WO2022119322A1 - Hemostatic composition comprising novel compound - Google Patents

Hemostatic composition comprising novel compound Download PDF

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WO2022119322A1
WO2022119322A1 PCT/KR2021/018035 KR2021018035W WO2022119322A1 WO 2022119322 A1 WO2022119322 A1 WO 2022119322A1 KR 2021018035 W KR2021018035 W KR 2021018035W WO 2022119322 A1 WO2022119322 A1 WO 2022119322A1
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iodine
hemostatic composition
hemostatic
tmc
povidone iodine
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PCT/KR2021/018035
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French (fr)
Korean (ko)
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우승훈
아부에바셀린
배준상
류현석
정필상
엄주범
박소영
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단국대학교 천안캠퍼스 산학협력단
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Publication of WO2022119322A1 publication Critical patent/WO2022119322A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/70—Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • A61K31/716—Glucans
    • A61K31/722—Chitin, chitosan
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/74—Synthetic polymeric materials
    • A61K31/785—Polymers containing nitrogen
    • A61K31/787—Polymers containing nitrogen containing heterocyclic rings having nitrogen as a ring hetero atom
    • A61K31/79—Polymers of vinyl pyrrolidone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00—Medicinal preparations containing inorganic active ingredients
    • A61K33/18—Iodine; Compounds thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/54—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/54—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound
    • A61K47/541—Organic ions forming an ion pair complex with the pharmacologically or therapeutically active agent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/54—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound
    • A61K47/55—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound the modifying agent being also a pharmacologically or therapeutically active agent, i.e. the entire conjugate being a codrug, i.e. a dimer, oligomer or polymer of pharmacologically or therapeutically active compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/54—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound
    • A61K47/55—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound the modifying agent being also a pharmacologically or therapeutically active agent, i.e. the entire conjugate being a codrug, i.e. a dimer, oligomer or polymer of pharmacologically or therapeutically active compounds
    • A61K47/552—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound the modifying agent being also a pharmacologically or therapeutically active agent, i.e. the entire conjugate being a codrug, i.e. a dimer, oligomer or polymer of pharmacologically or therapeutically active compounds one of the codrug's components being an antibiotic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/02—Local antiseptics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04—Antibacterial agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04—Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

Definitions

  • the present invention relates to a hemostatic composition comprising a novel compound.
  • hemostatic agents in the operating room, general emergency situations, and battlefields is essential because it minimizes blood loss through effective early hemostasis and shortens the operating time by securing a quick surgical field of view, thereby greatly increasing the patient's chances of survival.
  • an ideal sterilization product should have antibacterial properties against a wide range of microorganisms including pathogens, have high penetration only in the wound area, and minimize the effect on systemic absorption.
  • an ideal product should not be able to acquire resistance to microorganisms, promote wound healing, and be low-cost and easy to apply.
  • povidone iodine has a broad spectrum of antibacterial properties, is not resistant to microorganisms, does not interfere with wound healing, and has greater benefits than harmful products.
  • povidone-iodine is an ion-bonded form of povidone (polyvinylpyrrolidone) and iodine. Iodine oxidizes DNA, fat, and amino acids of microorganisms to inactivate DNA/RNA and proteins , and povidone regulates the release of iodine.
  • Chitosan has advantages of biodegradability, non-toxicity, and antibacterial properties, and there have been many reports that it helps sterilize and heal wounds, and many chitosan-based products such as wound healing agents are being released.
  • chitosan has a disadvantage that it is difficult to use in the human body because it is dissolved in weakly acidic conditions.
  • N,N,N-trimethylchitosan methylated three times from chitosan is dissolved in a neutral state and has the advantage of being easy to apply to the human body.
  • the present inventors have developed a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine, paying attention to the technical characteristics as described above.
  • An object of the present invention is to provide a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine.
  • Another object of the present invention is to provide a hemostasis method comprising; treating a subject in need thereof with N,N,N-trimethyl chitosan and povidone iodine.
  • hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine.
  • the N,N,N-trimethyl chitosan of the present invention is a positively charged chitosan prepared through three rounds of N-methylation on chitosan, a natural polymer, and conventionally, chitosan itself is widely known as a positively charged polymer, but three times of N- It is possible to form an ionic complex with povidone iodine by further strengthening the electrostatic attraction through quaternary amine positive charge through methylation.
  • N,N,N-trimethyl chitosan is easy to apply to the human body, unlike chitosan that dissolves in weak acid in that it is soluble in neutrality.
  • N,N,N-trimethyl chitosan which is permanently positively charged, attracts the negative charge of red blood cells and activated platelets through the charge, thereby assisting aggregation and blood coagulation.
  • Povidone iodine of the present invention is a compound in which polyvinylpyrrolidone and iodine are combined in an ionic bond state, and is widely known as an antiseptic for trauma.
  • Povidone has antibacterial properties through the function of inactivating DNA/RNA as well as protein of povidone iodine, and povidone plays a role in regulating the release of iodine.
  • the sterilization function of iodine is not resistant and strong, it can cause problems in the human body when exposed to large amounts for a short time, so the release rate is controlled by using povidone.
  • the N,N,N-trimethyl chitosan and povidone iodine composition for hemostasis may include N,N,N-trimethyl chitosan and povidone iodine in a volume ratio of 0.5:1 to 2:1.
  • the volume ratio of N,N,N-trimethyl chitosan and povidone iodine is less than 0.5:1, the platelet aggregation effect of N,N,N-trimethyl chitosan decreases, and the hemostatic effect may be remarkably reduced.
  • the volume ratio of N,N,N-trimethyl chitosan and povidone iodine exceeds 2:1, the amount of negative iodine charge of povidone iodine may be insufficient, so that the ion complex may not be formed smoothly.
  • the hemostatic composition may be provided in a form selected from the group consisting of hydrogels, nanofibers, emulsions and powders.
  • the hemostatic composition may exhibit sterilization performance due to the presence of povidone-iodine. That is, the hemostatic composition of the present invention exhibits hemostatic properties and sterilization performance at the same time, so that it can be easily used for surgery, emergency measures, etc. of local bleeding sites.
  • the present invention provides a hemostatic composition
  • a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine, an ionic complex through electrostatic attraction between povidone iodine iodine and N,N,N-trimethyl chitosan It may be present in the hemostatic composition through formation.
  • a schematic diagram for the formation of the ion complex is shown in FIG. 1 .
  • the present invention provides a hemostatic agent comprising the composition for hemostasis.
  • the present invention provides a hemostasis method comprising; treating a subject in need thereof with N,N,N-trimethyl chitosan and povidone iodine.
  • the term “subject” refers to a subject of hemostasis, and more specifically, it may refer to mammals such as humans or non-human primates, mice, dogs, cats, horses, and cattle, The present invention is not limited thereto.
  • the hemostatic composition of the present invention contains N,N,N-trimethyl chitosan and povidone iodine simultaneously, it exhibits hemostatic performance due to the positive charge of N,N,N-trimethyl chitosan and at the same time exhibits sterilization performance due to povidone iodine can indicate
  • N,N,N-trimethyl chitosan and povidone iodine form an ionic complex centered on the negative charge of iodine, it is possible to control the release rate of iodine in the hemostatic composition in a stable form.
  • 1 is a schematic diagram showing an ionic complex of N,N,N-trimethylchitosan and povidone iodine.
  • Figure 2 shows the NMR peak results of the synthesized N,N,N-trimethylchitosan.
