TWI480066B - Preparation of platelet dry powder - Google Patents

Preparation of platelet dry powder Download PDF

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TWI480066B
TWI480066B TW101118407A TW101118407A TWI480066B TW I480066 B TWI480066 B TW I480066B TW 101118407 A TW101118407 A TW 101118407A TW 101118407 A TW101118407 A TW 101118407A TW I480066 B TWI480066 B TW I480066B
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prp
platelet
adp
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TW201347790A (en
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Chih I Lin
Han Lei Wan
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血小板乾粉的製造方法Method for producing platelet dry powder

本發明係有關一種血小板乾粉的製造方法,尤指一種利用二磷酸腺苷(adenosine diphosphate,以下簡稱ADP)保護的血小板乾粉的製造方法。The present invention relates to a method for producing a dry powder of platelets, and more particularly to a method for producing a dry powder of platelets protected by adenosine diphosphate (ADP).

血小板乾粉,為利用血液或血液製劑,例如血小板濃厚血漿(platelet-rich plasma,以下簡稱PRP),經由特定方法,製成含完整血小板細胞的血小板乾粉。而血小板乾粉可用於多種用途,例如治療禿頭(參見TW-201215402)、美容(參見TW-201215402)等。製成血小板乾粉的技術,雖為習知技術,例如參見台灣第I300806、I270375公告專利案、台灣第201004659、200526680公開專利案、美國7,659,052、6,060,233、5,736,313、5,589,462公告專利案,但該等方法,或是血小板細胞未經保護,因此製程中大部分的血小板細胞已破裂,造成細胞中的生長因子容易變質,例如美國5,589,462公告專利案;或是保護效果不佳,血小板功能明顯較低,例如:美國6,060,233、5,736,313公告專利案;或是保護劑取得不易、用量不易控制、成本極高,造成製程控制不易或成本過高等問題,例如I300806、I270375公告專利案、台灣第201004659、200526680公開專利案、美國7,659,052公告專利案,以TW-I270375公告專利案所揭示的製程為例,其係使用凝血酶 (thrombin)保護血小板細胞,但凝血酶常因來源不同(人、牛、豬...等)、活性變動極大,以Sigma-Aldrich的產品為例,參見http://www.sigmaaldrich.com/life-science/metabolomics/enzyme-explorer/analytical-enzymes/thrombins.html#References,人的凝血酶(human thrombin):T1063為>2800 NIH單位/毫克(以下簡稱units/mg)、T7572為50~300 NIH units/mg,牛的凝血酶(bovine thrombin):T9549為1500~2500 NIH units/mg、T6200為40~300 NIH units/mg,因此製程控制不易;再者,其穩定性不高,因此必須低溫保存,例如T9326的保存溫度為-70℃,參見http://www.sigmaaldrich.com/catalog/ProductDetail.do?N4=T9326|SIGMA&N5=SEARCH_CONCAT_PNO|BRAND_KEY&F=SPEC。The dry powder of platelets is a dry powder of platelets containing intact platelet cells by a specific method using blood or blood preparations such as platelet-rich plasma (PRP). The platelet dry powder can be used for various purposes, such as treatment of baldness (see TW-201215402), beauty (see TW-201215402), and the like. The technology for making platelet dry powder, although known in the art, for example, see Taiwan No. I300806, I270375 Announcement Patent Case, Taiwan No. 201004659, 200526680 Patent Patent Case, US 7,659,052, 6,060,233, 5,736,313, 5,589,462 Announcement Patent Case, but such methods, Or platelet cells are unprotected, so most of the platelet cells in the process have ruptured, causing the growth factors in the cells to be easily deteriorated, for example, the US 5,589,462 announcement patent; or the protective effect is not good, the platelet function is significantly better than Low, for example, the US 6,060,233, 5,736,313 announcement patent case; or the protection agent is not easy to obtain, the dosage is not easy to control, the cost is extremely high, and the process control is not easy or the cost is too high, such as I300806, I270375 announcement patent case, Taiwan 201004659, 200526680 The public patent case, the US 7,659,052 announcement patent case, taking the process disclosed in the TW-I270375 announcement patent case as an example, which uses thrombin (thrombin) protects platelet cells, but thrombin often varies greatly depending on the source (human, bovine, pig, etc.), and the activity varies greatly. Take Sigma-Aldrich's product as an example. See http://www.sigmaaldrich.com/ Life-science/metabolomics/enzyme-explorer/analytical-enzymes/thrombins.html#References, human thrombin: T1063 is >2800 NIH units/mg (hereinafter referred to as units/mg), T7572 is 50~300 NIH units/mg, bovine thrombin: T9549 is 1500~2500 NIH units/mg, T6200 is 40~300 NIH units/mg, so the process control is not easy; further, its stability is not high, so it must be Cryopreservation, such as T9326, is stored at -70 °C, see http://www.sigmaaldrich.com/catalog/ProductDetail.do? N4=T9326|SIGMA&N5=SEARCH_CONCAT_PNO|BRAND_KEY&F=SPEC.

本發明提供一種血小板乾粉的製造方法。The invention provides a method for producing a dry powder of platelets.

本發明提供一種以ADP保護血小板細胞的血小板乾粉製造方法。The present invention provides a method for producing a platelet dry powder which protects platelet cells with ADP.

