KR20040050169A - Method of making fibrinogen particles suited for intravenous injections - Google Patents
Method of making fibrinogen particles suited for intravenous injections Download PDFInfo
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Abstract
Description
본 발명은 외과 및 약물 요법시에 특히 환자의 혈액 소모를 상당히 줄이는데 사용되고, 이러한 외과 및 약물 요법으로 빠른 쾌유를 돕는데 사용되는 합성 단백질 입자를 제조하는 방법에 관한 것으로, 특히 정맥내 주사용으로 적합한 피브리노겐 입자를 제조하는 방법에 관한 것이다.FIELD OF THE INVENTION The present invention relates to a method for producing synthetic protein particles that are used to significantly reduce the blood consumption of a patient, especially during surgical and drug therapy, and to help fast recovery with such surgical and drug therapy, and especially fibrinogen suitable for intravenous injection. It relates to a method for producing the particles.
암 수술 등의 많은 외과 및 약물 조처로 인해, 종종 환자가 사망할 위험에 처할 수 있는 다량의 혈액 소모가 일어나서, 환자의 혈액에 혈소판이 결핍될 수 있는 것으로 공지되어 있다. 혈액 소모를 구제하는 한 해결책으로는 수혈을 이용하는 것이다. 그러나, 수혈은 HIV 바이러스 또는 간염 바이러스 등의 치명적인 질병을 도입할 수 있다. 따라서, 임상 의학 분야에 있어서, 혈액 응집에 유용하거나, 사실상 사람 혈액의 혈소판으로서 기능하는 물질을 제공하는 것이 강력히 요구되고 있다. 이러한 물질은 하기 요건을 충족시켜야 한다. 첫째로, 이러한 물질의 입자 크기는 인체의 모세혈관망으로 유입할 수 있도록 가능한한 작아야 한다. 이러한 물질의 최대 직경은 평균하여 사람 모세혈관의 직경인 7㎛를 초과할 수 없다. 둘째로,이러한 물질은 사람 혈액에서 그 자체가 응집하거나 혈구의 혈액 응집을 개시해서는 안되지만, 상처 부위에서의 혈액 응집을 촉진시켜야 한다. 특히, 이러한 물질은 상처 부위에서의 응혈에 관여하거나 촉진시키는 능력을 지녀야 한다.It is known that many surgical and drug measures, such as cancer surgery, often result in a large amount of blood consumption that can put the patient at risk of death, resulting in a lack of platelets in the patient's blood. One solution to blood loss is to use blood transfusions. However, blood transfusions can introduce fatal diseases such as HIV virus or hepatitis virus. Therefore, in the field of clinical medicine, there is a strong demand for providing a substance useful for blood aggregation or functioning substantially as a platelet of human blood. Such materials must meet the following requirements. First, the particle size of these materials should be as small as possible so that they can enter the human capillary network. The maximum diameter of these materials cannot, on average, exceed 7 μm, the diameter of human capillaries. Second, these substances should not themselves aggregate or initiate blood aggregation of blood cells in human blood, but should promote blood aggregation at the wound site. In particular, such materials should have the ability to engage in or promote clotting at the wound site.
오일 중에서 단백질 수용액을 에멀젼화한 후, 열처리 또는 광범위한 중합반응에 의해 합성되는, 단백질로 제조된 미소구체(microsphere)가 개시되어 있다[참조문헌: K.J. Widder et al. in "Magnetically Responsive Microspheres and Other Carriers for the Biophysical Targeting of Antitumor Agents", Advances in Pharmacology and Chemotherapy, vol.6, pp. 213-271]. 그러나, 위더(Widder)의 방법에 따라 제조된 미소구체의 수명은 단백질이 이러한 미소구체의 제조시에 바람직하지 않은 변성 반응을 일으키므로 짧다. 실제로는, 합성된 혈소판상 입자는 사람 혈관내에 적어도 1일 이상 보존되어야 한다.Microspheres made from proteins are disclosed, which are synthesized by emulsifying aqueous protein solutions in oil, followed by heat treatment or extensive polymerization. [K.J. Widder et al. in "Magnetically Responsive Microspheres and Other Carriers for the Biophysical Targeting of Antitumor Agents", Advances in Pharmacology and Chemotherapy, vol. 6, pp. 213-271]. However, the lifespan of the microspheres prepared according to the method of Wither is short because proteins cause undesirable denaturation reactions in the preparation of such microspheres. In practice, the synthesized platelet-shaped particles should be preserved in human blood vessels for at least one day.
