WO2014021073A1 - Artificial cornea, and method for producing artificial cornea - Google Patents

Artificial cornea, and method for producing artificial cornea Download PDF

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Publication number
WO2014021073A1
WO2014021073A1 PCT/JP2013/068987 JP2013068987W WO2014021073A1 WO 2014021073 A1 WO2014021073 A1 WO 2014021073A1 JP 2013068987 W JP2013068987 W JP 2013068987W WO 2014021073 A1 WO2014021073 A1 WO 2014021073A1
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Prior art keywords
cornea
artificial cornea
forming
artificial
forming substrate
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PCT/JP2013/068987
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French (fr)
Japanese (ja)
Inventor
中山泰秀
上地正実
滝山直昭
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独立行政法人国立循環器病研究センター
学校法人日本大学
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Publication of WO2014021073A1 publication Critical patent/WO2014021073A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/142Cornea, e.g. artificial corneae, keratoprostheses or corneal implants for repair of defective corneal tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials 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
    • A61L27/3604Materials 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 characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/16Materials or treatment for tissue regeneration for reconstruction of eye parts, e.g. intraocular lens, cornea

Definitions

  • the present invention relates to an artificial cornea formed in an environment in which a living tissue material exists such as in a living body, and a method for producing an artificial cornea.
  • one of the important causes of visual impairment is a disease that causes turbidity of the cornea.
  • these corneal diseases infection and trauma such as viruses and bacteria, hereditary corneal diseases, etc. are treated with the cornea. Requires transplantation.
  • donor corneas registered and donated to the eye bank are used for corneal transplantation, but in Japan in recent years, the number of eyes donated is about 1000 per year, while the number of cornea transplants is about 1500 per year, The number of patients is said to be 2000 to 3000, and donor corneas imported from overseas are used for some corneal transplants. Furthermore, even if imported donor corneas are used, the countries where eye banks are established are limited to developed countries, and the eye banks are not established in the developing countries, and the cornea becomes incompatible with transplantation due to infection. There is a problem that it is often.
  • amniotic membrane may be transplanted instead of donor cornea, and corneal opacity is caused by infection, trauma, or inherited corneal disease.
  • Endothelial cell damage is a limited disease, and good results have been obtained in the treatment of corneal parenchymal disorders centering on collagen fibers.
  • research on cultured corneas and other artificial corneas applying regenerative medical technology has been conducted, and these artificial corneas are particularly useful for corneal epithelial stem cells and corneal endothelial cells in which cell proliferation ability is important. Expected to be effective in treating diseases.
  • amniotic transplantation is a cross-transplantation, although it has the advantage of requiring secondary corneal transplantation due to limited transparency recovery of the amniotic transplantation part and being less likely to cause rejection. Therefore, the risk of infection cannot be excluded.
  • the cultured cornea it requires cell culture equipment and engineers having knowledge and techniques thereof, and, regarding other artificial corneas, those made of various materials have been studied, At present, no artificial cornea has been developed that is easy to produce and provides good long-term results.
  • an artificial cornea by, for example, forming an artificial cornea made of connective tissue in a living body, and further, by forming the artificial cornea in the body of itself, The risk of subsequent infections and rejection can be expected to be extremely low.
  • a base material is embedded in the living body, a connective tissue is formed around it, and this is used as an artificial cornea.
  • a technique similar to that for forming can be used.
  • This method uses living body's self-defense reaction to form living tissue such as artificial blood vessels and artificial valves from living cells. A plurality of forming techniques have been reported (see Patent Documents 1 to 3).
  • the self-defense reaction used in this method is a connective tissue mainly composed of fibroblasts and collagen when fibroblasts gradually gather around them when foreign objects such as thorns invade deep in the body. It is a reaction that attempts to isolate a foreign body in the body by forming a capsule of the body and covering the foreign body.
  • an artificial cornea having a desired shape and size can be formed by appropriately setting the shape and size of a base material as a foreign substance to be embedded in a living body. .
  • an artificial cornea is formed around a base material implanted in a living body, it is possible to appropriately set the shape and size of the base material and form an artificial cornea of a desired shape and size around the base. Although it is possible, the artificial cornea cannot be formed to a desired thickness.
  • the surface condition such as the smoothness of the substrate, the surface of the artificial cornea on the substrate side can be formed in a desired surface state, but the surface opposite to the substrate is desired. The surface state cannot be formed.
  • An object of the present invention is to provide an artificial cornea capable of forming an artificial cornea having a desired thickness and capable of forming both surfaces of the artificial cornea into a desired surface state and a method for producing the artificial cornea.
  • an artificial cornea according to the present invention is formed on the surface of a base material in an environment where a biological tissue material exists, and both surfaces of the artificial cornea are formed according to the surface of the base material. Is.
  • both surfaces of the artificial cornea are formed to match the surface of the substrate, both surfaces of the artificial cornea are formed, such as forming the substrate surface on a smooth surface and forming both surfaces of the artificial cornea on a smooth surface. It can be set to a desired surface state, and the artificial cornea can be set to a desired thickness by appropriately setting the distance between the surfaces of the base material forming both surfaces of the artificial cornea. Furthermore, by forming both sides of the artificial cornea on the surface of the base material, it is possible to reach the part of the artificial cornea that is farthest from the base material surface, compared to the case where an artificial cornea is formed by matching one side with the base material surface. The distance can be shortened, the artificial cornea can be thickened and the density can be made uniform.
  • the “biological tissue material” is a substance necessary for forming a desired biological tissue, such as fibroblasts, smooth muscle cells, endothelial cells, stem cells, ES cells, iPS cells, etc.
  • the “biological tissue material” includes materials derived from mammals such as humans, dogs, cows, pigs, goats and sheep, birds, fish and other animals, or artificial materials equivalent thereto.
  • “in the environment where biological tissue material is present” means in vivo (for example, limbs, mammals such as humans, dogs, cows, pigs, goats, sheep, birds, fish, and other animals). It refers to an artificial environment containing a biological tissue material outside the living body of an animal), or subcutaneously in the waist, back or abdomen, or embedded in the abdominal cavity.
  • the artificial cornea may be formed in a spherical shape with the central portion swelled, and an excess portion around the artificial cornea may be removed.
  • the base material is provided with a pair of spherical portions that form both surfaces of the artificial cornea so that the artificial cornea matches the spherical shape of the eyeball to be transplanted.
  • a portion for holding a pair of spherical portions at a predetermined interval can be provided around the spherical portion, and the structure of the base material for forming the spherical artificial cornea can be simplified. .
  • the present invention is a base material that can be placed in an environment where a biological tissue material exists to form an artificial cornea on the surface of the base material, and the artificial cornea is formed so that both surfaces of the artificial cornea are formed on the base material surface.
  • An artificial cornea-forming substrate is provided in which two cornea-forming surfaces that form a surface are provided to face each other.
  • an artificial cornea having a desired thickness can be formed by appropriately setting the interval therebetween.
  • both sides of the artificial cornea are formed according to the substrate surface, both sides of the artificial cornea are formed in a desired surface state, such as forming the cornea-forming surface into a smooth surface and forming both surfaces of the artificial cornea into a smooth surface. can do.
  • an artificial cornea is formed between two opposing cornea-forming surfaces, a portion of the artificial cornea that is farthest from the cornea-forming surface than when an artificial cornea is formed outside the one cornea-forming surface. Can be shortened, and a thick and uniform artificial cornea can be formed. That is, it is possible to form an artificial cornea similar to the above-mentioned artificial cornea having a desired sufficient thickness, a uniform density, and both surfaces having a desired surface state.
  • the artificial cornea-forming substrate of the present invention is not particularly limited in terms of the shape of the cornea-forming surface, the entire structure of the substrate, etc. as long as the two cornea-forming surfaces are provided facing each other. Various types can be adopted depending on the shape of the artificial cornea to be formed.
  • the artificial cornea-forming base material a plurality of plate-like base materials having a cornea-forming surface are provided at intervals, and the plurality of plate-like base materials can be separated from each other.
  • an artificial cornea can be formed in the gap between the plate-like base materials, and a plurality of sheets By disassembling the plate-like substrate, the artificial cornea formed between the plate-like substrates can be easily taken out.
  • a pair of base materials having a cornea-forming surface is provided, and the cornea-forming surfaces of the pair of base materials are divided into a spherical convex surface and a central portion with a central portion swelled It is also possible to use a hollow spherical concave surface that is formed at a distance from each other so that the pair of base materials can be disassembled from each other.
  • the spherical convex surface and the concave surface are provided as a cornea-forming surface and spaced apart from each other, a spherical artificial cornea can be formed in the gap between the cornea-forming surfaces.
  • the artificial cornea formed between the cornea-forming surfaces can be easily taken out by decomposing the base material.
  • the distance between the two corneal forming surfaces is not particularly limited, but it is preferable to set the interval between the corneal forming surfaces to 0.1 mm to 2 mm.
  • an artificial cornea having a sufficient thickness as a cornea can be formed, and the gap between the two cornea-forming surfaces is set at a sufficient interval for the connective tissue to enter.
  • the artificial cornea having a uniform density can be formed by sufficiently reducing the distance from an arbitrary position to the corneal surface.
  • the surface roughness of the cornea-forming surface is not particularly limited, but it is preferable to set the surface roughness of the cornea-forming surface to an arithmetic average roughness of 50 ⁇ m or less.
  • the connective tissue is easily invaded to improve the connective tissue formation state, and both sides of the artificial cornea are set to be sufficiently smooth as the cornea.
  • the artificial cornea can be easily peeled off from the cornea-forming surface.
