WO2023096509A1 - A system containing an activator that increases the level of an endogenous inhibitor of the wnt pathway - Google Patents

A system containing an activator that increases the level of an endogenous inhibitor of the wnt pathway Download PDF

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Publication number
WO2023096509A1
WO2023096509A1 PCT/PL2022/000065 PL2022000065W WO2023096509A1 WO 2023096509 A1 WO2023096509 A1 WO 2023096509A1 PL 2022000065 W PL2022000065 W PL 2022000065W WO 2023096509 A1 WO2023096509 A1 WO 2023096509A1
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WIPO (PCT)
Prior art keywords
activator
inhibitor
wnt pathway
tube
level
Prior art date
Application number
PCT/PL2022/000065
Other languages
French (fr)
Inventor
Monika BARANOWSKA
Dawid KABAŁA
Wojciech MADEJ
Original Assignee
Biovico Sp. Z.O.O.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biovico Sp. Z.O.O. filed Critical Biovico Sp. Z.O.O.
Publication of WO2023096509A1 publication Critical patent/WO2023096509A1/en

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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/483Physical analysis of biological material
    • G01N33/487Physical analysis of biological material of liquid biological material
    • G01N33/49Blood
    • G01N33/491Blood by separating the blood components

Definitions

  • the subject of the invention is a single-chamber system comprising an activator that increases the level of an endogenous Wnt pathway inhibitor.
  • the solution presented in the present invention application assumes the use of a singlechamber system for the isolation and separation of fractions of autologous fluids of a patient (including but not limited to platelet-rich plasma from peripheral blood) containing an activator.
  • the isolated fractions contain additionally a concentrated amount of growth factors and proteins (e.g. BMP2, VEGF, IGFBP-1) characteristic for the activation of morphotic elements and DKK- 1 protein, which is an inhibitor of the Wnt pathway, while, in the isolated fraction, no increase in the amount of pro -inflammatory factors, including cytokines, is observed.
  • the process of selective activation and isolation of the desired fraction is performed in a single-chamber system with the addition of an activator. This shortens the time and simplifies the procedure compared to available set-ups, which in turn offers the possibility of intraoperative preparation of autologous fluid fractions with active components which decides about its therapeutic properties. This is important because modulation of Wnt signaling by DKK-1 protein is a promising strategy for prevention and inhibition of disease progression.
  • the purpose of the present invention is to provide a single chamber system with an activator to be able to obtain an isolated autologous fluid fraction.
  • the present invention provides a system for the isolation and separation of patient autologous fluid fractions, which is a cylindrical Tube made of polycarbonate that contains an activator that increases the level of an endogenous Wnt pathway inhibitor.
  • the system wherein the activator is an element made of an electrostatically charged material, preferably glass.
  • the system wherein the glass is borosilicate.
  • the activator is in the form of spheres or particles having a spherical or oval shape.
  • the system wherein the beads or particles have diameters ranging from 0.1 to 10 mm.
  • the system wherein the activator comprises from 1 to 10 % of the contents of the Tube.
  • the system where it's a sterile system.
  • Wnt pathway - a signaling pathway formed from cellular proteins that play a role in embryogenesis and carcinogenesis in normal cells of adult organisms.
  • Tube - single-chamber system for the isolation and separation of patient autologous fluid fractions.
  • the single-chamber system allows the quick and safe acquisition of high quality blood products.
  • Fig. 1 - shows an outline of a system comprising a chamber (Al), an activator (A2) positioned inside said chamber, a cone with stabilizing rings on the outside of the chamber, and a screw cap location followed by a controller screw for moving fluid out of the chamber.
  • Fig. 1 also shows the stopper in side view (Bl) and top view (B2), the base of the stopper in side view (B3) and top view (B4), the cap of the tube in side view (B5) and top view (B6) and the stopper of the tube in top view (B7), both sides (B8-9) and bottom view (BIO) allowing processing in a closed system ensuring sterility of the procedure.
  • Fig. 2 - shows the average concentration of DKK-1 in platelet-rich plasma prepared according to the standard procedure used for this purpose in the Xerthra device and the preparation procedure of the patent claim, averaged over no less than 8 patients (SEM error bars, t-student test, p* ⁇ 0.05).
  • the invention is illustrated by the following example of implementation, which is not a limitation thereof.
  • Peripheral blood of the patients was collected into the syringe with anticoagulant (sodium citrate in the amount of 10% of the volume of the target suspension). From the syringe the blood was transferred to the tube with activator, where it was mixed with the activator. After 10 minutes of incubation during which the blood was stirred for 1 minute at room temperature, the blood in the Activator tube was separated by 5 minutes centrifugation at an acceleration of 1200 G into a red blood cell fraction, an enriched platelet-rich plasma fraction, and a platelet-poor plasma fraction. The different fractions were then transferred into syringes.
  • anticoagulant sodium citrate in the amount of 10% of the volume of the target suspension
  • the concentration of DKK-1 inhibitor in platelet-rich plasma was determined with an ELISA kit that allows the determination of DKK-1 protein in plasma, and the levels of selected cytokines and growth factors were determined using a multiplex panel for the assessment of growth factors, cytokines, and chemokines during a single analysis.
  • the platelet-rich preparation obtained in the Activator tube is safe in a manner analogous to plasma obtained in many other products, however it is enriched with DKK - 1, an inhibitor of the Wnt pathway.
  • Electrostatically charged material preferably glass
  • the polycarbonate tube is cylindrical in shape (round body), tapering upwards to form a neck, around the circumference of which it has four stabilisers in the form of rings; at the lower end, the body of the tube has a thread into which a round stopper is inserted.
  • the elements of the tube are the tube stopper, the base of the tube stopper and the tube cap.
  • the stopper of the tube is pressed from the bottom into the centre of the tube.
  • the base of the tube stopper is then placed in the middle of the stopper by pressing it in.
  • the round cap is then screwed onto the thread, thereby closing the tube from below.
  • At the end of the neck there is a stopper with a closure.
  • the entire single-chamber system for isolation and separation of patient autologous fluid fractions with activator (Activator tube) is a sterile system.
  • Sterilization is by radiation (e-beam or gamma).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Chemical & Material Sciences (AREA)
  • Hematology (AREA)
  • Physics & Mathematics (AREA)
  • Analytical Chemistry (AREA)
  • Biochemistry (AREA)
  • Urology & Nephrology (AREA)
  • Ecology (AREA)
  • Food Science & Technology (AREA)
  • Medicinal Chemistry (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Immunology (AREA)
  • Pathology (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • External Artificial Organs (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)

