WO2022028244A1 - Tissue filling material, preparation method therefor, tissue engineering scaffold and use - Google Patents

Tissue filling material, preparation method therefor, tissue engineering scaffold and use Download PDF

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WO2022028244A1
WO2022028244A1 PCT/CN2021/107359 CN2021107359W WO2022028244A1 WO 2022028244 A1 WO2022028244 A1 WO 2022028244A1 CN 2021107359 W CN2021107359 W CN 2021107359W WO 2022028244 A1 WO2022028244 A1 WO 2022028244A1
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filling material
component
tissue
tissue filling
pore
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PCT/CN2021/107359
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French (fr)
Chinese (zh)
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吕世文
陈超
李彪
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宁波迪创医疗科技有限公司
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Publication of WO2022028244A1 publication Critical patent/WO2022028244A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/20Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/02Inorganic materials
    • A61L27/025Other specific inorganic materials not covered by A61L27/04 - A61L27/12
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/222Gelatin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/225Fibrin; Fibrinogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/227Other specific proteins or polypeptides not covered by A61L27/222, A61L27/225 or A61L27/24
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/24Collagen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/52Hydrogels or hydrocolloids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/54Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/56Porous materials, e.g. foams or sponges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/58Materials at least partially resorbable by the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • A61L2300/414Growth factors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/06Flowable or injectable implant compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/20Materials or treatment for tissue regeneration for reconstruction of the heart, e.g. heart valves

Definitions

  • the present application relates to the field of materials, in particular to a tissue filling material and a preparation method thereof, a tissue engineering scaffold and applications.
  • Tissue engineering is a science that applies the principles and technologies of life science and engineering to develop biological substitutes for repairing, maintaining, and promoting the function and morphology of various tissues or organs in the human body after injury.
  • Porous materials are usually used as scaffolds. materials to achieve initial support of tissue in vivo, initial adhesion of cells, and controllable tissue formation by cells.
  • tissue engineering scaffolds can be constructed using alginate hydrogels.
  • the existing alginate hydrogel has a single main body material, only sodium alginate and calcium alginate, a biopolymer material, and its therapeutic principle only uses coagulation as a
  • the filler acts as a physical support, but does not induce the growth of cardiomyocytes, and the cells will not enter the gel; and the porosity of the gel is not easy to control, and the internal three-dimensional pores are not connected to each other, so 3D connected pores cannot be formed. Therefore, the traditional alginate-based hydrogel structure is not conducive to the growth of cardiomyocytes in the gel and the recovery of myocardial function, and cannot be used for the treatment of heart failure diseases.
  • the purpose of the embodiments of the present application is to provide a tissue filling material, so as to solve the problem that most of the existing tissue filling materials proposed in the above background technology can only play a physical support role, and there are problems that are not conducive to the growth of myocardial cells in the material and the recovery of myocardial function. problem.
  • a tissue filling material comprising component A, component B, and water for injection
  • the component A includes alginate
  • the component B includes a metal cation cross-linking agent
  • the component A and/ Or component B further comprises a water-soluble biodegradable pore-forming filling material
  • the component A and component B are fully stirred to form an ion cross-linked hydrogel structure
  • the pore-forming filling material is uniformly distributed in the cross-linked structure. inside the structure.
  • the content of the alginate in the tissue filling material is 0.1-20 wt %
  • the content of the metal cationic cross-linking agent in the tissue filling material is 0.1-20 wt %
  • the pore-forming filling material is in the The content in the tissue filling material is 0.1-20wt%.
  • % (g/mL) represents the content by weight in 1 mL of tissue filling material
  • the content of the alginate in the tissue filling material is 0.1-10% (g/mL) means that 1 mL of tissue filling material contains 0.001-0.10 g of alginate, which can also be expressed as the content of the alginate in the tissue filling material is 0.1-10 wt %.
  • the tissue filling material is an injectable alginate-based composite hydrogel
  • the hydrogel includes a rapidly degraded pore-forming filler component
  • the pore-forming filler material is degraded
  • its degradation products have biological activity, can promote the growth of tissue cells, and can regulate cell adhesion, proliferation and differentiation.
  • the pore-forming filling material includes any one or more of polysaccharide-based materials or protein-based materials.
  • the polysaccharide material includes any one of hyaluronic acid, dextran, chitosan or chondroitin sulfate
  • the protein material includes collagen, gelatin, fiber either protein or laminin.
  • the pore filling material contains active drugs capable of promoting cell growth, and the active drugs include transforming growth factor, platelet-derived growth factor, and fibroblast growth factor.
  • the degradation period of the pore-forming filling material is less than or equal to 8 weeks.
  • the pores in the structure of the tissue filling material gradually increase as the material of the pore filling material degrades.
  • the pore-forming filling material further includes a regulator for regulating the degradation rate, and the regulator includes any one of hyaluronidase, glucanase, chitosanase, and protease .
  • the alginate is any one of sodium alginate, potassium alginate, ammonium alginate or propylene glycol alginate;
  • the metal cationic crosslinking agent is selected from calcium alginate, glucose A combination of one or more of calcium acid, calcium carbonate, calcium sulfate or calcium chloride.
  • the molecular weight of the alginate is 5-400kDa (kilodalton).
  • the alginate is sodium alginate, and the molecular weight of the sodium alginate is 5-400kDa.
  • the metal cations in the metal cation-containing crosslinking agent are not less than divalent metal cations.
  • the metal cation-containing crosslinking agent is a divalent or multivalent metal cation-containing crosslinking agent.
  • the divalent metal cations include calcium cation, barium cation, zinc cation, iron cation, magnesium cation, copper cation, etc.
  • the multivalent metal cation includes aluminum cation, chromium cation, molybdenum cation, etc. cations, tin cations, etc.
  • the metal cation-containing crosslinking agent is selected from a combination comprising one or more of calcium alginate, calcium gluconate, calcium carbonate, calcium sulfate or calcium chloride.
  • the solid particle size of the metal cation-containing crosslinking agent is not greater than 1 mm.
  • the solid particle diameter of the metal cation-containing crosslinking agent is 10-300 ⁇ m.
  • the metal cation-containing crosslinking agent is calcium alginate, and the solid particle size of the calcium alginate is 10-300 ⁇ m.
  • the water-soluble biodegradable pore-forming filling material is a water-soluble and rapidly degradable biopolymer material, namely component C.
  • the pore-forming filling material includes polysaccharides Any one or more of protein-like materials or protein-like materials.
  • the pore-forming filler component needs to be dissolved in an aqueous solution, has good biocompatibility, and is rapidly degraded, and the degradation product is non-toxic. It can be seen from the above description that there are many materials suitable for the pore-forming filler component, and those skilled in the art can select them according to the specific use environment and use purpose to meet clinical requirements.
  • the content range of the above-described pore-forming filler component in the tissue-filling material of the present application is only an exemplary preferred range, and those skilled in the art can also select other pore-forming filler materials, and obtain their suitable values through limited experiments. range of use.
  • the water-soluble biodegradable polymer material is hyaluronic acid.
  • the addition of the pore-forming filler component endows the tissue filler with special biological properties, bringing the following advantages:
  • the enzymes in the body will rapidly degrade the pore-forming filler components to form an interpenetrating porous network structure, thereby solving the problem of the single pore size of the existing alginate-based hydrogels. , the inability to form 3D connected pores, and the inability of nutrients and cells to enter the interior of the scaffold.
  • the degraded product has molecular activity, can induce cells to enter the gel, and can regulate cell adhesion and proliferation. and differentiation.
  • the degraded product can provide nutrients for cell growth and promote cell growth and blood vessel formation;
  • the tissue filling material has excellent biocompatibility, a simple manufacturing process, and the pore size and porosity of the hydrogel can be adjusted by changing the amount of the pore-forming filler component; the tissue filling material can be used either In vitro cell culture, but also in vivo injection applications.
  • the raw material of the tissue filling material further includes an isotonicity agent and/or a regulator, specifically, the isotonicity agent is component D, the The conditioner is component E.
  • the tissue filling material further includes component D, or component E, or a combination of component D and component E.
  • the isotonicity agent is used to adjust the osmotic pressure of the tissue filling material to meet the environmental requirements of the application field, and the adjuster is used to adjust the pH value of the tissue filling material to meet the environmental requirements of the application field.
  • the specific amount of the isotonicity agent and/or regulator is selected according to requirements, and is not limited here.
  • the content of the isotonicity agent in the tissue filling material is 280-320 mmol/L, and the content of the adjusting agent in the tissue filling material is 0.001-25% (g/L) mL).
  • the purpose of using component D is to adjust the overall osmotic pressure of the tissue filling material so that it meets the physiological fluid requirements of the application field environment, for example, when applied to the left ventricular myocardial wall , it can avoid various high-risk damages caused by the presence of components A, B and C of the tissue filling material due to its high overall osmotic pressure, such as shrinkage of endothelial cells, loosening of intercellular connections and Broken, damaged blood-brain barrier, microcirculation disorder caused by hardening of red blood cells, increased cardiac load due to rapid increase in blood volume, cardiac electrical changes caused by atrioventricular conduction and weakened interventricular conduction and repolarization, arrhythmia and ventricular fibrillation increased incidence.
  • the isotonicity agents include sodium bicarbonate, sodium dihydrogen phosphate, sodium chloride, sodium lactate, potassium chloride, calcium chloride, magnesium chloride, glucose, xylitol, mannitol, sorbitol, dextran, Any one or more of trimethylolaminomethane and the like.
  • the regulators include tromethamine, chlorobutanetriol, disodium EDTA, sodium hydroxide, calcium disodium EDTA, hydrogen chloride, meglumine, etc. any one or more of them.
  • component E has the following benefits: 1) Adjusting the overall pH value of the tissue filling material to a suitable range for human heart tissue, avoiding acidosis caused by too low pH or alkalosis caused by too high pH, to ensure that it has good 2) Improve the performance stability of the tissue filler material before the subsequently mentioned reaction stage, eg in the form of a premix during storage or transportation.
  • Another object of the embodiments of the present application is to provide a method for preparing a tissue filling material, and the method for preparing a tissue filling material includes the following steps:
  • the premixing is to uniformly mix the weighed different components in water for injection separately or together or successively.
  • component A and component B do not exist in the same premix at the same time.
  • the preparation method of the tissue filling material includes the following steps:
  • Premixing stage Weigh one or more of the component C and the component A, the component B, the component D or the component E in proportion to carry out premixing, A premix is obtained; the premix is defined as uniformly mixing the required components in water for injection separately or together or successively, wherein component A and component B cannot exist in the same premix at the same time;
  • Reaction stage mixing and reacting the premix containing component A with component B, or mixing component A with the premix containing component B, or mixing and reacting the premix containing component A
  • the pre-mixture is mixed and reacted with the pre-mixture containing the component B, and finally a stable mixture is formed, that is, the tissue filling material is obtained.
  • the component A, the component B, the component C, the component D and the component E are all sterile and pyrogen-free.
  • both the premixing and the mixing reaction are performed at room temperature and under sterile conditions, and the reaction time is not more than 50 minutes.
  • the components used in the above preparation process should be sterile Pyrogen-free, and premixing and mixing reactions are performed at room temperature under sterile conditions.
  • the preparation method of the tissue filling material includes the following steps: 1) Weighing the pore filling material according to the content of 0.1-20wt% in component A, The middle content is 0.2-40wt%, and the alginate is weighed, and the balance is water for injection, which is fully mixed and dissolved to obtain component A; and the pore-forming filling material is weighed according to the content in component B of 0.1-20wt% , according to the content of 0.2-40wt% in component B, weigh the metal cationic cross-linking agent, and the balance is water for injection, and fully mix and dissolve to obtain component B; 2) described component A and component B are carried out The same volume is fully mixed and reacted to obtain the tissue filling material.
  • the preparation method of the tissue filling material includes the following steps: 1) Weigh the pore filling material according to the content of 0.2-40wt% in component A, The alginate is weighed with a content of 0.2-40 wt%, and the balance is water for injection, which is fully mixed and dissolved to obtain component A; , and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume to obtain the tissue filling material.
  • the preparation method of the tissue filling material includes the following steps: 1) Weigh the alginate according to the content of 0.2-40wt% in component A, and the balance is water for injection, and sufficient Mix and dissolve to obtain component A; weigh the pore-forming filling material according to the content in component B of 0.2-40 wt %, and weigh the metal cationic crosslinking agent according to the content of component B of 0.2-40 wt % , and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume to obtain the tissue filling material.
  • Another object of the embodiments of the present application is to provide a tissue filling material prepared by using the above-mentioned method for preparing a tissue filling material.
  • Another object of the embodiments of the present application is to provide a tissue engineering scaffold, which partially or wholly contains the above-mentioned tissue filling material.
  • the tissue engineering scaffold may be all of the tissue filling material, or may be the tissue filling material and the existing auxiliary materials in the preparation of the tissue engineering scaffold.
  • the tissue engineering scaffolds include: bone, cartilage, blood vessels, nerves, skin and artificial organs, such as tissue scaffolds for liver, spleen, kidney, bladder and the like.
  • the tissue filling material can be used as an injectable scaffold material to construct a tissue engineering scaffold, or can be used as a bone component material or a vascular tissue material to construct biological tissue.
  • the support strength can be adjusted in time according to the needs of the patient's heart tissue, and due to its three-dimensional porous structure, the material can achieve the initial support of the myocardial tissue in vivo, the initial adhesion of myocardial cells, and the formation of myocardial cells. Entering the material for growth, it can adapt to cell growth, transport of nutrient flow and discharge of metabolites.
  • Another object of the embodiments of the present application is to provide an application of the tissue filling material in the preparation of a medical material for adjuvant treatment of heart failure.
  • tissue filling material in the application of the tissue filling material in the preparation of medical materials for adjuvant treatment of heart failure, specifically, it can be used in the preparation of injectable stents, intra-aortic balloon counterpulsation devices, artificial hearts, implantable defibrillators, pacemakers and other products.
  • the tissue filling material provided by the present application can induce cardiomyocytes to grow in the pores of the tissue filling material.
  • a skeleton component and a pore-forming filler component with a biodegradation rate greater than that of the skeleton component when the tissue filling material is implanted into the body After that, the pore-forming filler components are rapidly degraded to form an interpenetrating porous network structure, and nutrients and cells can enter the interior.
  • the degraded product has molecular activity, can induce cells to enter the interior of the material, and can regulate cell adhesion, proliferation and differentiation.
  • the provided preparation method is simple, and the prepared tissue filling material is beneficial to the growth of cardiomyocytes in the material and the recovery of myocardial function, which solves the problem that most of the existing tissue filling materials can only play a physical support role, and there is a problem that is not conducive to the growth of cardiomyocytes in the material.
  • the problem of internal growth and restoration of myocardial function has broad market prospects.
  • FIG. 1 is a physical diagram of the tissue filling material in Example 1 of the application.
  • FIG. 2 is a scanning electron microscope picture of the tissue filling material without hyaluronidase added in Example 1 of the application.
  • Example 3 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 4 hours in Example 1 of the application.
  • the white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
  • Example 4 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 8 hours in Example 1 of the application.
  • the white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
  • Example 5 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 18 hours in Example 1 of the application.
  • the white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
  • FIG. 6 is a graph showing the effect of the tissue filling material prepared in Example 3 of the present application on the ventricular ejection fraction of rats with myocardial infarction.
  • FIG. 7 is a graph showing the results of the effect of the tissue filling material prepared in Example 3 of the present application on the ventricular wall thickness of rats with myocardial infarction.
