WO2003074099A1 - Materiau de base pour regeneration tissulaire, materiau de transplantation et son procede de preparation - Google Patents
Materiau de base pour regeneration tissulaire, materiau de transplantation et son procede de preparation Download PDFInfo
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- WO2003074099A1 WO2003074099A1 PCT/JP2003/002531 JP0302531W WO03074099A1 WO 2003074099 A1 WO2003074099 A1 WO 2003074099A1 JP 0302531 W JP0302531 W JP 0302531W WO 03074099 A1 WO03074099 A1 WO 03074099A1
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- tissue regeneration
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/52—Hydrogels or hydrocolloids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
- A61L27/18—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/36—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
- A61L27/38—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
- C12N5/00—Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
- C12N5/06—Animal cells or tissues; Human cells or tissues
- C12N5/0602—Vertebrate cells
- C12N5/0652—Cells of skeletal and connective tissues; Mesenchyme
- C12N5/0655—Chondrocytes; Cartilage
Definitions
- the present invention relates to a tissue regeneration base material, a transplant material, and a method for producing the same, which can be widely used in medical fields such as orthopedic surgery, oral surgery, and plastic surgery.
- tissue regeneration substrate plays an important role as a scaffold for cell growth. Functions required for a tissue regeneration substrate include biocompatibility, degradability, mechanical strength, and the like.
- WO0221959 International Publication No. WO / 2009
- a tissue regeneration substrate consisting of polytaxane hydrogel with a network structure in which molecules and biocompatible groups are cross-linked by cross-linking.
- An object of the present invention is to solve the above problems, and an object of the present invention is to provide a tissue regeneration base material having improved cell adhesion. Another object of the present invention is to provide a transplantable material that can successfully reconstruct a tissue. Another object is to provide a method for producing such a transplant material. Disclosure of the invention
- a first aspect of the present invention is a polyporous taxane in which a biocompatible group having a bulky substituent is introduced at both ends of a linear molecule through a plurality of cyclic molecules through a hydrolyzable bond, or
- This polymouth taxane has a network structure in which a cyclic molecule contained in one molecule of the adjacent mouth of the mouth or a biocompatible group or a biomolecule and a cyclic molecule are crosslinked by crosslinking.
- the plurality of cyclic molecules include one having a modifying group that imparts cell adhesion.
- chondrocytes When, for example, chondrocytes are cultured using this tissue regeneration substrate, the cells proliferate while maintaining a chondrocyte-like morphology.
- this tissue regeneration substrate is implanted in a living body as a single substance, cell morphology and proliferation are hardly inhibited, so that tissue regeneration is possible.
- the cyclic molecule since the cyclic molecule has a modifying group that imparts cell adhesion, cells can be held more efficiently than in the case where such a modifying group is not provided.
- linear molecules and cyclic molecules are not particularly limited as long as they have biocompatibility (a property that causes little harm to living organisms).
- the synthesized poly-oral taxane or poly-oral taxane hydrogel has an excellent bio-affinity and can be used as a transplant material for tissue regeneration.
- the average molecular weight is preferably from 200 to 100,000, particularly preferably from 400 to 500.
- the cyclic molecule is preferably ⁇ ,) 3 or arcyclodextrin, but may have a similar cyclic structure.
- a cyclic structure may be a cyclic polyether or a cyclic polyester.
- cyclic polyetheramines and cyclic polyamines are preferably ⁇ ,) 3 or arcyclodextrin, but may have a similar cyclic structure.
- Such a cyclic structure may be a cyclic polyether or a cyclic polyester.
- cyclic polyetheramines and cyclic polyamines As a combination of a linear molecule and a cyclic molecule, a combination of paracyclodextrin and polyethylene glycol is preferable.
- the hydrolyzable bond may be any bond as long as the bond is hydrolyzed in vivo.
- an ester bond is preferred in consideration of rapid non-enzymatic hydrolysis in vivo.
- the cross-linking is preferably a urethane bond, an amide bond, a carbamide bond, an ether bond, a sulfide bond or a Schiff base type bond.
- the cross-linking is preferably more stable to water than a hydrolyzable bond when cross-linking cyclic molecules. This is because the hydrolyzable bond is decomposed first, the bulky substituent having a biocompatible group is removed from both ends of the linear molecule, and the cross-linked cyclic molecule is once released. This is because a good decomposition pattern can be obtained.
- the biocompatible groups at both ends of the linear molecule include a group having a high affinity for a living body (a group having high safety for a living body). Any group may be used as long as it is, for example, an amino acid, an oligopeptide, an oligosaccharide, or a sugar derivative is preferable.
