TW202600162A - Anti-intestinal adhesion composition and its preparation method - Google Patents
Anti-intestinal adhesion composition and its preparation methodInfo
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Abstract
本發明係揭露一種防腸沾黏組合物及其製備方法,其中,該防腸沾黏組合物係包含有一精甘天冬氨酸肽及一水凝膠基質,而該水凝膠基質係由一殼聚醣及一β-磷酸甘油透過交聯反應所組成。藉由投予本發明所揭防腸沾黏組合物至生物體內之器官或組織受損處,係能於受損處與其鄰近組織間形成一物理屏障,藉此降低受損處與鄰近組織間之沾黏情形,達到促進傷口復原及提昇預後之功效。This invention discloses an anti-intestinal adhesion composition and its preparation method. The anti-intestinal adhesion composition comprises an arginine aspartic peptide and a hydrogel matrix, wherein the hydrogel matrix is composed of a chitosan and a β-glycerophosphate through a crosslinking reaction. By applying the anti-intestinal adhesion composition disclosed in this invention to the damaged area of an organ or tissue in an organism, a physical barrier can be formed between the damaged area and its adjacent tissues, thereby reducing adhesion between the damaged area and adjacent tissues, achieving the effects of promoting wound healing and improving prognosis.
Description
本發明係有關於一種醫療材料,特別係指一種防腸沾黏組合物及其製備方法。This invention relates to a medical material, and more particularly to an anti-intestinal adhesion composition and a method for preparing the same.
按,根據統計,腹部和胃腸手術之黏連率高達90%,如果沾黏情形嚴重,將會使患者腹疼、腸子壞死、甚至失去生命,因此,在手術過程中會採用各種方法避免器官產生沾黏。而防止沾黏之方式包含有減少手術時間、於手術期間保持組織濕潤度、減少手術過程中之損傷、使用防沾黏產品等。According to statistics, the adhesion rate during abdominal and gastrointestinal surgeries is as high as 90%. If the adhesion is severe, it can cause abdominal pain, intestinal necrosis, and even death. Therefore, various methods are used during surgery to prevent organ adhesion. These methods include reducing surgery time, maintaining tissue moisture during surgery, minimizing damage during surgery, and using anti-adhesion products.
市面上有各式各樣之防沾黏產品,依據劑型可區分為貼片型、凝膠型、噴霧型等。貼片型之優點在於可以裁減外型而直接貼附於傷口上,缺點在於身體產生異物反應之可能性較高;凝膠型則可以適用於不平整傷口上,但有些凝膠被身體吸收過快,導致無法避免沾黏之發生;噴霧型之產品雖然可以適用於大面積、凹凸不平之傷口,但可能會有噴灑不均勻之問題。There are various types of anti-adhesion products on the market, which can be divided into patches, gels, and sprays based on their formulation. The advantage of patches is that they can be cut to size and applied directly to the wound, but the disadvantage is that they are more likely to cause a foreign body reaction. Gel products can be used on uneven wounds, but some gels are absorbed by the body too quickly, making it impossible to avoid adhesion. Spray products can be used on large, uneven wounds, but there may be problems with uneven spraying.
本發明之主要目的係在於提供一種防腸沾黏組合物及其製作方法,由於該防腸沾黏組合物係具有高生物相容性、無細胞毒性、抗發炎、防沾黏及促進細胞生長等特性,故係能夠使用於手術中、器官或/及組織傷口上,以有效地達到預防沾黏及促進癒合之功效。The main objective of this invention is to provide an anti-adhesion compound and its manufacturing method. Because the anti-adhesion compound has high biocompatibility, no cytotoxicity, anti-inflammatory, anti-adhesion and cell growth promotion properties, it can be used in surgery, on organ and/or tissue wounds to effectively prevent adhesion and promote healing.
是以,為能達成上述目的,本發明係揭露一種防腸沾黏組合物,其主要成份包含有一精甘天冬氨酸肽及一水凝膠基質,其中,該水凝膠基質係由一殼聚醣及一β-磷酸甘油透過一交聯反應所形成者。Therefore, in order to achieve the above objectives, the present invention discloses an anti-intestinal adhesion composition, the main components of which include an arginine aspartic peptide and a hydrogel matrix, wherein the hydrogel matrix is formed by a chitosan and a β-phosphoglycerate through a crosslinking reaction.
其中,該精甘天冬氨酸肽之序列為Arg-Gly-Asp,而濃度為0.01~0.2 μg/ml。The sequence of the arginine aspartic peptide is Arg-Gly-Asp, and the concentration is 0.01~0.2 μg/ml.
其中,該β-磷酸甘油之濃度係為12-16%(w/v)。The concentration of β-glycerophosphate is 12-16% (w/v).
其中,該殼聚糖之濃度係為2.0-2.5%(w/v)。The concentration of chitosan is 2.0-2.5% (w/v).
於本發明之另一實施例中係揭露該防傷口組合物之製作方法,主要包含有包含有下列步驟:Another embodiment of the present invention discloses a method for manufacturing the wound protection composition, which mainly includes the following steps:
步驟a:製備一殼聚醣/乙酸溶液,其濃度為2.0-2.5%(w/v)。Step a: Prepare a shellac/acetic acid solution with a concentration of 2.0-2.5% (w/v).
步驟b:將該殼聚醣/乙酸溶液、一β-磷酸甘油及一精甘天冬氨酸肽於一低溫環境下混合,得到一混合溶液,其中:Step b: The chitosan/acetic acid solution, β-glycerol phosphate, and arginine aspartic peptide were mixed in a low-temperature environment to obtain a mixed solution, wherein:
該精甘天冬氨酸肽之濃度係為0.01~0.2 μg/mlThe concentration of this arginine aspartic peptide is 0.01~0.2 μg/ml.
