CN110917410B - A kind of cardiovascular stent coating based on double-layer heterogeneous structure and preparation method thereof - Google Patents
A kind of cardiovascular stent coating based on double-layer heterogeneous structure and preparation method thereof Download PDFInfo
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- CN110917410B CN110917410B CN201911115280.XA CN201911115280A CN110917410B CN 110917410 B CN110917410 B CN 110917410B CN 201911115280 A CN201911115280 A CN 201911115280A CN 110917410 B CN110917410 B CN 110917410B
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Abstract
本发明公开了一种基于双层异相结构的心血管支架涂层的制备方法,包括:1)在心血管支架上构建含抗增生药物的药物涂层;2)将双键封端的聚合物与水溶性聚合物混合溶于溶剂后喷涂于药物涂层上,再利用水浸没溶蚀得到多孔涂层;3)将含光引发剂的巯基化生物大分子溶液覆盖于多孔涂层表面,紫外光照射得到肝素化修饰的多孔涂层,最后负载生物因子得到心血管支架涂层。本发明还公开了上述方法制得的心血管支架涂层。上述方法简单高效,大大简化了制备步骤,制得的涂层能使生物因子能高度活性负载,从而实现了生长因子与药物的复合,不仅能抑制内膜增生,还促进了内皮层的快速修复,达到更好的血管组织重构性能。
The invention discloses a preparation method of a cardiovascular stent coating based on a double-layer heterogeneous structure, comprising: 1) constructing a drug coating containing an anti-proliferative drug on the cardiovascular stent; The water-soluble polymer is mixed and dissolved in a solvent and then sprayed on the drug coating, and then the porous coating is obtained by water immersion and dissolution; 3) The thiolated biomacromolecule solution containing the photoinitiator is covered on the surface of the porous coating, and the surface of the porous coating is irradiated with ultraviolet light. A heparinized modified porous coating is obtained, and finally, biological factors are loaded to obtain a cardiovascular stent coating. The invention also discloses the cardiovascular stent coating prepared by the above method. The above method is simple and efficient, greatly simplifies the preparation steps, and the prepared coating can enable the biological factor to be highly active loaded, thereby realizing the compounding of the growth factor and the drug, which can not only inhibit the intimal hyperplasia, but also promote the rapid repair of the endothelial layer. , to achieve better vascular tissue remodeling performance.
Description
技术领域technical field
本发明涉及生物医用材料领域,具体涉及一种基于双层异相结构的心血管支架涂层及其制备方法。The invention relates to the field of biomedical materials, in particular to a cardiovascular stent coating based on a double-layer heterogeneous structure and a preparation method thereof.
背景技术Background technique
心血管疾病(Cardiovascular diseases,CVD)是目前威胁人类生命的第一杀手。根据国家心血管病中心的调查研究显示,当前中国CVD患病人数高达2.9亿,其中死亡率较高的冠状动脉粥样硬化性心脏病(冠心病)患者人数约1100万,已成为重大的公共卫生问题。Cardiovascular diseases (CVD) are currently the number one killer of human life. According to a survey by the National Center for Cardiovascular Diseases, the number of CVD patients in China is currently as high as 290 million, among which coronary atherosclerotic heart disease (CHD) with a high mortality rate is about 11 million, which has become a major public health problem. Hygiene issue.
