CN1446589A - Medicine controlled functional cement with calcium phosphate being as framework and its preparation method - Google Patents
Medicine controlled functional cement with calcium phosphate being as framework and its preparation method Download PDFInfo
- Publication number
- CN1446589A CN1446589A CN 03114872 CN03114872A CN1446589A CN 1446589 A CN1446589 A CN 1446589A CN 03114872 CN03114872 CN 03114872 CN 03114872 A CN03114872 A CN 03114872A CN 1446589 A CN1446589 A CN 1446589A
- Authority
- CN
- China
- Prior art keywords
- drug
- calcium phosphate
- bone cement
- artificial bone
- phosphate bone
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 239000003814 drug Substances 0.000 title claims abstract description 114
- 229940079593 drug Drugs 0.000 title claims abstract description 106
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 title claims abstract description 55
- 239000001506 calcium phosphate Substances 0.000 title claims abstract description 54
- 229910000389 calcium phosphate Inorganic materials 0.000 title claims abstract description 52
- 235000011010 calcium phosphates Nutrition 0.000 title claims abstract description 52
- 238000002360 preparation method Methods 0.000 title claims 2
- 239000004568 cement Substances 0.000 title description 3
- 239000002639 bone cement Substances 0.000 claims abstract description 52
- 239000003094 microcapsule Substances 0.000 claims abstract description 44
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 38
- 239000000463 material Substances 0.000 claims abstract description 33
- 239000000843 powder Substances 0.000 claims abstract description 19
- 238000013268 sustained release Methods 0.000 claims abstract description 12
- 239000012730 sustained-release form Substances 0.000 claims abstract description 12
- 238000000034 method Methods 0.000 claims description 18
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 16
- 239000002245 particle Substances 0.000 claims description 13
- 229960000707 tobramycin Drugs 0.000 claims description 13
- NLVFBUXFDBBNBW-PBSUHMDJSA-N tobramycin Chemical compound N[C@@H]1C[C@H](O)[C@@H](CN)O[C@@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](N)[C@H](O)[C@@H](CO)O2)O)[C@H](N)C[C@@H]1N NLVFBUXFDBBNBW-PBSUHMDJSA-N 0.000 claims description 13
- GBNXLQPMFAUCOI-UHFFFAOYSA-H tetracalcium;oxygen(2-);diphosphate Chemical compound [O-2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O GBNXLQPMFAUCOI-UHFFFAOYSA-H 0.000 claims description 12
- 239000000203 mixture Substances 0.000 claims description 11
- 229960003940 naproxen sodium Drugs 0.000 claims description 11
- CDBRNDSHEYLDJV-FVGYRXGTSA-M naproxen sodium Chemical compound [Na+].C1=C([C@H](C)C([O-])=O)C=CC2=CC(OC)=CC=C21 CDBRNDSHEYLDJV-FVGYRXGTSA-M 0.000 claims description 11
- JQXXHWHPUNPDRT-WLSIYKJHSA-N rifampicin Chemical compound O([C@](C1=O)(C)O/C=C/[C@@H]([C@H]([C@@H](OC(C)=O)[C@H](C)[C@H](O)[C@H](C)[C@@H](O)[C@@H](C)\C=C\C=C(C)/C(=O)NC=2C(O)=C3C([O-])=C4C)C)OC)C4=C1C3=C(O)C=2\C=N\N1CC[NH+](C)CC1 JQXXHWHPUNPDRT-WLSIYKJHSA-N 0.000 claims description 11
- 229960001225 rifampicin Drugs 0.000 claims description 11
- 239000001856 Ethyl cellulose Substances 0.000 claims description 10
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 claims description 10
- 229920001249 ethyl cellulose Polymers 0.000 claims description 10
- 235000019325 ethyl cellulose Nutrition 0.000 claims description 10
- 229920001661 Chitosan Polymers 0.000 claims description 8
- 108010059993 Vancomycin Proteins 0.000 claims description 6
- 239000007788 liquid Substances 0.000 claims description 6
- 231100000252 nontoxic Toxicity 0.000 claims description 6
- 230000003000 nontoxic effect Effects 0.000 claims description 6
- 229960003165 vancomycin Drugs 0.000 claims description 6
- MYPYJXKWCTUITO-UHFFFAOYSA-N vancomycin Natural products O1C(C(=C2)Cl)=CC=C2C(O)C(C(NC(C2=CC(O)=CC(O)=C2C=2C(O)=CC=C3C=2)C(O)=O)=O)NC(=O)C3NC(=O)C2NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(CC(C)C)NC)C(O)C(C=C3Cl)=CC=C3OC3=CC2=CC1=C3OC1OC(CO)C(O)C(O)C1OC1CC(C)(N)C(O)C(C)O1 MYPYJXKWCTUITO-UHFFFAOYSA-N 0.000 claims description 6
- MYPYJXKWCTUITO-LYRMYLQWSA-O vancomycin(1+) Chemical compound O([C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@H]1OC1=C2C=C3C=C1OC1=CC=C(C=C1Cl)[C@@H](O)[C@H](C(N[C@@H](CC(N)=O)C(=O)N[C@H]3C(=O)N[C@H]1C(=O)N[C@H](C(N[C@@H](C3=CC(O)=CC(O)=C3C=3C(O)=CC=C1C=3)C([O-])=O)=O)[C@H](O)C1=CC=C(C(=C1)Cl)O2)=O)NC(=O)[C@@H](CC(C)C)[NH2+]C)[C@H]1C[C@](C)([NH3+])[C@H](O)[C@H](C)O1 MYPYJXKWCTUITO-LYRMYLQWSA-O 0.000 claims description 6
- CGIGDMFJXJATDK-UHFFFAOYSA-N indomethacin Chemical compound CC1=C(CC(O)=O)C2=CC(OC)=CC=C2N1C(=O)C1=CC=C(Cl)C=C1 CGIGDMFJXJATDK-UHFFFAOYSA-N 0.000 claims description 5
- 239000002246 antineoplastic agent Substances 0.000 claims description 4
- 229910052588 hydroxylapatite Inorganic materials 0.000 claims description 4
- 239000007943 implant Substances 0.000 claims description 4
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims description 4
- 150000003839 salts Chemical class 0.000 claims description 4
- 108010010803 Gelatin Proteins 0.000 claims description 3
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 claims description 3
- FBOZXECLQNJBKD-ZDUSSCGKSA-N L-methotrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FBOZXECLQNJBKD-ZDUSSCGKSA-N 0.000 claims description 3
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- 229920000159 gelatin Polymers 0.000 claims description 3
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- 235000011852 gelatine desserts Nutrition 0.000 claims description 3
- 239000001863 hydroxypropyl cellulose Substances 0.000 claims description 3
