TW449480B - Pharmaceutical composition of fibrinogen particles suitable for intravenous injection - Google Patents
Pharmaceutical composition of fibrinogen particles suitable for intravenous injection Download PDFInfo
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五、發明說明⑴ ' --- _ 本發明係有關可減少在手術和内科治療中 ,並能夠加速内科治療.和手術痊癒速度的蛋白 2出血 指一種適合靜脈注射的纖維蛋白原粒子之醫人,尤 眾所周知,人體血液充足是健康之本,許多 科治療例如癌症手術,均會引起失血。然後輸血:^内 很複雜的過程,可能會引起愛滋病和引起肝炎病主疋個 ,尤其對於血小板缺乏的病人,失血過多則更是产^外 。因而,在臨床上急需一種對凝血有幫助的物 述這些問題。 小肝成上 由於此類物質其功效如同血小板,可減少開刀和手術 病人及血小板缺乏的病人的失血量,而在將其注射入俨 後,對其性質要一定的要求。其一:人體微血管的直徑7 微米,那麼此類物質微粒直徑必須小於7微米;其二:此 物質微粒本身不應在血流中凝聚,但能在傷口處凝聚,此 物質微粒不會引起血細胞在血管中凝聚,但會參與促進血 細胞在傷中處凝聚。此類物質微粒有助於血液凝聚,那麼 這些微粒必須具有能夠允許它們參與血液凝固的表面分子 ’例如纖維蛋白原。 現在技術中,如Κ,I _ W i dder等人在(藥理及化學治療 法的發展)’ V 0 1. 1 6. 2 1 3 - 2 71中的"抗癌試劑生物物理示 縱中磁活性微球體及其他載體:一文所涉及的,用蛋白質 水溶液和油通過加熱或聚合得到乳化液合成蛋白質微球體 。然而由於蛋白質在此過程中極易變質而使此微粒其半衰 期很短。但在實際治療中需要能夠在血管十保存至少一天V. Description of the invention ⑴ '--- _ This invention relates to a medical person who can reduce the surgical and medical treatment and accelerate the medical treatment. Protein 2 hemorrhage refers to a kind of fibrinogen particles suitable for intravenous injection. It is well known that sufficient human blood is the foundation of health. Many medical treatments, such as cancer surgery, can cause blood loss. Then the blood transfusion process is very complicated, which may cause AIDS and hepatitis, especially for patients with platelet deficiency. Excessive blood loss is even more severe. Therefore, there is an urgent need for a clinical description of these problems to help with coagulation. Small liver formation As these substances have the same efficacy as platelets, they can reduce blood loss in patients undergoing surgery and surgery and patients with platelet deficiency, and their properties must be met after injection into the iliac crest. First: the diameter of human microvessels is 7 microns, then the diameter of such substance particles must be less than 7 microns; second: the substance particles themselves should not agglomerate in the bloodstream, but they can agglomerate at the wound, this substance particles will not cause blood cells Coagulates in blood vessels, but participates in promoting blood cell aggregation in the wound. Such particles of matter help blood coagulate, so these particles must have surface molecules, such as fibrinogen, that allow them to participate in blood coagulation. In current technology, such as K, I _ W dder and others (in the development of pharmacology and chemotherapy) 'V 0 1. 1 6. 2 1 3-2 71 " Anti-cancer agent biophysical illustration Magnetically Active Microspheres and Other Carriers: In this article, protein microspheres are synthesized by heating or polymerizing an aqueous solution of protein with an aqueous solution of oil and oil. However, the microparticles have a very short half-life due to the protein's extreme deterioration during this process. But in actual treatment, it needs to be able to be stored in the blood vessel for at least one day.
第4頁 4 49 48 ΟPage 4 4 49 48 Ο
以上不會變質的粒子。The above will not deteriorate particles.
