cells) in motion. Said cells can then be identified in a specific manner.

Description

DYNAMISCHE SUPERPARAMAGNETISCHE MARKER DYNAMIC SUPER PARAMAGNETIC MARKERS
Die Erfindung betrifft die Verwendung von dynamischen Magnetfeldern (DM-Felder) oder DM-Felderzeugern zum Erkennen und/oder Sor- tieren von Zellen, Zellbestandteilen oder Pathogenen, die Verwendung dieser Felder oder Felderzeuger zur Reinigung von Flüssigkeiten von Pathogenen, Methoden oder Verfahren zur Behandlung von infizierten Zellen oder TumorZeilen, die Verwendung superpa- ramagnetisch markierter Wirkstoffe zur Herstellung eines Präpara- tes zur Anwendung in einem Verfahren zur Behandlung von infizierten Zellen oder Tumorzellen, das die Behandlung mit einem DM-Feld oder DM-Felderzeuger umfasst, sowie die Kombination von superpa- ramagetisch markierten Wirkstoffen oder superparaqmagnetischen Beads mit einem Erzeuger eines DM-Feldes .The invention relates to the use of dynamic magnetic fields (DM fields) or DM field generators for recognizing and / or sorting cells, cell components or pathogens, the use of these fields or field generators for cleaning pathogen liquids, methods or methods for treatment of infected cells or tumor cells, the use of superparamagnetically labeled active ingredients for the production of a preparation for use in a method for the treatment of infected cells or tumor cells, which comprises treatment with a DM field or DM field generator, and the combination of Superparamagically labeled active ingredients or superparaqmagnetic beads with a generator of a DM field.
Hintergrund der ErfindungBackground of the Invention
Systeme zum Isolieren von mit superparämagnetischen Beads oder anderweitig paramagnetisch markierten Zellen sind bekannt. Diese benutzen entweder Zeilsortierapparaturen (siehe z.B. US 5,837,200), die einen relativ niedrigen Durchsatz haben, oder sie basieren auf dem Anlegen von statischen magnetischen Gleichfeldern, um superparamagnetisch markierte Zellen mittels einer durch einen Magneten, der ein nichthomogenes magnetisches Gleichfeld erzeugt, umgebenen Säule zurückzuhalten und erst nach Auswa- sehen nicht markierter Zellen durch Entfernen des Magneten auch auswaschbar zu machen (MACS = Magnetically Activated Cell Sorter, kommerziell erhältlich von der Firma Miltenyi Biotec GmbH) .Systems for isolating cells marked with superparamagnetic beads or otherwise paramagnetically are known. These either use line sorting apparatuses (see e.g. US 5,837,200) which have a relatively low throughput, or they are based on the application of static DC magnetic fields in order to retain superparamagnetically marked cells by means of a column surrounded by a magnet which generates a non-homogeneous DC magnetic field and can only be made washable after removing unmarked cells by removing the magnet (MACS = Magnetically Activated Cell Sorter, commercially available from Miltenyi Biotec GmbH).
Bekannt geworden ist auch die Anwendung von Wechselfeldern zur Unterdrückung der Kettenbildung von Häm-Molekülen in durch den Erreger der Malaria, einen Protozoen namens Plasmodium, infizierten Erythrozyten. Eine Form des Erregers hält sich normalerweise in Erythrozyten auf und bewirkt dort durch Aufnahme der Proteinkomponente aus Hämoglobin die Freisetzung von Häm, das sich dann in langen Ketten zusammenlagert. Durch Wechselfelder gelang es, diese Kettenbildung zu hemmen bzw. vorhandene Ketten zu zerstören. Dadurch konnte ein 33 bis 70%-igen Abfall der Anzahl an Parasiten erreicht werden. Die schwach oszillierenden Magnetfelder, die bei diesen Versuchen an der Univesität Washington verwendet wurden, sind niederfrequente Magnetfelder. Sie sollen helfen, dem Erreger der Malaria die Lebensbasis durch Zerstörung der gebildeten Hämstrukturen in den Erythrozyten zu entziehen. Das zweiwertige Eisenion im Hämmolekül ist nur im deoxygenierten Zustand magnetisch, so dass vor allem venöses Blut von Interesse ist.The use of alternating fields to suppress the chain formation of heme molecules in erythrocytes infected by the pathogen of malaria, a protozoan called Plasmodium, has also become known. One form of the pathogen normally resides in erythrocytes, where it releases the heme by absorbing the protein component from hemoglobin, which then stored in long chains. Alternating fields succeeded in inhibiting this chain formation or destroying existing chains. As a result, a 33 to 70% drop in the number of parasites was achieved. The weakly oscillating magnetic fields that were used in these experiments at Washington University are low-frequency magnetic fields. They are intended to help deprive the malaria pathogen of its livelihood by destroying the heme structures formed in the erythrocytes. The divalent iron ion in the heme molecule is magnetic only in the deoxygenated state, so that venous blood is of particular interest.
Bekannt ist auch ein Verfahren einer dänischen Firma (MEDICO- CHEMICAL LAB, APS) , bei dem eine magnetisierte Medizin direkt in die Blutbahn in iziert wird und an der Stelle, wo die Behand- lung stattfinden soll, beispielsweise am Ort eines Tumors, durch ein starkes magnetisches Gleichfeld festgehalten und so angereichert wird. Problematisch hierbei war, ein Magnetfeld aufzubauen, das stark genug ist, den Wirkstoff am gewünschten Ort zu halten.A method of a Danish company (MEDICO- CHEMICAL LAB, APS) is also known, in which magnetized medicine is injected directly into the bloodstream and at the location where the treatment is to take place, for example at the site of a tumor strong magnetic DC field is captured and enriched. The problem here was to build up a magnetic field that is strong enough to hold the active substance at the desired location.
Schließlich ist auch bekannt , Eisenoxid enthaltende Nanopartikel in einen Tumor zu verabreichen (z.B. durch Injektion) und dann durch Anwendung von Wechselfeidern lokal derart in Schwingungen zu versetzen, daß am Ort der Nanopartikel Temperaturen bis ca. 47 °C entstehen. Als Folge zerfällt das entartete Gewebe. In Mäuse verpflanzte Brusttumoren verschwanden so innerhalb einer halben Stunde. Diese an der Humbold-Universität entwickelte Methode verwendet hochfrequente Felder (kHz, MHz) . Die hier wirkenden elektromagnetischen Felder sind jedoch materialkonstanten-abhängig und u.U. inhomogen. Ihre Wirkung kann im Unterschied zu derjenigen der dynamischen Wechselfelder, die mit der ersten Maxwellschen Gleichung beschrieben werden können, mit der zweiten Maxwellschen Gleichung beschrieben werden (Induktionsgesetz) .Finally, it is also known to administer nanoparticles containing iron oxide to a tumor (e.g. by injection) and then to set them in vibration locally using alternating fields in such a way that temperatures of up to approx. 47 ° C. arise at the location of the nanoparticles. As a result, the degenerated tissue disintegrates. Breast tumors transplanted into mice disappeared within half an hour. This method, developed at Humbold University, uses high-frequency fields (kHz, MHz). However, the electromagnetic fields acting here are dependent on the material constants and may inhomogeneous. In contrast to that of the dynamic alternating fields, which can be described with the first Maxwell equation, their effect can be described with the second Maxwell equation (induction law).
1. Maxwell 'sehe Gleichung: J H-ds = J(J + θD/3t) -dA 2 . Maxwell ' sehe Gleichung: X E " ds = - - / J .d /dt ' dA1. Maxwell's equation: J H-ds = J (J + θD / 3t) -dA 2nd Maxwell 'see equation: XE "ds = - - / J .d / dt' dA
A = FlächeA = area
H = Magnetisches FeldH = magnetic field
E = Elektrisches FeldE = electric field
J = Stromdichte s = WegstreckeJ = current density s = distance
B = Magnetische Flussdichte t = Zeit dO/dt = VerschiebungsstromdichteB = magnetic flux density t = time dO / dt = displacement current density
Alle genannten Systeme verwenden entweder statische magnetischeAll of the systems mentioned use either static magnetic
Gleichfelder oder einfache (oszillierende) Wechselfelder .DC fields or simple (oscillating) alternating fields.
Insbesondere in der eingangs erwähnten MACS-Technik werden magnetische Felder angewendet , die von einem Permanentmagneten erzeugt werden. Diese inhomogenen, statischen magnetischen Glei'chf eider sind Materialkonstanten-unabhängig (J . C . Maxwell , On Faraday' s Lines of Force, Scientific Papers 1 855 , 1 856 , nachgedruckt Dower, New York 1 952 ) , können also Flüssigkeiten durchdringen und darin befindliche magnetische Partikel erreichen und auf diese einwir- ken . Das magnetische System ist j edoch nach dessen Installation in der Anlage unveränderlich festgelegt . Es steht ausser Zweifel, dass eine Vielzahl magnetisch markierter Obj ekte ( z . B . Zellen) in Lösung von einem starken Permanentmagneten angezogen werden, wenn auch unterschiedlich stark .Magnetic fields generated by a permanent magnet are used in particular in the MACS technology mentioned at the outset. These inhomogeneous, static magnetic sliding fields are independent of material constants (J.C. Maxwell, On Faraday's Lines of Force, Scientific Papers 1 855, 1 856, reprinted by Dower, New York 1 952) and can therefore penetrate liquids and Reach the magnetic particles contained therein and act on them. However, the magnetic system cannot be changed after it has been installed in the system. There is no doubt that a large number of magnetically marked objects (e.g. cells) are attracted to a strong permanent magnet in solution, albeit to different extents.
Die Patentanmeldung WO 95/19217 (entspricht EP 0 740 578) beschreibt eine Vorrichtung, die es ermöglicht, regelrecht sich bewegende elektromagnetische Felder zu erzeugen. Diese wird in der angegebenen Patentanmeldung zur Bewegung von Ionen in Mauer- werk mit dem Ziel, Salze aus Mauerwerk zu entfernen, angewendet.The patent application WO 95/19217 (corresponds to EP 0 740 578) describes a device which makes it possible to generate literally moving electromagnetic fields. This is used in the stated patent application for the movement of ions in masonry with the aim of removing salts from masonry.
Zur Therapie proliferativer Erkrankungen, wie Tumorerkrankungen oder Krebs, werden bislang vor allem Chemotherapie, Bestrahlung, chirurgische Behandlung, Cryother ie (Einfrieren) , Hyperthermie (lokal oder im ganzen Körper abnorm erhöhte Temperatur) und Immuntherapie, oder Kombinationen davon, verwendet, zur Behandlung von Infektionen beispielsweise Antibiotika oder andere Chemothe- rapeutika, z.B. antiparasitäre oder antivirale Wirkstoffe. Es besteht ein Bedürfnis, neue Vorrichtungen und Verfahren zur Therapie und Diagnose derartiger Erkrankungen zur Verfügung zu haben.For the therapy of proliferative diseases, such as tumor diseases or cancer, chemotherapy, radiation, surgical treatment, cryotherie (freezing), hyperthermia (locally or throughout the body abnormally elevated temperature) and immunotherapy, or combinations thereof, have been used to treat infections, for example antibiotics or other chemotherapy, rapeutics, eg antiparasitic or antiviral agents. There is a need to have new devices and methods available for the therapy and diagnosis of such diseases.
Anfang 2000 wurde in der Deutschen Ärztezeitung berichtet, dass Krebskulturen in Laborgefässen in ihrem Wachstum beeinträchtigt werden können, wenn sie durch Lautsprecher beschallt wurden. Dieses einfache Experiment zeigt, dass die Zellkulturen (Zellen eines Lungenkarzinoms) bei mechanischer Belastung langsamer wachsen als in einer unbeschallten Kontrollgruppe. Es wäre interessant, derartige mechanische Effekte auf andere Weise hervorzurufen.In early 2000 it was reported in the Deutsche Ärztezeitung that cancer cultures in laboratory vessels can be impaired in their growth if they were exposed to loudspeakers. This simple experiment shows that the cell cultures (cells of a lung carcinoma) grow more slowly under mechanical stress than in an unexposed control group. It would be interesting to produce such mechanical effects in a different way.
Zusammenfassung der Vorteile der ErfindungSummary of the advantages of the invention
Die dynamische Markierungstechnik gemäss der Erfindung erlaubt, im Unterschied zum Stand der Technik jetzt mit magnetischen Bewegungsfeldern (dynamische Magnetfelder, nachfolgend DM-Felder genannt) zu arbeiten. Diese können so kombiniert werden, dass auch in stehenden (ohne Hall-Effekt) oder bewegten Flüssigkeiten niedriger bis hoher (z.B. gela tiger) Viskosität dynamische Effekte auf ruhende oder bewegte markierte Objekte erzeugt werden können. Die Frequenz dieser magnetischen Felder kann so gewählt werden, dass sie auch als materialkonstantenunabhängig angesehen werden können (der frequenzabhängige Summand der ersten Maxwell'sehen Gleichung ist hier zu vernachlässigen, der erste Summand ist völ- lig materialkonstantenunabhängig). Dies bedeutet, dass Felder dieser Art nahezu verlustfrei entsprechende Flüssigkeiten durchwandern können, um dann auf alle magnetischen, z.B. mit magnetischen Beads markierten Objekte, etwa Zellen oder z.B. Liposomen oder superpar magnetisch markierte Wirkstoffe, magnetisch-dyna- misch einwirken zu können (beispielsweise durch Drehungen, Transport oder Aufbau von (nach Eliminieren der Felder reversibel sich auflösenden) Strukturbarrieren) . Durch eben diese dynamische Charakteristik der für die dynamische Markierung verwendbaren Felder (DM-Felder) können ferner auch elektrische Kräfte in Flüssigkeiten erzeugt werden, die magnetische wie auch unmagnetische Ionen be- einflussen können (siehe unten Fig . 1 ) .In contrast to the prior art, the dynamic marking technique according to the invention now makes it possible to work with magnetic movement fields (dynamic magnetic fields, hereinafter referred to as DM fields). These can be combined in such a way that even in standing (without Hall effect) or moving liquids with low to high (eg reliable) viscosity, dynamic effects can be generated on stationary or moving marked objects. The frequency of these magnetic fields can be selected so that they can also be regarded as independent of the material constants (the frequency-dependent summand of the first Maxwell's equation is negligible here, the first summand is completely independent of the material constants). This means that fields of this type can pass through corresponding liquids with almost no loss, in order to then be able to act on all magnetic objects, for example marked with magnetic beads, for example cells or, for example, liposomes or superpar magnetically marked active substances (for example by rotations) , Transportation or construction of (reversible after eliminating the fields dissolving) structural barriers). It is precisely this dynamic characteristic of the fields that can be used for dynamic marking (DM fields) that can also be used to generate electrical forces in liquids which can influence magnetic and non-magnetic ions (see FIG. 1 below).
Die schwach oszillierenden Felder , die in den eingangs erwähnten Versuchen an der Universität Washington gegen Malaria verwendet wurden, können ebenfalls mittels eines in der vorliegenden Erfin- düng verwendeten DM-Felderzeugers hervorgerufen werden, wenn man den sonst langgestreckten DM-Felderzeuger rund ausführt , dem Stator einer Drehstrommaschine vergleichbar, und beispielsweise als eine Art Manschette um einen Arm, ein Bein oder den ganzen Körper legt . Bevorzugt finden j edoch nicht ringförmige DM-Felderzeuger Verwendung .The weakly oscillating fields that were used in the aforementioned experiments at the University of Washington against malaria can also be caused by a DM field generator used in the present invention, if the otherwise elongated DM field generator is made round, the stator comparable to a three-phase machine, and for example as a kind of cuff around an arm, a leg or the whole body. However, non-ring-shaped DM field generators are preferably used.
Es ist auch möglich, mittels der DM-Felder eine mechanische Belastung von infiziertem Gewebe oder Tumorgewebe hervorzurufen, z .B . , indem man superparamagnetische Beads _j.ii der Nähe eines Tumors oder eines infizierten Organs ( z . B . Leber , Gehirn) appliziertIt is also possible to use the DM fields to cause mechanical stress on infected tissue or tumor tissue, e.g. by applying superparamagnetic beads _j.ii close to a tumor or an infected organ (e.g. liver, brain)
(beispielsweise durch Injektion am Tumorort oder durch Transport mittels eines DM-Feld selbst , oder insbesondere durch Administration von mit gegen den Tumor oder infizierte Zellen gerichteten Antikörpern, die superparamagnetisch markiert sind, so dass sie sich wegen der Bindung an Tumorzellen nach beispielsweise Inj ektion oder Infusion an Tumorzellen anreichern) und dann magnetisch mittels DM-Feldern "rüttelt" oder rotiert . Der DM-Felderzeuger kann hier den entsprechenden Erfordernissen in Form, Leistung und Frequenz angepasst werden .(For example, by injection at the tumor site or by transport using a DM field itself, or in particular by administration of antibodies directed against the tumor or infected cells, which are labeled superparamagnetically, so that they bind to tumor cells after, for example, injection or Enrich infusion on tumor cells) and then magnetically "shakes" or rotates using DM fields. The DM field generator can be adapted to the corresponding requirements in terms of shape, power and frequency.