本發明的血小板乾粉製造方法,其包括:在哺乳類動物PRP中加入0.1至10 mM的ADP溶液,並攪拌均勻,以保護血小板,其中該ADP用量,以PRP中每100萬個血小板細胞計,使用0.04至4奈莫爾的ADP;將經保護的PRP去除血漿層,得經保護的血小板層; 及將該血小板層冷凍至適當低溫後,冷凍乾燥,使其形成血小板乾粉。The method for producing a dry platelet powder of the present invention comprises: adding 0.1 to 10 mM of an ADP solution to a mammalian PRP and uniformly stirring to protect the platelet, wherein the amount of the ADP is calculated per 1 million platelet cells in the PRP. 0.04 to 4 Nemo ADP; the protected PRP is removed from the plasma layer to obtain a protected platelet layer; After freezing the platelet layer to a suitable low temperature, it is freeze-dried to form a platelet dry powder.

上述所謂哺乳動物,係指被醫療單位接受的哺乳類動物,例如牛、豬、羊、人等。The above-mentioned mammal refers to a mammal that is accepted by a medical unit, such as cattle, pigs, sheep, humans, and the like.

上述自哺乳類動物取得的PRP,可為異類(heterologous)PRP、異體(homologous)PRP、或自體(autologous)PRP,基於使用者的心理考量,該PRP以異體PRP或自體PRP為較佳,以自體PRP為更佳。但基於取得容易和量產因素,該PRP以異體PRP或異類PRP為較佳,以異類PRP為更佳。The PRP obtained from the above-mentioned mammals may be heterologous PRP, homologous PRP, or autologous PRP. Based on the psychological considerations of the user, the PRP is preferably a heterologous PRP or an autologous PRP. It is better to use autologous PRP. However, based on the factors of easy and mass production, the PRP is preferably a heterologous PRP or a heterogeneous PRP, and a heterogeneous PRP is more preferred.

上述自哺乳類動物取得的PRP,其取得方式可採用任意習知的方法,例如採用血細胞分離機(blood cell separator),由全血分離出PRP,當然也可以直接或間接由各地捐血中心或類似機構取得。The above-mentioned PRP obtained from mammals can be obtained by any conventional method, for example, using a blood cell separator to separate PRP from whole blood, and of course, directly or indirectly from various blood donation centers or the like. Acquired.

上述ADP溶液的濃度以0.1至10 mM的ADP溶液,濃度低於0.1 mM,並非不可行,但會造成離心不易的困擾(體積相對較大);濃度高於10 mM,並非不可行,但會造成控制不易的困擾(有時候會凝血)。一般而言,以0.2~5 mM為較佳,以0.5~2 mM為更佳。上述ADP溶液的溶劑為水,但為了形成等張溶液,或接近等張溶液,以採用生理食鹽水(形成等張溶液)或逆滲透水和生理食鹽水的混合溶液(形成近等張溶液)取代逆滲透水來配製ADP溶液為較佳,以採用生理食鹽水取代逆滲透水來配製ADP溶液為更佳。The above ADP solution has a concentration of 0.1 to 10 mM ADP solution, and the concentration is less than 0.1 mM, which is not infeasible, but it will cause difficulty in centrifugation (relatively large volume); concentration higher than 10 mM is not infeasible, but will Causes difficulty in control (sometimes clotting). In general, 0.2 to 5 mM is preferred, and 0.5 to 2 mM is more preferred. The solvent of the above ADP solution is water, but in order to form an isotonic solution, or close to an isotonic solution, a physiological saline solution (forming an isotonic solution) or a mixed solution of reverse osmosis water and physiological saline (forming a near isotonic solution) is used. It is preferred to prepare the ADP solution instead of the reverse osmosis water, and it is more preferable to prepare the ADP solution by using the physiological saline instead of the reverse osmosis water.

上述ADP溶液的用量,以PRP中每100萬個血小板細胞計,為0.04至4奈莫爾的ADP。劑量低於0.04奈莫爾,可能造成血小板細胞保護不全;劑量高於4奈莫爾,可能造成過度凝血。一般而言,以PRP中每100萬個血小板細胞計,以0.1~2奈莫爾為較佳,以0.2~1奈莫爾為更佳。上述去除血漿層的方法,可採用任意習知的血液製劑的血漿層去除方法,例如採用膜式血漿分離法(membrane plasma separation)、離心分離法等,以離心分離法為較佳,亦即以高速離心機離心後去除血漿層為較佳。The above ADP solution is used in an amount of 0.04 to 4 neMole of ADP per 1 million platelet cells in the PRP. Dose below 0.04 neMer may cause platelet cell insufficiency; doses above 4 nemore may cause excessive coagulation. In general, 0.1 to 2 nanomoles is preferred for each 1 million platelet cells in the PRP, and 0.2 to 1 nanomolar is preferred. The method for removing the plasma layer may be any plasma layer removal method of any known blood preparation, for example, membrane plasma separation, centrifugation, etc., preferably by centrifugation, that is, It is preferred to remove the plasma layer after centrifugation in a high speed centrifuge.

上述去除血漿層後的血小板層(以下簡稱PLT),其冷凍程序的冷凍溫度可為一般血液製劑的冷凍保藏溫或配合冷凍乾燥溫度,或其間的溫度,以-10~-50℃為較佳,以-30~-40℃為更佳。The platelet layer after removing the plasma layer (hereinafter referred to as PLT), the freezing temperature of the freezing program may be the freezing storage temperature of the general blood preparation or the lyophilization temperature, or the temperature between them, preferably from -10 to -50 ° C. It is better to use -30~-40°C.

