WO2014075593A9 - 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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WO2014075593A9
WO2014075593A9 PCT/CN2013/086838 CN2013086838W WO2014075593A9 WO 2014075593 A9 WO2014075593 A9 WO 2014075593A9 CN 2013086838 W CN2013086838 W CN 2013086838W WO 2014075593 A9 WO2014075593 A9 WO 2014075593A9
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mesenchymal stem
medium
stem cell
cell injection
stem cells
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WO2014075593A1 (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

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

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 技术领域 Mesenchymal stem cell injection and 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 and 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. Developed countries and cities are more than rural areas. The cause of the disease is still unclear. It is currently considered to be an immune disorder, and the combination of genetic and environmental factors leads to disease. Studies have found that ulcerative colitis is prone to occur in certain families, and 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, 患者的肠道粘膜损伤严重, 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 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 patient's intestinal mucosa is seriously damaged. Only patients who have undergone fundamental repair can recover. Traditionally, surgery and medicine alleviate only the surface inflammatory reaction, and the symptoms are not cured. Therefore, the treatment effect is not satisfactory, and the condition will still recur, and the patient and family members cannot be satisfied.
间充质干细胞(MSCs )是干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具有低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、 软骨、 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 更正页 (细则第 91条) ISA/CN 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 stem 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 low immunogenicity and unique immunoregulatory effects, which can regulate excessive or weak immune response in vivo 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 successively subculture and cryopreservation correction pages ( Rule 91) ISA/CN Still have multi-directional differentiation potential. Placenta and umbilical cord-derived MSCs have the characteristics of large differentiation potential, strong proliferative ability, low immunogenicity, convenient materials, no moral and ethical problems, and easy industrial preparation, making it possible to regulate tissue repair and immune disorders. And pluripotent stem cells with the most clinical application prospects for metabolic disease cell therapy.
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 柳氮磺跳啶等药物副作用很大。 随着病程的进展, 溃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 very large. 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简便的治疗方 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, 治疗潰 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 fact that the incidence of ulcerative colitis is increasing year by year and there is no specific and simple treatment method, the present invention intends to fundamentally solve the dilemma 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 氮磺砒啶及激素、 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, 不能有效纠正患 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 更正页 (细则第 91条) ISA/CN 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 surgery is required 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 correct (Article 91) ISA/CN More and 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 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, 本发明釆用下述技术方案予以实现:  In order to achieve the above object, the present invention is achieved by the following technical solutions:
一种间充质干细胞注射液, 它包括以下组分:  A mesenchymal stem cell injection comprising the following components:
含量为 2x l05-l xl07/ml的间充质干细胞; Mesenchymal stem cells with a content of 2x l0 5 -l xl0 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。  Further improvements to the above technical solution: The mesenchymal stem cells are derived from a human umbilical cord and/or a placenta.
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。  A further improvement of the above technical solution: the mesenchymal stem cell activity is maintained above 85%.
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。  The present invention also provides a method for preparing the mesenchymal stem cell injection, which comprises preparing a umbilical cord mesenchymal stem cell and preparing a placental mesenchymal stem cell.
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 更正页 (细则第 91条) ISA/CN 1 x 106- 1 x 108个 /ml间充质干细胞。 Further improvement to the above technical solution: the amount of the mesenchymal stem cell injection is corrected (page 91) ISA/CN 1 x 10 6 - 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 a mesenchymal stem cell injection using mesenchymal stem cells derived from a human umbilical cord and a placenta. 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质干细胞、 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 mesenchymal stem cell injection component consists of human mesenchymal stem cells, clinical grade DMSO, human serum albumin, low molecular weight dextran, and boehm force (combined electrolyte solution). The injection can be directly frozen by program-controlled cooling, and can be directly used for clinical injection after resuscitation.
3. 本发明利用人间充质干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 达到从根本上治疗溃疡性结肠炎的目的。 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 stem 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. Promote the healing of the ulcer of the diseased intestine, so as to achieve 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 impact of abdominal pain and diarrhea on life and the side effects of 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干细胞的显微镜照片 - 图 2 是本发明中大鼠结肠组织治疗后变化比较图。  BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a micrograph of human umbilical cord mesenchymal stem cells in the present invention - Fig. 2 is a comparison diagram of changes in rat colon tissue after treatment 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。  Fig. 4 is a graph showing changes in serum TNF-α levels in rats after treatment in the present invention.