Bei Anwendung von Ferritmaterialien anstelle von geschichteten, gegeneinander isolierten Blechen oder massiven Komponenten (beispielsweise geeignet für Frequenzen unter 15 Hz) als Bestandteil des Magnetfelderzeugers können auch höhere Frequenzen (beispiels- weise im kHz-Bereich) durch ein DM-Gerät erzeugt werden. Die schon beschriebenen Hyperther ieeffekte durch in Tumoren injizierte Eisenoxidpartikel und von aussen angelegte Wechselfelder sollen nach Berichten der Berliner Forscher der Charite/Humboldt- universität bei Mäusen Tumoren zerstört haben. Elektromagnetische Wechselfelder, die über grössere Distanzen (Körper des Menschen) magnetisierte Tumoren wegheizen sollen, sind aufgrund der langen Wege mit unterschiedlichen Materialkonstanten (Gewebe, Wasser etc.) problematisch. Ein zusätzliches Problem ist wohl auch hierbei die "Magnetisierung" des Tumors. Einfaches Einspritzen von superparamagnetischenBeadsgewährleistetnicht immereinegleichmäßige, optimale Verteilung. Dies kann jedoch mit der DM-Technik in Kombination mit Beads, an die Antikörper gegen Tumorzellen oder infizierte Zellen konjugiert sind, und erforderlichenfalls forciertes dynamisches Anpressen über die blutversorgten Teile des erkrankten Gewebes gelingen.When using ferrite materials instead of layered, mutually insulated sheets or solid components (for example suitable for frequencies below 15 Hz) as a component of the magnetic field generator, higher frequencies (for example in the kHz range) can also be generated by a DM device. According to reports by the Berlin researchers from the Charite / Humboldt University, the hyperthermic effects already described by iron oxide particles injected into tumors and external fields are said to have destroyed tumors in mice. Alternating electromagnetic fields, which are supposed to heat away magnetized tumors over large distances (human body), are problematic due to the long distances with different material constants (tissue, water, etc.). An additional problem is probably the "magnetization" of the tumor. The simple injection of superparamagnetic beads does not always guarantee an even, optimal distribution. However, this can be achieved with the DM technique in combination with beads to which antibodies against tumor cells or infected cells are conjugated, and, if necessary, forced dynamic pressing over the blood-supplied parts of the diseased tissue.
Die Anwendungsmöglichkeiten von DM-Feldern sind somit außerordentlich vielfältig.The fields of application of DM fields are therefore extremely diverse.
Detaillierte Beschreibung der ErfindungDetailed description of the invention
Die Erfindung betrifft die Verwendung von dynamischen Magnetfeldern (DM-Felder) , erzeugbar durch wechselstromversorgte Mehrphasensysteme, oder von DM-Felderzeugern zum Erkennen und/oder Sortieren von Zellen, Zellbestandteilen oder Pathogenen, insbesondere solchen Zellen, Zellbestandteilen oder Pathogene, an die superpa- ramagnetische Beads gebunden sind.The invention relates to the use of dynamic magnetic fields (DM fields) that can be generated by AC-supplied multiphase systems, or of DM field generators for recognizing and / or sorting cells, cell components or pathogens, in particular those cells, cell components or pathogens, to the superparamagnetic Beads are bound.
Die Erfindung betrifft auch die Verwendung von DM-Feldern oder von DM-Felderzeugern zur Reinigung von Flüssigkeiten von Patho- genen, insbesondere solchen, an die superparamagnetische Beads gebunden sind.The invention also relates to the use of DM fields or DM field generators for the purification of liquids from pathogens, in particular those to which superparamagnetic beads are bound.
Die Erfindung betrifft auch Methoden oder Verfahren zur DiagnoseThe invention also relates to methods or methods for diagnosis
(Erkennen von kranken, z.B. infizierten oder Tumorzellen) und insbesondere Behandlung von infizierten Zellen oder Tumorzellen, welche die Nutzung von DM-Feldern oder DM-Felderzeugern und ins- besondere zusätzlich superparamagnetischen Beads umfassen, die am Ort der infizierten Zellen oder Tumorzellen (insbesondere nach entsprechend lokalisierter Administration, z.B. Injektion, oder, insbesondere, wenn die superparamagnetischen Beads an für die genannten Zellen spezifische Antikörper (direkt, über einen Spacer oder über Liposomen) gebunden sind, systemischer Administration) vorliegen oder an diese gebunden sind.(Detection of sick, for example infected or tumor cells) and in particular treatment of infected cells or tumor cells which prevent the use of DM fields or DM field generators and special additional superparamagnetic beads which bind at the site of the infected cells or tumor cells (in particular after appropriately localized administration, for example injection, or, in particular if the superparamagnetic beads are bound to antibodies specific for the cells mentioned (directly, via a spacer or via liposomes) systemic administration) or are bound to it.
Die Erfindung betrifft auch die Verwendung von superparamagnetisch markiertenWirkstoffen zurHerstellung eines Präparates zurAnwendung in einem Verfahren zur Behandlung von infizierten Zellen oder Tumorzellen, das die Behandlung mit einem DM-Feld oder mit einem DM-Felderzeuger sowie von superparamagnetischen Beads um- fasst, die (a) am Ort der Zellen verabreicht (z.B. injiziert), (b) mit einem DM-Feld oder DM-Felderzeuger dorthin manövriert (vor allem durch Körperhöhlen) und/oder (c) an die genannten Zellen, z.B. über an die Beads gebundene, für Antigene auf den zu behandelnden Zellen spezifische Antikörper (die insbesondere direkt oder über Spacer oder Liposomen an, die Beads gebunden sind) , spezifisch gebunden werden oder sind und gewünschtenfalls einen gegen Infektion oder Tumoren wirksamen Wirkstoff (direkt oder über einen Spacer kovalent an die Beads gebunden oder in Liposomen, die an die Beads gebunden sind) tragen; sowie die Kombination von superparamagetisch markierten Wirkstoffen oder superparamag- netischen Beads mit einem Erzeuger eines DM-Feldes (DM-Felderzeuger) .The invention also relates to the use of superparamagnetically labeled active ingredients for the manufacture of a preparation for use in a method for treating infected cells or tumor cells, which comprises treatment with a DM field or with a DM field generator and superparamagnetic beads, which (a) administered (eg injected) at the location of the cells, (b) maneuvered there with a DM field or DM field generator (especially through body cavities) and / or (c) to the cells mentioned, eg via antibodies bound to the beads, specific for antigens on the cells to be treated (which are bound, in particular, directly or via spacers or liposomes, which are bound to the beads), or are specifically bound and, if desired, an active ingredient which is active against infection or tumors (directly or via carry a spacer covalently attached to the beads or in liposomes attached to the beads); and the combination of superparamagically labeled active ingredients or superparamagnetic beads with a generator of a DM field (DM field generator).
Die vor- und nachstehend genannten Ausdrücke haben vorzugsweise im Rahmen der vorliegenden Offenlegung die folgenden Bedeutungen, soweit nichts anderes angegeben ist - einzelne oder mehrere der entsprechenden spezifischeren Definitionen können anstelle der obigen allgemeineren Definitionen verwendet werden und betreffen dann jeweils bevorzugte Ausführungsformen der Erfindung:Unless otherwise stated, the expressions mentioned above and below preferably have the following meanings within the scope of the present disclosure - one or more of the corresponding more specific definitions can be used instead of the above general definitions and then relate to preferred embodiments of the invention:
DM-Felder (dynamische Magnetfelder) sind solche, die durch die unten näher beschriebenen DM-Felderzeuger erzeugt werden können, insbesondere erzeugt werden. Es handelt sich hierbei um wandernde (oder pulsierende) magnetische Felder, die durch Überlagerung von 2 oder mehr zueinander zeitlich und örtlich versetzten Wechselfeldern entstehen.DM fields (dynamic magnetic fields) are those that can be generated by the DM field generators described in more detail below. be generated in particular. These are wandering (or pulsating) magnetic fields that arise from the superposition of 2 or more alternating fields that are staggered in time and location.
Verwenden von DM-Feldern oder DM-Felderzeugern und superparamagnetischen Beads bedeutet insbesondere, dass DM-Felder oder DM-Felderzeuger angewendet werden, um die superparamagnetischen Beads, insbesondere die an Zellen, Zellbestandteile und/oder Pathogene gebundenen, in Bewegung zu versetzen, beispielsweise in longitu- dinale Bewegung oder Rotation, oder (durch Erzeugen statischer Wechselfelder mittels eines DM-Felderzeugers) aus ihnen Strukturen, wie Barrieren oder s äbchenförmige Strukturen, zu formen.Using DM fields or DM field generators and superparamagnetic beads means in particular that DM fields or DM field generators are used to set the superparamagnetic beads, in particular those bound to cells, cell components and / or pathogens, in motion, for example in longitudinal motion or rotation, or (by generating static alternating fields using a DM field generator) to form structures such as barriers or saber-shaped structures from them.
DM-Felder (magnetischeBewegungsfelder) sinddadurchgekennzeich- net, daß sie der ersten Maxwellschen Gleichung gehorchen und somit magnetische Effekte betreffen, die bei Wahl ausreichend niedriger Frequenzen, da dann der zweite Summand der 1. Maxwell ' sehen Gleichung vernachlässigbar ist (mit änderten Worten, wenn nur kaum messbare zusätzliche Erwärmung (Erwärmung durch Wirbelströme) entsteht) , materialkonstantenunabhängige Durchdringung zeigenDM-fields (magnetic motion fields) sinddadurchgekennzeich- net that they obey the first Maxwell equation and hence affect magnetic effects sufficiently low when selecting frequencies, since then the second term of the 1st Maxwell see 'equation is negligible (with änder t en words , if there is hardly any measurable additional warming (warming due to eddy currents), show material-independent penetration
(im Unterschied hierzu beruhen z.B. die an der Charite genutzten(In contrast to this, e.g. those used at the Charite are based
Felder auf der zweiten Maxwellschen Gleichung und basieren auf dem Prinzip der Induktion) .Fields on the second Maxwell equation and are based on the principle of induction).
DM-Felderzeuger sind in WO 95/19217 beschrieben, sie können in den Abmessungen und der Form an die Bedürfnisse angepasst werdenDM field generators are described in WO 95/19217, their dimensions and shape can be adapted to the needs
(z.B. durch Dimensionierung, etwa so, dass sie auf einem(e.g. by dimensioning, such that they are on a
Mikroskopiertisch verwendet werden können, bis hin zu sich über einen ganzen Körper erstreckenden Spulensystemen) . Im Prinzip entsprechen sie "Linearmotoren". Für die Erzeugung der DM-Felder der vorliegenden Erfindung werden somit als DM-Erzeuger wechselstromversorgte Mehrphasensysteme, das heisst, solche mit 2 oder mehr relativ zueinander örtlich versetzten Spulen, die zeitlich versetzt angesteuert werden, eingesetzt, beispielsweise in Kombination mit einem Frequenzumformer. Das Mehrphasensystem ist vorzugsweise in ein magnetisches Material eingebettet, wodurch eine Konzentrierung und Amplifizierung erreicht werden. Die Windungen können beispielsweise in einen geschlitzten, ferromagne- tischen, laminierten Kern eingebracht werden, bei dem die Lami- nierungen (beispielsweise durch isolierende Lacke, wie Schellack, Kunststoffe oder Papier) voneinander isoliert sind. In einer weiteren Ausführungsform der Erfindung werden Widerstände oder Spulen zwischen dem Versorgungsnetz und dem Mehrphasensystemn zwischengeschaltet - dies ermöglicht eine Variation der DM- Wechselfeld-Amplitude. Konkrete Ausführungsformen für derartigeMicroscope stage can be used up to whole-body coil systems). In principle, they correspond to "linear motors". For the generation of the DM fields of the present invention, AC-supplied multiphase systems, that is to say those with 2 or more coils which are spatially offset relative to one another and which are actuated at different times, are used as DM generators, for example in combination with a frequency converter. The multiphase system is preferably embedded in a magnetic material, whereby concentration and amplification are achieved. The windings can, for example, be introduced into a slotted, ferromagnetic, laminated core in which the laminations are insulated from one another (for example by insulating lacquers such as shellac, plastics or paper). In a further embodiment of the invention, resistors or coils are interposed between the supply network and the multiphase systems - this enables the DM alternating field amplitude to be varied. Concrete embodiments for such
Vorrichtungen finden sich in WO 95/19217, welche hier durch Bezugnahme inkorporiert werden. In einer Ausführungsform sind die DM-Felderzeuger feststehend, so dass das DM-Feld lediglich durch den Wechselstrom erzeugt wird, sie können jedoch vor- zugsweise auch während der DM-Felderzeugung verschiebbar sein. Für die Erzeugung der magnetischen Bewegungsfeider ist also ausschließlich oder mindestens hauptsächlich die Wechselstromversorgung des Mehrphasensystems verantwortlich, doch kann der Ort des DM-Feldes durch Verschiebung des DM-Felderzeugers ebenfalls variiert werden. Dies unterscheidet die DM-Felder wesentlich von durch relative Bewegung von Permanentmagneten oder (gleich- oder wechselstromangesteuerten) Einphasen-Elektromagneten.Devices are found in WO 95/19217, which are incorporated herein by reference. In one embodiment, the DM field generators are fixed, so that the DM field is only generated by the alternating current, but they can preferably also be displaceable during the DM field generation. The generation of the magnetic motion field is therefore solely or at least mainly responsible for the AC supply of the multiphase system, but the location of the DM field can also be varied by shifting the DM field generator. This distinguishes the DM fields significantly from the relative movement of permanent magnets or (direct or alternating current controlled) single-phase electromagnets.
Erkennen von Zellen, Zellbestandteilen oder Pathogenen bedeutet, dass diese nach Markierung mit superparamagnetischen Beads durch Anlegen von magnetischen Bewegungsfeidern in Rotation versetzt oder gerichtet bewegt werden können und so beobachtet und in Gegenwart nichtmarkierter Zellen erkannt (identifiziert) werden können, vorzugsweise mikroskopisch. Dies bedeutet, dass auch eine Methode zur Diagnose (beispielsweise Erkennen von kranken Zellen aus Gewebezellen oder Blut) Gegenstand der vorliegenden Erfindung ist .Detection of cells, cell components or pathogens means that after marking with superparamagnetic beads they can be set in rotation or moved in a directional manner by applying magnetic movement fields and can thus be observed and recognized (identified) in the presence of unmarked cells, preferably microscopically. This means that a method for diagnosis (for example detection of diseased cells from tissue cells or blood) is also the subject of the present invention.
Sortieren von Zellen, Zellbestandteilen oder Pathogenen bedeutet, dass entsprechend superparamagnetisch markierte Zellen, Zellbestandteile oder Pathogene aus Lösungen durch Anlegen beispiels- weise von magnetischen Bewegungsfeidern oder durch Erzeugen von Strukturen (Fig. 4, (18)) aus Gemischen mit unmarkierten Gegenstücken heraussortiert oder angereichert werden können, beispielsweise aus fliessenden Lösungen, indem sie an eine Seite gelenkt und nur dort abgezweigt werden, oder aus stehenden L sungen, insbesondere Blutkonserven, Blutserumkonserven oder Blutplasmakonserven oder Nährmedien, beispielsweise für die Organtransplantation oder Zellkulturen, die frei von Pathogenen sein müssen) , indem sie ebenfalls an eine Stelle, z.B. eine Seite, konzentriert und dort (beispielsweise durch Absaugen) entfernt werden. Vorteil ist, dass beispielsweise Nährmedien für die Zellkultur oder aus Blut gewonnene Konserven so gereinigt werden können. Durch sequentielle Anwendung unterschiedlicher Antikörper können so auch mehrere Komponenten aus einer Probe gewonnen werden.Sorting cells, cell components or pathogens means that appropriately superparamagnetically labeled cells, cell components or pathogens from solutions by applying, for example, as from magnetic motion fields or by creating structures (Fig. 4, (18)) from mixtures with unmarked counterparts can be sorted out or enriched, for example from flowing solutions by directing them to one side and only branching off there, or from standing L solutions, in particular blood preserves, blood serum preserves or blood plasma preserves or nutrient media, for example for organ transplantation or cell cultures, which must be free of pathogens) by likewise concentrating them on one site, for example on one side, and removing them there (for example by suction). The advantage is that, for example, culture media for cell culture or canned blood can be cleaned in this way. By sequentially using different antibodies, several components can be obtained from one sample.
Zellbestandteile sind beispielsweise Organellen, wie Lysosomen, Endoplasmatisches Retikulum, Vesikel der Zellmembran (z.B. Mikro- so en, kanalikuläre Membranvesikel aus Gallenkanälchen) und dergleichen. Pathogene sind auch Krebszellen, z.B. (beispielsweise zur Metastasenbildung fähige) Tumorzellen, wie Blutkrebszellen, oder abnorm proliferierende Zellen aus Knochenmark.Cell components are, for example, organelles such as lysosomes, endoplasmic reticulum, vesicles of the cell membrane (e.g. micro soes, channelicular membrane vesicles from biliary tubules) and the like. Pathogens are also cancer cells, e.g. Tumor cells (for example capable of forming metastases), such as blood cancer cells, or abnormally proliferating cells from bone marrow.
Pathogene sind beispielsweise Bakterien einschliesslich Mycoplas- men, Viren (z.B. HIV, Hepatitis-Viren, wie HCV) , Pilze (wie Hefen) oder Parasiten (wie Protozoen, z.B. Trypanosomen oder Plasmodien, Würmer oder dergleichen) .Pathogens are, for example, bacteria including mycoplasma, viruses (e.g. HIV, hepatitis viruses such as HCV), fungi (such as yeasts) or parasites (such as protozoa, e.g. trypanosomes or plasmodia, worms or the like).
