WO2014075593A1 - Mesenchymal stem cell injection, preparation method thereof, and application thereof in preparing drug for treating ulcerative colitis - Google Patents

Mesenchymal stem cell injection, preparation method thereof, and application thereof in preparing drug for treating ulcerative colitis Download PDF

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WO2014075593A1
WO2014075593A1 PCT/CN2013/086838 CN2013086838W WO2014075593A1 WO 2014075593 A1 WO2014075593 A1 WO 2014075593A1 CN 2013086838 W CN2013086838 W CN 2013086838W WO 2014075593 A1 WO2014075593 A1 WO 2014075593A1
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mesenchymal stem
cells
preparation
cell injection
stem cell
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WO2014075593A9 (en
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黄玉香
高宏
王丽
胡建霞
张学峰
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贾在美
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/06Animal cells or tissues; Human cells or tissues
    • C12N5/0602Vertebrate cells
    • C12N5/0652Cells of skeletal and connective tissues; Mesenchyme
    • C12N5/0662Stem cells
    • C12N5/0665Blood-borne mesenchymal stem cells, e.g. from umbilical cord blood
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/48Reproductive organs
    • A61K35/50Placenta; Placental stem cells; Amniotic fluid; Amnion; Amniotic stem cells

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  • the invention belongs to the field of biomedicine, and particularly relates to a mesenchymal stem cell injection solution, a preparation method thereof and application thereof in preparing a medicament for treating ulcerative colitis. Background technique
  • Ulcerative colitis can occur at any age, but is more common in 20-40 years of age. The causes of the disease in developed countries and cities more than in rural areas are still unclear. It is currently considered to be immune disorders, and genetic and environmental factors contribute to the onset of disease. Studies have found that ulcerative colitis is prone to occur in certain families. About 20% of patients with ulcerative colitis have first-degree relatives (ie, cousins/sisters or sisters) who also have ulcerative colitis, so genetic factors Played a role.
  • Ulcerative colitis is different from general inflammatory diseases.
  • the intestinal adhesions of patients are severely damaged. Only patients who have undergone fundamental repair can recover.
  • Traditional surgery and drugs relieve only surface inflammatory reactions. The root cause is that the treatment effect is not satisfactory, and the condition will still recur, which will not satisfy the patients and their families.
  • MSCs Mesenchymal stem cells
  • MSCs Mesenchymal stem cells
  • MSCs Mesenchymal stem cells
  • MSCs have immunogenicity and unique immunomodulatory effects, which can regulate excessive or weak immune responses in the body and reduce the damage of their own abnormal immune response to their own tissues.
  • MSCs can differentiate into various tissue cells such as fat, bone, cartilage, muscle, tendon, ligament, nerve, liver, heart muscle, endothelium, etc. under in vivo or in vitro specific induction conditions, and still have many cells after continuous subculture and cryopreservation. To differentiate potential.
  • Placenta and umbilical cord-derived MSCs have great differentiation potential, strong proliferative capacity, low immunogenicity, and materials
  • Features such as limitations, lack of ethical issues, and ease of industrial preparation make it possible to become the most promising pluripotent stem cell for tissue repair, regulation of immune disorders, and cellular therapy for metabolic diseases.
  • ulcerative colitis mainly solves the symptoms and maintains the asymptomatic state. It cannot fundamentally treat the disease.
  • the patient needs to strictly control the diet for life. In this case, it is still easy to relapse. Abdominal pain, diarrhea and mucus pus and blood are serious. It affects the quality of life of patients, and the side effects of drugs such as hormones and sulfasalazine are 4%.
  • drugs such as hormones and sulfasalazine are 4%.
  • the current drug and surgical treatment can not avoid these situations, adjust the immune disorder in patients with ulcerative colitis, and repair the intestinal segment of the lesion is the basis for the treatment of ulcerative colitis.
  • ulcerative colitis The course of ulcerative colitis is difficult to cure.
  • the drug can promote the healing of colonic lesions, relieve symptoms such as diarrhea, rectal blood in the stool and abdominal pain, and eliminate the symptoms and maintain the asymptomatic state, but can not treat the disease from the cause, and some patients suffer from the disease.
  • Wide range of intestines drug treatment can not alleviate the condition, surgical treatment of the diseased intestine segment must be treated, the surgical effect is acceptable, but the complications of surgery are more, including severe bleeding caused by ulcers, intestinal perforation, toxic megacolon, ulceration Wait, the risk is greater.
  • the present invention intends to fundamentally solve the predicament of long-term medication and recurrent episodes of patients, and treat ulcerative colitis.
  • the present invention provides a mesenchymal stem cell injection, a preparation method thereof and use thereof for the preparation of a medicament for treating ulcerative colitis.
  • the injection can fundamentally regulate the immune disorder of patients with ulcerative colitis, prevent the destruction of intestinal tissues by autoimmune disorders; promote the repair of the intestinal lesions and the healing of ulcers, thereby freeing patients from abdominal pain and diarrhea, hormones
  • a mesenchymal dry fine ⁇ ⁇ injection which comprises the following components:
  • Human albumin with a mass to volume ratio of 1-6%
  • the balance is a compound electrolyte solution.
  • the mesenchymal stem cells are derived from a human umbilical cord and/or a placenta.
  • the present invention also provides a method for preparing the mesenchymal stem cell injection, which comprises the preparation of umbilical cord mesenchymal stem cells and the preparation of placental mesenchymal stem cells.
  • the invention also provides the use of the mesenchymal stem cell injection for the preparation of a medicament for treating ulcerative colitis.
  • the mesenchymal stem cell injection is used in an amount of 1 X 10 5 - 1 X 10 8 /ml mesenchymal stem cells.
  • the present invention selects mesenchymal stem cells derived from human umbilical cord and placenta to prepare mesenchymal stem cells.
  • the mesenchymal stem cells have a large yield, and the preparation system is easy to control and easy to industrialize.
  • composition of mesenchymal stem cell injection consists of human-filled shield stem cells, clinical grade DMSO, human serum albumin, low molecular weight dextran, and boehm force (combined electrolyte solution). This injection can be directly After program-controlled cooling and cryopreservation, it can be directly used for clinical injection after resuscitation.
  • the present invention utilizes human mesenchymal cell injection to correct immune disorders in patients with ulcerative colitis, treats diseases from the etiology, prevents autoimmune disorders from continuing to destroy the intestinal tract, and secretes many cell growth factors and repair factors. It promotes the healing of ulcers in the affected segment of the intestine, thereby achieving the purpose of fundamentally treating ulcerative colitis.
  • the invention can reverse the course of ulcerative colitis, prevent the occurrence of complications, help the patient to get rid of the influence of abdominal pain and diarrhea on life and the side effects caused by drugs, and thoroughly treat ulcerative colitis.
  • Fig. 1 is a photograph showing the appearance of human umbilical cord mesenchymal cells in the present invention.
  • Fig. 2 is a graph showing the comparison of changes in the colon tissue of rats in the present invention.
  • Fig. 3 is a graph showing the comparison of pathological changes after treatment of rat colon tissue in the present invention.
  • Fig. 4 is a graph showing changes in serum TNF- ⁇ levels in rats after treatment in the present invention. detailed description
  • the subculture medium is the serum-free medium for MSC.
  • the amniotic tissue block is mixed with DMEM medium containing penicillin and streptomycin, and centrifuged at 700-950 g for 10 min;
  • each tube was mixed with 0.25% trypsin in DMEM medium and digested at 37 ° C for 10 min, centrifuged at 700-950 g for 10 min;
  • the complete medium is MSC serum-free medium containing 100 kU/L penicillin + 100 mg/L streptomycin;
  • the injection is prepared in proportion to the following ingredients:
  • the balance is the pulse force (combined electrolyte solution).
  • Clinical grade DMSO is non-toxic to cells and can better protect cells. It does not need to be rinsed after cell rejuvenation. It can be directly used for clinical injection and is safe and safe for patients.
  • Human serum albumin is a commonly used clinical injection, which can provide nutrition for cells and facilitate cell metabolism.
  • 1% low molecular weight dextran ensures that the cells maintain a good cell dispersion state during storage, which reduces the adhesion between cells and the cell adhesion to the container wall, and reduces the intravascular cell formation that may occur during clinical cell infusion.
  • the risk of embolization of the mass also reduces the cell loss caused by cell aggregation and filtration by the infusion filter.
  • Bourgeois can maintain the osmotic pressure of cells and facilitate cell survival.
  • the injection component is a clinically used electrolyte solution, which is convenient for clinical infusion.
  • the injection can be stored stably at -196 °C. When thawed and resuscitated, it can be directly infused into the patient. The cells remain in a single cell suspension state, and the cell viability remains above 85% without causing uncomfortable reactions.