  • TMC N,N,N-trimethylchitosan
  • CTRL saline, TMC-0.5; 0.5% by weight, TMC-1: 1% by weight, TMC-2: 2% by weight, TMC-5: 5% by weight
  • B N,N,N-trimethylchitosan dissolved in povidone iodine [CTRL: povidonei] Odin 1% by weight solution, TMC-0.5; 5% by weight, TMC-1: 1% by weight, TMC-2: 2% by weight, TMC-5: 5% by weight]
  • C N,N,N-trimethylchitosan (TMC-5: 5% by weight) dissolved in saline %) and control (TMC-0, saline) cytotoxicity test results are shown.
  • TMC-0 PVPI
  • TMC-5 5 wt. %
  • TMC-10 10% by weight
  • Figure 5 shows the results of the fungal growth inhibition test of N,N,N-trimethylchitosan dissolved in povidone iodine and the control [TMC-0 (PVPI): 1 wt% solution of povidoneiodine, TMC-5: 5 wt. %, TMC-10: 10% by weight].
  • FIG. 7 shows an image confirming the platelet aggregation degree of N,N,N-trimethylchitosan dissolved in saline and the control [CTRL: saline] by scanning electron microscope.
  • Example 1 Preparation of a powder composition comprising N,N,N-trimethylchitosan
  • N-methylchitosan iodine was added to N-methylchitosan iodine and mixed at 60° C. for 60 minutes. During mixing, NaCl aqueous solution (10% v/v) was added to replace the iodine. Then, ethanol was added and centrifuged at 4°C at 10,000 x g for 30 minutes. The precipitated N,N-dimethylchitosan (DMC) was collected. Thereafter, the ethanol was removed in a dry oven. DMC was mixed with sodium iodide, NaOH aqueous solution (15% v/v), and methyl iodine at 60°C for 60 minutes.
  • DMC N,N-dimethylchitosan
  • Example 3 Preparation of a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • the chitosan derivative N,N,N-trimethyl chitosan (TMC) was dissolved in deionized water to obtain an aqueous solution of N,N,N-trimethyl chitosan in an amount of 0.05 to 20% by weight. Thereafter, a povidone-iodine (PVPI) complex is dissolved in deionized water to prepare a povidone-iodine solution in which 0.1 to 12% by weight of iodine is present.
  • the PVPI and TMC solution were mixed to form a uniform composition in a volume ratio of 2:1 and 1:1 of PVPI:TMC.
  • the mixture comprising N,N,N-trimethylchitosan and povidone iodine was 0.1 to 10% by weight of TMC and 1 to 10% by weight of povidone-iodine (PVPI) complex.
  • Example 4 Cytotoxicity evaluation of a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • the cytotoxicity results of the hemostatic composition prepared in Example 3 were tested and are shown in FIG. 3 .
  • human fibroblast cells BJ, ATCC CRL-2522TM were cultured using a medium composed of Eagle's minimal essential medium (EMEM), 10% fetal bovine serum albumin (FBS), and 1% penicillin streptomycin (PS). Cells were cultured on a culture plate, and the hemostatic composition of Example 3 was treated in the culture medium. The final concentration of PVPI in the treated hemostatic composition was 1% by weight, and the final concentration of TMC was 0.5, 1.0, 2.0 and 5.0% by weight. This was performed to determine the potential cytotoxicity of TMCs after 24 h survival by MTT assay.
  • EMEM Eagle's minimal essential medium
  • FBS fetal bovine serum albumin
  • PS penicillin streptomycin
  • Example 5 Bacterial growth inhibition experiment of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • inhibition zone assay was performed to measure bacterial growth inhibition and bactericidal effect.
  • the strains used were methicillin sensitive Staphylococcus aureus (MSSA, KCCM: 40881, ATCC 29213), multidrug-resistant Staphylococcus aureus (KCCM: 11256, ATCC 25923) in Gram-positive bacteria.
  • MSSA methicillin sensitive Staphylococcus aureus
  • KCCM multidrug-resistant Staphylococcus aureus
  • 0.5g agarose was added to 50ml LB broth and melted using a microwave oven. When the temperature was below 60°C, each bacteria was diluted so that the absorbance ( OD600 ) value was 0.01, 400ul was added, and 8ml each was put in a Petri dish and coagulated. After that, about 2 mm holes were drilled, and 4 ul of each solution was treated and then cultured at 37° C. for 24 h. After incubation, the MTT solution was treated for 30 minutes to
  • Example 6 Fungal growth inhibition experiment of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • the fungal growth inhibition experiment of the hemostatic composition prepared in Example 3 was performed and is shown in FIG. 5 .
  • an inhibition zone assay was performed to measure the fungal growth inhibition and bactericidal effect.
  • the strain used was Candida albicans (KCCM: 11282, ATCC: 10231). Put 0.5g agarose in 50ml LB broth and melt it using a microwave oven. When the temperature is below 60°C, dilute each bacteria so that the absorbance ( OD600 ) value is 0.01, add 400ul, put 8ml each in a Petri dish, and harden. After that, a hole of about 2 mm was drilled, and 4 ul of each solution was treated and incubated at 37° C. for 24 hours. After incubation, the MTT solution was treated for 30 minutes to check the clear zone, and the results were confirmed.
  • Example 7 Hemostatic performance test of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • Example 3 a sample obtained by dissolving various concentrations of TMC (0.5, 1.0, 2.0, or 5%) in a 1 wt% PVPI solution) was added per well of the culture plate. PVPI only played a control role.
  • Blood citrate was mixed with 0.1M calcium chloride (CaCl 2 ) to initiate coagulation and distributed in a 1:1 volume ratio in the wells containing the TMC solution. Blood was allowed to come into contact with the solution and was observed every 30 seconds. The reaction was stopped by adding deionized water or saline into the wells without disturbing the thrombus. The time it took to form a clot was recorded and light micrographs were taken every minute.
  • Example 3 The hemostatic composition of Example 3 (PVPI-TMC solution) significantly shortened the in vitro blood clotting time compared to the control. However, no significant difference between concentrations was observed, suggesting that the minimum concentration of 0.5% TMC was sufficient to induce blood clotting in vitro.
  • the platelet activation test was performed by collecting blood at a ratio of 4:1 using a syringe containing 0.109M sodium citrate. To separate the high-concentration platelet solution, whole blood was centrifuged at 2500 rpm for 5 minutes, platelet rich plasma (PRP) was separated from red blood cells, and further centrifuged at 2500 rpm for 5 minutes to obtain rich plasma pellets. TMC solution or saline (controller) was dropped on the filter paper (50ul) placed in the well (24-well) of the culture plate. The pellet was diluted with PBS at a ratio of 1:4 and then added to each filter paper (50ul) loaded with TMC solution.
  • PRP platelet rich plasma
  • each dressing was removed and fixed with 2% glutaraldehyde or 4% paraformaldehyde in PBS. Activated platelets were observed under an electron microscope (SEM, JSM-6701F, JEOL, Japan).
  • TMC supports platelet adhesion and activates platelets only against control or saline. That is, in the control group, platelets were not activated, whereas in the TMC, platelets were activated and it was confirmed that the platelets were extended in a pseudo-legged branch shape.
  • Example 9 Hemostatic performance test of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
  • the hemostatic performance of the hemostatic composition prepared in Example 3 was tested and shown in FIG. 8 .
