EP2094736A1 - Acide hyaluronique réticulé et son procédé de préparation - Google Patents
Acide hyaluronique réticulé et son procédé de préparationInfo
- Publication number
- EP2094736A1 EP2094736A1 EP07866489A EP07866489A EP2094736A1 EP 2094736 A1 EP2094736 A1 EP 2094736A1 EP 07866489 A EP07866489 A EP 07866489A EP 07866489 A EP07866489 A EP 07866489A EP 2094736 A1 EP2094736 A1 EP 2094736A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- hyaluronic acid
- acid according
- crosslinked
- coupling agent
- reaction
- 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.)
- Withdrawn
Links
- 229920002674 hyaluronan Polymers 0.000 title claims abstract description 97
- KIUKXJAPPMFGSW-DNGZLQJQSA-N (2S,3S,4S,5R,6R)-6-[(2S,3R,4R,5S,6R)-3-Acetamido-2-[(2S,3S,4R,5R,6R)-6-[(2R,3R,4R,5S,6R)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylic acid Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 KIUKXJAPPMFGSW-DNGZLQJQSA-N 0.000 title claims abstract description 96
- 229960003160 hyaluronic acid Drugs 0.000 title claims abstract description 88
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 11
- 239000000017 hydrogel Substances 0.000 claims abstract description 20
- 238000000034 method Methods 0.000 claims abstract description 17
- 239000012429 reaction media Substances 0.000 claims abstract description 15
- 239000003431 cross linking reagent Substances 0.000 claims abstract description 14
- 229920001184 polypeptide Polymers 0.000 claims abstract description 12
- 108090000765 processed proteins & peptides Proteins 0.000 claims abstract description 12
- 102000004196 processed proteins & peptides Human genes 0.000 claims abstract description 12
- 239000007943 implant Substances 0.000 claims abstract description 9
- 239000003960 organic solvent Substances 0.000 claims abstract description 7
- 108010038807 Oligopeptides Proteins 0.000 claims abstract description 5
- 102000015636 Oligopeptides Human genes 0.000 claims abstract description 5
- 238000002316 cosmetic surgery Methods 0.000 claims abstract description 4
- LMDZBCPBFSXMTL-UHFFFAOYSA-N 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide Chemical compound CCN=C=NCCCN(C)C LMDZBCPBFSXMTL-UHFFFAOYSA-N 0.000 claims description 34
- 238000006243 chemical reaction Methods 0.000 claims description 20
- 239000007822 coupling agent Substances 0.000 claims description 16
- NQTADLQHYWFPDB-UHFFFAOYSA-N N-Hydroxysuccinimide Chemical compound ON1C(=O)CCC1=O NQTADLQHYWFPDB-UHFFFAOYSA-N 0.000 claims description 14
- 238000001556 precipitation Methods 0.000 claims description 13
- 150000001732 carboxylic acid derivatives Chemical group 0.000 claims description 11
- 238000005859 coupling reaction Methods 0.000 claims description 11
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical group CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 10
- 230000008878 coupling Effects 0.000 claims description 10
- 238000010168 coupling process Methods 0.000 claims description 10
- 230000008569 process Effects 0.000 claims description 10
- 239000000203 mixture Substances 0.000 claims description 9
- 238000004132 cross linking Methods 0.000 claims description 8
- 150000001412 amines Chemical group 0.000 claims description 7
- -1 sulfo NHS Chemical compound 0.000 claims description 7
- NVGBPTNZLWRQSY-UWVGGRQHSA-N Lys-Lys Chemical group NCCCC[C@H](N)C(=O)N[C@H](C(O)=O)CCCCN NVGBPTNZLWRQSY-UWVGGRQHSA-N 0.000 claims description 6
- 150000001718 carbodiimides Chemical class 0.000 claims description 6
- 239000000835 fiber Substances 0.000 claims description 6
- 239000000945 filler Substances 0.000 claims description 6
- 108010054155 lysyllysine Proteins 0.000 claims description 6
- 230000037303 wrinkles Effects 0.000 claims description 6
- 230000002378 acidificating effect Effects 0.000 claims description 5
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 claims description 4
- 230000004913 activation Effects 0.000 claims description 4
- NPZTUJOABDZTLV-UHFFFAOYSA-N hydroxybenzotriazole Substances O=C1C=CC=C2NNN=C12 NPZTUJOABDZTLV-UHFFFAOYSA-N 0.000 claims description 4
- 150000003839 salts Chemical class 0.000 claims description 4
- FPIRBHDGWMWJEP-UHFFFAOYSA-N 1-hydroxy-7-azabenzotriazole Chemical compound C1=CN=C2N(O)N=NC2=C1 FPIRBHDGWMWJEP-UHFFFAOYSA-N 0.000 claims description 3
- 208000032544 Cicatrix Diseases 0.000 claims description 3