  • FIG. 8 is a graph showing the staining results of the tissue filling material prepared in Example 3 of the present application after 4 weeks of myocardial implantation. Black squares indicate the location of the hydrogel, black triangles indicate infarcted myocardial tissue, and black circles indicate normal myocardial tissue.
  • FIG. 9 is a trend diagram of myocardial infarction area change of the tissue filling material prepared in Example 3 of the present application after 4 weeks of myocardial implantation.
  • Fig. 10 is a picture of angiogenesis in the myocardial infarction area after 4 weeks of no treatment and intervention in rats with central infarction in Example 4 of the present application.
  • FIG. 11 is a picture of angiogenesis after implantation of tissue fillers in the myocardial infarction area of the rat in Example 4 of the present application for 4 weeks.
  • White triangles indicate where new blood vessels are located.
  • the methods are conventional methods unless otherwise specified, and the raw materials can be obtained from open commercial sources unless otherwise specified.
  • suitable alginates include but are not limited to sodium alginate, potassium alginate, ammonium alginate, and propylene glycol alginate.
  • the alginate is sodium alginate with good biocompatibility, and in a more preferred embodiment, the molecular weight of the sodium alginate is 5-400kDa.
  • the divalent metal cations it contains include but are not limited to calcium cations, barium cations, zinc cations, iron cations, magnesium cations, and copper cations
  • the multivalent metal cations it contains include but are not limited to aluminum cations, Chromium cation, molybdenum cation, tin cation.
  • the cross-linking agent includes a combination of one or more of calcium alginate, calcium gluconate, calcium carbonate, calcium sulfate or calcium chloride; further, considering the cost performance, it is preferred to use Calcium alginate; further, the solid particle diameter of calcium alginate is not greater than 1mm, so that it has better dispersibility in water; further, the solid particle diameter of calcium alginate is preferably available in the market.
  • the conventional specification is 1-300 ⁇ m.
  • tissue filling materials For the in vitro enzymatic hydrolysis experiment of tissue filling materials: according to the specific selection of component C, configure the corresponding enzyme solution, if component C is hyaluronic acid, configure hyaluronidase solution, such as component C is chitosan, Then configure chitosanase solution, if component C is collagen, then configure collagenase solution, and so on.
  • tissue filling material fully mixed according to the preparation method provided in this application in a petri dish, all the materials used have been sterilized by irradiation, and placed in the same volume of enzyme solution under aseptic operation conditions. In a 37°C cell incubator, samples were taken regularly, and the samples were weighed after being freeze-dried in a vacuum freeze dryer, and the structural characteristics such as the distribution of the internal network structure of the hydrogel were observed by scanning electron microscopy.
  • tissue fillers For in vivo histocompatibility testing of tissue fillers: The tissue fillers must be prepared under sterile conditions, and each raw material must be sterile. Therefore, after the fully mixed tissue filling material according to the preparation method provided by the present application was injected into the myocardial wall of the experimental rat during thoracotomy, the experimental rats were reared for 4 weeks, and the tissue filling material in the left ventricular wall was dissected and observed. The shape of the tissue was fixed in formalin solution, and the fixed tissue material was dehydrated, embedded, sliced, analyzed by H&E staining (hematoxylin-eosin staining) and Masson staining, and observed under an optical microscope. Microscopic morphology of myocardial tissue within the ventricular wall.
  • the tissue filling material fully mixed according to the preparation method provided in this application is placed in a cylindrical cavity mold, and the hydrogel biomaterial sample is fully coagulated. After gluing, make a cylindrical sample with a diameter of 20mm and a height of 20mm. Use a universal material testing machine to test the support strength of the sample. Set the pressing speed to 2mm/min and the clamping distance to 20mm, and output directly through the universal material testing machine. data to obtain the support strength of the specimen.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, the solid particle size of calcium alginate is 75 ⁇ m
  • component C selective hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa
  • component D The three powders of mannitol are dissolved together in water for injection, and fully dissolved to obtain the first premix (i.e., cross-linking agent+pore-forming filler system), so that component B, component C and component D are here
  • the content in the premix is 1.5% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
  • This premix is formed into a water-soluble solution, and then the component E (sodium hydroxide solution) is added to adjust pH is 7.0;
  • component A select sodium alginate, molecular weight is 180kDa
  • component D mannitol
  • the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the tissue filling material contains component A, component B, and component C.
  • the content of component D is 1% (g/mL), 0.75% (g/mL), 0.5% (g/mL) and 302mmol/L, respectively.
  • the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 7 ⁇ 0.8 kPa.
  • the pore-forming filling material is evenly distributed inside the ion-crosslinked hydrogel structure, and the hydrogel is in a colorless and transparent state, as shown in FIG. 1 .
  • the tissue filling material prepared in Example 1 was subjected to an in vitro enzymatic hydrolysis experiment, specifically taking a volume of 1 cm of the tissue filling material and placing it in 20 mL of hyaluronidase (150 ⁇ /mL) solution under sterile conditions, Placed in a 37°C cell incubator, sampled regularly at 4, 8, 12, and 18 h, respectively, and weighed after being freeze-dried in a vacuum freeze dryer. Scanning electron microscopy was used to observe the distribution of the internal network structure of the hydrogel formed by the tissue filling material. and other structural features.
  • Figures 2, 3, 4, and 5 The specific distribution results of the internal network structure of the tissue filling material are shown in Figures 2, 3, 4, and 5, respectively, wherein Figure 2 is a scanning electron microscope picture of the tissue filling material without hyaluronidase, and Figure 3 is a The scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 4 hours, Figure 4 is the scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 8 hours, and Figure 5 is the tissue filling material after adding hyaluronidase for 18 hours Scanning electron microscope picture.
  • Figure 2 is a scanning electron microscope picture of the tissue filling material without hyaluronidase
  • Figure 3 is a The scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 4 hours
  • Figure 4 is the scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 8 hours
  • Figure 5 is the tissue filling material after adding hyaluronidas
  • the pores inside the tissue filling material become larger, and an interpenetrating porous network structure is gradually formed, so that the The material has a three-dimensional porous structure inside, and the three-dimensional pore size is interconnected, which realizes the initial support of the material to the myocardial tissue in the body, the initial adhesion of the myocardial cells, and the high porosity porous structure that allows the myocardial cells to enter the material, and the interior of the material is connected. It can adapt to cell growth, nutrient flow transport and metabolite excretion.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, the solid particle size of calcium alginate is 75 ⁇ m
  • component C selective hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa
  • component D Select mannitol
  • Component A selective sodium alginate, molecular weight is 180kDa
  • component C selective hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa
  • component D mannitol
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 8 minutes (ie: gelation time) after injection.
  • the contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
  • the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 9 ⁇ 0.5kPa.
  • the tissue filling material prepared in Example 3 was subjected to a small animal treatment experiment for myocardial infarction, specifically, the tissue filling material was injected into the junction between the myocardial infarction area and the normal myocardium of the experimental rat heart, 40uL was injected at a single point, and 3 points were injected. , Ejection fraction (EF, ejection fraction, calculated as %), ventricular wall thickness, and cardiac output were tested and recorded before and after operation, and the rats were reared for 4 weeks after operation.
  • the tissue filling material prepared in Example 3 was subjected to an in vivo histocompatibility test: after the fully mixed tissue filling material was injected into the myocardial wall of experimental rats during thoracotomy, the experimental rats were reared for 4 weeks and dissected. The morphology of the tissue filling material in the left ventricular wall was observed, the material was fixed in formalin solution, and the fixed tissue material was dehydrated, embedded, sliced, stained with H&E and Masson, and observed under an optical microscope. Its microscopic morphology with myocardial tissue within the wall of the left ventricle. The specific staining results of the tissue filling material after 4 weeks of myocardial implantation are shown in Figure 8.
  • the pore filling material can be degraded and absorbed in a short period of time, and a porous cavity is formed in the alginate hydrogel. At the same time, it guides the growth of cells in the lumen, induces the growth of cardiomyocytes, and restores myocardial function.
  • FIG. 9 is a graph showing the change trend of myocardial infarction area 4 weeks after myocardial implantation of the tissue filling material prepared in Example 3 of the present application.
  • the injected tissue filler material significantly delayed the deterioration of cardiac function after myocardial infarction in rats, reduced the size of myocardial infarction, maintained the level of left ventricular EF, and improved cardiac function with the passage of time after injection.
  • Injection of hydrogel can significantly improve cardiac function.
  • the thickness of the ventricular wall in the infarct area; without the injection of this material, the myocardial infarction area gradually increased with time, and the cardiac function continued to deteriorate.
  • Figure 10 is a picture of angiogenesis in the myocardial infarction area after 4 weeks of no treatment intervention in myocardial infarction rats. It was found that the new blood vessels in the myocardial infarction area and the myocardial infarction junction area of the myocardial infarction rats were rare, and the lumen structure was small.
  • Figure 11 is a picture of angiogenesis after 4 weeks of implantation of the tissue filling material prepared in Example 3 in the myocardial infarction area of the rat with myocardial infarction.
  • the myocardial infarction area and the myocardial infarction junction area of the rat showed more neovascularization, and the lumen structure was relatively simple
  • the new blood vessels in the myocardial infarction group were enlarged.
  • injection of the hydrogel provided by the present application can promote the regeneration of intramyocardial blood vessels, which is beneficial to the recovery of cardiac function after myocardial infarction.
  • the hydrogel in Example 3 can be injected into the myocardium to increase the thickness of the ventricular wall and promote myocardial neovascularization, which can promote myocardial angiogenesis, reduce the scope of myocardial infarction, improve the decline of cardiac function after infarction, and improve the ability of tissue regeneration and repair.
  • the treatment is safe and effective, and provides a new method for clinical myocardial revascularization.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, its solid particle diameter is 75 ⁇ m
  • component C selective carboxylated chitosan, and molecular weight is 100kDa
  • component D selective mannitol of calculated amount Dissolve together in water for injection, fully dissolve to obtain a first premix, so that the content of component B, component C and component D in the first premix is 1.5% (g/mL), 1.5% (g/mL), respectively. /mL) and 302mmol/L
  • the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to 7.0;
  • Component A (selecting sodium alginate, molecular weight is 180kDa), component C (selecting carboxylated chitosan, and molecular weight is 100kDa) and component D (mannitol) of calculated amount are dissolved in water for injection together , fully dissolve to obtain a second premix, so that the contents of component A, component C and component D in the second premix are 2% (g/mL), 1.5% (g/mL) and 302 mmol, respectively /L, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1.5% (g/mL) and 302 mmol/L, respectively.
  • the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 7.54 ⁇ 0.5 kPa.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B for selection of calcium alginate, whose solid particle diameter is 75 ⁇ m
  • component D for selection of mannitol
  • the content of component B and component D in the first premix is 1.5% (g/mL) and 302 mmol/L, respectively, and the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide) is added. solution) to adjust the pH to 7.0;
  • Component A selective sodium alginate, molecular weight is 180kDa
  • component C selective chondroitin sulfate sodium salt, molecular weight 50kDa
  • component D mannitol
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
  • the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 9.67 ⁇ 0.5 kPa.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, its solid particle size is 75 ⁇ m
  • component C selective collagen, molecular weight 70-200kDa
  • component D selective mannitol
  • the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to be 7.0;
  • component A select sodium alginate, molecular weight is 180kDa
  • component D mannitol
  • the content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
  • the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 7.33 ⁇ 0.5kPa.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, its solid particle diameter is 75 ⁇ m
  • component C selective fibrinogen
  • component D selective mannitol
  • component A select sodium alginate, molecular weight is 180kDa
  • component D mannitol
  • the content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 0.1% (g/mL) and 302mmol/L, respectively.
  • the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 8.45 ⁇ 0.7kPa.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate for use, its solid particle diameter is 75 ⁇ m
  • component C selective dextran
  • component D selective mannitol
  • component A select sodium alginate, molecular weight is 180kDa
  • component D mannitol
  • the content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 10% (g/mL) and 302 mmol/L, respectively.
  • the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 6.67 ⁇ 0.5kPa.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, its solid particle diameter is 75 ⁇ m
  • component C selective laminin, 805kD
  • component D selective mannitol
  • the contents of component B, component C and component D in the first premix are 1.5% (g/mL), 0.2% (g/mL) and 302 mmol, respectively /L
  • the first premix is formed into a water-soluble solution
  • component E sodium hydroxide solution
  • component A select sodium alginate, molecular weight is 180kDa
  • component D mannitol
  • the content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 0.1% (g/mL) and 302mmol/L, respectively.
  • the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 6.00 ⁇ 0.5kPa.
  • Example 10 Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 0.1% (g/mL), 0.1% (g/mL), 0.1%, respectively % (g/mL) was the same as in Example 10 except that it was 280 mmol/L.
  • Example 10 Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 20% (g/mL), 20% (g/mL), 20% % (g/mL) is the same as Example 10 except that it is 320 mmol/L.
  • Example 10 Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 0.1% (g/mL), 15% (g/mL), 10 % (g/mL) was the same as in Example 10 except that it was 290 mmol/L.
  • Example 10 Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 5% (g/mL), 10% (g/mL), 15% % (g/mL) was the same as in Example 10 except that it was 310 mmol/L.
  • Example 10 Compared with Example 10, except replacing mannitol with sorbitol, the rest is the same as Example 10.
  • Example 10 Compared with Example 10, except that mannitol was replaced with glucose, other parts were the same as Example 10.
  • Example 10 Compared with Example 10, the rest is the same as Example 10 except that laminin is replaced by chitosan.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium gluconate with a solid particle diameter of 1 ⁇ m.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium carbonate with a solid particle size of 100 ⁇ m.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium sulfate with a solid particle diameter of 300 ⁇ m.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium chloride with a solid particle size of 500 ⁇ m.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium gluconate with a solid particle diameter of 1000 ⁇ m.
  • Example 1 Compared with Example 1, except that sodium alginate is replaced by potassium alginate with a molecular weight of 5 kDa, the rest is the same as Example 1.
  • Example 1 Compared with Example 1, except that sodium alginate is replaced by ammonium alginate with a molecular weight of 80 kDa, the rest is the same as Example 1.
  • Example 1 Compared with Example 1, the rest is the same as Example 1, except that sodium alginate is replaced by propylene glycol alginate with a molecular weight of 200 kDa.
  • Example 1 Compared with Example 1, except that sodium alginate is replaced by propylene glycol alginate with a molecular weight of 400 kDa, the rest is the same as Example 1.
  • Example 1 Compared with Example 1, except that hyaluronic acid was replaced with dextran, the rest was the same as Example 1.
  • Example 1 Compared with Example 1, except that the hyaluronic acid is replaced by chitosan, other parts are the same as Example 1.
  • Example 1 Compared with Example 1, except replacing hyaluronic acid with collagen, the rest is the same as Example 1.
  • Example 1 Compared with Example 1, except replacing hyaluronic acid with gelatin, other parts are the same as Example 1.
  • Example 10 Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 10% (g/mL), 10% (g/mL), 10% % (g/mL) was the same as in Example 10 except that it was 310 mmol/L.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, the solid particle size of calcium alginate is 75 ⁇ m
  • component C selective hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa
  • component D The three powders of mannitol are dissolved together in water for injection, and fully dissolved to obtain the first premix (i.e., cross-linking agent+pore-forming filler system), so that component B, component C and component D are here
  • the content in the premix is 1.5% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
  • This premix is formed into a water-soluble solution, and then the component E (sodium hydroxide solution) is added to adjust pH is 7.0;
  • Component A selective sodium alginate for use, molecular weight is 180kDa
  • component D mannitol
  • hyaluronidase of calculated amount are dissolved in water for injection together, fully dissolve, obtain the second premix (i.e. Sodium alginate + enzyme system), so that the content of component A, component D and hyaluronidase in this premix is 2% (g/mL), 302mmol/L, 150U/mL, respectively, this premix forms It is a water-soluble solution, and the pH value of this solution is 7.0;
  • the tissue filling material in this embodiment can accelerate the formation of porous structure due to the additional addition of hyaluronidase.