該β-磷酸甘油之濃度係為12-16%(w/v);The concentration of this β-glycerophosphate is 12-16% (w/v);
該低溫環境係指溫度約為4°C之環境。The low-temperature environment refers to an environment with a temperature of approximately 4°C.
步驟c:使該混合溶液於一反應溫度下進行一凝膠化反應,得到一RGD/CS/β-GP水凝膠,其中,該反應溫度為36-65°C。Step c: The mixed solution is subjected to a gelation reaction at a reaction temperature to obtain an RGD/CS/β-GP hydrogel, wherein the reaction temperature is 36-65°C.
本發明係揭露一種防腸沾黏組合物,係由包含有一精甘天冬氨酸肽及一水凝膠基質,其中,該水凝膠基質係由一殼聚醣及一β-磷酸甘油所組成。而本發明所揭防腸沾黏組合物係具有於低溫環境下成液態、於高於室溫之環境下呈固態之特性,故可以直接投予至生物體內之器官或組織受損處,使之於受損處與其鄰近組織間形成一物理屏障,藉此降低受損處與鄰近組織間之沾黏情形,達到促進傷口復原及提昇預後之功效。This invention discloses an anti-enteric adhesion composition comprising an arginine aspartic peptide and a hydrogel matrix, wherein the hydrogel matrix is composed of a chitosan and a β-glycerophosphate. The anti-enteric adhesion composition disclosed in this invention has the characteristic of being liquid at low temperatures and solid at temperatures above room temperature. Therefore, it can be directly applied to damaged organs or tissues within the body, forming a physical barrier between the damaged area and adjacent tissues, thereby reducing adhesion between the damaged area and adjacent tissues, and achieving the effects of promoting wound healing and improving prognosis.
於本發明之一實施例中,該防腸沾黏組合物,其係由該精甘天冬氨酸肽及該水凝膠基質所組成者。In one embodiment of the present invention, the anti-gut adhesion composition is composed of the arginine aspartic peptide and the hydrogel matrix.
其中,精甘天冬氨酸肽之濃度係為0.01~0.2 μg/ml,如0.01、0.05、0.1、0.15、0.2 μg/ml。The concentration of arginine aspartic peptide is 0.01~0.2 μg/ml, such as 0.01, 0.05, 0.1, 0.15, 0.2 μg/ml.
而該防腸沾黏組合物之凝膠化溫度及凝膠化時間係可透過調整該β-磷酸甘油及該殼聚糖之濃度而改變,具體來說,殼聚醣濃度及/或β-磷酸甘油濃度越高,該防腸沾黏組合物之凝膠化溫度越低、凝膠化時間約短。由此可知,本發明所揭防腸沾黏組合物可以透過調整其組成物之濃度而使之能夠應用於不同物種及其傷口處。The gelation temperature and gelation time of the anti-enterotoluene composition can be changed by adjusting the concentrations of β-glycerol phosphate and chitosan. Specifically, the higher the concentration of chitosan and/or β-glycerol phosphate, the lower the gelation temperature and the shorter the gelation time of the anti-enterotoluene composition. Therefore, the anti-enterotoluene composition disclosed in this invention can be applied to different species and their wounds by adjusting the concentrations of its components.
舉例來說,若本發明所揭防腸沾黏組合物之使用對象為人類時,該殼聚醣濃度之濃度係為2.0-2.5(w/v),該β-磷酸甘油濃度為16%(w/v)。For example, if the anti-gut adhesion composition disclosed in this invention is intended for human use, the concentration of the chitosan is 2.0-2.5 (w/v) and the concentration of the β-glycerophosphate is 16% (w/v).
本發明所揭防傷口組合物之製作方法係包含有下列步驟:The method for manufacturing the wound protection composition disclosed in this invention includes the following steps:
步驟a:製備一殼聚醣/乙酸溶液,其中,該殼聚糖/乙酸溶液係將殼聚醣溶解在0.1M乙酸中所製備而得者,並該殼聚糖/乙酸溶液之濃度係為2.0-2.5%(w/v)。Step a: Prepare a chitosan/acetic acid solution, wherein the chitosan/acetic acid solution is prepared by dissolving chitosan in 0.1M acetic acid, and the concentration of the chitosan/acetic acid solution is 2.0-2.5% (w/v).
步驟b:將該殼聚醣/乙酸溶液、一β-磷酸甘油及一精甘天冬氨酸肽於一低溫環境下混合,得到一混合溶液,其中,該精甘天冬氨酸肽之序列為Arg-Gly-Asp;該β-磷酸甘油之濃度係為12-16%(w/v)。Step b: Mix the chitosan/acetic acid solution, β-glycerol phosphate and arginine aspartic peptide in a low temperature environment to obtain a mixed solution, wherein the sequence of the arginine aspartic peptide is Arg-Gly-Asp; and the concentration of the β-glycerol phosphate is 12-16% (w/v).
步驟c:使該混合溶液進行一凝膠化反應,得到一RGD/CS/β-GP水凝膠。Step c: Perform a gelation reaction on the mixed solution to obtain an RGD/CS/β-GP hydrogel.
具體來說,於該步驟b中,殼聚糖與β-磷酸甘油所形成之水凝膠基質係透過離子型凝膠交聯,意即透過陽離子聚合物殼聚醣與陰離子交聯劑β-磷酸甘油混合,β-甘油磷酸中帶負電的磷酸基與殼聚醣中帶正電的氨基相互作用,形成水凝膠網絡。Specifically, in step b, the hydrogel matrix formed by chitosan and β-glycerol phosphate is crosslinked through ionic gels. That is, through the mixing of cationic polymer chitosan and anionic crosslinker β-glycerol phosphate, the negatively charged phosphate groups in β-glycerol phosphate interact with the positively charged amino groups in chitosan to form a hydrogel network.