  • anesthetized Sprague Dolly rats were fixed to a Styrofoam board using a needle and tilted at about 45 degrees. After abdominal incision, the left lateral lobe of the liver was exposed. And to prevent absorption of blood other than that of the wound site, 5 ⁇ 5 cm 2 of parafilm was placed under the liver lobe. The wound was made in the middle of the lobe using a 4 mm biopsy punch. Free bleeding was allowed for 5 seconds. During heavy bleeding, a TMC solution was applied to the left liver lobe and a filter paper was placed under the liver. The filter paper was changed every 60 seconds and the wet filter paper was immediately weighed to determine the total amount of bleeding and clotting time. Acute hemostatic bleeding was defined as cessation of bleeding prior to 5 minutes.

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Abstract

The present invention provides a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine. Since the hemostatic composition of the present invention comprises N,N,N-trimethyl chitosan and povidone iodine at the same time, the hemostatic composition may exhibit hemostatic performance due to the positive charge of the N,N,N-trimethyl chitosan and at the same time exhibit sterilization performance due to the povidone iodine. In addition, since the N,N,N-trimethyl chitosan and the povidone iodine form an ionic complex on the basis of the negative charge of iodine, it is possible to control the release rate of iodine in the hemostatic composition in a stable form.

Description

신규한 화합물을 포함하는 지혈용 조성물Hemostatic composition comprising novel compound
본 발명은 신규한 화합물을 포함하는 지혈용 조성물에 관한 것이다. The present invention relates to a hemostatic composition comprising a novel compound.
일반적으로, 인간을 포함한 동물은 외과적 수술 및 신체적 외상들에 의해 혈관이 다치면 출혈이 발생한다. 경미한 출혈은 외부의 인위적인 도움 없이 생리학적 혈액 응고 작용에 의해 출혈을 정지시킬 수 있으나, 손상 정도에 따라 신체기능에 치명적 영향을 줄 수 있는 정도의 혈액 손실을 가져올 수 있다. 이러한 중증의 조직손상을 수반하는 과다 출혈은 생명을 순식간에 위태롭게 만들어 사망에 이르도록 만드는 중요한 원인 가운데 하나이며, 응급실 내원 환자 중 다발성 손상 환자의 사망원인 74%가 과다출혈로 인한 저혈량성 쇼크라는 점이 학계에 보고된바 있다.In general, animals, including humans, bleed when blood vessels are injured by surgical operations and physical trauma. Minor bleeding can stop bleeding by physiological blood coagulation without external help, but it can cause blood loss to a degree that can fatally affect bodily functions depending on the degree of damage. Excessive bleeding accompanied by such severe tissue damage is one of the important causes that endanger life in an instant and lead to death. point has been reported in the academic world.
초기 효과적인 지혈로 혈액손실을 최소화하고 빠른 수술시야 확보로 수술시간을 단축하여 환자의 생존가능성을 크게 높일 수 있기에 수술실, 일반 응급상황, 전장에서 지혈제 사용은 필수적이다. The use of hemostatic agents in the operating room, general emergency situations, and battlefields is essential because it minimizes blood loss through effective early hemostasis and shortens the operating time by securing a quick surgical field of view, thereby greatly increasing the patient's chances of survival.
한편, 상처 관리에 있어서 국소 소독제품은 항생제 내성과 다른 합병증을 불러올 수 있다. 이에 따라 이상적인 살균제품은 병원균을 포함한 광범위한 미생물에 대한 항균성이 있어야 하며, 상처 부분에만 침투도가 높으며 전신 흡수에 대한 영향을 최소화 해야한다. 또한, 미생물이 저항성을 획득할 수 없어 야하고, 상처 치유 촉진을 하며 저비용 및 적용이 용이한 것이 이상적인 제품이라 할 수 있다. On the other hand, topical antiseptic products in wound management can lead to antibiotic resistance and other complications. Accordingly, an ideal sterilization product should have antibacterial properties against a wide range of microorganisms including pathogens, have high penetration only in the wound area, and minimize the effect on systemic absorption. In addition, an ideal product should not be able to acquire resistance to microorganisms, promote wound healing, and be low-cost and easy to apply.
기존에 판매되고 있는 제품 중 포비돈 아이오딘은 넓은 스펙트럼의 항균성과 미생물이 저항성이 없으며, 상처 치유 효과를 방해하지 않으며 유해성보다 유익성이 큰 제품으로 다양한 제형 제품이 존재한다. 특히, 포비돈 아이오딘은 포비돈(폴리비닐피롤리돈) 및 아이오딘이 이온 결합한 형태인데, 아이오딘이 미생물의 미생물의 DNA와 지방, 아미노산을 산화시켜 DNA/RNA 및 단백질을 비활성화시키는 기능을 통해 항균성을 띄며, 포비돈은 아이오딘의 방출을 조절한다.Among the products currently on sale, povidone iodine has a broad spectrum of antibacterial properties, is not resistant to microorganisms, does not interfere with wound healing, and has greater benefits than harmful products. In particular, povidone-iodine is an ion-bonded form of povidone (polyvinylpyrrolidone) and iodine. Iodine oxidizes DNA, fat, and amino acids of microorganisms to inactivate DNA/RNA and proteins , and povidone regulates the release of iodine.
키토산은 생분해성, 비독성, 항균성의 장점을 갖고 있으며, 살균 및 상처회복을 돕는다는 보고가 다수 존재하였으며, 창상회복제 등 키토산 기반의 제품이 많이 출시되고 있다. 그러나 키토산은 약산성 조건에 용해되어 인체에 사용되기 어렵다는 단점이 존재한다. 이와는 달리, 키토산으로부터 3차례 메틸화된 N,N,N-트리메틸키토산은 중성 상태에서 용해되어 인체에 적용하기에 용이하다는 장점이 존재한다.Chitosan has advantages of biodegradability, non-toxicity, and antibacterial properties, and there have been many reports that it helps sterilize and heal wounds, and many chitosan-based products such as wound healing agents are being released. However, chitosan has a disadvantage that it is difficult to use in the human body because it is dissolved in weakly acidic conditions. On the other hand, N,N,N-trimethylchitosan methylated three times from chitosan is dissolved in a neutral state and has the advantage of being easy to apply to the human body.
이에, 본 발명자들은 상기와 같은 기술적 특징에 착안하여 N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물을 개발하였다.Accordingly, the present inventors have developed a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine, paying attention to the technical characteristics as described above.
본 발명의 목적은 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물을 제공하는 것이다.An object of the present invention is to provide a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine.
본 발명의 다른 목적은 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 이를 필요로 하는 개체에 처리하는 단계;를 포함하는 지혈 방법을 제공하는 것이다.Another object of the present invention is to provide a hemostasis method comprising; treating a subject in need thereof with N,N,N-trimethyl chitosan and povidone iodine.
이하, 본 발명의 구현예를 상세히 설명하기로 한다. 다만, 이는 예시로서 제시되는 것으로, 이에 의해 본 발명이 제한되지는 않으며 본 발명은 후술할 청구항의 범주에 의해 정의될 뿐이다.Hereinafter, embodiments of the present invention will be described in detail. However, this is provided as an example, and the present invention is not limited thereto, and the present invention is only defined by the scope of the claims to be described later.
본 발명의 일 구현예에서, In one embodiment of the present invention,
N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물을 제공한다.Provided is a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine.