  • Example 32 Compared with Example 32, it is the same as Example 32 except that hyaluronic acid is replaced by glucan and hyaluronidase is replaced by glucanase.
  • Example 32 Compared with Example 32, the rest is the same as Example 32 except that hyaluronic acid is replaced by chitosan and hyaluronidase is replaced by chitosanase.
  • Example 32 Compared with Example 32, it is the same as Example 32 except that hyaluronic acid is replaced by fibrin and hyaluronidase is replaced by protease.
  • a tissue filling material the preparation method of which specifically comprises the following steps:
  • Component B selective calcium alginate, the solid particle diameter of calcium alginate is 75 ⁇ m
  • component C selective hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa
  • Component B and component C in this premix are 1.5% (g/mL) and 1% (g/mL) respectively, and this premix is formed to have Water-soluble solution, while adjusting pH to 7.0;
  • component A select sodium alginate, molecular weight is 180kDa
  • dissolve in water for injection fully dissolve, obtain the second premix, so that the content of component A in this premix is respectively 2% (g/mL), the premix is formed into a water-soluble solution with a pH of 7.0;
  • the first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application.
  • the injection system is injected, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the content of component A, component B, and component C in the tissue filling material is 1 % (g/mL), 0.75% (g/mL), 0.5% (g/mL).
  • the enzymes in the body will rapidly degrade the pore-forming filler to form an interpenetrating porous network structure, thereby solving the problem that the existing alginate-based hydrogel has a single pore size and cannot be used.
  • the disadvantage of forming 3D connected pores, nutrients and cells cannot enter the inside of the scaffold; after the tissue filling material is injected into the myocardium, while the pore filling agent is degraded in the body, the degraded products have molecular activity and can Inducing cells into the gel can regulate cell adhesion, proliferation and differentiation, and at the same time, the degraded products can provide nutrients for cell growth and promote cell growth and blood vessel formation;
  • the tissue filling material has excellent biocompatibility, and animal experiments show that the gel has no adverse and serious reactions with cells around the tissue, can improve the cardiac function index of animals with heart failure, effectively treat heart failure, and prevent the deterioration of heart failure, and Tissue can grow within the gel and have angiogenesis;
  • the preparation process of the tissue filling material is simple, and the preparation can be realized by mixing, and the size and porosity of the pore size of the hydrogel can be adjusted by changing the amount of the pore-forming filler; the tissue filling material can be used for in vitro cells. In culture, in vivo injection applications can also be achieved.
  • the tissue filling material provided by the present application can meet the performance requirements of injectable tissue engineering and cell culture, etc., and can treat heart failure diseases and restore heart function at the same time.
  • the tissue filling material prepared by the present application is composed of two natural biopolymer materials with very different degradation rates in vivo.
  • One is alginate that degrades slowly as a skeleton, and the other is fast degrading alginate.
  • the water-soluble biodegradable polymer material when the tissue filling material is implanted into the body, the rapidly degraded water-soluble biodegradable polymer material rapidly degrades to form an interpenetrating porous network structure, thus solving the problem of existing alginate-based water.
  • the pore size of the gel is single, the 3D connected pores cannot be formed, and the nutrients and cells cannot enter the scaffold.
  • the rapidly degraded biopolymer materials are degraded in vivo, and the degraded products have molecular activity and can induce cells. Entering the inside of the gel can regulate cell adhesion, proliferation and differentiation. Animal experiments have good results and can effectively treat heart failure diseases.
  • the provided preparation method is simple, adopts a simple and effective way to construct a porous structure with interpenetrating pore shape, and can induce the growth of cardiomyocytes in the pores, which solves the problem that most of the existing tissue filling materials can only play a physical supporting role, and there are inconveniences.
  • the tissue filling material can be used as an injectable stent material, with a support strength closer to that of human heart tissue, or the support strength can be adjusted in time according to the needs of the patient's heart tissue, and the material has a three-dimensional porous structure inside, and the three-dimensional pores penetrate each other. Connected to realize the initial support of the material to the myocardial tissue in the body, the initial adhesion of the cardiomyocytes, and the entry of the cardiomyocytes into the material.
  • the high porosity porous structure of the material can be adapted to cell growth, nutrient flow transport and metabolites of discharge.
  • the degraded product has molecular activity, can induce cells to enter the gel, and can regulate cell adhesion, proliferation and differentiation, which The degraded products can provide nutrients for cell growth and promote cell growth and the formation of blood vessels.
  • the tissue filling material provided by the present application has excellent biocompatibility, animal experiments show that the gel has no serious adverse reaction with the surrounding cells of the tissue, and the tissue can grow in the gel and have angiogenesis.
  • the tissue filling material provided by the present application has a simple manufacturing process and can be mixed. By changing the amount of the pore-forming filler component, the pore size and porosity of the hydrogel can be adjusted.
  • tissue filling material provided in this application can be used for both in vitro cell culture and in vivo injection applications.

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Abstract

A tissue filling material, a preparation method therefor, a tissue engineering scaffold comprising the tissue filling material and a use of the tissue filling material. The tissue filling material comprises the following raw materials: alginate, a metal cation cross-linking agent and a water-soluble biodegradable pore-forming filling material. The content of the raw materials in the tissue filling material respectively is 0.1-20 wt%, and the balance is injection water. After the tissue filling material is implanted in body, the pore-forming filling material rapid degrades, an interconnected porous mesh structure is thereby formed, and both nutrients and cells can enter the interior; the degraded product has molecular activity, inducing myocardial cells to enter the pores and grow; therefore, the present invention can adjust cell adhesion, proliferation and differentiation, increase ventricular wall thickness, promote myocardial neovascularization, reduce myocardial infarction range, lessen post-infarction cardiac function decrease, and improve tissue regenerative and repairing capabilities.

Description

组织填充材料及其制备方法、组织工程支架和应用Tissue filling material and preparation method thereof, tissue engineering scaffold and application 技术领域technical field
本申请涉及材料领域,具体是一种组织填充材料及其制备方法、组织工程支架和应用。The present application relates to the field of materials, in particular to a tissue filling material and a preparation method thereof, a tissue engineering scaffold and applications.
背景技术Background technique
组织工程作为一种应用生命科学和工程学的原理与技术,研发用于修复、维护、促进人体各种组织或器官损伤后的功能和形态生物替代物的科学,通常会使用到多孔材料作为支架材料来实现在体内对组织的初始支撑、细胞的初始粘附以及使得细胞可控的形成组织。例如,可以采用海藻酸盐水凝胶进行组织工程支架的构建。Tissue engineering is a science that applies the principles and technologies of life science and engineering to develop biological substitutes for repairing, maintaining, and promoting the function and morphology of various tissues or organs in the human body after injury. Porous materials are usually used as scaffolds. materials to achieve initial support of tissue in vivo, initial adhesion of cells, and controllable tissue formation by cells. For example, tissue engineering scaffolds can be constructed using alginate hydrogels.
但是,以上的技术方案在实际使用时存在以下不足:现有的海藻酸盐水凝胶主体材料单一,只有海藻酸钠和海藻酸钙这一种生物高分子材料,其治疗原理只是将凝聚作为填充物,起到物理支撑的作用,而对心肌细胞并无诱导生长的作用,细胞不会进入凝胶内部;并且凝胶孔隙率不易调控且内部三维孔径互不贯穿连通,无法形成3D连通孔隙,营养物质和细胞都无法进入支架内部,故传统的海藻酸盐基水凝胶结构不利于心肌细胞在凝胶内部的生长和心肌功能的恢复,无法适用于治疗心衰疾病。However, the above technical solutions have the following deficiencies in practical use: the existing alginate hydrogel has a single main body material, only sodium alginate and calcium alginate, a biopolymer material, and its therapeutic principle only uses coagulation as a The filler acts as a physical support, but does not induce the growth of cardiomyocytes, and the cells will not enter the gel; and the porosity of the gel is not easy to control, and the internal three-dimensional pores are not connected to each other, so 3D connected pores cannot be formed. Therefore, the traditional alginate-based hydrogel structure is not conducive to the growth of cardiomyocytes in the gel and the recovery of myocardial function, and cannot be used for the treatment of heart failure diseases.
发明内容SUMMARY OF THE INVENTION
本申请实施例的目的在于提供一种组织填充材料,以解决上述背景技术中提出的现有组织填充材料大多只能起到物理支撑作用,存在不利于心肌细胞在材料内部生长以及恢复心肌功能的问题。The purpose of the embodiments of the present application is to provide a tissue filling material, so as to solve the problem that most of the existing tissue filling materials proposed in the above background technology can only play a physical support role, and there are problems that are not conducive to the growth of myocardial cells in the material and the recovery of myocardial function. problem.
为实现上述目的,本申请实施例提供如下技术方案:To achieve the above purpose, the embodiments of the present application provide the following technical solutions:
一种组织填充材料,包括组分A、组分B,以及注射用水,所述组分A中包含海藻酸盐,所述组分B中包含金属阳离子交联剂,所述组分A和/或组分B还包含水溶性生物可降解的造孔填充材料,所述组分A与组分B充分搅拌后形成离子交联型水凝胶结构,所述造孔填充材料均匀分布在交联结构内部。所述海藻酸盐在所述组织填充材料中的含量是0.1-20wt%,所述金属阳离子交联剂在所述组织填充材料中的含量是0.1-20wt%,所述造孔填充材料在所述组织填充材料中的含量是0.1-20wt%。其中,%(g/mL)表示按重量计在1mL的组织填充材料中的含量,例如,所述海藻酸盐在所述组织填充材料中的含量是0.1-10%(g/mL)即表示1mL的组织填充材料中含有0.001-0.10g的海藻酸盐,也可以表示为所述海藻酸盐在所述组织填充材料中的含量是0.1-10wt%。A tissue filling material, comprising component A, component B, and water for injection, the component A includes alginate, the component B includes a metal cation cross-linking agent, the component A and/ Or component B further comprises a water-soluble biodegradable pore-forming filling material, the component A and component B are fully stirred to form an ion cross-linked hydrogel structure, and the pore-forming filling material is uniformly distributed in the cross-linked structure. inside the structure. The content of the alginate in the tissue filling material is 0.1-20 wt %, the content of the metal cationic cross-linking agent in the tissue filling material is 0.1-20 wt %, and the pore-forming filling material is in the The content in the tissue filling material is 0.1-20wt%. Wherein, % (g/mL) represents the content by weight in 1 mL of tissue filling material, for example, the content of the alginate in the tissue filling material is 0.1-10% (g/mL) means that 1 mL of tissue filling material contains 0.001-0.10 g of alginate, which can also be expressed as the content of the alginate in the tissue filling material is 0.1-10 wt %.
作为本申请进一步的方案:所述组织填充材料是可注射的海藻酸盐基复合水凝胶,所述水凝胶包括降解迅速的造孔填充剂组分,所述造孔填充材料在降解的同时,其降解的产物具有生物学活性,能够促进组织细胞生长,可以调节细胞黏附、增殖与分化。As a further solution of the present application: the tissue filling material is an injectable alginate-based composite hydrogel, the hydrogel includes a rapidly degraded pore-forming filler component, and the pore-forming filler material is degraded At the same time, its degradation products have biological activity, can promote the growth of tissue cells, and can regulate cell adhesion, proliferation and differentiation.
作为本申请再进一步的方案:所述造孔填充材料包括多聚糖类材料或蛋白类材料中的任意一种或者多种。As a further solution of the present application: the pore-forming filling material includes any one or more of polysaccharide-based materials or protein-based materials.
作为本申请再进一步的方案:所述的多聚糖类材料包括透明质酸、葡聚糖、壳聚糖或硫酸软骨素中的任意一种,所述的蛋白类材料包括胶原、明胶、纤维蛋白或者层粘连蛋白中的任意一种。As a further solution of the present application: the polysaccharide material includes any one of hyaluronic acid, dextran, chitosan or chondroitin sulfate, and the protein material includes collagen, gelatin, fiber either protein or laminin.
作为本申请再进一步的方案:所述造孔填充材料中包含能够促进细胞生长的活性药物,所述活性药物包括转化生长因子、血小板衍生生长因子、成纤维细胞生长因子。As a further solution of the present application: the pore filling material contains active drugs capable of promoting cell growth, and the active drugs include transforming growth factor, platelet-derived growth factor, and fibroblast growth factor.
作为本申请再进一步的方案:所述造孔填充材料的降解周期小于或等于8周。As a further solution of the present application: the degradation period of the pore-forming filling material is less than or equal to 8 weeks.
作为本申请再进一步的方案:所述组织填充材料结构内的孔隙随着造孔填充材的料降解而逐渐增大。As a further solution of the present application: the pores in the structure of the tissue filling material gradually increase as the material of the pore filling material degrades.
作为本申请再进一步的方案:所述造孔填充材料还包括调控降解速度的调控剂,所述调控剂包括,透明质酸酶、葡聚糖酶、壳聚糖酶、蛋白酶中的任意一种。As a further solution of the present application: the pore-forming filling material further includes a regulator for regulating the degradation rate, and the regulator includes any one of hyaluronidase, glucanase, chitosanase, and protease .
作为本申请再进一步的方案:所述海藻酸盐是海藻酸钠、海藻酸钾、海藻酸铵或海藻酸丙二醇酯中的任意一种;所述金属阳离子交联剂选自海藻酸钙、葡萄糖酸钙、碳酸钙、硫酸钙或氯化钙中的一种或多种的组合。As a further scheme of the application: the alginate is any one of sodium alginate, potassium alginate, ammonium alginate or propylene glycol alginate; the metal cationic crosslinking agent is selected from calcium alginate, glucose A combination of one or more of calcium acid, calcium carbonate, calcium sulfate or calcium chloride.
作为本申请再进一步的方案:所述海藻酸盐的分子量为5-400kDa(千道尔顿)。As a further scheme of the present application: the molecular weight of the alginate is 5-400kDa (kilodalton).
优选的,所述海藻酸盐是海藻酸钠,所述海藻酸钠的分子量为5-400kDa。Preferably, the alginate is sodium alginate, and the molecular weight of the sodium alginate is 5-400kDa.
作为本申请再进一步的方案:所述含金属阳离子的交联剂中的金属阳离子为不小于二价的金属阳离子。具体的,所述含金属阳离子的交联剂是含二价或多价金属阳离子的交联剂。As a further solution of the present application: the metal cations in the metal cation-containing crosslinking agent are not less than divalent metal cations. Specifically, the metal cation-containing crosslinking agent is a divalent or multivalent metal cation-containing crosslinking agent.
作为本申请再进一步的方案:所述的二价金属阳离子包括钙阳离子、钡阳离子、锌阳离子、铁阳离子、镁阳离子、铜阳离子等,所述的多价金属阳离子包括铝阳离子、铬阳离子、钼阳离子、锡阳离子等。As a further scheme of this application: the divalent metal cations include calcium cation, barium cation, zinc cation, iron cation, magnesium cation, copper cation, etc., and the multivalent metal cation includes aluminum cation, chromium cation, molybdenum cation, etc. cations, tin cations, etc.
作为本申请再进一步的方案:所述含金属阳离子的交联剂选自包括海藻酸钙、葡萄糖酸钙、碳酸钙、硫酸钙或氯化钙中的一种或多种的组合。As a further solution of the present application: the metal cation-containing crosslinking agent is selected from a combination comprising one or more of calcium alginate, calcium gluconate, calcium carbonate, calcium sulfate or calcium chloride.