  • This kind of injection is very beneficial to the preservation, transportation and survival of mesenchymal stem cells, and the clinical infusion is safe.
  • the cells can maintain high vitality in this injection for a long time, and it is easy to transport without being restricted by the time of use.
  • the problem of long-term cell transport affecting cell viability when used by patients in different places.
  • mesenchymal stem cell injection is as follows: For example, 100 ml of stem cell injection is prepared, which is prepared by human mesenchymal stem cells, clinical grade DMSO 5 ml, human albumin stock solution (stock solution mass concentration ratio of 20%) 10 mL low. Molecular dextran 1ml (base solution concentration 100%) and Bobme force (combined electrolyte solution) 84ml.
  • the mass to volume ratios of the present invention all represent the ratio of mass (g) to volume (ml).
  • the number of mesenchymal cells per ml of injection is 2 ⁇ 10 5 -1 ⁇ 10 7 .
  • Mesenchymal stem cell injection can maintain a single cell suspension at -196 ° C ambient temperature, and the cell viability remains above 85% after resuscitation, which can be directly used for clinical injection.
  • rats in group A were injected with lml human mesenchymal stem cell injection (containing 5 ⁇ 10 6 cells, electron micrograph shown in Figure 1).
  • Group B rats were injected with 1 ml PBSo C group via tail vein. SD rat.
  • Rats were observed daily for signs and symptoms after the start of the experiment. Five rats were anesthetized on the 3rd, 7th, and 14th day after treatment with mesenchymal stem cells. The colon was dissected and the colonic injury was observed. The pathological changes of the colon were observed under a microscope.
  • group A rat mesenchymal stem cells 3 days after treatment, colon tissue, colonic intestinal wall thickening, congestion and edema, partial ulcers in a large area;
  • the middle picture is: group A rat mesenchymal stem cells after treatment In the 14-day colon tissue, the lesions were significantly relieved and the ulcers healed.
  • the right picture shows: The colon tissue of the rats in group B was treated 14 days after treatment, and there were still obvious hyperemia and edema and macroscopic ulcers.
  • Colonic pathological changes 3 days after cell treatment, a group of colonic pathological sections showed a wide range of epithelial defects under HE staining, inflammatory cell infiltration in mucosa and submucosa, and pathological changes in group B were similar to group A; In the last 7 days, the extent of epithelial defects in group A was reduced, and a large number of inflammatory cells infiltrated in the mucosa and submucosa. The lesions in group B did not change significantly. By 14 days, the mucosal structure of group A was almost intact, and only a small amount of inflammatory cells infiltrated.
  • the left picture is: Group A rat mesenchymal stem cells Colon tissue pathology 3 days after treatment, a large range of epithelial defects were observed under the microscope, and inflammatory cells infiltrated in the mucosa and submucosa;
  • the middle picture is: colonic histopathology of group A rat mesenchymal stem cells 14 days after treatment, visible under the microscope The mucosal structure is basically intact, only a small amount of inflammatory cells infiltrate;
  • the right picture shows: Colon tissue pathology of group B rats 14 days after treatment, there is still a wide range of epithelial defects under the microscope, inflammatory cell infiltration in the mucosa and submucosa.
  • 100ml stem cell injection is prepared, which consists of human mesenchymal stem cells, clinical grade DMSO 10ml, human serum albumin stock solution (20% stock solution) 10ml, low molecular weight dextran 1ml and Bomagin (complex electrolyte solution) 79ml. .
  • the number of mesenchymal stem cells per ml of injection is 2 X 10 5 - 1 X 10 7 .
  • Mesenchymal stem cell injection can maintain a single cell suspension at -196 °C ambient temperature, and the cell viability remains above 85% after resuscitation, which can be directly used for clinical injection.
  • Example 3 Culture and detection of umbilical cord mesenchymal stem cells
  • the umbilical cord mesenchymal stem cells prepared in Example 1 were used for amplification.
  • Cell culture amplification was inoculated at a density of 1.0-1.2 X lOVcm 2 , and completely serum-free medium was added. After the cell fusion degree was 80-90%, the cells were collected by room temperature digestion with 0.05% trypsin (without EDTA). The cells should not be over-fused, otherwise growth inhibition will not only occur, but also stem cells will spontaneously differentiate, which will seriously affect the cell growth state after passage.
  • Immunophenotypic determination of umbilical cord mesenchymal stem cells 1 X 10 6 P1, P6 cell numbers were collected, mouse anti-human PE-IgG1, FITC-IgGl isotype control were added, and PE, FITC-labeled mouse anti-human antibody was added. Detection of CD 34, CD 45 (hematopoietic cell marker), CD3 1 (endothelial cell-specific antigenic marker), CD14 (mononuclear macrophage surface marker), CD 90, CD 44, CD 105 (mesenchymal antigen marker), Immunophenotypes such as HLA-DR (transplantation immune rejection related antigen).
  • Cell culture results and detection Under the microscope, the cells adhered to the wall, and the morphology should be fusiform, with high refractive index. The cells are evenly arranged and arranged in a swirling shape. The number of primary cells harvested is > 1 10 7 ; cell viability (Taiwan Blue staining): The cell viability rate is 90% before cryopreservation and 85% after cryopreservation. The cells are continuously transferred to the 6th generation. The cells are stable in shape, fusiform, evenly distributed, and arranged neatly. The cell proliferation rate is stable after continuous transmission to the 6th generation.
  • the phenotypes are consistent with the MSC identification criteria (CD73, CD 105, CD44 or CD90 positive, the positive rate is not less than 95%; CD3 1, CD34, CD45, HLA-DR is negative, the positive rate should not be higher than 2%.
  • Cell cycle detection 70-80% of cells are in the G0G1 phase of the cell cycle; P l and P6 cells have multi-directional differentiation ability; karyotype analysis is normal; the total number of expanded cells in 5-6 generations can reach 10 1G ⁇ 10 U.
  • the partial flow test results are shown in Figure 5. Among them, the average number of primary culture days is 13 days, and the total number of harvested cells can reach 1.6 X 10 7 .
  • Example 4 Stem cell therapy was performed on a patient suffering from ulcerative colitis using the stem cell injection of Example 2.
  • Treatment Intravenous injection of mesenchymal stem cells 50ml, containing 3 X 10 7 cells, 1 week after the intervention of mesenteric artery injection of mesenchymal stem cells 10ml, the number of cells containing 1.5 ⁇ 10 7 .
  • Case 1 Patient A, female, 36 years old, mucus bloody stool for more than 4 years, stool 2-3 times, soft, not formed.
  • Case 2 Patient Wang Moumou, male, 50 years old, mucus pus and bloody stool for more than 3 years, accompanied by abdominal pain and abdominal distension. The patient had 5-6 times of stool on admission, with pus and blood, and more pus.
  • Colonoscopy (rectal) diffuse congestive edema, superficial erosion, surface exudation, and scattered in the formation of shallow ulcers.
  • Pathology The rectal mucosa is characterized by moderate to severe chronic active inflammation with ulcers and crypt abscess formation. See Figure 10. After two months of treatment, the patient's symptoms basically disappeared, there was no pus in the stool, abdominal pain, abdominal distension and other abdominal discomfort. The stool was 1-2 times a day, soft and shaped.
  • Colonoscopy Mild diffuse hyperemia of the rectal mucosa.
  • Pathology mild chronic inflammation of the rectal mucosa. See Figure 11. After 6 months of treatment, the clinical symptoms disappeared, there was no pus in the stool, abdominal discomfort such as abdominal pain and bloating, and stools were taken 1-2 times, soft and shaped.

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Abstract

The present invention provides a mesenchymal stem cell injection, a preparation method thereof, and application thereof in preparing a drug for treating ulcerative colitis. The mesenchymal stem cell injection comprises the following ingredients: mesenchymal stem cells of 2×105-1×107/ml; DMSO with the volume ratio being 5-10%; human serum albumin with the mass-to-volume ratio being 1-6%; and 1% of low molecular dextran and a compound electrolyte solution.