본 발명의 N,N,N-트리메틸 키토산은 천연 고분자인 키토산에 3차례의 N-메틸레이션을 통해 제조한 양전하 키토산으로, 종래 키토산 자체가 이미 양전하성 고분자로 널리알려져 있으나, 3차례의 N-메틸레이션을 통한 4차아민 양전하를 통해 정전기적 인력을 더욱 강하게 하여 포비돈 아이오딘과의 이온 복합체를 형성할 수 있다. 특히, 본 발명에서 N,N,N-트리메틸 키토산은 중성에서 녹는다는 점에서 약산성에 용해되는 키토산과는 달리 인체에 적용하기 용이하다. 영구적 양전하가 부여된 N,N,N-트리메틸 키토산은 적혈구의 음전하와 활성혈소판을 전하를 통해 끌어당겨 응집과 혈액 응고작용을 보조한다.The N,N,N-trimethyl chitosan of the present invention is a positively charged chitosan prepared through three rounds of N-methylation on chitosan, a natural polymer, and conventionally, chitosan itself is widely known as a positively charged polymer, but three times of N- It is possible to form an ionic complex with povidone iodine by further strengthening the electrostatic attraction through quaternary amine positive charge through methylation. In particular, in the present invention, N,N,N-trimethyl chitosan is easy to apply to the human body, unlike chitosan that dissolves in weak acid in that it is soluble in neutrality. N,N,N-trimethyl chitosan, which is permanently positively charged, attracts the negative charge of red blood cells and activated platelets through the charge, thereby assisting aggregation and blood coagulation.
본 발명의 포비돈 아이오딘은 폴리비닐피롤리돈과 요오드가 이온결합 상태로 결합되어 있는 화합물로서 외상용 소독제로 널리 알려져 있다. 포비돈 아이오딘의 DNA/RNA뿐만 아니라 단백질을 비활성화시키는 기능을 통해 항균성을 띄며, 포비돈은 아이오딘의 방출을 조절하는 역할을 한다. 아이오딘의 살균기능은 저항성이 없고 강력하나 단시간 다량 노출에는 인체에 문제가 발생할 수 있으므로, 포비돈을 활용하여 방출 속도를 조절한다. Povidone iodine of the present invention is a compound in which polyvinylpyrrolidone and iodine are combined in an ionic bond state, and is widely known as an antiseptic for trauma. Povidone has antibacterial properties through the function of inactivating DNA/RNA as well as protein of povidone iodine, and povidone plays a role in regulating the release of iodine. Although the sterilization function of iodine is not resistant and strong, it can cause problems in the human body when exposed to large amounts for a short time, so the release rate is controlled by using povidone.
상기 N,N,N-트리메틸 키토산 및 포비돈 아이오딘은 지혈용 조성물은 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 0.5:1 내지 2:1의 부피비로 포함할 수 있다. N,N,N-트리메틸 키토산 및 포비돈 아이오딘의 부피비가 0.5:1 미만인 경우 N,N,N-트리메틸 키토산의 혈소판 응집효과가 떨어져 지혈 효과가 현저하게 떨어질 수 있다. N,N,N-트리메틸 키토산 및 포비돈 아이오딘의 부피비가 2:1을 초과하는 경우 포비돈 아이오딘의 아이오딘 음전하의 양이 부족하여 이온복합체 형성이 원활하지 않을 수 있다.The N,N,N-trimethyl chitosan and povidone iodine composition for hemostasis may include N,N,N-trimethyl chitosan and povidone iodine in a volume ratio of 0.5:1 to 2:1. When the volume ratio of N,N,N-trimethyl chitosan and povidone iodine is less than 0.5:1, the platelet aggregation effect of N,N,N-trimethyl chitosan decreases, and the hemostatic effect may be remarkably reduced. When the volume ratio of N,N,N-trimethyl chitosan and povidone iodine exceeds 2:1, the amount of negative iodine charge of povidone iodine may be insufficient, so that the ion complex may not be formed smoothly.
상기 지혈용 조성물은 하이드로겔, 나노섬유, 에멀젼 및 분말로 이루어진 군에서 선택되는 형태로 제공되는 것일 수 있다.The hemostatic composition may be provided in a form selected from the group consisting of hydrogels, nanofibers, emulsions and powders.
상기 지혈용 조성물은 포비돈 아이오딘의 존재로 인해 살균 성능을 나타내는 것일 수 있다. 즉, 본 발명의 지혈용 조성물은 지혈 특성과 동시에 살균 성능을 나타냄에 따라 국소 출혈 부위의 수술, 응급 조치 등에 용이하게 사용될 수 있다.The hemostatic composition may exhibit sterilization performance due to the presence of povidone-iodine. That is, the hemostatic composition of the present invention exhibits hemostatic properties and sterilization performance at the same time, so that it can be easily used for surgery, emergency measures, etc. of local bleeding sites.
또한, 본 발명에서는 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물을 제공하는데, 포비돈 아이오딘의 아이오딘과 N,N,N-트리메틸 키토산의 정전기적 인력을 통한 이온복합체 형성을 통해 지혈용 조성물 내에 존재할 수 있다. 상기 이온복합체 형성에 대한 모식도를 도 1에 나타내었다. In addition, the present invention provides a hemostatic composition comprising N,N,N-trimethyl chitosan and povidone iodine, an ionic complex through electrostatic attraction between povidone iodine iodine and N,N,N-trimethyl chitosan It may be present in the hemostatic composition through formation. A schematic diagram for the formation of the ion complex is shown in FIG. 1 .
또한, 본 발명에서는 상기 지혈용 조성물을 포함하는 지혈제를 제공한다.In addition, the present invention provides a hemostatic agent comprising the composition for hemostasis.
또한, 본 발명에서는 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 이를 필요로 하는 개체에 처리하는 단계;를 포함하는 지혈 방법을 제공한다.In addition, the present invention provides a hemostasis method comprising; treating a subject in need thereof with N,N,N-trimethyl chitosan and povidone iodine.
본 발명에서 용어, “개체”는 지혈의 대상을 의미하고, 보다 구체적으로는, 인간 또는 비-인간인 영장류, 생쥐(mouse), 개, 고양이, 말, 소 등의 포유류를 의미할 수 있으나, 이에 한정되는 것은 아니다.As used herein, the term “subject” refers to a subject of hemostasis, and more specifically, it may refer to mammals such as humans or non-human primates, mice, dogs, cats, horses, and cattle, The present invention is not limited thereto.
본 발명의 지혈용 조성물은 N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 동시에 포함하기 때문에 N,N,N-트리메틸 키토산의 양전하로 인해 지혈 성능을 나타냄과 동시에 포비돈 아이오딘으로 인해 살균 성능을 나타낼 수 있다.Since the hemostatic composition of the present invention contains N,N,N-trimethyl chitosan and povidone iodine simultaneously, it exhibits hemostatic performance due to the positive charge of N,N,N-trimethyl chitosan and at the same time exhibits sterilization performance due to povidone iodine can indicate
한편, N,N,N-트리메틸 키토산과 포비돈 아이오딘은 아이오딘 음전하를 중심으로 이온 복합체를 형성하므로 안정한 형태로 지혈용 조성물 내에서 아이오딘의 방출 속도를 조절할 수 있다.On the other hand, since N,N,N-trimethyl chitosan and povidone iodine form an ionic complex centered on the negative charge of iodine, it is possible to control the release rate of iodine in the hemostatic composition in a stable form.
도 1은 N,N,N-트리메틸키토산과 포비돈 아이오딘의 이온복합체를 나타낸 모식도이다.1 is a schematic diagram showing an ionic complex of N,N,N-trimethylchitosan and povidone iodine.
도 2는 합성된 N,N,N-트리메틸키토산의 NMR 피크 결과를 나타낸 것이다.Figure 2 shows the NMR peak results of the synthesized N,N,N-trimethylchitosan.