上述冷凍乾燥方法可採用一般血液製劑的冷凍方法,例如上述前案技術採用的方法,例如-30℃/20Pa~-40℃/10Pa。The above freeze-drying method may employ a freezing method of a general blood preparation, for example, a method employed in the above-mentioned prior art, for example, -30 ° C / 20 Pa - 40 ° C / 10 Pa.

上述加入ADP溶液之前,最好先測定PRP中血小板細胞數,作為添加ADP溶液量的依據,ADP溶液的濃度和體積如上述。Before the above ADP solution is added, it is preferred to first determine the number of platelet cells in the PRP as a basis for adding the amount of the ADP solution, and the concentration and volume of the ADP solution are as described above.

上述去除血漿層後,必要時,可加入水或水溶液予以稀釋,以利後續操作,以加入逆滲透水、生理食鹽水、或其混合液為較佳,以逆滲透水為更佳。After the above plasma layer is removed, if necessary, it may be diluted with water or an aqueous solution to facilitate subsequent operations, and it is preferred to add reverse osmosis water, physiological saline solution, or a mixture thereof, and reverse osmosis water is more preferable.

上述去除血漿層後的PLT,可直接原位(原離心容器)進行冷凍及/或冷凍乾燥程序;但必要時(例如轉換容器進行 冷凍及/或冷凍乾燥程序),可加水或水溶液(例如生理食鹽水),形成PLT稀釋液,以利(例如轉換容器)操作,以採用PLT稀釋液進行冷凍及/或冷凍乾燥程序為較佳。稀釋時PLT以採用逆滲透水、生理食鹽水、或其混合液為較佳,以採用逆滲透水為更佳。其中該PLT稀釋液,可依需要外加任意具有正面效果的有效成分,例如消炎成分、止痛成分、營養成分、及/或可增進吸收的成分;或實質上沒有負面效果或副作用的成分,例如藥理可接受的香料、色料、添加劑等。基於冷凍和凍乾步驟的效率考量,PLT稀釋液的血小板含量宜高於每毫升1億個,以高於每毫升10億個為較佳。The above-mentioned PLT after removing the plasma layer can be directly subjected to freezing and/or freeze-drying procedures in situ (original centrifuge container); but if necessary (for example, a conversion container) Freezing and/or freeze-drying procedure), adding water or an aqueous solution (for example, physiological saline) to form a PLT diluent for operation (for example, a conversion container), preferably using a PLT diluent for freezing and/or freeze-drying procedures. . It is preferable to use reverse osmosis water, physiological saline, or a mixture thereof at the time of dilution, and it is more preferable to use reverse osmosis water. Wherein the PLT diluent may be added with any active ingredient having a positive effect, such as an anti-inflammatory component, an analgesic component, a nutrient component, and/or an ingredient which enhances absorption, or a component which has no negative effect or side effect, such as pharmacology, as needed. Acceptable fragrances, colorants, additives, etc. Based on the efficiency considerations of the freezing and lyophilization steps, the platelet content of the PLT diluent is preferably higher than 100 million per ml, preferably more than 1 billion per ml.

為進一步說明本發明技術,茲以較佳實施例說明如下:To further illustrate the teachings of the present invention, the preferred embodiment is as follows:

實施例1:Example 1:

以血細胞分離機(blood cell separator,MCS System 9000,http://www.haemonetics.com/)對患者採血,取得36.7 mL的自體PRP。The patient was bled with a blood cell separator (MCS System 9000, http://www.haemonetics.com/) to obtain 36.7 mL of autologous PRP.

在1.5 mL小離心管中,加入0.2 mL生理食鹽水及0.2 mL的PRP,充分混合均勻;以全自動血液分析儀(Sysmex Corporation KX-21 Automated Hematology Analyzer,參見http://www.blockscientific.com/)測得血小板細胞數為476 K/μL(每微升含47.6萬個血小板細胞),亦即原PRP的血小板細胞數為952 K/μL,確認符合品質要求。In a 1.5 mL microcentrifuge tube, add 0.2 mL of physiological saline and 0.2 mL of PRP, and mix well; use a fully automated blood analyzer (Sysmex Corporation KX-21 Automated Hematology Analyzer, see http://www.blockscientific.com) /) The number of platelet cells measured was 476 K/μL (476,000 platelets per microliter), that is, the number of platelets in the original PRP was 952 K/μL, which was confirmed to meet the quality requirements.