作为本申请再进一步的方案:所述含金属阳离子的交联剂的固体颗粒粒径不大于1mm。As a further solution of the present application: the solid particle size of the metal cation-containing crosslinking agent is not greater than 1 mm.
作为本申请再进一步的方案:所述含金属阳离子的交联剂的固体颗粒粒径为10-300μm。As a further solution of the present application: the solid particle diameter of the metal cation-containing crosslinking agent is 10-300 μm.
优选的,所述含金属阳离子的交联剂是海藻酸钙,所述海藻酸钙的固体颗粒粒径为10-300μm。Preferably, the metal cation-containing crosslinking agent is calcium alginate, and the solid particle size of the calcium alginate is 10-300 μm.
作为本申请再进一步的方案:所述水溶性生物可降解的造孔填充材料是水溶性可快速降解生物高分子材料,即为组分C,具体的,所述造孔填充材料包括多聚糖类材料或蛋白类材料中的任意一种或多种。As a further solution of the present application: the water-soluble biodegradable pore-forming filling material is a water-soluble and rapidly degradable biopolymer material, namely component C. Specifically, the pore-forming filling material includes polysaccharides Any one or more of protein-like materials or protein-like materials.
需要说明的是,所述造孔填充剂组分需在水溶液中溶解,并且具有很好的生物相容性,且降解迅速,降解产物无毒性。从上述的描述可知,适合做造孔填充剂组分的材料很多,本领域技术人员可以根据具体使用环境和使用目的进行选择,以满足临床要求。上面描述的造孔填充剂组分在本申请组织填充材料中的含量范围仅仅是示例性的优选范围,本领域技术人员也可以选择其它的造孔填充材料,通过有限次的实验获得其适合的使用范围。It should be noted that the pore-forming filler component needs to be dissolved in an aqueous solution, has good biocompatibility, and is rapidly degraded, and the degradation product is non-toxic. It can be seen from the above description that there are many materials suitable for the pore-forming filler component, and those skilled in the art can select them according to the specific use environment and use purpose to meet clinical requirements. The content range of the above-described pore-forming filler component in the tissue-filling material of the present application is only an exemplary preferred range, and those skilled in the art can also select other pore-forming filler materials, and obtain their suitable values through limited experiments. range of use.
优选的,所述水溶性生物可降解高分子材料为透明质酸。Preferably, the water-soluble biodegradable polymer material is hyaluronic acid.
很显然地,造孔填充剂组分的加入赋予所述组织填充材料特殊的生物学性能,带来如下优点:Obviously, the addition of the pore-forming filler component endows the tissue filler with special biological properties, bringing the following advantages:
1)将所述组织填充材料注射入心肌内部后,体内的酶会将造孔填充剂组分快速降解,形成相互贯穿的多孔网状结构,从而解决现有海藻酸盐基水凝胶孔径单一,无法形成3D连通孔隙,以及营养物质和细胞都无法进入支架内部的缺点。进一步地,将所述组织填充材料注射入心肌内部后,造孔填充剂组分在体内降解的同时,其降解后的产物具有分子活性,能够诱导细胞进入凝胶内部,可以调节细胞黏附、增殖与分化。更进一步地,将所述组织填充材料注射入心肌内部后,造孔填充剂组分在体内降解的同时,其降解后的产物可以为细胞生长提供营养物质,促进细胞生长和血管的形成;1) After the tissue filling material is injected into the myocardium, the enzymes in the body will rapidly degrade the pore-forming filler components to form an interpenetrating porous network structure, thereby solving the problem of the single pore size of the existing alginate-based hydrogels. , the inability to form 3D connected pores, and the inability of nutrients and cells to enter the interior of the scaffold. Further, after the tissue filling material is injected into the myocardium, while the pore-forming filler component is degraded in the body, the degraded product has molecular activity, can induce cells to enter the gel, and can regulate cell adhesion and proliferation. and differentiation. Further, after the tissue filling material is injected into the myocardium, while the pore-forming filler component is degraded in vivo, the degraded product can provide nutrients for cell growth and promote cell growth and blood vessel formation;
2)所述组织填充材料的生物相容性极好,制作工艺简单,并且可以通过改变造孔填充剂组分的用量来调节水凝胶孔径的大小和孔隙率;所述组织填充材料既可用于体外细胞培养,也可实现体内注射应用。2) The tissue filling material has excellent biocompatibility, a simple manufacturing process, and the pore size and porosity of the hydrogel can be adjusted by changing the amount of the pore-forming filler component; the tissue filling material can be used either In vitro cell culture, but also in vivo injection applications.
作为本申请再进一步的方案:在所述组织填充材料中,所述组织填充材料的原料进一步还包括等渗剂和/或调节剂,具体的,所述等渗剂为组分D,所述调节剂为组分E。As a further solution of the present application: in the tissue filling material, the raw material of the tissue filling material further includes an isotonicity agent and/or a regulator, specifically, the isotonicity agent is component D, the The conditioner is component E.
作为本申请再进一步的方案:在所述组织填充材料中还包括组分D,或者组分E,又或者组分D和组分E的组合。所述等渗剂用于调节所述组织填充材料的渗透压,使其符合应用领域环境要求,所述调节剂用于调节所述组织填充材料的pH值,使其符合应用领域环境要求。所述等渗剂和/或调节剂的具体用量根据需求进行选择,这里并不作限定。As a further solution of the present application: the tissue filling material further includes component D, or component E, or a combination of component D and component E. The isotonicity agent is used to adjust the osmotic pressure of the tissue filling material to meet the environmental requirements of the application field, and the adjuster is used to adjust the pH value of the tissue filling material to meet the environmental requirements of the application field. The specific amount of the isotonicity agent and/or regulator is selected according to requirements, and is not limited here.
作为本申请再进一步的方案:所述等渗剂在所述组织填充材料中的含量为280-320mmol/L,所述调节剂在所述组织填充材料中的含量为0.001-25%(g/mL)。As a further solution of the present application: the content of the isotonicity agent in the tissue filling material is 280-320 mmol/L, and the content of the adjusting agent in the tissue filling material is 0.001-25% (g/L) mL).
作为本申请再进一步的方案:使用组分D的目的是为了调节所述组织填充材料的整体渗透压,使其符合应用领域环境的生理性液体要求,例如,在应用于左心室心肌壁内时,能避免所述组织填充材料因其组分A、组分B及组分C的存在导致其总体渗透压过高造成各种高危损害,例如:内皮细胞皱缩、细胞间连接变得松散及断裂、血脑屏障受损、红细胞变硬引起微循环紊乱、血容量快速增加使心脏负荷增加、房室间传导及室间传导和复极化作用减弱引起心电改变使心率不齐和心室颤动的发生率增加。为达到此目的,所述等渗剂包括碳酸氢钠、磷酸二氢钠、氯化钠、乳酸钠、氯化钾、氯化钙、氯化镁、葡萄糖、木糖醇、甘露醇、山梨醇、右旋糖酐、三羟甲基氨基甲烷等中的任意一种或多种。As a further solution of the present application: the purpose of using component D is to adjust the overall osmotic pressure of the tissue filling material so that it meets the physiological fluid requirements of the application field environment, for example, when applied to the left ventricular myocardial wall , it can avoid various high-risk damages caused by the presence of components A, B and C of the tissue filling material due to its high overall osmotic pressure, such as shrinkage of endothelial cells, loosening of intercellular connections and Broken, damaged blood-brain barrier, microcirculation disorder caused by hardening of red blood cells, increased cardiac load due to rapid increase in blood volume, cardiac electrical changes caused by atrioventricular conduction and weakened interventricular conduction and repolarization, arrhythmia and ventricular fibrillation increased incidence. For this purpose, the isotonicity agents include sodium bicarbonate, sodium dihydrogen phosphate, sodium chloride, sodium lactate, potassium chloride, calcium chloride, magnesium chloride, glucose, xylitol, mannitol, sorbitol, dextran, Any one or more of trimethylolaminomethane and the like.
作为本申请再进一步的方案:所述调节剂包括氨丁三醇、氯丁三醇、乙二胺四乙酸二钠、氢氧化钠、乙二胺四乙酸二钠钙、氯化氢、葡甲胺等中的任意一种或多种。组分E的使用具有如下益处:1)调节所述组织填充材料整体的pH值至人体心脏组织适合范围,避免pH过低引起的酸中毒或pH过高引起的碱中毒,以确保其具有良好的生物相容性;2)提高所述组织填充材料在后续提及的反应阶段 前,例如在存储或运输过程中以预混合物形式存在时的性能稳定性。As a further scheme of this application: the regulators include tromethamine, chlorobutanetriol, disodium EDTA, sodium hydroxide, calcium disodium EDTA, hydrogen chloride, meglumine, etc. any one or more of them. The use of component E has the following benefits: 1) Adjusting the overall pH value of the tissue filling material to a suitable range for human heart tissue, avoiding acidosis caused by too low pH or alkalosis caused by too high pH, to ensure that it has good 2) Improve the performance stability of the tissue filler material before the subsequently mentioned reaction stage, eg in the form of a premix during storage or transportation.
本申请实施例的另一目的在于提供一种组织填充材料的制备方法,所述的组织填充材料的制备方法,包括以下步骤:Another object of the embodiments of the present application is to provide a method for preparing a tissue filling material, and the method for preparing a tissue filling material includes the following steps:
1)按比例称取所述造孔填充剂组分与所述组分A或所述组分B中的一种或多种进行预混合,得到预混合物;1) premixing the pore-forming filler component with one or more of the component A or the component B in proportion to obtain a premix;
2)按照比例称取剩余原料与所述预混合物进行混合反应,得到所述组织填充材料。2) Weighing the remaining raw materials and the pre-mixture according to the proportion to carry out a mixing reaction to obtain the tissue filling material.
作为本申请再进一步的方案:在所述组织填充材料的制备方法中,所述预混合是将称取的不同组分分别或一起或先后均匀混合于注射用水中。As a further solution of the present application: in the preparation method of the tissue filling material, the premixing is to uniformly mix the weighed different components in water for injection separately or together or successively.
作为本申请再进一步的方案:在所述组织填充材料的制备方法中,组分A与组分B不同时存在于同一个预混合物中。As a further solution of the present application: in the preparation method of the tissue filling material, component A and component B do not exist in the same premix at the same time.
作为本申请再进一步的方案:在所述组织填充材料中还包括等渗剂和/或调节剂时,所述的组织填充材料的制备方法,包括以下步骤:As a further solution of the present application: when the tissue filling material further includes an isotonicity agent and/or a regulator, the preparation method of the tissue filling material includes the following steps:
1)预混阶段:按比例称取所述组分C与所述组分A、所述组分B、所述组分D或所述组分E中的一种或多种进行预混合,得到预混合物;所述预混合定义为将所需组分分别或一起或先后均匀混合于注射用水中,其中组分A与组分B不能同时存在于同一个预混合物中;1) Premixing stage: Weigh one or more of the component C and the component A, the component B, the component D or the component E in proportion to carry out premixing, A premix is obtained; the premix is defined as uniformly mixing the required components in water for injection separately or together or successively, wherein component A and component B cannot exist in the same premix at the same time;
2)反应阶段:将含有组分A的所述预混合物与组分B进行混合反应,或者将组分A与含有组分B的所述预混合物进行混合反应,或者将含有组分A的所述预混合物与含有组分B的所述预混合物进行混合反应,最终形成稳定的混合物,即得到所述组织填充材料。2) Reaction stage: mixing and reacting the premix containing component A with component B, or mixing component A with the premix containing component B, or mixing and reacting the premix containing component A The pre-mixture is mixed and reacted with the pre-mixture containing the component B, and finally a stable mixture is formed, that is, the tissue filling material is obtained.
作为本申请再进一步的方案:在所述组织填充材料的制备方法中,所述的组分A、组分B、组分C、组分D和组分E均为无菌无热原。As a further solution of the present application: in the preparation method of the tissue filling material, the component A, the component B, the component C, the component D and the component E are all sterile and pyrogen-free.
作为本申请再进一步的方案:在所述组织填充材料的制备方法中,所述预混合和所述混合反应均在室温且无菌条件下进行,反应时间不大于50min。具体的,为满足临床实际需求,确保所形成的所述组织填充材料的安全性,上述制备过程(也包括下述的所有实施例中的制备全过程)中所用的组分应均为无菌无热原,并且预混合和混合反应在室温且无菌条件下进行。As a further solution of the present application: in the preparation method of the tissue filling material, both the premixing and the mixing reaction are performed at room temperature and under sterile conditions, and the reaction time is not more than 50 minutes. Specifically, in order to meet the actual clinical needs and ensure the safety of the formed tissue filling material, the components used in the above preparation process (including the whole preparation process in all the following examples) should be sterile Pyrogen-free, and premixing and mixing reactions are performed at room temperature under sterile conditions.
作为本申请再进一步的方案:所述的组织填充材料的制备方法,包括以下步骤:1)按在组分A中含量为0.1-20wt%称取所述造孔填充材料,按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.1-20wt%称取所述造孔填充材料,按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。As a further solution of the present application: the preparation method of the tissue filling material includes the following steps: 1) Weighing the pore filling material according to the content of 0.1-20wt% in component A, The middle content is 0.2-40wt%, and the alginate is weighed, and the balance is water for injection, which is fully mixed and dissolved to obtain component A; and the pore-forming filling material is weighed according to the content in component B of 0.1-20wt% , according to the content of 0.2-40wt% in component B, weigh the metal cationic cross-linking agent, and the balance is water for injection, and fully mix and dissolve to obtain component B; 2) described component A and component B are carried out The same volume is fully mixed and reacted to obtain the tissue filling material.
作为本申请再进一步的方案:所述的组织填充材料的制备方法包括以下步骤:1)按在组分A中含量为0.2-40wt%称取所述造孔填充材料,按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。As a further solution of the present application: the preparation method of the tissue filling material includes the following steps: 1) Weigh the pore filling material according to the content of 0.2-40wt% in component A, The alginate is weighed with a content of 0.2-40 wt%, and the balance is water for injection, which is fully mixed and dissolved to obtain component A; , and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume to obtain the tissue filling material.
作为本申请再进一步的方案:所述的组织填充材料的制备方法包括以下步骤:1)按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.2-40wt%称取所述造孔填充材料,按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。As a further scheme of the present application: the preparation method of the tissue filling material includes the following steps: 1) Weigh the alginate according to the content of 0.2-40wt% in component A, and the balance is water for injection, and sufficient Mix and dissolve to obtain component A; weigh the pore-forming filling material according to the content in component B of 0.2-40 wt %, and weigh the metal cationic crosslinking agent according to the content of component B of 0.2-40 wt % , and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume to obtain the tissue filling material.
本申请实施例的另一目的在于提供一种采用上述的组织填充材料的制备方法制备得到的组织填充材料。Another object of the embodiments of the present application is to provide a tissue filling material prepared by using the above-mentioned method for preparing a tissue filling material.
本申请实施例的另一目的在于提供一种组织工程支架,部分或全部包含上述的组织填充材料。Another object of the embodiments of the present application is to provide a tissue engineering scaffold, which partially or wholly contains the above-mentioned tissue filling material.
作为本申请再进一步的方案:所述组织工程支架可以是全部采用所述组织填充材料,也可以是采用所述组织填充材料以及组织工程支架制备中的现有辅料,具体根据需求进行选择,这里并不作限定,所述组织工程支架包括:骨、软骨、血管、神经、皮肤和人工器官,如肝、脾、肾、膀胱等的组织支架。As a further solution of the present application: the tissue engineering scaffold may be all of the tissue filling material, or may be the tissue filling material and the existing auxiliary materials in the preparation of the tissue engineering scaffold. Without limitation, the tissue engineering scaffolds include: bone, cartilage, blood vessels, nerves, skin and artificial organs, such as tissue scaffolds for liver, spleen, kidney, bladder and the like.