도 3은 (a) 식염수 내에 용해된 N,N,N-트리메틸키토산(TMC) [CTRL: 식염수, TMC-0.5; 0.5 중량%, TMC-1: 1 중량%, TMC-2: 2 중량%, TMC-5: 5 중량%] (B) 포비돈 아이오딘 내에 용해된 N,N,N-트리메틸키토산 [CTRL: 포비돈아이오딘 1 중량% 용액, TMC-0.5; 5 중량%, TMC-1: 1 중량%, TMC-2: 2 중량%, TMC-5: 5 중량%] (C) 식염수 내에 용해된 N,N,N-트리메틸키토산(TMC-5: 5 중량%)과 대조군(TMC-0, 식염수)의 세포독성 실험 결과를 나타낸 것이다.3 shows (a) N,N,N-trimethylchitosan (TMC) dissolved in saline [CTRL: saline, TMC-0.5; 0.5% by weight, TMC-1: 1% by weight, TMC-2: 2% by weight, TMC-5: 5% by weight] (B) N,N,N-trimethylchitosan dissolved in povidone iodine [CTRL: povidonei] Odin 1% by weight solution, TMC-0.5; 5% by weight, TMC-1: 1% by weight, TMC-2: 2% by weight, TMC-5: 5% by weight] (C) N,N,N-trimethylchitosan (TMC-5: 5% by weight) dissolved in saline %) and control (TMC-0, saline) cytotoxicity test results are shown.
도 4는 포비돈 아이오딘 내에 용해된 N,N,N-트리메틸키토산과 대조군의 박테리아 성장 억제 테스트 결과를 나타낸 것이다[TMC-0(PVPI): 포비돈아이오딘 1 중량% 용액, TMC-5: 5 중량%, TMC-10: 10 중량%].4 shows the results of the bacterial growth inhibition test of N,N,N-trimethylchitosan dissolved in povidone iodine and the control [TMC-0 (PVPI): 1 wt% solution of povidoneiodine, TMC-5: 5 wt. %, TMC-10: 10% by weight].
도 5는 포비돈 아이오딘 내에 용해된 N,N,N-트리메틸키토산과 대조군의 진균 성장 억제 테스트 결과를 나타낸 것이다[TMC-0(PVPI): 포비돈아이오딘 1 중량% 용액, TMC-5: 5 중량%, TMC-10: 10 중량%].Figure 5 shows the results of the fungal growth inhibition test of N,N,N-trimethylchitosan dissolved in povidone iodine and the control [TMC-0 (PVPI): 1 wt% solution of povidoneiodine, TMC-5: 5 wt. %, TMC-10: 10% by weight].
도 6는 포비돈 아이오딘 내에 용해된 N,N,N-트리메틸키토산과 대조군의 in vitro 혈전 응집 실험 결과를 나타낸 것이다[CTRL(PVPI): 포비돈아이오딘 1 중량% 용액, TMC-0.5; 0.5 중량%, TMC-1: 1 중량%, TMC-2: 2 중량%, TMC-5: 5 중량%].6 shows the results of an in vitro thrombus aggregation test of N,N,N-trimethylchitosan dissolved in povidone iodine and a control [CTRL(PVPI): 1 wt% povidoneiodine solution, TMC-0.5; 0.5% by weight, TMC-1: 1% by weight, TMC-2: 2% by weight, TMC-5: 5% by weight].
도 7은 식염수 내에 용해된 N,N,N-트리메틸키토산과 대조군[CTRL: 식염수]의 혈소판 응집 정도를 주사전자현미경으로 확인한 이미지를 나타낸 것이다.7 shows an image confirming the platelet aggregation degree of N,N,N-trimethylchitosan dissolved in saline and the control [CTRL: saline] by scanning electron microscope.
도 8은 포비돈 아이오딘 내에 용해된 N,N,N-트리메틸키토산과 대조군의 in vivo 간 천자(puncture) 모델을 통한 (A) 출혈시간 분석 실험결과 및 (B) 총 출혈량을 나타낸 것이다[CTRL: 포비돈아이오딘 1 중량% 용액, TMC-0.5; 0.5 중량%, TMC-5: 5 중량%, TMC-10: 10 중량%].8 shows (A) bleeding time analysis experimental results and (B) total bleeding volume through an in vivo liver puncture model of N,N,N-trimethylchitosan dissolved in povidone iodine and a control group [CTRL: Povidoneiodine 1% by weight solution, TMC-0.5; 0.5% by weight, TMC-5: 5% by weight, TMC-10: 10% by weight].
실시예Example
이하, 본 발명의 이해를 돕기 위하여 바람직한 실시예 및 실험예를 제시한다. 그러나 하기의 실시예 및 실험예는 본 발명을 보다 쉽게 이해하기 위하여 제공되는 것일 뿐, 실시예 및 실험예에 의해 본 발명의 내용이 한정되는 것은 아니다.Hereinafter, preferred examples and experimental examples are presented to help the understanding of the present invention. However, the following Examples and Experimental Examples are only provided for easier understanding of the present invention, and the content of the present invention is not limited by the Examples and Experimental Examples.
재료ingredient
실시예 1. N,N,N-트리메틸키토산을 포함하는 분말 조성물의 제조Example 1. Preparation of a powder composition comprising N,N,N-trimethylchitosan
키토산(10% w/v)과 요오드 나트륨(20% w/v)을 NaOH(15% w/v) 수용액에 녹였다. 그 후 메틸요오드(1:8)와 1-메틸-2-피롤리딘(1:6) 용액을 각 비율로 넣고 60℃ 수조에서 90간 섞었다. 그후 에탄올을 첨가하고 4℃, 100,000 x g로 30분간 원심분리하였다. 원심분리 후 침전된 N-메틸키토산 요오드를 모은 후 60℃로 가열하여 에탄올을 제거하였다. N-메틸키토산 요오드에 요오드 나트륨과 NaOH 수용액(15% v/v), 메틸요오드를 넣고 60℃에서 60분간 섞었다. 섞어주는 동안 요오드를 치환하기 위해 NaCl 수용액(10% v/v)을 넣었다. 그 후 에탄올을 첨가하고 4℃ 10,000 x g로 30분간 원심분리하였다. 침전된 N,N-디메틸키토산(DMC)을 모았다. 그후 드라이 오븐에서 에탄올을 제거하였다. DMC를 요오드 나트륨과 NaOH 수용액(15% v/v), 메틸 요오드를 넣고 60℃에서 60분간 섞었다. 섞어주는 동안 요오드를 치환하기 위해 NaCl 용액 (10% v/v)을 넣었다. 그 후 에탄올을 첨가하고 4℃ 10,000 x g로 30분간 원심분리하였다. 침전된 N,N,N-트리메틸키토산(TMC)을 모은다. 그 후 동결 건조를 진행하여 분말을 얻었다.Chitosan (10% w/v) and sodium iodide (20% w/v) were dissolved in NaOH (15% w/v) aqueous solution. Then, methyl iodine (1:8) and 1-methyl-2-pyrrolidine (1:6) solutions were added in each ratio and mixed in a water bath at 60° C. for 90 minutes. Then, ethanol was added and centrifuged at 4°C and 100,000×g for 30 minutes. After centrifugation, the precipitated N-methylchitosan iodine was collected and heated to 60° C. to remove ethanol. Sodium iodide, NaOH aqueous solution (15% v/v), and methyl iodine were added to N-methylchitosan iodine and mixed at 60° C. for 60 minutes. During mixing, NaCl aqueous solution (10% v/v) was added to replace the iodine. Then, ethanol was added and centrifuged at 4°C at 10,000 x g for 30 minutes. The precipitated N,N-dimethylchitosan (DMC) was collected. Thereafter, the ethanol was removed in a dry oven. DMC was mixed with sodium iodide, NaOH aqueous solution (15% v/v), and methyl iodine at 60°C for 60 minutes. During mixing, NaCl solution (10% v/v) was added to displace the iodine. Then, ethanol was added and centrifuged at 4°C at 10,000 x g for 30 minutes. Collect the precipitated N,N,N-trimethylchitosan (TMC). Thereafter, freeze-drying was performed to obtain a powder.