以剩餘的36.5 mL的PRP,加入22 mL含1 mM的ADP(即每升含1毫莫爾ADP)的生理食鹽水溶液,亦即ADP用量為0.633 nmole/Mega(每100萬個血小板細胞0.633奈莫爾的ADP),震盪30分鐘後,在4000 rpm的轉速下離心7分鐘,去除血漿層後,加逆滲透水稀釋至35 mL並迅速混合均勻,分裝成35瓶(每瓶1 mL)血小板溶液。將35瓶血小板溶液送入-40℃冷凍櫃內(超低溫臥式冷凍櫃,RS-CF 330LT,瑞興冷凍設備有限公司Ruey Shing Refrigeration Equipment Co.,Ltd.),冷凍24小時,而後以冷凍乾燥機(FD2-6P-M,金鳴實業有限公司-KINGMECH CO.,LTD)進行冷凍乾燥(-40℃,10 Pa),36小時,得35瓶血小板乾粉,每瓶約含十億個血小板。With the remaining 36.5 mL of PRP, add 22 mL of a physiological saline solution containing 1 mM ADP (ie 1 mM ADP per liter), ie ADP dosage 0.633 nmole/Mega (0.633 nm per 1 million platelet cells) Moore's ADP), after shaking for 30 minutes, centrifuge at 4000 rpm for 7 minutes, remove the plasma layer, add reverse osmosis water to 35 mL and mix well, and dispense into 35 bottles (1 mL per bottle) Platelet solution. 35 bottles of platelet solution were sent to a -40 ° C freezer (ultra-low temperature horizontal freezer, RS-CF 330LT, Ruey Shing Refrigeration Equipment Co., Ltd.), frozen for 24 hours, and then freeze-dried The machine (FD2-6P-M, Jinming Industrial Co., Ltd. - KINGMECH CO., LTD) was freeze-dried (-40 ° C, 10 Pa) for 36 hours to obtain 35 bottles of platelet dry powder, each containing about one billion platelets.

將其中一瓶(樣品1)即時依下述方法復水,並測定血小板數和PDGF效價;其餘34瓶即時真空封裝,並委外滅菌。分別在室溫存放一週後(樣品2)、二週後(樣品3)、四週後(樣品4)、八週後(樣品5)、十二週後(樣品6)、十六週後(樣品7),各取一瓶滅菌後的血小板乾粉,依下述方法復水,並測定PDGF效價。One of the bottles (Sample 1) was immediately rehydrated according to the following method, and the platelet count and PDGF titer were determined; the remaining 34 bottles were immediately vacuum-packed and externally sterilized. Stored at room temperature for one week (sample 2), two weeks later (sample 3), four weeks later (sample 4), eight weeks later (sample 5), twelve weeks later (sample 6), after sixteen weeks (sample 7) Take one bottle of sterilized dry powder of platelets, rehydrate according to the following method, and measure the PDGF titer.

復水程序:分別以4 mL逆滲透水,使樣品1~7復水。Rehydration procedure: Re-watering samples 1-7 with 4 mL reverse osmosis water.

測定PDGF效價:分別取1 mL樣品1~7的復水溶液,並分別稀釋40倍,而後以酵素免疫分析法(Enzyme-linked immunoassay)呈色後,用濾鏡式分析儀(Thermo Fisher Scientific Multiskan FC Filter-based microplate photometer,參見http://www.ninolab.se/fileadmin/Ninolab/pdf/thermolabsystems/MultiskanFC_Brochure_0308-01_LR.pdf)分析PDGF效價,所得效價乘40倍後,分別為5016(樣品1)、4985(樣品2)、4968(樣品3)、4902(樣品4)、4803(樣品5)、4852(樣品6)、4785(樣品7)pg/mL。Determination of PDGF titer: 1 mL of sample 1~7 of the reconstituted solution was diluted 40 times, and then colorimetrically analyzed by Enzyme-linked immunoassay, using a filter analyzer (Thermo Fisher Scientific Multiskan FC Filter-based microplate photometer, see http://www.ninolab.se/fileadmin/Ninolab/pdf/thermolabsystems/MultiskanFC_Brochure_0308-01_LR.pdf) Analysis of PDGF titer, the resulting titer multiplied by 40 times, respectively, 5016 (Sample 1), 4985 (Sample 2), 4968 (Sample 3), 4902 (Sample 4), 4803 (Sample 5), 4852 (Sample 6), 4785 (Sample 7) pg/mL.

實驗數據顯示:該血小板乾粉中的PDGF效價都相當穩定,第16週的PDGF效價為原PDGF效價的95.4%(4785/5016)。The experimental data showed that the PDGF titer in the platelet dry powder was quite stable, and the PDGF titer at the 16th week was 95.4% (4785/5016) of the original PDGF titer.

實施例2:Example 2:

依實施例1的方法,測得取自捐血中心的PRP的血小板細胞數為1386 K/μL(693 K/μL x 2),確定符合品質要求。取14.5 mL的該PRP,以表2的ADP濃度和用量進行類同實施例1的ADP保護程序。震盪30分鐘後,離心並去除血漿層,得到PLT。加逆滲透水稀釋至20 mL並迅速混合均勻,形成血小板溶液,將該血小板溶液分裝成10瓶(每瓶2 mL),而後送入-40℃冷凍櫃內,冷凍24小時,再以冷凍乾燥機進行冷凍乾燥(-40℃,10 Pa),36小時,得10瓶的血小板乾粉,每瓶約含二十億個血小板。According to the method of Example 1, the number of platelet cells of PRP taken from the blood donation center was measured to be 1386 K/μL (693 K/μL x 2), and it was confirmed that the quality requirements were met. 14.5 mL of this PRP was taken, and the ADP protection procedure of Example 1 was carried out with the ADP concentration and amount of Table 2. After shaking for 30 minutes, the plasma layer was centrifuged and removed to obtain PLT. Add reverse osmosis water to 20 mL and mix well to form a platelet solution. Dispense the platelet solution into 10 bottles (2 mL per bottle), then transfer to a -40 ° C freezer, freeze for 24 hours, then freeze. The dryer was freeze-dried (-40 ° C, 10 Pa) for 36 hours to obtain 10 bottles of platelet dry powder, each containing about 2 billion platelets.