Die superparamagnetische Markierung gelingt vorzugsweise durch superparamagnetisch markierte Antikörper oder durch superpara- magnetisch markierte Liposomen, die auch Antikörper gebunden haben, welche für die entsprechenden Zellen oder Pathogene, d.h. spezifisch oder verstärkt dort exprimierte Antigene, spezifisch sind und diese binden. Diese Antikörper sind beispielsweise gegen (z.B. auf der Zelloberfläche exprimierte) Tumorantigene, auf der Zelloberfläche (beispielsweise durch antigenpräsentierende Proteine wie solche des Hauptkompatibilitätskomplexes (Major Histocompatibility Complex) oder dergleichen) präsentierte Peptide (beispielsweise aus Pathogenen, wie Viren oder Mycoplasmen) oder direkt auf den Pathogenen selbst vorliegende Antigene gerichtet und durch Standardverfahren erhältlich.The superparamagnetic labeling is preferably achieved by superparamagnetically labeled antibodies or by superparamagnetically labeled liposomes, which have also bound antibodies which are specific for the corresponding cells or pathogens, ie specifically or intensively expressed there, and bind them. These antibodies are, for example, against (for example expressed on the cell surface) tumor antigens, on the cell surface (for example by antigen-presenting proteins such as those of the main compatibility complex (major Histocompatibility Complex) or the like) presented peptides (for example from pathogens such as viruses or mycoplasma) or directed directly to the antigens themselves and available by standard methods.
Das Sortieren von Zellen, Zellbestandteilen oder Pathogenen gelingt ebenfalls mittels entsprechend superparamagnetisch markierten Antikörpern oder Liposomen, wobei ebenfalls aus fliessenden oder stehenden Flüssigkeiten die markierten Komponenten an be- stimmten Stellen angereichert und dann selektiv abgeleitet oder abgesaugt werden können. Das Reinigen von Flüssigkeiten von Zellen, Zellbestandteilen oder Pathogenen gelingt ebenfalls auf analoge Weise.The sorting of cells, cell components or pathogens is also possible by means of correspondingly superparamagnetically labeled antibodies or liposomes, the labeled components also being able to be enriched at certain points from flowing or standing liquids and then selectively derived or suctioned off. The cleaning of liquids from cells, cell components or pathogens also works in an analogous manner.
Die Behandlung von infizierten Zellen oder Tumorzellen kann beispielsweise extrakorporal erfolgen (beispielsweise in Zeil- oder Gewebskulturen, etwa zum Züchten von Leberzellen aus einer virusinfizierten Leber, oder aus isoliertem Knochenmark eines Tumorpatienten, um jeweils infizierte bzw. Tumorzellen zu entfernen und so die Reimplantation zu ermöglichen) . Auf diese Weise können (durch Heraussortieren markierter infizierter oder tu oraler Zellen, durch deren mechanische Zerstörung, durch kräftige Bewegung und/oder durch Administration mit Wirkstoffen beladener superpa- ramagnetischer, antikörpergebundener Beads, deren Wirkstoffe im DM-Feld durch die stärkere mechanische Belastung der gebundenen Zellen und die selektive Aufkonzentrierung an den Zellen dort verstärkt wirken) die unerwünschten Zellen beseitigt und so rein "gesunde" Zeil- oder Gewebskulturen oder Zellen oder Gewebeteile gewonnen werden, die beispielsweise zur heterologen oder vor- zugsweise autologen Transplantation verwendet werden können.The treatment of infected cells or tumor cells can be carried out, for example, extracorporeally (for example in cell or tissue cultures, for example for culturing liver cells from a virus-infected liver, or from isolated bone marrow of a tumor patient, in order to remove infected or tumor cells in each case and thus enable reimplantation ). In this way (by sorting out marked infected or tu oral cells, by mechanically destroying them, by vigorous movement and / or by administration of superparamagnetic, antibody-bound beads loaded with active substances, their active substances in the DM field due to the greater mechanical load on the bound Cells and the selective concentration on the cells have an increased effect), the unwanted cells are eliminated and purely "healthy" cell or tissue cultures or cells or tissue parts are obtained, which can be used, for example, for heterologous or preferably autologous transplantation.
Die Behandlung kann aber auch im Körper erfolgen, vorzugsweise bei einem Warmblüter, wie einem Menschen, insbesondere, wenn dieser einer entsprechenden Behandlung bedarf. So können antikörper- und superparamagnetisch markierte Beads, vorzugsweise mit einem oder mehreren Wirkstoffen beladen, einem Warmblüter administriert und mittels DM-Feldern nach "Andocken" am erkrankten Gewebe in Bewegung versetzt werden, was einerseits die erkrankten Zellen mechanisch belastet, andererseits dem Wirkstoff verstärkt aussetzt (beispielsweise, da dieser durch das DM-Feld ins Zellinnere ge- langt) .However, the treatment can also be carried out in the body, preferably in the case of a warm-blooded animal, such as a person, in particular if the person requires appropriate treatment. Antibody and superparamagnetic labeled beads, preferably loaded with one or more active ingredients, can be administered to a warm-blooded animal and are put into motion by means of DM fields after "docking" on the diseased tissue, which on the one hand mechanically stresses the diseased cells and on the other hand exposes them to the active substance (for example, because this reaches the interior of the cell through the DM field).
Auch nicht-markierte Beads können (insbesondere in Körperhöhlen, wie Lunge, Magen-Darm-Trakt, Bauchhöhle, Pleuraspalt, Gehirnca- vernen, Rückenmarkskanal, Hohlräume im Bereich von Muskeifaszien etc.) Verwendung finden. Diese können erst mittels DM-Feldern an die gewünschte Stelle (z.B. Tumor, infiziertes Organ, z.B. Leber) manövriert und dann vor Ort in Bewegung versetzt werden und so die erkrankten Stellen durch mechanische Belastung für die Abwehrkräfte des Körpers zugänglich machen.Unlabelled beads can also be used (especially in body cavities such as the lungs, gastrointestinal tract, abdominal cavity, pleural space, brain cavities, spinal canal, cavities in the area of muscle fascia etc.). These can first be maneuvered to the desired location (e.g. tumor, infected organ, e.g. liver) using DM fields and then set in motion on site, thus making the diseased areas accessible to the body's defenses through mechanical stress.
Die Erfindung betrifft auch die Verwendung von' superparamagnetisch markierten Wirkstoffen zur Herstellung eines Präparates zur Anwendung in einem Verfahren zur Behandlung von infizierten Zellen oder Tumorzellen, das die Behandlung mit einem DM-Feld umfasst, sowie die Kombination von superparamagetisch markiertenWirkstoffen oder superparamagnetischen Beads mit einem Erzeuger eines DM-Feldes, insbesondere, wie oben oder in WO 95/19217 beschrieben.The invention also relates to the use of 'superparamagnetically labeled active ingredients for the preparation of a preparation for use in a method for treating infected cells or tumor cells, which comprises treatment with a DM field, and to the combination of superparamagetically labeled active ingredients or superparamagnetic beads with a generator a DM field, in particular as described above or in WO 95/19217.
Superparamagnetische Kügelchen (Beads) sind bekannt, nach an sich bekannten Verfahren herstellbar oder kommerziell erhältlich. Der Ausdruck "Kügelchen" bedeutet nicht zwangsläufig Kugelform, sondern ist im Sinne von "Partikelchen" verwendet.Superparamagnetic beads are known, can be produced by methods known per se or are commercially available. The term "bead" does not necessarily mean spherical, but is used in the sense of "particle".
Beispielsweise beschreibt die Internationale Patentanmeldung WO 85/02772 Partikelchen, die auf einer Kohlenhydrat-, Polyamino- säure- oder Kunststoffmatrix basieren. Beispiele für entsprechende Kohlenhydratmatrices finden sich in PCT/SE82/00381 , PCT/SE83/00106 und PCT/SE83/00268 , für entsprechende Polyaminosäure-Matrices in US 4,247,406; Kunststoffmatrices, beispielsweise basierend auf Polymeren aus Acrylaten, Polystyrol, etc., sind ebenfalls bekannt. In die Matrix sind beispielsweise Eisenoxidpartikel eingebettet. Das Patent US 4,219,411 beschreibt Polystyrol- und insbesondere auf Polymerisaten von Acrylsäure und ihren DerivatenFor example, the international patent application WO 85/02772 describes particles based on a carbohydrate, polyamino acid or plastic matrix. Examples of corresponding carbohydrate matrices can be found in PCT / SE82 / 00381, PCT / SE83 / 00106 and PCT / SE83 / 00268, for corresponding polyamino acid matrices in US 4,247,406; Plastic matrices, for example based on polymers made of acrylates, polystyrene, etc., are also known. For example, iron oxide particles are in the matrix embedded. The patent US 4,219,411 describes polystyrene and in particular on polymers of acrylic acid and its derivatives
(wie Acrylamid, Methacrylamid, Acrylsäure, Methacrylsäure, Di- methylaminomethacrylat, Hydroxy-niederalkyl- oder Amino-nieder- alkylacrylate, wie 2-Hydroxyethyl-, 3-Hydroxypropyl- oder 2-Ami- noethyl-methacrylsäure) basierende Matrices mit freien Hydroxy- gruppen, die mit Cyanogenbromid aktivierbar sind, oder mit freien(such as acrylamide, methacrylamide, acrylic acid, methacrylic acid, dimethylaminomethacrylate, hydroxy-lower alkyl or amino-lower alkyl acrylates, such as 2-hydroxyethyl, 3-hydroxypropyl or 2-aminoethyl methacrylic acid) based matrices with free hydroxy groups that can be activated with cyanogen bromide or with free ones
Carboxygruppen, oder mit freien Aminogruppen, die alle die kova- lente Bindung an Moleküle, wie Antikörper, Avidin oder Streptavi- din, erlauben. Weitere Patente, die geeignete Partikelmatrices beschreiben, sind US 3,957,741 und US 4,035,316.Carboxy groups, or with free amino groups, all of which allow covalent binding to molecules such as antibodies, avidin or streptavidin. Further patents which describe suitable particle matrices are US 3,957,741 and US 4,035,316.
"Superparamagnetisch" bedeutet insbesondere, dass die Permeabilität Uj. zwischen derjenigen von paramagnetischen Materialien und derjenigen von ferromagnetischen Materialien liegt (anders for-"Superparamagnetic" means in particular that the permeability U j . lies between that of paramagnetic materials and that of ferromagnetic materials (otherwise,
Illtlllθi L • r (paramagnet . Material) ^ r~r (superparamagnet. Material) r ( f erromagnet . Material) ' ' beispielsweise im Bereich von μ. ungefähr gleich 2 bis μ_. ungefähr gleich 100. Alle Materialien, die die vorgenannten Bedingungen erfüllen, sind für die Zwecke der vorliegenden Erfindung geeignet. Die superparamagnetischenEigenschattenwerdenvorzugsweisedurch die Einbettung von Metalloxiden, insbesondere Eisenoxid (Fe304) , oder von anderen geeigneten Metallen oder Legierungen erzielt. Die Metallpartikel sind vorzugsweise fein und von relativ gleich- massiger Grosse, so daß der resultierende Partikeldurchmesser vorzugsweise die unten genannten Gr ssen hat. Die Metalle sind insbesondere Eisen, Nickel oder Kobalt, oder Legierungen, die beispielsweise noch Gadolinium, Dysprosium oder Erbium, fernerIlltlllθ i L • r (paramagnet. Material) ^ r ~ r (superparamagnet. Material) r (f erromagnet. Material) '' for example in the range of μ. approximately equal to 2 to μ_. approximately equal to 100. All materials which meet the aforementioned conditions are suitable for the purposes of the present invention. The superparamagnetic properties are preferably achieved by embedding metal oxides, especially iron oxide (Fe 3 0 4 ), or other suitable metals or alloys. The metal particles are preferably fine and of relatively uniform size, so that the resulting particle diameter preferably has the sizes mentioned below. The metals are in particular iron, nickel or cobalt, or alloys, for example gadolinium, dysprosium or erbium
Vanadium, oder andere Übergangsmetalle enthalten können. EisenoxidVanadium, or other transition metals can contain. iron oxide
(insbesondere Magnetit) ist bevorzugt. Einige Ferrite, wie Lithiumferrite, kommen ebenfalls in Frage.(especially magnetite) is preferred. Some ferrites, such as lithium ferrites, are also suitable.
Bevorzugte Beads haben einen mittleren Durchmesser von 2 μm oder weniger, insbesondere 1 μm oder weniger (um beispielsweise nicht im Kapillarsystem stecken zu bleiben) , vorzugsweise von 30 bis 1000 n , insbesondere von 30 bis bis 300 nm. Besonders bevorzugt sind Beads mit biologisch abbaubarer Matrix, z.B. aus Kohlenhydra- ten (insbesondere Polysacchariden) oder Polyaminos uren. Alle diese Beads, wie auch Analoge davon, sind im Rahmen der vorliegenden Erfindung geeignet. Die Beads können auch zusätzlich mit gamma-Strahlern (wie Technetium-99m) in geringer Aktivität mar- kiert sein, um die Bewegung von ggf. mit Wirkstoffen beladenen Kügelchen mittels einer gamma-Kamera, beispielsweise im Körper, zu verfolgen.Preferred beads have an average diameter of 2 μm or less, in particular 1 μm or less (in order not to get stuck in the capillary system, for example), preferably from 30 to 1000 nm, in particular from 30 to 300 nm. Beads with biodegradable are particularly preferred Matrix, e.g. from carbohydrates ten (especially polysaccharides) or polyamino acids. All of these beads, as well as analogs thereof, are suitable for the purposes of the present invention. The beads can also be additionally marked with low activity by gamma emitters (such as technetium-99m) in order to track the movement of globules loaded with active substances by means of a gamma camera, for example in the body.
Insbesondere bietet beispielsweise die Firma Miltenyi Biotec GmbH, BergischGladbach, Deutschland, unterderBezeichnung "MicroBeads" freie oder mit Antikörpern konjugierte Beads mit durchschnittlicher Grosse von rund 50 nm an, die Eisenoxid in einer Polysaccha- ridmatrix enthalten - diese haben den grossen Vorteil, auch bioab- baubar zu sein, und sind deshalb und aufgrund ihrer geringen Grosse sehr bevorzugt. Von der Firma Polysciences , Inc., werden unter der Bezeichnung "BioMag®" Beads von ca. 1 μm Grosse angeboten, die aus einem Eisenoxidkern mit einer Silanhülle bestehen und mit Amino- oder Carboxygruppen funktionalisiert sind, welche die kovalente Bindung an Proteine (wie Antikörper, Avidin, Strept- avidin) , Glykoproteine, Polysaccharide, Lektine und andere Liganden erlaubt. Sigma-Aldrich bietet ebenfalls superparamagnetische Beads von ca. 1 μm Durchmesser auf Eisenoxidbasis an, die an der Oberfläche als funktioneile Gruppen entweder Carboxy- oder Ami- nogruppen tragen. Weitere superparamagnetische Beads werden von der Deutschen Dynal GmbH, Hamburg, Deutschland angeboten, und von einer Reihe weitere Firmen.In particular, the company Miltenyi Biotec GmbH, BergischGladbach, Germany, offers under the name "MicroBeads" free or antibody-conjugated beads with an average size of around 50 nm, which contain iron oxide in a polysaccharide matrix - these have the great advantage, also bioab- to be buildable, and are therefore very preferred because of their small size. From the company Polysciences, Inc., under the name "BioMag ® " beads of approximately 1 μm in size are offered, which consist of an iron oxide core with a silane shell and are functionalized with amino or carboxy groups, which covalently bind to proteins (such as Antibodies, avidin, streptavidin), glycoproteins, polysaccharides, lectins and other ligands allowed. Sigma-Aldrich also offers superparamagnetic beads with a diameter of approx. 1 μm based on iron oxide, which carry either carboxy or amino groups on the surface as functional groups. Other superparamagnetic beads are offered by Deutsche Dynal GmbH, Hamburg, Germany, and by a number of other companies.