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 claims description 3
- 229960000905 indomethacin Drugs 0.000 claims description 3
- 229960000485 methotrexate Drugs 0.000 claims description 3
- VAOCPAMSLUNLGC-UHFFFAOYSA-N metronidazole Chemical compound CC1=NC=C([N+]([O-])=O)N1CCO VAOCPAMSLUNLGC-UHFFFAOYSA-N 0.000 claims description 3
- 229960000282 metronidazole Drugs 0.000 claims description 3
- JOHZPMXAZQZXHR-UHFFFAOYSA-N pipemidic acid Chemical compound N1=C2N(CC)C=C(C(O)=O)C(=O)C2=CN=C1N1CCNCC1 JOHZPMXAZQZXHR-UHFFFAOYSA-N 0.000 claims description 3
- 229960001732 pipemidic acid Drugs 0.000 claims description 3
- 239000008107 starch Substances 0.000 claims description 3
- 235000019698 starch Nutrition 0.000 claims description 3
- GHASVSINZRGABV-UHFFFAOYSA-N Fluorouracil Chemical compound FC1=CNC(=O)NC1=O GHASVSINZRGABV-UHFFFAOYSA-N 0.000 claims description 2
- 239000002253 acid Chemical class 0.000 claims description 2
- 150000001447 alkali salts Chemical class 0.000 claims description 2
- 229910052587 fluorapatite Inorganic materials 0.000 claims description 2
- 229940077441 fluorapatite Drugs 0.000 claims description 2
- 229960002949 fluorouracil Drugs 0.000 claims description 2
- VSIIXMUUUJUKCM-UHFFFAOYSA-D pentacalcium;fluoride;triphosphate Chemical compound [F-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O VSIIXMUUUJUKCM-UHFFFAOYSA-D 0.000 claims description 2
- 239000004094 surface-active agent Substances 0.000 claims description 2
- 235000019731 tricalcium phosphate Nutrition 0.000 claims description 2
- 229910000391 tricalcium phosphate Inorganic materials 0.000 claims description 2
- 229940078499 tricalcium phosphate Drugs 0.000 claims description 2
- 230000000202 analgesic effect Effects 0.000 claims 2
- 239000004599 antimicrobial Substances 0.000 claims 2
- 229940034982 antineoplastic agent Drugs 0.000 claims 2
- 239000011148 porous material Substances 0.000 claims 2
- 239000000814 tuberculostatic agent Substances 0.000 claims 2
- NWXMGUDVXFXRIG-WESIUVDSSA-N (4s,4as,5as,6s,12ar)-4-(dimethylamino)-1,6,10,11,12a-pentahydroxy-6-methyl-3,12-dioxo-4,4a,5,5a-tetrahydrotetracene-2-carboxamide Chemical compound C1=CC=C2[C@](O)(C)[C@H]3C[C@H]4[C@H](N(C)C)C(=O)C(C(N)=O)=C(O)[C@@]4(O)C(=O)C3=C(O)C2=C1O NWXMGUDVXFXRIG-WESIUVDSSA-N 0.000 claims 1
- 229930195573 Amycin Natural products 0.000 claims 1
- GQYIWUVLTXOXAJ-UHFFFAOYSA-N Lomustine Chemical compound ClCCN(N=O)C(=O)NC1CCCCC1 GQYIWUVLTXOXAJ-UHFFFAOYSA-N 0.000 claims 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-L Phosphate ion(2-) Chemical compound OP([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-L 0.000 claims 1
- 229960004755 ceftriaxone Drugs 0.000 claims 1
- VAAUVRVFOQPIGI-SPQHTLEESA-N ceftriaxone Chemical compound S([C@@H]1[C@@H](C(N1C=1C(O)=O)=O)NC(=O)\C(=N/OC)C=2N=C(N)SC=2)CC=1CSC1=NC(=O)C(=O)NN1C VAAUVRVFOQPIGI-SPQHTLEESA-N 0.000 claims 1
- 238000007596 consolidation process Methods 0.000 claims 1
- MKXKFYHWDHIYRV-UHFFFAOYSA-N flutamide Chemical compound CC(C)C(=O)NC1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 MKXKFYHWDHIYRV-UHFFFAOYSA-N 0.000 claims 1
- 229960002074 flutamide Drugs 0.000 claims 1
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- -1 safe energy Chemical compound 0.000 claims 1
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- 229960001714 calcium phosphate Drugs 0.000 description 37
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- AOJJSUZBOXZQNB-TZSSRYMLSA-N Doxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-TZSSRYMLSA-N 0.000 description 18
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- 239000003795 chemical substances by application Substances 0.000 description 12
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 10
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 10
- NWGKJDSIEKMTRX-AAZCQSIUSA-N Sorbitan monooleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O NWGKJDSIEKMTRX-AAZCQSIUSA-N 0.000 description 10
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- FUFJGUQYACFECW-UHFFFAOYSA-L calcium hydrogenphosphate Chemical compound [Ca+2].OP([O-])([O-])=O FUFJGUQYACFECW-UHFFFAOYSA-L 0.000 description 10
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Landscapes
- Materials For Medical Uses (AREA)
- Medicinal Preparation (AREA)
Abstract
本发明公开了一种药物控释功能活性人工骨及其在临床上的应用。本发明的磷酸钙骨水泥主要由多孔磷酸钙骨水泥和治疗有效量的药物微胶囊组成,所说的囊芯包括抗菌药、抗肿瘤药、抗消炎镇痛药和抗结核药以及在无配伍禁忌下的复合药物等。将壁材和囊芯制备成药物微胶囊,与多孔磷酸钙骨水泥粉末混合包埋,即获得具有可控缓释功能的多孔载药磷酸钙骨水泥。体外模拟试验表明,载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%,既具有骨缺损填充修复作用,又具有药物缓释治疗效果,可用于慢性骨髓炎治疗、植入部位感染预防以及骨肿瘤切除后的复发预防。The invention discloses a drug controlled release functionally active artificial bone and its clinical application. The calcium phosphate bone cement of the present invention is mainly composed of porous calcium phosphate bone cement and therapeutically effective drug microcapsules. Compound drugs under contraindications, etc. The wall material and capsule core are prepared into drug microcapsules, which are mixed with porous calcium phosphate bone cement powder and embedded to obtain a porous drug-loaded calcium phosphate bone cement with a controlled and sustained release function. The in vitro simulation test showed that drug-loaded porous calcium phosphate bone cement released drugs in vitro to a relatively sufficient extent, the fastest release within 24 hours, and maintained an effective drug level within 6 weeks, and released nearly 80% after 8 weeks. It has the effect of filling and repairing bone defects, and also has the effect of drug sustained release therapy, and can be used for the treatment of chronic osteomyelitis, the prevention of infection at the implantation site, and the prevention of recurrence after bone tumor resection.