천연원의 고분자 입자의 가교 매트릭스를 포함하는 입자를 제조하는 방법이 개시되어 있다[참조문헌: Oppenheim et al., in U.S.Pat.No.4,107,288 entitled "Injectable compositions, nanoparticles useful therein, and process of manufacturing same"]. 이 방법에 있어서, 단백질 용액을 콘트라스팅 재용매화제(contrasing resolubilization agent)로 탈용매화제의 농도를 조절함으로써 탈용매화 한계값으로 만들었다. 이 공정은 불안정한 상태로 개시하여, 광범위한 중합반응을 계속하여, 응집도에 대하여 제어되지 않고, 구체(sphere)를 형성시킨다. 직경이 7 미크론보다 큰 응집체는 혈관을 클로깅할 수 있으므로, 혈관내 적용에는 위험하다. 따라서, 응집하지 않고, 직경이 7 미크론보다 상당히 작은 입자가 필요하다.A method for preparing particles comprising a cross-linked matrix of naturally occurring polymer particles is disclosed [Oppenheim et al., In US Pat. No. 4,107,288 entitled "Injectable compositions, nanoparticles useful therein, and process of manufacturing same "]. In this method, the protein solution was brought to the desolvation limit by adjusting the concentration of the desolvator with a contrasting resolubilization agent. This process starts in an unstable state and continues with a wide range of polymerization reactions, which are not controlled for the degree of aggregation and form spheres. Aggregates larger than 7 microns in diameter can clot blood vessels and are therefore dangerous for intravascular applications. Thus, particles that do not aggregate and are considerably smaller than 7 microns in diameter are needed.
본 발명의 주 목적은 정맥내 주사용으로 적합한 피브리노겐 입자를 제조하는 방법을 제공한다.It is a primary object of the present invention to provide a method of making fibrinogen particles suitable for intravenous injection.
본 발명에 따르면, 가교제의 존재하에 형성된 미소구체는 평균 직경이 1 미크론 미만이다.According to the invention, the microspheres formed in the presence of a crosslinker have an average diameter of less than 1 micron.
본 발명에 따르면, 피브리노겐은 타겟 분자로서 사용될 수 있고, 단백질 입자를 상처 부위에 가져갈 수 있어서, 혈액 소모를 줄인다.According to the present invention, fibrinogen can be used as a target molecule and can bring protein particles to the wound site, thus reducing blood consumption.
본 발명에 따르면, 합성된 물질은 사람 혈액의 혈소판으로서 작용한다. 본 발명의 합성된 물질은 피브리노플레이트(fibrinoplate) 또는 혈소판 응집 대용품으로도 불리운다.According to the invention, the synthesized material acts as a platelet of human blood. The synthesized materials of the invention are also called fibrinoplates or platelet aggregation substitutes.
본 발명에 따르면, 물질의 조성은 다음과 같다(중량부):According to the invention, the composition of the material is as follows (parts by weight):
사람 알부민: 90∼100부Human albumin: 90-100 parts
피브리노겐: 0.02∼6부Fibrinogen: 0.02 to 6 parts
본 발명의 물질은 하기 절차에 따라 제조된다:Materials of the invention are prepared according to the following procedure:
1. 단백질 입자 현탁액의 제조는:1. Preparation of protein particle suspension is:
a. 적절한 몰삼투압농도를 갖는 버퍼 용액 중에 단백질 분말을 용해하고;a. Dissolving the protein powder in a buffer solution with an appropriate molar osmolarity;
b. 계면활성제를 단계 a의 제조 용액에 가하며;b. A surfactant is added to the preparation solution of step a;
c. 가교제를 단계 b의 혼합 용액에 가하고;c. Crosslinker is added to the mixed solution of step b;
d. 알콜 용액을 단계 c의 혼합 용액에 가하는 것을 포함한다.d. Adding the alcoholic solution to the mixed solution of step c.