其中,該步驟b之該低溫環境係指溫度為約4°C。In step b, the low-temperature environment refers to a temperature of approximately 4°C.
其中,該步驟c中之該凝膠化反應係將該混合溶液置於溫度約為36-65°C之環境下所進行。In step c, the gelation reaction is carried out by placing the mixed solution in an environment with a temperature of approximately 36-65°C.
術語「殼聚糖」,係指一種從甲殼素中提取的生物聚合物,而可取自於蝦、蟹和龍蝦等甲殼類動物之外骨骼或真菌之細胞壁。殼聚糖具有生物可降解性及生物相容性,故常被用於作為傷口敷料或是藥物輸送載體。The term "chitosan" refers to a biopolymer extracted from chitin, which can be obtained from the exoskeleton of crustaceans such as shrimp, crab, and lobster, or from the cell walls of fungi. Chitosan is biodegradable and biocompatible, and is therefore often used as a wound dressing or a drug delivery carrier.
術語「精甘天冬氨酸肽」,又稱為RGD、RGD胜肽或RGD肽」,其係指由精胺酸、甘胺酸及天門冬胺酸所組成之胜肽,其胺基酸序列表示為Arg-Gly-Asp,結構如下式(I)所示:The term "arginine aspartic peptide," also known as RGD, RGD peptide, or RGD peptide, refers to a peptide composed of arginine, glycine, and aspartic acid. Its amino acid sequence is represented as Arg-Gly-Asp, and its structure is shown in the following formula (I):
…. 式(I) ….Formula (I)
術語「β-磷酸甘油」,席係為一種有機化合物,由帶有磷酸基團之甘油分子連接β碳原子(即由末端算起之第2個碳原子)所組成,其化學式為C 3H 7O 6P,稱為2,3-磷酸二羥丙基二氫酯。 The term "β-glycerol phosphate" refers to an organic compound composed of a glycerol molecule with a phosphate group linked to a β-carbon atom (the second carbon atom from the end). Its chemical formula is C3H7O6P , and it is called 2,3 - dihydroxypropyl dihydrogen phosphate.
以下為能說明本發明之技術特徵及其功效,將茲舉若干實驗例並搭配圖式做更詳細說明如後。The following are some experimental examples and illustrations to illustrate the technical features and effects of this invention.
以下實例中所使用之細胞係為本發明所屬技術領域且具通常知識者所易於取得者,故不需要進行專利寄存。The cells used in the following examples are readily available to those with ordinary knowledge of the art to which this invention pertains, and therefore do not require patent registration.
以下實例中之動物試驗係皆符合動物試驗相關倫理規範。The animal experiments in the following examples all comply with the relevant ethical norms for animal testing.
實例一:製備CS/β-GP水凝膠Example 1: Preparation of CS/β-GP hydrogel
殼聚醣溶解在0.1M乙酸中,並在室溫下攪拌至混合均勻,一般來說,攪拌時間約為12小時,得到濃度為2.0或2.5%(w/v)之殼聚糖溶液(簡稱CS溶液)。於4°C之環境下,將不同濃度:12%、14% 和 16%(w/v)之β-磷酸甘油(簡稱β-GP)分別加入2.0%(w/v)或2.5%(w/v)CS溶液(30ml),進行混合後,於37℃恆溫水浴中進行凝膠化反應,得到CS/β-GP水凝膠。Chitosan was dissolved in 0.1M acetic acid and stirred at room temperature until homogeneous, typically for about 12 hours, to obtain a chitosan solution (CS solution) with a concentration of 2.0% or 2.5% (w/v). At 4°C, different concentrations of β-glycerophosphate (β-GP) were added to 30 ml of 2.0% (w/v) or 2.5% (w/v) CS solution, respectively. After mixing, a gelation reaction was carried out in a constant temperature water bath at 37°C to obtain CS/β-GP hydrogel.
分別檢測以不同配比之殼聚醣與β-磷酸甘油所製備出之CS/β-GP水凝膠的熱敏度溫度、膠凝時間、降解凝膠化時間,結果如下表1所示。The thermosensitivity temperature, gelation time, and degradation gelation time of CS/β-GP hydrogels prepared with different ratios of chitosan and β-glycerol phosphate were tested. The results are shown in Table 1 below.
表1:分析各CS/β-GP水凝膠之特性
由表1之結果可知,由不同配比之殼聚醣與β-磷酸甘油所製備出之CS/β-GP水凝膠皆具有相近之孔隙率和孔徑。β-磷酸甘油濃度之添加濃度與水凝膠之熱敏溫度成現負相關,意即當β-磷酸甘油濃度之添加濃度越高,水凝膠之熱敏溫度越低,而由表1之結果可知,當β-磷酸甘油濃度為16%(w/v)及殼聚糖溶液濃度為2.5%(w/v)時,所得到之水凝膠之凝膠化溫度最接近生理體溫37°C,故以β-磷酸甘油濃度為16%(w/v)及殼聚糖溶液濃度為2.5%(w/v)為製備本發明所揭防腸沾黏組合物中之凝膠基質的最佳配比。As shown in Table 1, the CS/β-GP hydrogels prepared from different ratios of chitosan and β-glycerol phosphate all have similar porosity and pore size. The concentration of β-glycerol phosphate added is negatively correlated with the thermosensitive temperature of the hydrogel, meaning that the higher the concentration of β-glycerol phosphate added, the lower the thermosensitive temperature of the hydrogel. As shown in Table 1, when the concentration of β-glycerol phosphate is 16% (w/v) and the concentration of chitosan solution is 2.5% (w/v), the gelation temperature of the hydrogel obtained is closest to the physiological body temperature of 37°C. Therefore, a concentration of 16% (w/v) of β-glycerol phosphate and a concentration of 2.5% (w/v) of chitosan solution is the optimal ratio for preparing the gel matrix in the anti-gut adhesion composition disclosed in this invention.