Description

间充质干细胞注射液及其制备方法和在制备治疗溃疡性 结肠炎药物中的应用 技术领域  Mesenchymal stem cell injection, preparation method thereof and application thereof in preparing medicine for treating ulcerative colitis
本发明属于生物医药领域, 具体涉及一种间充质干细胞注射液及其制备方 法和在制备治疗溃疡性结肠炎药物中的应用。 背景技术  The invention belongs to the field of biomedicine, and particularly relates to a mesenchymal stem cell injection solution, a preparation method thereof and application thereof in preparing a medicament for treating ulcerative colitis. Background technique
溃疡性结肠炎可以发生于任何年龄阶段,但多见于 20-40岁。 发达国家及城 市多于农村 发病原因尚不清楚, 目前认为是免疫紊乱, 遗传与环境因素共同作 用导致发病。 研究发现溃疡性结肠炎易发生于某些特定家族, 大约 20%左右溃疡 性结肠炎患者的一级亲戚(即堂 /表兄弟 /姐妹或更亲近)也患有溃疡性结肠炎, 因此遗传因素起了一定作用。除胃肠道的症状,有些患者会出现机体其他部位的 症状, 包括: 眼睛红和痒胀; 口腔溃疡; 关节肿痛; 皮肤肿块及其他损伤; 骨 质疏松; 肾结石等。 有溃疡性结肠炎 8-10年病史的患者患结肠癌风险较高。  Ulcerative colitis can occur at any age, but is more common in 20-40 years of age. The causes of the disease in developed countries and cities more than in rural areas are still unclear. It is currently considered to be immune disorders, and genetic and environmental factors contribute to the onset of disease. Studies have found that ulcerative colitis is prone to occur in certain families. About 20% of patients with ulcerative colitis have first-degree relatives (ie, cousins/sisters or sisters) who also have ulcerative colitis, so genetic factors Played a role. In addition to symptoms of the gastrointestinal tract, some patients may experience symptoms in other parts of the body, including: red and itchiness of the eyes; mouth ulcers; joint swelling and pain; skin masses and other injuries; osteoporosis; Patients with a history of 8-10 years with ulcerative colitis have a higher risk of colon cancer.
溃疡性结肠炎不同于一般的炎症疾病, 患者的肠道粘 ϋ莫损伤严重, 只有对 其进行根本上的修复患者才能康复, 传统上的手术、 药物等手段緩解的只是表 面炎症反应, 治标不治本, 所以治疗效果不理想, 病情还是会复发, 无法让患 者和家属满意。  Ulcerative colitis is different from general inflammatory diseases. The intestinal adhesions of patients are severely damaged. Only patients who have undergone fundamental repair can recover. Traditional surgery and drugs relieve only surface inflammatory reactions. The root cause is that the treatment effect is not satisfactory, and the condition will still recur, which will not satisfy the patients and their families.
间充质干细胞( MSCs )是千细胞家族的重要成员, 因其具有多向分化潜 能、 造血支持和促进干细胞植入和自我复制等特点而日益受到人们的关注。 MSCs 具有氏免疫原性和独特的免疫调节作用, 能调节体内过激或较弱的免疫 反应, 减少自身异常免疫反应对自身组织的破坏。 而且 MSCs在体内或体外特 定的诱导条件下, 可分化为脂肪、 骨、 軟骨、 肌肉、 肌腱、 韧带、 神经、 肝、 心肌、内皮等多种组织细胞,连续传代培养和冷冻保存后仍具有多向分化潜能。 胎盘、 脐带来源的 MSCs具有分化潜力大、 增殖能力强、 免疫原性低、 取材方 便、 无道德伦理问题的限制、 易于工业化制备等特征, 使其有可能成为用于组 织修复、 免疫紊乱的调节和代谢性疾病细胞治疗最具临床应用前景的多能干细 胞。 Mesenchymal stem cells (MSCs) are important members of the Thousand Cell family and are receiving increasing attention due to their multi-directional differentiation potential, hematopoietic support, and promotion of stem cell implantation and self-replication. MSCs have immunogenicity and unique immunomodulatory effects, which can regulate excessive or weak immune responses in the body and reduce the damage of their own abnormal immune response to their own tissues. Moreover, MSCs can differentiate into various tissue cells such as fat, bone, cartilage, muscle, tendon, ligament, nerve, liver, heart muscle, endothelium, etc. under in vivo or in vitro specific induction conditions, and still have many cells after continuous subculture and cryopreservation. To differentiate potential. Placenta and umbilical cord-derived MSCs have great differentiation potential, strong proliferative capacity, low immunogenicity, and materials Features such as limitations, lack of ethical issues, and ease of industrial preparation make it possible to become the most promising pluripotent stem cell for tissue repair, regulation of immune disorders, and cellular therapy for metabolic diseases.
目前溃疡性结肠炎的治疗主要解决的是消除症状和维持无症状的状态, 不 能从根本上治疗疾病, 患者需终生严格控制饮食, 在此情况下仍然容易复发, 腹痛、 腹泻及粘液脓血便严重影响患者的生活质量, 且激素及柳氮磺砒啶等药 物副作用 4艮大。 随着病程的进展, 潰疡性结肠炎的并发症逐渐出现且加重, 病 史较长的患者易出现结肠癌。 目前的药物与手术治疗并不能 4艮好的避免这些情 况的发生, 调整溃疡性结肠炎患者体内的免疫紊乱, 修复病变的肠段才是治疗 溃疡性结肠炎的根本。  At present, the treatment of ulcerative colitis mainly solves the symptoms and maintains the asymptomatic state. It cannot fundamentally treat the disease. The patient needs to strictly control the diet for life. In this case, it is still easy to relapse. Abdominal pain, diarrhea and mucus pus and blood are serious. It affects the quality of life of patients, and the side effects of drugs such as hormones and sulfasalazine are 4%. As the disease progresses, the complications of ulcerative colitis gradually appear and worsen, and patients with a longer history are prone to colon cancer. The current drug and surgical treatment can not avoid these situations, adjust the immune disorder in patients with ulcerative colitis, and repair the intestinal segment of the lesion is the basis for the treatment of ulcerative colitis.
溃疡性结肠炎病程长难治愈, 通过药物可促使结肠病变愈合, 緩解腹泻、 直肠便血和腹痛等症状, 达到消除症状和维持无症状的状态, 但不能从病因上 治疗疾病, 而且部分患者由于病变肠段广泛, 药物治疗不能緩解病情, 须通过 手术切除病变肠段进行治疗, 手术效果尚可, 但手术的并发症较多, 包括溃疡 导致的严重出血、 肠穿孔、 中毒性巨结肠、 溃疡癌变等, 风险较大。 鉴于目前 溃疡性结肠炎发病率逐年增高且无特效筒便的治疗方法, 本发明拟从根本上解 决患者长期服药和病情反复发作的困境, 治疗溃疡性结肠炎。  The course of ulcerative colitis is difficult to cure. The drug can promote the healing of colonic lesions, relieve symptoms such as diarrhea, rectal blood in the stool and abdominal pain, and eliminate the symptoms and maintain the asymptomatic state, but can not treat the disease from the cause, and some patients suffer from the disease. Wide range of intestines, drug treatment can not alleviate the condition, surgical treatment of the diseased intestine segment must be treated, the surgical effect is acceptable, but the complications of surgery are more, including severe bleeding caused by ulcers, intestinal perforation, toxic megacolon, ulceration Wait, the risk is greater. In view of the current increasing incidence of ulcerative colitis and the lack of special treatments, the present invention intends to fundamentally solve the predicament of long-term medication and recurrent episodes of patients, and treat ulcerative colitis.
现有技术的缺点: 目前溃疡性结肠炎的治疗主要依赖于饮食控制、柳氮磺 h啶及激素、 中药灌肠等药物治疗, 病情严重时需手术治疗。 这些疗法的综合 运用可以暂时控制腹痛、 腹泻及脓血便等症状, 不能有效糾正患者体内免疫紊 乱, 不能从根本上治疗溃疡性结肠炎及阻止病情的进展与复发。 而且柳氮磺吡 啶及激素等药物有很严重的毒副作用, 比如: 过敏反应, 中性粒细胞减少或缺 乏症、 血小板减少症及再生障碍性贫血, 溶血性贫血及血红蛋白尿, 肝脏损害 等。 手术可以部分治愈此疾病, 但术后并发症较多且较严重, 如: 粘连性肠梗 阻, 吻合口出血、 瘘等, 严重影响患者的生活质量。 发明内容 Disadvantages of the prior art: At present, the treatment of ulcerative colitis mainly depends on diet control, sulfasalazine and hormones, traditional Chinese medicine enema and other drugs, and surgical treatment is needed when the condition is serious. The comprehensive use of these therapies can temporarily control symptoms such as abdominal pain, diarrhea and pus and bloody stools. It can not effectively correct the immune disorder in patients, and can not fundamentally treat ulcerative colitis and prevent the progression and recurrence of the disease. Moreover, drugs such as sulfasalazine and hormones have serious side effects such as allergic reactions, neutropenia or deficiency, thrombocytopenia and aplastic anemia, hemolytic anemia and hemoglobinuria, and liver damage. Surgery can partially cure the disease, but postoperative complications are more serious, such as: adhesive intestinal obstruction, anastomotic bleeding, paralysis, etc., seriously affecting the quality of life of patients. Summary of the invention
针对现有技术中溃疡性结肠炎存在的上述缺陷, 本发明提供了一种间充质 干细胞注射液及其制备方法和在制备治疗溃疡性结肠炎药物中的应用。 所述注 射液可以从根本上调节溃疡性结肠炎患者的免疫紊乱, 阻止自身免疫紊乱对肠 道组织的破坏; 促进病变肠道的修复与溃疡的愈合, 从而使患者摆脱腹痛腹泻 的困扰、 激素等药物带来的毒副反应以及病情控制不佳导致的严重并发症。  In view of the above-mentioned drawbacks of the prior art ulcerative colitis, the present invention provides a mesenchymal stem cell injection, a preparation method thereof and use thereof for the preparation of a medicament for treating ulcerative colitis. The injection can fundamentally regulate the immune disorder of patients with ulcerative colitis, prevent the destruction of intestinal tissues by autoimmune disorders; promote the repair of the intestinal lesions and the healing of ulcers, thereby freeing patients from abdominal pain and diarrhea, hormones The toxic side effects caused by drugs, as well as serious complications caused by poor disease control.
