US3903268A - Chitin and chitin derivatives for promoting wound healing - Google Patents
Chitin and chitin derivatives for promoting wound healing Download PDFInfo
- Publication number
- US3903268A US3903268A US117085A US11708571A US3903268A US 3903268 A US3903268 A US 3903268A US 117085 A US117085 A US 117085A US 11708571 A US11708571 A US 11708571A US 3903268 A US3903268 A US 3903268A
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- US
- United States
- Prior art keywords
- chitin
- wound healing
- wound
- healing
- fibers
- 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.)
- Expired - Lifetime
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- 229920002101 Chitin Polymers 0.000 title claims abstract description 85
- 230000029663 wound healing Effects 0.000 title claims abstract description 36
- 230000001737 promoting effect Effects 0.000 title description 5
- 238000000034 method Methods 0.000 claims abstract description 27
- 230000008569 process Effects 0.000 claims abstract description 20
- 206010052428 Wound Diseases 0.000 claims abstract description 17
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 17
- 230000035876 healing Effects 0.000 claims abstract description 15
- 239000000835 fiber Substances 0.000 claims description 17
- 241000124008 Mammalia Species 0.000 claims description 4
- 239000004745 nonwoven fabric Substances 0.000 claims description 2
- 239000002759 woven fabric Substances 0.000 claims description 2
- 239000000203 mixture Substances 0.000 abstract description 10
- 239000000463 material Substances 0.000 description 24
- 241000700159 Rattus Species 0.000 description 11
- 241000233866 Fungi Species 0.000 description 7
- 210000000845 cartilage Anatomy 0.000 description 7
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 6
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 4
- 230000006872 improvement Effects 0.000 description 4
- 238000012360 testing method Methods 0.000 description 4
- OVRNDRQMDRJTHS-UHFFFAOYSA-N N-acelyl-D-glucosamine Natural products CC(=O)NC1C(O)OC(CO)C(O)C1O OVRNDRQMDRJTHS-UHFFFAOYSA-N 0.000 description 3
- OVRNDRQMDRJTHS-FMDGEEDCSA-N N-acetyl-beta-D-glucosamine Chemical compound 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 3
- MBLBDJOUHNCFQT-LXGUWJNJSA-N N-acetylglucosamine Natural products CC(=O)N[C@@H](C=O)[C@@H](O)[C@H](O)[C@H](O)CO MBLBDJOUHNCFQT-LXGUWJNJSA-N 0.000 description 3
- 229920001077 Poly(N-acetyl glucosamine) Polymers 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 239000000443 aerosol Substances 0.000 description 3
- 125000000217 alkyl group Chemical group 0.000 description 3
- 239000003795 chemical substances by application Substances 0.000 description 3
- -1 chitinacetate Polymers 0.000 description 3
- 239000000460 chlorine Substances 0.000 description 3
- 239000012153 distilled water Substances 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 229950006780 n-acetylglucosamine Drugs 0.000 description 3
- 241000238557 Decapoda Species 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 2
- 239000001888 Peptone Substances 0.000 description 2
- 108010080698 Peptones Proteins 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- QLTSDROPCWIKKY-PMCTYKHCSA-N beta-D-glucosaminyl-(1->4)-beta-D-glucosamine Chemical compound O[C@@H]1[C@@H](N)[C@H](O)O[C@H](CO)[C@H]1O[C@H]1[C@H](N)[C@@H](O)[C@H](O)[C@@H](CO)O1 QLTSDROPCWIKKY-PMCTYKHCSA-N 0.000 description 2
- 235000010633 broth Nutrition 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 210000002421 cell wall Anatomy 0.000 description 2
- 239000008121 dextrose Substances 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 230000002538 fungal effect Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 241000238565 lobster Species 0.000 description 2
- 239000008188 pellet Substances 0.000 description 2
- 235000019319 peptone Nutrition 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 150000003839 salts Chemical class 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000003826 tablet Substances 0.000 description 2
- FUFLCEKSBBHCMO-UHFFFAOYSA-N 11-dehydrocorticosterone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)C(=O)CO)C4C3CCC2=C1 FUFLCEKSBBHCMO-UHFFFAOYSA-N 0.000 description 1
- MSWZFWKMSRAUBD-IVMDWMLBSA-N 2-amino-2-deoxy-D-glucopyranose Chemical compound N[C@H]1C(O)O[C@H](CO)[C@@H](O)[C@@H]1O MSWZFWKMSRAUBD-IVMDWMLBSA-N 0.000 description 1
- GAWIXWVDTYZWAW-UHFFFAOYSA-N C[CH]O Chemical group C[CH]O GAWIXWVDTYZWAW-UHFFFAOYSA-N 0.000 description 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 1
- 102000012286 Chitinases Human genes 0.000 description 1
- 108010022172 Chitinases Proteins 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- MFYSYFVPBJMHGN-ZPOLXVRWSA-N Cortisone Chemical compound O=C1CC[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 MFYSYFVPBJMHGN-ZPOLXVRWSA-N 0.000 description 1
- MFYSYFVPBJMHGN-UHFFFAOYSA-N Cortisone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)(O)C(=O)CO)C4C3CCC2=C1 MFYSYFVPBJMHGN-UHFFFAOYSA-N 0.000 description 1