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 claims description 3
- 239000004472 Lysine Substances 0.000 claims description 3
- 239000003125 aqueous solvent Substances 0.000 claims description 3
- 239000002537 cosmetic Substances 0.000 claims description 3
- 238000001035 drying Methods 0.000 claims description 3
- 230000006870 function Effects 0.000 claims description 3
- 231100000241 scar Toxicity 0.000 claims description 3
- 230000037387 scars Effects 0.000 claims description 3
- ASOKPJOREAFHNY-UHFFFAOYSA-N 1-Hydroxybenzotriazole Chemical compound C1=CC=C2N(O)N=NC2=C1 ASOKPJOREAFHNY-UHFFFAOYSA-N 0.000 claims description 2
- 229920001577 copolymer Polymers 0.000 claims description 2
- 239000012964 benzotriazole Substances 0.000 claims 1
- 229920001519 homopolymer Polymers 0.000 claims 1
- 238000002278 reconstructive surgery Methods 0.000 claims 1
- 230000003213 activating effect Effects 0.000 abstract description 3
- 230000001376 precipitating effect Effects 0.000 abstract 1
- 230000015556 catabolic process Effects 0.000 description 15
- 238000006731 degradation reaction Methods 0.000 description 15
- 239000000047 product Substances 0.000 description 15
- 238000003756 stirring Methods 0.000 description 14
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 11
- 239000000243 solution Substances 0.000 description 9
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine (DIPEA) Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 8
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 6
- 229920000642 polymer Polymers 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 6
- 239000000499 gel Substances 0.000 description 5
- 239000002253 acid Substances 0.000 description 4
- 238000001727 in vivo Methods 0.000 description 4
- 239000002609 medium Substances 0.000 description 4
- 239000011780 sodium chloride Substances 0.000 description 4
- 230000001954 sterilising effect Effects 0.000 description 4
- 238000004659 sterilization and disinfection Methods 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 239000012736 aqueous medium Substances 0.000 description 3
- 230000001580 bacterial effect Effects 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 239000003795 chemical substances by application Substances 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 238000005886 esterification reaction Methods 0.000 description 3
- 238000011049 filling Methods 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 230000000269 nucleophilic effect Effects 0.000 description 3
- 229920000656 polylysine Polymers 0.000 description 3
- 239000011541 reaction mixture Substances 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 2
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 2
- 206010018910 Haemolysis Diseases 0.000 description 2
- 229920000954 Polyglycolide Polymers 0.000 description 2
- 108010039918 Polylysine Proteins 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 239000008366 buffered solution Substances 0.000 description 2
- 239000001506 calcium phosphate Substances 0.000 description 2
- PBAYDYUZOSNJGU-UHFFFAOYSA-N chelidonic acid Natural products OC(=O)C1=CC(=O)C=C(C(O)=O)O1 PBAYDYUZOSNJGU-UHFFFAOYSA-N 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 230000000593 degrading effect Effects 0.000 description 2
- 239000000839 emulsion Substances 0.000 description 2
- 230000002255 enzymatic effect Effects 0.000 description 2
- 230000032050 esterification Effects 0.000 description 2
- 150000002148 esters Chemical class 0.000 description 2
- 150000004676 glycans Chemical class 0.000 description 2
- 230000008588 hemolysis Effects 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 230000003071 parasitic effect Effects 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 229920001606 poly(lactic acid-co-glycolic acid) Polymers 0.000 description 2
- 239000004633 polyglycolic acid Substances 0.000 description 2
- 239000004626 polylactic acid Substances 0.000 description 2
- 229920001282 polysaccharide Polymers 0.000 description 2
- 239000005017 polysaccharide Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 238000003786 synthesis reaction Methods 0.000 description 2
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 2
- 229940078499 tricalcium phosphate Drugs 0.000 description 2
- 229910000391 tricalcium phosphate Inorganic materials 0.000 description 2