  • the present invention also provides a method for producing an artificial cornea using the artificial cornea-forming substrate. That is, in the method for producing an artificial cornea according to the present invention, an artificial cornea-forming substrate is placed in an environment where biological tissue material is present, and a connective tissue is formed around the artificial cornea-forming substrate, A forming step of forming a connective tissue between the corneal forming surfaces facing each other, a step of taking out the artificial corneal forming substrate coated with the connective tissue from the environment, and a corneal forming surface from the artificial corneal forming substrate. And a separation step of peeling the connective tissue between them to take out as an artificial cornea. Furthermore, in the separation step, after the connective tissue around the artificial cornea-forming substrate is removed, the artificial cornea-forming substrate is disassembled and the artificial cornea is taken out.
  • any of autotransplantation, allotransplantation, and xenotransplantation may be used for the transplant recipient, but autotransplantation or allotransplantation is preferable from the viewpoint of avoiding rejection.
  • a biological tissue material that promotes the formation of connective tissue may be accommodated between the corneal formation surfaces facing each other.
  • the biological tissue material that promotes the formation of connective tissue is, for example, blood, fat, collagen, gelatin, and those containing a growth factor or the like.
  • the connective tissue grows and gradually enters the space between the corneal formation surfaces.
  • the time required for the tissue formation can be shortened and the tissue formation can be made more reliable than waiting for the above.
  • the artificial cornea-forming base material is provided with an LED that can promote the formation of connective tissue, and a drug container that stores and gradually releases a drug that can promote the formation of connective tissue.
  • the two cornea-forming surfaces are opposed to each other, and the artificial cornea is formed by aligning both surfaces thereof with the surface of the substrate. Therefore, by appropriately setting the interval between the cornea-forming surfaces, It is possible to obtain an artificial cornea having a desired surface state such as a thickness, a smooth surface on both sides, a sufficient thickness, and a uniform density.
  • Photograph showing an artificial cornea according to the present invention Photograph showing cut surface of artificial cornea
  • Perspective view of base material for artificial cornea formation Photo showing connective tissue formed on the substrate surface It is the photograph which shows the artificial cornea transplanted to the eyeball, (a) 1 day after transplant, (b) 5 days after transplant, (c) 15 days after transplant.
  • a perspective view of an artificial cornea-forming substrate having a spherical cornea-forming surface A photograph showing the connective tissue formed on the surface of the artificial cornea-forming substrate of FIG.
  • the artificial cornea 1 shown in FIGS. 1 and 2 is obtained by separating the connective tissue formed on the surface of the artificial cornea-forming substrate 2 from the surface of the substrate in an environment where a biological tissue material exists, and has a desired shape. It is cut and used for corneal transplantation.
  • the artificial cornea 1 is formed in a state where both surfaces thereof are in contact with the base material surface, is formed to have a desired thickness, a sufficient thickness, and a uniform density, and further, both surfaces are formed smoothly. .
  • the artificial cornea-forming substrate 2 is for placing the artificial cornea 1 on the surface of the substrate by placing it in an environment in which a biological tissue material exists.
  • 3a and 3b are provided at a distance from each other, and the two opposing surfaces of the two plate-like base materials 3a and 3b form the artificial cornea 1 so that both surfaces of the artificial cornea 1 are formed on the base material surface.
  • the cornea forming surface 4 is formed.
  • the plate-like base materials 3a and 3b are rectangular plates having the same shape, which are slightly curved, and are arranged in a positional relationship in which they are moved parallel to each other in the thickness direction of the central portion, and can be separated from each other via the connecting portions 5 at the four corners. Is integrated.
  • the coupling portion 5 is formed in a cylindrical shape with a small diameter, and by appropriately setting the length thereof, the pure interval between the plate-like substrates 3a and 3b, which is the interval between the cornea forming surfaces 4, is set. By cutting the plate-like base materials 3a and 3b.
  • the shape, size, and pure interval of the plate-like base materials 3a, 3b are set according to the shape, size, and thickness of the artificial cornea 1 to be formed.
  • the interval between the two cornea-forming surfaces 4 Is set to 0.1 mm to 2 mm.
  • the surface state of the cornea-forming surface 4 is set according to the surface state such as smoothness to be formed of the artificial cornea 1.
  • the surface roughness of the cornea-forming surface 4 is an arithmetic average roughness of 50 ⁇ m or less. Is set.
  • the number of plate-like substrates is not limited to two, and may be three or more. May be formed.
  • the material composing the artificial cornea-forming substrate 2 is not particularly limited, but strength (hardness), chemical stability, and sterilization that can prevent deformation due to implantation in a living body. Resins that have resistance to load and satisfy the condition that there is little or no eluate that stimulates the living body are preferable, and silicone resins and acrylic resins can be exemplified.
  • This production method includes an “installation step” in which the artificial cornea-forming substrate 2 is placed in an environment where biological tissue material exists, and a cornea that faces each other while forming a connective tissue around the artificial cornea-forming substrate 2.
  • “Formation step” of forming connective tissue between the formation surfaces 4 “Extraction step” of taking out the artificial cornea-forming substrate 2 covered with connective tissue from the environment, and cornea from the artificial cornea-forming substrate 2 It consists of a “separation step” in which the connective tissue between the formation surfaces 4 is peeled off and taken out as an artificial cornea 1.
  • the environment in which the biological tissue material exists includes in an animal's living body (for example, subcutaneously or intraperitoneally embedded) or in an artificial environment such as a solution in which the biological tissue material floats outside the animal's body.
  • biological tissue materials materials derived from other mammals such as humans, dogs, cows, pigs, goats, rabbits, sheep, birds, fish, other animals, or artificial materials can also be used.
  • the artificial cornea-forming substrate 2 When embedding the artificial cornea-forming substrate 2 in an animal, it is performed with a minimum of incision under sufficient anesthesia, and the wound is sutured after implantation.
  • part of the base material 2 for artificial cornea formation the intraperitoneal cavity which has the volume which receives the base material 2 for artificial cornea formation, or subcutaneous, such as an extremity part, a shoulder part or a back part, an abdomen, is preferable.
  • cell culture may be performed according to a known method in a clean environment with various culture conditions.
  • a film-like connective tissue is formed around the artificial cornea-forming substrate 2, and the connective tissue grows to form a cornea of the plate-like substrates 3a and 3b. It is formed so as to penetrate between the surfaces 4.
  • the connective tissue is composed of an extracellular matrix such as fibroblasts and collagen, and is formed to a thickness corresponding to the pure interval between the plate-like substrates 3a and 3b.
  • stimulates formation of a connective tissue is accommodated between the cornea formation surfaces 4 at the installation process, it gradually enters into the space between the cornea formation surfaces 4 while the connective tissue grows. The time required for the tissue formation is shortened and the tissue formation is more reliably performed than waiting for the going.
  • ⁇ Removal process> After the connective tissue is sufficiently formed through the formation process for a predetermined time, an extraction process of taking out the artificial cornea-forming substrate 2 from the environment where the biological tissue material exists is performed.
  • the artificial cornea-forming substrate 2 taken out from the environment in which the biological tissue material exists is entirely covered with a membrane made of connective tissue (see FIG. 4).
  • ⁇ Separation process> The connective tissue around the artificial cornea-forming substrate 2 is removed, the joint portions 5 at the four corners are cut, and the artificial cornea-forming substrate 2 is disassembled into two plate-like substrates 3a and 3b. Remove 1 and remove.
  • This artificial cornea 1 has a high quality and uniform density in the shape, size, thickness and surface state corresponding to the curved surface shape, size, pure interval and smoothness of the cornea-forming surface 4 of the plate-like substrates 3a, 3b. (See FIGS. 1 and 2).
  • the produced artificial cornea 1 is xenotransplanted, it is preferable to perform immunogen removal treatment such as decellularization treatment, dehydration treatment, and fixation treatment in order to prevent rejection after transplantation.
  • decellularization include ultrasonic treatment, surfactant treatment, and enzyme treatment such as collagenase to elute and wash the extracellular matrix.
  • Dehydration methods include methanol, ethanol, isopropyl alcohol, etc. There is a method of washing with a water-soluble organic solvent, and as a method of fixing, there is a method of treating with an aldehyde compound such as glutaraldehyde or formaldehyde.
  • the artificial cornea-forming substrate 2 shown in FIG. 3 is implanted subcutaneously in the back of a 10 kg beagle dog, and the beagle dog is bred for 1 month under normal breeding conditions, and then covered with a connective tissue.
  • the forming substrate 2 was extracted (see FIG. 4).
  • the artificial cornea-forming substrate 2 is made of sterilized acrylic, and the pure interval between the plate-like substrates 3a and 3b is 0.5 mm.
  • the connective tissue formed under the skin is mainly composed of fibroblasts and collagen, encapsulates and covers the periphery of the artificial cornea-forming substrate 2, and penetrates between the cornea-forming surfaces 4 to form the artificial cornea 1.
  • the artificial cornea-forming substrate 2 covered with the connective tissue film could be easily removed from the subcutaneous tissue.
  • the connective tissue around the artificial cornea-forming substrate 2 was peeled off to separate the plate-like substrates 3a and 3b, and the internal artificial cornea 1 was taken out (see FIG. 1).
  • the cornea-forming surfaces 4 of the plate-like substrates 3a and 3b and the artificial cornea 1 were not adhered at all, and they could be easily separated without damage.
  • the thickness of the artificial cornea 1 was 0.47 ⁇ 0.2 mm, which was the same thickness as the pure interval (0.5 mm) between the plate-like substrates 3a and 3b (see FIG. 2).