實例二:製備RGD/CS/β-GP水凝膠Example 2: Preparation of RGD/CS/β-GP hydrogel
殼聚醣溶解在0.1M乙酸中,並在室溫下攪拌至混合均勻,一般來說,攪拌時間約為12小時,得到濃度為2.0或2.5%(w/v)之殼聚糖溶液。於4°C之環境下,將16%(w/v)之β-磷酸甘油及精甘天冬氨酸肽(簡稱RGD,濃度為0.1 μg/ml)分別加入2.0%(w/v)及2.5%(w/v)CS溶液(30ml),進行混合後,於37℃恆溫水浴中進行凝膠化反應,得到RGD/CS/β-GP水凝膠。Chitosan was dissolved in 0.1M acetic acid and stirred at room temperature until homogeneous, typically for about 12 hours, to obtain a chitosan solution with a concentration of 2.0% or 2.5% (w/v). At 4°C, 16% (w/v) β-glycerophosphate and arginine aspartate peptide (RGD, concentration 0.1 μg/ml) were added to 2.0% (w/v) and 2.5% (w/v) CS solutions (30 ml), respectively. After mixing, a gelation reaction was carried out in a constant temperature water bath at 37°C to obtain RGD/CS/β-GP hydrogel.
實例三:FTIR光譜分析Example 3: FTIR Spectroscopic Analysis
對RGD胜肽、殼聚醣、β-磷酸甘油、實例一所製備出之各CS/β-GP水凝膠及實例二所製備出之RGD/CS/β-GP水凝膠分別進行FTIR分析,其中,RGD/CS/β-GP水凝膠係由2.5%(w/v)之殼聚糖溶液、16%(w/v)之β-磷酸甘油及0.1 μg/ml 之RGD胜肽所製備而得者。FTIR分析結果如圖1至圖4所示。由圖1至圖4之結果可知,由殼聚醣與β-磷酸甘油所製備之各水凝膠具有穩定之水凝膠結構。FTIR analysis was performed on RGD peptides, chitosan, β-glycerol phosphate, the various CS/β-GP hydrogels prepared in Example 1, and the RGD/CS/β-GP hydrogel prepared in Example 2. The RGD/CS/β-GP hydrogel was prepared from 2.5% (w/v) chitosan solution, 16% (w/v) β-glycerol phosphate, and 0.1 μg/ml RGD peptide. The FTIR analysis results are shown in Figures 1 to 4. The results in Figures 1 to 4 show that the hydrogels prepared from chitosan and β-glycerol phosphate have stable hydrogel structures.
實例四:溶脹率分析Example 4: Solubility Analysis
將實例一中所製得之各水凝膠浸入磷酸鹽緩衝液(PBS)中,觀察其溶脹率,結果如圖5及圖6所示。The hydrogels prepared in Example 1 were immersed in phosphate buffer (PBS) and their swelling rate was observed. The results are shown in Figures 5 and 6.
由圖5及圖6之結果可知,不同配比之殼聚醣與β-磷酸甘油所製備出之CS/β-GP水凝膠於浸泡24小時後表現出最低的溶脹率,其中,又以β-磷酸甘油濃度為16%(w/v)及殼聚糖溶液濃度為2%或2.5%(w/v)所製備出之水凝膠的溶脹率最低。由此結果顯示,當CS/β-GP水凝膠中所含有之殼聚醣及β-磷酸甘油濃度較高時,會使水凝膠之網狀結構更緊密,吸水能力降低,而能具有較佳穩定性及較低膨脹性。As shown in Figures 5 and 6, the CS/β-GP hydrogels prepared with different ratios of chitosan and β-glycerol phosphate exhibited the lowest solubility and swelling rates after 24 hours of soaking. Among them, the hydrogels prepared with a β-glycerol phosphate concentration of 16% (w/v) and a chitosan solution concentration of 2% or 2.5% (w/v) showed the lowest solubility and swelling rates. These results indicate that higher concentrations of chitosan and β-glycerol phosphate in the CS/β-GP hydrogel result in a denser network structure, reduced water absorption, and thus better stability and lower swelling.
實例五:水凝膠結構分析Example 5: Hydrogel Structure Analysis
以電子顯微鏡分析各實例一中所製得之各水凝膠,結果如圖7所示。The hydrogels prepared in Example 1 were analyzed by electron microscopy, and the results are shown in Figure 7.
由圖7之結果可知,以2.5%(w/v)殼聚醣和16%(w/v)β-磷酸甘油所製備之水凝膠呈現清晰且均勻的三維結構,且具有孔徑一致之孔狀結構均勻分佈在整個水凝膠基質中。由此顯示以2.5%(w/v)殼聚醣和16%(w/v)β-磷酸甘油所製備之水凝膠具有最具穩定性之結構。As shown in Figure 7, the hydrogel prepared with 2.5% (w/v) chitosan and 16% (w/v) β-glycerol phosphate exhibits a clear and uniform three-dimensional structure, with a pore structure of uniform size evenly distributed throughout the hydrogel matrix. This demonstrates that the hydrogel prepared with 2.5% (w/v) chitosan and 16% (w/v) β-glycerol phosphate has the most stable structure.