- 235000019731 tricalcium phosphate Nutrition 0.000 description 2
- WCDDVEOXEIYWFB-VXORFPGASA-N (2s,3s,4r,5r,6r)-3-[(2s,3r,5s,6r)-3-acetamido-5-hydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-4,5,6-trihydroxyoxane-2-carboxylic acid Chemical compound CC(=O)N[C@@H]1C[C@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](C(O)=O)O[C@@H](O)[C@H](O)[C@H]1O WCDDVEOXEIYWFB-VXORFPGASA-N 0.000 description 1
- NGJUYARYEXGDNN-UHFFFAOYSA-N 1-[3-(dimethylamino)propyl]-3-ethylurea Chemical compound CCNC(=O)NCCCN(C)C NGJUYARYEXGDNN-UHFFFAOYSA-N 0.000 description 1
- GVJXGCIPWAVXJP-UHFFFAOYSA-N 2,5-dioxo-1-oxoniopyrrolidine-3-sulfonate Chemical class ON1C(=O)CC(S(O)(=O)=O)C1=O GVJXGCIPWAVXJP-UHFFFAOYSA-N 0.000 description 1
- 239000004475 Arginine Substances 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- SXRSQZLOMIGNAQ-UHFFFAOYSA-N Glutaraldehyde Chemical compound O=CCCCC=O SXRSQZLOMIGNAQ-UHFFFAOYSA-N 0.000 description 1
- 229920002683 Glycosaminoglycan Polymers 0.000 description 1
- 102000005744 Glycoside Hydrolases Human genes 0.000 description 1
- 108010031186 Glycoside Hydrolases Proteins 0.000 description 1
- 102000001974 Hyaluronidases Human genes 0.000 description 1
- 108050009363 Hyaluronidases Proteins 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 1
- 241001272720 Medialuna californiensis Species 0.000 description 1
- OVRNDRQMDRJTHS-FMDGEEDCSA-N N-acetyl-beta-D-glucosamine Chemical group CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O OVRNDRQMDRJTHS-FMDGEEDCSA-N 0.000 description 1
- 108091034117 Oligonucleotide Proteins 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 229920002385 Sodium hyaluronate Polymers 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- DTQVDTLACAAQTR-UHFFFAOYSA-M Trifluoroacetate Chemical compound [O-]C(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-M 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 238000013019 agitation Methods 0.000 description 1
- AEMOLEFTQBMNLQ-WAXACMCWSA-N alpha-D-glucuronic acid Chemical group O[C@H]1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O AEMOLEFTQBMNLQ-WAXACMCWSA-N 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 239000003054 catalyst Substances 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 239000003153 chemical reaction reagent Substances 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 230000003413 degradative effect Effects 0.000 description 1
- 210000004207 dermis Anatomy 0.000 description 1
- 230000001066 destructive effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000006266 etherification reaction Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 238000000855 fermentation Methods 0.000 description 1
- 230000004151 fermentation Effects 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 239000011888 foil Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 239000008241 heterogeneous mixture Substances 0.000 description 1
- HNDVDQJCIGZPNO-UHFFFAOYSA-N histidine Natural products OC(=O)C(N)CC1=CN=CN1 HNDVDQJCIGZPNO-UHFFFAOYSA-N 0.000 description 1
- 235000012907 honey Nutrition 0.000 description 1
- 229940014041 hyaluronate Drugs 0.000 description 1
- 239000001257 hydrogen Substances 0.000 description 1
- 229910052739 hydrogen Inorganic materials 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 208000006132 lipodystrophy Diseases 0.000 description 1
- 125000003588 lysine group Chemical group [H]N([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])(N([H])[H])C(*)=O 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000010907 mechanical stirring Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 125000000896 monocarboxylic acid group Chemical group 0.000 description 1
- XCVNDBIXFPGMIW-UHFFFAOYSA-N n-ethylpropan-1-amine Chemical compound CCCNCC XCVNDBIXFPGMIW-UHFFFAOYSA-N 0.000 description 1
- 239000012038 nucleophile Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 238000005897 peptide coupling reaction Methods 0.000 description 1
- 230000002688 persistence Effects 0.000 description 1
- 239000008363 phosphate buffer Substances 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 229920000724 poly(L-arginine) polymer Polymers 0.000 description 1
- 229920002704 polyhistidine Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 150000003138 primary alcohols Chemical class 0.000 description 1