具体的,所述组织填充材料可以是作为可注射式支架材料构建组织工程支架,也可以是作为骨组件材料或者血管组织材料构建生物组织。当作为可注射式支架材料时,可根据患者心脏组织需要适时进行支撑强度调节,且由于具有三维多孔结构,可以实现材料在体内对心肌组织的初始支撑、心肌 细胞的初始粘附以及使得心肌细胞进入材料内部进行生长,能适应细胞生长、营养流的输送与代谢产物的排出。Specifically, the tissue filling material can be used as an injectable scaffold material to construct a tissue engineering scaffold, or can be used as a bone component material or a vascular tissue material to construct biological tissue. When used as an injectable scaffold material, the support strength can be adjusted in time according to the needs of the patient's heart tissue, and due to its three-dimensional porous structure, the material can achieve the initial support of the myocardial tissue in vivo, the initial adhesion of myocardial cells, and the formation of myocardial cells. Entering the material for growth, it can adapt to cell growth, transport of nutrient flow and discharge of metabolites.
本申请实施例的另一目的在于提供一种所述的组织填充材料在制备用于心衰辅助治疗的医用材料中的应用。Another object of the embodiments of the present application is to provide an application of the tissue filling material in the preparation of a medical material for adjuvant treatment of heart failure.
作为本申请再进一步的方案:在所述的组织填充材料在制备用于心衰辅助治疗的医用材料中的应用中,具体的,可以是用于制备可注射支架、主动脉内球囊反搏器、人工心脏、植入型除颤器、起搏器等产品。As a further solution of this application: in the application of the tissue filling material in the preparation of medical materials for adjuvant treatment of heart failure, specifically, it can be used in the preparation of injectable stents, intra-aortic balloon counterpulsation devices, artificial hearts, implantable defibrillators, pacemakers and other products.
与现有技术相比,本申请的有益效果是:Compared with the prior art, the beneficial effects of the present application are:
本申请提供的组织填充材料能够诱导心肌细胞在组织填充材料的孔隙中生长,通过采用骨架组分以及生物降解速率大于所述骨架组分的造孔填充剂组分,当组织填充材料植入体内后,造孔填充剂组分快速降解形成相互贯穿的多孔网状结构,营养物质和细胞都可进入内部,降解后的产物具有分子活性,能够诱导细胞进入材料内部,可以调节细胞黏附、增殖与分化。而提供的制备方法简单,制备的组织填充材料有利于心肌细胞在材料内部的生长和心肌功能的恢复,解决了现有组织填充材料大多只能起到物理支撑作用,存在不利于心肌细胞在材料内部生长以及恢复心肌功能的问题,具有广阔的市场前景。The tissue filling material provided by the present application can induce cardiomyocytes to grow in the pores of the tissue filling material. By using a skeleton component and a pore-forming filler component with a biodegradation rate greater than that of the skeleton component, when the tissue filling material is implanted into the body After that, the pore-forming filler components are rapidly degraded to form an interpenetrating porous network structure, and nutrients and cells can enter the interior. The degraded product has molecular activity, can induce cells to enter the interior of the material, and can regulate cell adhesion, proliferation and differentiation. The provided preparation method is simple, and the prepared tissue filling material is beneficial to the growth of cardiomyocytes in the material and the recovery of myocardial function, which solves the problem that most of the existing tissue filling materials can only play a physical support role, and there is a problem that is not conducive to the growth of cardiomyocytes in the material. The problem of internal growth and restoration of myocardial function has broad market prospects.
附图说明Description of drawings
图1为本申请实施例1中组织填充材料实物图。FIG. 1 is a physical diagram of the tissue filling material in Example 1 of the application.
图2为本申请实施例1中未加透明质酸酶的组织填充材料的扫描电镜图片。FIG. 2 is a scanning electron microscope picture of the tissue filling material without hyaluronidase added in Example 1 of the application.
图3为本申请实施例1中加透明质酸酶4h后的组织填充材料的扫描电镜图片。白色箭头指示水溶性生物可降解的造孔填充材料原位降解形成的多孔结构。3 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 4 hours in Example 1 of the application. The white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
图4为本申请实施例1中加透明质酸酶8h后的组织填充材料的扫描电镜图片。白色箭头指示水溶性生物可降解的造孔填充材料原位降解形成的多孔结构。4 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 8 hours in Example 1 of the application. The white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
图5为本申请实施例1中加透明质酸酶18h后的组织填充材料的扫描电镜图片。白色箭头指示水溶性生物可降解的造孔填充材料原位降解形成的多孔结构。5 is a scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 18 hours in Example 1 of the application. The white arrows indicate the porous structure formed by the in situ degradation of the water-soluble biodegradable pore-forming filler material.
图6为本申请实施例3制备的组织填充材料对心梗大鼠的心室射血分数影响结果图。FIG. 6 is a graph showing the effect of the tissue filling material prepared in Example 3 of the present application on the ventricular ejection fraction of rats with myocardial infarction.
图7为本申请实施例3制备的组织填充材料对心梗大鼠的心室壁厚影响结果图。FIG. 7 is a graph showing the results of the effect of the tissue filling material prepared in Example 3 of the present application on the ventricular wall thickness of rats with myocardial infarction.
图8为本申请实施例3制备的组织填充材料在心肌植入4周后的染色结果图。黑色方块指示水凝胶所在部位,黑色三角形指示梗死的心肌组织,黑色圆指示正常的心肌组织。FIG. 8 is a graph showing the staining results of the tissue filling material prepared in Example 3 of the present application after 4 weeks of myocardial implantation. Black squares indicate the location of the hydrogel, black triangles indicate infarcted myocardial tissue, and black circles indicate normal myocardial tissue.
图9为本申请实施例3制备的组织填充材料在心肌植入4周后心梗面积变化趋势图。FIG. 9 is a trend diagram of myocardial infarction area change of the tissue filling material prepared in Example 3 of the present application after 4 weeks of myocardial implantation.
图10为本申请实施例4中心梗大鼠未进行治疗干预4周后的心梗区域血管再生图片。Fig. 10 is a picture of angiogenesis in the myocardial infarction area after 4 weeks of no treatment and intervention in rats with central infarction in Example 4 of the present application.
图11为本申请实施例4中心梗大鼠心梗区域植入组织填充材料4周后血管再生图片。白色三角指示新生血管所在的位置。11 is a picture of angiogenesis after implantation of tissue fillers in the myocardial infarction area of the rat in Example 4 of the present application for 4 weeks. White triangles indicate where new blood vessels are located.
具体实施方式detailed description
下面结合附图和具体实施例对本申请作进一步详细地说明。以下实施例将有助于本领域的技术人员进一步理解本申请,但不以任何形式限制本申请。应当指出的是,对本领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干变形和改进。这些都属于本申请的保护范围。The present application will be described in further detail below with reference to the accompanying drawings and specific embodiments. The following examples will help those skilled in the art to further understand the application, but do not limit the application in any form. It should be noted that, for those skilled in the art, several modifications and improvements can be made without departing from the concept of the present application. These all belong to the protection scope of the present application.
在以下本申请实施例中,方法如无特别说明均为常规方法,原材料如无特别说明均能从公开商业途径获得。In the following examples of the present application, the methods are conventional methods unless otherwise specified, and the raw materials can be obtained from open commercial sources unless otherwise specified.
其中,对于海藻酸盐来说,适用的海藻酸盐包括但不仅限于海藻酸钠、海藻酸钾、海藻酸铵、海藻酸丙二醇酯。在一个优选的实施方式中,海藻酸盐为具有良好生物相容性的海藻酸钠,在一个更优选的实施方式中,海藻酸钠的分子量为5-400kDa。Among them, for alginate, suitable alginates include but are not limited to sodium alginate, potassium alginate, ammonium alginate, and propylene glycol alginate. In a preferred embodiment, the alginate is sodium alginate with good biocompatibility, and in a more preferred embodiment, the molecular weight of the sodium alginate is 5-400kDa.
对于交联剂而言,其含有的二价金属阳离子包括但不仅限于钙阳离子、钡阳离子、锌阳离子、铁阳离子、镁阳离子、铜阳离子,其含有的多价金属阳离子包括但不仅限于铝阳离子、铬阳离子、钼阳离子、锡阳离子。在一个优选的实施方式中,交联剂包括海藻酸钙、葡萄糖酸钙、碳酸钙、硫酸钙或氯化钙的一种或多种的组合;进一步地,出于性价比考虑,优先考虑选择使用海藻酸钙;更进一步地,海藻酸钙的固体颗粒粒径不大于1mm,以使其在水中具有较好的分散性;再进一步地,海藻酸钙的固体颗粒直径择优选为目前市场有售的常规规格1-300μm。For the crosslinking agent, the divalent metal cations it contains include but are not limited to calcium cations, barium cations, zinc cations, iron cations, magnesium cations, and copper cations, and the multivalent metal cations it contains include but are not limited to aluminum cations, Chromium cation, molybdenum cation, tin cation. In a preferred embodiment, the cross-linking agent includes a combination of one or more of calcium alginate, calcium gluconate, calcium carbonate, calcium sulfate or calcium chloride; further, considering the cost performance, it is preferred to use Calcium alginate; further, the solid particle diameter of calcium alginate is not greater than 1mm, so that it has better dispersibility in water; further, the solid particle diameter of calcium alginate is preferably available in the market. The conventional specification is 1-300μm.
对于组织填充材料的体外酶解实验:根据组分C的具体选择,配置相应的酶溶液,如组分C为 透明质酸,则配置透明质酸酶溶液,如组分C为壳聚糖,则配置壳聚糖酶溶液,如组分C为胶原,则配置胶原蛋白酶溶液,以此类推。将按本申请提供的制备方法充分混合好的组织填充材料置于培养皿中,所用材料都已完成辐照灭菌处理,在无菌操作条件下分别置于相同体积的酶溶液中,放于37℃细胞培养箱中,定期取样,真空冷冻干燥机冷冻干燥后称重,并采用扫描电镜观察水凝胶内部网状结构的分布等结构特征。For the in vitro enzymatic hydrolysis experiment of tissue filling materials: according to the specific selection of component C, configure the corresponding enzyme solution, if component C is hyaluronic acid, configure hyaluronidase solution, such as component C is chitosan, Then configure chitosanase solution, if component C is collagen, then configure collagenase solution, and so on. Put the tissue filling material fully mixed according to the preparation method provided in this application in a petri dish, all the materials used have been sterilized by irradiation, and placed in the same volume of enzyme solution under aseptic operation conditions. In a 37°C cell incubator, samples were taken regularly, and the samples were weighed after being freeze-dried in a vacuum freeze dryer, and the structural characteristics such as the distribution of the internal network structure of the hydrogel were observed by scanning electron microscopy.
对于组织填充材料的体内组织相容性实验:所述组织填充材料的制备必须是在无菌条件下,而且每种原材料必须是无菌的。因此将按本申请提供的制备方法充分混合好的组织填充材料在开胸手术中注射植入实验大鼠心肌壁后,对试验大鼠饲养4周,解剖并观察组织填充材料在左心室壁内的形态,取材福尔马林溶液固定,并将固定好的组织材料经组织脱水后包埋、切片、H&E染色(hematoxylin-eosin staining)和Masson染色分析处理,并通过光学显微镜下观察其与左心室壁内的心肌组织的微观形态。For in vivo histocompatibility testing of tissue fillers: The tissue fillers must be prepared under sterile conditions, and each raw material must be sterile. Therefore, after the fully mixed tissue filling material according to the preparation method provided by the present application was injected into the myocardial wall of the experimental rat during thoracotomy, the experimental rats were reared for 4 weeks, and the tissue filling material in the left ventricular wall was dissected and observed. The shape of the tissue was fixed in formalin solution, and the fixed tissue material was dehydrated, embedded, sliced, analyzed by H&E staining (hematoxylin-eosin staining) and Masson staining, and observed under an optical microscope. Microscopic morphology of myocardial tissue within the ventricular wall.
对于组织填充材料的支撑强度(亦即:力学支撑性能)实验:将按本申请提供的制备方法充分混合好的组织填充材料置于圆柱腔体模具内,待水凝胶生物材料试样充分凝胶后,制成直径20mm,高度20mm的圆柱体试样,用万能材料试验机测试试样的支撑强度,设置加压速度为2mm/min,夹距为20mm,直接通过万能材料试验机设备输出的数据得到试样的支撑强度。For the test of the support strength (ie: mechanical support performance) of the tissue filling material: the tissue filling material fully mixed according to the preparation method provided in this application is placed in a cylindrical cavity mold, and the hydrogel biomaterial sample is fully coagulated. After gluing, make a cylindrical sample with a diameter of 20mm and a height of 20mm. Use a universal material testing machine to test the support strength of the sample. Set the pressing speed to 2mm/min and the clamping distance to 20mm, and output directly through the universal material testing machine. data to obtain the support strength of the specimen.
下面结合具体的实施例对本申请提供的组织填充材料由不同的组分配方及制备方法所带来的种种优点,包括:制备过程的便捷性,所述组织填充材料的体外酶解测试,形成的组织填充材料的力学支撑的调控能力,体内组织相容性,以及动物实验测试结果等,作更进一步的详细阐述。The various advantages brought by different component formulations and preparation methods of the tissue filling material provided by the present application are described below with reference to specific examples, including: the convenience of the preparation process, the in vitro enzymatic hydrolysis test of the tissue filling material, the formation of The control ability of the mechanical support of tissue filling materials, the in vivo histocompatibility, and the test results of animal experiments will be further elaborated.
实施例1Example 1
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,海藻酸钙的固体颗粒粒径为75μm)、组分C(选用透明质酸,透明质酸的分子量是200kDa)和组分D(选用甘露醇)这三种粉末一起溶解于注射用水中,充分溶解,得到第一预混合物(即交联剂+造孔填充剂体系),使得组分B、组分C和组分D在此预混合物中的含量分别为1.5%(g/mL),1%(g/mL)和302mmol/L,此预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, the solid particle size of calcium alginate is 75 μm), component C (select hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa) and component D ( The three powders of mannitol) are dissolved together in water for injection, and fully dissolved to obtain the first premix (i.e., cross-linking agent+pore-forming filler system), so that component B, component C and component D are here The content in the premix is 1.5% (g/mL), 1% (g/mL) and 302mmol/L, respectively. This premix is formed into a water-soluble solution, and then the component E (sodium hydroxide solution) is added to adjust pH is 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)和组分D(甘露醇)这两种粉末一起溶解于注射用水中,充分溶解,得到第二预混合物(即海藻酸钠体系),使得组分A和组分D在此预混合物中的含量分别为2%(g/mL)和302mmol/L,此预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take by weighing the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and these two powders of component D (mannitol) are dissolved in water for injection together, fully dissolve, obtain the second premix (that is, seaweed). sodium system), so that the content of component A and component D in this premix is 2% (g/mL) and 302 mmol/L, respectively, this premix is formed into a water-soluble solution, the pH value of this solution is 7.0;
3)将上述制备的海藻酸钠体系与交联剂+造孔填充剂体系按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、0.5%(g/mL)与302mmol/L。3) The sodium alginate system prepared above and the cross-linking agent+pore-forming filler system are respectively filled into a sterile syringe in a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube Or the injection system mentioned in this application, the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the tissue filling material contains component A, component B, and component C. The content of component D is 1% (g/mL), 0.75% (g/mL), 0.5% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为7±0.8kPa。所述造孔填充材料均匀分布在离子交联型水凝胶结构内部,水凝胶呈无色透明状态,如图1所示。In this example, the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 7±0.8 kPa. The pore-forming filling material is evenly distributed inside the ion-crosslinked hydrogel structure, and the hydrogel is in a colorless and transparent state, as shown in FIG. 1 .