- the amino acids include alanine, palin, leucine, isoleucine, methionine, proline, fenylalanine, tryptophan, aspartic acid, Dalmin, glycine, serine, threonine, tyrosine, cysteine, lysine, arginine, and histidine.
- examples of the oligo-peptide include those formed by a plurality of the above-mentioned amino acids by peptide bonds.
- the oligosaccharide has a repeating unit of 1 to 5, and the constituent polysaccharide includes dextran, hyaluronic acid, chitin, chitosan, alginic acid, chondroitin sulfate, starch, and the like.
- examples of the saccharide derivative include compounds obtained by chemically modifying oligosaccharides, polysaccharides or monosaccharides such as acetylation and isopropylation. Among them, amino acids having a benzene ring, such as L-phenylalanine, L-tyrosine, and L-tributophan, are preferred.
- the bulky substituent of the biocompatible group may be any group as long as it can prevent the cyclic molecule from falling off from the linear molecule.
- a group having a benzene ring or a group having one or more tertiary butyls is preferred.
- Examples of the group having one or more benzene rings include a benzyloxycarbonyl (Z) group, a 9-fluorenylmethyloxycarbonyl (F moc) group, and a benzyl ester (OBz) group.
- Examples of the group having one or more tertiary butyls include a tertiary butylcarbonyl (B oc) group and an amino acid tertiary butyl ester ( ⁇ Bu group), among which a benzyloxycarponyl group is preferable. .
- the linear molecule is polyethylene dalicol
- the cyclic molecule is ⁇ -cyclodextrin
- the hydrolyzable bond is Is particularly preferably an ester bond
- the biodegradable group having a bulky substituent is benzyloxycarbonyl-L-phenylalanine.
- the stoichiometric number of the repeating unit (ethylene oxide unit) of ⁇ -cyclodextrin and polyethylene glycol is said to be 1: 2.
- the modifying group is preferably a positively charged group.
- cells have both positive and negative charges, but are known to have many negative charges.As a whole, they have a negative charge. It is preferable to introduce a charged group because cell adhesion is improved and cells can be efficiently retained.
- the modifying group is preferably a group containing a nitrogen atom. Since the nitrogen atom has the property of being positively charged and being cationized, it is preferable because the adhesion to cells having a negative charge is improved and the cells can be efficiently retained.
- the group containing a nitrogen atom include an amino group introduced into a cyclic molecule by the following aminating agent.
- diamine alkanes such as hydrazine, 1,2-diaminoethane (ethylenediamine), 1,3-diaminopropane, 1,4-diaminobutane, 1,5-diaminopropane, 1,6-diaminohexane, and ⁇ -phenylene
- diaminobenzenes such as dienamine, m-phenylenediamine, and p_phenylenediamine
- polyamines a polymer compound having a plurality of amino groups
- polylysine such as polyvinylamine, and chitosan.
- the introduction ratio of the amino group to the polytaxane hydrogel, the cell growth state or the glycosaminodalican production state when predetermined cells are cultured using the tissue regeneration substrate Correlation with May be determined in advance, and the introduction ratio of an amino group may be set so as to obtain a desired cell growth state or daricosaminoglycan production state in view of the correlation. For example, when the amount of collected cells is large, the rate of introduction of amino groups that has a low cell proliferation ability but high glycosaminoglycan production ability is adopted, and when the amount of collected cells is small, glycosaminoglycan production capacity is low. An introduction ratio of an amino group having a low but high cell growth ability may be employed.
- the modifying group may be a polycation. Also in this case, it is preferable because the adhesion to cells having a negative charge is improved and the cells can be efficiently held.
- the polycation is a polymer compound having a large number of positive charges, such as a polymer compound containing a quaternary ammonium.
- the modifying group is preferably a hydrophobic group.
- the modifying group is one or more selected from the group consisting of an acyl group, cholesterol, triglyceride, phospholipid, glycemic glycolipid, and glycosphingoglycolipid. Is preferred. These groups are preferred because they become hydrophobic by protecting the hydroxyl groups, so that cell adhesion is improved and cells can be efficiently retained.
- examples of the acyl group include groups introduced into a cyclic molecule by the following acylating agents.
- acid anhydrides such as acetic anhydride, propanoic anhydride, butanoic anhydride, benzoic anhydride and the like
- acid halides such as acetic chloride and the like
- the substrate for tissue regeneration of the present invention is a polytaxane in which a biocompatible group having a bulky substituent is introduced via hydrolyzable bonds at both ends of a linear molecule having a plurality of cyclodextrins penetrated therein.