为实现上述发明目的, 本发明采用下述技术方案予以实现:  In order to achieve the above object, the present invention is implemented by the following technical solutions:
一种间充质干细^ ^注射液, 它包括以下组分:  A mesenchymal dry fine ^ ^ injection, which comprises the following components:
含量为 2 X 105- 1 X 107/ml的间充质干细胞; Mesenchymal stem cells in a concentration of 2 X 10 5 - 1 X 10 7 /ml;
体积比为 5-10%的临床级 DMSO;  a clinical grade DMSO with a volume ratio of 5-10%;
质量体积比为 1—6%的人血白蛋白;  Human albumin with a mass to volume ratio of 1-6%;
质量体积比为 1%的低分子右旋糖酐;  a low molecular weight dextran having a mass to volume ratio of 1%;
余量为复方电解质溶液。  The balance is a compound electrolyte solution.
对上述技术方案的进一步改进: 所述间充质干细胞来源于人脐带和 /或胎盘。 对上述技术方案的进一步改进: 所述间充质干细胞活力保持在 85%以上。 本发明还提供了所述的间充质干细胞注射液的制备方法, 包括脐带间充质 干细胞的制备和胎盘间充质干细胞的制备。  Further improvements to the above technical solution: The mesenchymal stem cells are derived from a human umbilical cord and/or a placenta. A further improvement of the above technical solution: the viability of the mesenchymal stem cells is maintained above 85%. The present invention also provides a method for preparing the mesenchymal stem cell injection, which comprises the preparation of umbilical cord mesenchymal stem cells and the preparation of placental mesenchymal stem cells.
本发明还提供了所述的间充质干细胞注射液在制备治疗溃疡性结肠炎药物 中的应用。  The invention also provides the use of the mesenchymal stem cell injection for the preparation of a medicament for treating ulcerative colitis.
对上述技术方案的进一步改进: 所述间充质干细胞注射液的用量为含有 1 X 105- 1 X 108个 /ml间充质干细胞。 Further improvement of the above technical solution: The mesenchymal stem cell injection is used in an amount of 1 X 10 5 - 1 X 10 8 /ml mesenchymal stem cells.
与现有技术相比, 本发明的优点和积极效果是:  Compared with the prior art, the advantages and positive effects of the present invention are:
1. 本发明选择用来源于人脐带和胎盘的间充质干细胞来制备间充质干细 胞注射液, 所述间充质干细胞产量较大, 制备体系易于质控, 易于产业化。  1. The present invention selects mesenchymal stem cells derived from human umbilical cord and placenta to prepare mesenchymal stem cells. The mesenchymal stem cells have a large yield, and the preparation system is easy to control and easy to industrialize.
2. 间充质干细胞注射液成分由人间充盾干细胞、 临床级 DMSO、 人血白 蛋白、 低分子右旋糖酐、 和勃脉力(复方电解质溶液)组成。 本注射液可以直接 经程控降温冻存, 复苏后可直接用于临床注射。 2. The composition of mesenchymal stem cell injection consists of human-filled shield stem cells, clinical grade DMSO, human serum albumin, low molecular weight dextran, and boehm force (combined electrolyte solution). This injection can be directly After program-controlled cooling and cryopreservation, it can be directly used for clinical injection after resuscitation.
3. 本发明利用人间充质千细胞注射液来纠正溃疡性结肠炎患者体内的免 疫紊乱, 从病因上治疗疾病, 阻止自身免疫紊乱对肠道的继续破坏; 同时分泌 很多细胞生长因子及修复因子, 促进病变肠段溃疡的愈合, 从而达到从根本上 治疗潰疡性结肠炎的目的。 本发明可以逆转溃疡性结肠炎病程, 阻止并发症的 出现, 帮助患者摆脱腹痛腹泻对生活的影响以及药物带来的毒副作用, 彻底治 疗溃疡性结肠炎。  3. The present invention utilizes human mesenchymal cell injection to correct immune disorders in patients with ulcerative colitis, treats diseases from the etiology, prevents autoimmune disorders from continuing to destroy the intestinal tract, and secretes many cell growth factors and repair factors. It promotes the healing of ulcers in the affected segment of the intestine, thereby achieving the purpose of fundamentally treating ulcerative colitis. The invention can reverse the course of ulcerative colitis, prevent the occurrence of complications, help the patient to get rid of the influence of abdominal pain and diarrhea on life and the side effects caused by drugs, and thoroughly treat ulcerative colitis.
结合附图阅读本发明的具体实施方式后, 本发明的其他特点和优点将变得 更加清楚。 附图说明  Other features and advantages of the present invention will become apparent from the Detailed Description of the Drawing. DRAWINGS
图 1是本发明中所述人脐带间充质千细胞的显 竟照片。  BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a photograph showing the appearance of human umbilical cord mesenchymal cells in the present invention.
图 2 是本发明中大鼠结肠组织治疗后变化比较图。  Fig. 2 is a graph showing the comparison of changes in the colon tissue of rats in the present invention.
图 3是本发明中大鼠结肠组织治疗后病理变化比较图。  Fig. 3 is a graph showing the comparison of pathological changes after treatment of rat colon tissue in the present invention.
图 4是本发明中治疗后大鼠血清 TNF-α含量变化比较图。 具体实施方式  Fig. 4 is a graph showing changes in serum TNF-α levels in rats after treatment in the present invention. detailed description
下面结合附图和具体实施方式对本发明的技术方案作进一步详细的说明。 实施例 1  The technical solutions of the present invention are further described in detail below with reference to the accompanying drawings and specific embodiments. Example 1
一、 脐带间充质干细胞的制备  I. Preparation of umbilical cord mesenchymal stem cells
1.新鲜足月健康胎儿脐带,用 PBS緩冲液冲洗,所述 PBS緩冲液含 100 kU/ L青霉素及 100 mg/ L链霉素;  1. Fresh full-term healthy fetal umbilical cord, rinsed with PBS buffer containing 100 kU/L penicillin and 100 mg/L streptomycin;
2.剪取 5-10cm长脐带, 将脐带剪成 2cm长的小段, 用 PBS緩冲液反复冲 洗; 所述 PBS緩冲液含 100 kU/ L青霉素及 100 mg/ L链霉素;  2. Cut a 5-10 cm long umbilical cord, cut the umbilical cord into 2 cm long sections, and wash repeatedly with PBS buffer; the PBS buffer contains 100 kU/L penicillin and 100 mg/L streptomycin;
3.将脐带组织块剪碎成 2-5mm3小块; 加入 L-DMEM 培养基洗涤, 在 500-800g条件下离心 5分钟, 弃上清; 4.将组织块和培养基按体积比 2.5-3: 1比例加入培养基, 混匀组织块,接种 至细胞培养皿中, 置培养箱培养; 所述的培养基为含 l-10ng/ml碱性成纤维细 胞生长因子 (bFGF)及 MSC专用无血清培养基; 3. Cut the umbilical tissue block into 2-5 mm 3 small pieces; wash it in L-DMEM medium, centrifuge at 500-800 g for 5 minutes, discard the supernatant; 4. Add the tissue block and the medium to the medium at a volume ratio of 2.5-3:1, mix the tissue pieces, inoculate the cells into the culture dish, and incubate the culture medium; the medium is l-10ng/ml Basic fibroblast growth factor (bFGF) and serum-free medium for MSC;
5.每 3天换一次培养基, 至 8-9天细胞达 80%左右融合时传代; 传代培养 基为 MSC专用无血清培养基。  5. Change the medium every 3 days, and pass through the cells when the cells reach 80% confluence in 8-9 days; the subculture medium is the serum-free medium for MSC.