取一瓶(樣品1)血小板乾粉,即時依實施例1所述方法復水,取0.5 mL復水溶液,稀釋80倍,而後以酵素免疫分析法呈色,再用濾鏡式分析儀分析PDGF效價,所得 效價乘80倍,結果如表3。其餘9瓶即時真空封裝,並委外滅菌。Take a bottle (sample 1) of platelet dry powder, immediately rehydrate according to the method described in Example 1, take 0.5 mL of rehydration solution, dilute 80 times, and then color by enzyme immunoassay, and then analyze the PDGF effect by filter analyzer. Price The titer was multiplied by 80 times and the results are shown in Table 3. The remaining 9 bottles were immediately vacuum-packed and sub-sterilized.

在室溫存放四週後,取一瓶滅菌後的血小板乾粉(樣品2),依實施例1所述方法復水,取0.5 mL復水溶液,稀釋80倍,而後以酵素免疫分析法呈色,再用濾鏡式分析儀分析PDGF效價,所得效價乘80倍,結果如表3。After storage for four weeks at room temperature, take a bottle of sterilized dry powder of platelets (Sample 2), rehydrate according to the method described in Example 1, take 0.5 mL of rehydration solution, dilute 80 times, and then color by enzyme immunoassay. The PDGF titer was analyzed by a filter analyzer, and the obtained titer was multiplied by 80 times. The results are shown in Table 3.

實施例3~8:Examples 3-8:

依實施例1的方法,測得取自捐血中心的PRP的血小板細胞數分別為1476、1182、1340、1296、1164、1278 K/μL。分別取14.0、17.0、15.0、17.5、16.0 mL的各該PRP,以類同實施例2的方法製造血小板乾粉,但ADP濃度和用量不同,參見表2。而後依類同實施例2的方法,分別測定實施例3~8的血小板的PDGF效價,測試結果參見表3。According to the method of Example 1, the number of platelet cells of PRP taken from the blood donation center was 1,476, 1182, 1340, 1296, 1164, and 1278 K/μL, respectively. 16.0, 17.0, 15.0, 17.5, and 16.0 mL of each of the PRPs were taken, and the platelet dry powder was produced in the same manner as in Example 2 except that the ADP concentration and amount were different, see Table 2. Then, the PDGF titers of the platelets of Examples 3 to 8 were measured in the same manner as in Example 2, and the test results are shown in Table 3.

由樣品2的PDGF效價和樣品1的PDGF效價的比值,可以看出實施例3、4、5、6的乾粉穩定性較佳,實施例2、7、8的乾粉穩定性尚可。From the ratio of the PDGF titer of the sample 2 to the PDGF titer of the sample 1, it can be seen that the dry powder stability of Examples 3, 4, 5, and 6 is better, and the dry powder stability of Examples 2, 7, and 8 is acceptable.

實施例9:Example 9

類同實施例2,取14.5 mL取自捐血中心的PRP,以表4的ADP濃度和用量進行類同實施例1的ADP保護程序。震盪30分鐘後,離心並去除血漿層,得到PLT。加逆滲透水稀釋至20 mL並迅速混合均勻,形成血小板溶液,將該血小板溶液分裝成5瓶(每瓶4 mL),而後送入-40℃冷凍櫃內,冷凍24小時,再以冷凍乾燥機進行冷凍乾燥(-40℃,10 Pa),36小時,得5瓶的血小板乾粉,每瓶約含四十億個血小板。Similarly to Example 2, 14.5 mL of PRP taken from a blood donation center was taken, and the ADP protection procedure of Example 1 was carried out in accordance with the ADP concentration and amount of Table 4. After shaking for 30 minutes, the plasma layer was centrifuged and removed to obtain PLT. Add reverse osmosis water to 20 mL and mix well to form a platelet solution. Dispense the platelet solution into 5 bottles (4 mL per bottle), then transfer to a -40 ° C freezer, freeze for 24 hours, then freeze. The dryer was freeze-dried (-40 ° C, 10 Pa) for 36 hours to obtain 5 bottles of platelet dry powder, each containing approximately 4 billion platelets.

取一瓶(樣品1)血小板乾粉,即時依實施例1所述方法復水,並測定血小板數,結果如表5。其餘4瓶即時真空封裝,並委外滅菌。One bottle (Sample 1) of platelet dry powder was taken, and immediately rehydrated according to the method described in Example 1, and the number of platelets was measured. The results are shown in Table 5. The remaining 4 bottles were immediately vacuum-packed and sub-sterilized.

在室溫存放四週後,取一瓶滅菌後的血小板乾粉(樣品2),依實施例1所述方法復水,並測定血小板數,結果如 表5。After storing at room temperature for four weeks, take a bottle of sterilized dry powder of platelets (Sample 2), rehydrate according to the method described in Example 1, and measure the number of platelets. The results are as follows. table 5.

實施例10~15:Examples 10-15:

製程類同實施例9,但ADP用量不同,參見表4。依類同實施例9的方法測定血小板數,測試結果參見表5。The procedure is the same as in Example 9, but the amount of ADP is different, see Table 4. The number of platelets was determined in the same manner as in Example 9, and the test results are shown in Table 5.