Description
技术领域technical field
本发明属于生物医用材料领域,涉及一种用于硬组织修复兼药物治疗的控释载药磷酸钙骨水泥及其应用。The invention belongs to the field of biomedical materials, and relates to a controlled-release drug-loaded calcium phosphate bone cement for hard tissue repair and drug treatment and an application thereof.
背景技术Background technique
由于外伤、肿瘤等原因引起的骨缺损是临床治疗的棘手问题。长期以来,骨缺损的修复主要采用自体骨移植结合同种异体骨移植的方法,但两种方法均有各自的缺点:自体骨受来源数量限制,且取骨手术至少存在10%的外科并发症,植入后需要较长时间的爬行替代过程;异体骨存在不同程度的免疫排异反应及潜在的病源传播危险。而人工合成替代材料则能避免生物源修复材料的缺陷,是一种较理想的骨缺损修复材料。Bone defect caused by trauma, tumor and other reasons is a difficult problem in clinical treatment. For a long time, the repair of bone defects has mainly used autologous bone grafting combined with allogeneic bone grafting, but both methods have their own disadvantages: autologous bone is limited by the number of sources, and there are at least 10% surgical complications in bone harvesting operations , It takes a long time to crawl and replace after implantation; allogeneic bone has different degrees of immune rejection and potential risk of disease transmission. The artificial synthetic substitute material can avoid the defects of biological source repair materials, and is an ideal repair material for bone defects.
植入部位的无菌状态是植骨成功的前提和关键。临床研究表明:若待植入部位感染,则治疗效果不佳,尤其是对于骨科大中型手术(如脊柱手术等),一旦发生感染,其危害将是灾难性的;另外,因骨瘤切除后肿瘤细胞可能清除不干净,发生局部转移,从而使得单纯的生物材料用于骨缺损修复治疗不彻底,以致旧病复发。基于此,将抗癌或消炎等药物引入生物材料中,使材料在填充修复的同时也具有进一步药物治疗的功效。因此,载药生物材料的研究和应用特别引人注目,近年来发展迅速,目前在临床研究和应用涉及较多的有以下几种:The sterility of the implant site is the prerequisite and key to the success of bone grafting. Clinical studies have shown that if the site to be implanted is infected, the treatment effect will not be good, especially for large and medium-sized orthopedic operations (such as spinal surgery, etc.), once infection occurs, the harm will be catastrophic; Tumor cells may not be removed cleanly and local metastasis may occur, which makes the use of simple biomaterials for bone defect repair treatment incomplete, resulting in recurrence of old diseases. Based on this, anti-cancer or anti-inflammatory drugs are introduced into biomaterials, so that the materials also have the effect of further drug treatment while filling and repairing. Therefore, the research and application of drug-loaded biomaterials are particularly eye-catching, and have developed rapidly in recent years. At present, the following types are more involved in clinical research and application:
1970年Buchholz和Engelbrecht首先报道了应用载药庆大霉素的骨水泥(PMMA)治疗全髋成形术后感染并且效果显著;1974年Klemm第一个报道了应用庆大霉素药株来治疗慢性骨髓炎并取得了一定疗效;然而发现药物在体内存在爆发式释放效应,药效周期短且易引起全身系列副作用。文献(Salvati E A,Callaghen JJ,Brause B D,Klein R F,Small RD.Clin Orthop,1986,207:83~94)也报道了将聚甲基丙烯酸甲酯(PMMA)骨水泥与抗生素的结合用于靶向给药治疗骨与深部软组织的感染已取得了明显疗效。但随着基础研究的进一步深入和临床应用的进一步扩大,发现PMMA载药系统存在许多缺点:组织相容性差、固化过程强放热容易引起周围组织灼伤和坏死、单体对人体有毒性、材料不降解、在体内长期异物存在(或治疗时逐个提出,病人十分痛苦)、药物释放不完全等,使治疗结果很难如意,应用受到限制,然而这一功能材料的设计是值得借鉴的。In 1970, Buchholz and Engelbrecht first reported the application of drug-loaded gentamicin bone cement (PMMA) to treat infection after total hipplasty and the effect was remarkable; in 1974, Klemm first reported the application of gentamicin strains to treat chronic Osteomyelitis has achieved a certain curative effect; however, it is found that the drug has a burst release effect in the body, the drug effect period is short, and it is easy to cause a series of systemic side effects. The literature (Salvati E A, Callaghen JJ, Brause B D, Klein R F, Small RD. Clin Orthop, 1986, 207: 83-94) also reported the combination of polymethylmethacrylate (PMMA) bone cement and antibiotics It has achieved obvious curative effect in the treatment of bone and deep soft tissue infection with targeted drug delivery. However, with the further deepening of basic research and the further expansion of clinical applications, it was found that there are many shortcomings in the PMMA drug-loading system: poor tissue compatibility, strong heat release during the curing process can easily cause burns and necrosis of surrounding tissues, monomers are toxic to the human body, materials Non-degradation, long-term presence of foreign bodies in the body (or one by one during treatment, the patient is very painful), incomplete drug release, etc., make the treatment result difficult and the application is limited. However, the design of this functional material is worth learning.