二、 胎盘间充质干细胞的制备  Second, the preparation of placental mesenchymal stem cells
1. 用含 100 kU/ L青霉素、 100 mg/ L链霉素和 50u/ml肝素钠的 PBS緩冲 液冲洗胎盘, 沿胎盘边缘将胎儿面羊膜慢慢剥离;  1. Rinse the placenta with PBS buffer containing 100 kU/L penicillin, 100 mg/L streptomycin and 50 u/ml heparin sodium, and slowly peel the fetal amniotic membrane along the edge of the placenta;
2.再次冲洗胎盘源羊膜, 将羊膜剪成 l-5mm3小块; 2. Rinse the placenta source amniotic membrane again, and cut the amniotic membrane into l-5mm 3 small pieces;
3.将羊膜组织块用含青霉素和链霉素的 DMEM培养基混勾, 在 700-950g 条件下离心 lOmin;  3. The amniotic tissue block is mixed with DMEM medium containing penicillin and streptomycin, and centrifuged at 700-950 g for 10 min;
4.弃上清, 每管加含体积比 0.25%胰蛋白酶的 DMEM培养基于 37°C消化 lOmin, 在 700-950g条件下离心 lOmin;  4. Discard the supernatant, each tube was mixed with 0.25% trypsin in DMEM medium and digested at 37 ° C for 10 min, centrifuged at 700-950 g for 10 min;
5.弃上清, 每管加完全培养基后, 在 2200rpm条件下离心 lOmin; 所述完 全培养基为含 100 kU/ L青霉素 +100 mg/ L链霉素的 MSC无血清培养基; 5. Discard the supernatant, add complete medium to each tube, and centrifuge at 2200 rpm for 10 min; the complete medium is MSC serum-free medium containing 100 kU/L penicillin + 100 mg/L streptomycin;
6.弃上清, 羊膜组织块接种于培养亚中, 加完全培养基, 在培养箱培养; 每 3天进行半量换液; 6. Discard the supernatant, inoculate the amniotic tissue block in the culture medium, add the complete medium, and culture in the incubator; perform half-time change every 3 days;
7.至 10-12天有细胞贴壁生长, 细胞克隆形成后, 弃掉组织块, 加完全培 养基进行培养;  7. After 10-12 days, there is cell adherent growth. After the cell clone is formed, the tissue block is discarded, and the whole culture medium is added for cultivation;
8.至 15-17天细胞克隆融合至 80-90%, 进行细胞传代。  8. To 15-17 days, the cell clone was fused to 80-90% for cell passage.
三、 间充质干细胞注射液的制备  3. Preparation of mesenchymal stem cell injection
该注射液是由以下成分按比例配制而成:  The injection is prepared in proportion to the following ingredients:
1、 来源于人脐带和 /或胎盘间充质干细胞, 每毫升注射液中间充质干细胞 的数量为 2x l05-l x l07个; 1, derived from human umbilical cord and / or placental mesenchymal stem cells, the number of mesenchymal stem cells per ml of injection is 2x l0 5 - lx l0 7 ;
2、 体积比为 5-10%的 DMSO (临床级);  2, volume ratio of 5-10% DMSO (clinical grade);
3、 质量体积比为 1-6%的人血白蛋白; 4、 质量体积比为 1%低分子右旋糖酐 3. Human albumin with a mass to volume ratio of 1-6%; 4, mass to volume ratio of 1% low molecular dextran
5、 余量为勃脉力 (复方电解质溶液)。  5. The balance is the pulse force (combined electrolyte solution).
临床级 DMSO对细胞无毒, 可以更好地起到保护细胞的作用, 在细胞复 苏后无需漂洗, 可直接用于临床注射, 对患者安全无毒。  Clinical grade DMSO is non-toxic to cells and can better protect cells. It does not need to be rinsed after cell rejuvenation. It can be directly used for clinical injection and is safe and safe for patients.
人血白蛋白为临床常用注射液,可为细胞提供营养,利于细胞的新陈代谢。 Human serum albumin is a commonly used clinical injection, which can provide nutrition for cells and facilitate cell metabolism.
1%低分子右旋糖酐的添加保证细胞在保存过程中维持良好的细胞分散状 态, 减少了细胞间的黏附成团及细胞黏附容器壁的现象, 降低了临床细胞输注 时可能发生的血管内细胞成团栓塞的危险, 同时也降低了细胞聚集而被输液滤 器过滤导致的细胞损失。 The addition of 1% low molecular weight dextran ensures that the cells maintain a good cell dispersion state during storage, which reduces the adhesion between cells and the cell adhesion to the container wall, and reduces the intravascular cell formation that may occur during clinical cell infusion. The risk of embolization of the mass also reduces the cell loss caused by cell aggregation and filtration by the infusion filter.
勃脉力(复方电解质溶液), 可以保持细胞的渗透压, 利于细胞的存活。 该 注射液组份为临床常用电解质溶液, 可方便临床输注。  Bourgeois (complex electrolyte solution) can maintain the osmotic pressure of cells and facilitate cell survival. The injection component is a clinically used electrolyte solution, which is convenient for clinical infusion.
该注射液可在 -196 °C温度中稳定保存。 使用时解冻复苏后可直接输注到患 者体内, 细胞保持为单细胞悬液状态, 细胞活力保持在 85%以上, 且不会引起 患者不适反应。  The injection can be stored stably at -196 °C. When thawed and resuscitated, it can be directly infused into the patient. The cells remain in a single cell suspension state, and the cell viability remains above 85% without causing uncomfortable reactions.
这种注射液非常利于间充质干细胞的保存、运输及存活,且临床输注安全, 细胞可在此注射液中长时间保持较高的活力, 便于运输而不受使用时间的苛刻 限制, 解决了异地患者使用时细胞长时间运输影响细胞活力的问题。  This kind of injection is very beneficial to the preservation, transportation and survival of mesenchymal stem cells, and the clinical infusion is safe. The cells can maintain high vitality in this injection for a long time, and it is easy to transport without being restricted by the time of use. The problem of long-term cell transport affecting cell viability when used by patients in different places.
间充质干细胞注射液的具体配制过程为: 如配制 100ml干细胞注射液, 该 注射液由人间充质干细胞、 临床级 DMSO 5ml、 人血白蛋白原液(原液质量体 积比浓度为 20% ) 10mL 低分子右旋糖酐 1ml (原液浓度 100% ) 及勃脉力(复 方电解质溶液 )84ml組成。 本发明所述质量体积比均代表质量 (g)与体积 (ml)的 比例。每毫升注射液中间充质千细胞的数量为 2χ 105-1 χ 107。 间充质干细胞注射 液在 - 196°C环境温度中,仍可保持单细胞悬液状态,复苏后细胞活力保持在 85% 以上, 可直接用于临床注射。 The specific preparation process of mesenchymal stem cell injection is as follows: For example, 100 ml of stem cell injection is prepared, which is prepared by human mesenchymal stem cells, clinical grade DMSO 5 ml, human albumin stock solution (stock solution mass concentration ratio of 20%) 10 mL low. Molecular dextran 1ml (base solution concentration 100%) and Bobme force (combined electrolyte solution) 84ml. The mass to volume ratios of the present invention all represent the ratio of mass (g) to volume (ml). The number of mesenchymal cells per ml of injection is 2χ 10 5 -1 χ 10 7 . Mesenchymal stem cell injection can maintain a single cell suspension at -196 ° C ambient temperature, and the cell viability remains above 85% after resuscitation, which can be directly used for clinical injection.
四、 间充质干细胞注射液对溃疡性结肠炎大鼠治疗的安全性和有效性实验 健康清洁级 SD大鼠 45只, 6-8周龄, 随机分为 3组, 每组 15只。 采用免 疫复合法制备溃疡性结肠炎模型。 A、 B两组大鼠均于实验 1天、 14天在其腹 股沟、 足趾处注射乳化液 0.4ml。 免疫后禁食(不禁水) 24h, 3%水合氯醛腹腔 注射麻醉, 经肛门推入 0.6ml液体 ( lOOmg/kgTNBS十 50%乙醇)。 造模 24h后 A 组大鼠经尾静脉注入 lml人间充质干细胞注射液(含 5x l06细胞, 电镜照片如 图 1所示;), B组大鼠经尾静脉注射 lml PBSo C组为正常 SD大鼠。 Safety and effectiveness of mesenchymal stem cell injection in rats with ulcerative colitis 45 healthy SD rats, 6-8 weeks old, were randomly divided into 3 groups, 15 in each group. Adoption A model of ulcerative colitis was prepared by the complication method. Rats in groups A and B were injected with 0.4 ml of emulsion in the groin and toe at 1 and 14 days after the experiment. Fasting after immunization (not allowed to drink water) 24h, 3% chloral hydrate was intraperitoneally injected into the anesthesia, and 0.6ml liquid (100 mg/kg TNBS ten 50% ethanol) was pushed through the anus. After modeling for 24 hours, rats in group A were injected with lml human mesenchymal stem cell injection (containing 5×10 6 cells, electron micrograph shown in Figure 1). Group B rats were injected with 1 ml PBSo C group via tail vein. SD rat.