Beispiele für Wirkstoffe, die gemäss der Erfindung angewendet werden können, sind insbesondere antitumorwirksame Chemothera- peutika, die (alleine oder als Kombination von zwei oder mehr der genannten Substanzen) erfindungsgemass als Wirkstoffe Einsatz finden können, insbesondere die in folgender Aufstellung enthaltenen:Examples of active substances which can be used according to the invention are, in particular, antitumor chemotherapeutic agents which (alone or as a combination of two or more of the substances mentioned) can be used as active substances according to the invention, in particular those contained in the following list:
(A) Alkylierende Agentien, wie Dacarbazine (DTIC-Dome) ; Senfgas- derivate, wieMechlorethamine (Mustargen) ; Ethyleneiminderivate, e.g. Triethylenethiophosphoramid (thio-tepa) ; Procarbazine (Matu- lane) ; Alkylsulfonate wie Busulfan (Myeleran) ; Cyclophosphamid; 4-Hydroxyperoxycyclophosphamid ( 4-HC) ; Mafosfamid; Ifosfamid; Melphalan (Alkeran) ; Chlorambucil (Leukeran) ; Nitrosoharnstof fe wie Cyclohexylnitrosoharnstoff (meCCNU; Carmustin, BCNU, BiCNU) oderLomustin (CCNU, CeeNU) , cis-Platin (II) -diamindichlorid (Pla- tinol oder Cisplatin) ; Carboplatin (Paraplatin) ; vorzugsweise andere quervernetzende Che otherapeutika, insbesondere bis-al- kylierende Agent ien, besonders Senfgasderivate wie Alkylsulfonate, z .B . Busulfan ; oder Verbindungen, die Vernetzungen (cross-links) über ionische Bindungen bewirken, wie etwa Ethylenimin-Derivate , z . B . Triethylen-thiophosporamid (Thio-tepa) ;(A) alkylating agents such as dacarbazines (DTIC domes); Mustard gas derivatives such as mechlorethamines (mustarges); Ethyleneimine derivatives, eg triethyleneethiophosphoramide (thio-tepa); Procarbazine (Matu lane); Alkyl sulfonates such as busulfan (myeleran); cyclophosphamide; 4-hydroxyperoxycyclophosphamide (4-HC); mafosfamide; ifosfamide; Melphalan (Alkeran); Chlorambucil (Leukeran); Nitrosoureas such as cyclohexylnitrosourea (meCCNU; Carmustin, BCNU, BiCNU) orLomustin (CCNU, CeeNU), cis-platinum (II) -diamine dichloride (platinol or cisplatin); Carboplatin (paraplatin); preferably other cross-linking Che otherapeutics, in particular bis-alkylating agents, especially mustard gas derivatives such as alkyl sulfonates, eg. Busulfan; or compounds that cause cross-links via ionic bonds, such as ethyleneimine derivatives, e.g. B. Triethylene thiophosporamide (Thio-tepa);
(B) Antitumorantibiotica, vorzugsweise ausgewählt aus der Gruppe, welche Bleomycin (Blenoxane) ; Anthracycline, wie Daunomycin, Dactinomycin (Cosmegen) , Daunorubicin (Cerubidin) , Doxorubicin (Adriamycin, Rubex) , Epirubicin, Esorubicin, Idarubicin ( Idamy- cin) , Plicamycin (Mithracin, früher als Mithramycin bezeichnet) und insbesondere quervernetzende (bis-alkylierende) Antitumorantibiotica, wie Mitomycin C (Mitomycin, Mutamycin) umfasst ;(B) antitumor antibiotics, preferably selected from the group consisting of bleomycin (blenoxanes); Anthracyclines such as daunomycin, dactinomycin (Cosmegen), daunorubicin (cerubidine), doxorubicin (Adriamycin, Rubex), epirubicin, esorubicin, idarubicin (idamycin), plicamycin (mithracin, formerly known as mithramycin end) and in particular cross-linking network Antitumor antibiotics, such as mitomycin C (mitomycin, mutamycin);
(C) Antimetabolite , z .B . Folsäureanaloga wie Methotrexate (Fo- lex , Mexate ) oder Tri etrexat ; Purinnucleosidanaloge wie(C) antimetabolites, e.g. Folic acid analogues such as methotrexate (Folex, Mexate) or tri-etrexate; Purine nucleoside analogues such as
Cladribin (Leustatin; 2-Chloro- 2 ' -desoxy-ß-D-adenosin) , 6-Cladribine (leustatin; 2-chloro-2'-deoxy-ß-D-adenosine), 6-
Mercaptopurin (Mercaptopurin, Purinethol , 6-MP) , PentostatinMercaptopurine (Mercaptopurine, Purinethol, 6-MP), Pentostatin
(Nipent ) oder 6-Thioguanin ( 6-TG, Tabloid) ; Pyrimidinanaloge wie(Nipent) or 6-thioguanine (6-TG, tabloid); Pyrimidine analogues such as
5-Fluoruracil (Fluoruracil , 5-FU) , 5-Fluordesoxyuridin (Floxuri- din, FUDR) , Cytosinarabinosid (Ara-C , Cytarabin , Cytosar-U oder5-fluorouracil (fluorouracil, 5-FU), 5-fluorodesoxyuridine (floxuridine, FUDR), cytosine arabinoside (Ara-C, cytarabine, Cytosar-U or
Tarabin PFS) , Fludarabinphosphat (Fludara) oder 5-Azacytidin; Hydroxyharnstoff (Hydrea) ; oder Polyaminbiosyntheseinhibitoren, vor allem Ornithindecarboxylase- oder S-Adenosylmethionindecarbox- ylaseinhibitoren, z .B. die in EP 0 456 1 33 genannten, insbesondere 4-Amidino- 1 -indanon-2 ' -amidinohydrazon;Tarabin PFS), fludarabine phosphate (Fludara) or 5-azacytidine; Hydroxy urea (hydrea); or polyamine biosynthesis inhibitors, especially ornithine decarboxylase or S-adenosylmethionine decarboxylase inhibitors, e.g. those mentioned in EP 0 456 1 33, in particular 4-amidino-1-indanone-2 '-amininohydrazone;
(D) Pflanzenalkaloide, inbesondere Vincaalkaloide, wie Viriblas- tin (Velban) , Vincristin (Oncovin) oder Vindesin; Epipodophylloto- xine, wie Etoposid (VP-1 6 , VePesid) oder Teniposid (VM-26 , Vumon) ;(D) plant alkaloids, in particular vinca alkaloids, such as viriblastin (Velban), vincristine (Oncovin) or vindesine; Epipodophylloxoxins such as etoposide (VP-1 6, VePesid) or teniposide (VM-26, Vumon);
(E) hormoneil wirksame Agentien und Antagonisten, insbesondere Adrenocorticoide , wie Prednison (Deltason) oder Dexamethason (De- cadron) ; Progestine wie Hydroxyprogesteron (Prodox) , Megestrolace- tat (Megace) oder Medroxyprogesteron (Provera, Depo-Provera) ; Androgene wie Testosteron oder Fluoxymesteron (Halotestin) ; Östro- gene wie Diethylstilbestrol (DES) , Estradiol oder Chlorotriansien (Tace) ; synthetische Analoge von LHRH, wie Goserelin (Zoladex) ; Synthetische Analoge von LH-releasing hormone, wie Leuprolid (Lupron, Lupron Depot) ; Antiandrogene wie Flutamid (Eulexin) ; Anti- östrogene wie Tamoxifen; Aromataseinhibitoren wie Aminogluthetimid (Cytadren) , Lentaron (Formestane, 4-Hydroxy-4-androsten-3, 17-dion) (siehe EP 0 162 510), Fadrozol (5- (p-Cyanophenyl) -5, 6, 7, 8-tetra- hydroimidazo[1 , 5-a]pyridin, siehe EP 0437415 und EP 0165904) , Letrozol (4,4'- (1H-1 , 2, 4-Triazol-1 -yl-methylen) -bis-benzonitril, siehe US 4,976,672), Arimidex, 4- (α- (4-Cyanophenyl) -α-fluoro-1 - (1 ,2,4-triazolyl)methyl) -benzonitril (siehe EP 0 490 816) oder 4- (α- (4-cyanophenyl) - (2-tetrazolyl) methyl) -benzonitril (siehe EP 0 408 509); adrenal-cytoxische Agentien, wie Mitotan (Lyso- dren) ; Somatostatinanaloge, wie Octreotid (Sandostatin) ; oder 5α-Reductaseinhibitoren, wie N- (1 -Cyano-1 -methyl-ethyl) -4-aza-3- oxo-5 -androst-1 -en-17ß-carboxamid (siehe EP 0 538 192);(E) agents and antagonists with hormone activity, in particular adrenocorticoids, such as prednisone (Deltason) or dexamethasone (Decadron); Progestins such as hydroxyprogesterone (Prodox), megestrolace tat (Megace) or medroxyprogesterone (Provera, Depo-Provera); Androgens such as testosterone or fluoxymesterone (halotestin); Estrogens such as diethylstilbestrol (DES), estradiol or chlorotriansien (Tace); synthetic analogs of LHRH, such as goserelin (Zoladex); Synthetic analogs of LH-releasing hormones, such as leuprolide (Lupron, Lupron Depot); Antiandrogens such as flutamide (Eulexin); Anti-estrogens such as tamoxifen; Aromatase inhibitors such as aminogluthetimide (cytadren), lentarone (formestane, 4-hydroxy-4-androsten-3, 17-dione) (see EP 0 162 510), fadrozole (5- (p-cyanophenyl) -5, 6, 7, 8 -tetra-hydroimidazo [1, 5-a] pyridine, see EP 0437415 and EP 0165904), letrozole (4,4'- (1H-1, 2, 4-triazol-1-yl-methylene) -bis-benzonitrile, see US 4,976,672), Arimidex, 4- (α- (4-cyanophenyl) -α-fluoro-1 - (1, 2,4-triazolyl) methyl) -benzonitrile (see EP 0 490 816) or 4- (α- (4-cyanophenyl) - (2-tetrazolyl) methyl) benzonitrile (see EP 0 408 509); adrenal-cytoxic agents, such as mitotane (lysodes); Somatostatin analogs such as octreotide (sandostatin); or 5α-reductase inhibitors, such as N- (1-cyano-1-methyl-ethyl) -4-aza-3-oxo-5-androst-1-en-17β-carboxamide (see EP 0 538 192);
(F) Modifikatoren für biologische Vorgänge (biological response modulators) , insbesondere Lymphokine, wie Aldesleukin (humanes rekombinantes IL-2, Proleukin) ; oder Interferone, wie Interferon-α (Intron-A, Roferon) oder Interferon "B^BjD ' (siehe EP 0 205 404) ;(F) Modifiers for biological processes (biological response modulators), in particular lymphokines, such as aldesleukin (human recombinant IL-2, proleukin); or interferons, such as interferon-α (Intron-A, Roferon) or interferon "B ^ B j D '(see EP 0 205 404);
(G) Inhibitoren von Protein-Tyrosinkinasen und/oder Serin/Thre- oninkinasen, ieN-{5- [4-Methyl-piperazino-methyl) -benzoylamido] -(G) inhibitors of protein tyrosine kinases and / or serine / threonine kinases, ieN- {5- [4-methyl-piperazino-methyl) -benzoylamido] -
2-methyl-phenyl}-4- (3-pyridyl) -2-pyrimidin (siehe EP 0 546 409), N- (3-Chlorphenyl) -4- (2- (3-hydroxy) -propyl-amino-4-pyridyl) -2-pyri- midinamin (siehe EP 0 606 046) , N-Benzoyl-staurosporin (siehe EP 0 296 110), 4,5-bis(Anilino)-phthalimid (siehe EP 0 516 588), N- (5-N-Benzoylamido-2-methyl-phenyl) -4- (3-pyridyl) -2-pyridinamin (siehe EP 0 564 409) oder 4- (m-Chloranilino) -5, 6-dimethyl-7H-pyr- rolo[2, 3-d]pyrimidin (siehe EP 0 682 027);2-methyl-phenyl} -4- (3-pyridyl) -2-pyrimidine (see EP 0 546 409), N- (3-chlorophenyl) -4- (2- (3-hydroxy) propylamino-4 -pyridyl) -2-pyrimidineamine (see EP 0 606 046), N-benzoyl-staurosporine (see EP 0 296 110), 4,5-bis (anilino) phthalimide (see EP 0 516 588), N- (5-N-Benzoylamido-2-methylphenyl) -4- (3-pyridyl) -2-pyridinamine (see EP 0 564 409) or 4- (m-chloroanilino) -5, 6-dimethyl-7H-pyr rolo [2, 3-d] pyrimidine (see EP 0 682 027);
(H) Antisense-Oligonucleotide oder Oligonucleotidderivative, beispielsweise auf raf (siehe WO 95/32987) oder PKC zielend, auf SAMDC (PCT-Anmeldung WO 96/05298) ; oder (I) gemischt wirkende Agentien oder Agentien mit anderen oder unbekannten Wirkmechanismen, beispielsweise S-Triazinderivative, z.B. Altrematin (Hexalen) ; Enzyme, wie Asparaginase (Elspar) ; Methylhydrazinderivative, wie Dacarbazin und Procarbazin; Matrix- metalloproteinase-Inhibitoren, Hexamethylmelamin, Pentamethyl- mela in; Anthrachinone wie Mitoxantrone (Novantrone) ; Mitotische Spindelgifte wie Paclitaxel (Taxol) , Epothilon A, Epothilon B, Epothilonderivate oder Discodermolid; Streptozocin (Zanosar) ; Estracyt (Estramustin) ; Amsacrin; Agentien mit Zelldifferen- zierungswirkung, Wie all-trans-Retinsäure (TRA) ; Immunmodulatoren, wie Levamisol (Ergamisol) ; Vakzine, z.B. Anti- melanomvakzine (siehe EP 0 674 097); oder Antikörper, die gegen Tumoren wirksam sind, z.B. gegen Melanom-Antigene gerichtete Antikörper (siehe EP 0 640 131), Antikörper zur aktiven Immun- therapie von Melanomen (siehe EP 0 428 485), Antikörper gegen(H) antisense oligonucleotides or oligonucleotide derivatives, for example targeting raf (see WO 95/32987) or PKC, targeting SAMDC (PCT application WO 96/05298); or (I) mixed-acting agents or agents with other or unknown mechanisms of action, for example S-triazine derivatives, for example altrematin (hexals); Enzymes such as asparaginase (Elspar); Methylhydrazine derivatives such as dacarbazine and procarbazine; Matrix metalloproteinase inhibitors, hexamethylmelamine, pentamethylmelela; Anthraquinones such as Mitoxantrone (Novantrone); Mitotic spindle poisons such as paclitaxel (Taxol), epothilone A, epothilone B, epothilone derivatives or discodermolide; Streptozocin (Zanosar); Estracyt (Estramustine); amsacrine; Agents with cell differentiation action, such as all-trans retinoic acid (TRA); Immunomodulators such as levamisole (ergamisole); Vaccines, for example anti-melanoma vaccines (see EP 0 674 097); or antibodies which are effective against tumors, for example antibodies directed against melanoma antigens (see EP 0 640 131), antibodies for active immunotherapy of melanomas (see EP 0 428 485), antibodies against
Dickdarmkrebs (Panorex®) , Antikörper gegen "Non-Hodkin-LymphomColon cancer (Panorex®), antibodies against " Non-Hodkin lymphoma
(Rituximab) , Antikörper gegen Brustkrebs (Trastuzumab) ,(Rituximab), antibodies to breast cancer (trastuzumab),
Antiidiotyp-Antikörper wie TriaAb® oder CeaVac® (Titan Pharmaceu- ticals, Inc.) und mit dem aus elf ,. Aminosäuren bestehenden Abschnitt des TAT-Proteins des AIDS-Virus, der das Durchdringen von Zellmebranen bewirkt, konjugierte (beispielsweise re- kombinante) Proteine, wie die Zellregulation beeinflussende Proteine oder entsprechend modifizierte Antikörper, die innerhalb der Krebszelle entartete Proteine, wie entartete Tyrosin- oder Serin/Threoninkinasen, binden und so inaktivieren können) .Antiidiotype antibodies such as TriaAb® or CeaVac® (Titan Pharmaceuticals, Inc.) and with the from eleven,. Amino acid-containing section of the TAT protein of the AIDS virus, which causes the penetration of cell membranes, conjugated (for example recombining) proteins, such as proteins influencing cell regulation or correspondingly modified antibodies, the degenerate proteins, such as degenerate tyrosine or within the cancer cell Can bind and thus inactivate serine / threonine kinases).
Als gegen Infektionen wirksame Verbindungen können insbesondere Antibiotika, antivirale Wirkstoffe, wie z.B. Hemmstoffe der Reversen Transkriptase oder retroviraler Proteasen, wie der HlV-Pro- tease, oder gegen Virus-Hepatitis (wie HCV) wirksame Wirkstoffe, wie Interferon (insbesondere Interferon-alfa-2) und/oder Ribavirin, oder Antikörper Verwendung finden.Antibiotics, antiviral agents, such as e.g. Inhibitors of reverse transcriptase or retroviral proteases, such as HIV protease, or active substances which are active against virus hepatitis (such as HCV), such as interferon (in particular interferon-alpha-2) and / or ribavirin, or antibodies are used.
Die genannten Verbindungen können auch als Salze, insbesondere pharmazeutisch verwendbare Salze, vorliegen, wenn sie geeignete salzbildende Gruppen haben. Salze von Wirkstoffen mit basischen Gruppen können beispielsweise Säureadditionssalze sein, wie Halogenide, Methansulfonate oder Sulfate, Wirkstoffe mit sauren Gruppen können Salze mit Basen, wie Metallen oder Ammoniumsalze von Ammoniak oder substituierten Aminen sein. Die Wirkstoffe können entweder direkt (vorzugsweise über Spacer) kovalent an superparamagnetische Kügelchen gekoppelt (konjugiert) sein, oder in Liposomen eingearbeitet sein, welche mit superparamagnetischen Beads markiert sind oder werden können, die nicht-kovalent (beispielsweise durch mit Lipiden konjugierte Antigene, die auf der Liposomenoberflache präsentiert werden und das Andocken von durch superparamagnetische Kügelchen markierten Antikörpern ermöglichen, oder unter Ausnutzung der Biotin/Avidin-bzw. Biotin/Streptavidin- Wechselwirkung) gebunden sind, oder durch direkte Bindung oder Bindung über Spacer kovalent an die Liposomen gebunden sind (ge- bundenz.B. an Bestandteile der Liposomenhülle, wie A inogruppen von Lecithinen, oder Amino-, Hydroxy- oder Carboxygruppen an Acyl- resten, die zu den liposomenbildenden Phospholipiden gehören, oder dergleichen) . Alternativ kann superparamagnetisch.es Material, beispielsweise direkt entsprechende Eisenoxidpartikelchen, direkt in die Liposomen eingebaut vorliegen. Auch lediglich durch Antikörper (die gleichzeitig auch als therapeutische Wirkstoffe fungieren können) markierte superparamagnetische Beads können verwendet werden, da diese ebenfalls entsprechende erkrankte Zellen erkennen und der Behandlung mit DM-Feldern zugänglich machen.The compounds mentioned can also be present as salts, in particular pharmaceutically usable salts, if they have suitable salt-forming groups. Salts of active ingredients with basic Groups can be, for example, acid addition salts, such as halides, methanesulfonates or sulfates, active substances with acidic groups can be salts with bases, such as metals or ammonium salts of ammonia or substituted amines. The active compounds can either be directly (preferably via spacers) covalently coupled (conjugated) to superparamagnetic beads, or incorporated into liposomes which are or can be labeled with superparamagnetic beads which are non-covalent (for example by antigens conjugated with lipids) the liposome surface are presented and allow the docking of antibodies marked by superparamagnetic beads, or are bound using the biotin / avidin or biotin / streptavidin interaction), or are covalently bound to the liposomes by direct binding or binding via spacers (ge - Bund.e.g. on components of the liposome envelope, such as amino groups of lecithins, or amino, hydroxyl or carboxy groups on acyl residues, which belong to the liposome-forming phospholipids, or the like). Alternatively, superparamagnetic material, for example directly corresponding iron oxide particles, can be built directly into the liposomes. Superparamagnetic beads labeled only with antibodies (which can also act as therapeutic agents at the same time) can also be used, since they also recognize corresponding diseased cells and make them accessible for treatment with DM fields.