  • both surfaces of the artificial cornea 1 were in the same smooth state as the cornea-forming surface 4 and had a substantially uniform density over all parts in the thickness direction (see FIG. 2).
  • the artificial cornea 1 having a desired shape, size, thickness, and surface state can be obtained.
  • the density of the artificial cornea 1 can be made substantially uniform over the entire range in the thickness direction.
  • a beagle dog male, 8 years old weighing 10 kg was given general anesthesia, and Baron's vacuum cornea trepan (diameter 6 mm) was used to make the beagle dog cornea up to a depth of 0.375 mm. An incision was made, and then the cornea was delaminated using a spatula, whereby a corneal surface resection with a diameter of 6 mm and a depth of 0.375 mm was performed to form a defect in the eyeball.
  • an artificial cornea 1 (transplanted biosheet) cut into a circle of 6.5 mm in diameter using a Baron donor corneal punch (6.5 mm in diameter) was transferred to a 10-0 nylon in the defect portion after resection of the corneal surface of a beagle dog. Suture was performed using a thread (see FIG. 5A).
  • antibiotics were instilled and administered for the prevention of infection and NSAIDs were administered systemically for analgesia, but no anti-inflammatory drugs or immunosuppressants were used.
  • the artificial cornea-forming substrate 2 has a structure in which the connecting portions 5 are provided at the four corners of the plate-like substrates 3a and 3b and the openings into which the connective tissue enters are provided on the four sides.
  • the present invention is not limited to all having openings, but may be any having openings on at least one of the four sides.
  • an artificial cornea-forming substrate 6 that forms a spherical artificial cornea may be adopted. it can.
  • the artificial cornea-forming substrate 6 is formed on a pair of substrates 7a and 7b as a cornea-forming surface, a spherical convex surface 8 having a bulged central portion and a spherical concave surface 9 having a concave central portion. It is provided at intervals.
  • a spherical convex surface 8 having a bulged central portion
  • a spherical concave surface 9 having a concave central portion. It is provided at intervals.
  • flat peripheral portions 10a and 10b are provided, and the peripheral portions 10a and 10b are connected via a plurality of connecting portions 11, so that the pair of base materials 7a and 7b are mutually connected. It is integrated so that it can be disassembled.
  • This artificial cornea-forming substrate 6 is placed in the living body of an animal and the like to form a connective tissue on the surface of the substrate, like the artificial cornea-forming substrate 2 (see FIG. 7).
  • a connective tissue on the surface of the substrate, like the artificial cornea-forming substrate 2 (see FIG. 7).
  • the artificial cornea between the convex surface 8 and the concave surface 9 can be peeled off and taken out.
  • a spherical artificial cornea having a swelled central portion so as to match the eyeball shape can be obtained.
  • connective tissue it is necessary to form a connective tissue by providing an LED capable of promoting the formation of connective tissue, or forming a drug containing portion that contains a drug capable of promoting the formation of connective tissue and gradually releases it. While shortening time, you may make it obtain the connective structure

Abstract

The present invention provides: an artificial cornea which can be formed in a desired thickness and can have a desired surface state on each of both surfaces thereof; and a method for producing an artificial cornea. Specifically, two cornea-forming surfaces (4) for forming an artificial cornea (1) are arranged so as to face each other. An artificial cornea formation base (2) thus produced is placed in an environment in which a biological tissue material exists. The artificial cornea (1) is formed between the cornea-forming surfaces (4). The artificial cornea (1) is so formed that both surfaces of the artificial cornea (1) fit the cornea-forming surfaces (4), respectively. The distance between the cornea-forming surfaces (4) is set properly. In this manner, the artificial cornea (1) having a desired thickness is formed. Each of the cornea-forming surfaces (4) is so formed as to have a smooth surface. Each of the both surfaces of the artificial cornea (1) is formed into a desired surface state such as a smooth surface state.

Description

人工角膜及び人工角膜の生産方法Artificial cornea and method for producing artificial cornea
 本発明は、生体内などの生体組織材料の存在する環境において形成される人工角膜及び人工角膜の生産方法に関するものである。 The present invention relates to an artificial cornea formed in an environment in which a living tissue material exists such as in a living body, and a method for producing an artificial cornea.
 一般に、視覚障害を引き起こす重要な原因の一つとして、角膜に混濁をきたす疾患があり、この角膜疾患のうち、ウイルスや細菌などの感染や外傷、遺伝性角膜疾患などについては、その治療に角膜移植を必要とする。 In general, one of the important causes of visual impairment is a disease that causes turbidity of the cornea. Among these corneal diseases, infection and trauma such as viruses and bacteria, hereditary corneal diseases, etc. are treated with the cornea. Requires transplantation.
 角膜移植には、アイバンクに登録、献眼されたドナー角膜が用いられるが、近年の日本においては、献眼人数が年間約1000人であるの対して角膜移植眼数が年間約1500眼で、待機患者数が2000~3000人とも言われており、一部の角膜移植には海外から輸入したドナー角膜が用いられている。さらに、輸入したドナー角膜を用いるにしても、アイバンクの整備されている国は先進国に限られており、後進国ではアイバンクが整備されておらず、また、感染により角膜が移植不適合になっていることも多いといった問題がある。 For cornea transplantation, donor corneas registered and donated to the eye bank are used for corneal transplantation, but in Japan in recent years, the number of eyes donated is about 1000 per year, while the number of cornea transplants is about 1500 per year, The number of patients is said to be 2000 to 3000, and donor corneas imported from overseas are used for some corneal transplants. Furthermore, even if imported donor corneas are used, the countries where eye banks are established are limited to developed countries, and the eye banks are not established in the developing countries, and the cornea becomes incompatible with transplantation due to infection. There is a problem that it is often.
 このようにドナー角膜が不足している現状において、ドナー角膜の代わりに羊膜を移植することがあり、この羊膜移植は、感染や外傷、遺伝性角膜疾患による角膜混濁のうち、角膜上皮幹細胞や角膜内皮細胞の障害が限定的な疾患で、コラーゲン線維を中心とする角膜実質の障害の治療において、良好な結果が得られている。さらに、近年、再生医療技術を応用した培養角膜や、その他の人工角膜についての研究が行われており、これらの人工角膜は、特に、細胞増殖能が重要となる角膜上皮幹細胞や角膜内皮細胞の疾患についての治療における有効性が期待されている。 In this situation where donor cornea is insufficient, amniotic membrane may be transplanted instead of donor cornea, and corneal opacity is caused by infection, trauma, or inherited corneal disease. Endothelial cell damage is a limited disease, and good results have been obtained in the treatment of corneal parenchymal disorders centering on collagen fibers. Furthermore, in recent years, research on cultured corneas and other artificial corneas applying regenerative medical technology has been conducted, and these artificial corneas are particularly useful for corneal epithelial stem cells and corneal endothelial cells in which cell proliferation ability is important. Expected to be effective in treating diseases.
 ただ、羊膜移植は、その羊膜移植部分の透明性の回復が限定的であることから二次的な角膜移植を必要とし、しかも、拒絶反応が起こり難いという利点があるものの、他家移植であることから感染の危険性を排除することはできない。また、培養角膜を採用するには、細胞培養の設備とその知識及び技術を有する技術者とを必要とし、さらに、その他の人工角膜については、種々の素材からなるものが検討されているものの、現時点では、生産が容易で長期的に良好な結果が得られる人工角膜は開発されていない。 However, amniotic transplantation is a cross-transplantation, although it has the advantage of requiring secondary corneal transplantation due to limited transparency recovery of the amniotic transplantation part and being less likely to cause rejection. Therefore, the risk of infection cannot be excluded. Moreover, in order to employ the cultured cornea, it requires cell culture equipment and engineers having knowledge and techniques thereof, and, regarding other artificial corneas, those made of various materials have been studied, At present, no artificial cornea has been developed that is easy to produce and provides good long-term results.
 これに対して、例えば生体内で結合組織からなる人工角膜を形成することにより、人工角膜の形成を容易にすることが考えられ、さらに、その人工角膜を自己の体内で形成することにより、移植後の感染症や拒絶反応の危険性を極めて低くすることが期待できる。 On the other hand, it is conceivable to facilitate the formation of an artificial cornea by, for example, forming an artificial cornea made of connective tissue in a living body, and further, by forming the artificial cornea in the body of itself, The risk of subsequent infections and rejection can be expected to be extremely low.
 人工角膜を生体内で形成するには、生体内に基材を埋入し、その周囲に結合組織を形成して、これを人工角膜とすればよく、再生医療によって人工血管や人工弁などを形成するのと同様の手法を用いることができる。この手法は、身体の自己防衛反応を利用して生細胞から人工血管や人工弁などの生体由来組織を形成するものであり、生体内に異物としての基材を埋入して結合組織体を形成する技術が複数報告されている(特許文献1~3参照)。なお、この手法で利用する自己防衛反応は、体内の深い位置にトゲ等の異物が侵入した場合に、その周りに繊維芽細胞が徐々に集まって、主に繊維芽細胞とコラーゲンからなる結合組織体のカプセルを形成して異物を覆うことにより、体内において異物を隔離しようとする反応である。 In order to form an artificial cornea in vivo, a base material is embedded in the living body, a connective tissue is formed around it, and this is used as an artificial cornea. A technique similar to that for forming can be used. This method uses living body's self-defense reaction to form living tissue such as artificial blood vessels and artificial valves from living cells. A plurality of forming techniques have been reported (see Patent Documents 1 to 3). The self-defense reaction used in this method is a connective tissue mainly composed of fibroblasts and collagen when fibroblasts gradually gather around them when foreign objects such as thorns invade deep in the body. It is a reaction that attempts to isolate a foreign body in the body by forming a capsule of the body and covering the foreign body.