- 241000238424 Crustacea Species 0.000 description 1
- 241000238631 Hexapoda Species 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- OVRNDRQMDRJTHS-CBQIKETKSA-N N-Acetyl-D-Galactosamine Chemical compound CC(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@H](O)[C@@H]1O OVRNDRQMDRJTHS-CBQIKETKSA-N 0.000 description 1
- 125000003047 N-acetyl group Chemical group 0.000 description 1
- MBLBDJOUHNCFQT-UHFFFAOYSA-N N-acetyl-D-galactosamine Natural products CC(=O)NC(C=O)C(O)C(O)C(O)CO MBLBDJOUHNCFQT-UHFFFAOYSA-N 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 241000228143 Penicillium Species 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 238000005903 acid hydrolysis reaction Methods 0.000 description 1
- 150000007513 acids Chemical class 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 125000001931 aliphatic group Chemical group 0.000 description 1
- 229940035674 anesthetics Drugs 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 235000015278 beef Nutrition 0.000 description 1
- 229960000686 benzalkonium chloride Drugs 0.000 description 1
- CADWTSSKOVRVJC-UHFFFAOYSA-N benzyl(dimethyl)azanium;chloride Chemical compound [Cl-].C[NH+](C)CC1=CC=CC=C1 CADWTSSKOVRVJC-UHFFFAOYSA-N 0.000 description 1
- MSWZFWKMSRAUBD-UHFFFAOYSA-N beta-D-galactosamine Natural products NC1C(O)OC(CO)C(O)C1O MSWZFWKMSRAUBD-UHFFFAOYSA-N 0.000 description 1
- 239000007621 bhi medium Substances 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 244000309466 calf Species 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 235000014633 carbohydrates Nutrition 0.000 description 1
- 235000011089 carbon dioxide Nutrition 0.000 description 1
- 125000003178 carboxy group Chemical class [H]OC(*)=O 0.000 description 1
- 125000004181 carboxyalkyl group Chemical group 0.000 description 1
- 125000002057 carboxymethyl group Chemical group [H]OC(=O)C([H])([H])[*] 0.000 description 1
- 150000001768 cations Chemical class 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- RQFQJYYMBWVMQG-IXDPLRRUSA-N chitotriose Chemical compound O[C@@H]1[C@@H](N)[C@H](O)O[C@H](CO)[C@H]1O[C@H]1[C@H](N)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)N)[C@@H](CO)O1 RQFQJYYMBWVMQG-IXDPLRRUSA-N 0.000 description 1
- 229960005091 chloramphenicol Drugs 0.000 description 1
- WIIZWVCIJKGZOK-RKDXNWHRSA-N chloramphenicol Chemical compound ClC(Cl)C(=O)N[C@H](CO)[C@H](O)C1=CC=C([N+]([O-])=O)C=C1 WIIZWVCIJKGZOK-RKDXNWHRSA-N 0.000 description 1
- 229910052801 chlorine Inorganic materials 0.000 description 1
- 239000004927 clay Substances 0.000 description 1
- 229960004544 cortisone Drugs 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 229910000397 disodium phosphate Inorganic materials 0.000 description 1
- 235000019800 disodium phosphate Nutrition 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000010410 dusting Methods 0.000 description 1
- 230000002255 enzymatic effect Effects 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 150000002170 ethers Chemical class 0.000 description 1
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 1
- 239000003193 general anesthetic agent Substances 0.000 description 1
- 229960002442 glucosamine Drugs 0.000 description 1
- 150000004676 glycans Chemical class 0.000 description 1
- 238000000227 grinding Methods 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- 239000011261 inert gas Substances 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 208000004396 mastitis Diseases 0.000 description 1
- 239000002609 medium Substances 0.000 description 1
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000004570 mortar (masonry) Substances 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 229940124531 pharmaceutical excipient Drugs 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 239000013014 purified material Substances 0.000 description 1
- 150000003254 radicals Chemical class 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000001488 sodium phosphate Substances 0.000 description 1
- 241000894007 species Species 0.000 description 1
- 230000028070 sporulation Effects 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000001256 tonic effect Effects 0.000 description 1
- 231100000397 ulcer Toxicity 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 150000003751 zinc Chemical class 0.000 description 1
Classifications
-
- 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
-
- 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
- A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
- A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
- A61L15/22—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
- A61L15/28—Polysaccharides or their derivatives
Definitions
- ABSTRACT Wound healing compositions and the process of healing wounds with such compositions are described, the compositions containing chitin, partially depolymerized chitin or a chitin derivative.