실시예 2. N,N,N-트리메틸키토산의 화학 구조 분석Example 2. Chemical structure analysis of N,N,N-trimethylchitosan
N,N,N-트리메틸키토산의 원활한 합성 여부를 확인하기 위해 1H NMR 분석을 수행하였다. 분석기기는 Bruker 사의 AVANCE 600(600MHz)를 사용하였으며, 용매는 중수(Deuterium Oxide)를 사용하였다. 샘플은 약 2.9% (0.02g/0.7ml) 농도로 사용하였다. 측정한 결과를 도 2에 나타내었다. 질소에 부착된 3개의 메틸기를 확인하여 N,N,N-트리메틸키토산이 원활하게 합성되었음을 확인할 수 있었다. 1 H NMR analysis was performed to confirm whether N,N,N-trimethylchitosan was synthesized smoothly. AVANCE 600 (600 MHz) manufactured by Bruker was used as the analysis device, and deuterium oxide was used as the solvent. The sample was used at a concentration of about 2.9% (0.02 g/0.7 ml). The measurement results are shown in FIG. 2 . By confirming the three methyl groups attached to nitrogen, it was confirmed that N,N,N-trimethylchitosan was smoothly synthesized.
실시예 3. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 제조Example 3. Preparation of a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
키토산 유도체 N,N,N-트리메틸 키토산(TMC)을 탈이온수에 용해하여 0.05 내지 20% 중량의 N,N,N-트리메틸 키토산 수용액을 수득하였다. 그 후 PVPI(povidone-iodine) 컴플렉스를 탈이온수에 용해하여 0.1 내지 12 중량%의 요오드가 존재하는 포비돈 요오드 용액을 준비하다. 상기 PVPI와 TMC 용액을 혼합하여 PVPI : TMC의 2:1, 1:1의 부피 비의 균일한 조성을 형성하였다. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 혼합물은 0.1 내지 10 중량%의 TMC 및 1 내지 10 중량% PVPI(povidone-iodine) 컴플렉스 였다.The chitosan derivative N,N,N-trimethyl chitosan (TMC) was dissolved in deionized water to obtain an aqueous solution of N,N,N-trimethyl chitosan in an amount of 0.05 to 20% by weight. Thereafter, a povidone-iodine (PVPI) complex is dissolved in deionized water to prepare a povidone-iodine solution in which 0.1 to 12% by weight of iodine is present. The PVPI and TMC solution were mixed to form a uniform composition in a volume ratio of 2:1 and 1:1 of PVPI:TMC. The mixture comprising N,N,N-trimethylchitosan and povidone iodine was 0.1 to 10% by weight of TMC and 1 to 10% by weight of povidone-iodine (PVPI) complex.
실시예 4. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 세포 독성 평가 Example 4. Cytotoxicity evaluation of a hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
실시예 3에서 제조한 지혈용 조성물의 세포독성 결과를 실험하고 이를 도 3에 나타내었다.The cytotoxicity results of the hemostatic composition prepared in Example 3 were tested and are shown in FIG. 3 .
구체적으로 Human fibroblast cells (BJ, ATCC　 CRL-2522™)는 Eagle's minimal essential medium (EMEM), 10% fetal bovine serum albumin (FBS), 1% 페니실린 스트렙토마이신(PS)으로 구성된 배지를 이용하여 배양하였다. 세포를 culture plate에 배양하고, 배양 배지에 실시예 3의 지혈용 조성물을 처리하였다. 상기 처리된 지혈용 조성물 내 PVPI의 최종 농도는 1 중량%였고, TMC의 최종 농도는 0.5, 1.0, 2.0 및 5.0 중량%이었다. MTT 검사에 의한 24시간 생존 후에 TMC의 잠재적인 세포독성을 결정하기 위해 수행하였다.Specifically, human fibroblast cells (BJ, ATCC　 CRL-2522™) were cultured using a medium composed of Eagle's minimal essential medium (EMEM), 10% fetal bovine serum albumin (FBS), and 1% penicillin streptomycin (PS). Cells were cultured on a culture plate, and the hemostatic composition of Example 3 was treated in the culture medium. The final concentration of PVPI in the treated hemostatic composition was 1% by weight, and the final concentration of TMC was 0.5, 1.0, 2.0 and 5.0% by weight. This was performed to determine the potential cytotoxicity of TMCs after 24 h survival by MTT assay.
도 3(A)를 참조하면, MTT 검사를 통한 광학 밀도 측정 결과, 상기 TMC 처리군과 대조군(식염수) 사이에서 유의미한 차이가 발견되지 않았다. 이는 TMC에 대해 Human fibroblast cells 에 대한 유의미한 세포독성이 관찰되지 않았음을 의미한다.Referring to FIG. 3(A), as a result of optical density measurement through the MTT test, no significant difference was found between the TMC-treated group and the control group (saline). This means that no significant cytotoxicity to human fibroblast cells was observed for TMC.
도 3(B)를 참조하면, MTT 검사를 통한 광학 밀도 측정 결과, 상기 지혈용 조성물 처리군과 대조군(PVPI) 사이에서 유의미한 차이가 발견되지 않았다. 이는 상기 지혈용 조성물에 대해 Human fibroblast cells 에 대한 유의미한 세포독성이 관찰되지 않았음을 의미한다.Referring to FIG. 3(B), as a result of optical density measurement through the MTT test, no significant difference was found between the hemostatic composition treatment group and the control group (PVPI). This means that significant cytotoxicity to human fibroblast cells was not observed with respect to the hemostatic composition.
도 3(C)를 참조하면, 광학 및 형광 현미경 관찰 결과, 상기 지혈용 조성물 처리군과 대조군(Saline) 사이에서 형태학적 변화의 차이가 발견되지 않았다. 이는 상기 지혈용 조성물에 대해 인체 세포의 독성이 나타나지 않았음을 의미한다.Referring to FIG. 3(C), as a result of optical and fluorescence microscopy, no difference in morphological change was found between the hemostatic composition-treated group and the control group (Saline). This means that the hemostatic composition did not show toxicity to human cells.
실시예 5. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 박테리아 성장 억제 실험Example 5. Bacterial growth inhibition experiment of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
실시예 3에서 제조한 지혈용 조성물의 박테리아 성장 억제 실험을 수행하고 이를 도 4에 나타내었다.Bacterial growth inhibition experiment of the hemostatic composition prepared in Example 3 was performed and is shown in FIG. 4 .