文献(孙伟张等,华西药学杂志,1997,vol14(3),p172-174)报道了多孔羟基磷灰石陶瓷(HAP)作为药物载体制备的人工骨,实验发现载药HAP人工骨在骨修复过程中具有明显的药物缓释治疗作用。但发现材料脆性大、弹性强度差且在体内吸收困难、易引起骨溶解。同时药物是通过多孔HAP陶瓷浸泡后表面吸附的,吸附量少,在体内缓释时间不长。The literature (Sun Weizhang et al., West China Pharmaceutical Journal, 1997, vol14 (3), p172-174) reported the artificial bone prepared by porous hydroxyapatite ceramics (HAP) as a drug carrier. It has obvious drug sustained release therapeutic effect in the repairing process. However, it is found that the material is brittle, has poor elastic strength, is difficult to absorb in the body, and easily causes osteolysis. At the same time, the drug is adsorbed on the surface after soaking through the porous HAP ceramics, the adsorption amount is small, and the sustained release time in the body is not long.
综上可见,优良的药物载体以及药物与生物材料载体间的有效复合方法是载药生物材料真正达到骨缺损修复和药物治疗的双重目的、实现承载药物的持续、稳定和高效缓释的关键。To sum up, excellent drug carriers and effective compounding methods between drugs and biomaterial carriers are the key to drug-loaded biomaterials to achieve the dual purpose of bone defect repair and drug treatment, and to achieve sustained, stable and efficient sustained release of drugs.
发明内容 Contents of the invention
本发明需要解决的技术问题是公开一种药物控释功能自固化磷酸钙骨水泥,以克服现有技术(如药物载体、药物与载体复合方法等)存在的上述缺陷,满足慢性骨髓炎、治疗部位感染预防、肿瘤复发预防等的需要。The technical problem to be solved in the present invention is to disclose a self-curing calcium phosphate bone cement with drug controlled release function to overcome the above-mentioned defects in the prior art (such as drug carrier, drug and carrier compound method, etc.), to meet the needs of chronic osteomyelitis, treatment Prevention of site infection, prevention of tumor recurrence, etc.
本发明还涉及所述载药人工骨在临床上的应用。The invention also relates to the clinical application of the drug-loaded artificial bone.
本发明的构思是这样的:Design of the present invention is such:
磷酸钙骨水泥(CPC)是一种新型的骨修复材料,由几种磷酸钙组成(Chow,US 5525148,5545254,1996),能在人体环境和温度下自行固化、准确塑型和生物降解,并最终转化为羟基磷灰石。CPC作为目前唯一能自行固化并产生再生效果的硬组织修复材料,以其高生物相容性、可生物降解和任意塑性特性的统一,得到了国际材料界和医学界的重视,成为当今生物材料的研究热点之一。体外实验表明(黄粤,华东理工大学硕士学位论文,1999)CPC作为药物载体是可行的。本发明利用CPC包埋微胶囊化药物,形成载药磷酸钙骨水泥固化体,避免待植入部位感染或预防肿瘤细胞清创不彻底而引起的复发,通过控制微胶囊壁材厚度、药物含量、固化体孔隙率、固液比等参数,实现磷酸钙骨水泥定点可控缓释抗癌抗炎药物,赋予材料兼具填充修复与治疗的双重功效。本发明利用载药多孔磷酸钙骨水泥固化体微胶囊壁材可在体液(或模拟体液)中具有一定的降解性制备可控缓释功能的载药磷酸钙骨水泥,把药物微胶囊均匀地包埋在磷酸钙骨水泥粉末中。当多孔磷酸钙骨水泥固化时,药物微胶囊占据多孔固化体的部分空间,从而形成一个独立的单元,植入人体后,经过体液的不断流蚀和渗透,微胶囊壁材不断降解,药物囊芯受微胶囊壁材厚度、药物含量、固化体孔隙率、固液比等参数影响得以定点可控一级缓释到多孔固化体后,继而通过固化体的多孔微观结构实现二级可控缓释,使得材料在修复的同时具有抗肿瘤复发、消炎杀菌作用,用于慢性骨髓炎的治疗和植入部位的感染预防。Calcium phosphate cement (CPC) is a new type of bone repair material composed of several calcium phosphates (Chow, US 5525148, 5545254, 1996), which can self-cure, accurately shape and biodegrade under human environment and temperature, and eventually transformed into hydroxyapatite. CPC, as the only hard tissue repair material that can self-cure and produce regenerative effects, has attracted the attention of the international material and medical communities for its high biocompatibility, biodegradability and the unity of arbitrary plastic properties, and has become the current biomaterial. one of the research hotspots. In vitro experiments showed (Huang Yue, master's degree thesis of East China University of Science and Technology, 1999) that CPC is feasible as a drug carrier. The present invention uses CPC to embed microencapsulated drugs to form a solidified body of drug-loaded calcium phosphate bone cement to avoid infection at the site to be implanted or to prevent recurrence caused by incomplete debridement of tumor cells. By controlling the thickness of the microcapsule wall material and drug content , solidified body porosity, solid-liquid ratio and other parameters, to realize the fixed-point controllable slow release of anti-cancer and anti-inflammatory drugs of calcium phosphate bone cement, and endow the material with dual functions of filling repair and treatment. In the present invention, the drug-loaded calcium phosphate bone cement with a controllable slow-release function is prepared by using the microcapsule wall material of the solidified drug-loaded porous calcium phosphate bone cement in body fluid (or simulated body fluid), and the drug microcapsules are uniformly distributed. Embedded in calcium phosphate bone cement powder. When the porous calcium phosphate cement is solidified, the drug microcapsules occupy part of the space of the porous solidified body, thus forming an independent unit. The core is affected by parameters such as the thickness of the microcapsule wall material, the drug content, the porosity of the solidified body, and the solid-liquid ratio. It can be used for the treatment of chronic osteomyelitis and the prevention of infection at the implantation site.