- This invention relates to methods of promoting the healing of wounds and compositions therefor comprising chitin, and/or chitin derivatives and/or partially depolymerized chitin.
- Rapid healing of wounds is particularly desired for patients in tropical countries'where the risk of infection is high. Rapid healing is also desired in the case of soldiers who have been wounded in a battle zone and cannot easily and quickly be removed therefrom. Acceleration of wound healing is highly desirable in the case of patients who cannot readily be immobilized, such as farm animals.
- one aspect of the present invention relates to novel methodsof promoting and assisting the ;healing of wounds as, for example, damaged mammalian tissue, open ulcers, etc.,and to compositions therefor.
- Another aspect of the invention relates to significant .improvements in wound healing strength achieved by the administration of finely divided chitin, partially depolymerized chitin or chitin derivatives to a patient.
- An additional aspect of the present invention is concerned with articles of manufacture such as surgical bandages, surgical sutures, etc., containing the wound healing materials of the present invention.
- Chitin is a polysaccharide, believed to be poly (N- acetylglucosamine) which forms the cell walls of fungi and the hard shell of insects and crustaceans.
- the term chitin embraces naturally occurring chitin synthetic chitin, as well as poly (N- acetylglucosamine) and its epimer poly (N- acetylgalactosamine).
- the N-acetylated partially depolymerized chitin e.g. chitotriose, chitobiose, is a substance which retains its polymeric nature but has undergone a reduction in molecular weight (i .e.
- the chitin derivatives contemplated are materials such as ethers formed with pharmaceuticailyacceptable radicals and esters or salts with pharmaceutical]y-acceptable' acids.
- suitable derivatives include hydroxy lower alkyl chitin such as hydroxyethyl chitin, carboxy alkyl chitin such as carboxymethyl chitin, salts of carboxy lower alkyl chitin such as the zinc salt, lower alkyl chitin such as methyl chitin and ethyl chitin, chitinacetate, chitin nitrate,
- chitin citrate, chitin phosphate, N-acylderivatives derived from monocarboxylic aliphatic acids such as N- tained with the chitin materials is at least equal to and in many instances greater than that derived from the cartilage materials of theprior art.
- the substantial immovement in rate of healing which is obtained from the use of poly (N-acetylglucosamine), i.e., chitin, ascompared to-monomeric N-acetylglucosamine is particularly surprising.
- chitin, particularly chitin of fungal origin is a relatively uniform and easily obtained material.
- compositions of the present invention are applied using the same techniques and processes developed for cartilage, and N-acetyl'glucosamine. Thus, it is preferred to topically apply finely divided chitin directly to the wound surface.
- tablets, capsules or pellets of chitin may be prepared from mixtures of chitin, partially depolymerized chitin or chitin derivatives with well-known pharmaceutical excipients such as starch, sugar, certain forms of clay, etc.
- Such tablets, capsules or pellets may be taken orally or implanted nearrthesitus pfthe wound f lter natiyely, acolloidal soleut may be prepared-fromchitin,preferably iri isb eferablyin isotonic saline solution, and
- a poyvder orsolutioh of chitiriorof a chitin deriv a- 1 tive may also be used to impregnate a surgical gauie. 0r pad whichis applied to the wo und. Chitin may also. be
- a Wateresoluble, d erivative of chitin may ls tered,intramu scularly, parenterally 4 ns yfiivids PhiF I -QJ?
- n,t e iz i eim b pplied topically by blo a meterqe'd amountpfithe material onto the using a hand at'o n riiz er
- Alternativelyfit may be applied by dusting as from a hand shaker or rna y beplac ed" together :With an inert gas under increasedpressure (i,e., above atmospheric pressure) in apressure vessel.
- chitin frorn. such sol,tr oe ,;i necessary .to reduce the chitin in particle izetqlessghan about ⁇ 1.59 microns and preferably less QthamabOut S O rnicr ons. Due to the tough andrather fibrousnature of chitin frorn such sources, this grinding ⁇ '.is di ffiqultand ex'pen'siye Accordingly, it is preferred to use;chitin'of fungalorigin. The cell walls of fungi are .g i adf t n- 1th stoeextraot ,the
- the finely divided chitin pr chitin optionally, with other :medicamentsas indicated, may bepackaged as a dry aerosol powder ,as described in Dutch Pa't.” application 6,415,252, published July 5, l95 this patent applijcation' is directed to a medicament for mastitis but the method of aerosol packaging described is applicable to powdered medicament haying describedp'article size) or as an aerosol foarn.