图 5 是本发明中细胞的部分流式检测结果。  Figure 5 is a partial flow test result of cells in the present invention.
图 6是本发明中原代细胞第 9和 13天的照片。  Fig. 6 is a photograph of Days 9 and 13 of the primary cells of the present invention.
图 7 是本发明中第 6代细胞第 1和 4天的照片。  Figure 7 is a photograph of Days 1 and 4 of the 6th generation cells of the present invention.
图 8是本发明中病例 1患者肠镜。 更正页 (细则第 91条) ISA/CN 图 9是本发明中病例 1患者治疗后 3个月复查肠镜。 Figure 8 is a colonoscopy of a case 1 patient in the present invention. Correction page (Article 91) ISA/CN Fig. 9 is a view showing the colonoscopy of the case 1 patient in the present invention 3 months after the treatment.
图 10 是本发明中病例 2患者肠镜。  Figure 10 is a colonoscopy of a case 2 patient in the present invention.
图 11 是本发明中病例 2患者治疗两个月后的肠镜。 具体实施方式  Figure 11 is a colonoscopy of a patient in Case 2 of the present invention after two months of treatment. 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。  The technical solutions of the present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
实施例 1  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緩冲液沖洗,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緩沖液反复 沖洗; 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 rinse 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; 3. Cut the umbilical tissue block into 2-5 mm 3 small pieces; add to L-DMEM medium, centrifuge at 500-800 g for 5 minutes, 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, 混勾组织块, 接种至细胞培养 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;  4. The tissue block and the culture medium are added to the medium at a ratio of 2.5-3:1 by volume, and the tissue block is mixed, inoculated into the cell culture, and cultured in an incubator; the medium is 1.-10 ng/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 缓冲液沖洗胎盘, 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.再次沖洗胎盘源羊膜, 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; 更正页 (细则第 91条) ISA/CN 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 10min, 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; Correction page (Rule 91) ISA/CN 4. Discard the supernatant, each tube was digested with DMEM medium containing 0.25% trypsin for 10 min at 37 ° C, and 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 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, add the complete medium, and incubate in the incubator; half a change of liquid 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 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、 间充质千细胞注射液的制备  3. Preparation of mesenchymal thousand 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 2χ 105-1 χ 107个; 1. From human umbilical cord and/or placenta mesenchymal stem cells, the number of mesenchymal stem cells per ml of injection is 2χ 10 5 -1 χ 10 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;  3. Human albumin with a mass to volume ratio of 1-6%;
4、 质量体积比为 1%低分子右旋糖酐  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 resuscitation. 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 clinically used injection that provides nutrients to cells and facilitates 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。 更正页 (细则第 91条) ISA/CN 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. Correction page (Article 91) ISA/CN The injection component is a common clinical 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 stably stored at a temperature of -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%, and the patient does not cause 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千细胞注射液, 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、低分子右旋糖肝 lml (原液浓度 100% ) 及 勃脉力(复方电解质溶液) 84ml 组成。 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干细胞的数量为 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: preparation of 100ml thousand cell injection, the injection consists of human mesenchymal stem cells, clinical grade DMSO 5ml, human albumin stock solution (stock solution mass concentration ratio of 20%) 10ml , low molecular weight right-handed glycine liver lml (stock solution concentration of 100%) and Bomai force (combined electrolyte solution) 84ml composition. The mass to volume ratios of the present invention all represent the ratio of mass (g) to volume (ml). The number of mesenchymal stem 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  Safety and efficacy of mesenchymal stem cell injection in the treatment of ulcerative colitis in rats
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( 100mg/kgTNBS+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 5>< 106 细胞, 电镜照片如图 1所示), B组大鼠经尾静脉注射 lml PBS。 C组为正 常 SD大鼠。 Forty-five healthy and clean SD rats, 6-8 weeks old, were randomly divided into .3 groups, 15 in each group. An ulcerative colitis model was prepared by immunocomplexation. A and B rats were injected with 0.4 ml of emulsion in the groin and toe at 1 and 14 days after the experiment. Fasted after immunization (not allowed to drink water) 24h, 3% chloral hydrate was intraperitoneally injected into the anesthesia, and 0.6ml liquid (100mg/kg TNBS + 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>< 106 cells, electron micrograph shown in Figure 1), and rats in group B were injected with lml PBS via tail vein. Group C was a normal 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 更正页 (细则第 91条) ISA/CN 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 colon injury was observed. On the correction page (Article 91) ISA/CN 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、 软便或稀便等。 3天后症状达高峰, 之后症状开始緩 解, A组緩解速度快于 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 in rats: One day after modeling, rats in groups A and B began to develop anorexia, laziness, increased stool frequency, soft stools or loose stools. 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. Group C did not show any abnormal symptoms.