本发明详细的技术方案如下所述:The detailed technical scheme of the present invention is as follows:
本发明所说的具有可控缓释功能的载药磷酸钙骨水泥主要由多孔磷酸钙骨水泥和治疗有效量的药物微胶囊组成,优选的比例为:The drug-loaded calcium phosphate bone cement with controllable slow-release function in the present invention is mainly composed of porous calcium phosphate bone cement and therapeutically effective drug microcapsules, and the preferred ratio is:
多孔磷酸钙骨水泥∶药物微胶囊=100∶(0.5~20),质量比;Porous calcium phosphate bone cement:medicine microcapsules=100:(0.5~20), mass ratio;
所说的多孔磷酸钙骨水泥是由磷酸钙骨水泥粉末(CPC)和成孔剂按一定比例所组成,可以按(刘昌胜,ZL98110645.5)公开的方法配制。其中:所说的CPC粉末由几种磷酸钙盐按一定的比例混合的混合物,可以按(US5525148,US5545254)公开的方法配制,可以是磷酸三钙(α型或β型)、磷酸四钙中的一种或两者的混合物;磷酸八钙、磷酸二氢钙、羟基磷灰石、氟磷灰石中的一种或它们的混合物。Said porous calcium phosphate bone cement is composed of calcium phosphate bone cement powder (CPC) and a pore-forming agent in a certain proportion, and can be prepared according to the method disclosed in (Liu Changsheng, ZL98110645.5). Wherein: said CPC powder is a mixture of several calcium phosphate salts mixed in a certain proportion, which can be prepared according to the method disclosed in (US5525148, US5545254), and can be tricalcium phosphate (α type or β type), tetracalcium phosphate One or a mixture of both; one or a mixture of octacalcium phosphate, calcium dihydrogen phosphate, hydroxyapatite, fluorapatite.
所说的成孔剂可以为无毒的微溶性盐、酸式盐和碱式盐、可溶性无毒高分子或无毒的表面活性剂中的一种或一种以上。The pore-forming agent can be one or more of non-toxic slightly soluble salts, acid salts and basic salts, soluble non-toxic macromolecules or non-toxic surfactants.
所说的药物微胶囊为采用医药学上可接受的壁材包埋囊芯(药物)的包埋物,其中:Said drug microcapsules are embeddings that adopt pharmaceutically acceptable wall materials to embed capsule cores (medicines), wherein:
所说的囊芯(药物)包括抗菌药(如妥布霉素、万古霉素、泰能、罗氏芬、吡哌酸、头孢类、甲硝唑等)、抗肿瘤药(如甲氨蝶呤、阿霉素、氟尿嘧啶、氟硝丁酰胺、环己亚硝脲等)、抗消炎镇痛药(如萘普生钠、环孢苷、消炎痛等)、抗结核药(如利福平)以及在无配伍禁忌情况下两种或两种以上药物的混合物;壁材与所述药物的比例为:1∶1~1∶20;Said capsule core (medicine) includes antibacterials (such as tobramycin, vancomycin, Tylenol, Rocephine, pipemidic acid, cephalosporins, metronidazole, etc.), antitumor drugs (such as methotrexate , doxorubicin, fluorouracil, nitramide, cyclohexylnitrosourea, etc.), anti-inflammatory analgesics (such as naproxen sodium, cyclosporine, indomethacin, etc.), anti-tuberculosis drugs (such as rifampin) And the mixture of two or more drugs in the absence of incompatibility; the ratio of the wall material to the drugs is: 1:1~1:20;
所说的壁材包括可溶性淀粉、羟丙基纤维素、乙基纤维素、明胶或壳聚糖等中的一种,以乙基纤维素为佳;Said wall material includes one of soluble starch, hydroxypropyl cellulose, ethyl cellulose, gelatin or chitosan, etc., preferably ethyl cellulose;
所说的微胶囊可采用界面凝聚法、原位法、聚合法、喷雾干燥法、溶剂蒸发法进行制备,以溶剂蒸发法为佳。Said microcapsules can be prepared by interfacial coagulation method, in-situ method, polymerization method, spray drying method, solvent evaporation method, preferably solvent evaporation method.
本发明所说的骨水泥是按下述方法进行制备和应用的:Said bone cement of the present invention is prepared and applied according to the following method:
将壁材和囊芯按壁材∶囊芯=1∶(1~20),质量比的比例,采用溶剂蒸发法制备成粒径为100~400μm的药物微胶囊,再将直径为5~20μm的多孔磷酸钙骨水泥粉末与该微胶囊以多孔磷酸钙骨水泥∶药物微胶囊=100∶(0.5~20)(质量比)混合包埋,即获得具有可控缓释功能的多孔载药磷酸钙骨水泥。The wall material and the capsule core are prepared into drug microcapsules with a particle diameter of 100-400 μm by solvent evaporation method according to the ratio of wall material: capsule core=1:(1~20) and mass ratio, and then the drug microcapsules with a diameter of 5-20 μm are prepared. The porous calcium phosphate bone cement powder and the microcapsules are mixed and embedded with porous calcium phosphate bone cement: drug microcapsules = 100: (0.5-20) (mass ratio), and the porous drug-loaded phosphoric acid with controllable and sustained release function is obtained. Calcium bone cement.
用生理盐水或其它盐溶液作为固化液,按固液比为(1.5∶1~5∶1)的比例与其混合均匀,即可植入体内;所说的其它盐溶液为浓度为7~25wt%的磷酸盐水溶液。Use physiological saline or other saline solutions as the solidifying solution, and mix it evenly with it according to the ratio of solid to liquid (1.5:1~5:1), and then it can be implanted in the body; said other saline solutions have a concentration of 7~25wt%. phosphate saline solution.