- prqteose pep tone ,'2 gm, dextrose, 5 gml'jsodium chlojon Saboura ds broth (4Q gim, dextrose and l'O'g'm. bacride and 2.5 gm.
- Thefflaslt's are then cooled in the oven for an additional one hour and fifteen minutes, Culture broths are remo edby filtra- Itiojn jhgough Buchh'er funnels and the growth mats distilled Water, 7 The mats are then froin and 'lyophilizedand-the dry products gr'ou'nd in a more tar witha pestle under CO jNo attempt is made to pu- .rify :the chitin. Tw e l yerpairsof rats are 'used for "each test. some inflammation is observed on all treated wounds and infection on several. The increases in ,wound healing obtainedmay be all the more significant in View of these adverse" factors.
- 100 grams of dried fungus material (obtained from Penicillium fungus of Example 4, cultured on a BHI medium, sterilized by boiling the fungus with the medium and then filtering, washing with distilled water and drying the fungus material) is defatted by extracting the solvent-soluble fatty materials with 1000 ml. chloroform at room temperature. The chloroform is removed by filtering and then drying at reduced pressure in a vacuum desiccator.
- the defatted fungus material is treated with 2000 ml.
- the dried material is ground in a laboratory mortar and screened through a 400 mesh standard screen.
- Lobster shell chitin is purified by first slurrying it in -l% aqueous NaOH for minutes at 80C, then it is washed, drained and slurried in HCl for 5 minutes at 80C, drained, slurried in water, the pH of the water adjusted to 6 with dilute aqueous NaO l-l, and finally drained and dried.
- the dried chitin material is pulverized to a fineness of about 40 microns.
- the material shows an average 25% increase in the wound healing over the untreated control rats.
- a process for facilitating healing of a wound in a mammal which comprises applying as a wound healing aid at the situs of the wound a wound-healing amount of a woven fabric structure including fibers selected from the group consisting of chitin and an N-acetylated partially depolymerized chitin.
- said wound healing aid is in the form of a bandage including chitin fibers.
- a wound healing aid is in the form of a dressing including chitin fibers.
- a process for facilitating healing of a wound in a mammal which comprises applying as a wound healing aid at the situs of the wound a wound-healing amount of a non-woven fabric structure including fibers selected from the group consisting of chitin ancl N- acetylated partially depolymerized chitin.
- wound healing aid is in the form of a bandage including N-acetylated partially depolymerized chitin fibers.
- said wound healing aid is in the form of a dressing
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- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Materials Engineering (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Biochemistry (AREA)
- Molecular Biology (AREA)
- Medicinal Chemistry (AREA)
- Polymers & Plastics (AREA)
- Organic Chemistry (AREA)
- Hematology (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Wound healing compositions and the process of healing wounds with such compositions are described, the compositions containing chitin, partially depolymerized chitin or a chitin derivative.
Description
United States Patent 1191 Balassa [111 3,903,268 1 51 *Sept. 2, 1975 CHITIN AND CIIITIN DERIVATIVES FOR PROMOTING WOUND HEALING [75] Inventor: Leslie L. Balassa, Blooming Grove,
[73] Assignee: Lescarden Ltd., Goshen, NY.
[ Notice:' The portion of the tenn of this patent subsequent to Jan. 4, 1989, has been disclaimed.
22 Filed: Feb. 19, 1971 21 Appl. No.1 117,085
Related US. Application Data [60] Division of Ser. No. 704,538, Feb. I2, 1968, Pat. No.
3,632,754, and a continuation-in-part of Ser. No. 619,007, Feb. 27 1967, abandoned.-
52 us. Cl. 424/180; 424/28; 424/95; 424/154 51 Int.Cl. A6lK27/00 [58] Field of Search 424/28, 95, 180, 154
Carlozzi et al.... 424/180 Weisberg et a]. 424/330 Primary Examiner-Stanley J. Friedman Assistant ExaminerDaren M. Stephens Attorney, Agent, or Firm-Darby & Darby [57] ABSTRACT Wound healing compositions and the process of healing wounds with such compositions are described, the compositions containing chitin, partially depolymerized chitin or a chitin derivative.
9 Claims, No Drawings scribes l CHITIN AND CHITIN DERIVATIVES FOR PROMOTING WOUND HEALING This application is a division of my copending application Ser. No. 704,538 filed Feb. 12, 1968 now US. Pat. No. 3,632,754 and a continuation-in-part of copending application. Ser. No. 6l9,007 filed Feb. 27, 1967 now abandoned.
This invention relates to methods of promoting the healing of wounds and compositions therefor comprising chitin, and/or chitin derivatives and/or partially depolymerized chitin.