实验开始后每天定时观察大鼠活动及体征。 3组均于间充质干细胞治疗后 3天、 7天、 14天麻醉处死 5只大鼠, 剖取结肠, 观察结肠损伤, 并在显微镜 下观察结肠病理变化。  Rats were observed daily for signs and symptoms after the start of the experiment. Five rats were anesthetized on the 3rd, 7th, and 14th day after treatment with mesenchymal stem cells. The colon was dissected and the colonic injury was observed. The pathological changes of the colon were observed under a microscope.
结果: 整个实验过程未见大鼠出现急性休克或死亡。  Results: There was no acute shock or death in the rats throughout the experiment.
1. 大鼠生活状态观察:造模后 1天, A、 B组大鼠即开始出现厌食、懒动、 大便次数增多、 軟便或稀便等。 3天后症状达高峰, 之后症状开始緩解, A組 緩解速度快于 B组, 实验结束时 A组已无腹泻, 活动正常。 C组未见任何异常 症状。  1. Observation of living conditions of rats: One day after model establishment, rats in group A and group B began to develop anorexia, laziness, increased stool frequency, soft stool or loose stool. After 3 days, the symptoms reached a peak, and then the symptoms began to relieve. The remission rate of group A was faster than that of group B. At the end of the experiment, group A had no diarrhea and the activity was normal. There were no abnormal symptoms in group C.
2. 結肠组织变化: 治疗后 3天, A、 B组均见結肠肠壁明显增厚、 充血水 肿、 部分区域可见范围较大的溃疡; 治疗后 7天, A组充血水肿稍減轻, 溃疡 范围亦减少, B组病变无明显改观;治疗后 14天, A组结肠仅见轻度充血水肿, 未见溃疡, B组病变略有減轻, 实验结杲如图 2所示, 左图为: A组大鼠间充 质干细胞治疗后 3天结肠组织, 结肠肠壁明显增厚、 充血水肿、 部分区域可见 范围较大的溃疡; 中图为: A組大鼠间充质干细胞治疗后 14天结肠组织, 病变 明显减轻, 溃疡愈合; 右图为: B组大鼠治疗后 14天结肠组织, 仍有明显充血 水肿及肉眼可见的溃疡。  2. Colon tissue changes: 3 days after treatment, both groups A and B showed thickening of the colonic wall, congestion and edema, and ulcers in a large area in some areas; 7 days after treatment, group A was slightly relieved of congestion and edema The range of ulcers was also reduced. There was no significant change in the lesions in group B. At 14 days after treatment, only mild hyperemia and edema were seen in group A, no ulcers were seen, and lesions in group B were slightly relieved. The experimental findings are shown in Figure 2, left. For: group A rat mesenchymal stem cells 3 days after treatment, colon tissue, colonic intestinal wall thickening, congestion and edema, partial ulcers in a large area; the middle picture is: group A rat mesenchymal stem cells after treatment In the 14-day colon tissue, the lesions were significantly relieved and the ulcers healed. The right picture shows: The colon tissue of the rats in group B was treated 14 days after treatment, and there were still obvious hyperemia and edema and macroscopic ulcers.
3. 结肠组织病理变化: 细胞治疗后 3天, A组结肠病理切片 HE染色显 镜下见较大范围的上皮缺损, 粘膜及粘膜下层有炎症细胞浸润, B组病理改变 类似于 A組; 治疗后 7天, A組上皮缺损范围有所减少, 粘膜及粘膜下层见大 量炎症细胞浸润, B组病变无明显改观; 至 14天, A组粘膜结构基本完整, 仅 有少量炎症细胞浸润, 实验结果如图 3所示, 左图为: A组大鼠间充质干细胞 治疗后 3天结肠组织病理, 镜下可见较大范围的上皮缺损, 粘膜及粘膜下层有 炎症细胞浸润; 中图为: A组大鼠间充质干细胞治疗后 14天结肠组织病理, 镜 下可见粘膜结构基本完整, 仅有少量炎症细胞浸润; 右图为: B组大鼠治疗后 14天结肠组织病理,镜下仍有大范围的上皮缺损, 粘膜及粘膜下层有炎症细胞 浸润。 3. Colonic pathological changes: 3 days after cell treatment, a group of colonic pathological sections showed a wide range of epithelial defects under HE staining, inflammatory cell infiltration in mucosa and submucosa, and pathological changes in group B were similar to group A; In the last 7 days, the extent of epithelial defects in group A was reduced, and a large number of inflammatory cells infiltrated in the mucosa and submucosa. The lesions in group B did not change significantly. By 14 days, the mucosal structure of group A was almost intact, and only a small amount of inflammatory cells infiltrated. As shown in Figure 3, the left picture is: Group A rat mesenchymal stem cells Colon tissue pathology 3 days after treatment, a large range of epithelial defects were observed under the microscope, and inflammatory cells infiltrated in the mucosa and submucosa; the middle picture is: colonic histopathology of group A rat mesenchymal stem cells 14 days after treatment, visible under the microscope The mucosal structure is basically intact, only a small amount of inflammatory cells infiltrate; the right picture shows: Colon tissue pathology of group B rats 14 days after treatment, there is still a wide range of epithelial defects under the microscope, inflammatory cell infiltration in the mucosa and submucosa.
4. 大鼠体内免疫指标变化: 细胞治疗后 3天, A组大鼠血清 TNF-α含量 较对照组明显升高, B组改变类似于 A组; 治疗后 7天, A組大鼠血清 TNF-a 含量有所减少, B组病变无明显改观; 至 14天, A组大鼠血清 TNF-a含量较 B 組明显减少, 实验结果如图 4所示, 治疗后 14天, A组大鼠血清 TNF-a含量 较 B组明显減少 (P<0.05 )。  4. Changes of immune index in rats: 3 days after cell treatment, serum TNF-α levels in group A were significantly higher than those in control group. Group B changes were similar to group A; 7 days after treatment, serum TNF in group A rats The content of -a decreased, and the lesions of group B did not change significantly. By 14 days, the serum TNF-a content of group A was significantly lower than that of group B. The experimental results are shown in Figure 4. 14 days after treatment, group A rats Serum TNF-a levels were significantly lower than those in group B (P<0.05).
结论: 人间充质干细胞注射液治疗溃疡性结肠炎大鼠安全可行, 经间充质 干细胞治疗后患病大鼠的生活状态、 症状及体征、 结肠病理及免疫紊乱状态均 有明显好转, 治疗明显有效。  Conclusion: Human mesenchymal stem cell injection is safe and feasible in the treatment of ulcerative colitis rats. After treatment with mesenchymal stem cells, the living conditions, symptoms and signs, colon pathology and immune disorder of the rats are obviously improved. effective.