2. 结肠组织变化: 治疗后 3天, A、 B组均见结肠肠壁明显增厚、 充 血水肿、 部分区域可见范围较大的溃疡; 治疗后 7天, A组充血水肿稍减 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组病变略有减轻, 实验结果如图 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组大鼠间充质干细 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. Changes in colonic tissue: 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 7 days after treatment, group A was slightly relieved of congestion and edema. Also reduced, there was no significant change in group B lesions; 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 results are shown in Figure 2. The left picture is: Group A Three days after treatment with murine mesenchymal stem cells, the colonic wall was thickened, congested and edema, and ulcers were seen in some areas. The middle picture shows: colon tissue of group A rat mesenchymal stem cells after 14 days of treatment. The lesions were significantly relieved and the ulcers healed; the right picture shows: Colon tissue in group B after 14 days of treatment, there are still obvious congestion 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 显微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组; 治疗后 7天, A组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. Histopathological changes of colon tissue: 3 days after cell treatment, a large range of epithelial defects were observed under HE staining microscope in group A, and inflammatory cells infiltrated in mucosa and submucosa. Group B pathological changes were similar to group A; In the 7th day, 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 panel is: colonic histopathology 3 days after treatment of group A rat mesenchymal stem cells, a large range of epithelial defects can be seen under the microscope, and inflammatory cells infiltrate in the mucosa and submucosa; Colonic histopathology was observed 14 days after rat mesenchymal stem cells treatment. Microscopically, the mucosal structure was almost intact, and only a small amount of inflammatory cells were infiltrated. The right picture shows: Colon tissue pathology of group B rats 14 days after treatment, still large under microscope A range of epithelial defects, 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组大鼠血清 更正页 (细则第 91条) ISA/CN TNF-α含量有所减少, B组病变无明显改观;至 14天, A组天鼠血清 TNF-a 含量较 B组明显减少, 实验结果如图 4所示, 治疗后 14天, A组大鼠血清 TNF-α含量较 B组明显减少 (P<0.05 )。 4. Changes in 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. Seven days after treatment, group A rats were corrected for serum. Page (Rules 91) ISA/CN The content of TNF-α was decreased, and the lesions in group B were not significantly improved. By 14 days, the serum TNF-a content in group A was significantly lower than that in group B. The experimental results are shown in Figure 4. 14 days after treatment, group A was large. The serum TNF-α level in rats was significantly lower than that 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 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。 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 104/cm2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 Pl、 P6细胞数, 加入小鼠抗人 PE-IgG l、 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), CD31 (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、 CD105 (间充质抗原标志)、 HLA-DR (移植免 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 Bobme force (combined electrolyte solution) 79ml. . The number of mesenchymal stem 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. 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 10 4 /cm 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. Immunophenotyping of umbilical cord mesenchymal stem cells: 1 X 10 6 Pl, P6 cell numbers were collected, mouse anti-human PE-IgG l, FITC-IgGl isotype control were added, and PE, FITC-labeled mouse anti-human flow antibody was added. , detection of CD 34, CD 45 (hematopoietic cell marker), CD31 (endothelial cell-specific antigenic marker), CD14 (mononuclear macrophage surface marker), CD 90, CD 44, CD105 (mesenchymal antigen marker), HLA -DR (transplant free
更正页 (细则第 91条) ISA/CN 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 X 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、 分布均勾、 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%; CD31、 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; Pl、 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 lO^ lO^ 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 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 1.5χ 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。 Correction page (Article 91) ISA/CN Immunophenotype such as epidemic rejection related antigens. 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 X 10 7 ; cell viability (Taiwan Panlan staining: 90% survival rate before cryopreservation, cell viability after cryopreservation 85%; continuous passage to 6th generation, cell morphology is stable, fusiform, distributed, and arranged neatly; continuous transmission to 6th generation cell proliferation The phenotype is consistent with the MSC identification criteria (CD73, CD 105, CD44 or CD90 positive, the positive rate is not less than 95%; CD31, 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; Pl and P6 cells have multi-directional differentiation ability; karyotype analysis is normal; the total number of consecutive 5-6 generation cells can reach lO^ lO^ Partial flow detection results are shown in Figure 5. Among them, the average average culture days is 13 days, and the total number of harvested cells can reach 1.6 X 10 7 . After 6 consecutive passages, the cells grow well, showing a uniform small spindle shape, arranged in a swirling manner, and the primary cells are shown in Figure 6 (p. Photographs of 9 and 13 days), the 6th generation cells 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 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) Mucosal severe chronic active inflammation with shallow ulcers and crypt abscess formation. See Figure 8.