Medicine has long been interested in improving the H healing of wounds. Patients suffering from diabetes or undergoing extensive cortisone treatment show extremely slow rates of healing of any wounds which they receive. Thus, surgery on such patients involves additional risks not present with other patients. Moreover,
rapid healing of wounds is particularly desired for patients in tropical countries'where the risk of infection is high. Rapid healing is also desired in the case of soldiers who have been wounded in a battle zone and cannot easily and quickly be removed therefrom. Acceleration of wound healing is highly desirable in the case of patients who cannot readily be immobilized, such as farm animals.
In evaluating the utility of a material to promote wound healing, a reproducible test is necessary to give treated rat and the control rat is expressed as the percentage improvement obtained. Considering biological variance it is believed that only differences of about 10% or more are significant.
There have been several recent developments reported concerning materials which promote wound healing. in this connection US. Pat. No. 3,232,836 dethe parenteral administration of N- acetylglucosamine as a wound healing material. Utilizing the test methodof Prudden et a] referred to in the preceding paragraph, N-acetylglucosamine showed improvement in tensile strength of only about 10% whereas Prudden and his co-workers have reported significantly larger increases in wound healing by the use of cartilage preparations from various animals. Depending on the age and species of animal and the fineness of the cartilage powder, improvements ranging from to 40% in wound healing tensile strength have been reported by Prudden.
Now it has been discovered that finely divided chitin, partially depolymerized chitin, and chitin derivatives possess the ability to promote the healing of wounds.
Accordingly, one aspect of the present invention relates to novel methodsof promoting and assisting the ;healing of wounds as, for example, damaged mammalian tissue, open ulcers, etc.,and to compositions therefor.
Another aspect of the invention relates to significant .improvements in wound healing strength achieved by the administration of finely divided chitin, partially depolymerized chitin or chitin derivatives to a patient.
An additional aspect of the present invention is concerned with articles of manufacture such as surgical bandages, surgical sutures, etc., containing the wound healing materials of the present invention.
These and other aspects of the present invention will be apparent from the following description.
Chitin is a polysaccharide, believed to be poly (N- acetylglucosamine) which forms the cell walls of fungi and the hard shell of insects and crustaceans. As used herein, the term chitin embraces naturally occurring chitin synthetic chitin, as well as poly (N- acetylglucosamine) and its epimer poly (N- acetylgalactosamine). The N-acetylated partially depolymerized chitin, e.g. chitotriose, chitobiose, is a substance which retains its polymeric nature but has undergone a reduction in molecular weight (i .e. chain length) as a result of (l) enzymatic action such as by a chitinase enzyme, (2) chemical treatment such as acid hydrolysis or alkaline treatment, and (3) physical treatment. These materials are known in the art and procedures for their preparation may be found in Advances in Carbohydrate Chemistry" Vol. 15, Pages 380 to 384, Academic Press, New York 1960, the disclosure of which is incorporated herein by reference. Thus, the molecular length is in the range from 11-1 in which n corresponds to the number of repeating units in chitin to n=0 which is acetylated chitobiose.
The chitin derivatives contemplated are materials such as ethers formed with pharmaceuticailyacceptable radicals and esters or salts with pharmaceutical]y-acceptable' acids. Examples of suitable derivatives include hydroxy lower alkyl chitin such as hydroxyethyl chitin, carboxy alkyl chitin such as carboxymethyl chitin, salts of carboxy lower alkyl chitin such as the zinc salt, lower alkyl chitin such as methyl chitin and ethyl chitin, chitinacetate, chitin nitrate,
chitin citrate, chitin phosphate, N-acylderivatives derived from monocarboxylic aliphatic acids such as N- tained with the chitin materials is at least equal to and in many instances greater than that derived from the cartilage materials of theprior art. The substantial immovement in rate of healing which is obtained from the use of poly (N-acetylglucosamine), i.e., chitin, ascompared to-monomeric N-acetylglucosamine is particularly surprising. As compared to the great variability in cartilage depending on the animal, itsiage and the method of collecting the cartilage, chitin, particularly chitin of fungal origin, is a relatively uniform and easily obtained material.