 このような手法で人工角膜を形成する場合、生体内に埋入する異物としての基材の形状や大きさを適宜設定することにより、所望の形状や大きさの人工角膜を形成することができる。 When an artificial cornea is formed by such a method, an artificial cornea having a desired shape and size can be formed by appropriately setting the shape and size of a base material as a foreign substance to be embedded in a living body. .
特開2007-312821号公報JP 2007-312821 A 特開2008-237896号公報JP 2008-237896 A 特開2010-094476号公報JP 2010-094476 A
 ところが、生体内に埋入した基材の周囲に人工角膜を形成する場合、基材の形状や大きさを適宜設定して、その周囲に所望の形状や大きさの人工角膜を形成することはできるものの、人工角膜を所望の厚さに形成することはできない。また、基材の平滑性などの表面状態を適宜設定することにより、人工角膜のうちの基材側の面を所望の表面状態に形成することはできるものの、基材と反対側の面を所望の表面状態に形成することはできない。 However, when an artificial cornea is formed around a base material implanted in a living body, it is possible to appropriately set the shape and size of the base material and form an artificial cornea of a desired shape and size around the base. Although it is possible, the artificial cornea cannot be formed to a desired thickness. In addition, by appropriately setting the surface condition such as the smoothness of the substrate, the surface of the artificial cornea on the substrate side can be formed in a desired surface state, but the surface opposite to the substrate is desired. The surface state cannot be formed.
 本発明は、所望の厚さの人工角膜を形成することができ、しかも、人工角膜の両面を所望の表面状態に形成することのできる人工角膜及び人工角膜の生産方法の提供を目的とする。 An object of the present invention is to provide an artificial cornea capable of forming an artificial cornea having a desired thickness and capable of forming both surfaces of the artificial cornea into a desired surface state and a method for producing the artificial cornea.
 上記目的を達成するために、本発明に係る人工角膜は、生体組織材料の存在する環境において基材の表面に形成したものであり、この人工角膜の両面を基材の表面に合わせて形成したものである。 In order to achieve the above object, an artificial cornea according to the present invention is formed on the surface of a base material in an environment where a biological tissue material exists, and both surfaces of the artificial cornea are formed according to the surface of the base material. Is.
 上記構成によれば、人工角膜の両面を基材表面に合わせて形成しているので、基材表面を平滑面に形成して人工角膜の両面を平滑面に形成するなど、人工角膜の両面を所望の表面状態に設定することができ、しかも、人工角膜の両面を形成する基材表面の間隔を適宜設定して、人工角膜を所望の厚さに設定することができる。さらに、人工角膜の両面を基材表面に合わせて形成することにより、一面を基材表面に合わせて人工角膜を形成する場合よりも、人工角膜のうちの基材表面から最も離れた部位までの距離を短くすることができ、人工角膜を厚くかつ密度を均一にすることができる。 According to the above configuration, since both surfaces of the artificial cornea are formed to match the surface of the substrate, both surfaces of the artificial cornea are formed, such as forming the substrate surface on a smooth surface and forming both surfaces of the artificial cornea on a smooth surface. It can be set to a desired surface state, and the artificial cornea can be set to a desired thickness by appropriately setting the distance between the surfaces of the base material forming both surfaces of the artificial cornea. Furthermore, by forming both sides of the artificial cornea on the surface of the base material, it is possible to reach the part of the artificial cornea that is farthest from the base material surface, compared to the case where an artificial cornea is formed by matching one side with the base material surface. The distance can be shortened, the artificial cornea can be thickened and the density can be made uniform.
 ここで、「生体組織材料」とは、所望の生体由来組織を形成するうえで必要な物質のことであり、例えば、線維芽細胞、平滑筋細胞、内皮細胞、幹細胞、ES細胞、iPS細胞等の動物細胞、各種たんぱく質類(コラーゲン、エラスチン)、ヒアルロン酸等の糖類、その他、細胞成長因子、サイトカイン等の生体内に存在する各種の生理活性物質が挙げられる。この「生体組織材料」には、ヒト、イヌ、ウシ、ブタ、ヤギ、ヒツジ等の哺乳類動物、鳥類、魚類、その他の動物に由来するもの、又はこれと同等の人工材料が含まれる。 Here, the “biological tissue material” is a substance necessary for forming a desired biological tissue, such as fibroblasts, smooth muscle cells, endothelial cells, stem cells, ES cells, iPS cells, etc. Animal cells, various proteins (collagen, elastin), saccharides such as hyaluronic acid, and other various physiologically active substances existing in vivo such as cell growth factors and cytokines. The “biological tissue material” includes materials derived from mammals such as humans, dogs, cows, pigs, goats and sheep, birds, fish and other animals, or artificial materials equivalent thereto.
 また、「生体組織材料の存在する環境下」とは、動物(ヒト、イヌ、ウシ、ブタ、ヤギ、ヒツジ等の哺乳類動物、鳥類、魚類、その他の動物)の生体内(例えば、四肢部、腰部、背部又は腹部などの皮下、もしくは腹腔内への埋入)、又は、動物の生体外において、生体組織材料を含有する人工環境のことをいう。 In addition, “in the environment where biological tissue material is present” means in vivo (for example, limbs, mammals such as humans, dogs, cows, pigs, goats, sheep, birds, fish, and other animals). It refers to an artificial environment containing a biological tissue material outside the living body of an animal), or subcutaneously in the waist, back or abdomen, or embedded in the abdominal cavity.
 また、人工角膜を中央部が膨らんだ球面状に形成し、この人工角膜の周囲の余剰部分を除去するようにしてもよい。 Alternatively, the artificial cornea may be formed in a spherical shape with the central portion swelled, and an excess portion around the artificial cornea may be removed.
 この構成によれば、人工角膜の周囲の余剰部分を除去するので、人工角膜を移植対象の眼球の球面形状に合わせるよう、基材に、人工角膜の両面を形成する一対の球面部分を設けると共に、この球面部分に加えて、その周囲に一対の球面部分を所定の間隔に保持する部位を設けることができ、球面状の人工角膜を形成するための基材の構造を簡単にすることができる。 According to this configuration, since the surplus portion around the artificial cornea is removed, the base material is provided with a pair of spherical portions that form both surfaces of the artificial cornea so that the artificial cornea matches the spherical shape of the eyeball to be transplanted. In addition to the spherical portion, a portion for holding a pair of spherical portions at a predetermined interval can be provided around the spherical portion, and the structure of the base material for forming the spherical artificial cornea can be simplified. .
 また、本発明は、生体組織材料の存在する環境に配置して基材表面に人工角膜を形成可能な基材であって、人工角膜の両面を基材表面に合わせて形成するよう、人工角膜を形成する二面の角膜形成面を互いに対向して設けた人工角膜形成用基材を提供する。 In addition, the present invention is a base material that can be placed in an environment where a biological tissue material exists to form an artificial cornea on the surface of the base material, and the artificial cornea is formed so that both surfaces of the artificial cornea are formed on the base material surface. An artificial cornea-forming substrate is provided in which two cornea-forming surfaces that form a surface are provided to face each other.
 この構成によれば、二面の角膜形成面を互いに対向させるので、その間隔を適宜設定して、所望の厚さの人工角膜を形成することができる。しかも、人工角膜の両面を基材表面に合わせて形成するので、角膜形成面を平滑面に形成して人工角膜の両面を平滑面に形成するなど、人工角膜の両面を所望の表面状態に形成することができる。さらに、対向する二面の角膜形成面の間に人工角膜を形成するので、一面の角膜形成面の外側に人工角膜を形成する場合よりも、人工角膜のうちの角膜形成面から最も離れた部位までの距離を短くすることができ、厚くかつ密度の均一な人工角膜を形成することができる。すなわち、所望の十分な厚さで均一な密度、かつ、両面が所望の表面状態である上記の人工角膜と同様の人工角膜を形成することができる。 According to this configuration, since the two cornea-forming surfaces are opposed to each other, an artificial cornea having a desired thickness can be formed by appropriately setting the interval therebetween. Moreover, since both sides of the artificial cornea are formed according to the substrate surface, both sides of the artificial cornea are formed in a desired surface state, such as forming the cornea-forming surface into a smooth surface and forming both surfaces of the artificial cornea into a smooth surface. can do. Furthermore, since an artificial cornea is formed between two opposing cornea-forming surfaces, a portion of the artificial cornea that is farthest from the cornea-forming surface than when an artificial cornea is formed outside the one cornea-forming surface. Can be shortened, and a thick and uniform artificial cornea can be formed. That is, it is possible to form an artificial cornea similar to the above-mentioned artificial cornea having a desired sufficient thickness, a uniform density, and both surfaces having a desired surface state.
 本発明の人工角膜形成用基材は、二面の角膜形成面を互いに対向させて設けたものであれば、その角膜形成面の形状や基材全体の構造などは特に限定されるものではなく、形成しようとする人工角膜の形状に応じて種々のものを採用することができる。 The artificial cornea-forming substrate of the present invention is not particularly limited in terms of the shape of the cornea-forming surface, the entire structure of the substrate, etc. as long as the two cornea-forming surfaces are provided facing each other. Various types can be adopted depending on the shape of the artificial cornea to be formed.
 例えば、人工角膜形成用基材として、角膜形成面を有する複数枚の板状基材を互いに間隔をあけて設け、複数枚の板状基材を互いに分解可能としたものを例示できる。 For example, as the artificial cornea-forming base material, a plurality of plate-like base materials having a cornea-forming surface are provided at intervals, and the plurality of plate-like base materials can be separated from each other.