- N, N ' force luponyl diimida It may be one obtained by reacting a reaction product obtained by reacting with sol with polyethylene dalicol bisamine and an aminating agent. Since the compound thus obtained is obtained by amination of polyporous taxane hydrogel, a positive charge is introduced into the hydrogel, and the cell adhesion is improved.
- the linear molecule, the hydrolyzable bond, the bulky substitution group, and the biocompatible group those described above may be employed.
- the substrate for tissue regeneration of the present invention is a polytaxane in which a biocompatible group having a bulky substituent is introduced via hydrolyzable bonds at both ends of a linear molecule having a plurality of cyclodextrins penetrated therein. It may be one obtained by reacting polyethylene glycol bisamine and an acylating agent with a reaction product obtained by reacting N, N'-carbonyldiimidazole. Since the compound obtained in this manner is obtained by acylating polyporous taxane hydrogel, the hydrophobicity is increased and the cell adhesion is improved.
- the linear molecule, the hydrolyzable bond, the bulky substituent and the biocompatible group those described above may be employed.
- the substrate for tissue regeneration of the present invention is not particularly limited as long as it is a form in which cells can be cultured or incorporated.
- the cells are seeded on a sheet, the cells are gelled together with the cells, and the cells are embedded.
- the cells are seeded on a gel, and the cells are dissolved in a solvent.
- the cells may be seeded or suspended in a solvent and the cells may be seeded in the suspension.
- the pores at this time are not particularly limited as long as they have a size and density that can hold cells.
- the form of the tissue regeneration substrate is not limited.
- a ring suitable for the growth of cells from the surrounding tissue it is preferable to use a porous body.
- the size and density of the pores are not particularly limited, as long as they are suitable for cell invasion from the tissue surrounding the transplantation and for tissue regeneration such as cell growth and matrix production.
- a well-known method can be applied, for example, a method of gelling in the presence of sodium hydrogen carbonate, a method of freeze-drying a hydrous hydrogel, and the like.
- the substrate for tissue regeneration of the present invention may be used for culturing or incorporating any type of cells.
- it is preferably an adhesion-dependent cell.
- ES cells embryonic stem cells
- These cells may be collected from a living body by a known collection method according to the cell type.
- the collected cells may be used as they are, or may be grown or grown by culturing them in an appropriate medium for a predetermined period. After differentiation, the cells may be seeded on a tissue regeneration substrate.
- Examples of the method for regenerating a tissue using the tissue regeneration substrate of the present invention include a method of using the tissue regeneration substrate alone, a method of simply incorporating cells into the tissue regeneration substrate, and a method of regenerating the tissue.
- a method of culturing cells on a substrate for regeneration and using the same is exemplified.
- Examples of the method for immobilizing cells include, for example, a method of adding a high-concentration cell culture solution to poly-mouthed taxane hydrogel and allowing the cells to be taken into the gel pores as the gel swells.
- a method of rotating culture, a method of immobilizing the cells by seeding the cells and reducing the pressure so that the cells are not affected, and the like are exemplified.
- tissue regeneration substrate of the present invention The use of a transplantation material in which cells are cultured or cells are incorporated in the tissue regeneration substrate of the present invention is more effective than using the tissue regeneration substrate alone. Tissue regeneration is possible at an early stage.
- any production method may be used. However, after the tissue regeneration base material is formed into an appropriate size or shape according to the purpose of use, the tissue regeneration base material is used. It is preferred to obtain the transplant material by culturing or incorporating the cells.
- the cell suspension is injected into a tissue regeneration substrate that has been shaped and processed to fit the ear application site, cultured for a certain period of time, and transplanted. It may be.
- the implant material is implanted into the ear application site.
- the transplantation material may be formed into an appropriate size or shape according to the site to be applied at the time of use or shipping.
- the cultured cells proliferate while maintaining a chondrocyte-like morphology, and produce abundant cartilage matrix. Since cartilage tissue is mainly repaired by chondrocytes and the matrix produced by the cells, the abundance of these in advance means that the material for transplantation has a high tissue regeneration ability. I have. As described above, the culturing operation is preferable in that the cells necessary for tissue repair can be proliferated, or the cell-producing substances (substrates, growth factors, etc.) can be carried in the transplantation material.
- FIG. 1 is an explanatory diagram showing the synthesis procedure of polymouth taxane
- Figure 2 is CDI-PR
- Fig. 3 is an explanatory diagram showing the procedure for synthesizing an aminated hydrogel
- Fig. 4 is an explanatory diagram showing the procedure for synthesizing an acetylated hydrogel
- Fig. 5 is a diagram showing the synthetic procedure for a polylysine-immobilized hydrogel.