The compositions of the present invention are applied using the same techniques and processes developed for cartilage, and N-acetyl'glucosamine. Thus, it is preferred to topically apply finely divided chitin directly to the wound surface. However, tablets, capsules or pellets of chitin may be prepared from mixtures of chitin, partially depolymerized chitin or chitin derivatives with well-known pharmaceutical excipients such as starch, sugar, certain forms of clay, etc. Such tablets, capsules or pellets may be taken orally or implanted nearrthesitus pfthe wound f lter natiyely, acolloidal soleut may be prepared-fromchitin,preferably iri isb eferablyin isotonic saline solution, and
A poyvder orsolutioh of chitiriorof a chitin deriv a- 1 tive mayalso be used to impregnate a surgical gauie. 0r pad whichis applied to the wo und. Chitin may also. be
a tissplv a hw k l -sh t n xantl teewun ptq fi er tonic saline, ra Wateresoluble, d erivative of chitin may ls tered,intramu scularly, parenterally 4 ns yfiivids PhiF I -QJ? it n,t e iz i eim b pplied topically by blo a meterqe'd amountpfithe material onto the using a hand at'o n riiz er Alternativelyfit may be applied by dusting as from a hand shaker or rna y beplac ed" together :With an inert gas under increasedpressure (i,e., above atmospheric pressure) in apressure vessel. In this latter means of appli and regeneratedasthe yirtually undeg raded polymer in' accordance: .y vjth tli'ei proc edures described in the prior .art by 'lihor et algPartially deace tylated chitin filaments vand fibers maybe. prepared in accordance with the procedgre described in, wisht, No. 2,040,880, These Asl v sa sly wd whe h il n $1 1 Pl injecltioniile either intramuscularly, parenterallyor ,-in,trav en9usly ,,it is first necessary to prepare adisperham 9% ,sg u en 9f h.?- ma i s; a ic l y acceptable, liquid Colloidal solutionsof chitin may be ptepa red sjng theernethod described by Lingappa and Loic lgyvqod l $9,,page 158 (1961). When adniinist redintravenously it is preferred to administer mthe cornpound in isotonie solution such as isotonic saegline, Y
Teh s i Hi0 ,jadrnixt re withgeachother, cartilage, or maybe ,co-adrninistered with other -therape u tically effective a e t wshfissss asid s r ylpelm a P rma ceut i cally aceept-able zi ncsalts-such as zinopggide,
m ne a s'z bm t nch hl te an z n e fisa at; ai isc tics such as thirnerosal and benzalkonium chloride; .zlolgal anesthetics sueh as lidogaine and procaine; antibiotics,suqlzy;as chloramphenicol, sulfanilairhide and amepi'eilline Qonjbinations ofthe therapeutically effective ,-,agents described above ohitinand/or, chitin deriya-' -ti,ve s may;b e,-,=u sed.Q I 4 f 1 ,Suitablesources of ,chitin are from lobsters, shrimp -;,.andhoth;e nustacea To. utilize. chitin frorn. such sol,tr oe ,;i necessary .to reduce the chitin in particle izetqlessghan about {1.59 microns and preferably less QthamabOut S O rnicr ons. Due to the tough andrather fibrousnature of chitin frorn such sources, this grinding {'.is di ffiqultand ex'pen'siye Accordingly, it is preferred to use;chitin'of fungalorigin. The cell walls of fungi are .g i adf t n- 1th stoeextraot ,the
v thylene oxide the, entire fungal mat pro- .s i m he .ndh iit 'ne m ri s thus substane een fonnd ,th t t -is not necessary v mn: frorn the rern l'IIIfIg CCIl material. Thus, ifdesir ed', after suitable ster'ilizationas byheat or cation, termed fae rosol application, the finely divided chitin pr chitin optionally, with other :medicamentsas indicated, may bepackaged as a dry aerosol powder ,as described in Dutch Pa't." application 6,415,252, published July 5, l95 this patent applijcation' is directed to a medicament for mastitis but the method of aerosol packaging described is applicable to powdered medicament haying describedp'article size) or as an aerosol foarn.
' 1h the following exampl thefwoundfhealing :efficiency of the yarious chitinous materials is 'deterrnined by, usingthe methdddf :Prudden et alas' de'sc'rib ed above. ln general','atlestflQ pairs of r'a'ts are used to obtain a meaningful ayera g'e for each material tested.
EXAMPLE 1 Co minercial lobster shell chitin jis grdundito a 'fine weight ratio of 1 chitin to 2 pebbles. Dry ice is then put on top of the m'ill charge and the mill is open for 5 minutes to allow the co, to; displace'thdair'in the in. The he f h rnill is then clamped 6 tight and'tl ie ig iinding'carr'idoutfdr'96 hours.Approiirnat'ely 50% r-chitindc-tiyatiyesn ay be used alone, in
;er' thepon/dered chitinipasseddthrough micron I he whole powdered chitin sci produ ced is 'the'n applied tothe 45, t es t' rats of 45 pairs of rats' 'used" in the Prudden et ai assay method described above, cent of wound healing for the treatediat's, stating the control rats as IQ( is 122%, i.e., theuse of chitin re- Various fungi are grown on either bfain-heart infusion (200 gm. calf brain, 250 beef heart, gin.