所说的壁材包括可溶性淀粉、羟丙基纤维素、乙基纤维素、明胶、壳聚糖等,以乙基纤维素为佳;Said wall material includes soluble starch, hydroxypropyl cellulose, ethyl cellulose, gelatin, chitosan, etc., preferably ethyl cellulose;
所说的囊芯包括(药物)包括抗菌药(如妥布霉素、万古霉素、泰能、罗氏芬、吡哌酸、头孢类、甲硝唑等)、抗肿瘤药(如甲氨蝶呤、阿霉素、氟尿嘧啶、氟硝丁酰胺、环己亚硝脲等)、抗消炎镇痛药(如萘普生钠、环孢苷、消炎痛等)、抗结核药(如利福平)以及在无配伍禁忌情况下两种或两种以上药物的混合物;Said capsule core comprises (medicine) comprises antimicrobial (such as tobramycin, vancomycin, Tylenol, Rocephine, pipemidic acid, cephalosporins, metronidazole etc.), antitumor drug (such as methotrexate) anti-inflammatory drugs (such as naproxen sodium, cyclosporine, indomethacin, etc.), anti-tuberculosis drugs (such as rifampicin ) and mixtures of two or more drugs in the absence of incompatibility;
发明人对本发明所说的可控缓释载药自固化磷酸钙骨水泥进行了体外模拟试验和临床试用:The inventor has carried out in vitro simulation test and clinical trial to the controllable slow-release drug-loaded self-curing calcium phosphate bone cement of the present invention:
将上述制备的控释载药多孔磷酸钙骨水泥置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定药物浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。The controlled-release drug-loaded porous calcium phosphate bone cement prepared above was placed in an environment of 37°C and 100% humidity to cure for 48 hours, and then soaked in a simulated buffer solution, and samples were taken at appropriate time intervals, and the drug concentration was determined by ultraviolet spectrophotometry. It shows that drug-loaded porous calcium phosphate bone cement releases drug in vitro more fully, releases fastest within 24 hours, maintains effective drug level in 6 weeks, and releases nearly 80% after 8 weeks.
一期清创二期应用上述制备的控释载药多孔磷酸钙骨水泥治疗慢性绿脓杆菌骨髓炎,骨缺损达8cm×4cm。应用20gCPC粉末分别加万古霉素0.5g、哌拉西林0.5g,制成椭圆形颗粒,用40℃温热纱布包裹15分钟,混合植入缺损处。行皮瓣术、引流,近端接负压吸引器,远端注射妥不霉素8万单位,每日一次,持续一周。发现术后2周创面完全愈合,术后3个月X线片复查可见少量骨痂生成。术后一年移植骨愈合良好,病灶未复发。术后跟踪1年,尚未复发迹象,可认为已临床治愈。The controlled-release drug-loaded porous calcium phosphate bone cement prepared above was used in the second stage of debridement to treat chronic Pseudomonas aeruginosa osteomyelitis, and the bone defect reached 8cm×4cm. Add 0.5 g of vancomycin and 0.5 g of piperacillin to 20 g of CPC powder, respectively, to make oval particles, wrap them with warm gauze at 40°C for 15 minutes, mix and implant into the defect. Skin flap operation and drainage were performed, the proximal end was connected to a negative pressure suction device, and the distal end was injected with 80,000 units of tobramycin once a day for one week. It was found that the wound was completely healed 2 weeks after the operation, and a small amount of callus was found on X-ray film review 3 months after the operation. One year after the operation, the grafted bone healed well, and the lesion did not recur. After 1 year of follow-up, there is no sign of recurrence, which can be considered clinically cured.
本发明所说的可控缓释载药自固化磷酸钙骨水泥具有十分显著的优点:The controllable slow-release drug-loaded self-curing calcium phosphate bone cement of the present invention has very significant advantages:
将药物微胶囊化后,再与多孔磷酸钙骨水泥非均相复合,减免了药物对CPC固化的影响,延长了载药系统释放有效药物浓度的时间。通过控制微胶囊壁材种类和厚度、药物含量、固化体孔隙率、固液比等参数,实现载药磷酸钙骨水泥定点可控二级缓释(壁材本征结构决定的降解性实现一级缓释和固化体微观多孔结构实现的二级缓释),使得制备出的载药磷酸钙骨水泥固化体不仅骨修复作用,而且兼达到治疗的目的,用于慢性骨髓炎的治疗、植入部位感染预防以及肿瘤切除后的预防复发。同时,药物微胶囊缓释后所形成的微孔有利于骨组织的长入,加速材料的降解,促进骨的快速愈合,是一种性能优异的新一代人体硬组织修复材料。After the drug is microencapsulated, it is compounded heterogeneously with the porous calcium phosphate bone cement, which reduces the influence of the drug on CPC curing and prolongs the time for the drug-loaded system to release the effective drug concentration. By controlling the type and thickness of the microcapsule wall material, drug content, porosity of the solidified body, solid-liquid ratio and other parameters, the drug-loaded calcium phosphate bone cement can be controlled at a fixed point for two-stage sustained release (the degradability determined by the intrinsic structure of the wall material can achieve a Level sustained release and secondary sustained release achieved by the microporous structure of the solidified body), so that the prepared drug-loaded calcium phosphate bone cement solidified body not only has a bone repair effect, but also achieves the purpose of treatment. It is used for the treatment of chronic osteomyelitis, implantation Prevention of infection at the site of entry and prevention of recurrence after tumor resection. At the same time, the micropores formed after the sustained release of drug microcapsules are conducive to the growth of bone tissue, accelerate the degradation of materials, and promote the rapid healing of bones. It is a new generation of human hard tissue repair materials with excellent performance.
附图说明Description of drawings
图1为载药磷酸钙骨水泥药物释放图。Figure 1 is the drug release diagram of drug-loaded calcium phosphate bone cement.
具体实施方式Detailed ways
下面将结合实施例进一步阐明本发明的内容,但这些实施例并不限制本发明的保护范围。The content of the present invention will be further illustrated below in conjunction with examples, but these examples do not limit the protection scope of the present invention.
实施例1Example 1
称50mg乙基纤维素,在水浴条件下溶于丙酮,待其完全溶解后,加入100mg妥布霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得妥布霉素微胶囊。Weigh 50 mg of ethyl cellulose, dissolve it in acetone under water bath conditions, after it is completely dissolved, add 100 mg of tobramycin, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and circulate water at 60 ° C Constant temperature, stirring, suction filtration, washing, and drying to prepare tobramycin microcapsules.