- 150000003141 primary amines Chemical class 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 230000035484 reaction time Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 210000003491 skin Anatomy 0.000 description 1
- 229940010747 sodium hyaluronate Drugs 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000003381 solubilizing effect Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000010025 steaming Methods 0.000 description 1
- 230000009469 supplementation Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
- 238000013191 viscoelastic testing Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
- A61L27/20—Polysaccharides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/145—Hydrogels or hydrocolloids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/042—Polysaccharides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0006—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
- C08B37/0024—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid beta-D-Glucans; (beta-1,3)-D-Glucans, e.g. paramylon, coriolan, sclerotan, pachyman, callose, scleroglucan, schizophyllan, laminaran, lentinan or curdlan; (beta-1,6)-D-Glucans, e.g. pustulan; (beta-1,4)-D-Glucans; (beta-1,3)(beta-1,4)-D-Glucans, e.g. lichenan; Derivatives thereof
- C08B37/0027—2-Acetamido-2-deoxy-beta-glucans; Derivatives thereof
- C08B37/003—Chitin, i.e. 2-acetamido-2-deoxy-(beta-1,4)-D-glucan or N-acetyl-beta-1,4-D-glucosamine; Chitosan, i.e. deacetylated product of chitin or (beta-1,4)-D-glucosamine; Derivatives thereof
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/006—Heteroglycans, i.e. polysaccharides having more than one sugar residue in the main chain in either alternating or less regular sequence; Gellans; Succinoglycans; Arabinogalactans; Tragacanth or gum tragacanth or traganth from Astragalus; Gum Karaya from Sterculia urens; Gum Ghatti from Anogeissus latifolia; Derivatives thereof
- C08B37/0063—Glycosaminoglycans or mucopolysaccharides, e.g. keratan sulfate; Derivatives thereof, e.g. fucoidan
- C08B37/0072—Hyaluronic acid, i.e. HA or hyaluronan; Derivatives thereof, e.g. crosslinked hyaluronic acid (hylan) or hyaluronates
Definitions
- the present invention relates to a novel crosslinked hyaluronic acid and its method of preparation and uses, especially cosmetics.
- Hyaluronic acid is a polysaccharide consisting of D-glucuronic acid units and N-acetyl-D-glucosamine units, which is particularly known for use in reconstructive or ocular surgery or in the aesthetic field as a filling product for wrinkles.
- hyaluronic acid is preferred over other fillers because of its biocompatibility and physicochemical properties.
- it has the disadvantage of degrading quickly, thus requiring repeated injections.
- various methods of crosslinking hyaluronic acid to make it less sensitive to various degradation factors such as enzymatic and / or bacterial attacks, temperature and free radicals and to improve its resistance to degradation in vivo and therefore its duration of action. These processes involve, in particular, etherification, esterification or amidification of the hydroxyl and / or acid functions of the native hyaluronic acid.
- EP-I 535 952 discloses a coating consisting of crosslinked hyaluronic acid formed in situ by reaction of a polylysine with hyaluronic acid in the presence of EDC and NHS at a pH of 2 to 9 and preferably from 4 to 7.5.
- the article provided with this coating may in particular be a prosthesis that can be used in cosmetic surgery.
- This document does not disclose crosslinked hyaluronic acid precipitated in an organic solvent in order to be available in dry form and susceptible thus to be formulated as a hydrogel extemporaneously.
- US Pat. No. 6,632,457 discloses a modified hyaluronic acid prepared by reacting a primary amine with a carbodiimide-activated hyaluronic acid such as EDC and an N-hydroxysulfosuccinimide derivative such as NHS. at a pH of 7.0 to 8.5.
- the compound obtained can be cross-linked under physiological conditions, for example with glutaraldehyde, to obtain a hydrogel which remains sensitive to glycosidases and degrades substantially completely in less than 50 hours. This kinetics of degradation is compatible with the intended use as a vector of cells and growth factors but is not suitable for use as a filler in cosmetic surgery, for example.