구체적으로 박테리아 성장 억제 및 살균 효과를 측정하기 위해 Inhibition zone assay를 수행하였다. 사용된 균주는 그람 양성균에서 methicillin sensitive Staphylococcus aureus (MSSA, KCCM :40881, ATCC 29213), multidrug-resistant Staphylococcus aureus (KCCM : 11256, ATCC 25923)를 사용하였다. 50ml LB broth에 0.5g 아가로스를 넣고 전자렌지를 이용하여 녹인 후, 60℃이하가 되었을 때 각 균을 흡광도(OD600) 값이 0.01되도록 희석 후 400ul를 넣고 페트리 디쉬에 8ml씩 넣고 응고시켰다. 그 후 약 2mm 구멍을 뚫고 각 용액을 4 ul씩 처리 후 37℃에서 24h 배양하였다. 배양 후 클리어 존을 확인 하기 위해 MTT 용액을 30분간 처리 후 결과를 확인하였다. Specifically, inhibition zone assay was performed to measure bacterial growth inhibition and bactericidal effect. The strains used were methicillin sensitive Staphylococcus aureus (MSSA, KCCM: 40881, ATCC 29213), multidrug-resistant Staphylococcus aureus (KCCM: 11256, ATCC 25923) in Gram-positive bacteria. 0.5g agarose was added to 50ml LB broth and melted using a microwave oven. When the temperature was below 60℃, each bacteria was diluted so that the absorbance ( OD600 ) value was 0.01, 400ul was added, and 8ml each was put in a Petri dish and coagulated. After that, about 2 mm holes were drilled, and 4 ul of each solution was treated and then cultured at 37° C. for 24 h. After incubation, the MTT solution was treated for 30 minutes to check the clear zone, and the results were confirmed.
그 결과 (A) MSSA에서는 TMC농도 5, 10%에서 대조군과 비교하였을 때, 모두 유의한 차이를 확인하였으며, 5%와 10% 농도 사이에서도 유의한 차이가 있음을 확인하였다. (B) Multidrug-resistans S. aureus에서는 5, 10% 모두 대조군과 비교하였을 때, 유의한 차이가 있었으나, 5%와 10% 농도 사이에서는 유의한 차이가 없었다(* P ≤ 0.05, ** P ≤ 0.01, *** P ≤ 0.001, **** P ≤ 0.0001).As a result, in (A) MSSA, when compared with the control group at the TMC concentration of 5 and 10%, all significant differences were confirmed, and it was confirmed that there was also a significant difference between the 5% and 10% concentrations. (B) In Multidrug-resistans S. aureus , there was a significant difference in both 5 and 10% compared to the control group, but there was no significant difference between the 5% and 10% concentrations (* P ≤ 0.05, ** P ≤ 0.01, ***P ≤ 0.001, ****P ≤ 0.0001).
실시예 6. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 진균 성장 억제 실험Example 6. Fungal growth inhibition experiment of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
실시예 3에서 제조한 지혈용 조성물의 진균 성장 억제 실험을 수행하고 이를 도 5에 나타내었다.The fungal growth inhibition experiment of the hemostatic composition prepared in Example 3 was performed and is shown in FIG. 5 .
구체적으로, 진균 성장 억제 및 살균 효과를 측정하기 위해 Inhibition zone assay를 수행하였다. 사용된 균주는 Candida albicans(KCCM : 11282, ATCC: 10231)를 사용하였다. 50ml LB broth에 0.5g 아가로스를 넣고 전자렌지를 이용하여 녹인 후, 60℃이하가 되었을 때 각 균을 흡광도(OD600) 값이 0.01 되도록 희석 후 400ul를 넣고 페트리 디쉬에 8ml씩 넣고 굳힌다. 그 후 약 2mm 구멍을 뚫고 각 용액을 4ul씩 처리 후 37℃에서 24 시간 배양하였다. 배양 후 clear zone을 확인 하기 위해 MTT 용액을 30분간 처리 후 결과를 확인하였다. Specifically, an inhibition zone assay was performed to measure the fungal growth inhibition and bactericidal effect. The strain used was Candida albicans (KCCM: 11282, ATCC: 10231). Put 0.5g agarose in 50ml LB broth and melt it using a microwave oven. When the temperature is below 60℃, dilute each bacteria so that the absorbance ( OD600 ) value is 0.01, add 400ul, put 8ml each in a Petri dish, and harden. After that, a hole of about 2 mm was drilled, and 4 ul of each solution was treated and incubated at 37° C. for 24 hours. After incubation, the MTT solution was treated for 30 minutes to check the clear zone, and the results were confirmed.
그 결과 C. albicans에서 TMC농도 5, 10%에서 대조군과 비교하였을 때, 모두 유의한 차이를 확인하였으며, 5%와 10% 농도 사이에서도 유의한 차이가 있음을 확인하였다(****P ≤ 0.0001). As a result, when compared with the control group at TMC concentrations of 5 and 10% in C. albicans , significant differences were confirmed, and significant differences were also confirmed between 5% and 10% concentrations (****P ≤ 0.0001).
실시예 7. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 지혈 성능 실험Example 7. Hemostatic performance test of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
실시예 3에서 제조한 지혈용 조성물의 지혈 성능 실험을 확인하여 이를 도 6의 (A)에 나타내고, 혈액응고 효과를 관찰하였다(B).The hemostatic performance test of the hemostatic composition prepared in Example 3 was confirmed and shown in FIG. 6 (A), and the blood coagulation effect was observed (B).
그 결과, 트리메틸키토산을 처리할 경우 대조군에 비해 혈액 응고 시간이 대조군보다 유의하게 빠르다는 것을 확인할 수 있었다.As a result, it was confirmed that when trimethylchitosan was treated, blood clotting time was significantly faster than that of the control group.
In vitro 혈액 응고 검사는 구연산 혈액을 사용하여 수행하였다. 4:1의 비율로 0.109M 시트르산 나트륨이 함유된 주사기를 사용하여 스프래그 돌리(SD) 쥐의 복부 정맥에서 전혈을 채취했다. 배양 플레이트의 웰당 상기 실시예 3의 지혈용 조성물(PVPI 1 중량% 용액에 다양한 농도의 TMC(0.5, 1.0, 2.0 또는 5%)를 녹인 시료)을 넣었다. PVPI는 제어 역할만 했다. 구연산 혈액은 0.1M 염화칼슘(CaCl2)과 혼합하여 응고를 개시하고 TMC 용액을 함유한 웰에서 1:1 부피비로 분배하였다. 혈액은 용액과 접촉할 수 있도록 허용되었고 매 30초마다 관찰되었다. 혈전을 방해하지 않고 웰 속에 탈이온수나 식염수를 넣어 반응을 멈췄다. 혈전을 형성하는 데 걸리는 시간을 기록했고 광학 현미경 사진을 매 분마다 찍었다.In vitro blood coagulation test was performed using citrate blood. Whole blood was collected from the abdominal vein of Sprague Dolly (SD) rats using a syringe containing 0.109 M sodium citrate in a 4:1 ratio. The hemostatic composition of Example 3 (a sample obtained by dissolving various concentrations of TMC (0.5, 1.0, 2.0, or 5%) in a 1 wt% PVPI solution) was added per well of the culture plate. PVPI only played a control role. Blood citrate was mixed with 0.1M calcium chloride (CaCl 2 ) to initiate coagulation and distributed in a 1:1 volume ratio in the wells containing the TMC solution. Blood was allowed to come into contact with the solution and was observed every 30 seconds. The reaction was stopped by adding deionized water or saline into the wells without disturbing the thrombus. The time it took to form a clot was recorded and light micrographs were taken every minute.
상기 실시예 3의 지혈용 조성물(PVPI-TMC 용액)은 대조군에 비해 체외 혈액 응고 시간을 크게 단축했다. 그러나 농도 간 유의한 차이가 관찰되지 않아 0.5% TMC의 최소 농도가 In vitro 혈액 응고를 유도하기에 충분했음을 의미하였다.The hemostatic composition of Example 3 (PVPI-TMC solution) significantly shortened the in vitro blood clotting time compared to the control. However, no significant difference between concentrations was observed, suggesting that the minimum concentration of 0.5% TMC was sufficient to induce blood clotting in vitro.