- Fig. 6 is a graph showing the evaluation of cell adhesion
- Fig. 7 is a graph showing the evaluation of cell proliferation
- Fig. 8 is a graph showing the relationship between the amount of amino groups and cell proliferation ability
- Fig. 9 is the amount of amino groups.
- FIG. 10 is a graph showing the relationship between the amount of amino and the amount of daricosaminodalican produced per cell.
- Polyethylene glycol having a molecular weight of 3300 (PEG) (33 g, 100 mmo 1) and succinic anhydride (20 g, 200 mm o 1) are dissolved in toluene (220 ml), and the solution And refluxed for 5 hours. After the completion of the reaction, the mixture was poured into excess getyl ether, filtered and dried under reduced pressure to obtain a crude product. This is dissolved in dichloromethane, the insoluble matter is removed by centrifugation, poured into an excess of ethyl acetate, filtered, dried under reduced pressure, and then PEG (compound A) having lipoxyl groups at both ends is white powder. As obtained.
- PEG polyethylene glycol having a molecular weight of 3300
- succinic anhydride 20 g, 200 mm o 1
- a saturated aqueous solution (31 1 ml) of sodium cyclodextrin ( ⁇ -CD) (48 g, 49.2 mmo 1) was added to an aqueous solution (2 g) of compound C (4 g, 1.12 mmo 1). 0 ml) was added dropwise at room temperature. The mixture was stirred for 1 hour while being irradiated with ultrasonic waves, and then stirred at room temperature for 24 hours. A white precipitate was recovered by centrifugation and dried under reduced pressure at 50 to obtain a pseudopolyrotaxane as a white powder.
- a polymouth taxane refers to a molecule in which a linear molecule (for example, PEG) penetrates a number of cyclic molecules (for example, cyclodextrin) and both ends of the linear molecule are capped with bulky substituents.
- Pseudo-polyrotaxane refers to a polymouth taxane in which both ends are not yet capped with a bulky substituent.
- Z-L-Phe Z represents a benzyloxycarbonyl group
- Z-L-Phe-OSu (80 g, 200 mmo 1) is dissolved in dimethyl sulfoxide (DMS O) (60 ml), and pseudopolymouth taxane (45 g, 2 mmo 1) is dissolved. added. While stirring the heterogeneous solution at room temperature, DMSO was added little by little so as to be uniform, and the mixture was stirred for 96 hours. After the completion of the reaction, the reaction solution was poured into an excess of ethyl acetate to obtain a crude product.
- DMS O dimethyl sulfoxide
- the crude product is washed with acetone and dimethylformamide (DMF) in that order to remove impurities (unreacted Z-L-Phe- ⁇ Su, a-CO, compound C, etc.), filtered and dried under reduced pressure.
- DMF dimethylformamide
- a biodegradable polymouth taxane was obtained as a white powder.
- the synthesis was confirmed by 1H-NMR. Further, the ⁇ -CD penetration number of the polysiloxane was determined by 1H-NMR from the integral ratio between the proton of PEG and the proton at the 1-position of aCD to be 23.
- this polytaxane hydrogel was added to a solution of 5 ml of ethylenediamine in DMS500 ml, and amination reaction was performed at 25 for 12 hours.
- amination reaction was performed at 25 for 12 hours.
- the reaction product was immersed in a 20% by weight aqueous solution of citric acid, and foaming and elution of sodium bicarbonate were performed for 9 hours to make the porous material porous.
- the reaction product obtained after completion of the foaming and elution was washed with distilled water, dehydrated with ethanol, and finally freeze-dried to obtain an aminated hydrogel.
- Fig. 3 shows the estimated structure of this aminated hydrogel.
- this polyporous taxane hydrogel was added to a solution of 25 ml of acetic anhydride and 37.5 ml of pyridine in 500 ml of DMS, and the acetylation reaction was carried out at 25 for 12 hours. .
- an acetyl group is introduced into an unreacted activation site and an inactive hydroxyl group in the gelation reaction.
- the reaction product was immersed in a 20% by weight aqueous solution of citric acid, and foaming and elution of sodium bicarbonate were performed for 9 hours to make the porous material porous.
- FIG. 4 shows the putative structure of this acetylated hydrogel.
- poly- ⁇ -lysine was not dissolved in an organic solvent, it was reacted with ⁇ -CD to form a pseudo-polyrotaxane-type polylysine, and then added to the reaction system.
- poly-lysine and ⁇ -CD were previously reacted to form a pseudo-poly-taxane-type poly-lysine, which was used as an aminating agent.