그리하여, 정맥내 주사용으로 적합하고 혈관을 클로깅하지 않는 성운상(nebulous) 단백질 입자 현탁액이 제조된다.Thus, nebulous protein particle suspensions are prepared which are suitable for intravenous injection and which do not clot blood vessels.
본 발명에 의하면, 단백질 용액은 사람 알부민 용액이다.According to the invention, the protein solution is a human albumin solution.
본 발명에 의하면, 계면활성제는 클리닝제이거나 세정제이다.According to the invention, the surfactant is either a cleaning agent or a cleaning agent.
본 발명에 따르면, 계면활성제는 테트라데실황산나트륨, 트윈-80 및 트리톤 X-151로 구성되는 그룹 중에서 선택될 수 있다.According to the invention, the surfactant may be selected from the group consisting of sodium tetradecyl sulfate, Tween-80 and Triton X-151.
본 발명에 따르면, 가교제는 글루타르알데히드 등의 공유결합 소분자이다.According to the present invention, the crosslinker is a covalent small molecule such as glutaraldehyde.
본 발명에 따르면, 버퍼 용액의 pH는 4∼8이다.According to the invention, the pH of the buffer solution is 4-8.
본 발명에 따르면, 몰삼투압농도는 14∼680 mOsm이다.According to the present invention, the molar osmolarity is 14-680 mOsm.
2. 상기 성운상 단백질 입자 현탁액을 조제한 후에, 표면 단백질은 현탁액에 가해진다. 이렇게 함으로써, 미소구체의 미반응 부분은 공유결합에 의해 표면 단백질을 피브리노겐으로 변환시킬 것이다.2. After preparing the nebula protein particle suspension, the surface protein is added to the suspension. In so doing, the unreacted portion of the microspheres will convert surface proteins to fibrinogen by covalent bonds.
3. 그 다음에, 표면 단백질을 함유하는 사람 알부민 구체 현탁액은 희석, 여과, 투석, 다이어필트레이션(diafiltration), 원심 분리, 전기 영동, 컬럼 크로마토그래피, 진공 동결 건조, 및 분말 재구성에 의해 분말 형태로 처리된다. 몇몇 경우에는, 당해 기술분야에 공지되어 있는 것으로, 버퍼 용액의 첨가나 변화 또는 방부제의 첨가가 필요하다.3. The human albumin sphere suspension containing the surface protein is then in powder form by dilution, filtration, dialysis, diafiltration, centrifugation, electrophoresis, column chromatography, vacuum freeze drying, and powder reconstitution. Is treated as. In some cases, as is known in the art, addition or change of buffer solution or addition of preservatives is required.
따라서, 본 발명은 정맥내 주사용으로 적합한 피브리노겐 입자의 제조방법으로, 단백질 입자 현탁액의 조성물이 혈관을 클로깅하지 않지만, 상처 부위에서 응집하며, 형성된 단백질 입자는 평균 직경이 7㎛ 미만인 사람 알부민 가교 피브리노겐으로 제조된다.Accordingly, the present invention provides a method for preparing fibrinogen particles suitable for intravenous injection, wherein the composition of the protein particle suspension does not clot blood vessels but aggregates at the wound site, and the protein particles formed are human albumin crosslinks having an average diameter of less than 7 μm. It is made of fibrinogen.
본 발명은 바이오솔루블(bio-soluble) 액체에 의해 재구성되고 정맥내 주사용으로 적합한 동결 단백질 입자 조성물에 관한 것이다. 본 발명의 단백질 조성물은 혈관을 클로깅하지 않는다(상처 부위를 제외). 생성된 단백질 조성물 입자는 평균 직경이 7㎛ 미만인 사람 알부민 가교 피브리노겐으로 형성된다.The present invention relates to frozen protein particle compositions reconstituted by bio-soluble liquids and suitable for intravenous injection. The protein composition of the present invention does not clog blood vessels (except for wound sites). The resulting protein composition particles are formed of human albumin crosslinked fibrinogen with an average diameter of less than 7 μm.