실시예 8. N,N,N-트리메틸키토산의 혈소판 응집 성능 확인Example 8. Confirmation of platelet aggregation performance of N,N,N-trimethylchitosan
실시예 1에서 제조한 N,N,N-트리메틸키토산의 혈소판 응집 성능을 확인하기 위해 혈액 내에 N,N,N-트리메틸키토산 5 중량% 수용액과 대조군을 첨가한 후 주사전자현미경으로 각각 2000배율, 10000 배율 촬영하여 이를 도 7에 나타내었다.In order to check the platelet aggregation performance of N,N,N-trimethylchitosan prepared in Example 1, 5% by weight of N,N,N-trimethylchitosan aqueous solution and a control were added to the blood, and then each 2000x magnification using a scanning electron microscope, It was photographed at 10000 magnification and shown in FIG. 7 .
구체적으로, 혈소판 활성화 검사는 0.109M 시트르산 나트륨이 함유된 주사기를 사용하여 4:1의 비율로 혈액을 채취하여 실시하였다. 고농도 혈소판 용액을 분리하기 위해 전혈을 2500rpm에서 5분간 원심분리하고 혈소판 풍부 혈장(platelet rich plasma, PRP)를 적혈구에서 분리해 5분간 2500rpm에서 추가로 원심분리해 rich plasma pellets을 확보했다. 배양판의 well(24-웰)에 놓인 여과지(50ul)에 TMC 용액이나 식염수(제어기)를 떨어뜨렸다. 펠릿은 PBS로 1:4 비율로 희석한 후 TMC 용액이 적재된 각 여과지(50ul)에 첨가했다. 37°C에서 20분간 배양한 후 각 드레싱을 제거하고 PBS에서 2% 글루타알데히드 또는 4% 파라포름알데히드로 고정했다. 전자현미경(SEM, JSM-6701F, JEOL, 일본)에서 활성화된 혈소판이 관찰되었다.Specifically, the platelet activation test was performed by collecting blood at a ratio of 4:1 using a syringe containing 0.109M sodium citrate. To separate the high-concentration platelet solution, whole blood was centrifuged at 2500 rpm for 5 minutes, platelet rich plasma (PRP) was separated from red blood cells, and further centrifuged at 2500 rpm for 5 minutes to obtain rich plasma pellets. TMC solution or saline (controller) was dropped on the filter paper (50ul) placed in the well (24-well) of the culture plate. The pellet was diluted with PBS at a ratio of 1:4 and then added to each filter paper (50ul) loaded with TMC solution. After incubation at 37 °C for 20 min, each dressing was removed and fixed with 2% glutaraldehyde or 4% paraformaldehyde in PBS. Activated platelets were observed under an electron microscope (SEM, JSM-6701F, JEOL, Japan).
그 결과, SEM 현미경 관찰결과 TMC가 혈소판의 접착을 지원하고 혈소판을 제어 또는 식염수에 대해서만 활성시키는 것으로 나타났다. 즉, 대조군은 혈소판이 활성화가 되지 않은 반면, TMC는 혈소판 활성화가 되어 위족형태의 가지모양으로 뻗어 있는 것을 확인할 수 있다.As a result, SEM microscopic observation showed that TMC supports platelet adhesion and activates platelets only against control or saline. That is, in the control group, platelets were not activated, whereas in the TMC, platelets were activated and it was confirmed that the platelets were extended in a pseudo-legged branch shape.
실시예 9. N,N,N-트리메틸키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물의 지혈 성능 실험Example 9. Hemostatic performance test of hemostatic composition comprising N,N,N-trimethylchitosan and povidone iodine
실시예 3에서 제조한 지혈용 조성물의 지혈 성능을 실험하고 이를 도 8에 나타내었다.The hemostatic performance of the hemostatic composition prepared in Example 3 was tested and shown in FIG. 8 .
구체적으로 마취된 스프래그 돌리 쥐를 바늘을 이용해 스티로폼 보드에 고정시켜 약 45도로 기울였다. 복부 절개 후 간 좌측 측엽이 노출시켰다. 그리고 상처 부위의 그것 이외의 혈액 흡수를 막기 위해 파라필름 5 × 5 cm2를 간엽 아래에 두었다. 상처는 4mm 생검 펀치를 이용해 로브 중간에 생겼다. 자유출혈을 5초간 허용하였다. 출혈이 많은 동안 TMC 용액을 왼쪽 간엽에 바르고 간 아래에 여과지를 두었다. 60초마다 여과지를 교체하고 즉시 젖은 여과지의 무게를 재어 총 출혈량과 응고 시간을 파악했다. 급성 지혈 출혈은 5분 전에 출혈이 정지된 것으로 정의하였다.Specifically, anesthetized Sprague Dolly rats were fixed to a Styrofoam board using a needle and tilted at about 45 degrees. After abdominal incision, the left lateral lobe of the liver was exposed. And to prevent absorption of blood other than that of the wound site, 5 × 5 cm 2 of parafilm was placed under the liver lobe. The wound was made in the middle of the lobe using a 4 mm biopsy punch. Free bleeding was allowed for 5 seconds. During heavy bleeding, a TMC solution was applied to the left liver lobe and a filter paper was placed under the liver. The filter paper was changed every 60 seconds and the wet filter paper was immediately weighed to determine the total amount of bleeding and clotting time. Acute hemostatic bleeding was defined as cessation of bleeding prior to 5 minutes.
그 결과, 대조군 대비 본 발명의 지혈용 조성물을 처리할 경우 출혈시간이 감소하는 것을 확인할 수 있으며, 이로써 본 발명의 지혈용 조성물의 지혈 성능이 우수함을 확인할 수 있었다.As a result, it can be confirmed that the bleeding time is reduced when the hemostatic composition of the present invention is treated compared to the control, thereby confirming the excellent hemostatic performance of the hemostatic composition of the present invention.

Claims (7)

  1. N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 포함하는 지혈용 조성물.A composition for hemostasis comprising N,N,N-trimethyl chitosan and povidone iodine.
  2. 제1항에 있어서, N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 0.5:1 내지 2:1의 부피비로 포함하는 것인, 지혈용 조성물.According to claim 1, N,N,N- trimethyl chitosan and povidone iodine in a volume ratio of 0.5:1 to 2:1, hemostatic composition comprising.
  3. 제1항에 있어서, 지혈용 조성물은 하이드로겔, 나노섬유, 에멀젼 및 분말로 이루어진 군에서 선택되는 형태로 제공되는 것인, 지혈용 조성물.According to claim 1, wherein the hemostatic composition is provided in a form selected from the group consisting of hydrogel, nanofiber, emulsion and powder, hemostatic composition.
  4. 제1항에 있어서, 지혈용 조성물은 살균 성능을 갖는 것인, 지혈용 조성물.The composition for hemostatic according to claim 1, wherein the hemostatic composition has sterilization performance.
  5. 제1항에 있어서, N,N,N-트리메틸 키토산 및 포비돈 아이오딘은 이온 복합체 형태로 지혈용 조성물 내에 존재하는 것인, 지혈용 조성물.According to claim 1, wherein N, N, N- trimethyl chitosan and povidone iodine is present in the hemostatic composition in the form of an ion complex, hemostatic composition.
  6. 제1항 내지 제5항 중 어느 한 항에 따른 지혈용 조성물을 포함하는 지혈제.A hemostatic agent comprising the hemostatic composition according to any one of claims 1 to 5.
  7. N,N,N-트리메틸 키토산 및 포비돈 아이오딘을 이를 필요로 하는 개체에 처리하는 단계;를 포함하는 지혈 방법.Hemostatic method comprising a; N, N, N- trimethyl chitosan and povidone iodine to the subject in need thereof.
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