由樣品2的血小板數和樣品1的血小板數的比值,可以看出實施例10~13的乾粉保護效果較佳(樣品1的血小板數較高),穩定性也較佳(樣品2和樣品1的血小板比值較高),實施例9和14的乾粉保護效果和穩定性相對較差。From the ratio of the number of platelets in sample 2 to the number of platelets in sample 1, it can be seen that the dry powder protection effects of Examples 10 to 13 are better (the number of platelets in sample 1 is higher), and the stability is also better (sample 2 and sample 1) The platelet ratio was higher. The dry powder protection effects and stability of Examples 9 and 14 were relatively poor.

測試例1:Test Example 1:

以血細胞分離機,從約7公升的豬血,分離出620 mL的異類(豬)PRP。在1.5 mL小離心管中,加入0.8 mL生理食鹽水及0.2 mL的PRP,充分混合均勻後,以全自動血液分析儀測得其血小板數為574 K/μL,亦即原PRP的血小板數為2.87 M/μL(每微升含287萬個血小板)。From a blood cell separator, 620 mL of heterogeneous (porcine) PRP was isolated from approximately 7 liters of pig blood. In a 1.5 mL microcentrifuge tube, 0.8 mL of physiological saline and 0.2 mL of PRP were added and mixed thoroughly. The platelet count was 574 K/μL, which is the number of platelets of the original PRP. 2.87 M/μL (2.77 million platelets per microliter).

實施例16Example 16

取21 mL豬的PRP,加30 mL含1 mM的ADP的生理食鹽水溶液(相當於0.50 nmoleADP/Mega血小板)。震盪30分鐘後,離心並去除血漿層,得到PLT。加逆滲透水稀釋至20 ml,並迅速混合均勻,形成血小板溶液,分裝成20瓶血小板溶液(每瓶1 mL)。將血小板溶液送入-40℃冷凍櫃內,冷凍24小時,而後以冷凍乾燥機進行冷凍乾燥(-40℃,10 Pa),36小時,得20瓶血小板乾粉,每瓶約含30億個血小板。Take 21 mL of pig PRP and add 30 mL of physiological saline solution containing 1 mM ADP (equivalent to 0.50 nmole ADP/Mega platelets). After shaking for 30 minutes, the plasma layer was centrifuged and removed to obtain PLT. Add reverse osmosis water to 20 ml, mix quickly and form a platelet solution, and dispense into 20 bottles of platelet solution (1 mL per bottle). The platelet solution was sent to a -40 ° C freezer, frozen for 24 hours, and then freeze-dried (-40 ° C, 10 Pa) in a freeze dryer for 36 hours to obtain 20 bottles of platelet dry powder, each bottle containing about 3 billion platelets .

取一瓶(樣品1)血小板乾粉,即時依實施例1所述方法復水,並測定血小板數,結果如表6。其餘各瓶即時真空封裝,並委外滅菌。One bottle (Sample 1) of platelet dry powder was taken, and immediately rehydrated according to the method described in Example 1, and the number of platelets was measured. The results are shown in Table 6. The remaining bottles were immediately vacuum-packed and sub-sterilized.

在室溫存放四週後,取一瓶滅菌後的血小板乾粉(樣品2),依實施例1所述方法復水,並測定血小板數,結果如表6。After storing at room temperature for four weeks, a bottle of sterilized dry powder of platelets (Sample 2) was taken, rehydrated as described in Example 1, and the number of platelets was measured. The results are shown in Table 6.

實施例17:Example 17

製程類同實施例16,但30 mL含1 mM的ADP的生理食鹽水溶液,改用30 mL含1 mM的ADP的逆滲透水溶液。The procedure was the same as in Example 16, except that 30 mL of a physiological saline solution containing 1 mM of ADP was used instead of 30 mL of a reverse osmosis aqueous solution containing 1 mM of ADP.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例18:Example 18

製程類同實施例16,但30 mL含1 mM的ADP的生理食鹽水溶液,改用15 mL含1 mM的ADP的生理食鹽水溶液和15 mL含1 mM的ADP的逆滲透水溶液的混合溶液。The procedure was the same as in Example 16, except that 30 mL of a physiological saline solution containing 1 mM of ADP was used instead of a mixed solution of 15 mL of a physiological saline solution containing 1 mM of ADP and 15 mL of a reverse osmosis aqueous solution containing 1 mM of ADP.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例19:Example 19

製程類同實施例16,但離心並去除血漿層的PLT,改用生理食鹽水稀釋至20 ml。The procedure was the same as in Example 16, except that the PLT of the plasma layer was centrifuged and removed, and diluted to 20 ml with physiological saline.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例20:Example 20

製程類同實施例16,但離心並去除血漿層的PLT,改加10 mL生理食鹽水後,再加逆滲透水稀釋至20 ml。The procedure was the same as in Example 16, except that the PLT of the plasma layer was centrifuged and removed, and 10 mL of physiological saline was added, and then diluted with reverse osmosis water to 20 ml.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例21:Example 21:

製程類同實施例17,但離心並去除血漿層的PLT,改用生理食鹽水稀釋至20 ml。The procedure was the same as in Example 17, except that the PLT of the plasma layer was centrifuged and removed, and diluted to 20 ml with physiological saline.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例22:Example 22