Beispiele für Liposomenformulierungen sind bekannt; so umfasst eine im Rahmen der Erfindung verwendbare Liposomendispersion (Phospholipid-stabilisierte Dispersion) a) ein Phospholipid oder mehrere Phospholipide der Formel A,Examples of liposome formulations are known; Thus, a liposome dispersion (phospholipid-stabilized dispersion) which can be used in the context of the invention comprises a) one or more phospholipids of the formula A,
11
(A) , worin RA C10.20-Acyl, RB Wasserstoff oder C10.20-Acyl, Ra, Rb und Rc Wasserstoff oder C,_4-Alkyl und n eine ganze Zahl von zwei bis vier darstellen, gewünschtenfalls b) ein weiteres Phospholipid oder mehrere weitere Phospholipide; c) den oder die Wirkstoffe und d) eine pharmazeutisch annehmbare Trägerflüssigkeit und gewünschtenfalls weitere Hilfsstoffe und/oder Konservierungsmittel.(A), wherein R A C 10 . 20 acyl, R B is hydrogen or C 10 . 20 -acyl, R a , R b and R c are hydrogen or C, _ 4 -alkyl and n are an integer from two to four, if desired b) another phospholipid or more phospholipids; c) the active ingredient (s) and d) a pharmaceutically acceptable carrier liquid and, if desired, further auxiliaries and / or preservatives.
Das Herstellungsverfahren für diese Dispersionen ist dadurch ge- kennzeichnet , dass man eine Lösung oder Suspension der Komponenten a) und c) oder a) , b) und c) , vorzugsweise von a) und b) in einem Gewichtsverhältnis von 20 : 1 bis 1 : 5, insbesondere von 5 : 1 bis 1 : 1, durch Verdünnung mit Wasser in eine Dispersion umwandelt, anschliessend das organische Lösungsmittel entfernt, beispielsweisedurchZentrifugation, Gelfiltration,Ultrafiltration oder insbesondere durch Dialyse, z. B. tangehtiale Dialyse, vorzugsweise gegen Wasser, die erhaltene Dispersion, vorzugsweise nach Zugabe von Hilfsstoffen oder Konservierungsmitteln, erforderlichenfalls unter Einstellung eines annehmbaren pH-Wertes durch Zugabe von pharmazeutisch annehmbaren Puffern, wie Phosphatsalzen oder organischen Säuren (rein oder gelöst in Wasser) , wie Essigsäure oder Zitronensäure, vorzugsweise zwischen pH 3 und 6, z. B. pH 4 - 5, falls sie nicht bereits die richtige Wirkstoffkon- zentration hat, konzentriert, vorzugsweise auf eine Wirksto fkon- zentration von 0,2 bis 30 mg/ml, insbesondere von 1 bis 20 mg/ml, wobei die Konzentrierung vorzugsweise nach den zuletzt genannten Methoden zur Entfernung eines organischen Lösungsmittels erfolgt, insbesondere durch Ultrafiltration, z. B. unter Verwendung einer Apparatur zur Durchführung tangentialer Dialyse und Ultrafiltra- tion.The production process for these dispersions is characterized in that a solution or suspension of components a) and c) or a), b) and c), preferably a) and b), in a weight ratio of 20: 1 to 1 : 5, in particular from 5: 1 to 1: 1, converted into a dispersion by dilution with water, then the organic solvent is removed, for example by centrifugation, gel filtration, ultrafiltration or in particular by dialysis, e.g. B. tangehtial dialysis, preferably against water, the dispersion obtained, preferably after addition of auxiliaries or preservatives, if necessary with adjustment to an acceptable pH by adding pharmaceutically acceptable buffers such as phosphate salts or organic acids (pure or dissolved in water), such as Acetic acid or citric acid, preferably between pH 3 and 6, e.g. B. pH 4 - 5, if it does not already have the correct active ingredient concentration, preferably concentrated to an active ingredient concentration of 0.2 to 30 mg / ml, in particular 1 to 20 mg / ml, the concentration preferably by the latter methods for removing an organic solvent, in particular by ultrafiltration, for. B. using an apparatus for performing tangential dialysis and ultrafiltration.
Die nach diesem Verfahren herstellbare, durch Phospholipide stabilisierte Dispersion ist bei Zimmertemperatur mindestens mehrere Stunden stabil, reproduzierbar bezüglich des Mengenanteils der Komponenten und toxikologisch unbedenklich und daher insbesondere für die orale oder intravenöse Verabreichung am Warmblüter, insbe- sondere Menschen, geeignet.The dispersion which can be prepared by this process and stabilized by phospholipids is stable at room temperature for at least several hours, is reproducible with regard to the proportion of the components and is toxicologically harmless and is therefore particularly suitable for oral or intravenous administration to warm-blooded animals, in particular special people, suitable.
Die Grössenordnung der erhaltenen Partikel in der Dispersion ist variabel und liegt vorzugsweise zwischen ca. 1 , 0 x 10"8 bis ca. 1,0 x 10"5m, insbesondere zwischen etwa 10"7 und etwa 2 x 10~6 m.The order of magnitude of the particles obtained in the dispersion is variable and is preferably between about 1.0 x 10 " 8 to about 1.0 x 10 " 5 m, in particular between about 10 "7 and about 2 x 10 ~ 6 m.
Die Nomenklatur der Phospholipide der Formel A und die Bezifferung der C-Atome erfolgt anhand der in Eur. J. of Biochem. 79, 11-21The nomenclature of the phospholipids of the formula A and the numbering of the C atoms is carried out using the method described in Eur. J. of Biochem. 79, 11-21
(1977) "Nomenclature of Lipids" von der IUPAC-IUB Commission on Biochemical Nomenclature (CBN) gegebenen Empfehlungen (sn-Nomen- klatur, stereospecific numbering) .(1977) "Nomenclature of Lipids" recommendations given by the IUPAC-IUB Commission on Biochemical Nomenclature (CBN) (sn-nomenclature, stereospecific numbering).
In einem Phospholipid der Formel A sind RA und RB mit den Bedeutungen C10_20-Acyl vorzugsweise geradkettiges C10_20-Alkanoyl mit einer geraden Anzahl an C-Atomen (unsubstituiert oder substituiert, insbesondere durch funktioneile Gruppen, die ein Ankoppeln an Antikörper, Beads oder dergleichen erlauben, z.B. Hydroxyl, A ino oder Carboxyl) und geradkettiges Cι0_20-Alkenoyl mit einer Doppelbindung und einer geraden Anzahl an C-Atpmen (unsubstituiert oder substituiert, insbesondere durch funktioneile Gruppen, die ein Ankoppeln an Antikörper, Beads oder dergleichen erlauben, z.B. Hydroxyl, Amino oder Carboxyl, wobei Amino oder Hydroxyl aus Stabilitätsgründen nicht an C-Atome gebunden sein sollten, von denen die Doppelbindung ausgeht) .In a phospholipid of the formula A R A and R B are 10 _ 20 acyl, preferably straight-chain C 10 _ 20 alkanoyl having an even number of carbon atoms (unsubstituted or substituted with the meanings of C, in particular by functional groups containing a coupling allow for antibodies, beads or the like, for example hydroxyl, amino or carboxyl) and straight-chain Cι 0 _ 20 alkenoyl with a double bond and an even number of carbon atoms (unsubstituted or substituted, in particular by functional groups that couple to antibodies , Beads or the like, for example hydroxyl, amino or carboxyl, where amino or hydroxyl should not be bound to C atoms from which the double bond originates for reasons of stability).
Geradkettiges C10.20-Alkanoyl RA und RB mit einer geraden Anzahl an C-Atomen sind beispielsweise n-Dodecanoyl, n-Tetradecanoyl, n-Hexadecanoyl oder n-Octadecanoyl. Geradkettiges C10_20-Alkenoyl RA und RB mit einer Doppelbindung und einer geraden Anzahl an C- Atomen sind beispielsweise 6-cis-, 6-trans-, 9-cis- oder 9-trans- dodecenoyl, -tetradecenoyl, -hexadecenoyl, -octadecenoyl oder -icosenoyl, insbesondere 9-cis-octadecenoyl (Oleoyl) .Straight chain C 10 . 20 -alkanoyl R A and R B with an even number of carbon atoms are, for example, n-dodecanoyl, n-tetradecanoyl, n-hexadecanoyl or n-octadecanoyl. Straight-chain C 10 _ 20 alkenoyl R A and R B with a double bond and an even number of C atoms are, for example, 6-cis, 6-trans, 9-cis or 9-trans-dodecenoyl, -tetradecenoyl, - hexadecenoyl, octadecenoyl or icosenoyl, especially 9-cis-octadecenoyl (oleoyl).
In einem Phospholipid der Formel A ist n eine ganze Zahl von zwei bis vier, vorzugsweise zwei. Die Gruppe der Formel - (CnH2n) - stellt unverzweigtes oder verzweigtes Alkylen dar, z.B. 1,1-Ethylen, 1,1-, 1,2- oder 1,3-Propylen oder 1,2-, 1,3- oder 1,4-Butylen. Bevorzugt ist 1,2-Ethylen (n=2) .In a phospholipid of formula A, n is an integer from two to four, preferably two. The group of the formula - (C n H 2n ) - represents unbranched or branched alkylene, for example 1,1-ethylene, 1,1-, 1,2- or 1,3-propylene or 1,2-, 1,3- or 1,4-butylene. 1,2-Ethylene (n = 2) is preferred.
Phospholipide der Formel A sind beispielsweise natürlich vorko - mende Kephaline, worin Ra, Rb und Rc Wasserstoff bedeuten oder natürlich vorkommende Lecithine, worin Ra, Rb und Rc Methyl bedeuten, z.B. Kephalin oder Lecithin aus Sojabohnen, Rinderhirn, Rinderleber oder Hühnerei mit verschiedenen oder identischen Acyl gruppen RA und RB oder Mischungen davon. Der Begriff "natürlich vorkommende" Phospholipide der Formel A" definiert Phospholipide, welche bezüglich RA und RB keine einheitliche Zusammensetzung haben. Solche natürlichen Phospholipide sind ebenfalls Lecithine und Kephaline, deren Acylgruppen RA und RB strukturell undefinierbar und von natürlich vorkommenden Fettsäuregemischen abgeleitet sind.Phospholipids of the formula A are, for example, naturally occurring cephalins in which R a , R b and R c are hydrogen or naturally occurring lecithins in which R a , R b and R c are methyl, for example cephaline or lecithin from soybeans, bovine brain and bovine liver or hen's egg with different or identical acyl groups R A and R B or mixtures thereof. The term "naturally occurring" phospholipids of the formula A "defines phospholipids which have no uniform composition with respect to R A and R B. Such natural phospholipids are also lecithins and kephalins, the acyl groups R A and R B of which are structurally indefinable and derived from naturally occurring fatty acid mixtures are.
Bevorzugt sind synthetische, im wesentlichen' reine Phospholipide der Formel A mit verschiedenen oder identischen Acylgruppen RA und RB. Der Begriff "synthetisches" Phospholipid der Formel A definiert Phospholipide, welche bezüglich RA und RB eine einheitliche Zusammensetzung haben. Solche synthetischen Phospholipide sind vorzugsweise die unten definierten Lecithine und Kephaline, deren Acylgruppen RA und RB eine definierte Struktur haben und von einer definierten Fettsäure mit einem Reinheitsgrad höher als ca. 95% abgeleitet sind. RA und RB können gleich oder verschieden und unge- sättigt oder gesättigt sein. Bevorzugt ist RA gesättigt, z.B. n- Hexadecanoyl , während RB ungesättigt ist, z.B. 9-cis-0ctadecenoyl (= Oleoyl) .Synthetic, essentially pure phospholipids of the formula A with different or identical acyl groups R A and R B are preferred. The term “synthetic” phospholipid of the formula A defines phospholipids which have a uniform composition with respect to R A and R B. Such synthetic phospholipids are preferably the lecithins and kephalins defined below, the acyl groups R A and R B of which have a defined structure and are derived from a defined fatty acid with a degree of purity higher than approximately 95%. R A and R B can be the same or different and unsaturated or saturated. R A is preferably saturated, for example n-hexadecanoyl, while R B is unsaturated, for example 9-cis-octadecenoyl (= oleoyl).
Der Begriff "im wesentlichen reines" Phospholipid definiert einen Reinheitsgrad von mehr als 70% (Gew.) des Phospholipids der Formel A, welcher anhand geeigneter Bestimmungsmethoden, z.B. papierchro- matographisch, nachweisbar ist.The term "substantially pure" phospholipid defines a degree of purity of more than 70% (by weight) of the phospholipid of formula A, which can be determined using suitable determination methods, e.g. paper chromatographically, is detectable.
Besonders bevorzugt sind synthetische, im wesentlichen reine Phos- pholipide der Formel A, worin RA die Bedeutung geradkettiges C10_20-Particularly preferred are synthetic, substantially pure phospholipids of the formula A, wherein R A is straight-chain C 10 _ 20 -
Alkanoyl mit einer geraden Anzahl an C-Atomen und RB die Bedeutung geradkettiges C10.20-Alkenoyl mit einer Doppelbindung und einer geraden Anzahl an C-Atomen haben. Ra, Rb und Rc sind Methyl und n=2.Alkanoyl with an even number of carbon atoms and R B the meaning straight chain C 10 . 20 -Alkenoyl with a double bond and an even number of carbon atoms. R a , R b and R c are methyl and n = 2.
In einem besonders bevorzugten Phospholipid der Formel A bedeuten RA n-Do decanoyl, n-Tetradecanoyl, n-Hexadecanoyl oder n-Octade- canoyl und RB 9-cis- Dodecenoyl, 9-cis-Tetradecenoyl, 9-cis-Hexade- cenoyl, 9-cis-Octadecenoyl oder 9-cis-Icosenoyl. Ra, Rb und Rc sind Methyl und n ist 2. Ein ganz besonders bevorzugtes Phospholipid der Formel A ist synthetisches 1 -n-Hexadecanoyl-2- (9-cis-octade- cenoyl) -3-sn-phosphatidylcholin mit einer Reinheit von mehr als 95%. Bevorzugte natürliche, im wesentlichen reine Phospholipide der Formel A sind insbesondere Lecithin (L-α-Phosphatidylcholin) aus Sojabohnen oder Hühnerei.In a particularly preferred phospholipid of the formula A, R A is n-do decanoyl, n-tetradecanoyl, n-hexadecanoyl or n-octadecanoyl and R B is 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexad- cenoyl, 9-cis-octadecenoyl or 9-cis-icosenoyl. R a , R b and R c are methyl and n is 2. A very particularly preferred phospholipid of the formula A is synthetic 1-n-hexadecanoyl-2- (9-cis-octadecenoyl) -3-sn-phosphatidylcholine with one Purity more than 95%. Preferred natural, essentially pure phospholipids of the formula A are in particular lecithin (L-α-phosphatidylcholine) from soybeans or chicken eggs.
Für die Acylreste in den Phospholipiden der Formel A sind auch die in Klammern angegebenen Bezeichnungen gebräuchlich: 9-cis-Do- decenoyl (Lauroleoyl) , 9-cis-Tetradecenoyl (Myristoleoyl) , 9-cis- Hexa decenoyl (Palmitoleoyl) , 6-cis-Octadecenoyl (Petroseloyl) , 6-trans-Octadecenoyl (Petroselaidoyl) , 9-cis-Octadecenoyl (Oleoyl) , 9-trans-Octadecenoyl (Elaidoyl) , 11 -cis-Octadecenoyl (Vaccenoyl) , 9-cis-Icosenoyl (Gadoleoyl) , n-Dodecanoyl (Lauroyl) , n-Tetradecanoyl (Myristoyl) , n-Hexadecanoyl (Palmitoyl) , n-Octadecanoyl (Ste- aroyl) , n-Icosanoyl (Arachidoyl) . Weitere Phospholipide sind vor- zugsweise Ester von Phosphatidsäure (3-sn-Phos phatidsäure) mit den genannten Aclyresten, wie Phosphatidylserin und Phosphatidy- lethanolamin .For the acyl residues in the phospholipids of the formula A, the names given in brackets are also common: 9-cis-decenoyl (lauroleoyl), 9-cis-tetradecenoyl (myristoleoyl), 9-cis-hexa decenoyl (palmitoleoyl), 6- cis-octadecenoyl (petroseloyl), 6-trans-octadecenoyl (petroselaidoyl), 9-cis-octadecenoyl (oleoyl), 9-trans-octadecenoyl (elaidoyl), 11-cis-octadecenoyl (vaccenoyl), 9-cis-ioleoyl ), n-dodecanoyl (lauroyl), n-tetradecanoyl (myristoyl), n-hexadecanoyl (palmitoyl), n-octadecanoyl (stearoyl), n-icosanoyl (arachidoyl). Further phospholipids are preferably esters of phosphatidic acid (3-sn-phosphatidic acid) with the acyl radicals mentioned, such as phosphatidylserine and phosphatidylethanolamine.
In der Trägerflüssigkeit d) sind die Komponenten a) , b) und c) oder a) und c) als Liposomen so enthalten, dass sich mehrere Tage bis Wochen keine Feststoffe oder feste Aggregate wie Mizellen zurückbilden und die Flüssigkeit mit den genannten Komponenten, gegebenenfalls nach Filtration, vorzugsweise oral oder intravenös, applizierbar ist.Components a), b) and c) or a) and c) are contained in the carrier liquid d) as liposomes in such a way that no solids or solid aggregates such as micelles form for several days to weeks, and the liquid with the components mentioned, if appropriate after filtration, preferably orally or intravenously, can be applied.