본 발명은 정맥내 주사용으로 적합한 단백질 입자 현탁액에 관한 것이다. 본 발명의 단백질 조성물은 혈관을 클로깅하지 않는다(상처 부위를 제외). 생성된 단백질 조성물은 공유결합에 의해 사람 알부민 가교 피브리노겐으로부터 구체 표면에 형성된다. 생성된 단백질 입자는 평균 직경이 7㎛ 미만이다.The present invention relates to suspensions of protein particles suitable for intravenous injection. The protein composition of the present invention does not clog blood vessels (except for wound sites). The resulting protein composition is formed on the sphere surface from human albumin crosslinked fibrinogen by covalent bonds. The resulting protein particles have an average diameter of less than 7 μm.
본 발명은 바이오솔루블 액체에 의해 재구성되고 정맥내 주사용으로 적합한 동결 단백질 입자 조성물에 관한 것이다. 본 발명의 단백질 조성물은 혈관을 클로깅하지 않는다(상처 부위를 제외). 생성된 단백질 입자 조성물은 공유결합에 의해 사람 알부민 가교 피브리노겐으로부터 구체 표면에 형성되고, 피브리노겐은 사람 알부민을 캡슐화한다. 생성된 단백질 입자는 평균 직경이 7㎛ 미만이다.The present invention relates to frozen protein particle compositions that are reconstituted with biosoluble liquids and suitable for intravenous injection. The protein composition of the present invention does not clog blood vessels (except for wound sites). The resulting protein particle composition is formed on the sphere surface from human albumin crosslinked fibrinogen by covalent bonds, and the fibrinogen encapsulates human albumin. The resulting protein particles have an average diameter of less than 7 μm.
본 발명의 또 하나의 측면에 따르면, 본 발명은 정맥내 주사를 통한 인체로의 이러한 단백질 입자의 새로운 유틸리티를 제공한다. 단백질 입자는 새로운 상처로 이동되어, 응집을 촉진함으로써, 혈액 소모를 줄일 수 있다.According to another aspect of the invention, the invention provides a new utility of such protein particles into the human body via intravenous injection. Protein particles can migrate to new wounds and promote aggregation, thereby reducing blood consumption.
또한, 본 발명의 단백질 입자는 다량의 혈액 소모 위험이 있는 외상 환자에 대하여 사용될 수 있다.In addition, the protein particles of the present invention can be used in trauma patients at risk of high blood consumption.
본 발명의 다른 목적, 이점 및 새로운 특성은 첨부도면과 관련하여 기술된 하기 상세한 설명에 의해 더욱 용이하게 명확해질 것이다.Other objects, advantages and novel features of the invention will become more readily apparent from the following detailed description set forth in connection with the accompanying drawings.
본 발명은 하기 실시예에 의해 예시된 것이나, 이에 한정되는 것은 아니다. 하기 실험이 출발 물질로서 사람 혈청 알부민(HSA)을 사용하지만, 면역글로불린, 미오글로빈, 콜라겐, 또는 젤라틴 등의 다수의 보통 사람 단백질이 구체의 성분으로서 사용될 수 있음을 알 수 있다.The invention is illustrated by the following examples, but is not limited thereto. Although the following experiment uses human serum albumin (HSA) as the starting material, it can be seen that a number of common human proteins such as immunoglobulins, myoglobin, collagen, or gelatin can be used as components of the spheres.
1. 실험 1: 피브리노겐을 함유하지 않는 구체의 형성. 분말 사람 혈청 알부민(HSA)을 표준 염수(NS, 또는 0.9% 염화나트륨 용액)에 용해시켜, 계면활성제로서 농도 범위가 0.05㎎/㎖∼15㎎/㎖인 테트라데실황산나트륨 또는 트윈-80, 또는 트리톤 X-151도 함유하는 5%∼20%(용적당 중량)의 용액을 형성한다. 여러 농도의 계면활성제를 함유하는 단백질 용액 2㎖를 포함하는 일련의 튜브에 대하여, 0.01%∼3.0%의 농도 범위로 표준 염수로 희석된 글루타르알데히드 2㎖를 단백질 용액에 가한다. 10분후에, 약 10㎖의 에탄올(물에 약 80%로 희석)을 가한다. 혼탁도를 즉시 관찰한다. 또 10분후에, 재용해되는 지를 알아보기 위해 혼탁한 현탁액을 염수로 5개의 용적으로 희석시켰는데, 재용해되지 않았다. 그 후에, 입자를 ×1000 위상차 현미경 검사에 의해 관찰한다.1. Experiment 1: Formation of spheres containing no fibrinogen. Powdered human serum albumin (HSA) is dissolved in standard saline (NS, or 0.9% sodium chloride solution) and as a surfactant sodium tetradecyl sulfate or tween-80, or Triton X, in the concentration range of 0.05 mg / ml to 15 mg / ml A solution of 5% to 20% (weight per volume) containing -151 degrees is formed. For a series of tubes containing 2 ml of protein solution containing various concentrations of surfactant, 2 ml of glutaraldehyde diluted with standard saline in a concentration range of 0.01% to 3.0% is added to the protein solution. After 10 minutes, about 10 ml of ethanol (diluted to about 80% in water) is added. Observe turbidity immediately. After 10 minutes, the turbid suspension was diluted to 5 volumes with brine to see if it was redissolved, but did not dissolve. Thereafter, the particles are observed by x1000 retardation microscopy.