Oppenhein等人在美國利US4,1 0 7, 288 "注射έ 中有效的極微粒子及其生產方法〃中提出另一種合物 中通過使用一種相反的增溶劑來調節去溶劑試劑由其 使蛋白質溶液達到一個去溶劑極限。這種方法存在二ς而 是在反應開始時條件極不穩定,在反應過程中間隨三題 致球體生成的大量的聚合。聚凝球體直徑大於7微考導 過了血官直徑,這就會造成血管阻塞並引起危險。因^ 實際治療中需要其不會凝聚且其直徑比7微米小得多J 粒。本發明的目的在於提供一種在懸浮液中其蛋白質球^ 不凝聚、直徑比1微米小且在其表面包含有纖維蛋白質 蛋白組合物及其生產方法和用途。 、 本發明中’在交聯劑存在下所形成的球體平均直徑小 於1微米且其變異係數很小。 本發明中’纖維蛋白原可作為示縱分子,其可攜帶蛋 白質球體到達創傷處以減少出血量。本發明中,由於此組 合物的作用是凝血,其功效與血小板相同,故又將其稱之 為"凝血板〃或Α血小板替代品〃或〃止血板〃( Fibrinoplate ,Platelet Aggregation Substitute)。 本發明中’此蛋白質組合物其組成為(重量份數表示 人體白蛋白:90-100 份 纖維蛋白原:0.02-6 份 本發明的組合物其產生方法為:Oppenhein et al. In US 4,101,288 " Ultrafine particles effective in injection and its production method 提出 proposed another compound in which the use of an opposite solubilizing agent to adjust the desolvating agent to make protein The solution reached a desolvation limit. This method has two conditions, but the conditions are extremely unstable at the beginning of the reaction, and a large number of polymerizations are generated in the middle of the reaction with the three problems. The diameter of the condensed sphere is greater than 7 micrometers, which has passed the hemodiameter diameter, which can cause vascular occlusion and cause danger. Because of the actual treatment, it is required that it will not agglomerate and its diameter is much smaller than 7 microns. An object of the present invention is to provide a protein globule in a suspension, which is non-agglomerated, has a diameter smaller than 1 micron, and contains a fibrin protein composition on a surface thereof, and a production method and use thereof. In the present invention, the average diameter of the spheres formed in the presence of the crosslinking agent is less than 1 micrometer and the coefficient of variation is small. In the present invention, 'fibrinogen can be used as a longitudinal molecule, which can carry protein spheres to the wound to reduce the amount of bleeding. In the present invention, since the function of this composition is coagulation, and its efficacy is the same as that of platelets, it is also referred to as " coagulation plate " or A platelet substitute " In the present invention, the composition of this protein composition is (in parts by weight, human albumin: 90-100 parts, fibrinogen: 0.02-6 parts, and the production method of the composition of the present invention is:
449480 五、發明說明(3) 1 ·首先製造蛋白質粒子懸浮液’其中: a. 在滲透壓適當的緩衝液中,溶解蛋白質粉末; b. 於a中所述的蛋白質溶液中加入表面活性劑; c. 於b中所述的蛋白質和表面活性劑混合液中加入交 聯劑。 d. 於c中所述的蛋白質、表面活性劑和交聯劑中加入 醇溶液。 即刻,出現一混濁的蛋白質球體懸浮液,此懸浮液適 於靜脈注射並且不會阻塞血管。 本發明中’所述的蛋白質溶液是人體白蛋白溶液。 本發明中’所述的表面活性劑是洗滌劑。 本發明中,所述的表面活性劑可選自四癸基硫酸鈉( Sodium tetradecyl sulfate) 'Tween-80 'TritonX-151 中的一種: 本發明中,所述的交聯劑分子是包括戊二醛( glutaraidehyde )的共價小分子。 本發明中,所述的緩衝溶液P Η值範圍為4至8。 本發明中,所述的參透壓範圍為14-680m0sm。 2 ,在上述的懸浮液混濁出現後’表面蛋白質加到懸浮液 中的球體中,這樣’球體上未反應的部分將通過共價健將 表面蛋白質可以是殲維蛋白原。 3 ,對上述的加入了的表面蛋白質的人體白蛋白的球體懸 浮液再處理成粉末。其過程包括進行稀釋、過濾、滲析、 再過濾、離心分離、電泳分離和色譜柱分離,通過真空冷449480 V. Description of the invention (3) 1. First, the protein particle suspension is prepared, where: a. The protein powder is dissolved in a buffer with an appropriate osmotic pressure; b. A surfactant is added to the protein solution described in a; c. Add a cross-linking agent to the protein and surfactant mixture described in b. d. Add the alcohol solution to the protein, surfactant and cross-linking agent described in c. Immediately, a cloudy protein sphere suspension appeared, which was suitable for intravenous injection and did not block blood vessels. In the present invention, the protein solution is a human albumin solution. In the present invention, the surfactant is a detergent. In the present invention, the surfactant may be selected from one of Sodium tetradecyl sulfate 'Tween-80' TritonX-151: In the present invention, the cross-linking agent molecule includes glutaric acid Covalent small molecule of aldehyde (glutaraidehyde). In the present invention, the P Η value of the buffer solution ranges from 4 to 8. In the present invention, the reference osmotic pressure range is 14-680m0sm. 2. After the above-mentioned suspension turbidity appears, the 'surface protein is added to the sphere in the suspension, so that the unreacted portion of the' sphere will be covalently bonded to the surface protein, which can be retinoprotein. 3. The above-mentioned sphere suspension of human albumin added with the surface protein is further processed into a powder. The process includes dilution, filtration, dialysis, refiltration, centrifugation, electrophoretic separation, and column separation.