更正页 (细则第 91条) ISA/CN 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, 质软, 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。 Correction page (Article 91) ISA/CN 3 months after treatment, there is a small amount of mucus in the stool, no blood in the stool. There is no abdominal discomfort such as abdominal pain and abdominal distension. The stool is 1-2 times a day, soft and shaped. 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 hyperemia and edema of the mucous membranes, superficial erosion, surface exudation, and scattered shallow ulcer formation. 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.
更正页 (细则第 91条) ISA/CN Correction page (Article 91) ISA/CN

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:  A mesenchymal thousand cell injection, characterized in that it comprises 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 /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.
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。  The mesenchymal stem cell injection according to claim 1, wherein the mesenchymal stem cells are derived from a human umbilical cord and/or a 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。  The mesenchymal stem cell injection according to claim 1, wherein the activity of the mesenchymal stem cells is maintained at 85% or more.
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。 The method for preparing a mesenchymal stem cell injection according to claim 1, characterized in that a volume ratio of 5-10% of DMSO, a human to albumin having a mass to volume ratio of 1-6%, and a mass to volume ratio are prepared. The monocellular suspension was prepared by resuspending the mesenchymal stem cells in the above solution as 1% low molecular dextran and a compound electrolyte solution, so that the number of stem cells was 2 X 10 5 - 1 X 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:  The method for preparing a mesenchymal stem cell injection according to claim 4, wherein the preparation of the umbilical cord mesenchymal stem cells comprises 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 a fresh full-term healthy fetal umbilical cord and rinse 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 a 5- 10 cm long umbilical cord, cut the umbilical cord into 2 cm long sections, 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) The umbilical tissue block was cut into 2-5 mm 3 small pieces; washed in L-DMEM medium, centrifuged at 500-800 g for 5 minutes, and the supernatant was discarded;
(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) The tissue block and the culture medium are added to the medium at a volume ratio of 2.5-3:1, the tissue pieces are mixed, and inoculated into the cell culture, the medium is alkaline-containing l-10 ng/ml. Fibroblast growth factor 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 the passage when the cells reach about 80% confluence in 8-9 days. The subculture medium is the serum-free medium for MSC.
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:  The method for preparing a mesenchymal stem cell injection according to claim 4, wherein the preparation of the placental mesenchymal stem cells comprises 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 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 is added with DMEM medium containing 0.25% trypsin 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 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). The supernatant was discarded, and after each tube was added with complete medium, it was centrifuged at OO rpm for 10 min; the complete medium was 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 block in the culture dish, 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 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). By 15-17 days, the cell clone was fused to 80-90%, and cell passage was performed.
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。  The use of the mesenchymal stem cell injection according to claim 1 for the preparation of a medicament for treating 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。 The use of the mesenchymal stem cell injection according to claim 7, wherein the mesenchymal stem cell injection comprises 1 χ 10 6 -1 χ 10 8 . Mesen/ml mesenchymal stem cells.
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