In der Trägerflüssigkeit d) können pharmazeutisch annehmbare, nicht toxische Hilfsstoffe enthalten sein, z.B. wasserlösliche Hilfsstoffe welche zur Herstellung von isotonischen Bedingungen geeignet sind, z.B. ionische Zusätze wie Kochsalz oder nichtionische Zusätze (Gerüstbildner) wie Sorbit, Mannit oder Glucose oder wasser lösliche Stabilisatoren für die Liposomendispersion wie Lactose, Fructose oder Saccharose. Zusätzlich zu den wasserlöslichen Hilfsstoffen können in der Trägerflüssigkeit für flüssige pharmazeutische Formulierungen verwendbare Emulgatoren, Netzmittel oder Tenside vorhanden sein, insbesondere Emulgatoren wie Ölsäure, nichtionische Tenside vom Typ Fettsäure-Polyhydroxyalkoholester wie Sorbitanmonolaurat, -oleat, -stearat oder -palmitat, Sorbitan- tristearat oder -trioleat, Polyoxyethylen-Addukte von Fettsäure- Polyhydroxyalkoholestern wie Polyoxyethylen-sorbitanmonolaurat, -oleat, -stearat, -palmitat, -tristearat oder -trioleat, Poly- ethylenglycol-Fettsäureester wie Polyoxyethylstearat , Poly- ethylenglycol-400 -stearat , Polyethylenglycol-2000-stearat , insbesondere Ethylenoxid-Propylenoxid Blockpolymere vom Typ Pluronic® (Wyandotte Chem. Corp.) oder Synperonic® (ICI) .Pharmaceutically acceptable, Contain non-toxic auxiliaries, for example water-soluble auxiliaries which are suitable for producing isotonic conditions, for example ionic additives such as table salt or nonionic additives (scaffolding agents) such as sorbitol, mannitol or glucose or water-soluble stabilizers for the liposome dispersion such as lactose, fructose or sucrose. In addition to the water-soluble auxiliaries, emulsifiers, wetting agents or surfactants which can be used for liquid pharmaceutical formulations can be present in the carrier liquid, in particular emulsifiers such as oleic acid, nonionic surfactants of the fatty acid polyhydroxy alcohol ester type such as sorbitan monolaurate, oleate, stearate or palmitate, sorbitan tristearate or trioleate, polyoxyethylene adducts of fatty acid, polyhydroxy alcohol esters such as polyoxyethylene sorbitan monolaurate, oleate, stearate, palmitate, tristearate or trioleate, polyethylene glycol fatty acid esters such as polyoxyethyl stearate, polyethylene glycol 400 stearate 2000, polyethylene glycol stearate, in particular ethylene oxide-propylene oxide block polymers of the Pluronic ® type (Wyandotte Chem. Corp.) or Synperonic ® (ICI).
Von freiem Wirkstoff können die Liposomen beispielsweise durch Gelfiltration getrennt werden, so daß in der verbleibenden Dispersion kein oder sehr wenig Wirkstoff außerhalb der Liposomen vorliegt .The liposomes can be separated from free active substance, for example by gel filtration, so that little or no active substance is present outside the liposomes in the remaining dispersion.
Superparamagnetische Kügelchen können entweder anschliessend kovalent gebunden werden (beispielsweise durch Zugabe bifunktionaler Cross-Linker) , oder es können beispielsweise im Gemisch der Komponenten (a) bis (d) antigene Komponenten, die sich in der Membran einbauen (z.B. rekombinante Membranproteine, wie CD4 oder CD8, oder niedermolekulare Haptene, wie Dinitrophenol, die beispielsweise an Stelle von den Resten Ra, Rb oder Rc) vorliegen, an die dann mit den entsprechenden Antikörpern konjugierte superparamagnetische Kügelchen gebunden werden können, oder man stellt durch Bindung von Biotin über einen Spacer, beispielsweise anstelle eines der Reste Ra, Rb und/oder Rc , und Bindung von mit Avidin oder Streptavidin konjugierten superparamagnetischen Kügelchen die supermparamagnetisch markierten Liposomen her; der oder die Liposomen selbst werden mit paramagnetischen Materialien, wie kleinsten Eisenoxidteilchen, die direkt bei der Herstellung der Liposomen zugegeben werden, neben dem Wirkstoff auch mit diesen Teilchen beladen und sind so selbst eine Art superparamagnetische Kügelchen. Bevorzugte Konservierungsmittel sind z. B. Antioxidan- tien, wie Ascorbinsäure, oder Microbizide, wie Sorbinsäure oder Benzoesäure.Superparamagnetic beads can either be subsequently covalently bound (for example by adding bifunctional cross-linkers), or antigenic components that are incorporated into the membrane (for example recombinant membrane proteins such as CD4 or CD8, or low molecular weight haptens, such as dinitrophenol, which are present, for example, instead of the radicals R a , R b or R c ), to which superparamagnetic beads conjugated with the corresponding antibodies can then be bound, or by binding biotin over one Spacers, for example instead of one of the radicals R a , R b and / or R c , and binding of superparamagnetic conjugated with avidin or streptavidin Beads the supermparamagnetically labeled liposomes; the liposome (s) themselves are loaded with these particles with paramagnetic materials, such as the smallest iron oxide particles, which are added directly during the production of the liposomes, and are themselves a kind of superparamagnetic beads. Preferred preservatives are e.g. B. antioxidants, such as ascorbic acid, or microbicides, such as sorbic acid or benzoic acid.
Besonders bevorzugt sind mit (insbesondere gegen infizierte Zellen, wie HlV-infizierte Lymphozyten oder Virus (z.B. HCV) - infizierte Leberzellen, oder Tumorzellen gerichtete) Antikörpern konjugierte superparamagnetische Beads, oder mit superparamagnetischen Beads und entsprechenden Antikörpern gekoppelte Wirkstoffhaltige Liposomen, die sich jeweils nach Injektion am Ort des Tumors anreichern und die direkt mittels der DM-Felder in Bewegung versetzt werden und so durch mechanischen Stress oder im Falle der Liposomen zusätzlich Wirkstofffreisetzung unter dem Ξinfluss des DM-Feldes direkt am Ort der infizierten Zellen oder Tumorort Antitumorwirkung ermöglichen. Analog ist die Verwendung gegen Parasiten gerichteter Antikörper möglich.Particularly preferred are conjugated superparamagnetic beads (especially against infected cells, such as HIV-infected lymphocytes or virus (eg HCV) -infected liver cells, or tumor cells), or active ingredient-containing liposomes coupled with superparamagnetic beads and corresponding antibodies, which are each after injection Enrich at the location of the tumor and which are set in motion directly by means of the DM fields and thus enable anti-tumor effects directly at the location of the infected cells or tumor site due to mechanical stress or, in the case of liposomes, additional drug release under the influence of the DM field. The use of antibodies directed against parasites is also possible.
Die Administrationswege umfassen, unter anderem, die enterale, wie nasale, orale oder rektale; oder die parenterale, wie intrader- male, subkutane, intramuskuläre, jedoch insbesondere die intravas- kuläre (insbesondere intravenöse) , intralumbale, intracraniale oder intracavitäre (z.B. in die Bauchhöhle oder andere Körperhöhlen, in Muskeifascien oder dergleichen) Injektion bzw. intravas- kulare Infusion.The routes of administration include, inter alia, enteral, such as nasal, oral or rectal; or parenteral, such as intradermal, subcutaneous, intramuscular, but in particular intravascular (especially intravenous), intralumbar, intracranial or intracavitary (eg into the abdominal cavity or other body cavities, in muscular fasciae or the like) injection or intravascular infusion ,
Die enterale (z.B. orale) Administration ist insbesondere geeignet zur Behandlung von Erkrankungen, die vom Darm- , Lungen- , Rachen- , Mund- und/ oder Nasenlumen aus zugänglich sind. Innerhalb der entsprechenden Räume können durch DM-Felder die superparamagne- tischen Beads , beispielsweise gekoppelt mit Wirkstoffen oder wirk- stofftragenden Liposomen, gewünschtenfalls an die gewünschten Stellen im Körper manövriert werden.The enteral (eg oral) administration is particularly suitable for the treatment of diseases which are accessible from the intestinal, lung, pharynx, mouth and / or nasal lumen. Within the corresponding rooms, the superparamagnetic beads, for example coupled with active substances or active substance-carrying liposomes, can be applied to the desired ones by means of DM fields Places to be maneuvered in the body.
Die parenterale Verabreichung ist besonders geeignet zur Behandlung von Erkrankungen, die über die Blutbahn erreicht werden können (insbesondere Infusion, intravaskuläre Injektion) , hinter der Blut-Hirnschranke vor dem Zugang der Wirksubstanz geschützt sind oder von Körperhöhlen (z.B. Bauchhöhle, Interpleuralspalt, Inter- faszikulärrau , Rückenmarksflüssigkeit oder dergleichen) aus zugänglich sind, wobei im Falle der Körperhöhlen wiederum die Mδg- lichkeit besteht , mittels DM-Feldern superparamagnetisch markierten Wirkstoff oder entsprechend markierte wirkstoffhaltige Liposomen an die gewünschten Stellen zu manövrieren. Die Administration kann lokal (am Ort der zu behandelnden Erkrankung, z.B. durch Injektion) oder systemisch (z.B. durch intravaskuläre Injektion oder Infusion) erfolgen.Parenteral administration is particularly suitable for the treatment of diseases that can be reached via the bloodstream (in particular infusion, intravascular injection), behind the blood-brain barrier are protected from the access of the active substance or from body cavities (eg abdominal cavity, interpleural gap, interfascicular wall) , Spinal fluid or the like) are accessible, and in the case of the body cavities there is in turn the possibility of maneuvering superparamagnetically labeled active ingredient or appropriately labeled active ingredient-containing liposomes to the desired locations by means of DM fields. Administration can be local (at the site of the disease to be treated, e.g. by injection) or systemic (e.g. by intravascular injection or infusion).
Die an Warmblüter, z. B. Menschen von etwa 70 kg Körpergewicht, zu verabreichenden Dosismengen, als Menge an Wirksubstanz ausgedrückt, variieren je nach Spezies, Alter, individuellem Zustand, Applikationsweise und dem jeweiligen Krankheitsbild und liegen für nichtpolymere Wirkstoffe (andere als z.B. Proteine oder Antikörper) insbesondere zwischen etwa 0,1 mg und etwa 10 g, vorzugsweise zwischen etwa 0,4 mg und etwa 4 g, z. B. bei ungefähr 1 mg bis 1,5 g pro Person und Tag, verteilt auf vorzugsweise 1 bis 3 Einzeldosen, die z. B. gleich gross sein können. Im Falle polymerer Wirkstoffe liegt die Dosis, als Menge des Wirkstoffes ausgedrückt, vorzugsweise zwischen 0,05 und 50 mg, insbesondere zwischen 0,1 und 10 mg pro Person und Tag. Ueblicherweise erhalten Kinder die halbe Dosis von Erwachsenen. Bei Bedarf kann man die Behandlungsolangedurchführen, wie es zurTumorbehandlungund/oder zur Verhinderung der Bildung von Metastasen erforderlich ist.The warm-blooded animals, e.g. B. People of about 70 kg body weight, doses to be administered, expressed as the amount of active substance, vary depending on the species, age, individual condition, mode of application and the particular clinical picture and are in particular between about non-polymeric active ingredients (other than proteins or antibodies) 0.1 mg and about 10 g, preferably between about 0.4 mg and about 4 g, e.g. B. at about 1 mg to 1.5 g per person per day, divided into preferably 1 to 3 individual doses, the z. B. can be the same size. In the case of polymeric active substances, the dose, expressed as the amount of the active substance, is preferably between 0.05 and 50 mg, in particular between 0.1 and 10 mg, per person and day. Children are usually given half the dose of adults. If necessary, the treatment can be carried out as necessary to treat tumors and / or to prevent the formation of metastases.
Zum Koppeln von Wirkstoffen oder Liposomen (mit oder ohne Antikörpermarkierung, mit Wirkstoff beladen) (nachfolgend beide als Reak- tionspartnerAbezeichnet) an superparamagnetische Beads (nachfolgend als Reaktionspartner B bezeichnet) , oder von (insbesondere Infektions-, Parasiten- oder tumorspezifischen) Antikörpern (Reaktionspartner A) an Liposomen oder superparamagnetische Beads (jeweils Reaktionspartner B) , die mit Wirkstoff beladen sind, finden gängige Verfahren Verwendung, z.B. die Cyanogenbromid-Aktivierung etwa der Beads-Oberfläche bei Vorliegen von OH—Gruppen, oder die schonendere Behandlung mit heterobifunktionalen Kopplungsreagen- tien, die zunächst mit auf dem zu koppelnden Molekül oder der Beadsoberflache oder Liposo vorliegenden funktioneilen Gruppen, insbesondere Hydroxy- , Amino-, Carboxy- , Epoxid-, Thiol- oder Diengruppen enthaltenden Gruppen oder reaktiven Formen davon reagieren können und dann anschließend oder im gleichen Ansatz zur im wesentlichen selben Zeit mit Gruppen auf den zu bindenden Molekülen oder Antikörpern. Nichtkovalente Bindung ist möglich, indem man an Reaktionspartner A z.B. Avidin oder Streptavidin koppelt, an den zu bindenden Reaktionspartner B Biotin, oder umgekehrt .For coupling active substances or liposomes (with or without antibody marking, loaded with active substance) (hereinafter both referred to as reaction partner A) to superparamagnetic beads (hereinafter referred to as reaction partner B), or from (in particular Infection-, parasite- or tumor-specific) antibodies (reaction partner A) on liposomes or superparamagnetic beads (reaction partner B in each case) which are loaded with active substance are commonly used methods, for example the cyanogen bromide activation, for example, of the surface of the beads when OH— is present. Groups, or the more gentle treatment with heterobifunctional coupling reagents, which initially contain reactive groups or those containing functional groups, in particular hydroxyl, amino, carboxy, epoxy, thiol or diene groups, which are present on the molecule to be coupled or the surface of the beads or liposo Forms thereof can react and then subsequently or in the same batch at essentially the same time with groups on the molecules or antibodies to be bound. Noncovalent binding is possible by coupling, for example, avidin or streptavidin to reaction partner A, biotin to the reaction partner B to be bound, or vice versa.
Die kovalente Kopplung kann beispielsweise an Epoxy- oder als aktivierte Ester funktionalisierten Carboxygruppen (reaktive Form) erfolgen. Die reaktiven Carboxygruppen können auch in situ hergestellt werden (z.B. unter Verwendung von in der Peptidchemie üblichen Reagentien, z.B. zur Herstellung von 1 -Hydroxybenzotriazol-, Succinimid- oder N-Hydroxysuccinimid-estern, oder in-situ-Deriva- tisierung z.B. mit Carbodiimiden, wie Dicyclohexylcarbodiimid, mit Carbonylimidazol, mit N- [ (Dimethylamino) -1H-1 , 2 , 3-triazo- lo [4 , 5-b] pyridin-1 -ylmethylene] -N-methylmethanaminiumhexa- fluorophosphat-N-oxid (HATU) ; mit 2- (lH-Benzotriazol-1 -yl) -1 , 1 , 3, 3- tetramethyluroniumtetrafluoroborat (HBTU) , mit 2- (Pyridon-1 -yl) - 1,1,3, 3-tetramethyluroniumtetrafluoroborat (TPTU) ; oder Benzo- triazol-1 -yl-oxy-tris (dimethylamino) -phosphoniumhexafluorophosphat (BOP) , oder ähnlichen Reagentien) . Die Umsetzung findet dann vor allem mit Amino-, aber auch Hydroxy- oder Mercaptogruppen am zu koppelnden Gegenpartner statt. Auch (i) Azid- oder (ii) Dienmodifizierte Reaktionspartner A oder B können mit ihren jeweiligen komplementären Reaktionspartnern umgesetzt werden, die im Falle (i) Diengruppen, im Falle (ii) Azidgruppen enthalten, die gemeinsam für eine Diels-Alder-Kopplung geeignet sind.The covalent coupling can be carried out, for example, on epoxy groups or carboxy groups functionalized as activated esters (reactive form). The reactive carboxy groups can also be prepared in situ (for example using reagents customary in peptide chemistry, for example for the preparation of 1-hydroxybenzotriazole, succinimide or N-hydroxysuccinimide esters, or in-situ derivatization, for example with carbodiimides, such as dicyclohexylcarbodiimide, with carbonylimidazole, with N- [(dimethylamino) -1H-1, 2, 3-triazo-lo [4, 5-b] pyridin-1-ylmethylene] -N-methylmethanaminiumhexa- fluorophosphate-N-oxide (HATU ); with 2- (1H-benzotriazol-1 -yl) -1, 1, 3, 3-tetramethyluronium tetrafluoroborate (HBTU), with 2- (pyridon-1 -yl) - 1,1,3, 3-tetramethyluronium tetrafluoroborate (TPTU ); or benzotriazole-1 -yl-oxy-tris (dimethylamino) phosphonium hexafluorophosphate (BOP), or similar reagents). The reaction then takes place primarily with amino, but also hydroxyl or mercapto groups on the counterpart to be coupled. (I) Azide- or (ii) diene-modified reactants A or B can also be reacted with their respective complementary reactants, which in the case of (i) contain diene groups, in the case of (ii) azide groups, which together are suitable for a Diels-Alder coupling.