实施例2Example 2
将实施例1中制备的组织填充材料进行体外酶解实验,具体是取所述组织填充材料1cm 3的体积,在无菌操作条件下置于20mL透明质酸酶(150μ/mL)溶液中,放于37℃细胞培养箱中,分别于4、8、12、18h定期取样,真空冷冻干燥机冷冻干燥后称重,并采用扫描电镜观察组织填充材料形成的水凝胶内部网状结构的分布等结构特征。具体的所述组织填充材料的内部网状结构分布结果分别如图2、3、4、5所示,其中,图2是未加透明质酸酶的组织填充材料的扫描电镜图片,图3是加透明质酸酶4h后的组织填充材料的扫描电镜图片,图4是加透明质酸酶8h后的组织填充材料的扫描电镜图片,图5是加透明质酸酶18h后的组织填充材料的扫描电镜图片。 The tissue filling material prepared in Example 1 was subjected to an in vitro enzymatic hydrolysis experiment, specifically taking a volume of 1 cm of the tissue filling material and placing it in 20 mL of hyaluronidase (150 μ/mL) solution under sterile conditions, Placed in a 37°C cell incubator, sampled regularly at 4, 8, 12, and 18 h, respectively, and weighed after being freeze-dried in a vacuum freeze dryer. Scanning electron microscopy was used to observe the distribution of the internal network structure of the hydrogel formed by the tissue filling material. and other structural features. The specific distribution results of the internal network structure of the tissue filling material are shown in Figures 2, 3, 4, and 5, respectively, wherein Figure 2 is a scanning electron microscope picture of the tissue filling material without hyaluronidase, and Figure 3 is a The scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 4 hours, Figure 4 is the scanning electron microscope picture of the tissue filling material after adding hyaluronidase for 8 hours, and Figure 5 is the tissue filling material after adding hyaluronidase for 18 hours Scanning electron microscope picture.
从图2-4中可以看出,随着所述组织填充材料与透明质酸酶反应的时间增加,所述组织填充材料内部的孔隙就越大,逐渐形成相互贯穿的多孔网状结构,使其材料内部具有三维多孔结构,三维孔径互相贯穿连通,实现材料在体内对心肌组织的初始支撑、心肌细胞的初始粘附以及使得心肌细胞进入材料内部,材料内部相连相通的高孔隙率多孔结构,能适应细胞生长、营养流的输送与代谢产物的排出。As can be seen from Figures 2-4, as the reaction time between the tissue filling material and hyaluronidase increases, the pores inside the tissue filling material become larger, and an interpenetrating porous network structure is gradually formed, so that the The material has a three-dimensional porous structure inside, and the three-dimensional pore size is interconnected, which realizes the initial support of the material to the myocardial tissue in the body, the initial adhesion of the myocardial cells, and the high porosity porous structure that allows the myocardial cells to enter the material, and the interior of the material is connected. It can adapt to cell growth, nutrient flow transport and metabolite excretion.
实施例3Example 3
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,海藻酸钙的固体颗粒粒径为75μm)、组分C(选用透明质酸,透明质酸的分子量是200kDa)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物(即交联剂+造孔填充剂体系),使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL),1%(g/mL)和302mmol/L,此第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, the solid particle size of calcium alginate is 75 μm), component C (select hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa) and component D ( Select mannitol) to be dissolved in water for injection together, fully dissolve, obtain the first premix (i.e. cross-linking agent+pore-forming filler system), so that component B, component C and component D are in the first premix The content of 1.5% (g/mL), 1% (g/mL) and 302mmol/L respectively, this first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH is 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)、组分C(选用透明质酸,透明质酸的分子量是200kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物(即海藻酸钠体系+造孔填充剂体系),使得组分A、组分C和组分D在第二预混合物中的含量分别为2%(g/mL)、1%(g/mL)和302mmol/L,此第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) Component A (select sodium alginate, molecular weight is 180kDa), component C (select hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa) of calculated amount and component D (mannitol) are dissolved in injection together. In water, fully dissolve to obtain the second premix (that is, sodium alginate system+pore-forming filler system), so that the content of component A, component C and component D in the second premix is respectively 2% ( g/mL), 1% (g/mL), and 302 mmol/L, the second premix was formed into a water-soluble solution, the pH of which was 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡8min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、1%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 8 minutes (ie: gelation time) after injection. The contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为9±0.5kPa。In this example, the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 9±0.5kPa.
实施例4Example 4
将实施例3中制备的组织填充材料进行心梗小动物治疗实验,具体是将所述组织填充材料注射到实验大鼠心脏心梗区和正常心肌交接位置,单点注射40uL,注射3个点,术前和术后都对实验大鼠射血分数(EF,ejection fraction,按%计算)、心室壁厚、心输出量进行测试记录,术后饲养4周,对实验大鼠射血分数、心室壁厚再次进行测试记录,其中,所述组织填充材料对心梗大鼠的心室射血分数影响结果如图6所示,所述组织填充材料对心梗大鼠的心室壁厚影响结果如图7所示。The tissue filling material prepared in Example 3 was subjected to a small animal treatment experiment for myocardial infarction, specifically, the tissue filling material was injected into the junction between the myocardial infarction area and the normal myocardium of the experimental rat heart, 40uL was injected at a single point, and 3 points were injected. , Ejection fraction (EF, ejection fraction, calculated as %), ventricular wall thickness, and cardiac output were tested and recorded before and after operation, and the rats were reared for 4 weeks after operation. The ventricular wall thickness was tested and recorded again, wherein the effect of the tissue filling material on the ventricular ejection fraction of the myocardial infarction rats is shown in Figure 6, and the effect of the tissue filling material on the ventricular wall thickness of the myocardial infarction rats is as follows shown in Figure 7.
将实施例3中制备的组织填充材料进行体内组织相容性实验:将充分混合好的组织填充材料在开胸手术中注射植入实验大鼠心肌壁后,对试验大鼠饲养4周,解剖并观察组织填充材料在左心室壁内的形态,取材福尔马林溶液固定,并将固定好的组织材料经组织脱水后包埋、切片、H&E染色和Masson染色处理,并通过光学显微镜下观察其与左心室壁内的心肌组织的微观形态。具体的所述组织填充材料在心肌植入4周后的染色结果如图8所示,所述造孔填充材料短期内可降解并被吸收,在海藻酸盐水凝胶内形成多孔腔道,同时引导细胞生长在腔道内生长,诱导心肌细胞的生长,和心肌功能的恢复。The tissue filling material prepared in Example 3 was subjected to an in vivo histocompatibility test: after the fully mixed tissue filling material was injected into the myocardial wall of experimental rats during thoracotomy, the experimental rats were reared for 4 weeks and dissected. The morphology of the tissue filling material in the left ventricular wall was observed, the material was fixed in formalin solution, and the fixed tissue material was dehydrated, embedded, sliced, stained with H&E and Masson, and observed under an optical microscope. Its microscopic morphology with myocardial tissue within the wall of the left ventricle. The specific staining results of the tissue filling material after 4 weeks of myocardial implantation are shown in Figure 8. The pore filling material can be degraded and absorbed in a short period of time, and a porous cavity is formed in the alginate hydrogel. At the same time, it guides the growth of cells in the lumen, induces the growth of cardiomyocytes, and restores myocardial function.
图9为本申请实施例3制备的组织填充材料在心肌植入后的4周内心梗面积变化趋势图。我们发现注射组织填充材料随着注射后时间的推移,显著性延缓大鼠心梗后心功能恶化程度,减少心梗面积,维持左心室EF水平,改善心功能,注射水凝胶可显著提高心梗区域室壁厚度;而未注射本材料,其心梗面积随时间的延长逐渐增加,其心功能不断恶化。FIG. 9 is a graph showing the change trend of myocardial infarction area 4 weeks after myocardial implantation of the tissue filling material prepared in Example 3 of the present application. We found that the injected tissue filler material significantly delayed the deterioration of cardiac function after myocardial infarction in rats, reduced the size of myocardial infarction, maintained the level of left ventricular EF, and improved cardiac function with the passage of time after injection. Injection of hydrogel can significantly improve cardiac function. The thickness of the ventricular wall in the infarct area; without the injection of this material, the myocardial infarction area gradually increased with time, and the cardiac function continued to deteriorate.
在此特别一提的是,我们进一步实施批量化动物实验研究,包括纳入现有技术的材料,以进行具有统计学意义的结果对比,发现:对于多只心梗的大鼠,不做任何治疗的4周后,其心梗面积为8.00±1.08mm 2,注射现有技术的材料,例如不增加造孔填充材料的海藻酸基水凝胶,在注射后的4周后,其心梗面积为7.50±1.42mm 2,而注射本申请提供的组织填充材料相比,在心肌植入4周后的心梗面积为4.37±1.72mm 2,经统计学分析得出:不做任何治疗的实验组与注射现有技术的材料的实验组,4周后心梗面积并无显著性差异,而注射本申请提供的组织填充材料的实验组与注射现有技术的材料的实验组,4周后心梗面积得到显著性减少,且减少幅度达41.7%,由此可知,本申请提供的组织填充材料可有效遏制甚至逆转心梗后心功能恶化程度,大幅度减少心梗面积,显著性改善心功能。 In particular, we further carried out batch animal experimental studies, including materials incorporated into the prior art, for statistically significant comparison of results, and found that: for rats with multiple myocardial infarction, no treatment was given. 4 weeks after the injection, the myocardial infarction area was 8.00±1.08 mm 2 , and the injection of prior art materials, such as alginic acid-based hydrogel without adding pore filling material, the myocardial infarction area 4 weeks after the injection Compared with the injection of the tissue filling material provided by the present application, the myocardial infarction area after 4 weeks of myocardial implantation was 4.37± 1.72mm 2 . After statistical analysis, it was concluded that the experiment without any treatment There was no significant difference in myocardial infarction area after 4 weeks between the group and the experimental group injected with the materials of the prior art, while the experimental group injected with the tissue filling material provided by the present application and the experimental group injected with the materials of the prior art, the myocardial infarction area was obtained after 4 weeks. Significant reduction, and the reduction range is 41.7%, it can be seen that the tissue filling material provided by the present application can effectively restrain or even reverse the degree of deterioration of cardiac function after myocardial infarction, greatly reduce the size of myocardial infarction, and significantly improve cardiac function.
图10为心梗大鼠未进行治疗干预4周后的心梗区域血管再生图片,发现心梗大鼠心梗区域及心梗交界区新生血管罕见,且管腔结构细小。图11为心梗大鼠心梗区域植入实施例3制备的组织填充材料4周后血管再生图片,大鼠心梗区域及心梗交界区可见较多新生血管生成,且管腔结构较单纯心梗组新生血管粗大。以上结果提示,注射本申请提供的水凝胶可促进心肌内血管再生,有利于心梗后心功能恢复。Figure 10 is a picture of angiogenesis in the myocardial infarction area after 4 weeks of no treatment intervention in myocardial infarction rats. It was found that the new blood vessels in the myocardial infarction area and the myocardial infarction junction area of the myocardial infarction rats were rare, and the lumen structure was small. Figure 11 is a picture of angiogenesis after 4 weeks of implantation of the tissue filling material prepared in Example 3 in the myocardial infarction area of the rat with myocardial infarction. The myocardial infarction area and the myocardial infarction junction area of the rat showed more neovascularization, and the lumen structure was relatively simple The new blood vessels in the myocardial infarction group were enlarged. The above results suggest that injection of the hydrogel provided by the present application can promote the regeneration of intramyocardial blood vessels, which is beneficial to the recovery of cardiac function after myocardial infarction.
综上,通过心肌注射实施例3中的水凝胶,增加室壁厚度、促进心肌新生血管生成,可促进心肌血管再生,减少心肌梗死范围,改善梗死后心脏心功能下降,提高组织再生修复能力,治疗安全有效,为临床存进心肌血运重建提供了新的方法。In summary, the hydrogel in Example 3 can be injected into the myocardium to increase the thickness of the ventricular wall and promote myocardial neovascularization, which can promote myocardial angiogenesis, reduce the scope of myocardial infarction, improve the decline of cardiac function after infarction, and improve the ability of tissue regeneration and repair. , the treatment is safe and effective, and provides a new method for clinical myocardial revascularization.
实施例5Example 5
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分C(选用羧化壳聚糖,且分子量是100kDa)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL)、1.5%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, its solid particle diameter is 75 μm), component C (select carboxylated chitosan, and molecular weight is 100kDa) and component D (select mannitol) of calculated amount Dissolve together in water for injection, fully dissolve to obtain a first premix, so that the content of component B, component C and component D in the first premix is 1.5% (g/mL), 1.5% (g/mL), respectively. /mL) and 302mmol/L, the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)、组分C(选用羧化壳聚糖,且分子量是100kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A、组分C和组分D在第二预混合物中的含量分别为2%(g/mL)、1.5%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) Component A (selecting sodium alginate, molecular weight is 180kDa), component C (selecting carboxylated chitosan, and molecular weight is 100kDa) and component D (mannitol) of calculated amount are dissolved in water for injection together , fully dissolve to obtain a second premix, so that the contents of component A, component C and component D in the second premix are 2% (g/mL), 1.5% (g/mL) and 302 mmol, respectively /L, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、1.5%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1.5% (g/mL) and 302 mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为7.54±0.5kPa。In this example, the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 7.54±0.5 kPa.
实施例6Example 6
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B和组分D在第一预混合物中的含量分别为1.5%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (for selection of calcium alginate, whose solid particle diameter is 75 μm) and component D (for selection of mannitol) of calculated amount are dissolved in water for injection together, and fully dissolved to obtain the first premix, so that The content of component B and component D in the first premix is 1.5% (g/mL) and 302 mmol/L, respectively, and the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide) is added. solution) to adjust the pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)、组分C(选用硫酸软骨素钠盐,分子量50kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A、组分C和组分D在第二预混合物中的含量分别为2%(g/mL)、2%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) Component A (select sodium alginate, molecular weight is 180kDa) of calculated amount, component C (select chondroitin sulfate sodium salt, molecular weight 50kDa) and component D (mannitol) are dissolved in water for injection together, Fully dissolve to obtain the second premix, so that the content of component A, component C and component D in the second premix is 2% (g/mL), 2% (g/mL) and 302mmol/L respectively , the second premix is formed into a water-soluble solution, the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、1%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为9.67±0.5kPa。In this example, the pH value of the obtained tissue filling material was 7.0, and the mechanical support strength was 9.67±0.5 kPa.
实施例7Example 7
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分C(选用胶原蛋白,分子量70-200kDa)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL)、2%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, its solid particle size is 75 μm), component C (select collagen, molecular weight 70-200kDa) and component D (select mannitol) of calculated amount are dissolved in together. In water for injection, fully dissolve to obtain a first premix, so that the contents of component B, component C and component D in the first premix are 1.5% (g/mL) and 2% (g/mL) respectively and 302mmol/L, the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to be 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A和组分D在第二预混合物中的含量分别为2%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and be dissolved in water for injection together with component D (mannitol), fully dissolve, obtain the second premix, make component A and group The content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、1%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 1% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为7.33±0.5kPa。In this example, the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 7.33±0.5kPa.