實例六:NMR分析Example 6: NMR Analysis
以核磁共振波譜法分別分析含有RGD之水凝膠及不含有RGD水凝膠,其中,水凝膠之基質係由2.5%(w/v)殼聚醣和16%(w/v)β-磷酸甘油;分析結果如圖8所示。Hydrogels containing RGD and hydrogels without RGD were analyzed by nuclear magnetic resonance spectroscopy. The matrix of the hydrogel consisted of 2.5% (w/v) chitosan and 16% (w/v) β-glycerophosphate. The analytical results are shown in Figure 8.
由圖8之結果可知含有精甘天冬氨酸肽之水凝膠具有芳香區的峰,而不含有精甘天冬氨酸肽之水凝膠則未出現芳香區的峰;由此結果顯示,藉由實例二所揭方法確實能將RGD胜肽成功整合至由由2.5%(w/v)殼聚醣和16%(w/v)β-磷酸甘油所製備之水凝膠基質中。As shown in Figure 8, the hydrogel containing arginine aspartic peptide has an aromatic peak, while the hydrogel without arginine aspartic peptide does not have an aromatic peak. This result shows that the method described in Example 2 can indeed successfully integrate RGD peptide into the hydrogel matrix prepared by 2.5% (w/v) chitosan and 16% (w/v) β-glycerophosphate.
實例七:體外降解試驗Example 7: In vitro degradation experiment
將實例一所製備之各該水凝膠冷凍乾燥並稱重(W0);再將各水凝膠樣品分為兩組,分別置於20mL之磷酸鹽緩衝液(pH≥7.4)中,其中一組未加入溶菌酶,另一組加入溶菌酶(3%(w/v));而後於37°C的溫度下進行降解反應,降解試驗期間為7天,其中,攪拌速度為50rpm;於降解期間分別紀錄各組水凝膠之重量(Wt),再以下列公式計算出降解率,結果如圖9及圖10所示。Each hydrogel prepared in Example 1 was freeze-dried and weighed (W0); then each hydrogel sample was divided into two groups and placed in 20 mL of phosphate buffer (pH≥7.4), one group without lysozyme and the other group with lysozyme (3% (w/v)); then the degradation reaction was carried out at 37°C for 7 days, during which the stirring speed was 50 rpm; the weight (Wt) of each group of hydrogels was recorded during the degradation period, and the degradation rate was calculated using the following formula. The results are shown in Figures 9 and 10.
降解率 (%) =(Wt)/W0×100%Degradation rate (%) = (Wt)/W0 × 100%
由圖9及圖10之結果可知,各水凝膠於未含有溶菌酶之環境中於7天後的降解率僅約為10%;相較於沒有溶菌酶存在之條件下,各水凝膠於含有溶菌酶之環境中於7天後的降解率都達到50%或其以上,代表溶菌酶會促使水凝膠降解,並會破壞水凝膠之結構。As shown in Figures 9 and 10, the degradation rate of each hydrogel in an environment without lysozyme was only about 10% after 7 days. In contrast, under conditions without lysozyme, the degradation rate of each hydrogel in an environment containing lysozyme reached 50% or more after 7 days, indicating that lysozyme promotes the degradation of hydrogels and destroys their structure.
實例八:細胞試驗Example 8: Cell Experiment
(一)將實例一中所製備之各CS/β-GP水凝膠溶液滅菌後,以各CS/β-GP水凝膠(100μL)覆蓋24孔板,並於37℃下進行凝膠化過程30分鐘後,於每孔加入500μL之3T3細胞或Hs68細胞的細胞懸浮液(細胞密度為1×10 4細胞/mL)。而後,將24孔板置於37℃、5%二氧化碳之培養箱中進行培養24小時;再以CCK-8套組測定各水凝膠上之細胞活性,結果如圖11及圖12所示。 (i) After sterilizing the CS/β-GP hydrogel solutions prepared in Example 1, each CS/β-GP hydrogel (100 μL) was used to cover a 24-well plate. After gelation at 37°C for 30 minutes, 500 μL of a cell suspension of 3T3 cells or Hs68 cells (cell density of 1 × 10⁴ cells/mL) was added to each well. The 24-well plate was then incubated at 37°C in a 5% CO₂ incubator for 24 hours. The cell viability on each hydrogel was then measured using a CCK-8 assay kit. The results are shown in Figures 11 and 12.
(二)分別以不同濃度(0、0.4、2、10)之精甘天冬氨酸肽處理Hs68細胞24小時,並觀察其存活率,結果如圖13所示。(ii) Hs68 cells were treated with different concentrations (0, 0.4, 2, 10) of arginine aspartic peptide for 24 hours and their survival rate was observed. The results are shown in Figure 13.
(三)參考實例二所製備出之RGD/CS/β-GP水凝膠溶液滅菌後,參照上述(一)的流程,以各RGD/CS/β-GP水凝膠溶液培養Hs68細胞24小時;再分析Hs68之細胞存活率,結果如圖14所示。(iii) After sterilizing the RGD/CS/β-GP hydrogel solution prepared in Example 2, Hs68 cells were cultured in each RGD/CS/β-GP hydrogel solution for 24 hours according to the procedure in (i) above; the cell viability of Hs68 was then analyzed, and the results are shown in Figure 14.