- the application WO 2006/021644 describes a process for preparing cross-linked hyaluronic acid by activating hyaluronic acid with a coupling agent such as EDC and a catalyst such as NHS, followed by a reaction with a polypeptide such as dilysine, at a pH of 4 to 10, for example from 4 to 6.
- the pH may optionally be raised, at the end of the reaction, to a value of 6 to 7 to increase the extraction yield during the reaction. precipitation phase.
- the crosslinking is carried out in an acidic medium which is then optionally neutralized, or it is carried out in basic medium without subsequent modification of pH.
- the Applicant has discovered that the use of a The acidic pH during the reaction phase was not always favorable to the amidification reaction and could lead, as indicated previously, to parasitic reactions, in particular of intramolecular esterification, which may affect the physicochemical properties of the product obtained. .
- the Applicant has discovered quite fortuitously that the pH of precipitation in an organic solvent of hyaluronic acid crosslinked with a polypeptide determined its rheological properties and its sensitivity to degradation factors such as temperature, the free radicals and enzymes such as hyaluronidases. Following multiple experiments, the Applicant then identified the optimal precipitation conditions for obtaining a crosslinked hyaluronic acid insensitive to thermal degradation, that is to say, retaining its properties. rheological properties after redissolution of the precipitated compound and sterilization. Everything happens as if reticulated hyaluronic acid once reformulated a "memory" of its molecular organization at the time of precipitation. It has furthermore been demonstrated that this molecular arrangement furthermore influences the ability of the polymer to resolubilize.
- the aforementioned method makes it possible to densify and solidify the macromolecular network of hyaluronic acid not only by means of covalent bonds with the crosslinking agent, but also by means of ionic interactions and / or or hydrogen bonds developing at the moment of precipitation.
- the present invention therefore relates to a crosslinked hyaluronic acid, obtainable by a process comprising:
- the crosslinked hyaluronic acid obtained according to the invention is soluble in water.
- this expression it is meant that 1 g of the dehydrated fibers obtained as described above are disintegrated in a few minutes and solubilize completely in one liter of saline solution after a few hours, without stirring.
- the hyaluronic acid used in the above process is generally used in the native state, that is to say as naturally occurring in a living organism or excreted by the bacteria during its production by bacterial fermentation. It thus generally has a molecular weight ranging from 500,000 to 7,000,000 Daltons and is usually used in the form of sodium salt.
- Hyaluronic acid is activated before crosslinking, using a coupling agent and a coupling aid.
- Examples of coupling agents are water-soluble carbodiimides such as 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide (EDC), 1-ethyl-3- (3-trimethylaminopropyl) carbodiimide (ETC) and 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide (EDC).
- EDC water-soluble carbodiimides
- ETC 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide
- ETC 1-ethyl-3- (3-trimethylaminopropyl) carbodiimide
- EDC 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide
- CMC cyclohexyl-3- (2-morphilinoethyl) carbodiimide
- coupling aids are N- hydroxy succinimide (NHS), N-hydroxy benzotriazole (HOBt), 3,4-dihydro-3-hydroxy-4-oxo-1,2,3-benzotriazole (HOOBt), 1-hydroxy-7-azabenzotriazole
- the molar ratio of the coupling agent to the carboxylic acid units of hyaluronic acid be between 2% and 200%, more preferably between 5% and 100%.
- the molar ratio of the coupling aid to the coupling agent is advantageously between 1: 1 and 3: 1, preferably between 1.5: 1 and 2.5: 1 inclusive, and more preferentially equal to 2.
- the activation reaction of the hyaluronic acid by the coupling agent can be carried out at a pH ranging for example from 3 to 6, preferably from 4 to 5.
- the concentration of hyaluronic acid in the reaction medium is for example between 0.1 and 5% by weight, for example between 0.1 and 1% by weight, inclusive.
- the crosslinking agent comprises at least 50% by weight, and is advantageously constituted of an oligo- or polypeptide which can be a homo- or copolypeptide statistic, block, segmented, grafted or star.
- the crosslinking agent is generally in salt form and in particular hydrochloride or optionally hydrobromide or trifluoroacetate, in particular.
- the number of amine functions of the polypeptide involved represents from (1 to 100%), preferably from 10 to 50%, of the number of carboxylic acid functions of the hyaluronic acid involved.
- the coupling agent is used in stoichiometric amount relative to the amine functions of the crosslinking agent.