449480449480
五、發明說明(4) 凍乾燥及冷凍後的粉末重構化。其中在此過程中带 τ尚加緩V. Description of the invention (4) Freeze-drying and powder reconstitution after freezing. In this process, τ is slowed down.
衝液或改變缓衝液及加入防腐劑等生物相溶鹘,> K u W ^ 的種類和用量是本領域技術人員所熟知的。 因此’本發明中涉及的一種適合靜脈注射的纖維蛋白 原粒子之醫藥組合物’其中讓蛋白質粒子懸浮液組^物 會造成血管阻塞(除在傷口部位外),該蛋白質粒子是通 過人體白蛋白交聯纖維蛋白原形成,其平均直徑小於7 $ 其次’本發明及的也是一種經生物相溶液體重構後適 於靜脈注射的冷康的蛋白質粒子組合物,其中該組合物^ 會造成血管阻塞(除在傷口部位外),該蛋白質粒子是通 過人體白蛋白交聯纖維蛋白原形成,其平均直徑小於$ = 粒子懸 在傷口 共價形 内部是 再 :^會造 其表面 7後米 浮液組 部位外 成於粒 人體白 次,本 脈注射 成血管 與纖維 是纖維 發明涉 合物, ),該 子表面 蛋白分 發明涉 的冷凍 阻塞( 蛋白原 蛋白原 及的也是 其中該組 組合物是 ,而且粒 子,其平 及的也是 的蛋白質 除在傷口 以共價健 ,内部是 一種適合靜 合物不會造 人體白蛋白 子表面是纖 均直徑小於 一種經生物 粒子組合物 部位外), 形成粒子表 人體白蛋白 脈注射的 成血管阻 與纖維蛋 維蛋白原 *7微求。 相溶液化 ,其中該 該組合物 面,而且 ,其均直 蛋白質 塞(除 白原以 分子, 重構後 組合物 是人體 該粒子 經小於Wash the solution or change the buffer solution and add biocompatible solvents such as preservatives. The type and amount of K u W ^ are well known to those skilled in the art. Therefore, 'a pharmaceutical composition of fibrinogen particles suitable for intravenous injection according to the present invention', in which the protein particle suspension composition can cause vascular occlusion (except at the wound site), the protein particles are passed through human albumin Cross-linked fibrinogen formation with an average diameter of less than 7 $ Secondly, the present invention is also a Lengkang protein particle composition suitable for intravenous injection after reconstitution in a biological phase solution, wherein the composition ^ will cause vascular obstruction (Except at the wound site), the protein particles are formed by human albumin cross-linked fibrinogen, and the average diameter is less than $ = the particles are suspended inside the covalent form of the wound. The part of the group is formed outside the granules of the human body. The injection of blood vessels and fibers into the vein is a fibrous invention compound. In addition, the particles, which are also common proteins, are covalently strong in the wound, and the inside is a suitable static compound. The human body is made albumin subsurface average fiber diameter of less than one kind of biological particle composition by the outer portion), human albumin table form particles injected into a vein vascular resistance fibrinogen and fibrin * 7 micro requirements. Phase solution, in which the composition surface, and which are straight protein plugs (except for white molecules to molecules, after reconstitution the composition is the human body the particles are less than
第7頁 4494BQ 」____ 五、發明說明(5) 本發明另一方面又提供了該蛋白質粒子在通過靜脈注 射到人體中以後的一個新用途,即該粒子能夠遷移到新的 傷口處,幫助血凝以減少患者失血量。 另外’可將此粒子用在外傷、手術或者大量、内外出 血的病人上,這對減少失血量挽救病人的生命極為有益。 下面通過實施例對本發明進一步說明。儘管以下實施 例是使用人體白蛋白,但是人體其它蛋白質,如免疫蛋白 、肌紅蛋白、膠原和明膠同樣也可使用並能夠形成球體。 實施例1 沒有纖維蛋白原形成微粒的方法: 將人體白蛋白粉末放入〇·9%的氣化鈉溶液中,並加入 J辰度在0. 〇 5 m g / m 1 - 1 5 m g / m 1的表面活性劑,如四癸基硫酸 鈉、Tween-80或TritonX-151,形成濃度在5-20%重量體積 比)的蛋白質溶液。然後於含有不同濃度的表面活性劑的 含2 m 1上述蛋白質溶液的系列試管中加入2 m 1以氣化鈉溶 液稀釋過的’其濃度範圍為0.0卜3_0%的戊二醛。1〇分鐘 以後’再加入1 〇m 1的乙醇〔用水釋到8⑽(體積比)〕 ,這時溶液立刻出現混濁。再過1 0分鐘,以5倍體積的氣 化納溶液稀釋來觀察此懸浮液是否澄清,肖果為否定的。 此後以1 0 0 0倍的顯微鏡觀察此懸浮液,發現此懸浮液中粒 子的直徑小於1微未。