Als heterobifunktionale Reagentien können beispielsweise solche verwendet werden, die eine Gruppe umfassen, die mit Amino-, Hydro- xy- oder Mercaptogruppen reagieren, und eine weitere Gruppe enthalten, die ein Disulfid ist und nachfolgend unter Freisetzung einer Mercaptogruppe (z.B. mit Dithiothreitol oder ähnlichen Reduktionsmitteln) umgesetzt werden kann. Andere mögliche heterobifunktionale Reagentien tragen z.B. eine aminoreaktive Gruppe und eine photoaktivierbare Gruppe, z.B. N-Hydroxysuccinimidoyl-4- azido-salicylsäure. Wieder andere heterobifunktionale Reagentien umfassen z.B. eine Amino- und eine Mercapto-reaktive Gruppe, oder zwei unterschiedliche Amino-reaktive Gruppen, z.B. Succini idoyl- maleinimidderivate, wie Succinimidoyl-butylphenyl-maleini id, N-ε-Maleimidocapronsäure oder N- (ε-Maleimidocapronsäure) , oder dergleichen. Ein Beispiel für ein Hydroxy- und Sulfhydryl-reaktives heterobifunktionales Reagens ist N- (ρ-Maleimidophenyl) isocyanat .Examples of heterobifunctional reagents which can be used are those which comprise a group which reacts with amino, hydroxyl or mercapto groups and which contain a further group which is a disulfide and subsequently with the liberation of a mercapto group (for example with dithiothreitol or similar reducing agents) ) can be implemented. Other possible heterobifunctional reagents e.g. an amino reactive group and a photoactivatable group, e.g. N-hydroxysuccinimidoyl-4-azido-salicylic acid. Still other heterobifunctional reagents include e.g. one amino and one mercapto-reactive group, or two different amino-reactive groups, e.g. Succini idoyl-maleimide derivatives such as succinimidoyl-butylphenyl-maleicide, N-ε-maleimidocaproic acid or N- (ε-maleimidocaproic acid), or the like. An example of a hydroxy- and sulfhydryl-reactive heterobifunctional reagent is N- (ρ-maleimidophenyl) isocyanate.
Superparamagnetische Beads oder andere- Reaktionspartner B können wie erwähnt, durch Cyanogenbromid aktiviert sein, aber auch durch Epoxy-, Nitrophenylchloroformat-, N-Hydroxysuccinimid- oder Chlo- roformatgruppen aktiviert sein, durch Polyacrylazidoreste (photo- aktivierbar) , Epoxidgruppen, Bromoacetylgruppen, Epichlorohydrin- aktivierung, Tresyl-chlorid-Aktivierung, Vinylsulfon-Aktivierung, oder dergleichen.As mentioned, superparamagnetic beads or other reaction partners B can be activated by cyanogen bromide, but can also be activated by epoxy, nitrophenyl chloroformate, N-hydroxysuccinimide or chloroformate groups, by polyacrylic acid residues (photo-activatable), epoxide groups, bromoacetyl groups, epichlorohydrin groups activation, tresyl chloride activation, vinyl sulfone activation, or the like.
Neue Kombinationsprodukte (z.B. von Antikörpern mit superparamagnetischen Beads, oder von Wirkstoffen mit Liposomen und/oder mit Wirkstoffen) sind ebenfalls Gegenstand der vorliegenden Erfindung.New combination products (e.g. of antibodies with superparamagnetic beads, or of active substances with liposomes and / or with active substances) are also the subject of the present invention.
Die Erfindung betrifft insbesondere die in den Beispielen genannten Ausführungsformen der Erfindung.The invention relates in particular to the embodiments of the invention mentioned in the examples.
Abbildungen Fig. 1 : Die Lorentzkraft wird von Antoon Lorentz selbst als eine elektrische Kraft bezeichnet und ähnelt formell in der Tat auch der elektrischen Fernwirkungskraft (Coulombkraft) . Die Lorentzkraft wirkt auf elektrische Ladungen in einem magnetischen Feld. Im Demonstrationsversuch der Fig. 1 wird die Wirkung der Lorentzkraft auf Ionen demonstriert. Hierzu wird ein dynamisches, homogenes magnetisches Feld erzeugt (siehe WO 95/19217) , welches einen mit einem Gemisch aus Kochsalz, Wasser und Sand (1) gefüllten transparenten Plastikbehälter (3) durchdringt, der hermetisch von der Umgebung abgeschlossen ist. Das DM-Feld wird verlustarm durch geschichtete Bleche (auch Feldrückwegbleche (2)) geführt. Ge- schichtete Blechpakete sind bei sehr niedrigen Frequenzen der dynamischen Felder (z.B. 15 Hz oder nieriger) nicht notwendig. (4) ist eine symbolische geschlossene Feldlinie, (5) zeigt exemplarisch eine Nutsektion mit Windungsteil (5) des DM-Felderzeugers (6). Weitere Details siehe Beispiel 3. Eine elektrische Kraft, die Lorentzkraft, ist also im Stande, sowohl positive als auch negative Ionen - die magnetisch oder unmagnetisch sein können - in die gleiche Richtung zu transportieren. Dies ist mit der Coulombkraft nicht zu erreichen.Illustrations Fig. 1: The Lorentz force is described by Antoon Lorentz himself as an electrical force and is indeed formally similar the electrical distance effect (coulomb force). The Lorentz force acts on electrical charges in a magnetic field. The demonstration experiment in FIG. 1 demonstrates the effect of the Lorentz force on ions. For this purpose, a dynamic, homogeneous magnetic field is generated (see WO 95/19217), which penetrates a transparent plastic container (3) filled with a mixture of table salt, water and sand (1), which is hermetically sealed from the environment. The DM field is guided through layered plates (also field return path plates (2)) with little loss. Layered laminated cores are not necessary at very low frequencies of the dynamic fields (eg 15 Hz or less). (4) is a symbolic closed field line, (5) shows an example of a groove section with a turn part (5) of the DM field generator (6). See Example 3 for further details. An electrical force, the Lorentz force, is therefore able to transport both positive and negative ions - which can be magnetic or non-magnetic - in the same direction. This cannot be achieved with the Coulomb force.
Fig.2 : Diese Abbildung zeigt diesmal nur die magnetischen Aspekte. Über einem DM-Felderzeuger (6) befindet sich ein transparenter Plastikbehälter (8), der mit Wasser gefüllt ist. Eine Magnetitkugel (7) kann durch die Flüssigkeit z.B. in und gegen die Pfeilrichtung longitudinal bewegt werden. Mit einem Stück Aluminium anstelle der Magnetitkugel (7) ist dies nicht möglich. (9) symbolisiert eine geschlossene Feldlinie, (10) eine NutSektion mit Windungsteil. Es ist nicht möglich, ein quantenmechanisches Mehrpartikelproblem matematisch exakt zu beschreiben, doch kann der rein magnetische Charakter der Wirkung des DM-Feldes demonstriert werden.Fig. 2: This time only shows the magnetic aspects. A transparent plastic container (8), which is filled with water, is located above a DM field generator (6). A magnetite ball (7) can e.g. be moved longitudinally in and against the direction of the arrow. This is not possible with a piece of aluminum instead of the magnetite ball (7). (9) symbolizes a closed field line, (10) a slot section with a winding section. It is not possible to describe a quantum mechanical multi-particle problem exactly, but the purely magnetic character of the effect of the DM field can be demonstrated.
Fig. 3: Die Abbildung zeigt eine der möglichen Anwendungen der Erfindung. In der unter dem Mikroskop (12) vor dessen Objektiv (13) auf dem Mikroskopiertisch (14) liegenden Probe (15) befinden sich z.B. Zellen, Zellbestandteile oder Pathogene und eine relativ sehr geringe Zahl (im Extremfall nur 1) mit superparamagnetischen Beads (über entsprechende Antikörper gebunden) markierter Zellen, Zellbestandteile oder Pathogene. Beidseitig neben der Probe liegend erkennt man in den Mikroskopiertisch integrierte DM-Felderzeuger (11) zur Erzeugung der Feldstrukturen. Es kann sich dabei um 2 aktive DM-Felderzeuger, einen DM-Felderzeuger und einen magneti- sehen Rückweg oder auch nur um einen DM-Felderzeuger ohne Rückweg handeln. Die Probe wird von einem z.B. in Amplitude, Frequenz und Richtung variablen dynamischen Magnetfeld durchdrungen. Der Bobachter kann nun selbständig z.B. die Frequenz, Amplitude oder Richtung des dynamischen, die Probe durchsetzenden Magnetfeldes andern. Dies wird erreicht, indem elektronische Schaltkreise, klassischen Frequenzumformern gleich, durch Regeleinrichtungen, z.B. Fusspedal, Schalter oder dergleichen, angesteuert werden oder angesteuert und umgeschaltet werden. Hierdurch werden die markierten Objekte elektromagnetisch entsprechend beeinflusst. Es können z.B. konstante/nichtkonstante Drehungen der markierten Objekte (Drehimpulserhaltung) im mathematisch positiven oder negativen Sinne erreicht werden. Hierdurch können noch wenige, gar einzelne markierte Objekte, unter einer Vielzahl nichtmarkierter erkannt werden. Es kann jedα,ch auch, durch Beobachter- Schaltung der Regelkreise, das dynamische Magnetfeld in mehrere unabhängige statische Magnetwechselfelder aufgeteilt werden, was ein magnetisches "Erstarren" der beobachteten Objekte zur Folge hat. All dies ermöglicht die Beobachtung einzelner markierter Objekte zwischen einer Vielzahl von anderen unmarkierten Objekten mit einer hohen Selektivität.Fig. 3: The figure shows one of the possible applications of the invention. The sample (15) lying under the microscope (12) in front of its objective (13) on the microscope table (14) contains, for example, cells, cell components or pathogens and a relatively very small number (in extreme cases only 1) with superparamagnetic beads (above corresponding antibodies bound) labeled cells, Cell components or pathogens. DM field generators (11) integrated into the microscope table for generating the field structures can be seen lying on both sides of the sample. These can be 2 active DM field generators, a DM field generator and a magnetic return path or just a DM field generator without a return path. The sample is penetrated by a dynamic magnetic field, for example variable in amplitude, frequency and direction. The observer can now independently change, for example, the frequency, amplitude or direction of the dynamic magnetic field passing through the sample. This is achieved in that electronic circuits, similar to classic frequency converters, are controlled by control devices, for example foot pedals, switches or the like, or are controlled and switched. In this way, the marked objects are correspondingly influenced electromagnetically. For example, constant / non-constant rotations of the marked objects (conservation of angular momentum) can be achieved in a mathematically positive or negative sense. As a result, only a few, even individually marked objects can be recognized among a large number of unmarked objects. However, the dynamic magnetic field can also be divided into several independent static alternating magnetic fields by observing the control circuits, which results in a magnetic "solidification" of the observed objects. All this enables the observation of individually marked objects between a large number of other unmarked objects with a high selectivity.
Fig. 4: Diese Abbildung zeigt unter (16) ungeordnete markierte Objekte (z.B. Zellen). Diese werden in (17) in Rotationsbewegungen versetzt (siehe Beschreibung hierzu unter Fig. 3) . Es können auch entgegengesetzte Rotationsbewegungen erzielt werden, oder permanente Wechsel in der Rotationsbewegung. Unter (18) wird eineFig. 4: This figure shows (16) disordered marked objects (e.g. cells). These are set into rotational movements in (17) (see description of this in FIG. 3). Opposing rotational movements can also be achieved, or permanent changes in the rotational movement. Under (18) one
Strukturerzeugung (stabförmig) der markierten Objekte gezeigtStructure generation (rod-shaped) of the marked objects shown
(Beschreibung hierzu siehe unter Fig. 3) . Es können gezielte(For a description of this, see FIG. 3). It can be targeted
Wanderbewegungen der markierten Objekte erreicht werden, durch die andere, auchnicht-markierte Objektemarkiert undtransportiert werden können. Die nachfolgenden Beispiele dienen der Illustration der Erfindung, ohne ihren Umfang einschränken zu sollen.Moving movements of the marked objects can be achieved, through which other, also unmarked objects can be marked and transported. The following examples serve to illustrate the invention without restricting its scope.
Beispiel 1 : Markierung von Lymphocyten Gewinnung von Lymphocyten aus Blut: 20 IE Heparin pro ml Blut werden in einer 20-ml-Injektionsspritze vorgelegt und darin Venenblut aufgezogen. Diesem Heparinblut werden ca. 4 ml Macrodex 6 % (Fa. Knoll, Ludwigshafen, Deutschland) zugesetzt und die Spritze bei Raumtemperatur ca. 1 Stunde lang in einen Ständer gestellt. Nach dieser Zeit wird der nahezu erythrocytenfreie Überstand in einer zweiten Spritze mit Kanüle aufgenommen. Das Blut wird 1:1 mit phosphatgepufferter Kochsalzlösung (PBS) (150 mM Natriumchlorid, 150 mM Natriumphosphat, pH 7,2) versetzt. Zur vollständigen Isolierung der Lymphozyten werden 3 ml Lymphocyten- trenn edium (Ficoll-Lösung der Dichte 1,077 g/ml) in einem Zen- trifugenröhrchen vorgelegt und 4 ml der Blut/PBS-Lösung vorsichtig auf das Trennmedium geschichtet (vorsichtig pipettieren, um Phasenvermischung zu vermeiden) . Nach Verschliessen mit einem Silikonstopfen wird der Gradient bei 400 g .(bezogen auf die Röhrchen- mitte) 30 min bei Raumtemperatur zentrifugiert (bei der Zentri- fugation ist darauf zu achten, dass die elektrische Bremse der Zentrifuge während des Laufs ausgeschaltet bleibt) ; dabei entstehen 4 Phasen: oberste Schicht Plasma, darunter eine opaque weißliche Bande (Periphere monocytische Blutzellen) , dann das Lymphocyten- trennmedium und als Pellet die restlichen Erythrozyten mit den Granulocyten. Das Plasma wird mittels einer Pasteurpipette abge- säugt .Example 1: Labeling of lymphocytes Extraction of lymphocytes from blood: 20 IU heparin per ml blood are placed in a 20 ml injection syringe and venous blood is drawn up therein. About 4 ml of Macrodex 6% (from Knoll, Ludwigshafen, Germany) are added to this heparin blood and the syringe is placed in a stand at room temperature for about 1 hour. After this time, the almost erythrocyte-free supernatant is taken up in a second syringe with a cannula. The blood is mixed 1: 1 with phosphate-buffered saline (PBS) (150 mM sodium chloride, 150 mM sodium phosphate, pH 7.2). To completely isolate the lymphocytes, 3 ml of lymphocyte separation medium (Ficoll solution with a density of 1.077 g / ml) are placed in a centrifuge tube and 4 ml of the blood / PBS solution are carefully layered on the separation medium (carefully pipette to mix the phases avoid). After sealing with a silicone stopper, the gradient is centrifuged at 400 g (based on the center of the tube) for 30 min at room temperature (during centrifugation, care must be taken to ensure that the centrifuge's electric brake remains switched off during the run); 4 phases are formed: top layer of plasma, including an opaque whitish band (peripheral monocytic blood cells), then the lymphocyte separation medium and, as a pellet, the remaining erythrocytes with the granulocytes. The plasma is aspirated using a Pasteur pipette.
Gewünschtenfalls kann man vorhandene Monocyten entfernen, indem man die Schicht mit den Peripheren monocytischen Blutzellen in eine Petrischale überführt . Die B- und T-Lymphozyten bleiben hier im Überstand, während andere Zelltypen sich an die Oberfläche der Petrischale adsorbieren.If desired, existing monocytes can be removed by transferring the layer with the peripheral monocytic blood cells into a Petri dish. The B and T lymphocytes remain in the supernatant here, while other cell types adsorb to the surface of the petri dish.
Die Zellen im Überstand oder (wenn die Monocyten nicht weiter entfernt werden) das abgesaugte Plasma werden sodann in einer Pufferlösung - PBS (möglichst frei von Calzium- und Magnesiumionen, um die Aggregation der Zellen untereinander oder an Oberflächen zu verhindern) mit 2 M EDTA und 0,5 % Rinderserumalbumin (BSA) , nachfolgend als PBS* bezeichnet - aufgenommen und durch ein Nylon- Netz oder einen Nylonfilter (Miltenyi Biotec GmbH, Bergisch Gladbach, Deutschland) passiert, um Klumpen zu entfernen. Die Zellen werden gezählt und in der zuletzt genannten Pufferlösung durch Zentrifugation gewaschen. Das Pellet mit den Zellen wird anschließend mit MACS MultiSort Microbeads (Miltenyi Biotec GmbH, Bergisch Gladbach, Deutschland), die mit CD4- (oder CD-8-) Antikörper markiert sind (es handelt sich um mit anti-CD4-Antikörper (oder mit anti-CD8-Antikörper) konjugierte Kügelchen mit Eisenoxid in einer Polysaccharidmatrix, Durchmesser ca. 50 nm), inkubiert: Die Zellen (107 Zellen) werden in 80 μl PBS* aufgenommen. Nach Zusetzen von 20 μl MACS CD4 (oder alternativ CD8) Microbeads-Sus- pension (Miltenyi Biotec GmbH, Bergisch Gladbach, Deutschland) inkubiert man für 10 min bei 4 °C. Nach der Inkubation werden die Zellen in der 10- bis 20-fachen Menge an PBS* aufgenommen, bei 300 x g für 10 min zentrifugiert und nach vollständigem Entfernen des Überstands das Zellpellet in 500 μl Puffer je 108 markierte Zellen aufgenommen.The cells in the supernatant or (if the monocytes are no longer removed) the aspirated plasma are then in a Buffer solution - PBS (as free as possible of calcium and magnesium ions to prevent cell aggregation with one another or on surfaces) with 2 M EDTA and 0.5% bovine serum albumin (BSA), hereinafter referred to as PBS * - and taken up by a nylon Mesh or a nylon filter (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany) to remove lumps. The cells are counted and washed in the last-mentioned buffer solution by centrifugation. The pellet with the cells is then labeled with MACS MultiSort Microbeads (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany), which are labeled with CD4 (or CD-8) antibody (it is anti-CD4 antibody (or with anti-CD8 antibody) conjugated beads with iron oxide in a polysaccharide matrix, diameter approx. 50 nm), incubated: The cells (10 7 cells) are taken up in 80 μl PBS *. After adding 20 μl of MACS CD4 (or alternatively CD8) microbeads suspension (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany), the mixture is incubated at 4 ° C. for 10 min. After the incubation, the cells are taken up in a 10 to 20-fold amount of PBS *, centrifuged at 300 × g for 10 min and, after the supernatant has been completely removed, the cell pellet is taken up in 500 μl buffer of 10 8 labeled cells each.