 この構成によれば、角膜形成面を有する複数枚の板状基材を互いに間隔をあけて設けるので、板状基材の間の隙間に人工角膜を形成することができ、しかも、複数枚の板状基材を分解して、板状基材の間に形成した人工角膜を容易に取り出すことができる。 According to this configuration, since a plurality of plate-like base materials having a cornea-forming surface are provided at intervals, an artificial cornea can be formed in the gap between the plate-like base materials, and a plurality of sheets By disassembling the plate-like substrate, the artificial cornea formed between the plate-like substrates can be easily taken out.
 また、別の構成の人工角膜形成用基材として、角膜形成面を有する一対の基材を設け、この一対の基材の角膜形成面を、中央部が膨らんだ球面状の凸面と中央部が窪んだ球面状の凹面とに形成して、互いに間隔をあけて設け、一対の基材を互いに分解可能としたものを採用することもできる。 Further, as another artificial cornea-forming base material having a different configuration, a pair of base materials having a cornea-forming surface is provided, and the cornea-forming surfaces of the pair of base materials are divided into a spherical convex surface and a central portion with a central portion swelled It is also possible to use a hollow spherical concave surface that is formed at a distance from each other so that the pair of base materials can be disassembled from each other.
 この構成によれば、球面状の凸面と凹面とを角膜形成面として、互いに間隔をあけて設けるので、角膜形成面の間の隙間に球面状の人工角膜を形成することができ、しかも、一対の基材を分解して、その角膜形成面の間に形成した人工角膜を容易に取り出すことができる。 According to this configuration, since the spherical convex surface and the concave surface are provided as a cornea-forming surface and spaced apart from each other, a spherical artificial cornea can be formed in the gap between the cornea-forming surfaces. The artificial cornea formed between the cornea-forming surfaces can be easily taken out by decomposing the base material.
 また、二面の角膜形成面の間隔は特に限定されるものではないが、角膜形成面の間隔を0.1mm~2mmに設定するのが好適である。 Further, the distance between the two corneal forming surfaces is not particularly limited, but it is preferable to set the interval between the corneal forming surfaces to 0.1 mm to 2 mm.
 この構成によれば、角膜として十分な厚さの人工角膜を形成することができ、しかも、二面の角膜形成面の間を結合組織が侵入するのに十分な間隔に設定しつつ、その隙間における任意の位置から角膜形成面までの距離を十分に小さくして均一な密度の人工角膜を形成することができる。 According to this configuration, an artificial cornea having a sufficient thickness as a cornea can be formed, and the gap between the two cornea-forming surfaces is set at a sufficient interval for the connective tissue to enter. The artificial cornea having a uniform density can be formed by sufficiently reducing the distance from an arbitrary position to the corneal surface.
 また、角膜形成面の表面粗さは特に限定されるものではないが、角膜形成面の表面粗さを算術平均粗さで50μm以下に設定するのが好適である。 Further, the surface roughness of the cornea-forming surface is not particularly limited, but it is preferable to set the surface roughness of the cornea-forming surface to an arithmetic average roughness of 50 μm or less.
 この構成によれば、角膜形成面の表面を平滑に設定する分、結合組織の侵入を容易にして結合組織の形成状態を良好にすると共に、人工角膜の両面を角膜として十分に平滑に設定することができ、しかも、人工角膜を形成した後には、この人工角膜を角膜形成面から容易に剥離して取り出すことができる。 According to this configuration, since the surface of the cornea-forming surface is set to be smooth, the connective tissue is easily invaded to improve the connective tissue formation state, and both sides of the artificial cornea are set to be sufficiently smooth as the cornea. In addition, after the artificial cornea is formed, the artificial cornea can be easily peeled off from the cornea-forming surface.
 また、本発明は、上記の人工角膜形成用基材を用いて、人工角膜を生産する方法を提供する。すなわち、本発明に係る人工角膜の生産方法は、人工角膜形成用基材を生体組織材料の存在する環境下におく設置工程と、人工角膜形成用基材の周囲に結合組織を形成しつつ、互いに対向する角膜形成面の間に結合組織を形成する形成工程と、環境下から結合組織で被覆された人工角膜形成用基材を取り出す取り出し工程と、人工角膜形成用基材から角膜形成面の間の結合組織を剥離して人工角膜として取り出す分離工程と、を備える。さらに、分離工程においては、人工角膜形成用基材の周囲の結合組織を除去した後、人工角膜形成用基材を分解して人工角膜を取り出す。 The present invention also provides a method for producing an artificial cornea using the artificial cornea-forming substrate. That is, in the method for producing an artificial cornea according to the present invention, an artificial cornea-forming substrate is placed in an environment where biological tissue material is present, and a connective tissue is formed around the artificial cornea-forming substrate, A forming step of forming a connective tissue between the corneal forming surfaces facing each other, a step of taking out the artificial corneal forming substrate coated with the connective tissue from the environment, and a corneal forming surface from the artificial corneal forming substrate. And a separation step of peeling the connective tissue between them to take out as an artificial cornea. Furthermore, in the separation step, after the connective tissue around the artificial cornea-forming substrate is removed, the artificial cornea-forming substrate is disassembled and the artificial cornea is taken out.
 この構成によれば、上記の人工角膜形成用基材の構成を採用することによる効果と同じ効果を得ることができる。なお、本発明において、移植対象者に対して、自家移植、同種移植、異種移植のいずれでもよいが、拒絶反応を避ける観点からなるべく自家移植か同種移植が好ましい。また、異種移植の場合には、拒絶反応を避けるため公知の脱細胞化処理などの免疫源除去処理を施すのが好ましい。 According to this configuration, the same effect as that obtained by adopting the configuration of the artificial cornea-forming base material can be obtained. In the present invention, any of autotransplantation, allotransplantation, and xenotransplantation may be used for the transplant recipient, but autotransplantation or allotransplantation is preferable from the viewpoint of avoiding rejection. In the case of xenotransplantation, it is preferable to perform an immunogen removal process such as a known decellularization process in order to avoid rejection.
 さらに、設置工程において、互いに対向する角膜形成面の間に結合組織の形成を促進する生体組織材料を収容しておくようにしてもよい。ここで、結合組織の形成を促進する生体組織材料は、例えば、血液、脂肪、コラーゲン、ゼラチン、及びこれらに増殖因子などを含ませたものなどである。 Furthermore, in the installation step, a biological tissue material that promotes the formation of connective tissue may be accommodated between the corneal formation surfaces facing each other. Here, the biological tissue material that promotes the formation of connective tissue is, for example, blood, fat, collagen, gelatin, and those containing a growth factor or the like.
 この構成によれば、角膜形成面の間に結合組織の形成を促進する生体組織材料を収容しておくので、結合組織が成長しながら角膜形成面の間の空間に徐々に侵入していくのを待つよりも、組織形成に要する時間を短くすると共に、組織形成をより確実にすることができる。 According to this configuration, since the biological tissue material that promotes the formation of connective tissue is accommodated between the corneal formation surfaces, the connective tissue grows and gradually enters the space between the corneal formation surfaces. The time required for the tissue formation can be shortened and the tissue formation can be made more reliable than waiting for the above.
 また、人工角膜形成用基材に結合組織の形成を促進する手段を設けることにより、人工角膜の力学的性質や成分を良好にし、比較的に短時間で良質の人工角膜を形成するようにしてもよい。具体的には、人工角膜形成用基材に、結合組織の形成を促進可能なLEDを設けた構成や、結合組織の形成を促進可能な薬剤を収容して徐々に放出する薬剤収容部を形成した構成を例示できる。 In addition, by providing means for promoting the formation of connective tissue on the artificial cornea-forming substrate, the mechanical properties and components of the artificial cornea are improved, and a good-quality artificial cornea is formed in a relatively short time. Also good. Specifically, the artificial cornea-forming base material is provided with an LED that can promote the formation of connective tissue, and a drug container that stores and gradually releases a drug that can promote the formation of connective tissue. An example of such a configuration can be given.
 上記のとおり、本発明によると、二面の角膜形成面を互いに対向させ、人工角膜をその両面を基材表面に合わせて形成するので、角膜形成面の間隔を適宜設定することにより、所望の厚さ、両面が平滑面などの所望の表面状態、十分な厚さ、かつ均一な密度の人工角膜を得ることができる。 As described above, according to the present invention, the two cornea-forming surfaces are opposed to each other, and the artificial cornea is formed by aligning both surfaces thereof with the surface of the substrate. Therefore, by appropriately setting the interval between the cornea-forming surfaces, It is possible to obtain an artificial cornea having a desired surface state such as a thickness, a smooth surface on both sides, a sufficient thickness, and a uniform density.
本発明に係る人工角膜を示す写真Photograph showing an artificial cornea according to the present invention 人工角膜の切断面を示す写真Photograph showing cut surface of artificial cornea 人工角膜形成用基材の斜視図Perspective view of base material for artificial cornea formation 基材表面に形成された結合組織を示す写真Photo showing connective tissue formed on the substrate surface 眼球に移植した人工角膜を示す写真で、(a)は移植後1日、(b)は移植後5日、(c)は移植後15日の状態を示すIt is the photograph which shows the artificial cornea transplanted to the eyeball, (a) 1 day after transplant, (b) 5 days after transplant, (c) 15 days after transplant. 球面状の角膜形成面を有する人工角膜形成用基材の斜視図A perspective view of an artificial cornea-forming substrate having a spherical cornea-forming surface 図6の人工角膜形成用基材の表面に形成された結合組織を示す写真A photograph showing the connective tissue formed on the surface of the artificial cornea-forming substrate of FIG.