Page 74944B "____ V. Description of the invention (5) Another aspect of the present invention provides a new use of the protein particles after intravenous injection into the human body, that is, the particles can migrate to new wounds and help blood To reduce blood loss in patients. In addition, the particles can be used on patients who have suffered trauma, surgery, or large, internal or external bleeding, which is extremely beneficial for reducing the blood loss and saving patients' lives. The present invention is further described below through examples. Although the following examples use human albumin, other human proteins such as immunoproteins, myoglobin, collagen, and gelatin can also be used and can form spheres. Example 1 Method for forming microparticles without fibrinogen: Put human albumin powder into a 0.9% sodium gas solution, and add J Chen degree at 0.05 mg / m 1-1 5 mg / m 1 surfactant, such as sodium tetradecyl sulfate, Tween-80 or TritonX-151, to form a protein solution with a concentration of 5-20% by weight. Then, 2 m 1 of a series of test tubes containing 2 m 1 of the above-mentioned protein solution containing different concentrations of a surfactant was added with 2 m 1 diluted with a gasified sodium solution, and the concentration range was 0.03 3% glutaraldehyde. After 10 minutes', 10 ml of ethanol [released with water to 8⑽ (volume ratio)] was added, and the solution immediately became cloudy. After another 10 minutes, dilute with 5 times the volume of the sodium carbonate solution to observe whether the suspension is clear. Xiao Guo was negative. Thereafter, the suspension was observed under a microscope at a magnification of 1000, and it was found that the diameter of the particles in the suspension was less than 1 micrometer.
同時也發現,用;農# 1 aA T · + V 叩 /展度马 1-5mg/ml 的TritonX-151 和At the same time, it was also found that TritonX-151 and TritonX-151 with AA T · + V 叩 / Zhangma 1-5mg / ml and
449480 五、發明說明(6) 濃度為100-200mg/ml的白蛋白製成的合劑效果最好。另外 也發現用濃度為卜12mg./ml的四癸基硫酸納製成的合劑其 微粒直徑的變異係數最小。 實施例2 將纖維蛋白原連到蛋白粒子上作為示蹤粒子的方法: 採用與實施例1相同的條件,使用1 -1 2 5的標誌的人 體白蛋白。通過以離心法沉澱球體,測量沈澱中和清液中 各自含有的放射性蛋白質微粒數目,發現有95 %的白蛋白 粒子形成球體。如果將溶液的溶質度由0.9 %的氣化鈉溶液 濃度提2倍’即變成1 · 8%的氯化鈉溶液或將〇. 9%的氣化納 溶液降到0. 0 9 %的氣化鈉溶液,發現對球體的產量沒有很 大影響。如果將緩衝溶液的PH降到4以下,則發現在形成^ 球體時所需的醇的量比PH為8時所需醇的量要多 ' 且pH^4 以下時使球體的產率稍微有所下降。 實施例3 在最優先的條件下重覆實施例2,所不 導硫氰酸酯包覆人體白蛋白,採用實施例i ^用螢先 在出現混濁後不同的時間間隔内將纖維 =條件, 液中,結果發現在球體形成後十五分鐘::到球懸浮 能夠使球體穩定且獲得最好的合劑。另 纖維蛋白原 卜’必須對球體懸449480 V. Description of the invention (6) A mixture made of albumin with a concentration of 100-200mg / ml has the best effect. In addition, it was found that a mixture made of sodium tetradecyl sulfate at a concentration of 12 mg./ml had the smallest coefficient of variation of the particle diameter. Example 2 Method for attaching fibrinogen to protein particles as a tracking particle: The same conditions as in Example 1 were used, and human albumin labeled with 1 to 25 was used. The spheroids were pelleted by centrifugation, and the number of radioactive protein particles contained in the pellet and the supernatant was measured. It was found that 95% of the albumin particles formed spheroids. 