称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的妥布霉素微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定妥布霉素浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size less than 20μm, and add the prepared tobramycin microcapsules at the same time. Disperse evenly in the bowl, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, and take samples at appropriate time intervals. The concentration of tobramycin was determined by ultraviolet spectrophotometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours. After releasing nearly 80%.
实施例2Example 2
称乙基纤维素50mg,在水浴条件下溶于丙酮,待其完全溶解后,加入100mg萘普生钠,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得萘普生钠微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的萘普生钠微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定萘普生钠浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh 50 mg of ethyl cellulose, dissolve it in acetone under water bath conditions, after it is completely dissolved, add 100 mg of naproxen sodium, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and circulate water at 60 ° C Constant temperature, stirring, suction filtration, washing, and drying to prepare naproxen sodium microcapsules. Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder whose particle size is less than 20μm, and add the prepared naproxen sodium microcapsules at the same time. Disperse evenly in the bowl, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, and take samples at appropriate time intervals. The concentration of naproxen sodium was determined by ultraviolet spectrophotometry, which showed that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours. After releasing nearly 80%.
实施例3Example 3
称乙基纤维素50mg,在水浴条件下溶于丙酮,待其完全溶解后,加入100mg利福平,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得利福平微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的利福平微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定利福平浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh 50 mg of ethyl cellulose, dissolve it in acetone under the condition of water bath, after it is completely dissolved, add 100 mg of rifampicin, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and circulate water at 60°C to keep the temperature constant , stirring, suction filtration, washing, and drying to obtain rifampicin microcapsules. Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size of less than 20μm, and add the prepared rifampicin microcapsules at the same time. Disperse evenly in medium, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, take samples at appropriate time intervals, and use ultraviolet light The concentration of rifampicin was determined by spectrophotometry, which indicated that the release of drug-loaded porous calcium phosphate bone cement in vitro was relatively sufficient, and the release was the fastest within 24 hours, and the effective drug level was maintained within 6 weeks, and released after 8 weeks. Nearly 80%.
实施例4Example 4
称乙基纤维素50mg,在水浴条件下溶于丙酮,待其完全溶解后,加入100mg阿霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得阿霉素微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的阿霉素微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定阿霉素浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近90%。Weigh 50 mg of ethyl cellulose, dissolve it in acetone under water bath conditions, after it is completely dissolved, add 100 mg of doxorubicin, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and circulate water at a constant temperature of 60 °C , stirring, suction filtration, washing, and drying to obtain doxorubicin microcapsules. Weigh 0.1 g of pore-forming agent (200-350 μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3 g of CPC powder with a particle size of less than 20 μm, and add the prepared doxorubicin microcapsules at the same time. Disperse evenly in medium, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, take samples at appropriate time intervals, and use ultraviolet light The concentration of doxorubicin was determined by spectrophotometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours, and the effective drug level was maintained within 6 weeks, and released after 8 weeks Nearly 90%.
实施例5Example 5
称乙基纤维素50mg,在水浴条件下溶于丙酮,待其完全溶解后,加入50mg妥布霉素和50mg万古霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得复合药物微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的复合药物微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定复合药物浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近85%。Weigh 50 mg of ethyl cellulose, dissolve it in acetone under the condition of water bath, after it is completely dissolved, add 50 mg of tobramycin and 50 mg of vancomycin, after stirring evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, in Circulating water at constant temperature at 60°C, stirring, suction filtration, washing, and drying are used to prepare compound drug microcapsules. Weigh 0.1g of pore-forming agent (200-350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size of less than 20μm, and add the prepared composite drug microcapsules at the same time, and place in a mortar Disperse evenly, add 1.2g of normal saline, use a dental knife to reconcile and evenly form a mud mass, put it in an environment of 37°C and 100% humidity for 48 hours, and then soak it in a simulated buffer solution, take samples at appropriate time intervals, and use ultraviolet spectroscopy The concentration of the compound drug was measured by photometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, the release was the fastest within 24 hours, and the effective drug level was maintained within 6 weeks, and nearly 85% of the drug was released after 8 weeks. %.
实施例6Example 6
称壳聚糖30mg,溶于0.1%冰乙酸,待其完全溶解后,加入10mg阿霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得阿霉素微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的阿霉素微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定阿霉素浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh 30 mg of chitosan, dissolve in 0.1% glacial acetic acid, after it is completely dissolved, add 10 mg of doxorubicin, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and circulate water at 60°C to keep the temperature and stir , suction filtration, washing, and drying to obtain doxorubicin microcapsules. Weigh 0.1 g of pore-forming agent (200-350 μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3 g of CPC powder with a particle size of less than 20 μm, and add the prepared doxorubicin microcapsules at the same time. Disperse evenly in medium, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, take samples at appropriate time intervals, and use ultraviolet light The concentration of doxorubicin was determined by spectrophotometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours, and the effective drug level was maintained within 6 weeks, and released after 8 weeks Nearly 80%.
实施例7Example 7
称壳聚糖30mg,溶于0.1%冰乙酸,待其完全溶解后,加入100mg利福平,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得利福平微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的利福平微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%显度环境中固化48h,然后再于模拟缓冲浴液中浸泡,以适当时间间隔取样,用紫外分光光度法测定利福平浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh 30mg of chitosan, dissolve in 0.1% glacial acetic acid, after it is completely dissolved, add 100mg of rifampicin, stir evenly, pour 2g of liquid paraffin containing 8ml of Span 80, and circulate water at 60°C to keep the temperature and stir , suction filtration, washing, and drying to obtain rifampicin microcapsules. Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size of less than 20μm, and add the prepared rifampicin microcapsules at the same time. Disperse evenly in medium, add 1.2g of normal saline, use a dental knife to mix evenly into a mud mass, put it in a 37°C, 100% high temperature environment for curing for 48 hours, then soak in a simulated buffer bath, and take samples at appropriate time intervals. The concentration of rifampicin was determined by ultraviolet spectrophotometry, which showed that the drug-loaded porous calcium phosphate bone cement released the drug in vitro to a relatively sufficient degree, and the release was the fastest within 24 hours. After releasing nearly 80%.