由圖11至圖14之結果可知,本發明所揭RGD/CS/β-GP水凝膠、CS/β-GP水凝膠、精甘天冬氨酸肽都不會影響細胞存活率,意即皆不具有細胞毒性。而由圖11及圖12細胞存活率會隨著水凝膠中β-磷酸甘油濃度的增加而略有下降(約 5%),但整體來說,不論以何種配比之CS/β-GP水凝膠培養細胞,仍可使細胞存活率維持保於90%以上,顯示CS/β-GP水凝膠係不具有細胞毒性;並且,細胞存活率係與水凝膠結構有關連性,意即水凝膠交聯度越高,細胞存活率越佳,因此,當水凝膠基質係由2.5%(w/v)之殼聚糖溶液、16%(w/v)之β-磷酸甘油及精甘天冬氨酸肽所組成時,其不僅不會降低細胞存活率,更有提昇細胞生長和增殖之功效。As shown in Figures 11 to 14, the RGD/CS/β-GP hydrogel, CS/β-GP hydrogel, and arginine aspartate peptide disclosed in this invention do not affect cell survival rate, meaning they are not cytotoxic. However, Figures 11 and 12 show that cell survival rate decreases slightly with increasing β-glycerophosphate concentration in the hydrogel (approximately...). While the percentage of CS/β-GP hydrogel is 5%, overall, regardless of the ratio used, cell survival rates can still be maintained above 90%, indicating that the CS/β-GP hydrogel system is not cytotoxic. Furthermore, cell survival rate is related to the hydrogel structure, meaning that the higher the degree of crosslinking in the hydrogel, the better the cell survival rate. Therefore, when the hydrogel matrix is composed of 2.5% (w/v) chitosan solution, 16% (w/v) β-glycerol phosphate and arginine aspartate peptide, it not only does not reduce cell survival rate but also enhances cell growth and proliferation.
實例九:動物試驗Example 9: Animal Experiments
取複數隻C57BL/6 小鼠,隨機分為5組,除空白組外,分別於試驗第1週時於各組小鼠之腹部透過透過磨損盲腸並去除鄰近腹壁來建立腹部沾黏模式,並分別以下列不同條件處理3週:Multiple C57BL/6 mice were randomly divided into 5 groups. Except for the control group, abdominal adhesion patterns were established in the abdomen of each group of mice during week 1 by abrading the cecum and removing adjacent abdominal walls. The mice were then treated with the following different conditions for 3 weeks:
第1組:係為空白組,未對小鼠進行任何處理;Group 1: This is the control group; the mice did not receive any treatment.
第2組:未給予任何藥物即將傷口縫合;Group 2: The wound was sutured without any medication;
第3組:注入0.2ml之水凝膠後縫合傷口,其中,該水凝膠係由2.5%(w/v)CS、16%(w/v)β-GP及0.1 μg/ml RGD所製備而成者;Group 3: The wound was sutured after injecting 0.2 ml of hydrogel, which was prepared from 2.5% (w/v) CS, 16% (w/v) β-GP and 0.1 μg/ml RGD;
第4組:注入0.2ml之水凝膠後縫合傷口,其中,該水凝膠係由2.0%(w/v)CS、16%(w/v)β-GP及0.1 μg/ml RGD胜肽所製備而成者;Group 4: The wound was sutured after injecting 0.2 ml of hydrogel, which was prepared from 2.0% (w/v) CS, 16% (w/v) β-GP and 0.1 μg/ml RGD peptide;
第5組:注入商業產品水凝膠(PROTAHERE可吸收黏附屏障)後縫合傷口。Group 5: The wound was sutured after injecting commercially available hydrogel (PROTAHERE absorbable adhesive barrier).
試驗結束後,確認各組小鼠腹部沾黏情形,如圖15所示。第1組小鼠因未給予任何治療,故於受傷的盲腸和腹壁之間出現沾黏,顯示成功建立腹部沾黏動物模式。而第3組及第4組小鼠,因有投予本發明所揭RGD/CS/β-GP水凝膠,故腹部受傷器官處未出現任何沾黏,顯示本發明所揭RGD/CS/β-GP水凝膠注入生物體內後,會因為體內溫度升高而使水凝膠形成投予器官或組織間之保護膜,意即本發明所揭RGD/CS/β-GP水凝膠係能作為受傷盲腸和周圍組織之間的屏障。After the experiment, the abdominal adhesions of each group of mice were confirmed, as shown in Figure 15. In Group 1, no treatment was given, so adhesions appeared between the injured cecum and the abdominal wall, indicating a successful establishment of the abdominal adhesion animal model. In Groups 3 and 4, because the RGD/CS/β-GP hydrogel described in this invention was administered, no adhesions appeared at the injured organs in the abdomen. This shows that after the RGD/CS/β-GP hydrogel is injected into the organism, the increased body temperature causes the hydrogel to form a protective film between the injected organs or tissues. In other words, the RGD/CS/β-GP hydrogel described in this invention can act as a barrier between the injured cecum and surrounding tissues.
此外,雖然第5組小鼠之受傷的盲腸和腹壁亦未產生沾黏情形,但是所使用之商業產品水凝膠有脫落之跡象;反觀,於第3組及第4組小鼠之腹部的水凝膠係成功被人體吸收。由此顯示,本發明所揭RGD/CS/β-GP水凝膠具有高度生物相容性,且相較於商業產品水凝膠來說,具有更佳之黏附功效及高度安全性。Furthermore, although no adhesions were observed in the injured cecum and abdominal wall of mice in group 5, the commercially available hydrogel showed signs of detachment. In contrast, the hydrogel applied to the abdomens of mice in groups 3 and 4 was successfully absorbed by the human body. This demonstrates that the RGD/CS/β-GP hydrogel disclosed in this invention has high biocompatibility and exhibits superior adhesion and high safety compared to commercially available hydrogels.
實例十:運動協調及平衡試驗Example 10: Motor Coordination and Balance Test
對實例九之各組小鼠於試驗期間進行旋轉棒試驗,意即將小鼠置於旋轉棒上,並將旋轉棒於3分鐘內從4 rpm加速到20 rpm,紀錄小鼠掉落旋轉棒之時間,結果如圖16所示。During the experiment, mice in each group of Example 9 underwent a rotating rod test, which involved placing the mice on a rotating rod and accelerating the rod from 4 rpm to 20 rpm within 3 minutes. The time it took for the mice to fall off the rotating rod was recorded, and the results are shown in Figure 16.