随着现代医学技术的发展,具有抑制新生内膜增生功能的药物洗脱支架(Drug-eluting stent,DES)植入术已成为治疗心血管疾病的金标准。然而,随着DES的广泛使用,晚期支架血栓(Late stent thrombosis,LST)等不良事件不断被报道,这引起了研究人员与患者对DES晚期风险的担忧。临床研究显示,发生晚期血栓的病人中,超过50%的病人出现支架异位(Malapposition)和未完成覆盖(Uncoverage)的情况,DES所引起的血管术后损伤部位延迟愈合与LST有着直接的相关性。研究人员推测,目前所使用的抗增生药物不仅抑制了平滑肌细胞的增长,同样也抑制了内皮细胞的增长,进而延缓了内皮层的重构,进而影响包括抗凝血在内的内皮层功能。因此,对现有的支架药物涂层进行设计,在满足抑制内膜增生的同时不影响、乃至促进内皮层的修复与功能重构,对于重构正常的血管组织具有十分重要的意义。With the development of modern medical technology, drug-eluting stent (DES) implantation, which has the function of inhibiting neointimal hyperplasia, has become the gold standard for the treatment of cardiovascular diseases. However, with the widespread use of DES, adverse events such as late stent thrombosis (LST) have been continuously reported, which has raised concerns among researchers and patients about the late risk of DES. Clinical studies have shown that more than 50% of patients with late thrombosis have malposition and incomplete coverage. The delayed healing of vascular injury sites caused by DES is directly related to LST. sex. The researchers speculate that the antiproliferative drugs currently used not only inhibit the growth of smooth muscle cells, but also inhibit the growth of endothelial cells, thereby delaying the remodeling of the endothelial layer, which in turn affects endothelial function including anticoagulation. Therefore, it is of great significance to design the existing stent drug coating to suppress the intimal hyperplasia without affecting or even promoting the repair and functional reconstruction of the endothelial layer, which is of great significance for the reconstruction of normal vascular tissue.
近年来,在研究领域,研究者们从仿生的角度出发将具有生物活性的大分子吸附或固定于涂层表面,进而实现了促进内皮层快速重构的功能。如通过在惰性涂层上共价固定包含特异性亲和能力序列REDV的活性多肽,血管内皮细胞在其表面的粘附增殖能力要远大于平滑肌细胞,从而实现内皮层的快速重构。而通过层层自组装的方式在材料表面固定抗体anti-34、血管内皮细胞生长因子VEGF等能显著改善材料与内皮细胞的亲和性,调节内皮细胞的生长,从而同样达到在植入物表面快速重构内皮层、减小再狭窄和血栓的不良事件发生概率。In recent years, in the research field, researchers have adsorbed or immobilized biologically active macromolecules on the surface of the coating from the perspective of bionics, thereby realizing the function of promoting the rapid remodeling of the endothelial layer. For example, by covalently immobilizing an active polypeptide containing a specific affinity sequence REDV on an inert coating, the adhesion and proliferation ability of vascular endothelial cells on its surface is much greater than that of smooth muscle cells, thereby achieving rapid remodeling of the endothelial layer. The immobilization of antibody anti-34, vascular endothelial cell growth factor VEGF, etc. on the surface of the material by layer-by-layer self-assembly can significantly improve the affinity of the material with endothelial cells and regulate the growth of endothelial cells, so as to achieve the same effect on the surface of the implant. Rapid remodeling of the endothelial layer, reducing the incidence of adverse events of restenosis and thrombosis.
尽管生物活性分子在研究领域被广泛开发和利用,展现出非同凡响的前景,然而,真正应用于临床治疗的生物活性功能涂层设计却鲜有报道。其中以OrbusNeich公司开发的Genous支架为代表的抗体修饰涂层是目前仅有的生物活性涂层支架。但是在实际的临床对比研究中,抗体anti-CD34修饰的Genous支架相对于传统药物洗脱支架并没有展现出复合预期优越效果。可能的原因有很多,一方面,支架在制备过程不可或缺的灭菌和储存的过程将会对生物活性分子造成不可逆的破坏,使得生物活性分子部分或者全部失效,从而大大减弱生物活性分子的作用;另一方面,支架在植入初期造成的血管损失将会启动人体的自我修复机制,因此,早期的抗增生药物使用是不可或缺的。Although bioactive molecules have been widely developed and utilized in the research field, showing extraordinary prospects, however, the design of bioactive functional coatings that are truly applied in clinical treatment is rarely reported. Among them, the antibody-modified coating represented by the Genous stent developed by OrbusNeich is the only bioactive coated stent at present. However, in the actual clinical comparative study, the Genous stent modified with antibody anti-CD34 did not show the expected superior effect of compounding compared with the traditional drug-eluting stent. There are many possible reasons. On the one hand, the process of sterilization and storage, which is indispensable in the preparation process, will cause irreversible damage to the bioactive molecules, making the bioactive molecules partially or completely invalid, thus greatly weakening the bioactive molecules. On the other hand, the loss of blood vessels caused by stents in the early stage of implantation will initiate the body's self-repair mechanism, so the use of early anti-proliferative drugs is indispensable.