구체의 평균 직경이 1 미크론 미만인 것을 알았다.It was found that the average diameter of the spheres was less than 1 micron.
또한 HSA 농도가 100∼200㎎/㎖인 1∼2.5㎎/㎖의 트리톤 X-151가 가장 우수한 제제를 부여함을 알았다. 1∼12㎎/㎖ 범위의 테트라데실황산나트륨이 크기 분포면에서 보아 가장 균일한 제제를 제조하는 것을 알 수 있다.It was also found that 1 to 2.5 mg / ml Triton X-151 with an HSA concentration of 100 to 200 mg / ml gave the best formulation. It can be seen that sodium tetradecyl sulfate in the range of 1-12 mg / ml produces the most uniform formulation in terms of size distribution.
2. 실험 2: 타겟 시약, 피브리노겐을 단백질 구체에 결합. 라디오라벨된 사람 혈청 알부민(요오드-125 사용)을 사용하여, 실험 1의 농도를 사용하는 구체를 제조한다. 구체를 침전하도록 원심분리후에, 상청액에 대한 펠릿의 방사선 계수에 의해 측정된 바와 같이, 95% 이상의 단백질이 구체에 혼입되었음을 알 수 있었다. 용액의 몰삼투압농도를 1.8% 염화나트륨 용액(표준 염수의 2배)으로 증가시키거나, 0.09% 염화나트륨 용액으로 감소시킨 바, 구체의 수율에 그다지 영향을 미치지 않았다. 버퍼의 pH를 4 미만으로 감소시키면, 구체를 형성하기 위해서는 pH 8 이상의 알콜을 필요로 하며, 수율은 4 미만의 pH에서 약간 감소되었다.2. Experiment 2: binding the target reagent, fibrinogen, to the protein spheres. Radiolabeled human serum albumin (using iodine-125) is used to prepare spheres using the concentration of Experiment 1. After centrifugation to precipitate the spheres, it was found that at least 95% of the protein was incorporated into the spheres, as measured by the radiation coefficient of the pellet to the supernatant. Increasing the molar osmolarity of the solution to 1.8% sodium chloride solution (twice the standard brine) or to 0.09% sodium chloride solution did not significantly affect the yield of the spheres. Reducing the pH of the buffer to less than 4 required alcohol above pH 8 to form spheres and the yield was slightly reduced at pH below 4.
최적 조건을 얻도록 실험을 반복하였으나, 플루오레세인 이소티오시아네이트로 라벨된 사람 혈청 알부민을 사용하였다. 실험 1에서 리스트된 바와 같은 최적 조건을 이용하여, 혼탁 상태의 출현후에, 피브리노겐(1㎎/㎖)를 수회 구체 현탁액에 가한다. 구체가 안정하고, 구체가 형성된 후 15분 이내에 피브리노겐을 가함으로써, 가장 우수한 제제가 얻어짐을 알았다.The experiment was repeated to obtain optimal conditions, but human serum albumin labeled with fluorescein isothiocyanate was used. Using the optimal conditions as listed in Experiment 1, after the appearance of turbidity, fibrinogen (1 mg / ml) is added to the sphere suspension several times. It was found that the spheres were stable and fibrinogen was added within 15 minutes after the spheres were formed to obtain the best formulation.