实施例8Example 8
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分C(选用纤维蛋白原)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL)、0.2%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, its solid particle diameter is 75 μm), component C (select fibrinogen) and component D (select mannitol) of calculated amount are dissolved in water for injection together, Fully dissolve to obtain a first premix, so that the contents of component B, component C and component D in the first premix are 1.5% (g/mL), 0.2% (g/mL) and 302mmol/L respectively , the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)和组分D(甘露醇)一起溶解于注射用水 中,充分溶解,得到第二预混合物,使得组分A和组分D在第二预混合物中的含量分别为2%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and be dissolved in water for injection together with component D (mannitol), fully dissolve, obtain the second premix, make component A and group The content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、0.1%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 0.1% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为8.45±0.7kPa。In this example, the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 8.45±0.7kPa.
实施例9Example 9
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分C(选用葡聚糖)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL)、20%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate for use, its solid particle diameter is 75 μm), component C (select dextran) and component D (select mannitol) of calculated amount are dissolved in water for injection together, Fully dissolve to obtain the first premix, so that the content of component B, component C and component D in the first premix is 1.5% (g/mL), 20% (g/mL) and 302mmol/L respectively , the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A和组分D在第二预混合物中的含量分别为2%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and be dissolved in water for injection together with component D (mannitol), fully dissolve, obtain the second premix, make component A and group The content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、10%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 10% (g/mL) and 302 mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为6.67±0.5kPa。In this example, the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 6.67±0.5kPa.
实施例10Example 10
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,其固体颗粒粒径为75μm)、组分C(选用层粘连蛋白,805kD)和组分D(选用甘露醇)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C和组分D在第一预混合物中的含量分别为1.5%(g/mL)、0.2%(g/mL)和302mmol/L,第一预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, its solid particle diameter is 75 μm), component C (select laminin, 805kD) and component D (select mannitol) of calculated amount are dissolved in water for injection together , fully dissolve to obtain a first premix, so that the contents of component B, component C and component D in the first premix are 1.5% (g/mL), 0.2% (g/mL) and 302 mmol, respectively /L, the first premix is formed into a water-soluble solution, and then component E (sodium hydroxide solution) is added to adjust the pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)和组分D(甘露醇)一起溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A和组分D在第二预混合物中的含量分别为2%(g/mL)和302mmol/L,第二预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and be dissolved in water for injection together with component D (mannitol), fully dissolve, obtain the second premix, make component A and group The content of Part D in the second premix is 2% (g/mL) and 302 mmol/L respectively, the second premix is formed into a water-soluble solution, and the pH of this solution is 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为1%(g/mL)、0.75%(g/mL)、0.1%(g/mL)与302mmol/L。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. It can be injected into the injection system using the same injection system, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the composition of component A, component B, component C and component D The contents were 1% (g/mL), 0.75% (g/mL), 0.1% (g/mL) and 302mmol/L, respectively.
在本实施例中,获得的所述组织填充材料的pH值为7.0,力学支撑强度为6.00±0.5kPa。In this example, the obtained tissue filling material has a pH value of 7.0 and a mechanical support strength of 6.00±0.5kPa.
实施例11Example 11
与实施例10相比,除了所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为0.1%(g/mL)、0.1%(g/mL)、0.1%(g/mL)与280mmol/L外,其他与实施例10相同。Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 0.1% (g/mL), 0.1% (g/mL), 0.1%, respectively % (g/mL) was the same as in Example 10 except that it was 280 mmol/L.
实施例12Example 12
与实施例10相比,除了所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为20%(g/mL)、20%(g/mL)、20%(g/mL)与320mmol/L外,其他与实施例10相同。Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 20% (g/mL), 20% (g/mL), 20% % (g/mL) is the same as Example 10 except that it is 320 mmol/L.
实施例13Example 13
与实施例10相比,除了所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为0.1%(g/mL)、15%(g/mL)、10%(g/mL)与290mmol/L外,其他与实施例10相同。Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 0.1% (g/mL), 15% (g/mL), 10 % (g/mL) was the same as in Example 10 except that it was 290 mmol/L.
实施例14Example 14
与实施例10相比,除了所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为5%(g/mL)、10%(g/mL)、15%(g/mL)与310mmol/L外,其他与实施例10相同。Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 5% (g/mL), 10% (g/mL), 15% % (g/mL) was the same as in Example 10 except that it was 310 mmol/L.
实施例15Example 15
与实施例10相比,除了将甘露醇替换为山梨醇外,其他与实施例10相同。Compared with Example 10, except replacing mannitol with sorbitol, the rest is the same as Example 10.
实施例16Example 16
与实施例10相比,除了将甘露醇替换为葡萄糖外,其他与实施例10相同。Compared with Example 10, except that mannitol was replaced with glucose, other parts were the same as Example 10.
实施例17Example 17
与实施例10相比,除了将层粘连蛋白替换为壳聚糖外,其他与实施例10相同。Compared with Example 10, the rest is the same as Example 10 except that laminin is replaced by chitosan.
实施例18Example 18
与实施例1相比,除了将海藻酸钙替换为固体颗粒粒径为1μm的葡萄糖酸钙外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium gluconate with a solid particle diameter of 1 μm.
实施例19Example 19
与实施例1相比,除了将海藻酸钙替换为固体颗粒粒径为100μm的碳酸钙外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium carbonate with a solid particle size of 100 μm.
实施例20Example 20
与实施例1相比,除了将海藻酸钙替换为固体颗粒粒径为300μm的硫酸钙外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium sulfate with a solid particle diameter of 300 μm.
实施例21Example 21
与实施例1相比,除了将海藻酸钙替换为固体颗粒粒径为500μm的氯化钙外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium chloride with a solid particle size of 500 μm.
实施例22Example 22
与实施例1相比,除了将海藻酸钙替换为固体颗粒粒径为1000μm的葡萄糖酸钙外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that calcium alginate is replaced by calcium gluconate with a solid particle diameter of 1000 μm.
实施例23Example 23
与实施例1相比,除了将海藻酸钠替换为分子量是5kDa的海藻酸钾外,其他与实施例1相同。Compared with Example 1, except that sodium alginate is replaced by potassium alginate with a molecular weight of 5 kDa, the rest is the same as Example 1.
实施例24Example 24
与实施例1相比,除了将海藻酸钠替换为分子量是80kDa的海藻酸铵外,其他与实施例1相同。Compared with Example 1, except that sodium alginate is replaced by ammonium alginate with a molecular weight of 80 kDa, the rest is the same as Example 1.
实施例25Example 25
与实施例1相比,除了将海藻酸钠替换为分子量是200kDa的海藻酸丙二醇酯外,其他与实施例1相同。Compared with Example 1, the rest is the same as Example 1, except that sodium alginate is replaced by propylene glycol alginate with a molecular weight of 200 kDa.
实施例26Example 26
与实施例1相比,除了将海藻酸钠替换为分子量是400kDa的海藻酸丙二醇酯外,其他与实施例1相同。Compared with Example 1, except that sodium alginate is replaced by propylene glycol alginate with a molecular weight of 400 kDa, the rest is the same as Example 1.
实施例27Example 27
与实施例1相比,除了将透明质酸替换为葡聚糖外,其他与实施例1相同。Compared with Example 1, except that hyaluronic acid was replaced with dextran, the rest was the same as Example 1.
实施例28Example 28
与实施例1相比,除了将透明质酸替换为壳聚糖外,其他与实施例1相同。Compared with Example 1, except that the hyaluronic acid is replaced by chitosan, other parts are the same as Example 1.
实施例29Example 29
与实施例1相比,除了将透明质酸替换为胶原外,其他与实施例1相同。Compared with Example 1, except replacing hyaluronic acid with collagen, the rest is the same as Example 1.
实施例30Example 30
与实施例1相比,除了将透明质酸替换为明胶外,其他与实施例1相同。Compared with Example 1, except replacing hyaluronic acid with gelatin, other parts are the same as Example 1.
实施例31Example 31
与实施例10相比,除了所述组织填充材料中组分A、组分B、组分C与组分D的含量分别为10%(g/mL)、10%(g/mL)、10%(g/mL)与310mmol/L外,其他与实施例10相同。Compared with Example 10, except that the contents of component A, component B, component C and component D in the tissue filling material are 10% (g/mL), 10% (g/mL), 10% % (g/mL) was the same as in Example 10 except that it was 310 mmol/L.
实施例32Example 32
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,海藻酸钙的固体颗粒粒径为75μm)、组分C(选用透明质酸,透明质酸的分子量是200kDa)和组分D(选用甘露醇)这三种粉末一起溶解于注射用水中,充分溶解,得到第一预混合物(即交联剂+造孔填充剂体系),使得组分B、组分C和组分D在此预混合物中的含量分别为1.5%(g/mL),1%(g/mL)和302mmol/L,此预混合物形成为具有水溶性的溶液,然后加入组分E(氢氧化钠溶液)调节pH为7.0;1) Component B (select calcium alginate, the solid particle size of calcium alginate is 75 μm), component C (select hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa) and component D ( The three powders of mannitol) are dissolved together in water for injection, and fully dissolved to obtain the first premix (i.e., cross-linking agent+pore-forming filler system), so that component B, component C and component D are here The content in the premix is 1.5% (g/mL), 1% (g/mL) and 302mmol/L, respectively. This premix is formed into a water-soluble solution, and then the component E (sodium hydroxide solution) is added to adjust pH is 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)、组分D(甘露醇)和透明质酸酶一起溶解于注射用水中,充分溶解,得到第二预混合物(即海藻酸钠+酶体系),使得组分A、组分D和透明 质酸酶在此预混合物中的含量分别为2%(g/mL)、302mmol/L、150U/mL,此预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) Component A (selecting sodium alginate for use, molecular weight is 180kDa), component D (mannitol) and hyaluronidase of calculated amount are dissolved in water for injection together, fully dissolve, obtain the second premix (i.e. Sodium alginate + enzyme system), so that the content of component A, component D and hyaluronidase in this premix is 2% (g/mL), 302mmol/L, 150U/mL, respectively, this premix forms It is a water-soluble solution, and the pH value of this solution is 7.0;
3)将上述制备的海藻酸钠+酶体系与交联剂+造孔填充剂体系按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C、组分D和透明质酸酶的含量分别为1%(g/mL)、0.75%(g/mL)、0.5%(g/mL)、302mmol/L与75U/mL。3) The sodium alginate+enzyme system and the cross-linking agent+pore-forming filler system prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, and then mixed with a three-way syringe and connected to the injection. Needle tube or injection system mentioned in this application, equilibrated for 7 minutes after injection (ie: gelation time) can form the stable tissue filling material, the tissue filling material in component A, component B, group The contents of fraction C, fraction D and hyaluronidase were 1% (g/mL), 0.75% (g/mL), 0.5% (g/mL), 302 mmol/L and 75 U/mL, respectively.
本实施例中组织填充材料因为额外添加透明质酸酶,可以加速多孔结构的形成。The tissue filling material in this embodiment can accelerate the formation of porous structure due to the additional addition of hyaluronidase.
实施例33Example 33
与实施例32相比,除了将透明质酸替换为葡聚糖、透明质酸酶换为葡聚糖酶外,其他与实施例32相同。Compared with Example 32, it is the same as Example 32 except that hyaluronic acid is replaced by glucan and hyaluronidase is replaced by glucanase.
实施例34Example 34
与实施例32相比,除了将透明质酸替换为壳聚糖、透明质酸酶换为壳聚糖酶外,其他与实施例32相同。Compared with Example 32, the rest is the same as Example 32 except that hyaluronic acid is replaced by chitosan and hyaluronidase is replaced by chitosanase.
实施例35Example 35
与实施例32相比,除了将透明质酸替换为纤维蛋白、透明质酸酶换为蛋白酶外,其他与实施例32相同。Compared with Example 32, it is the same as Example 32 except that hyaluronic acid is replaced by fibrin and hyaluronidase is replaced by protease.
实施例36Example 36
一种组织填充材料,其制备方法具体包括以下步骤:A tissue filling material, the preparation method of which specifically comprises the following steps:
1)称取计算量的组分B(选用海藻酸钙,海藻酸钙的固体颗粒粒径为75μm)、组分C(选用透明质酸,透明质酸的分子量是200kDa)一起溶解于注射用水中,充分溶解,得到第一预混合物,使得组分B、组分C在此预混合物中的含量分别为1.5%(g/mL)、1%(g/mL),此预混合物形成为具有水溶性的溶液,同时调节pH为7.0;1) Component B (select calcium alginate, the solid particle diameter of calcium alginate is 75 μm), component C (select hyaluronic acid, the molecular weight of hyaluronic acid is 200kDa) of calculated amount is dissolved in water for injection together , fully dissolve to obtain a first premix, so that the contents of component B and component C in this premix are 1.5% (g/mL) and 1% (g/mL) respectively, and this premix is formed to have Water-soluble solution, while adjusting pH to 7.0;
2)称取计算量的组分A(选用海藻酸钠,分子量为180kDa)溶解于注射用水中,充分溶解,得到第二预混合物,使得组分A在此预混合物中的含量分别为2%(g/mL),此预混合物形成为具有水溶性的溶液,此溶液的pH值为7.0;2) take the calculated amount of component A (select sodium alginate, molecular weight is 180kDa) and dissolve in water for injection, fully dissolve, obtain the second premix, so that the content of component A in this premix is respectively 2% (g/mL), the premix is formed into a water-soluble solution with a pH of 7.0;
3)将上述制备的第一预混合物与第二预混合物按体积比1:1的比例分别灌装到无菌注射器中,再经三通注射器混匀并连接于注射针头管或本申请提及的注射系统注射,注射后平衡7min(亦即:凝胶化时间)可形成稳定的所述组织填充材料,所述组织填充材料中组分A、组分B、组分C的含量分别为1%(g/mL)、0.75%(g/mL)、0.5%(g/mL)。3) The first premix and the second premix prepared above are respectively filled into a sterile syringe at a volume ratio of 1:1, then mixed with a three-way syringe and connected to the injection needle tube or mentioned in this application. The injection system is injected, and the stable tissue filling material can be formed after equilibration for 7 minutes after injection (ie: gelation time), and the content of component A, component B, and component C in the tissue filling material is 1 % (g/mL), 0.75% (g/mL), 0.5% (g/mL).
根据以上结果可以看出,组分C的加入赋予所述组织填充材料特殊的生物学性能,带来如下优点:According to the above results, it can be seen that the addition of component C endows the tissue filler with special biological properties, bringing the following advantages:
1)将所述组织填充材料注射入心肌内部后,体内的酶会将造孔填充剂快速降解,形成相互贯穿的多孔网状结构,从而解决现有海藻酸盐基水凝胶孔径单一,无法形成3D连通孔隙,营养物质和细胞都无法进入支架内部的缺点;在将所述组织填充材料注射入心肌内部后,造孔填充剂在体内降解的同时,其降解后的产物具有分子活性,能够诱导细胞进入凝胶内部,可以调节细胞黏附、增殖与分化,同时,其降解后的产物可以为细胞生长提供营养物质,促进细胞生长和血管的形成;1) After the tissue filling material is injected into the myocardium, the enzymes in the body will rapidly degrade the pore-forming filler to form an interpenetrating porous network structure, thereby solving the problem that the existing alginate-based hydrogel has a single pore size and cannot be used. The disadvantage of forming 3D connected pores, nutrients and cells cannot enter the inside of the scaffold; after the tissue filling material is injected into the myocardium, while the pore filling agent is degraded in the body, the degraded products have molecular activity and can Inducing cells into the gel can regulate cell adhesion, proliferation and differentiation, and at the same time, the degraded products can provide nutrients for cell growth and promote cell growth and blood vessel formation;
2)所述组织填充材料生物相容性极好,动物实验表明凝胶与组织周围细胞无不良严重反应,能够提升心衰动物的心功能指标,有效的治疗心衰,防止心衰恶化,并且组织能够在凝胶内生长并有血管生成;2) The tissue filling material has excellent biocompatibility, and animal experiments show that the gel has no adverse and serious reactions with cells around the tissue, can improve the cardiac function index of animals with heart failure, effectively treat heart failure, and prevent the deterioration of heart failure, and Tissue can grow within the gel and have angiogenesis;
3)所述组织填充材料制作工艺简单,混合即可实现制备,并且通过改变造孔填充剂的用量,可加以调节水凝胶孔径的大小和孔隙率;所述组织填充材料既可用于体外细胞培养,也可实现体内注射应用。3) The preparation process of the tissue filling material is simple, and the preparation can be realized by mixing, and the size and porosity of the pore size of the hydrogel can be adjusted by changing the amount of the pore-forming filler; the tissue filling material can be used for in vitro cells. In culture, in vivo injection applications can also be achieved.