 以下、本発明に係る人工角膜及び人工角膜の生産方法を実施するための形態について、図面を用いて説明する。 Hereinafter, an embodiment of the artificial cornea and the method for producing the artificial cornea according to the present invention will be described with reference to the drawings.
 図1及び図2に示す人工角膜1は、生体組織材料の存在する環境において人工角膜形成用基材2の表面に形成された結合組織を基材表面から分離したものであり、所望の形状に切断して角膜移植に用いるようになっている。この人工角膜1は、その両面が共に基材表面に接触した状態で形成され、所望の厚さで、十分な厚さ、かつ均一な密度に形成され、さらに、両面が平滑に形成されている。 The artificial cornea 1 shown in FIGS. 1 and 2 is obtained by separating the connective tissue formed on the surface of the artificial cornea-forming substrate 2 from the surface of the substrate in an environment where a biological tissue material exists, and has a desired shape. It is cut and used for corneal transplantation. The artificial cornea 1 is formed in a state where both surfaces thereof are in contact with the base material surface, is formed to have a desired thickness, a sufficient thickness, and a uniform density, and further, both surfaces are formed smoothly. .
 図3に示すように、人工角膜形成用基材2は、生体組織材料の存在する環境に配置して基材表面に人工角膜1を形成するためのものであり、2枚の板状基材3a、3bを互いに間隔をあけて設けてなり、人工角膜1の両面を基材表面に合わせて形成するよう、2枚の板状基材3a、3bの互いに対向する二面が人工角膜1を形成する角膜形成面4とされる。 As shown in FIG. 3, the artificial cornea-forming substrate 2 is for placing the artificial cornea 1 on the surface of the substrate by placing it in an environment in which a biological tissue material exists. 3a and 3b are provided at a distance from each other, and the two opposing surfaces of the two plate- like base materials 3a and 3b form the artificial cornea 1 so that both surfaces of the artificial cornea 1 are formed on the base material surface. The cornea forming surface 4 is formed.
 板状基材3a、3bは、わずかに湾曲した同一形状の長方形板とされ、互いに中央部の板厚方向に平行移動した位置関係に配置されて、四隅の結合部5を介して互いに分解可能に一体化されている。結合部5は、小径の円柱状とされ、その長さを適宜設定することにより、角膜形成面4の間隔である板状基材3a、3bの純間隔が設定され、さらに、この結合部5を切断することにより、板状基材3a、3bを互いに分解可能とする。 The plate- like base materials 3a and 3b are rectangular plates having the same shape, which are slightly curved, and are arranged in a positional relationship in which they are moved parallel to each other in the thickness direction of the central portion, and can be separated from each other via the connecting portions 5 at the four corners. Is integrated. The coupling portion 5 is formed in a cylindrical shape with a small diameter, and by appropriately setting the length thereof, the pure interval between the plate- like substrates 3a and 3b, which is the interval between the cornea forming surfaces 4, is set. By cutting the plate- like base materials 3a and 3b.
 板状基材3a、3bの形状、大きさ及び純間隔は、人工角膜1の形成しようとする形状、大きさ及び厚さに対応させて設定され、例えば、二面の角膜形成面4の間隔が0.1mm~2mmに設定される。さらに、角膜形成面4の表面状態は、人工角膜1の形成しようとする平滑性などの表面状態に応じて設定され、例えば、角膜形成面4の表面粗さが算術平均粗さで50μm以下に設定される。なお、板状基材は、複数枚であれば、2枚に限らず3枚以上であってもよく、3枚以上の場合、中間部の板状基材は、その両面に角膜形成面4を形成すればよい。 The shape, size, and pure interval of the plate- like base materials 3a, 3b are set according to the shape, size, and thickness of the artificial cornea 1 to be formed. For example, the interval between the two cornea-forming surfaces 4 Is set to 0.1 mm to 2 mm. Furthermore, the surface state of the cornea-forming surface 4 is set according to the surface state such as smoothness to be formed of the artificial cornea 1. For example, the surface roughness of the cornea-forming surface 4 is an arithmetic average roughness of 50 μm or less. Is set. In addition, as long as there are a plurality of plate-like substrates, the number of plate-like substrates is not limited to two, and may be three or more. May be formed.
 人工角膜形成用基材2を構成する素材は、特に限定されるものではないが、生体に埋入することによる変形を防止できる程度の強度(硬度)、化学的安定性、及び、滅菌などの負荷に対する耐性を有し、さらに、生体を刺激する溶出物が全くないか少ないという条件を満たす樹脂が好ましく、シリコーン樹脂やアクリル樹脂を例示できる。 The material composing the artificial cornea-forming substrate 2 is not particularly limited, but strength (hardness), chemical stability, and sterilization that can prevent deformation due to implantation in a living body. Resins that have resistance to load and satisfy the condition that there is little or no eluate that stimulates the living body are preferable, and silicone resins and acrylic resins can be exemplified.
 次に、上記のような人工角膜形成用基材を用いて人工角膜を生産する方法について説明する。 Next, a method for producing an artificial cornea using the artificial cornea-forming substrate as described above will be described.
 この生産方法は、人工角膜形成用基材2を生体組織材料の存在する環境下におく「設置工程」と、人工角膜形成用基材2の周囲に結合組織を形成しつつ、互いに対向する角膜形成面4の間に結合組織を形成する「形成工程」と、環境下から結合組織で被覆された人工角膜形成用基材2を取り出す「取り出し工程」と、人工角膜形成用基材2から角膜形成面4の間の結合組織を剥離して人工角膜1として取り出す「分離工程」とからなる。 This production method includes an “installation step” in which the artificial cornea-forming substrate 2 is placed in an environment where biological tissue material exists, and a cornea that faces each other while forming a connective tissue around the artificial cornea-forming substrate 2. “Formation step” of forming connective tissue between the formation surfaces 4, “Extraction step” of taking out the artificial cornea-forming substrate 2 covered with connective tissue from the environment, and cornea from the artificial cornea-forming substrate 2 It consists of a “separation step” in which the connective tissue between the formation surfaces 4 is peeled off and taken out as an artificial cornea 1.
<設置工程>
 人工角膜形成用基材2の互いに対向する角膜形成面4の間に、血液、脂肪、コラーゲン、ゼラチン、及びこれらに増殖因子などを含ませたものなど、結合組織の形成を促進する生体組織材料を収容しておき、この人工角膜形成用基材2を生体組織材料の存在する環境下へ置く。生体組織材料の存在する環境下とは、動物の生体内(例えば、皮下や腹腔内への埋入)、又は、動物の生体外において生体組織材料が浮遊する溶液中等の人工環境内が挙げられる。生体組織材料としては、ヒト、イヌ、ウシ、ブタ、ヤギ、ウサギ、ヒツジなどの他の哺乳類動物由来のものや、鳥類、魚類、その他の動物由来のもの、又は人工材料を用いることもできる。
<Installation process>
Biological tissue materials that promote the formation of connective tissue, such as blood, fat, collagen, gelatin, and those containing growth factors, etc., between the opposing corneal forming surfaces 4 of the artificial cornea-forming substrate 2 And the artificial cornea-forming substrate 2 is placed in an environment in which a biological tissue material exists. The environment in which the biological tissue material exists includes in an animal's living body (for example, subcutaneously or intraperitoneally embedded) or in an artificial environment such as a solution in which the biological tissue material floats outside the animal's body. . As biological tissue materials, materials derived from other mammals such as humans, dogs, cows, pigs, goats, rabbits, sheep, birds, fish, other animals, or artificial materials can also be used.
 人工角膜形成用基材2を動物に埋入する場合には、十分な麻酔下で最小限の切開術で行い、埋入後は傷口を縫合する。人工角膜形成用基材2の埋入部位としては例えば、人工角膜形成用基材2を受け入れる容積を有する腹腔内、あるいは四肢部、肩部又は背部、腹部などの皮下が好ましい。また、人工角膜形成用基材2を生体組織材料の存在する環境下へ置く場合には、種々の培養条件を整えてクリーンな環境下で公知の方法に従って細胞培養を行えばよい。 When embedding the artificial cornea-forming substrate 2 in an animal, it is performed with a minimum of incision under sufficient anesthesia, and the wound is sutured after implantation. As an implantation site | part of the base material 2 for artificial cornea formation, the intraperitoneal cavity which has the volume which receives the base material 2 for artificial cornea formation, or subcutaneous, such as an extremity part, a shoulder part or a back part, an abdomen, is preferable. In addition, when the artificial cornea-forming substrate 2 is placed in an environment in which a biological tissue material is present, cell culture may be performed according to a known method in a clean environment with various culture conditions.
<形成工程>
 設置工程の後、所定時間が経過することにより、人工角膜形成用基材2の周囲に膜状の結合組織が形成され、さらに、結合組織が成長して板状基材3a、3bの角膜形成面4の間に侵入するように形成される。結合組織は、繊維芽細胞とコラーゲンなどの細胞外マトリックスで構成され、板状基材3a、3bの純間隔に対応する厚さに形成される。
<Formation process>
After a predetermined time has elapsed after the installation step, a film-like connective tissue is formed around the artificial cornea-forming substrate 2, and the connective tissue grows to form a cornea of the plate- like substrates 3a and 3b. It is formed so as to penetrate between the surfaces 4. The connective tissue is composed of an extracellular matrix such as fibroblasts and collagen, and is formed to a thickness corresponding to the pure interval between the plate- like substrates 3a and 3b.