综上所述,传统的药物洗脱支架涂层延缓甚至阻碍了血管的内皮层重构,进而增加了晚期血栓的风险;具有内皮细胞特异性的生物活性分子能实现加速内皮层修复的目的,然而如何应对支架制备过程中的灭菌和储存对于生物活性分子的破坏仍然充满挑战。更为重要的是,由于支架植入过程不可避免地引起血管的损失,从而激发血管的自我修复机制,因此抗增生药物在支架涂层中的使用不可避免。To sum up, the traditional drug-eluting stent coating delays or even hinders the endothelial layer remodeling of blood vessels, thereby increasing the risk of late thrombosis; bioactive molecules with specificity of endothelial cells can achieve the purpose of accelerating endothelial layer repair, However, how to deal with the destruction of bioactive molecules during sterilization and storage during scaffold preparation is still challenging. More importantly, the use of anti-proliferative drugs in stent coating is unavoidable because the stent implantation process inevitably causes the loss of blood vessels, thereby stimulating the self-healing mechanism of blood vessels.
因此,设计一种支架涂层以实现抗增生药物与生物活性功能分子的组合,一方面能满足抗增生药物的缓释,另一方面还能保持生物活性分子的生物活性,对于进一步提高支架疗效、减少并发症并改善患者的生存质量意义重大。Therefore, a stent coating is designed to realize the combination of anti-proliferative drugs and bioactive functional molecules, which can satisfy the sustained release of anti-proliferative drugs on the one hand, and maintain the biological activity of bioactive molecules on the other hand. It is of great significance to reduce complications and improve the quality of life of patients.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供了一种基于双层异相结构促内皮层修复的心血管支架涂层及其制备方法,实现了生物因子的高度活性负载,进一步利用生物因子与药物的协同作用,实现了在抑制内膜过度增生的同时,快速促进血管内皮层修复。The purpose of the present invention is to provide a cardiovascular stent coating based on a double-layer heterogeneous structure to promote endothelial layer repair and a preparation method thereof, which realizes the highly active loading of biological factors, and further utilizes the synergistic effect of biological factors and drugs to achieve It can quickly promote the repair of vascular endothelial layer while inhibiting excessive intimal hyperplasia.
为了实现上述发明目的,本发明提供了一种基于双层异相结构的心血管支架涂层的制备方法,包括以下步骤:In order to achieve the above purpose of the invention, the present invention provides a method for preparing a cardiovascular stent coating based on a double-layer heterogeneous structure, comprising the following steps:
(1)在心血管支架上构建含抗增生药物的药物涂层;(1) Constructing a drug coating containing anti-proliferative drugs on a cardiovascular stent;
(2)将双键封端的聚合物与水溶性聚合物混合溶于溶剂后喷涂于药物涂层上,再用水浸没溶蚀得到多孔涂层;(2) mixing the double bond-terminated polymer and the water-soluble polymer, dissolving it in a solvent, spraying on the drug coating, and then immersing and dissolving with water to obtain a porous coating;
(3)将含光引发剂的巯基化生物大分子溶液覆盖于多孔涂层表面,紫外光照射得到生物大分子修饰的多孔涂层,最后负载生物因子得到心血管支架涂层。(3) Covering the surface of the porous coating with a thiolated biomacromolecule solution containing a photoinitiator, irradiating with ultraviolet light to obtain a porous coating modified by biomacromolecules, and finally loading biological factors to obtain a cardiovascular stent coating.
本发明提供的心血管支架涂层具有双层异相结构,涂层底层为含有抗增生药物的可降解致密涂层,顶层为生物大分子修饰的可降解多孔涂层,利用多孔涂层实现了在支架植入手术前完成生物因子,从而克服了现有涂层中生物因子活性难以保存的问题,实现了生物因子与抗增生药物的有效组合,制得的支架不仅能抑制内膜过度增生,还能快速促进血管内皮层修复。The cardiovascular stent coating provided by the invention has a double-layer heterogeneous structure, the bottom layer of the coating is a degradable dense coating containing anti-proliferative drugs, and the top layer is a biodegradable porous coating modified by biological macromolecules. The biological factors are completed before the stent implantation operation, thereby overcoming the problem that the biological factors are difficult to preserve in the existing coating, and realizing the effective combination of biological factors and anti-proliferative drugs. The prepared stent can not only inhibit excessive intimal hyperplasia, but also It can also quickly promote the repair of the vascular endothelial layer.