0 9% 的 气 If the solute of the solution is doubled from 0.9% of the concentration of sodium vaporized solution, it becomes 1.8% sodium chloride solution or the 0.9% sodium vaporized solution is reduced to 0.9% The sodium sulphate solution was found to have little effect on the spheroid yield. If the pH of the buffer solution is lowered below 4, it is found that the amount of alcohol required to form a spheroid is greater than the amount of alcohol required at pH 8 ', and the yield of the spheroids is slightly increased at a pH of less than 4 By the drop. Example 3 Repeat Example 2 under the most preferred conditions. The non-conductive thiocyanate is used to coat human albumin, and Example i is used. The fiber is first used at different time intervals after turbidity. In the liquid, it was found that fifteen minutes after the formation of the sphere: the suspension of the sphere can stabilize the sphere and obtain the best mixture. Another fibrinogen must be suspended from the sphere
4 49 480 五、發明說明(7) 浮液進行進一步處理,其中包括進行稀釋、過濾、滲析、 再過濾、離心分離,電泳分離和色譜柱分離,通過真空冷 凍乾燥及冷凍粉末的重構化後完成,其中在此過程_需加 入或改變缓衝液或防腐劑。 根據McGill 等人的在J.Lab.Clin.Med. 1987,109:127- 1 3 3上的夕 血小板模腔可降低血小板缺乏的兔子的流血時 間々一文,使用血小板缺乏的兔子進行葯理試驗,以7〇mg /kg的Busu 1 fan法處理過的十隻兔子的流血時間為秒, 經過注 鈉溶液 差為43 察,發 射不含 間並未 纖維蛋 導致縮 對 患者來 凝血時 射1 m 1 / k g的 溶解冷凍的 秒)。將兔 現凝血内有 纖維蛋白原 縮短,在耳 白原是作為 短流血時間 於那些有外 說,本發明 間和較少的 纖維蛋 粉末) 子耳朵 螢光粒 之球體杂凝血 引導分 及減少 傷或可 的粒子 失血量 ,流血 傷處切 子。如 懸浮液 處也沒 子將粒 失血量 能並未 同樣具 之利。 覆的球體(用0. 9%的氣化 時間降為1 1 5秒(標準偏 片並移至螢光顯微鏡下觀 果對血小板缺乏的免子注 (lmg/ml ),發現流血時 有發現螢光粒子,這說明 子導至凝血活躍區域,並 〇 患有血小板缺乏症的手術 有療效,並能感受較快的4 49 480 V. Description of the invention (7) The floating liquid is further processed, which includes dilution, filtration, dialysis, refiltration, centrifugation, electrophoretic separation and column separation, vacuum freeze-drying and reconstruction of frozen powder Done, in which process _ need to add or change buffer or preservatives. According to McGill et al.'S article on J.Lab.Clin.Med. 1987, 109: 127- 1 3 3, platelet mold cavity can reduce bleeding time in platelet-deficient rabbits, using platelet-deficient rabbits for pharmacological tests, The bleeding time of ten rabbits treated with the 70mg / kg Busu 1 fan method was seconds, and the difference between the sodium injection solutions was 43, and the firing without the interstitial fibrous eggs caused contraction to the patient to coagulate and shot 1 m. 1 / kg of dissolution frozen seconds). Shorten the fibrinogen in the rabbit's present blood coagulation. In the ear white matter, it is used as a short bleeding time for those who have extraneous and less fibrous egg powder in the present invention. The amount of blood lost to a wounded or susceptible particle. For example, the blood loss of the particles in the suspension can not be equally beneficial. Covered spheroids (with 0.9% gasification time reduced to 115 seconds) (standard polarizer and moved to a fluorescent microscope to observe the immune-free injection (lmg / ml) of platelet deficiency, found when bleeding was found Fluorescent particles, which indicates that the daughter leads to the area of active coagulation, and surgery for platelet deficiency is effective and can feel faster.
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TWI731108B (en) * | 2016-06-24 | 2021-06-21 | 徐家祥 | Hemostatic pharmaceutical composition |
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TWI731108B (en) * | 2016-06-24 | 2021-06-21 | 徐家祥 | Hemostatic pharmaceutical composition |
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