实施例 2  Example 2
如配制 100ml干细胞注射液, 该注射液由人间充质干细胞、 临床级 DMSO 10ml、 人血白蛋白原液(原液浓度为 20% ) 10ml、 低分子右旋糖酐 lml及勃脉 力 (复方电解质溶液) 79ml 组成。 每毫升注射液中间充质干细胞的数量为 2 X 105- 1 X 107。 间充质干细胞注射液在 - 196 °C环境温度中, 仍可保持单细胞悬液 状态, 复苏后细胞活力保持在 85%以上, 可直接用于临床注射。 实施例 3 脐带间充质干细胞的培养及检测 采用实施例 1 制备的脐带间充质干细胞进行扩增。 细胞培养扩增按照 1.0-1.2 X lOVcm2的密度接种, 加入完全无血清培养基, 细胞融合度达 80-90% 后, 用 0.05%胰蛋白酶(不含 EDTA )室温消化收集细胞。 细胞不可过度融合, 否则不但会发生生长接触抑制, 也可促使干细胞自发分化, 严重影响传代后细 胞生长状态。 脐带间充质干细胞的免疫表型测定: 分别收集 1 X 106 P1、 P6细胞数,加入小鼠抗人 PE-IgGl、 FITC-IgGl同型 对照, 加入 PE、 FITC标记小鼠抗人流式抗体, 检测 CD 34、 CD 45 (造血细胞 标志), CD3 1 (内皮细胞特异性抗原标志), CD14 (单核巨噬细胞表面标志), CD 90、 CD 44、 CD 105 (间充质抗原标志)、 HLA-DR (移植免疫排斥相关抗原) 等免疫表型。 细胞培养结果及检测: 显微镜下细胞贴壁生长, 形态均应呈梭形、 折光度高, 细胞分布均匀排列 整齐, 呈漩涡状, 原代细胞收获数> 1 107; 细胞活率(台盼兰染色): 冻存前 细胞活率 90% , 冻存后细胞活率 85%; 连续传至 6代细胞形态稳定, 呈 梭形、 分布均匀、 排列整齐; 连续传至 6代细胞增殖速度稳定; 表型均符合 MSC鉴定标准( CD73 、 CD 105 、 CD44或 CD90呈阳性,阳性率不低于 95%; CD3 1、 CD34、 CD45、 HLA-DR呈阴性, 阳性率不应高于 2%。); 细胞周期检 测: 70-80%细胞处于细胞周期 G0G1期; P l、 P6细胞均具有多向分化能力; 染 色体核型分析无异常; 连续 5-6代的扩增细胞总数可达到 101G〜10U。 部分流式 检测结果见图 5。 其中, 原代平均培养天数为 13天, 收获细胞总数可达 1.6 X 107 , 连续传 6 代后细胞生长状态良好, 呈均一小梭形, 漩涡状排列整齐, 原代细胞参见图 6 (第 9和 13天的照片), 第 6代细胞参见图 7 (第 1和 4天的照片)。 实施例 4 利用实施例 2的干细胞注射液,对患有溃疡性结肠炎患者进行干细胞治疗。 治疗方式: 静脉注射间充质干细胞 50ml,含细胞数量 3 X 107, 1周后经肠系膜 动脉介入注射间充质干细胞 10ml , 含细胞数量 1.5 χ 107。 病例 1 : 患者 A, 女, 36岁,粘液血便 4年余, 大便日 2-3次, 质软, 不 成形。 伴全身乏力, 左下腹阵发性疼痛, 便后腹痛减轻。 肠镜: (直肠、 乙状结肠)粘膜弥漫性充血, 部分浅表糜烂, 散在点片状 溃疡。 病理: (直肠、 乙状结肠)粘膜重度慢性活动性炎伴浅溃疡及隐窝脓肿形 成。 参见图 8。 治疗后 3个月, 大便偶有少量粘液, 无大便带血, 无腹痛、 腹胀等腹部不 适, 大便日 1-2次, 庸软, 成形。 患者为巩固疗效, 于治疗后 14周再次行干细 胞植入术, 治疗后症状基本消失, 复查肠镜所见大致正常。 参见图 9。 病例 2: 患者王某某, 男, 50岁, 粘液脓血便 3年余, 伴有腹痛、 腹胀, 入院时患者大便日 5-6次, 带脓血, 脓量多。 肠镜: (直肠)粘膜弥漫性充血水 肿, 浅表糜烂, 表面渗出, 并见散在浅溃疡形成。 病理: 直肠粘膜呈中一重度 慢性活动性炎伴溃疡、 隐窝脓肿形成 。 参见图 10。 治疗两个月后,患者症状基本消失,大便无脓血,腹痛、腹胀等腹部不适, 大便日 1-2次, 质软, 成形。 肠镜: 直肠粘膜轻度弥漫性充血。 病理: 直肠粘 膜轻度慢性炎。 参见图 11. 治疗 6个月后, 临床症状消失, 大便无脓血, 无腹痛、 腹胀等腹部不适, 大便日 1-2次, 质软, 成形。 For example, 100ml stem cell injection is prepared, which consists of human mesenchymal stem cells, clinical grade DMSO 10ml, human serum albumin stock solution (20% stock solution) 10ml, low molecular weight dextran 1ml and Bomagin (complex electrolyte solution) 79ml. . The number of mesenchymal stem cells per ml of injection is 2 X 10 5 - 1 X 10 7 . Mesenchymal stem cell injection can maintain a single cell suspension at -196 °C ambient temperature, and the cell viability remains above 85% after resuscitation, which can be directly used for clinical injection. Example 3 Culture and detection of umbilical cord mesenchymal stem cells The umbilical cord mesenchymal stem cells prepared in Example 1 were used for amplification. Cell culture amplification was inoculated at a density of 1.0-1.2 X lOVcm 2 , and completely serum-free medium was added. After the cell fusion degree was 80-90%, the cells were collected by room temperature digestion with 0.05% trypsin (without EDTA). The cells should not be over-fused, otherwise growth inhibition will not only occur, but also stem cells will spontaneously differentiate, which will seriously affect the cell growth state after passage. Immunophenotypic determination of umbilical cord mesenchymal stem cells: 1 X 10 6 P1, P6 cell numbers were collected, mouse anti-human PE-IgG1, FITC-IgGl isotype control were added, and PE, FITC-labeled mouse anti-human antibody was added. Detection of CD 34, CD 45 (hematopoietic cell marker), CD3 1 (endothelial cell-specific antigenic marker), CD14 (mononuclear macrophage surface marker), CD 90, CD 44, CD 105 (mesenchymal antigen marker), Immunophenotypes such as HLA-DR (transplantation immune rejection related antigen). Cell culture results and detection: Under the microscope, the cells adhered to the wall, and the morphology should be fusiform, with high refractive index. The cells are evenly arranged and arranged in a swirling shape. The number of primary cells harvested is > 1 10 7 ; cell viability (Taiwan Blue staining): The cell viability rate is 90% before cryopreservation and 85% after cryopreservation. The cells are continuously transferred to the 6th generation. The cells are stable in shape, fusiform, evenly distributed, and arranged neatly. The cell proliferation rate is stable after continuous transmission to the 6th generation. The phenotypes are consistent with the MSC identification criteria (CD73, CD 105, CD44 or CD90 positive, the positive rate is not less than 95%; CD3 1, CD34, CD45, HLA-DR is negative, the positive rate should not be higher than 2%. Cell cycle detection: 70-80% of cells are in the G0G1 phase of the cell cycle; P l and P6 cells have multi-directional differentiation ability; karyotype analysis is normal; the total number of expanded cells in 5-6 generations can reach 10 1G ~10 U. The partial flow test results are shown in Figure 5. Among them, the average number of primary culture days is 13 days, and the total number of harvested cells can reach 1.6 X 10 7 . After 6 consecutive generations, the cells grow well, showing a uniform small spindle shape, and the swirling arrangement is neat. The primary cells are shown in Figure 6 (p. Photographs of 9 and 13 days), cells of the 6th generation are shown in Figure 7 (photos on days 1 and 4). Example 4 Stem cell therapy was performed on a patient suffering from ulcerative colitis using the stem cell injection of Example 2. Treatment: Intravenous injection of mesenchymal stem cells 50ml, containing 3 X 10 7 cells, 1 week after the intervention of mesenteric artery injection of mesenchymal stem cells 10ml, the number of cells containing 1.5 χ 10 7 . Case 1: Patient A, female, 36 years old, mucus bloody stool for more than 4 years, stool 2-3 times, soft, not formed. With general malaise, paroxysmal pain in the left lower abdomen, and reduced abdominal pain after the stool. Colonoscopy: (rectal, sigmoid colon) diffuse hyperemia, partial superficial erosion, scattered in patchy ulcers. Pathology: (rectal, sigmoid colon) mucosal severe chronic active inflammation with shallow ulcers and crypt abscess formation. See Figure 8. 3 months after treatment, there is a small amount of mucus in the stool, no stool with blood, no abdominal pain, abdominal distension and other abdominal discomfort, stool 1-2 times a day, soft, forming. In order to consolidate the curative effect, the patient performed stem cell implantation again 14 weeks after treatment. After treatment, the symptoms basically disappeared, and the colonoscopy was almost normal. See Figure 9. Case 2: Patient Wang Moumou, male, 50 years old, mucus pus and bloody stool for more than 3 years, accompanied by abdominal pain and abdominal distension. The patient had 5-6 times of stool on admission, with pus and blood, and more pus. Colonoscopy: (rectal) diffuse congestive edema, superficial erosion, surface exudation, and scattered in the formation of shallow ulcers. Pathology: The rectal mucosa is characterized by moderate to severe chronic active inflammation with ulcers and crypt abscess formation. See Figure 10. After two months of treatment, the patient's symptoms basically disappeared, there was no pus in the stool, abdominal pain, abdominal distension and other abdominal discomfort. The stool was 1-2 times a day, soft and shaped. Colonoscopy: Mild diffuse hyperemia of the rectal mucosa. Pathology: mild chronic inflammation of the rectal mucosa. See Figure 11. After 6 months of treatment, the clinical symptoms disappeared, there was no pus in the stool, abdominal discomfort such as abdominal pain and bloating, and stools were taken 1-2 times, soft and shaped.