另外,由于生长因子与一些生物大分子(如肝素、透明质酸等)存在较强的特异性相互作用,因此如何实现多孔涂层的生物大分子修饰至关重要。之前的文献中有采用自组装方式在基底表面固定生物大分子,然而这种方式步骤繁琐,难以在工业化制备中高效稳定制备。本发明首先发现:先对生物大分子进行巯基修饰制得巯基化生物大分子溶液,再利用巯基与双键的光点击反应,能一步高效地将生物大分子共价修饰到多孔涂层中,大大简化了制备步骤,能实现工业化的高效稳定制备。In addition, since growth factors have strong specific interactions with some biomacromolecules (such as heparin, hyaluronic acid, etc.), how to realize the biomacromolecule modification of porous coatings is crucial. In the previous literature, the self-assembly method was used to immobilize biomacromolecules on the surface of the substrate. However, this method is cumbersome and difficult to prepare efficiently and stably in industrial preparation. The present invention first finds that: firstly, the biomacromolecules are modified with sulfhydryl groups to obtain a solution of sulfhydrylated biomacromolecules, and then the photo-click reaction between the sulfhydryl groups and double bonds can be used to covalently modify the biomacromolecules into the porous coating in one step. The preparation steps are greatly simplified, and the industrialized efficient and stable preparation can be realized.
上述基于双层异相结构的心血管支架涂层的制备方法包含三个步骤:药物涂层构建、多孔涂层构建、多孔涂层生物大分子修饰。The preparation method of the above-mentioned double-layer heterogeneous structure-based cardiovascular stent coating includes three steps: drug coating construction, porous coating construction, and porous coating biomacromolecule modification.
(一)步骤(1)中,药物涂层的构建:(1) In step (1), the construction of drug coating:
所述药物涂层利用抗增生药物与可降解聚合物溶于溶剂后超声雾化喷涂于心血管支架上得到。The drug coating is obtained by dissolving an anti-proliferative drug and a degradable polymer in a solvent and then spraying it on a cardiovascular stent by ultrasonic atomization.
所述的可降解聚合物为聚左旋乳酸(PLLA)、聚混消旋乳酸(PDLLA)、聚乳酸-羟基乙酸共聚物(PLGA)或聚己内酯(PCL)中的一种;数均分子量为1-30万,考虑到涂层降解时间的因素,数均分子量优选为5-15万。The degradable polymer is one of poly-L-lactic acid (PLLA), poly-racemic-lactic acid (PDLLA), poly-lactic-co-glycolic acid (PLGA) or poly-caprolactone (PCL); number-average molecular weight The number average molecular weight is preferably 50,000-150,000, taking into account the degradation time of the coating.
优选地,所述的可降解聚合物为共聚物中乳酸(LA)含量为50%-75%的PLGA,这是由于PLGA的降解速率与其内部共聚物比例有关,在该比例范围降解效果较好。Preferably, the degradable polymer is PLGA with a lactic acid (LA) content of 50%-75% in the copolymer. This is because the degradation rate of PLGA is related to the ratio of its internal copolymer, and the degradation effect is better in this ratio range. .
所述的抗增生药物包括紫杉醇或其衍生物、雷帕霉素或其衍生物。所述抗增生药物的使用量为1-15μg/mm支架,优选为3-10μg/mm支架。The anti-proliferative drugs include paclitaxel or its derivatives, rapamycin or its derivatives. The dosage of the anti-proliferative drug is 1-15 μg/mm stent, preferably 3-10 μg/mm stent.
所述的溶剂包括丙酮、乙酸乙酯、二氯甲烷、氯仿、四氢呋喃中的一种或几种,优选为丙酮、乙酸乙酯与氯仿中的一种或几种。The solvent includes one or more of acetone, ethyl acetate, dichloromethane, chloroform and tetrahydrofuran, preferably one or more of acetone, ethyl acetate and chloroform.
优选地,利用超声雾化喷涂方式喷涂于心血管支架上得到药物涂层。所述的药物涂层的厚度为5-20μm,优选为5-10μm。Preferably, the drug coating is obtained by spraying on the cardiovascular stent by means of ultrasonic atomization spraying. The thickness of the drug coating is 5-20 μm, preferably 5-10 μm.