- the amount of carboxylic acid functions of hyaluronic acid that are activated is equal to the amount of amine functions that will be added to the second step.
- the agent of coupling is carried out in stoichiometric amount with respect to the carboxylic acid functions of hyaluronic acid.
- the quantity of crosslinking agent used in the second step may, for example, be less than 30%, better still, less than 10%, or even about 5% (in number of moles of crosslinking agent relative to the number of moles of carboxylic acid functions).
- the crosslinking reaction is generally carried out under temperature conditions and for a time entirely conventional for those skilled in the art, for example at a temperature of 0-45 0 C, preferably 5- 25 ° C for 1 to 1Oh, preferably 1 to 6h.
- the pH of the reaction is between 8 and 12 and preferably between 8 and 10 (limits included). This pH can be adjusted using any base, preferably a weakly nucleophilic base such as an amine such as diisopropylethylamine (DIEA).
- DIEA diisopropylethylamine
- This reaction is usually carried out in a solvent such as an aqueous solution of sodium chloride.
- the concentration of hyaluronic acid in the reaction medium is, for example, between 0.01 and 5% by weight, for example between 0.1 and 1% by weight, limits included.
- the pH of the reaction medium is adjusted to a value ranging from 5 to 7 and preferably from 5.5 to 7 with the aid of any acid such as hydrochloric acid, before the crosslinked hyaluronic acid obtained is precipitated.
- the precipitation step is carried out in an organic solvent such as ethanol, isopropanol, ether or acetone, or mixtures thereof, for example, ethanol being preferred in this invention.
- the solvent is advantageously used in an amount representing from 5 to 20 times, for example approximately 10 times, the volume of reaction medium.
- a possible drying step is then preferably carried out, so as to obtain a dehydrated form of crosslinked hyaluronic acid which is easier to handle and is better preserved.
- the preservation can in particular be carried out in negative cold.
- the invention also relates to the process for producing a crosslinked hyaluronic acid, as described above.
- This process may also comprise other steps than those explicitly mentioned and in particular a step of mixing said dehydrated crosslinked hyaluronic acid with an aqueous solvent, such as a sodium chloride solution, a physiological saline solution or an injectable buffered solution (especially a saline solution of phosphate buffer), to form a hydrogel.
- an aqueous solvent such as a sodium chloride solution, a physiological saline solution or an injectable buffered solution (especially a saline solution of phosphate buffer)
- concentration of hyaluronic acid in said hydrogel may range from 1 to 4% and preferably from 1.5 to 3% w / v.
- the invention therefore also relates to such a hydrogel, containing a crosslinked hyaluronic acid as described above, in an aqueous solvent.
- the measurement of the elastic modulus, the viscous modulus and the loss angle can be carried out in the following manner: the hydrogel is treated with a 4cm, 4 ° cone-plane geometry at a temperature of 25 ° C. It undergoes a non-destructive viscoelastic test at IHz, with an imposed deformation of 1%.
- the measurement of the elastic modulus is carried out using a rheometer type AR 1000 from TA Instruments. The same apparatus can be used to measure the viscosity using a shear rate of 50 ° ⁇ 2 sec ⁇ x .
- the invention therefore also relates to a sterilized hydrogel containing hyaluronic acid crosslinked by a crosslinking agent containing at least 50% by weight of oligo- or polypeptide, characterized in that it has a variation of its elastic modulus of less than 30% after stoving at 93 ° C for 1 hour.
- This hydrogel is advantageously used for the manufacture of implants.
- These implants can in particular be injected subcutaneously (hypodermic) or intradermally into the fibrous tissue.
- a carrier fluid comprising at least one polysaccharide, for example at least one cellulose derivative such as carboxymethylcellulose and / or at least one glycosaminoglycan such as sodium hyaluronate and / or particles of a biocompatible bioresorbable material such as polylactic acid (PLLA), polyglycolic acid (PGA), poly (lactic-co-glycolic acid) (PLGA), tricalcium phosphate (TCP), hydroxyapatite (PAHs), and mixtures thereof.
- PLLA polylactic acid
- PGA polyglycolic acid
- PLGA poly (lactic-co-glycolic acid)
- TCP tricalcium phosphate
- PAHs hydroxyapatite
- the implants according to the invention are bioabsorbable, in that they are capable of degrading in the body in 6 to 18 months.