製程類同實施例17,但離心並去除血漿層的PLT,改加10 mL生理食鹽水後,再加逆滲透水稀釋至20 ml。The procedure was the same as in Example 17, except that the PLT of the plasma layer was centrifuged and removed, and 10 mL of physiological saline was added, and then diluted with reverse osmosis water to 20 ml.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例23:Example 23

製程類同實施例18,但離心並去除血漿層的PLT,改用生理食鹽水稀釋至20 ml。The procedure was the same as in Example 18, except that the PLT of the plasma layer was centrifuged and removed, and diluted to 20 ml with physiological saline.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

實施例24:Example 24:

製程類同實施例18,但離心並去除血漿層的PLT,改加10 mL生理食鹽水後,再加逆滲透水稀釋至20 ml。The procedure was the same as in Example 18, except that the PLT of the plasma layer was centrifuged and removed, and 10 mL of physiological saline was added, and then diluted with reverse osmosis water to 20 ml.

依類同實施例16的方法測定血小板數,測試結果參見表6。The number of platelets was determined in the same manner as in Example 16 and the test results are shown in Table 6.

由樣品2的血小板數和樣品1的血小板數的比值,可以看出實施例16~24的乾粉穩定性都很好。From the ratio of the number of platelets of the sample 2 to the number of platelets of the sample 1, it can be seen that the dry powders of Examples 16 to 24 are all excellent in stability.

實施例16、17、18的樣品1血小板數(635 K/μL±1.7%),沒有明顯差別;實施例19、21、23的樣品1血小板數(602 K/μL±2.0%),沒有明顯差別;實施例20、22、24的樣品1血小板數(615 K/μL±4.2%),沒有明顯差別;顯示保護步驟中,ADP溶液採用生理食鹽水、逆滲透水、或其混合溶液,其保護效果差別不大,但基於等張溶液的需求,以採用生理食鹽水、或逆滲透水和生理食鹽水的混合溶液為較佳,以採用生理食鹽水為更佳。The number of platelets of sample 1 of Examples 16, 17, 18 (635 K / μL ± 1.7%), no significant difference; the number of platelets of sample 1 of Examples 19, 21, 23 (602 K / μL ± 2.0%), no significant Difference; the number of platelets of sample 1 of Examples 20, 22, and 24 (615 K/μL ± 4.2%) showed no significant difference; in the protective step, the ADP solution was treated with physiological saline solution, reverse osmosis water, or a mixed solution thereof. The protective effect is not much different, but based on the requirement of the isotonic solution, it is preferred to use a physiological saline solution, or a mixed solution of reverse osmosis water and physiological saline, and it is more preferable to use physiological saline.

實施例16、19、20的樣品1血小板數(627 K/μL±2.1%),沒有明顯差別;實施例17、21、22的樣品1血小板數(621 K/μL±4.0%),沒有明顯差別;實施例18、23、24的樣品1血小板數(604 K/μL±4.5%),沒有明顯差別;顯示稀釋步驟中,稀釋液採用生理食鹽水、逆滲透水、或其混合溶液,對保護效果差別不大,但基於乾粉純度的需求,以採用逆滲透水、或逆滲透水和生理食鹽水的混合溶 液為較佳,以採用逆滲透水為更佳。The number of platelets of sample 1 of Examples 16, 19, 20 (627 K / μL ± 2.1%), no significant difference; the number of platelets of sample 1 of Examples 17, 21, 22 (621 K / μL ± 4.0%), no significant Difference; the number of platelets of sample 1 in Examples 18, 23, and 24 (604 K / μL ± 4.5%), no significant difference; showing the dilution step, the dilution solution is physiological saline, reverse osmosis water, or a mixed solution thereof, The protection effect is not much different, but based on the requirement of dry powder purity, it is mixed with reverse osmosis water or reverse osmosis water and physiological saline. The liquid is preferably used to preferably use reverse osmosis water.

實施例9~24結果顯示:以血小板細胞數而言,異類PRP中的血小板細胞數,高於異體和自體的PRP中的血小板細胞數;異體PRP(來源:捐血中心,係取自健康的捐血者)中的血小板細胞數,通常高於自體(患者)的PRP中的血小板細胞數。據此,以PRP中的血小板細胞數和來源取得的難易度而言,以採用異體PRP或異類PRP為較佳,以異類PRP為更佳;但考慮患者心理,以採用自體PRP或異體PRP為較佳,以自體PRP為更佳。The results of Examples 9-24 show that the number of platelet cells in heterogeneous PRP is higher than the number of platelets in allogeneic and autologous PRP in terms of platelet cell number; allogeneic PRP (source: blood donation center, taken from healthy The number of platelet cells in a donor is usually higher than the number of platelets in the autologous (patient) PRP. Accordingly, in terms of the number of platelet cells in the PRP and the difficulty in obtaining the source, it is preferable to use the allogeneic PRP or the heterogeneous PRP, and the heterogeneous PRP is preferable; but considering the patient's psychology, the autologous PRP or the allogeneic PRP is used. Preferably, autologous PRP is preferred.