实施例8Example 8
称30mg壳聚糖,溶于0.1%冰乙酸,待其完全溶解后,加入100mg妥布霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60C下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得妥布霉素微胶囊。Weigh 30mg of chitosan, dissolve in 0.1% glacial acetic acid, after it is completely dissolved, add 100mg of tobramycin, stir evenly, pour 2g of liquid paraffin containing 8ml of Span 80, and circulate water at 60C to keep the temperature and stir , suction filtration, washing, and drying to obtain tobramycin microcapsules.
称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的妥布霉素微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定妥布霉素浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。如图1所示。Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size less than 20μm, and add the prepared tobramycin microcapsules at the same time. Disperse evenly in the bowl, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, and take samples at appropriate time intervals. The concentration of tobramycin was determined by ultraviolet spectrophotometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours. After releasing nearly 80%. As shown in Figure 1.
实施例9Example 9
称壳聚糖30mg,溶于0.1%冰乙酸,待其完全溶解后,加入100mg萘普生钠,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得萘普生钠微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的萘普生钠微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定萘普生钠浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh chitosan 30mg, dissolve in 0.1% glacial acetic acid, after it dissolves completely, add 100mg naproxen sodium, after stirring evenly, pour 2g of liquid paraffin containing 8ml Span 80, circulate water constant temperature at 60°C, Stirring, suction filtration, washing, and drying to prepare naproxen sodium microcapsules. Weigh 0.1g of pore-forming agent (200~350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder whose particle size is less than 20μm, and add the prepared naproxen sodium microcapsules at the same time. Disperse evenly in the bowl, add 1.2g of normal saline, use a dental knife to mix and evenly form a mud mass, place it in a 37°C, 100% humidity environment for 48 hours, and then soak it in a simulated buffer solution, and take samples at appropriate time intervals. The concentration of naproxen sodium was determined by ultraviolet spectrophotometry, which showed that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, and the release was the fastest within 24 hours. After releasing nearly 80%.
实施例10Example 10
称壳聚糖30mg,溶于0.1%冰乙酸,待其完全溶解后,加入10mg复阿霉素和50mg万古霉素,搅拌均匀后,倒入2g含有8ml司班80的液体石蜡,在60℃下循环水恒温、搅拌、抽滤、洗涤,烘干,即制得复合药物微胶囊。称量成孔剂(200~350μm)0.1g、磷酸氢钙、磷酸四钙、羟基磷灰石组成的粒径小于20μm的CPC粉末3g,同时加入制备好的复合药物微胶囊,在研钵中分散均匀,加入1.2g生理盐水,用牙科调制刀调和均匀成泥团,置于37℃、100%湿度环境中固化48h,然后再于模拟缓冲溶液中浸泡,以适当时间间隔取样,用紫外分光光度法测定复合药物浓度,表明载药多孔磷酸钙骨水泥在体外释放药物的程度是较为充分的,24小时内释放最快,在6周内一直维持有效的药物水平,8周后释放近80%。Weigh chitosan 30 mg, dissolve in 0.1% glacial acetic acid, after it is completely dissolved, add 10 mg of fudoxorubicin and 50 mg of vancomycin, stir evenly, pour 2 g of liquid paraffin containing 8 ml of Span 80, and heat at 60 ° C The lower circulating water is kept at a constant temperature, stirred, suction filtered, washed, and dried to prepare the compound drug microcapsules. Weigh 0.1g of pore-forming agent (200-350μm), calcium hydrogen phosphate, tetracalcium phosphate, and 3g of CPC powder with a particle size of less than 20μm, and add the prepared composite drug microcapsules at the same time, and place in a mortar Disperse evenly, add 1.2g of normal saline, use a dental knife to reconcile and evenly form a mud mass, put it in an environment of 37°C and 100% humidity for 48 hours, and then soak it in a simulated buffer solution, take samples at appropriate time intervals, and use ultraviolet spectroscopy The concentration of the compound drug was measured by photometry, which indicated that the degree of drug-loaded porous calcium phosphate bone cement released drug in vitro was relatively sufficient, the release was the fastest within 24 hours, and the effective drug level was maintained within 6 weeks, and nearly 80% of the drug was released after 8 weeks. %.
上述实施例表明载药自固化磷酸钙骨水泥中药物微胶囊化后降低了药物对CPC固化过程的影响,延长了药物释放时间。制备出的磷酸钙骨水泥固化体不仅能用于骨缺损的填充修复,而且可持续缓释药物,达到进一步制了得目的,如慢性骨髓炎的治疗、植入部位感染的预防以及骨肿瘤切除后的复发预防。同时含药物微胶囊缓释后所形成的微孔有利于骨组织的长入,加速材料的降解,促进骨的快速愈合,是一种性能优异的新一代人体硬组织修复材料。The above examples show that the microencapsulation of the drug in self-curing calcium phosphate bone cement reduces the effect of the drug on the curing process of CPC and prolongs the release time of the drug. The prepared calcium phosphate bone cement solidified body can not only be used for filling and repairing bone defects, but also sustainably release drugs to achieve further purposes, such as the treatment of chronic osteomyelitis, the prevention of infection at the implant site, and the resection of bone tumors Post-relapse prevention. At the same time, the micropores formed by the sustained release of drug-containing microcapsules are conducive to the growth of bone tissue, accelerate the degradation of materials, and promote the rapid healing of bones. It is a new generation of human hard tissue repair materials with excellent performance.
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| CN101057979B (en) * | 2007-04-03 | 2010-06-09 | 暨南大学 | Injectable self-curing calcium phosphate bone tissue repair material and its preparation method and application |
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| CN101057979B (en) * | 2007-04-03 | 2010-06-09 | 暨南大学 | Injectable self-curing calcium phosphate bone tissue repair material and its preparation method and application |
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| CN102961785A (en) * | 2012-11-09 | 2013-03-13 | 于秀淳 | Tumor cavity filler for treating giant cell tumor of bone and preparation method thereof |
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