 また、設置工程で、角膜形成面4の間に結合組織の形成を促進する生体組織材料を収容しておくので、結合組織が成長しながら角膜形成面4の間の空間に徐々に侵入していくのを待つよりも、組織形成に要する時間が短くなると共に、より確実に組織形成がされる。 Moreover, since the biological tissue material which accelerates | stimulates formation of a connective tissue is accommodated between the cornea formation surfaces 4 at the installation process, it gradually enters into the space between the cornea formation surfaces 4 while the connective tissue grows. The time required for the tissue formation is shortened and the tissue formation is more reliably performed than waiting for the going.
<取り出し工程>
 所定時間の形成工程を経て、結合組織が十分に形成された後、人工角膜形成用基材2を生体組織材料の存在する環境下から取り出す取り出し工程を行う。生体組織材料の存在する環境下から取り出された人工角膜形成用基材2は、全体を結合組織による膜で覆われている(図4参照)。
<Removal process>
After the connective tissue is sufficiently formed through the formation process for a predetermined time, an extraction process of taking out the artificial cornea-forming substrate 2 from the environment where the biological tissue material exists is performed. The artificial cornea-forming substrate 2 taken out from the environment in which the biological tissue material exists is entirely covered with a membrane made of connective tissue (see FIG. 4).
<分離工程>
 人工角膜形成用基材2の周囲の結合組織を除去して、四隅の結合部5を切断し、人工角膜形成用基材2を2枚の板状基材3a、3bに分解して人工角膜1を剥がして取り出す。この人工角膜1は、板状基材3a、3bの角膜形成面4の曲面形状、大きさ、純間隔及び平滑性に対応する形状、大きさ、厚さ及び表面状態で、良質かつ均一な密度に形成されている(図1及び図2参照)。
<Separation process>
The connective tissue around the artificial cornea-forming substrate 2 is removed, the joint portions 5 at the four corners are cut, and the artificial cornea-forming substrate 2 is disassembled into two plate- like substrates 3a and 3b. Remove 1 and remove. This artificial cornea 1 has a high quality and uniform density in the shape, size, thickness and surface state corresponding to the curved surface shape, size, pure interval and smoothness of the cornea-forming surface 4 of the plate- like substrates 3a, 3b. (See FIGS. 1 and 2).
 生産された人工角膜1を異種移植する場合には、移植後の拒絶反応を防ぐため、脱細胞処理、脱水処理、固定処理などの免疫源除去処理を施すのが好ましい。脱細胞処理としては、超音波処理や界面活性剤処理、コラゲナーゼなどの酵素処理によって細胞外マトリックスを溶出させて洗浄する等の方法があり、脱水処理の方法としては、メタノール、エタノール、イソプロピルアルコール等の水溶性有機溶媒で洗浄する方法があり、固定処理する方法としては、グルタアルデヒドやホルムアルデヒドなどのアルデヒド化合物で処理する方法がある。 When the produced artificial cornea 1 is xenotransplanted, it is preferable to perform immunogen removal treatment such as decellularization treatment, dehydration treatment, and fixation treatment in order to prevent rejection after transplantation. Examples of decellularization include ultrasonic treatment, surfactant treatment, and enzyme treatment such as collagenase to elute and wash the extracellular matrix. Dehydration methods include methanol, ethanol, isopropyl alcohol, etc. There is a method of washing with a water-soluble organic solvent, and as a method of fixing, there is a method of treating with an aldehyde compound such as glutaraldehyde or formaldehyde.
 次に、上記の人工角膜形成用基材及び生産方法を用いて人工角膜を生産する様子を具体的に説明する。 Next, how the artificial cornea is produced using the artificial cornea-forming base material and production method described above will be specifically described.
 まず、図3に示す人工角膜形成用基材2を体重10kgのビーグル犬の背部皮下に埋入し、そのビーグル犬を通常の飼育条件で1ヶ月飼育した後、結合組織で覆われた人工角膜形成用基材2を摘出した(図4参照)。人工角膜形成用基材2は、滅菌したアクリル製で、板状基材3a、3bの純間隔が0.5mmである。 First, the artificial cornea-forming substrate 2 shown in FIG. 3 is implanted subcutaneously in the back of a 10 kg beagle dog, and the beagle dog is bred for 1 month under normal breeding conditions, and then covered with a connective tissue. The forming substrate 2 was extracted (see FIG. 4). The artificial cornea-forming substrate 2 is made of sterilized acrylic, and the pure interval between the plate- like substrates 3a and 3b is 0.5 mm.
 皮下で形成された結合組織は主として、線維芽細胞とコラーゲンから構成され、カプセル化して人工角膜形成用基材2の周囲を覆うと共に、角膜形成面4の間に侵入して人工角膜1を構成していた。また、結合組織の膜で覆われた人工角膜形成用基材2は、皮下組織より容易に摘出することができた。 The connective tissue formed under the skin is mainly composed of fibroblasts and collagen, encapsulates and covers the periphery of the artificial cornea-forming substrate 2, and penetrates between the cornea-forming surfaces 4 to form the artificial cornea 1. Was. In addition, the artificial cornea-forming substrate 2 covered with the connective tissue film could be easily removed from the subcutaneous tissue.
 次いで、人工角膜形成用基材2の周囲の結合組織を剥がして取り除き、板状基材3a、3bを分離して、内部の人工角膜1を取り出した(図1参照)。なお、板状基材3a、3bの角膜形成面4と人工角膜1とは全く接着しておらず、両者は損傷無く容易に分離することができた。 Next, the connective tissue around the artificial cornea-forming substrate 2 was peeled off to separate the plate- like substrates 3a and 3b, and the internal artificial cornea 1 was taken out (see FIG. 1). The cornea-forming surfaces 4 of the plate- like substrates 3a and 3b and the artificial cornea 1 were not adhered at all, and they could be easily separated without damage.
 人工角膜1の厚さは、0.47±0.2mmであり、板状基材3a、3bの純間隔(0.5mm)と同程度の厚さであった(図2参照)。また、人工角膜1の両面とも角膜形成面4と同様の平滑状態であり、厚さ方向の全部位に渡ってほぼ均一な密度であった(図2参照)。このように、板状基材3a、3bの角膜形成面4の間に人工角膜1を形成することにより、所望の形状、大きさ、厚さ、表面状態の人工角膜1を得ることができ、しかも、人工角膜1の密度を厚さ方向の全範囲に渡ってほぼ均一にできることがわかる。 The thickness of the artificial cornea 1 was 0.47 ± 0.2 mm, which was the same thickness as the pure interval (0.5 mm) between the plate- like substrates 3a and 3b (see FIG. 2). In addition, both surfaces of the artificial cornea 1 were in the same smooth state as the cornea-forming surface 4 and had a substantially uniform density over all parts in the thickness direction (see FIG. 2). Thus, by forming the artificial cornea 1 between the cornea-forming surfaces 4 of the plate- like substrates 3a and 3b, the artificial cornea 1 having a desired shape, size, thickness, and surface state can be obtained. In addition, it can be seen that the density of the artificial cornea 1 can be made substantially uniform over the entire range in the thickness direction.
 次いで、角膜を表層切除して眼球に欠損部を形成して、この欠損部に、生産した人工角膜1を移植して眼球に生着する様子を観察する移植実験を行った。 Next, a transplantation experiment was performed in which the cornea was superficially cut to form a defect in the eyeball, and the produced artificial cornea 1 was transplanted into the defect and observed for engraftment in the eyeball.
 具体的には、まず、体重10kgのビーグル犬(オス、8歳)に全身麻酔を施して、このビーグル犬の角膜に、バロン氏真空角膜トレパン(直径6mm)を用いて深さ0.375mmまで切開を加え、その後、スパーテルを用いて角膜を層状剥離することにより、直径6mm、深さ0.375mmの角膜表層切除を行って、眼球に欠損部を形成した。 Specifically, first, a beagle dog (male, 8 years old) weighing 10 kg was given general anesthesia, and Baron's vacuum cornea trepan (diameter 6 mm) was used to make the beagle dog cornea up to a depth of 0.375 mm. An incision was made, and then the cornea was delaminated using a spatula, whereby a corneal surface resection with a diameter of 6 mm and a depth of 0.375 mm was performed to form a defect in the eyeball.
 さらに、バロン氏ドナー角膜パンチ(直径6.5mm)を用いて直径6.5mmの円形に切断した人工角膜1(移植バイオシート)を、ビーグル犬の角膜表層切除後の欠損部に10-0ナイロン糸を用いて縫合を行った(図5(a)参照)。なお、移植手術後には、感染予防のため抗生物質の点眼と内服を行うと共に、鎮痛のためNSAIDsの全身投与を行ったが、抗炎症薬や免疫抑制剤は使用しなかった。 Furthermore, an artificial cornea 1 (transplanted biosheet) cut into a circle of 6.5 mm in diameter using a Baron donor corneal punch (6.5 mm in diameter) was transferred to a 10-0 nylon in the defect portion after resection of the corneal surface of a beagle dog. Suture was performed using a thread (see FIG. 5A). After transplantation surgery, antibiotics were instilled and administered for the prevention of infection and NSAIDs were administered systemically for analgesia, but no anti-inflammatory drugs or immunosuppressants were used.
 角膜移植後、角膜への人工角膜1の生着と透明化を観察したところ、移植直後は移植した人工角膜1が白濁していたが(図5(a))、その後、人工角膜1がその周縁部から徐々に透明化していき(図5(b))、移植15日後には、人工角膜1のほぼ全体が透明化した(図5(c))。なお、拒絶反応を示唆する角膜血管新生は認められなかった。 After the transplantation of the cornea, the engraftment and transparency of the artificial cornea 1 on the cornea was observed. As a result, the transplanted artificial cornea 1 was cloudy immediately after the transplantation (FIG. 5 (a)). It gradually became transparent from the peripheral edge (FIG. 5 (b)), and almost 15 days after transplantation, almost the entire artificial cornea 1 became transparent (FIG. 5 (c)). No corneal neovascularization suggesting rejection was observed.