필요로 하는 대상에게 즉시 투여할 수 있는 생리적으로 적합한 현탁액을 얻기 위해서는, 희석, 여과, 투석, 다이어필트레이션, 원심 분리, 전기 영동, 컬럼 크로마토그래피, 버퍼 또는 방부제의 첨가 또는 변화, 동결 건조, 및 수성 유체(물 또는 표준 염수 또는 젖산을 가한 링거액 또는 당 함유액)를 사용한 동결 건조된 분말의 재구성 등의 추가 처리가 구체 현탁액에 대하여 바람직할 것이다.To obtain a physiologically suitable suspension which can be administered immediately to a subject in need, dilution, filtration, dialysis, diafiltration, centrifugation, electrophoresis, column chromatography, addition or change of buffer or preservative, freeze drying, and Further treatment, such as reconstitution of the lyophilized powder with an aqueous fluid (water or standard brine or lactic acid-added Ringer's solution or sugar-containing solution), would be desirable for specific suspensions.
문헌[참조: McGill et al., "Platelet membrane vesicles reduced microvascular bleeding times in thrombocytopenic rabbits, J. Lab Clin Med1987; 109: 127-33]에 따라, 래빗을 혈소판 감소시킨다. 부설판(busulfan) 70㎎/㎏ 처리후에 10마리의 래빗의 전형적인 출혈 시간은 597초이었다. 피브리노겐으로 코팅된 구체(동결 건조된 분말로부터 표준 염수로 재구성됨) 1㎎/㎏의 주사와 동시에, 출혈 시간은 115초로 감소되었다(표준편차 43초). 형광 현미경 검사에 의해 귀 상처 부위를 조사한 결과, 응괴 내에 형광 입자가 관찰되었다. 피브리노겐을 함유하지 않거나, 표준 염수, 또는 피브리노겐 용액(1㎎/㎖)을 함유하는 형광 구체를 혈소판 감소된 래빗에게 주입한다. 이로부터, 피브리노겐 분자가 입자를 활성 응괴 형성 부위로 가져가는 자동유도장치로서 작용하여, 출혈 시간이 개선되고 혈액 소모가 낮아질 수 있다는 것을 알 수 있다.According to McGill et al., "Platelet membrane vesicles reduced microvascular bleeding times in thrombocytopenic rabbits, J. Lab Clin Med1987; 109: 127-33", rabbits are platelet reduced. Busulfan 70 mg / After kg treatment, the typical bleeding time of 10 rabbits was 597 s. Simultaneously with the injection of 1 mg / kg of fibrinogen-coated spheres (reconstituted from freeze dried powder to standard saline), the bleeding time was reduced to 115 s Standard deviation 43 sec) Fluorescence microscopic examination of the ear wound site revealed fluorescence particles in the clot, and a fluorescent sphere containing no fibrinogen or containing standard saline or fibrinogen solution (1 mg / ml). Infusion into platelet-reduced rabbits from which fibrinogen molecules act as an automatic inducer to bring the particles to the site of active clot formation, improving bleeding time and lowering blood consumption It can be seen that.
또한 이들 입자가 혈소판 감소되지 않으나, 빠른 응혈 시간으로부터 이익을 얻을 수 있는 외상이나 수술 환자에게 유효하다는 것을 알 수 있다. 전장 조건에서나 핵전쟁사변후에서와 같이 다수의 환자가 치료를 요하나, 혈소판 공여체를 찾기가 어렵지 않을 경우에 특히 유용하다는 것을 알 수 있다.It can also be seen that these particles are effective for trauma or surgical patients that do not reduce platelets but can benefit from fast clotting times. It is found to be particularly useful when a large number of patients require treatment, such as in battlefield conditions or after nuclear war events, but platelet donors are not difficult to find.
본 발명은 당해 기술분야의 숙련가에 의해 다양한 변경 및 변형이 이뤄질 것이다. 따라서, 상기 설명은 본 발명의 특허청구범위의 한계 및 범위내에서만 한정하여 기술된 것으로 해석되어야 한다.Various changes and modifications will be made by those skilled in the art. Accordingly, the above description should be construed as being limited only within the limits and scope of the claims of the present invention.
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