总之,本申请提供的组织填充材料能够满足注射型组织工程和细胞培养等对水凝胶性能的要求,同时能够治疗心衰疾病,恢复心功能。In conclusion, the tissue filling material provided by the present application can meet the performance requirements of injectable tissue engineering and cell culture, etc., and can treat heart failure diseases and restore heart function at the same time.
本申请有益效果如下,本申请制备的组织填充材料在由两种体内降解速度差异很大的天然生物高分子材料构成,一种是降解缓慢的海藻酸盐作为骨架,另一种是降解迅速的水溶性生物可降解高分子材料,当组织填充材料植入体内后,降解迅速的水溶性生物可降解高分子材料快速降解后形成相互贯穿的多孔网状结构,从而解决现有海藻酸盐基水凝胶孔径单一,无法形成3D连通孔隙,营养物质和细胞都无法进入支架内部的缺点,同时,降解迅速的生物高分子材料在体内降解的同时,其降解后 的产物具有分子活性,能够诱导细胞进入凝胶内部,可以调节细胞黏附、增殖与分化。动物实验效果良好,能够有效治疗心衰疾病。而提供的制备方法简单,采用简单有效的方式构造孔隙形态呈相互贯穿的多孔结构,并且能够诱导心肌细胞往孔隙中生长,解决了现有组织填充材料大多只能起到物理支撑作用,存在不利于心肌细胞在材料内部生长以及恢复心肌功能的问题,也可以解决现有技术由于受组分材料配方的限制,导致凝胶材料植入心肌内后对心肌细胞并无诱导生长的作用,细胞不会进入凝胶内部,且凝胶孔隙率不易调控且内部三维孔径互不贯穿连通,无法形成3D连通孔隙,营养物质和细胞都无法进入支架内部,不利于心肌细胞在凝胶内部的生长和心肌功能的恢复等问题,具有广阔的市场前景。The beneficial effects of the present application are as follows. The tissue filling material prepared by the present application is composed of two natural biopolymer materials with very different degradation rates in vivo. One is alginate that degrades slowly as a skeleton, and the other is fast degrading alginate. The water-soluble biodegradable polymer material, when the tissue filling material is implanted into the body, the rapidly degraded water-soluble biodegradable polymer material rapidly degrades to form an interpenetrating porous network structure, thus solving the problem of existing alginate-based water. The pore size of the gel is single, the 3D connected pores cannot be formed, and the nutrients and cells cannot enter the scaffold. At the same time, the rapidly degraded biopolymer materials are degraded in vivo, and the degraded products have molecular activity and can induce cells. Entering the inside of the gel can regulate cell adhesion, proliferation and differentiation. Animal experiments have good results and can effectively treat heart failure diseases. However, the provided preparation method is simple, adopts a simple and effective way to construct a porous structure with interpenetrating pore shape, and can induce the growth of cardiomyocytes in the pores, which solves the problem that most of the existing tissue filling materials can only play a physical supporting role, and there are inconveniences. It is beneficial to the growth of cardiomyocytes in the material and the recovery of myocardial function, and it can also solve the problem of the prior art due to the limitation of the formulation of the component materials. It will enter the inside of the gel, and the porosity of the gel is not easy to control, and the internal three-dimensional pore size is not connected to each other, so 3D connected pores cannot be formed, and nutrients and cells cannot enter the inside of the scaffold, which is not conducive to the growth of cardiomyocytes inside the gel and myocardial cells. Function recovery and other issues have broad market prospects.
而且,所述组织填充材料可以作为可注射支架材料,具有更接近于人体心脏组织支撑强度,或可根据患者心脏组织需要适时进行支撑强度调节,且其材料内部具有三维多孔结构,三维孔径互相贯穿连通,实现材料在体内对心肌组织的初始支撑、心肌细胞的初始粘附以及使得心肌细胞进入材料内部,材料内部相连相通的高孔隙率多孔结构,能适应细胞生长、营养流的输送与代谢产物的排出。Moreover, the tissue filling material can be used as an injectable stent material, with a support strength closer to that of human heart tissue, or the support strength can be adjusted in time according to the needs of the patient's heart tissue, and the material has a three-dimensional porous structure inside, and the three-dimensional pores penetrate each other. Connected to realize the initial support of the material to the myocardial tissue in the body, the initial adhesion of the cardiomyocytes, and the entry of the cardiomyocytes into the material. The high porosity porous structure of the material can be adapted to cell growth, nutrient flow transport and metabolites of discharge.
需要说明的是,与现有技术相比,本申请至少具有以下优势:It should be noted that, compared with the prior art, the present application has at least the following advantages:
1)本申请提供的组织填充材料由于造孔填充剂组分的引入,使得组织填充材料植入体内后,降解迅速的造孔填充剂组分快速降解后形成相互贯穿的多孔网状结构,从而解决现有海藻酸盐基水凝胶孔径单一,无法形成3D连通孔隙,营养物质和细胞都无法进入支架内部的缺点。1) Due to the introduction of the pore-forming filler component in the tissue filling material provided in this application, after the tissue filling material is implanted into the body, the rapidly degraded pore-forming filler component is rapidly degraded to form an interpenetrating porous network structure, thereby It solves the shortcomings of the existing alginate-based hydrogels with single pore size, unable to form 3D connected pores, and inability of nutrients and cells to enter the interior of the scaffold.
2)本申请提供的组织填充材料中的造孔填充剂组分在体内降解的同时,其降解后的产物具有分子活性,能够诱导细胞进入凝胶内部,可以调节细胞黏附、增殖与分化,其降解后的产物可以为细胞生长提供营养物质,促进细胞生长和血管的形成。2) While the pore-forming filler component in the tissue filling material provided by this application is degraded in vivo, the degraded product has molecular activity, can induce cells to enter the gel, and can regulate cell adhesion, proliferation and differentiation, which The degraded products can provide nutrients for cell growth and promote cell growth and the formation of blood vessels.
3)本申请提供的组织填充材料生物相容性极好,动物实验表明凝胶与组织周围细胞无不良严重反应,组织能够在凝胶生长并有血管生成。3) The tissue filling material provided by the present application has excellent biocompatibility, animal experiments show that the gel has no serious adverse reaction with the surrounding cells of the tissue, and the tissue can grow in the gel and have angiogenesis.
4)本申请提供的组织填充材料制作工艺简单,混合即可,通过改变造孔填充剂组分的用量,可以加调节水凝胶孔径的大小和孔隙率。4) The tissue filling material provided by the present application has a simple manufacturing process and can be mixed. By changing the amount of the pore-forming filler component, the pore size and porosity of the hydrogel can be adjusted.
5)本申请提供的组织填充材料既可用于体外细胞培养,也可实现体内注射应用。5) The tissue filling material provided in this application can be used for both in vitro cell culture and in vivo injection applications.
上面对本申请的较佳实施方式作了详细说明,但是本申请并不限于上述实施方式,在本领域的普通技术人员所具备的知识范围内,还可以在不脱离本申请宗旨的前提下作出各种变化。这里无需也无法对所有的实施方式予以穷举。而由此所引申出的显而易见的变化或变动仍处于本申请的保护范围之中。The preferred embodiments of the present application have been described in detail above, but the present application is not limited to the above-mentioned embodiments. Within the scope of knowledge possessed by those of ordinary skill in the art, various aspects can be made without departing from the purpose of the present application. kind of change. There is no need and cannot be exhaustive of all implementations here. However, the obvious changes or changes derived from this are still within the protection scope of the present application.

Claims (14)

  1. 一种组织填充材料,所述组织填充材料包括组分A、组分B,以及注射用水,所述组分A中包含海藻酸盐,所述组分B中包含金属阳离子交联剂,所述组分A和/或组分B还包含水溶性生物可降解的造孔填充材料,所述组分A与组分B充分搅拌后形成离子交联型水凝胶结构,所述造孔填充材料均匀分布在离子交联型水凝胶结构内部;所述海藻酸盐在所述组织填充材料中的含量是0.1-20wt%,所述金属阳离子交联剂在所述组织填充材料中的含量是0.1-20wt%,所述造孔填充材料在所述组织填充材料中的含量是0.1-20wt%。A tissue filling material, the tissue filling material includes component A, component B, and water for injection, the component A includes alginate, the component B includes a metal cation cross-linking agent, the Component A and/or Component B further comprise a water-soluble biodegradable pore-forming filling material, and after the component A and component B are fully stirred to form an ionically cross-linked hydrogel structure, the pore-forming filling material uniformly distributed inside the ion cross-linked hydrogel structure; the content of the alginate in the tissue filling material is 0.1-20wt%, and the content of the metal cationic cross-linking agent in the tissue filling material is 0.1-20 wt %, and the content of the pore filling material in the tissue filling material is 0.1-20 wt %.
  2. 根据权利要求1所述的组织填充材料,其中,所述造孔填充材料在降解的同时,其降解的产物具有生物学活性,能够促进组织细胞生长,调节细胞黏附、增殖与分化。The tissue filling material according to claim 1, wherein when the pore filling material is degraded, the degraded product has biological activity, which can promote the growth of tissue cells and regulate cell adhesion, proliferation and differentiation.
  3. 根据权利要求1所述的组织填充材料,其中,所述造孔填充材料包括多聚糖类材料或蛋白类材料中的任意一种或者多种。The tissue filling material according to claim 1, wherein the pore filling material comprises any one or more of polysaccharide-based materials or protein-based materials.
  4. 根据权利要求3所述的组织填充材料,其中,所述的多聚糖类材料包括透明质酸、葡聚糖、壳聚糖或硫酸软骨素中的任意一种;所述的蛋白类材料包括胶原、明胶、纤维蛋白或者层粘连蛋白中的任意一种。The tissue filling material according to claim 3, wherein the polysaccharide material comprises any one of hyaluronic acid, dextran, chitosan or chondroitin sulfate; the protein material comprises Any of collagen, gelatin, fibrin or laminin.
  5. 根据权利要求1所述的组织填充材料,其中,所述造孔填充材料中包含能够促进细胞生长的活性药物,所述活性药物包括转化生长因子、血小板衍生生长因子、成纤维细胞生长因子。The tissue filling material according to claim 1, wherein the pore filling material contains active drugs capable of promoting cell growth, and the active drugs include transforming growth factor, platelet-derived growth factor, and fibroblast growth factor.
  6. 根据权利要求1所述的组织填充材料,其中,所述造孔填充材料的降解周期小于或等于8周。The tissue filling material according to claim 1, wherein the degradation period of the pore filling material is less than or equal to 8 weeks.
  7. 根据权利要求1所述的组织填充材料,其中,所述组织填充材料结构内的孔隙随着造孔填充材料的降解而逐渐增大。The tissue filler material of claim 1, wherein the pores within the tissue filler material structure gradually increase as the pore filler material degrades.
  8. 根据权利要求1所述的组织填充材料,其中,所述造孔填充材料还包括调控降解速度的调控剂,所述调控剂包括透明质酸酶、葡聚糖酶、壳聚糖酶、蛋白酶中的任意一种。The tissue filling material according to claim 1, wherein the pore-forming filling material further comprises a regulator for regulating the degradation rate, the regulator comprises hyaluronidase, glucanase, chitosanase, protease any of the .
  9. 根据权利要求1所述的组织填充材料,其中,所述海藻酸盐是海藻酸钠、海藻酸钾、海藻酸铵或海藻酸丙二醇酯中的任意一种;所述金属阳离子交联剂选自海藻酸钙、葡萄糖酸钙、碳酸钙、硫酸钙或氯化钙中的一种或多种的组合。The tissue filling material according to claim 1, wherein the alginate is any one of sodium alginate, potassium alginate, ammonium alginate or propylene glycol alginate; the metal cationic cross-linking agent is selected from A combination of one or more of calcium alginate, calcium gluconate, calcium carbonate, calcium sulfate or calcium chloride.
  10. 一种如权利要求1-9中任一项所述的组织填充材料的制备方法,其中,包括以下步骤:1)按在组分A中含量为0.1-20wt%称取所述造孔填充材料,按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.1-20wt%称取所述造孔填充材料,按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。A method for preparing a tissue filling material according to any one of claims 1-9, comprising the following steps: 1) weighing the pore-forming filling material according to the content in component A of 0.1-20wt% , according to the content of 0.2-40wt% in component A, the alginate is weighed, and the balance is water for injection, and fully mixed and dissolved to obtain component A; For the pore-forming filling material, the metal cationic cross-linking agent is weighed according to the content of 0.2-40wt% in component B, and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are thoroughly mixed and reacted in the same volume to obtain the tissue filling material.
  11. 一种如权利要求1-9中任一项所述的组织填充材料的制备方法,所述的组织填充材料的制备方法包括以下步骤:1)按在组分A中含量为0.2-40wt%称取所述造孔填充材料,按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。A preparation method of tissue filling material according to any one of claims 1-9, the preparation method of tissue filling material comprises the following steps: 1) according to the content in component A of 0.2-40wt% Take the pore-forming filling material, weigh the alginate according to the content in component A of 0.2-40wt%, and the balance is water for injection, fully mix and dissolve to obtain component A; according to the content in component B Weigh the metal cationic cross-linking agent at 0.2-40 wt%, the balance is water for injection, and fully mix and dissolve to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume to obtain the Tissue filling material.
  12. 一种如权利要求1-9中任一项所述的组织填充材料的制备方法,其中,所述的组织填充材料的制备方法包括以下步骤:1)按在组分A中含量为0.2-40wt%称取所述海藻酸盐,余量为注射用水,充分混合溶解,得到组分A;按在组分B中含量为0.2-40wt%称取所述造孔填充材料,按在组分B中含量为0.2-40wt%称取所述金属阳离子交联剂,余量为注射用水,充分混合溶解,得到组分B;2)所述组分A与组分B进行同体积充分混合反应,得到所述组织填充材料。A method for preparing a tissue filling material according to any one of claims 1 to 9, wherein the method for preparing a tissue filling material comprises the following steps: 1) according to the content of component A in the range of 0.2-40wt % Weigh the alginate, the balance is water for injection, fully mix and dissolve to obtain component A; weigh the pore-forming filling material according to the content in component B of 0.2-40wt%, and press The middle content is 0.2-40wt%, and the metal cationic crosslinking agent is weighed, and the balance is water for injection, which is fully mixed and dissolved to obtain component B; 2) the component A and component B are fully mixed and reacted in the same volume, The tissue filler material is obtained.
  13. 一种组织工程支架,其中,部分或全部包含如权利要求1-9任一项所述的组织填充材料。A tissue engineering scaffold, wherein part or all of the tissue filling material according to any one of claims 1-9 is contained.
  14. 一种如权利要求1-9任一项所述的组织填充材料在制备用于心衰辅助治疗的医用材料中的应用。An application of the tissue filling material according to any one of claims 1 to 9 in the preparation of a medical material for adjuvant treatment of heart failure.
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