 なお、本発明は、上記の実施の形態に限定されるものではなく、本発明の範囲内において、適宜変更を加えることができる。例えば、人工角膜形成用基材2は、板状基材3a、3bの四隅に結合部5を設けて、結合組織が侵入する開口を四辺に設けた構造であるが、このように、四辺の全てに開口を設けたものに限らず、四辺のうちの少なくとも一辺に開口を設けたものであればよい。 In addition, this invention is not limited to said embodiment, A change can be suitably added within the scope of the present invention. For example, the artificial cornea-forming substrate 2 has a structure in which the connecting portions 5 are provided at the four corners of the plate- like substrates 3a and 3b and the openings into which the connective tissue enters are provided on the four sides. The present invention is not limited to all having openings, but may be any having openings on at least one of the four sides.
 また、板状基材3a、3bで構成した人工角膜形成用基材2に代えて、図6に示すように、球面状の人工角膜を形成する人工角膜形成用基材6を採用することもできる。 Further, instead of the artificial cornea-forming substrate 2 composed of the plate- like substrates 3a and 3b, as shown in FIG. 6, an artificial cornea-forming substrate 6 that forms a spherical artificial cornea may be adopted. it can.
 人工角膜形成用基材6は、一対の基材7a、7bに、角膜形成面として、中央部が膨らんだ球面状の凸面8と中央部が窪んだ球面状の凹面9とを形成し、互いに間隔をあけて設けたものである。凸面8及び凹面9の周囲には、平板状の周縁部10a、10bが設けられ、この周縁部10a、10bが複数の結合部11を介して結合されて、一対の基材7a、7bが互いに分解可能に一体化されている。 The artificial cornea-forming substrate 6 is formed on a pair of substrates 7a and 7b as a cornea-forming surface, a spherical convex surface 8 having a bulged central portion and a spherical concave surface 9 having a concave central portion. It is provided at intervals. Around the convex surface 8 and the concave surface 9, flat peripheral portions 10a and 10b are provided, and the peripheral portions 10a and 10b are connected via a plurality of connecting portions 11, so that the pair of base materials 7a and 7b are mutually connected. It is integrated so that it can be disassembled.
 この人工角膜形成用基材6は、上記の人工角膜形成用基材2と同様、動物の生体内などに置いて、基材表面に結合組織を形成するようになっており(図7参照)、その周囲の結合組織を除去して、結合部11を切断して基材7a、7bに分解することにより、凸面8と凹面9との間の人工角膜を剥がして取り出すことができる。さらに、取り出した人工角膜の周囲の余剰部分を除去することにより、眼球形状に合うよう中央部が膨らんだ球面状の人工角膜が得られる。 This artificial cornea-forming substrate 6 is placed in the living body of an animal and the like to form a connective tissue on the surface of the substrate, like the artificial cornea-forming substrate 2 (see FIG. 7). By removing the surrounding connective tissue, cutting the connecting portion 11 and breaking it into the base materials 7a and 7b, the artificial cornea between the convex surface 8 and the concave surface 9 can be peeled off and taken out. Furthermore, by removing an excess portion around the extracted artificial cornea, a spherical artificial cornea having a swelled central portion so as to match the eyeball shape can be obtained.
 また、結合組織の形成を促進可能なLEDを設けたり、結合組織の形成を促進可能な薬剤を収容して徐々に放出する薬剤収容部を形成したりして、結合組織を形成するのに要する時間を短くすると共に、力学的性質や成分の良好な結合組織を得るようにしてもよい。 Moreover, it is necessary to form a connective tissue by providing an LED capable of promoting the formation of connective tissue, or forming a drug containing portion that contains a drug capable of promoting the formation of connective tissue and gradually releases it. While shortening time, you may make it obtain the connective structure | tissue where mechanical property and a component are favorable.
  1     人工角膜
  2     人工角膜形成用基材
  3a、3b 板状基材
  4     角膜形成面
  5     結合部
  6     人工角膜形成用基材
  7a、7b 基材
  8     凸面
  9     凹面
  10a、10b 周縁部
  11    結合部
DESCRIPTION OF SYMBOLS 1 Artificial cornea 2 Artificial cornea formation base material 3a, 3b Plate-shaped base material 4 Cornea formation surface 5 Bonding part 6 Artificial cornea formation base material 7a, 7b Base material 8 Convex surface 9 Concave surface 10a, 10b Peripheral part 11 Connection part

Claims (9)

  1.  生体組織材料の存在する環境において基材の表面に形成された人工角膜であって、当該人工角膜の両面が前記基材の表面に合わせて形成されたことを特徴とする人工角膜。 An artificial cornea formed on the surface of a base material in an environment where a biological tissue material exists, wherein both surfaces of the artificial cornea are formed according to the surface of the base material.
  2.  中央部が膨らんだ球面状に形成され、当該人工角膜の周囲の余剰部分が除去されたことを特徴とする請求項1に記載の人工角膜。 2. The artificial cornea according to claim 1, wherein a central portion is formed in a swelled spherical shape, and an excess portion around the artificial cornea is removed.
  3.  生体組織材料の存在する環境に配置して基材表面に人工角膜を形成可能な基材であって、前記人工角膜の両面を基材表面に合わせて形成するよう、人工角膜を形成する二面の角膜形成面が互いに対向して設けられたことを特徴とする人工角膜形成用基材。 Two surfaces on which an artificial cornea is formed so that both surfaces of the artificial cornea can be formed in accordance with the surface of the substrate, the substrate being capable of forming an artificial cornea on the surface of the substrate by being placed in an environment where biological tissue material exists An artificial cornea-forming substrate characterized in that the cornea-forming surfaces are provided to face each other.
  4.  前記角膜形成面を有する複数枚の板状基材が互いに間隔をあけて設けられ、前記複数枚の板状基材が互いに分解可能とされたことを特徴とする請求項3に記載の人工角膜形成用基材。 The artificial cornea according to claim 3, wherein a plurality of plate-like base materials having the cornea-forming surface are provided at intervals, and the plurality of plate-like base materials can be disassembled with each other. Forming substrate.
  5.  前記角膜形成面を有する一対の基材が設けられ、該一対の基材の角膜形成面は、中央部が膨らんだ球面状の凸面と中央部が窪んだ球面状の凹面とに形成されて互いに間隔をあけて設けられ、前記一対の基材が互いに分解可能とされたことを特徴とする請求項3に記載の人工角膜形成用基材。 A pair of base materials having the cornea-forming surface is provided, and the cornea-forming surfaces of the pair of base materials are formed into a spherical convex surface having a bulged central portion and a spherical concave surface having a concave central portion, and The artificial cornea-forming substrate according to claim 3, wherein the artificial cornea-forming substrate according to claim 3, wherein the artificial cornea-forming substrate is provided at an interval, and the pair of substrates can be separated from each other.
  6.  前記二面の角膜形成面の間隔が0.1mm~2mmに設定されたことを特徴とする請求項3、4又は5に記載の人工角膜形成用基材。 6. The artificial cornea-forming substrate according to claim 3, 4 or 5, wherein an interval between the two cornea-forming surfaces is set to 0.1 mm to 2 mm.
  7.  前記角膜形成面の表面粗さが算術平均粗さで50μm以下に設定されたことを特徴とする請求項3~6のいずれかに人工角膜形成用基材。 The artificial cornea-forming base material according to any one of claims 3 to 6, wherein the surface roughness of the cornea-forming surface is set to an arithmetic average roughness of 50 µm or less.
  8.  請求項3~7のいずれかに記載の人工角膜形成用基材を生体組織材料の存在する環境下におく設置工程と、前記人工角膜形成用基材の周囲に結合組織を形成しつつ、互いに対向する角膜形成面の間に結合組織を形成する形成工程と、前記環境下から結合組織で被覆された前記人工角膜形成用基材を取り出す取り出し工程と、前記人工角膜形成用基材から前記角膜形成面の間の結合組織を剥離して人工角膜として取り出す分離工程と、を備え、
     前記分離工程は、人工角膜形成用基材の周囲の結合組織を除去した後、人工角膜形成用基材を分解して人工角膜を取り出すことを特徴とする人工角膜の生産方法。
    An installation step of placing the artificial cornea-forming substrate according to any one of claims 3 to 7 in an environment in which a biological tissue material is present, and forming a connective tissue around the artificial cornea-forming substrate, A forming step of forming a connective tissue between opposing corneal forming surfaces, a step of taking out the artificial cornea-forming substrate covered with connective tissue from the environment, and the cornea from the artificial cornea-forming substrate. Separating the connective tissue between the forming surfaces and taking it out as an artificial cornea, and
    In the method for producing an artificial cornea, the separation step includes removing the connective tissue around the artificial cornea-forming substrate, and then decomposing the artificial cornea-forming substrate and taking out the artificial cornea.
  9.  前記設置工程において、互いに対向する角膜形成面の間に結合組織の形成を促進する生体組織材料を収容しておくことを特徴とする請求項8に記載の人工角膜の生産方法。 The method for producing an artificial cornea according to claim 8, wherein in the installation step, a biological tissue material that promotes the formation of connective tissue is accommodated between the cornea-forming surfaces facing each other.
PCT/JP2013/068987 2012-08-03 2013-07-11 Artificial cornea, and method for producing artificial cornea WO2014021073A1 (en)

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