- hyaluronic acid-deficient cavity or organ typically in dermatology, aesthetic medicine or in orthopedic treatments
- reconstitution of an effused volume during surgical procedures typically in ocular surgery
- the aforementioned implant is particularly well suited for use in filling facial wrinkles and fine lines and / or scars of the human body.
- the present invention therefore also relates to the use of crosslinked hyaluronic acid as described above for the manufacture of injectable implants intended for use in cosmetic and / or restorative surgery, for the manufacture of fillers, especially wrinkles, fine lines, scars or skin depressions such as lipodystrophies.
- the crosslinking reaction (scheme 1) consists of a double peptide coupling between the carboxylic acid functions of two hyaluronic acid chains and the amine functions of dilysine.
- the coupling reagents used are 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide (EDC) and N-hydroxysuccinimide (NHS).
- the first step consists of a nucleophilic attack of the carboxylic acid function of hyaluronic acid on the carbodiimide function of the coupling agent EDC.
- the resulting O-acylurea is then substituted with NHS to form a more stable activated ester (production of 1-ethyl-3- (3-dimethylaminopropyl) urea).
- O-acylurea can rearrange into inert N-acylurea in a slightly acidic aqueous medium and during a long reaction time.
- the last step consists finally in the nucleophilic attack of one of the amine functions of the dilysine (preferably terminal, sterically favored) on the activated ester in order to form an amide bond with NHS release.
- a 500 ml glass reactor 3 g of sodium chloride are successively introduced into 300 ml of milliQ water. After dissolving the sodium chloride with the sonicator, 2 g of hyaluronic acid (HTL Sari, batch) are introduced into the reactor containing the saline solution.
- HTL Sari hyaluronic acid
- reaction mixture is removed from the refrigerator and stirred at room temperature (18-25 ° C) for 10 minutes, (visually the solution should be perfectly clear and homogeneous having a certain viscosity, such as fluid honey).
- the stirring used is of mechanical type with a stirrer in the form of a half-moon teflon.
- the rotation speed is 60 rpm.
- a solution of 464 mg (4.03 mmol) of N-hydroxysuccinimide (ACROS, purity 98%, hereinafter NHS) is then prepared in 5 ml of milliQ water in a hemolysis tube and then vortexed to dissolve the totality of the NHS. This solution is added to the reaction medium dropwise at 5 ml / mm.
- ACROS N-hydroxysuccinimide
- the mixture is left stirring for thirty minutes and then the aqueous solution of dilysme is added to the reaction medium at the rate of 1 ml / mm.
- This solution is prepared by vortex solubilizing in 1 ml of water rruiliQ, 233 mg (0.67 mmol) of dilysme hydrochloride (BACHEM supplier, ref G2675), then 1302 ⁇ l f 10, 08 mmol) of propylethylamine (supplier ACROS ref 115225000, hereinafter DIEA), all in a hemolysis tube.
- This mixture has two distinct phases forming a reversible emulsion after vigorous stirring. It is attempted to mix the emulsion as much as possible while it is added to the reaction medium.
- the pH of the reaction medium must be between 8.5 and 10.5.
- the pH of the solution is adjusted before precipitation with 1M HCl to reduce it to a pH of 5.7.
- a reactor of a liter capacity, equipped with a mechanical stirrer and a stirring rod in the form of a rake is prepared.
- 420 ml of ethanol at 95 ° are poured into this reactor and the mechanical stirring is started at a very high speed (approximately 1000 rpm).
- reaction mixture containing the crosslinked hyaluronate is then aspirated with a 50 ml syringe and then fed continuously into the reactor.
- the solution should be clear, colorless and fairly viscous.
- the product After removing the syringe from the refrigerator, the product is rapidly stirred with mechanical agitation at a speed of 1000 rpm.
- the stirring rod used is a laboratory spatula shaped like a stainless steel spoon.
- the stirring time is about 5 minutes for this product, but varies according to the viscosity.
- the final gel must be colorless and perfectly homogeneous.
- Tested products All tested products are sterile products.
- Table 1 summarizes the results obtained for the various tested reticulated hyaluronic acids.
- modified hyaluronic acids according to the invention exhibit a lower drop in their elastic modulus than the commercially available crosslinked hyaluronic acids, which shows that they are more resistant to degradation factors.