由圖16之結果可知第2組小鼠於旋轉棒上奔跑之時間較第1組小鼠明顯下降,下降幅度約 20-30%。相較於第1組小鼠來說,第3組小鼠之奔跑時間未表現出明顯下降,顯示第3組小鼠之運動協調和平衡障礙未受到腹部受傷及其傷口之影響。第4組與第5組小鼠之運動表現雖然較第3組小鼠略有下降,奔跑時間分別約下降了5%,但整體運動表現仍皆較第2組小鼠明顯提昇As shown in Figure 16, the running time of the second group of mice on the rotating rod was significantly lower than that of the first group, by approximately 20-30%. Compared to the first group, the running time of the third group did not show a significant decrease, indicating that the motor coordination and balance disorders of the third group were not affected by the abdominal injury and its wound. Although the motor performance of the fourth and fifth groups of mice was slightly lower than that of the third group, with running times decreasing by approximately 5% respectively, their overall motor performance was still significantly improved compared to the second group.
由圖16之結果顯示本發明所揭RGD/CS/β-GP水凝膠係能夠促進傷口恢復,使受傷不會影響到個體之運動能力及運動表現,並且,當所使用之RGD/CS/β-GP水凝膠濃度越高時,除能夠避免腹部內組織沾黏發生外,更能提高傷口復原能力,故對於運動表現之提昇效果更佳。The results in Figure 16 show that the RGD/CS/β-GP hydrogel system disclosed in this invention can promote wound healing, so that the injury will not affect the individual's athletic ability and performance. Moreover, the higher the concentration of RGD/CS/β-GP hydrogel used, the better it can not only prevent the adhesion of abdominal tissues, but also improve the wound healing ability, thus having a better effect on improving athletic performance.
實例十一:組織切片染色Example 11: Staining of Tissue Sections
實例九之試驗結束後,取各組小鼠之盲腸組織,並進行蘇木精和伊紅染色,結果如圖17所示,並且,計算各組小鼠之腹部沾黏指數,如圖18及表2所示。After the experiment in Example 9 was completed, cecal tissue was taken from each group of mice and stained with hematoxylin and eosin. The results are shown in Figure 17. In addition, the abdominal adhesion index of each group of mice was calculated, as shown in Figure 18 and Table 2.
表2:各組小鼠盲腸及沾黏部位之組織學檢查之評分
由圖17及圖18之結果可知第2組小鼠之組織切片中存在成纖維細胞和發炎細胞,顯示傷口處於癒合之早期階段,但是平滑肌與腹壁肌肉融合,表示腸道與周圍組織產生明顯沾黏現象。而相較於第2組小鼠來說,第3組及第4組小鼠之傷口復原表現皆較佳,黏附區域的大小顯著減少,尤其是第3組小鼠表現出最少的感染以及最小的組織粘連跡象,並受傷盲腸於試驗第4周已經完成再生,呈現完整之腸壁結構;由此結果顯示本發明所揭RGD/CS/β-GP水凝膠係能夠同時達到抗沾黏和抗感染之功效。As shown in Figures 17 and 18, the tissue sections of the second group of mice contained fibroblasts and inflammatory cells, indicating that the wound was in the early stage of healing. However, the smooth muscle fused with the abdominal wall muscle, indicating significant adhesion between the intestine and surrounding tissues. Compared with the second group of mice, the third and fourth groups of mice showed better wound healing, with a significant reduction in the size of the adhesion area. In particular, the third group of mice showed the least infection and the least tissue adhesion, and the injured cecum had completed regeneration by the fourth week of the experiment, showing an intact intestinal wall structure. These results show that the RGD/CS/β-GP hydrogel system disclosed in this invention can achieve both anti-adhesion and anti-infection effects.
由上述結果證實本發明所揭RGD/CS/β-GP水凝膠確實同時具有生物相容性、可吸收性、抗沾黏性、可吸收性及抗發炎性,故本發明所揭RGD/CS/β-GP水凝膠係能夠直接投予生物體內之受損器官,並能夠有效地達到減少傷口感染和組織黏連之功效。換言之,本發明所揭RGD/CS/β-GP水凝膠係能夠應用於各類手術中,並能夠有效地作為組織間之阻隔,一以提昇傷口之恢復率及患者預後。The above results confirm that the RGD/CS/β-GP hydrogel disclosed in this invention does indeed possess biocompatibility, absorbability, anti-adhesion, and anti-inflammatory properties simultaneously. Therefore, the RGD/CS/β-GP hydrogel disclosed in this invention can be directly applied to damaged organs within the body and can effectively reduce wound infection and tissue adhesion. In other words, the RGD/CS/β-GP hydrogel disclosed in this invention can be applied in various surgical procedures and can effectively act as a barrier between tissues to improve wound recovery rates and patient prognosis.
實例十二:蛋白質表現及mRNA表現Example 12: Protein Expression and mRNA Expression
以qRT-PCR及西方墨點法分別檢測各組小鼠之TGF-β1/Smad3 路徑以及關鍵訊號分子(包括ERK1/2、PI3K 和p38)之mRNA及蛋白質表現,結果如圖19及圖20所示。The mRNA and protein expression of the TGF-β1/Smad3 pathway and key signaling molecules (including ERK1/2, PI3K and p38) in each group of mice were detected by qRT-PCR and Western ink dot assay, respectively. The results are shown in Figures 19 and 20.