Anschließend erfolgt die magnetische Anreicherung mittels Säulen, die mit Kügelchen aus kunststoffüberzogenem ferromagnetischem Material befüllt sind, in Gegenwart eines Magnetfeldes: Eine MS+- Säule (Miltenyi) wird im Magnetfeld eines Permanentmagneten (Separator der Firma Miltenyi) plaziert. Die Säule wird vorbereitet durch Waschen mit 500 μl PBS*; anschliessend wird die oben hergestellte Zellsuspension aufgetragen. Die nicht markeirten Zellen werden mit PBS* (3 x 500 μl) ausgewaschen. Die Säule wird anschliessend aus dem Separator entfernt, über einem geeigneten Sammelröhrchen plaziert und mit 1 ml PBS* ausgewaschen. Man erhält die CD4 (oder CD8) -Zellen mit magnetisch markierten Zellen.The magnetic enrichment is then carried out by means of columns which are filled with beads made of plastic-coated ferromagnetic material in the presence of a magnetic field: An MS + column (Miltenyi) is placed in the magnetic field of a permanent magnet (separator from Miltenyi). The column is prepared by washing with 500 μl PBS *; the cell suspension prepared above is then applied. The unlabeled cells are washed out with PBS * (3 x 500 μl). The column is then removed from the separator, placed over a suitable collecting tube and washed out with 1 ml PBS *. The CD4 (or CD8) cells with magnetically labeled cells are obtained.
Beispiel 2: Erkennen magnetisch markierter Zellen unter dem Mikroskop Die in Beispiel 1 hergestellten magnetisch markierten Zellen werden anschliessend mikroskopisch mittels eines erfindungsgemässen DM- Feldes in Bewegung (Rotation oder Wanderung) versetzt (Fig. 3) , als Vorrichtung zur Erzeugung der magnetischen Feldstrukturen DM-Felderzeuger (11), wobei 2 aktive Felderzeugerverwendet werden, oder alternativ 1 aktiver DM-Felderzeuger und ein magnetischer Rückweg, oder sogar nur ein DM-Felderzeuger ohne magnetischen Rückweg. Es ist möglich, die markierten Zellen auf diese Weise zu bewegen. Dies zeigt, daß das Prinzip der Erfindung tatsächlich anwendbar ist .Example 2: Detection of magnetically marked cells under the microscope The magnetically marked cells produced in Example 1 are then set microscopically in motion (rotation or migration) using a DM field according to the invention (FIG. 3), as a device for producing the magnetic field structures DM field generator (11), 2 active field generators being used , or alternatively 1 active DM field generator and a magnetic return path, or even just a DM field generator without a magnetic return path. It is possible to move the marked cells in this way. This shows that the principle of the invention is actually applicable.
In der unter dem Mikroskop liegenden Probe befindet sich eine große Anzahl nichtmarkierter Zellen und eine geringere (je nach Probe auch sehr geringe) Anzahl markierter Zellen, mar- kiert mit dem entsprechenden Antikörper und den daran konjugierten Magnetitpartikeln. Beispielsweise durch Hervorrufen konstanter/nicht konstanter Drehungen der markierten Objekte im mathematisch positiven oder negativen Sinne werden konstante/nichtkonstante Drehungen der markierten Zellen er- reicht. Auch wenige oder gar einzelne markierte Objekte können so unter einer Vielzahl von anderen erkannt werden. Durch Beobachterbeschaltung der Regelkreise wird das dynamische Magnetfeld in mehrere unabhängige statische Magnetfelder aufgeteilt. Auf diese Weise kann ein Erstarren der markierten Zellen erreicht werden. Auch so können einzelne markierte Zellen zwischen unmarkierten, beweglich bleibenden erkannt werden.The sample under the microscope contains a large number of unlabelled cells and a smaller (depending on the sample also very small) number of labeled cells, marked with the corresponding antibody and the magnetite particles conjugated to it. For example, by causing constant / non-constant rotations of the marked objects in the mathematically positive or negative sense, constant / non-constant rotations of the marked cells are achieved. Even a few or even individually marked objects can be recognized among a multitude of others. The dynamic magnetic field is divided into several independent static magnetic fields by observer wiring of the control loops. In this way, the marked cells can solidify. Even so, individual marked cells can be recognized between unmarked cells that remain mobile.
Beispiel 3: Modell für Transport von Salzen innerhalb eines KörpersExample 3: Model for the transport of salts within a body
In einem mit einem Gemisch aus Salz, Wasser und Sand (1) gefüllten Plastikbehälter (Fig. 1 , (3) ) (als Modell für einen Körper) wird gezeigt, dass mit einem DM-Felderzeuger (6) durch Erzeugen von Wanderfeidern Ionen bewegt werden können. Durch Einwirkung der Lorentzkraft wird erreicht, dass, wenn ein dynamisches, homogenes magnetisches Feld ge äss WO 95/19217 erzeugt wird, das den Plastikbehälter (3) durchdringt und verlustarm durch geschichtete Bleche (Feldrückwegbleche (2)) geführt wird, sich nach Abschluss des Experimentes mehr von den nichtmagnetischen Natrium- und Chloridio- nen auf der einen Seite als auf der anderen Seite des Kastens befinden. Mit anderen Worten, das Experiment zeigt auch, dass es möglich ist, Konzentrationsgradienten von Salzen zu produzieren und so beispielsweise auch die Wirkung solcher Gradienten auf Zellen (beispielsweise Makrophagen, Protozoen) in entsprechenden Versuchsanordnungen zu untersuchen.In a plastic container (Fig. 1, (3)) filled with a mixture of salt, water and sand (1) (as a model for a body), it is shown that a DM field generator (6) moves ions by generating traveling fields can be. Through the action of the Lorentz force it is achieved that when a dynamic, homogeneous magnetic field according to WO 95/19217, which penetrates the plastic container (3) and is guided through layered plates (field return plates (2)) with little loss, more of the non-magnetic sodium and chloride ions on one side than on the other after completion of the experiment Side of the box. In other words, the experiment also shows that it is possible to produce concentration gradients of salts and thus, for example, to investigate the effect of such gradients on cells (for example macrophages, protozoa) in corresponding test arrangements.
Beispiel 4: Modell für den Transport magnetischer Partikel in einem Körper oder in Lösungen, insbesondere zum Sortieren von superparamagnetisch markierten Zellen und deren Trennung von nicht-markierten ZellenExample 4: Model for the transport of magnetic particles in a body or in solutions, in particular for sorting superparamagnetically labeled cells and separating them from unlabeled cells
Fig. 2 zeigt eine weitere Anordnung, mit der die Bewegung eines magnetischen Partikels (hier eine paramagnetische Kugel (7) - vorliegend als eine Magnetitkugel - als Modell) gezeigt wird. Dieser Versuch wird in einer de-utsehen Universität als Doppel-Blind-Versuch durchgeführt. Über einem FelderzeugerFIG. 2 shows a further arrangement with which the movement of a magnetic particle (here a paramagnetic ball (7) - here as a magnetite ball - as a model) is shown. This experiment is carried out in a German university as a double-blind experiment. About a field producer
(6) befindet sich ein transparenter Plastikbehälter (8) , der mit Wasser gefüllt ist. Durch Bewegungsfeider wird die Kugel beispielsweise in Pfeilrichtung longitudinal bewegt. Mit einem nicht magnetischen Stück Aluminium gelingt diese Bewe- gung unter den gleichen Verhältnissen nicht.(6) there is a transparent plastic container (8) which is filled with water. The ball is moved longitudinally in the direction of the arrow, for example, by movement feeders. With a non-magnetic piece of aluminum, this movement does not succeed under the same conditions.
Beispiel 5: Bewegung von markierten superparamagnetischenExample 5: Movement of marked superparamagnetic
BeadsBeads
Fig. 4 zeigt ungeordnete superparamagnetische Beads (Mute- nyi) . Durch einen (nicht gezeigten) DM-Felderzeuger werden die ungeordneten Beads (16) entweder durch magnetische Bewegungsfelder in Bewegung versetzt (z.B. Rotation (17) oder gezielte Bewegung (19)) oder es werden mit ihnen durch statische Wechselfelder kompakte, hier linear ausgedehnte Struktu- ren ausgebildet (dies würde in einem Körper beispielsweise das Verschliessen von Blutgefässen mittels superparamagneti- scher Beads ermöglichen, ums so die Blutzufuhr zu einem Tumor oder infizierten Gewebeteilen zu unterbinden und so diese abzutöten) . Auch gezielte Wanderbewegung, alternierend mit Drehung, von mit superparamagnetischen Beads markierten Zel- len ist möglich (19). Dies zeigt die Anwendbarkeit beispielsweise zum Erkennen spezifischer Zellen (etwa Erkennung von Tumorzellen durch entsprechend mit superparamagnetischen Beads markierte Antikörper) oder insbesondere zur Zellsortierung (Herausziehen der markierten Zellen aus einem Gemisch mit nicht markierten Zellen) .4 shows disordered superparamagnetic beads (Muteyi). By means of a (not shown) DM field generator, the disordered beads (16) are either set in motion by magnetic movement fields (e.g. rotation (17) or targeted movement (19)) or they become compact, here linearly expanded structure by means of static alternating fields - Ren trained (this would, for example, in a body, the closing of blood vessels using superparamagnetic shear beads to prevent the blood supply to a tumor or infected tissue and thus kill them). Targeted migration, alternating with rotation, of cells marked with superparamagnetic beads is also possible (19). This shows the applicability, for example, for the detection of specific cells (for example detection of tumor cells by means of antibodies labeled accordingly with superparamagnetic beads) or in particular for cell sorting (pulling out the labeled cells from a mixture with non-labeled cells).
Beispiel 6: Bewegung von RädertierchenExample 6: Movement of rotifers
Eine Handvoll Heu wird mit Sand und Wasser aus einem See aufgeschlämmt und einige Tage stehen gelassen, worauf sich Rädertierchen (Rotatoria) entwickeln. Diese werden in einemA handful of hay is slurried from a lake with sand and water and left to stand for a few days, whereupon rotifers develop. These are in one
Eppendorf-Cup gehalten und 10 μl einer Aufschläm ung von 100- 250 nm-Beads (magnetische Polyalkylcyanoacryla -Partikel der Firma micromod Partikeltechnologie GmbH, Rostock, Deutschland) zugegeben. Die Allesfresser nehmen die Beads auf. Nach wenigen Stunden werden die Tiere dann unter einer mikroskopischen Vorrichtung, wie in Fig. 3 gezeigt, mittels Anlegen von DM-Feldern bewegt. Eppendorf cup held and 10 ul of a slurry of 100-250 nm beads (magnetic polyalkylcyanoacryla particles from micromod particle technology GmbH, Rostock, Germany) added. The omnivores take up the beads. After a few hours, the animals are then moved under a microscopic device, as shown in FIG. 3, by applying DM fields.

Claims

Patentansprüche: claims:
1. Verwendung von dynamischen Magnetfeldern (DM-Felder) , erzeugbar durch wechselstromversorgte Mehrphasensysteme, zum Erkennen und/oder Sortieren von Zellen, Zellbestandteilen oder Pathogenen, an die superparamagnetische Beads gebunden sind.1. Use of dynamic magnetic fields (DM fields), which can be generated by AC-supplied multiphase systems, for the detection and / or sorting of cells, cell components or pathogens to which superparamagnetic beads are bound.
2. Verwendung gemäss Anspruch 1, dadurch gekennzeichnet, dass das Erkennen zur Diagnose von Erkrankungen von Zellen verwen- det wird.2. Use according to claim 1, characterized in that the detection is used for the diagnosis of diseases of cells.
3. Verwendung gemäss Anspruch 3, dadurch gekennzeichnet, dass Tumorzellen oder infizierte Zellen erkannt werden, an die superparamagnetische Beads über für diese Zellen spezifische Antikörper gebunden sind.3. Use according to claim 3, characterized in that tumor cells or infected cells are recognized, to which superparamagnetic beads are bound via antibodies specific for these cells.
4. Verwendung gemäss einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass es extrakorporal angewendet wird.4. Use according to one of claims 1 to 3, characterized in that it is used extracorporeally.
5. Verwendung eines dynamischen Magnetfeldes, wie in Anspruch 1 definiert, zur Reinigung von Flüssigkeiten von Pathogenen, an die superparamagnetische Beads gebunden sind.5. Use of a dynamic magnetic field, as defined in claim 1, for the purification of liquids from pathogens to which superparamagnetic beads are bound.
6. Verwendung gemäss Anspruch 5, worin die zu reinigende Flüssigkeit eine Blutkonserve, Plasmakonserve oder ein Zellkulturmedium ist.6. Use according to claim 5, wherein the liquid to be purified is a blood preserve, plasma preservation or a cell culture medium.
7. Verfahren zur Diagnose, insbesondere zum Erkennen von kranken, vor allem infizierten Zellen oder Tumorzellen, wel- ches die Verwendung von dynamischen Magnetfeldern, wie in7. A method for diagnosis, in particular for recognizing sick, especially infected, cells or tumor cells, which involves the use of dynamic magnetic fields, as in
Anspruch 1 definiert , und an die genannten Zellen bindenden superparamagnetisch markierten Beads umfasst.Claim 1 defined, and comprising superparamagnetically labeled beads binding to said cells.
8. Verfahren gemäss Anspruch 7, dadurch gekennzeichnet, dass es extrakorporal angewendet wird. 8. The method according to claim 7, characterized in that it is applied extracorporeally.
9. Verfahren zur Behandlung erkrankter Zellen, insbesondere von infizierten Zellen oder Tumorzellen, welches die Nutzung von dynamischen Magnetfeldern, wie in Anspruch 1 definiert, und superparamagnetischen Beads umfasst, die am Ort der infi- zierten Zellen oder Tumorzellen vorliegen oder an diese gebunden sind.9. A method for treating diseased cells, in particular infected cells or tumor cells, which comprises the use of dynamic magnetic fields as defined in claim 1 and superparamagnetic beads which are present at the site of the infected cells or tumor cells or are bound to these.
10. Verfahren gemäss Anspruch 9, worin die erkrankten Zellen durch superparamagnetische Beads, welche über Antikörper an die erkrankten Zellen gebunden sind, selektiv markiert und durch das Anlegen eines dynamischen Magnetfeldes, wie in Anspruch 1 definiert, Stress durch Bewegung ausgesetzt werden.10. The method according to claim 9, wherein the diseased cells are selectively marked by superparamagnetic beads, which are bound to the diseased cells via antibodies, and are exposed to movement stress by the application of a dynamic magnetic field, as defined in claim 1.
11. Verfahren gemäss Anspruch 9, worin die erkrankten Zellen durch superparamagnetische Beads , welche direkt an einen11. The method according to claim 9, wherein the diseased cells by superparamagnetic beads which are directly attached to a
Wirkstoff gekoppelt sind oder an Liposomen, die einen derartigen Wirkstoff tragen, markiert sind und durch das Anlegen eines dynamischen Feldes, wie in Anspruch 1 definiert, an den Ort der Wirkung transportiert werden,-und/oder nach Markierung der erkrankten Zellen so angeregt werden, dass die Zellen dem Wirkstoff verstärkt ausgesetzt werden.Active substance are coupled or are labeled on liposomes which carry such an active substance and are transported to the site of the action by applying a dynamic field as defined in claim 1, and / or are so excited after marking the diseased cells, that the cells are increasingly exposed to the active ingredient.
12. Verfahren nach Anspruch 9, dadurch gekennzeichnet, dass es extrakorporal angewendet wird.12. The method according to claim 9, characterized in that it is applied extracorporeally.
13. Verwendung von superparamagnetisch markierten Wirkstoffen zur Herstellung eines Präparates zur Anwendung in einem Verfahren zur Behandlung von infizierten Zellen oder Tumorzellen, das die Behandlung mit einem dynamischen Magnetfeld, wie in Anspruch 1 definiert, umfasst, die (a) am Ort der genannten Zellen verabreicht, (b) mit einem DM-Feld oder DM-Felderzeuger dorthin manövriert und/oder (c) an die genannten Zellen, insbesondere über an die Beads gebundene, für Antigene auf den zu behandelnden Zellen spezifische Antikörper, gebun- den werden oder sind . 13. Use of superparamagnetically labeled active ingredients for the manufacture of a preparation for use in a method for the treatment of infected cells or tumor cells, which comprises treatment with a dynamic magnetic field as defined in claim 1, which (a) administers at the location of said cells , (b) maneuvered there with a DM field or DM field generator and / or (c) are or are bound to the cells mentioned, in particular via antibodies bound to the beads and specific for antigens on the cells to be treated.
1 . Kombination von superparamagetisch markierten Wirkstoffen oder superparamagnetischen Beads mit einem Erzeuger eines dynamischen Magnetfeldes, geeignet zur Behandlung infizierter Zellen oder Tumorzellen. 1 . Combination of superparamagically labeled active ingredients or superparamagnetic beads with a generator of a dynamic magnetic field, suitable for the treatment of infected cells or tumor cells.
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