, prqteose pep tone:,'2 gm, dextrose, 5 gml'jsodium chlojon Saboura ds broth (4Q gim, dextrose and l'O'g'm. bacride and 2.5 gm. disodium phosphate) called B lll or to peptone)CaIIedQ SABT 'The cultures a r 'grown in tially neducing the po'ssibility of anallergic reaction and eliminating any interfefiejnce with the healingprocess h he ght sense b Wsh krh shallow layers of tnedia containedin flasks and held stationary until: X and extensive sporulation agents. P-riorto collectionof the growth mats, the ciiltures are killed by placing the-flasks info afcllosed oven under CO5 at-=l 2"/ C-.-'for three hours. Thefflaslt's are then cooled in the oven for an additional one hour and fifteen minutes, Culture broths are remo edby filtra- Itiojn jhgough Buchh'er funnels and the growth mats distilled Water, 7 The mats are then froin and 'lyophilizedand-the dry products gr'ou'nd in a more tar witha pestle under CO jNo attempt is made to pu- .rify :the chitin. Tw e l yerpairsof rats are 'used for "each test. some inflammation is observed on all treated wounds and infection on several. The increases in ,wound healing obtainedmay be all the more significant in View of these adverse" factors.
100 grams of dried fungus material (obtained from Penicillium fungus of Example 4, cultured on a BHI medium, sterilized by boiling the fungus with the medium and then filtering, washing with distilled water and drying the fungus material) is defatted by extracting the solvent-soluble fatty materials with 1000 ml. chloroform at room temperature. The chloroform is removed by filtering and then drying at reduced pressure in a vacuum desiccator.
The defatted fungus material is treated with 2000 ml.
1.0 N-NaOl-l solution for 18 hours at room temperature. The material is then acidified with HCl. Thereafter the material is dialyzed in distilled water until the wash water is free from chlorine ions. This procedure is repeated until a substantially purified material is obtained. The material is dried in vacuum below 50C and is a gray, friable mass.
The dried material is ground in a laboratory mortar and screened through a 400 mesh standard screen.
When the screened material is applied to 20 test rats of '20 pairs of rats there is obtained an average of about 25% increase in the wound healing of the treated rats over the untreated control rats.
EXAMPLE 7 Lobster shell chitin is purified by first slurrying it in -l% aqueous NaOH for minutes at 80C, then it is washed, drained and slurried in HCl for 5 minutes at 80C, drained, slurried in water, the pH of the water adjusted to 6 with dilute aqueous NaO l-l, and finally drained and dried.
The dried chitin material is pulverized to a fineness of about 40 microns. The material shows an average 25% increase in the wound healing over the untreated control rats.
Although the present invention has been decribed in conjunction with preferred embodiments, it is to be understood that modifications andavariations may be resorted to without departing from the spirit and scope thereof, as those skilled in the art will readily understand.
What is claimed is:
l. A process for facilitating healing of a wound in a mammal which comprises applying as a wound healing aid at the situs of the wound a wound-healing amount of a woven fabric structure including fibers selected from the group consisting of chitin and an N-acetylated partially depolymerized chitin.
2. A process according to claim 1 wherein said wound healing aid is in the form of a bandage including chitin fibers.
3. A process according to claim 1 wherein said fibers are used in the form of sutures.
4. A process according to claim 1, wherein said a wound healing aid is in the form of a dressing including chitin fibers.
5. A process according to claim 1, wherein said wound healing aid is in the form of a bandage including N-acetylated partially depolymerized chitin fibers 6. A process for facilitating healing of a wound in a mammal which comprises applying as a wound healing aid at the situs of the wound a wound-healing amount of a non-woven fabric structure including fibers selected from the group consisting of chitin ancl N- acetylated partially depolymerized chitin.
7. A process according to claim 6, wherein said wound healing aid is in the form of a bandage including N-acetylated partially depolymerized chitin fibers.
8. A process according to claim 6, wherein said wound healing aid is in the form of a dressing including
Claims (9)
1. A PROCESS FOR FACILITATING HEALING OF A WOUND IN A MAMMAL WHICH COMPRISES APPLYING AS A WOUND HEALING AID AT THE SITUS OF THE WOUND A WOUND-HEALING AMOUNT OF A WOVEN FABRIC STRUCTURE INCLUDING FIBERS SELECTED FROM THE GROUP CONSISTING OF CHITIN AND AN N-ACCTYLTED PARTIALLY DEPOLYMERIZED CHITIN.
2. A process according to claim 1 wherein said wound healing aid is in the form of a bandage including chitin fibers.
3. A process according to claim 1 wherein said fibers are used in the form of sutures.
4. A process according to claim 1, wherein said wound healing aid is in the form of a dressing including chitin fibers.
5. A process according to claim 1, wherein said wound healing aid is in the form of a bandage including N-acetylated partially depolymerized chitin fibers.