由圖19及圖20之結果可知本發明所揭RGD/CS/β-GP水凝膠係能夠有效地調控TGFβ1/Smad3路徑,使TGF-β1和磷酸化Smad3之表現量顯著降低,意即本發明所揭RGD/CS/β-GP水凝膠係能夠下調TGFβ1/Smad3路徑;並且本發明所揭RGD/CS/β-GP水凝膠能夠調控TGFβ1/Smad3路徑下游之訊號分子:ERK1/2、PI3K、p38之表現,透過該結果證實本發明所揭RGD/CS/β-GP水凝膠係藉由形成受傷器官及組織間之物理屏障,進而影響到黏連和傷口癒合過程中涉及的關鍵細胞信號傳導途徑。As shown in Figures 19 and 20, the RGD/CS/β-GP hydrogel system disclosed in this invention can effectively regulate the TGFβ1/Smad3 pathway, significantly reducing the expression levels of TGF-β1 and phosphorylated Smad3. This means that the RGD/CS/β-GP hydrogel system disclosed in this invention can downregulate the TGFβ1/Smad3 pathway; and the RGD/CS/β-GP hydrogel system disclosed in this invention... /CS/β-GP hydrogel can regulate the expression of downstream signaling molecules of the TGFβ1/Smad3 pathway: ERK1/2, PI3K, and p38. This result confirms that the RGD/CS/β-GP hydrogel disclosed in this invention affects key cell signaling pathways involved in adhesion and wound healing by forming a physical barrier between injured organs and tissues.
無without
圖1係為殼聚醣與β-磷酸甘油之FTIR光譜圖。 圖2係為以不同配比之殼聚醣與β-磷酸甘油所製備出之CS/β-GP水凝膠之FTIR光譜圖。 圖3係為精甘天冬氨酸肽之FTIR光譜圖。 圖4係為RGD/CS/β-GP水凝膠之FTIR光譜圖。 圖5係為分析由2%(w/v)殼聚醣與不同濃度β-磷酸甘油所製備出之CS/β-GP水凝膠之溶脹率的結果。 圖6係為分析由2.5%(w/v)殼聚醣與不同濃度β-磷酸甘油所製備出之CS/β-GP水凝膠之溶脹率的結果。 圖7係以電子顯微鏡觀察以不同配比之殼聚醣與β-磷酸甘油所製備出之CS/β-GP水凝膠之結果。 圖8係以NMR分析含有精甘天冬氨酸肽之水凝膠及不含有精甘天冬氨酸肽之水凝膠之結果。 圖9係為各水凝膠於含有溶菌酶之環境的體外降解率之分析結果。 圖10係為各水凝膠於不含有溶菌酶之環境的體外降解率之分析結果。 圖11係為各水凝膠對於Hs68細胞存活率影響之分析結果。 圖12係為各水凝膠對於3T3細胞存活率影響之分析結果。 圖13係為以不同濃度精甘天冬氨酸肽處理Hs68細胞後,分析細胞存活率之結果。 圖14係為含有精甘天冬氨酸肽之各水凝膠處理Hs68細胞後,分析細胞存活率之結果。 圖15係顯示各組小鼠之腹部沾黏情形。 圖16係顯示各組小鼠進行旋轉棒試驗之結果。 圖17係為各組小鼠之皮膚組織進行切片染色之結果。 圖18係為各組小鼠腹部之沾黏指數。 圖19係為各組小鼠腹部沾黏組織之TGF-β1、Smad3、MAPK1、MAPK14及PI3Kr1之mRNA相對表現量。 圖20係為各組小鼠腹部沾黏組織之TGF-β1、Smad3、ErK1/2、P38及PI3K之蛋白質相對表現量。 Figure 1 shows the FTIR spectra of chitosan and β-glycerol phosphate. Figure 2 shows the FTIR spectra of CS/β-GP hydrogels prepared with different ratios of chitosan and β-glycerol phosphate. Figure 3 shows the FTIR spectra of arginine aspartic peptide. Figure 4 shows the FTIR spectra of RGD/CS/β-GP hydrogel. Figure 5 shows the results of analyzing the solubility and swelling rate of CS/β-GP hydrogels prepared with 2% (w/v) chitosan and different concentrations of β-glycerol phosphate. Figure 6 shows the results of analyzing the solubility and swelling rate of CS/β-GP hydrogels prepared with 2.5% (w/v) chitosan and different concentrations of β-glycerol phosphate. Figure 7 shows the electron microscope observation results of CS/β-GP hydrogels prepared with different ratios of chitosan and β-glycerol phosphate. Figure 8 shows the NMR analysis results of hydrogels containing and without arginine aspartate peptide. Figure 9 shows the in vitro degradation rate analysis results of each hydrogel in an environment containing lysozyme. Figure 10 shows the in vitro degradation rate analysis results of each hydrogel in an environment without lysozyme. Figure 11 shows the analysis results of the effect of each hydrogel on Hs68 cell survival. Figure 12 shows the analysis results of the effect of each hydrogel on 3T3 cell survival. Figure 13 shows the cell viability analysis results after treating Hs68 cells with different concentrations of arginine aspartate peptide. Figure 14 shows the cell viability analysis results after treating Hs68 cells with various hydrogels containing arginine aspartate peptide. Figure 15 shows the abdominal adhesions in each group of mice. Figure 16 shows the results of the rotation bar test in each group of mice. Figure 17 shows the results of skin tissue section staining in each group of mice. Figure 18 shows the adhesion index of the abdomen in each group of mice. Figure 19 shows the relative mRNA expression levels of TGF-β1, Smad3, MAPK1, MAPK14, and PI3Kr1 in the abdominal adhesion tissue of each group of mice. Figure 20 shows the relative protein expression levels of TGF-β1, Smad3, ErK1/2, P38, and PI3K in the abdominal adhesion tissues of mice in each group.
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