- Classes from 1 to 5 were used, which represent a synthetic note taking into account the elasticity and the viscosity of the gel. The more the gel is considered elastic, the higher the score. On the other hand, a non-homogeneous and / or fluid gel has a low score.
- cross-linked hyaluronic acids precipitated at a pH that is too acidic give hydrogels having good viscoelasticity (provided that they can be reformulated, which is not always possible), but which deteriorate markedly during the transition to and will be sensitive to endogenous degradation factors.
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Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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FR0609866A FR2908415B1 (fr) | 2006-11-10 | 2006-11-10 | Acide hyaluronique reticule et son procede de preparation |
PCT/FR2007/052245 WO2008056069A1 (fr) | 2006-11-10 | 2007-10-25 | Acide hyaluronique réticulé et son procédé de préparation |
Publications (1)
Publication Number | Publication Date |
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EP2094736A1 true EP2094736A1 (fr) | 2009-09-02 |
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Application Number | Title | Priority Date | Filing Date |
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EP07866489A Withdrawn EP2094736A1 (fr) | 2006-11-10 | 2007-10-25 | Acide hyaluronique réticulé et son procédé de préparation |
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Country | Link |
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US (1) | US20090263447A1 (ru) |
EP (1) | EP2094736A1 (ru) |
JP (1) | JP5389661B2 (ru) |
KR (1) | KR101478849B1 (ru) |
CN (1) | CN101611063B (ru) |
AU (1) | AU2007316520B2 (ru) |
BR (1) | BRPI0718577A2 (ru) |
CA (1) | CA2668650C (ru) |
FR (1) | FR2908415B1 (ru) |
MX (1) | MX2009004969A (ru) |
RU (1) | RU2456299C2 (ru) |
WO (1) | WO2008056069A1 (ru) |
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2006
- 2006-11-10 FR FR0609866A patent/FR2908415B1/fr active Active
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2007
- 2007-10-25 KR KR1020097011862A patent/KR101478849B1/ko not_active IP Right Cessation
- 2007-10-25 RU RU2009120214/13A patent/RU2456299C2/ru not_active IP Right Cessation
- 2007-10-25 AU AU2007316520A patent/AU2007316520B2/en not_active Ceased
- 2007-10-25 BR BRPI0718577-4A patent/BRPI0718577A2/pt not_active IP Right Cessation
- 2007-10-25 WO PCT/FR2007/052245 patent/WO2008056069A1/fr active Application Filing
- 2007-10-25 EP EP07866489A patent/EP2094736A1/fr not_active Withdrawn
- 2007-10-25 MX MX2009004969A patent/MX2009004969A/es active IP Right Grant
- 2007-10-25 CN CN200780043889XA patent/CN101611063B/zh not_active Expired - Fee Related
- 2007-10-25 CA CA2668650A patent/CA2668650C/en not_active Expired - Fee Related
- 2007-10-25 JP JP2009535775A patent/JP5389661B2/ja not_active Expired - Fee Related
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2009
- 2009-01-06 US US12/318,699 patent/US20090263447A1/en not_active Abandoned
Non-Patent Citations (2)
Title |
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None * |
See also references of WO2008056069A1 * |
Also Published As
Publication number | Publication date |
---|---|
CA2668650A1 (en) | 2008-05-15 |
JP5389661B2 (ja) | 2014-01-15 |
KR20090109084A (ko) | 2009-10-19 |
WO2008056069A1 (fr) | 2008-05-15 |
US20090263447A1 (en) | 2009-10-22 |
CA2668650C (en) | 2015-05-26 |
MX2009004969A (es) | 2009-05-21 |
KR101478849B1 (ko) | 2015-01-02 |
AU2007316520A1 (en) | 2008-05-15 |
FR2908415A1 (fr) | 2008-05-16 |
FR2908415B1 (fr) | 2009-01-23 |
RU2456299C2 (ru) | 2012-07-20 |
JP2010509425A (ja) | 2010-03-25 |
BRPI0718577A2 (pt) | 2014-03-11 |
AU2007316520B2 (en) | 2011-09-29 |
CN101611063A (zh) | 2009-12-23 |
RU2009120214A (ru) | 2010-12-20 |
CN101611063B (zh) | 2013-02-20 |
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