6. A process for facilitating healing of a wound in a mammal which comprises applying as a wound healing aid at the situs of the wound a wound-healing amount of a non-woven fabric structure including fibers selected from the group consisting of chitin and N-acetylated partially depolymerized chitin.
7. A process according to claim 6, wherein said wound healing aid is in the form of a bandage including N-acetylated partially depolymerized chitin fibers.
8. A process according to claim 6, wherein said wound healing aid is in the form of a dressing including chitin fibers.
9. A process according to claim 6, wherein said wound healing aid is in the form of a dressing including N-acetylated partially depolymerized chitin fibers.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US117085A US3903268A (en) | 1968-02-12 | 1971-02-19 | Chitin and chitin derivatives for promoting wound healing |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US70453868A | 1968-02-12 | 1968-02-12 | |
| US117085A US3903268A (en) | 1968-02-12 | 1971-02-19 | Chitin and chitin derivatives for promoting wound healing |
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| Publication Number | Publication Date |
|---|---|
| US3903268A true US3903268A (en) | 1975-09-02 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US117085A Expired - Lifetime US3903268A (en) | 1968-02-12 | 1971-02-19 | Chitin and chitin derivatives for promoting wound healing |
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| US (1) | US3903268A (en) |
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| US4572906A (en) * | 1983-11-21 | 1986-02-25 | Her Majesty The Queen In Right Of Canada, As Represented By The Minister Of National Defence Of Her Majesty's Canadian Government | Chitosan based wound dressing materials |
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| US4920158A (en) * | 1989-10-11 | 1990-04-24 | Medipro Sciences Limited | Hydrogel-forming wound dressing or skin coating material |
| US4931551A (en) * | 1988-07-05 | 1990-06-05 | University Of Delaware | Dispersions of chitin and product therefrom |
| WO1990006124A1 (en) * | 1988-12-07 | 1990-06-14 | Bentech Laboratories, Inc. | Formulations for treating slow and non-healing wounds |
| EP0382210A1 (en) * | 1989-02-08 | 1990-08-16 | Unitika Ltd. | The use of deacetylated chitin for preparing a medicament for the treatment of inflammatory skin diseases |
| US4956350A (en) * | 1988-08-18 | 1990-09-11 | Minnesota Mining And Manufacturing Company | Wound filling compositions |
| US4958011A (en) * | 1983-06-27 | 1990-09-18 | Bade Maria L | Ester-stabilized chitin |
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| US5013769A (en) * | 1988-08-22 | 1991-05-07 | Medipro Sciences Limited | Method of making a hydrogel-forming wound dressing or skin coating material |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4074713A (en) * | 1975-03-14 | 1978-02-21 | American Cyanamid Company | Poly(N-acetyl-D-glucosamine) products |
| US4074366A (en) * | 1975-03-14 | 1978-02-21 | American Cyanamid Company | Poly(N-acetyl-D-glucosamine) products |
| US4086335A (en) * | 1975-10-29 | 1978-04-25 | Bruscato Frank N | Pharmaceutical tablets containing chitin as a disintegrant |
| US4645757A (en) * | 1979-06-21 | 1987-02-24 | Landstingens Inkopscentral Lic Ekonomisk Forening | Agent for preventing or treating infections in human beings and animals |
| US4486416A (en) * | 1981-03-02 | 1984-12-04 | Soll David B | Protection of human and animal cells subject to exposure to trauma |
| US4394373A (en) * | 1981-04-06 | 1983-07-19 | Malette William Graham | Method of achieving hemostasis |
| US4373519A (en) * | 1981-06-26 | 1983-02-15 | Minnesota Mining And Manufacturing Company | Composite wound dressing |
| EP0086627A1 (en) * | 1982-02-12 | 1983-08-24 | Unitika Ltd. | Anti-cancer device |
| US4605623A (en) * | 1982-11-08 | 1986-08-12 | Malette William Graham | Method of altering growth and development and suppressing contamination microorganisms in cell or tissue culture |
| US4958011A (en) * | 1983-06-27 | 1990-09-18 | Bade Maria L | Ester-stabilized chitin |
| US4572906A (en) * | 1983-11-21 | 1986-02-25 | Her Majesty The Queen In Right Of Canada, As Represented By The Minister Of National Defence Of Her Majesty's Canadian Government | Chitosan based wound dressing materials |
| EP0171254A3 (en) * | 1984-08-03 | 1987-02-04 | Unitika Ltd. | Shaped chitin body |
| US4960413A (en) * | 1985-11-09 | 1990-10-02 | The Shirley Institute | Wound dressing |
| US4857403A (en) * | 1986-12-16 | 1989-08-15 | E. I. Du Pont De Nemours And Company | High strength fibers from chitin derivatives |
| US4861527A (en) * | 1986-12-16 | 1989-08-29 | Delucca George V | High strength chitosan fibers and fabrics thereof |
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