Abstract

The subject of the invention is a single-chamber system made of polycarbonate, containing in its interior an activator endowed with a surface static charge. This system allows selective activation of a fraction of the plasma so that it is enriched with growth factors and proteins including DKK-1 protein, which is an inhibitor of the Wnt pathway.

Description

A system containing an activator that increases the level of an endogenous inhibitor of the Wnt pathway
The subject of the invention is a single-chamber system comprising an activator that increases the level of an endogenous Wnt pathway inhibitor.
Currently, there is a growing interest in the use of autologous therapies in medicine. This has led to the need to develop an autologous device aimed at activating platelet-rich plasma resulting in the release of increased amounts of growth factors, which is often also accompanied by an increase in proinflammatory cytokines resulting from full activation of the coagulation cascade.
The solution presented in the present invention application assumes the use of a singlechamber system for the isolation and separation of fractions of autologous fluids of a patient (including but not limited to platelet-rich plasma from peripheral blood) containing an activator. The isolated fractions contain additionally a concentrated amount of growth factors and proteins (e.g. BMP2, VEGF, IGFBP-1) characteristic for the activation of morphotic elements and DKK- 1 protein, which is an inhibitor of the Wnt pathway, while, in the isolated fraction, no increase in the amount of pro -inflammatory factors, including cytokines, is observed.
The process of selective activation and isolation of the desired fraction is performed in a single-chamber system with the addition of an activator. This shortens the time and simplifies the procedure compared to available set-ups, which in turn offers the possibility of intraoperative preparation of autologous fluid fractions with active components which decides about its therapeutic properties. This is important because modulation of Wnt signaling by DKK-1 protein is a promising strategy for prevention and inhibition of disease progression.
The purpose of the present invention is to provide a single chamber system with an activator to be able to obtain an isolated autologous fluid fraction. The present invention provides a system for the isolation and separation of patient autologous fluid fractions, which is a cylindrical Tube made of polycarbonate that contains an activator that increases the level of an endogenous Wnt pathway inhibitor.
The system wherein the separation of a fraction containing increased levels of a Wnt pathway inhibitor is possible despite the use of an anticoagulant.
The system wherein the separation of a fraction containing increased levels of a Wnt pathway inhibitor is produced by centrifugal force.
The system, wherein the increase in Wnt glass inhibitor content is achieved by contacting the activator for 1 to 15 minutes.
The system wherein the activator is an element made of an electrostatically charged material, preferably glass.
The system wherein the glass is borosilicate.
The system, wherein the activator is in the form of spheres or particles having a spherical or oval shape.
The system, wherein the beads or particles have diameters ranging from 0.1 to 10 mm.
The system, wherein the activator comprises from 1 to 10 % of the contents of the Tube. The system where it's a sterile system.
The terms used above and in the patent description and claims, have the following meanings:
Wnt pathway - a signaling pathway formed from cellular proteins that play a role in embryogenesis and carcinogenesis in normal cells of adult organisms.
Tube - single-chamber system for the isolation and separation of patient autologous fluid fractions. The single-chamber system allows the quick and safe acquisition of high quality blood products.
Activator tube - single chamber system for isolation and separation of patient autologous fluid fractions with activator. Description of figures and table:
Fig. 1 - shows an outline of a system comprising a chamber (Al), an activator (A2) positioned inside said chamber, a cone with stabilizing rings on the outside of the chamber, and a screw cap location followed by a controller screw for moving fluid out of the chamber.
Fig. 1 also shows the stopper in side view (Bl) and top view (B2), the base of the stopper in side view (B3) and top view (B4), the cap of the tube in side view (B5) and top view (B6) and the stopper of the tube in top view (B7), both sides (B8-9) and bottom view (BIO) allowing processing in a closed system ensuring sterility of the procedure.
Fig. 2 - shows the average concentration of DKK-1 in platelet-rich plasma prepared according to the standard procedure used for this purpose in the Xerthra device and the preparation procedure of the patent claim, averaged over no less than 8 patients (SEM error bars, t-student test, p*<0.05).
Table 1. Concentration of pro- and anti-inflammatory factors in the plasma fraction isolated from the Xerthra device (TNF-a - tumor necrosis factor, BMP -2 - bone morphogenetic protein which is a growth factor belonging to the TNF- β protein superfamily, VEGF - vascular endothelial growth factor, IGFBP-1 - insulin-like growth factor binding protein type 1 , IL- 1β - interleukin 1β, IL-4 - interleukin 4, IL-6 - interleukin 6, IL-8 - interleukin 8, IL-10 - interleukin 10; ↓- levels below the detection of the assay) and after the preparation procedure with the activator system.
The invention is illustrated by the following example of implementation, which is not a limitation thereof.
Example 1
Peripheral blood of the patients was collected into the syringe with anticoagulant (sodium citrate in the amount of 10% of the volume of the target suspension). From the syringe the blood was transferred to the tube with activator, where it was mixed with the activator. After 10 minutes of incubation during which the blood was stirred for 1 minute at room temperature, the blood in the Activator tube was separated by 5 minutes centrifugation at an acceleration of 1200 G into a red blood cell fraction, an enriched platelet-rich plasma fraction, and a platelet-poor plasma fraction. The different fractions were then transferred into syringes.
As a control, platelet-rich plasma was obtained using Tube.
In each case, the concentration of DKK-1 inhibitor in platelet-rich plasma was determined with an ELISA kit that allows the determination of DKK-1 protein in plasma, and the levels of selected cytokines and growth factors were determined using a multiplex panel for the assessment of growth factors, cytokines, and chemokines during a single analysis.
It is shown in fig. 2 that the level of DKK-1 in the platelet-rich plasma obtained in the Tube with activator was higher than that obtained in the Tube without the addition of activator. In doing so, there was no increase in pro-inflammatory cytokines above the detection level as shown in Table 1.
The platelet-rich preparation obtained in the Activator tube is safe in a manner analogous to plasma obtained in many other products, however it is enriched with DKK - 1, an inhibitor of the Wnt pathway.
Activator:
- Electrostatically charged material, preferably glass,
- borosilicate glass,
- in the form of spheres or oval shaped particles,
- diameter 0.1 - 10 mm.
- is between 1 and 10 % of the contents of the Tube.
The polycarbonate tube is cylindrical in shape (round body), tapering upwards to form a neck, around the circumference of which it has four stabilisers in the form of rings; at the lower end, the body of the tube has a thread into which a round stopper is inserted. The elements of the tube are the tube stopper, the base of the tube stopper and the tube cap. The stopper of the tube is pressed from the bottom into the centre of the tube. The base of the tube stopper is then placed in the middle of the stopper by pressing it in. The round cap is then screwed onto the thread, thereby closing the tube from below. At the end of the neck there is a stopper with a closure. The entire single-chamber system for isolation and separation of patient autologous fluid fractions with activator (Activator tube) is a sterile system.
Sterilization is by radiation (e-beam or gamma).