Claims (12)

一種血小板乾粉的製造方法,其包括:在哺乳類動物血小板濃厚血漿(platelet-rich plasma,以下簡稱PRP)中加入0.1至10 mM的二磷酸腺苷(adenosine diphosphate,以下簡稱ADP)溶液,並攪拌均勻,以保護血小板,其中該ADP用量,以PRP中每100萬個血小板細胞計,使用0.04至4奈莫爾的ADP;將該經保護的PRP去除血漿層,得經保護的血小板層;及該經保護的血小板層冷凍至適當低溫後,冷凍乾燥,使其形成血小板乾粉。A method for producing a dry powder of a platelet comprising: adding a 0.1 to 10 mM adenosine diphosphate (ADP) solution to a platelet-rich plasma (PRP) of a mammal and stirring it evenly To protect platelets, wherein the ADP is used in an amount of 0.04 to 4 nanomolar ADP per 1 million platelet cells in the PRP; the protected PRP is removed from the plasma layer to obtain a protected platelet layer; The protected platelet layer is chilled to a suitable low temperature and lyophilized to form a platelet dry powder. 如申請專利範圍第1項所述的製造方法,其於去除血漿層後,進一步加入稀釋液予以稀釋,其中該稀釋液為逆滲透水、生理食鹽水、或其混合液,且稀釋後的稀釋液的血小板含量高於每毫升1億個。The manufacturing method according to claim 1, wherein after removing the plasma layer, the diluent is further diluted, wherein the diluent is reverse osmosis water, physiological saline, or a mixture thereof, and diluted after dilution. The platelet content of the liquid is higher than 100 million per ml. 如申請專利範圍第2項所述的製造方法,其中稀釋後的稀釋液的血小板含量高於每毫升10億個。The manufacturing method according to claim 2, wherein the diluted diluent has a platelet content of more than 1 billion per ml. 如申請專利範圍第1、2或3項所述的製造方法,其中該PRP為取自牛、豬、羊的異類PRP、異體PRP、或自體PRP。The manufacturing method according to claim 1, wherein the PRP is a heterologous PRP, an allogeneic PRP, or an autologous PRP obtained from cattle, pigs, and sheep. 如申請專利範圍第1、2或3項所述的製造方法,其中該ADP溶液濃度為0.2~5.0 mM。The manufacturing method according to claim 1, wherein the ADP solution has a concentration of 0.2 to 5.0 mM. 如申請專利範圍第5項所述的製造方法,其中該ADP溶液濃度為0.5~2.0 mM。The manufacturing method according to claim 5, wherein the ADP solution has a concentration of 0.5 to 2.0 mM. 如申請專利範圍第1、2或3項所述的製造方法,其中該ADP溶液的用量,以PRP中每100萬個血小板細胞計,為0.1~2.0奈莫爾的ADP。The manufacturing method according to claim 1, wherein the ADP solution is used in an amount of 0.1 to 2.0 nanomolar ADP per 1 million platelet cells in the PRP. 如申請專利範圍第7項所述的製造方法,其中該ADP溶液的用量,以PRP中每100萬個血小板細胞計,為0.2~1.0奈莫爾的ADP。The manufacturing method according to claim 7, wherein the ADP solution is used in an amount of 0.2 to 1.0 nanomolar ADP per 1 million platelet cells in the PRP. 如申請專利範圍第1、2或3項所述的製造方法,其中該冷凍溫度為-10~-50℃。The manufacturing method according to claim 1, 2 or 3, wherein the freezing temperature is -10 to -50 °C. 如申請專利範圍第9項所述的製造方法,其中該冷凍溫度為-30~-40℃。The manufacturing method according to claim 9, wherein the freezing temperature is -30 to -40 °C. 如申請專利範圍第1、2或3項所述的製造方法,其中該冷凍乾燥方法的操作條件為-30℃/20Pa~-40℃/10Pa。The manufacturing method according to claim 1, wherein the operating condition of the freeze-drying method is -30 ° C / 20 Pa - 40 ° C / 10 Pa. 如申請專利範圍第1、2或3項所述的製造方法,其中去除血漿層係採用離心分離方式,將經保護的PRP高速離心後去除血漿層。The manufacturing method according to claim 1, wherein the plasma layer is removed by centrifugation, and the protected PRP is centrifuged at a high speed to remove the plasma layer.
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TWI270375B (en) * 2004-06-29 2007-01-11 Cheng-Yao Su A method for preserving platelets outside a living body
US20080213238A1 (en) * 2005-02-09 2008-09-04 James Bennie Gandy Lyophilized platelet rich plasma for the use in wound healing (chronic or acute) and bone or tissue grafts or repair
CN101669968A (en) * 2009-10-09 2010-03-17 中国人民解放军第三军医大学第一附属医院 Particle blood platelet dry powder preparation and preparation method thereof and application thereof

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TWI270375B (en) * 2004-06-29 2007-01-11 Cheng-Yao Su A method for preserving platelets outside a living body
US20080213238A1 (en) * 2005-02-09 2008-09-04 James Bennie Gandy Lyophilized platelet rich plasma for the use in wound healing (chronic or acute) and bone or tissue grafts or repair
CN101669968A (en) * 2009-10-09 2010-03-17 中国人民解放军第三军医大学第一附属医院 Particle blood platelet dry powder preparation and preparation method thereof and application thereof

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI822121B (en) * 2021-06-18 2023-11-11 思必瑞特生技股份有限公司 Use of a platelet dry powder for relieving inflammation or damage in a portion of the airway

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