以上实施例仅用以说明本发明的技术方案, 而非对其进行限制; 尽管参照 前述实施例对本发明进行了详细的说明, 对于本领域的普通技术人员来说, 依 然可以对前述实施例所记载的技术方案进行修改, 或者对其中部分技术特征进 行等同替换; 而这些修改或替换, 并不使相应技术方案的本质脱离本发明所要 求保护的技术方案的精神和范围。  The above embodiments are only used to illustrate the technical solutions of the present invention, and are not intended to be limiting; although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art can still The technical solutions described herein are modified or equivalently replaced with some of the technical features; and such modifications or substitutions do not depart from the spirit and scope of the technical solutions claimed in the present invention.

Claims

权利要求 Rights request
1、 一种间充质千细胞注射液, 其特征在于它包括以下組分: 1. A mesenchymal cell injection, characterized in that it includes the following components:
含量为 2χ 105-1 χ 107个 /ml的间充质干细胞; Mesenchymal stem cells with a content of 2χ 10 5 -1 χ 10 7 cells/ml;
体积比为 5-10%的临床级 DMSO; 5-10% clinical grade DMSO by volume;
质量体积比为 1—6%的人血白蛋白; Human albumin with a mass-to-volume ratio of 1-6%;
质量体积比为 1%的低分子右旋糖酐; Low molecular weight dextran with a mass/volume ratio of 1%;
余量为复方电解质溶液。 The remainder is compound electrolyte solution.
2、根据权利要求 1所述的间充质干细胞注射液, 其特征在于: 所述间充质 干细胞来源于人脐带和 /或胎盘。 2. The mesenchymal stem cell injection according to claim 1, characterized in that: the mesenchymal stem cells are derived from human umbilical cord and/or placenta.
3、根据权利要求 1所述的间充质干细胞注射液, 其特征在于: 所述间充廣 干细胞活力保持在 85%以上。 3. The mesenchymal stem cell injection according to claim 1, characterized in that: the viability of the mesenchymal stem cells is maintained at more than 85%.
4、根据权利要求 1所述的间充质干细胞注射液的制备方法,其特征在于配 制体积比为 5-10%的 DMSO、质量体积比为 1-6%的人血白蛋白、质量体积比为 1 %低分子右旋糖酐和复方电解质溶液,将间充质干细胞重悬于上述溶液中制成 单细胞悬液, 使干细胞数量为 2 X 105- 1 X 107个 /ml。 4. The preparation method of mesenchymal stem cell injection according to claim 1, characterized in that the preparation volume ratio is DMSO of 5-10%, the mass-volume ratio of human serum albumin is 1-6%, and the mass-volume ratio is 1-6%. It is a 1% low molecular weight dextran and compound electrolyte solution, and the mesenchymal stem cells are resuspended in the above solution to make a single cell suspension, so that the number of stem cells is 2 × 10 5 - 1 × 10 7 /ml.
5、根据权利要求 4所述的间充质干细胞注射液的制备方法,其特征在于所 述脐带间充质干细胞的制备包括以下步骤: 5. The preparation method of mesenchymal stem cell injection according to claim 4, characterized in that the preparation of umbilical cord mesenchymal stem cells includes the following steps:
(1) .取新鲜足月健康胎儿脐带,用含 100 kU/ L青霉素及 100 mg/ L链霉素 的 PBS緩冲液冲洗; (1). Take fresh full-term healthy fetal umbilical cord and wash it with PBS buffer containing 100 kU/L penicillin and 100 mg/L streptomycin;
(2) .剪取 5- 10cm长脐带, 将脐带剪成 2cm长的小段, 用所述 PBS緩冲液 反复冲洗; (2). Cut the 5-10cm long umbilical cord, cut the umbilical cord into 2cm long segments, and rinse repeatedly with the PBS buffer;
(3) .将脐带组织块剪碎成 2-5mm3小块; 加入 L-DMEM培养基洗涤, 在 500-800g条件下离心 5分钟, 弃上清; (3). Cut the umbilical cord tissue pieces into small pieces of 2-5 mm; add L-DMEM culture medium for washing, centrifuge at 500-800g for 5 minutes, and discard the supernatant;
(4) .将组织块和培养基按体积比 2.5-3: 1比例加入培养基, 混匀组织块, 接 种至细胞培养 中培养, 所述的培养基为含 l-10ng/ml碱性成纤维细胞生长因 子的 MSC专用无血清培养基; (4). Add the tissue block and culture medium to the medium at a volume ratio of 2.5-3:1, mix the tissue block, and inoculate it into cell culture for culture. The medium contains 1-10ng/ml alkaline ingredients. fibroblast growth factor Serum-free medium specifically for MSC;
(5).每 3天换一次培养基, 至 8-9天细胞达 80%左右融合时传代, 传代培 养基为 MSC专用无血清培养基。 (5). Change the medium every 3 days until the cells reach about 80% confluence on 8-9 days. The subculture medium is MSC-specific serum-free medium.
6、 根据权利要求 4所述的间充质干细胞注射液的制备方法, 其特征在于 所述胎盘间充质干细胞的制备包括以下步骤: 6. The method for preparing mesenchymal stem cell injection according to claim 4, characterized in that the preparation of placental mesenchymal stem cells includes the following steps:
(1) . 用含 100 kU/ L青霉素、 100 mg/ L链霉素和 50u/ml肝素钠的 PBS緩 沖液冲洗胎盘, 沿胎盘边缘将胎儿面羊膜慢慢剥离; (1). Rinse the placenta with PBS buffer containing 100 kU/L penicillin, 100 mg/L streptomycin and 50u/ml heparin sodium, and slowly peel off the amniotic membrane on the fetal face along the edge of the placenta;
(2) .再次冲洗胎盘源羊膜, 将羊膜剪成 l-5mm3小块; (2). Rinse the placenta-derived amniotic membrane again and cut the amniotic membrane into 1-5mm pieces;
(3) .将羊膜组织块用含青霉素和链霉素的 DMEM培养基混勾,在 700-950g 条件下离心 lOmin; (3). Mix the amniotic tissue pieces with DMEM culture medium containing penicillin and streptomycin, and centrifuge at 700-950g for 10 minutes;
(4) .弃上清,每管加含体积比 0.25%胰蛋白酶的 DMEM培养基于 37°C消化 lOmin, 在 700-950g条件下离心 lOmin; (4). Discard the supernatant, add DMEM containing 0.25% trypsin by volume to each tube, digest for 10 minutes at 37°C, and centrifuge at 700-950g for 10 minutes;
(5) .弃上清, 每管加完全培养基后, 在 OOrpm条件下离心 lOmin; 所述 完全培养基为含 100 kU/ L青霉素 +100 mg/ L链霉素的 MSC无血清培养基; (5). Discard the supernatant, add complete culture medium to each tube, and centrifuge for 10 minutes under 00rpm conditions; the complete culture medium is MSC serum-free culture medium containing 100 kU/L penicillin + 100 mg/L streptomycin;
(6) .弃上清,羊膜组织块接种于培养皿中,加完全培养基,在培养箱培养; 每 3天进行半量换液; (6). Discard the supernatant, inoculate the amniotic tissue pieces in a petri dish, add complete culture medium, and culture in an incubator; change half of the medium every 3 days;
(7) .至 10-12 天有细胞贴壁生长, 细胞克隆形成后, 弃掉组织块, 加完全 培养基进行培养; (7). After 10-12 days, cells will grow adherently and cell clones are formed. Discard the tissue block and add complete culture medium for culture;
(8) .至 15-17天细胞克隆融合至 80-90%, 进行细胞传代。 (8). On days 15-17, cell clone confluence reaches 80-90%, and cells are passaged.
7、根据权利要求 1所述的间充质干细胞注射液在制备治疗溃疡性结肠炎药 物中的应用。 7. Application of the mesenchymal stem cell injection according to claim 1 in the preparation of drugs for the treatment of ulcerative colitis.
8、根据权利要求 7所述的间充质干细胞注射液在制备治疗溃疡性结肠炎药 物中的应用, 其特征在于: 所述间充质干细胞注射液的用量为含有 1 χ106-1 χ108 个 /ml的间充质干细胞。 8. The application of the mesenchymal stem cell injection according to claim 7 in the preparation of drugs for the treatment of ulcerative colitis, characterized in that: the dosage of the mesenchymal stem cell injection contains 1 χ10 6 -1 χ10 8 mesenchymal stem cells/ml.
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