Claims

Patent claims
1. A system for the isolation and separation of patient autologous fluid fractions, wherein it provides a cylindrical Tube made of polycarbonate that contains an activator that increases the level of an endogenous Wnt pathway inhibitor.
2. The system according to claim 1, wherein the separation of a fraction containing an increased level of an inhibitor of the Wnt pathway is possible despite the use of an anticoagulant.
3. The system according to claim 1, wherein the separation of a fraction containing an increased level of an inhibitor of the Wnt pathway is produced by centrifugal force.
4. The system according to claim 1, wherein the increase of the content of the Wnt- glucose inhibitor is carried out by means of contact with the activator for 1 to 15 minutes.
5. The system according to claim 1, wherein the activator is made of electrostatically charged material, preferably glass.
6. The system according to claim 5, wherein the glass is borosilicate.
7. The system according to claim 5, wherein the activator is in the form of balls or particles having a spherical or oval shape.
8. The system according to claim 5, wherein the balls or particles have diameters from 0.1 to 10 mm.
9. The system according to claim 5, wherein the activator constitutes from 1 to 10 % of the content of the Tube.
10. The system according to claim 1, wherein it is a sterile system.
PCT/PL2022/000065 2021-11-24 2022-11-23 A system containing an activator that increases the level of an endogenous inhibitor of the wnt pathway WO2023096509A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
PL439627A PL439627A1 (en) 2021-11-24 2021-11-24 System containing an activator that increases the level of an endogenous Wnt pathway inhibitor
PLP.439627 2021-11-24

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4049496A (en) * 1976-05-27 1977-09-20 Henry Philip D Rapid separation of plasma creatine kinase isoenzymes
US20040120942A1 (en) * 2002-12-23 2004-06-24 Mcginnis Daniel Device and process for the preparation of autologous thrombin serum
JP2014118362A (en) * 2012-12-13 2014-06-30 Jms Co Ltd Method for preparing serum and serum
US20200345780A1 (en) * 2008-08-22 2020-11-05 Reapplix Aps Multilayered blood product
WO2021199041A1 (en) * 2020-03-30 2021-10-07 Estar Technologies Ltd System and a method for obtaining an improved plasma extract

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4049496A (en) * 1976-05-27 1977-09-20 Henry Philip D Rapid separation of plasma creatine kinase isoenzymes
US20040120942A1 (en) * 2002-12-23 2004-06-24 Mcginnis Daniel Device and process for the preparation of autologous thrombin serum
US20200345780A1 (en) * 2008-08-22 2020-11-05 Reapplix Aps Multilayered blood product
JP2014118362A (en) * 2012-12-13 2014-06-30 Jms Co Ltd Method for preparing serum and serum
WO2021199041A1 (en) * 2020-03-30 2021-10-07 Estar Technologies Ltd System and a method for obtaining an improved plasma extract

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