- Example 3 Cell culture experiments were performed using the aminated hydrogel obtained in Example 3 and the hydrogel obtained by omitting the amination reaction in Example 3 (hereinafter, referred to as unmodified hydrogel). That is, each of the aminated hydrogel and the unmodified hydrogel was divided into 12 parts, sufficiently washed with water, and immersed in 70% ethanol for 30 minutes to sterilize. Then, it was transferred to a culture dish and dried overnight at 50 with the lid open in a sterile can. Usagi chondrocyte suspension adjusted to 1 X 1 0 7 ce 1 1 s / mL each hydrogel divided and 2 0 L dropwise. After standing for 30 minutes in this state, the mixture was transferred to a 24-well plate, and 2 mL of culture medium was added.
- Code numbers Am ino-2 to 7 shown in the following table were prepared according to Example 3 as aminated hydrogels having amino groups introduced by ethylenediamine.
- Amino-1 is a control, which is a polyporous taxane hydrogel in which amino groups are not introduced by ethylenediamine.
- the amino group content is a numerical value representing the mo 1 number of the amino group per 1 g of the dry gel.
- Amino_l in the table shows that the amount of amino groups is about 12 mo1 even though no amino groups are introduced, which is contained in the poly-mouthed taxane hydrogel before amination. Probably due to NH. For this reason, the introduction ratio of Amino—2 to 7 amino groups is estimated to be a value obtained by subtracting the amino group amount of Amino-1 from each amino group amount.
- Amino-7 amino group 88.23 Cell culture using the polymouth taxane hydrogel of each code was performed as follows. That is, the polytaxane hydrogel of each cord was divided into 4 parts, washed thoroughly with water (agitated in distilled water (30 minutes) four times), and immersed in 70% ethanol for 30 minutes to sterilize. Then, they were transferred to a 24-well plate and blown dry overnight in a safety cabinet. The poly port Takisanhido port gel 1 X 1 0 7 ce 1 1 s ZmL Usagi chondrocyte solution was adjusted to 2 was added dropwise. After standing for 30 minutes, the culture medium was added. Further, for the creation calibration curve, 6.
- the number of viable cells was measured as follows. That is, take out each of the four polytaxane hydrogels of each code from the 24-well plate, put them into a new 24-well plate, and add 10 mL of 10% FB SZP BS and 100 mL of MTT solution. L was added, and the cells were cultured with stirring in a microincubator for 24 hours. 0. Omol ZL HC 1/1 mL of isopropanol was added, and the resulting formazan was solubilized with stirring. 9 6 hole pre The absorbance (A570Z650) was measured by putting 200 L each in a volume, and the number of viable cells was determined by illuminating the measured absorbance with a separately prepared calibration curve.
- GAG glycosaminodalican
- FIG. 8 is a graph showing the relationship between the amount of amino groups and the cell proliferation ability (ratio to the 0th day of culture) based on the measurement result of the number of living cells.
- FIG. 9 is a graph based on the GAG quantification result. 6 is a graph showing the relationship between the amount of amino groups and the ability to produce GAG.
- the higher the amino group content (65 SO ⁇ mol Zg) was better for the cell proliferating ability, while the lower the amino group content was for the GAG producing ability. (75 / mo 1 or less) was good.
- the relationship between the amount of amino groups and the amount of GAG production per cell was graphed, as shown in Fig. 10, as the amount of amino groups increased, one cell GAG production per unit tended to decrease.
- the amount of collected cells when the amount of collected cells is large, the cell proliferation ability may be low, but the production ability of daricosaminodalican may be preferably higher.
- the amount of amino group may be 75 mol 1 Zg or less, or the introduction ratio of amino group may be 63 mol 1 or less.
- the amount of collected cells when the amount of collected cells is small, it is preferable that the cell growth ability is high even if the glycosaminoglycan production ability is low, so the amount of amino groups corresponding to this, specifically, from FIGS. 8 and 9
- An amino group content of 65 to 90 mol / g or an amino group introduction ratio of 53 to 78 jizmo 1 Zg may be employed.
- tissue regeneration base material and a transplant material that can be widely used in medical fields such as orthopedic surgery, oral surgery, and plastic surgery.
Description
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JP2003572612A JP4104556B2 (ja) | 2002-03-06 | 2003-03-05 | 組織再生用基材、移植用材料及びその製法 |
AU2003213367A AU2003213367A1 (en) | 2002-03-06 | 2003-03-05 | Base material for tissue regeneration, transplantation material and process for producing the same |
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AU2003213367A1 (en) | 2003-09-16 |
JP4104556B2 (ja) | 2008-06-18 |
JPWO2003074099A1 (ja) | 2005-06-23 |
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