(二)步骤(2)中,多孔涂层的构建:(2) In step (2), the construction of porous coating:
所述的双键封端的聚合物为甲基丙烯酸酯基封端的聚左旋乳酸(PLLA)、聚混消旋乳酸(PDLLA)、聚乳酸-羟基乙酸共聚物(PLGA)或聚己内酯(PCL),数均分子量为1-30万,考虑到涂层降解时间的因素,数均分子量优选为5-15万。The double bond-terminated polymer is methacrylate group-terminated poly-L-lactic acid (PLLA), poly(lactic acid) (PDLLA), poly(lactic-co-glycolic acid) (PLGA) or polycaprolactone (PCL). ), the number-average molecular weight is 10,000-300,000, and the number-average molecular weight is preferably 50,000-150,000 in consideration of the degradation time of the coating.
由于PLGA的降解速率与其内部共聚物比例有关,因此,所述双键封端的聚合物优选为甲基丙烯酸酯基封端的乳酸(LA)含量为50%-75%的PLGA。Since the degradation rate of PLGA is related to its internal copolymer ratio, the double bond-terminated polymer is preferably PLGA with a methacrylate group-terminated lactic acid (LA) content of 50%-75%.
所述多孔涂层的构建方法为水溶蚀法,其中,所述水溶性聚合物包括聚乙二醇或聚乙烯基吡咯烷酮,数均分子量为1-20万。考虑到水溶性聚合物的水溶性与分子量密切相关,优选数均分子量为1-8万。The construction method of the porous coating is a water erosion method, wherein the water-soluble polymer includes polyethylene glycol or polyvinyl pyrrolidone, and the number average molecular weight is 10,000-200,000. Considering that the water solubility of the water-soluble polymer is closely related to the molecular weight, the number average molecular weight is preferably 10,000 to 80,000.
所选溶剂包含丙酮、乙酸乙酯、二氯甲烷、氯仿、四氢呋喃中的一种或者几种,考虑到两种聚合物的共同溶解性,优选为二氯甲烷或氯仿。The selected solvent includes one or more of acetone, ethyl acetate, dichloromethane, chloroform, and tetrahydrofuran, and considering the mutual solubility of the two polymers, it is preferably dichloromethane or chloroform.
所述水溶性聚合物占总聚合物质量分数的20%-80%。然而,当溶蚀相比例太低时,相分离得到的多孔结构均匀性较差;而当溶蚀相比例太高时,多孔涂层的稳定性会受到影响;因此考虑到多孔结构的均匀性与涂层的稳定性,优选后水溶性聚合物占总聚合物质量分数为40%-60%。The water-soluble polymer accounts for 20%-80% of the total polymer mass fraction. However, when the ratio of the dissolution phase is too low, the uniformity of the porous structure obtained by phase separation is poor; and when the ratio of the dissolution phase is too high, the stability of the porous coating will be affected; therefore, considering the uniformity of the porous structure and the coating For the stability of the layer, preferably the water-soluble polymer accounts for 40%-60% of the total polymer mass fraction.
优选地,利用超声雾化喷涂方式喷涂于药物涂层上。所述水的溶蚀时间为4-6分钟/次,溶蚀次数为2-3次。所述的多孔涂层的厚度为2-20μm,优选为5-10μm。Preferably, it is sprayed on the drug coating by means of ultrasonic atomization spraying. The dissolution time of the water is 4-6 minutes/time, and the dissolution times are 2-3 times. The thickness of the porous coating is 2-20 μm, preferably 5-10 μm.
(三)步骤(3)中,多孔涂层生物大分子修饰:(3) In step (3), the porous coating biomacromolecule is modified:
所述的生物大分子为肝素或透明质酸,分子量为0.2-10万。The biological macromolecule is heparin or hyaluronic acid, and the molecular weight is 0.2-100,000.
所述的光引发剂为光引发剂I2959,光引发剂的浓度为250-350ppm,所述巯基化生物大分子溶液的浓度为4-6mg/ml。The photoinitiator is photoinitiator I2959, the concentration of the photoinitiator is 250-350 ppm, and the concentration of the thiolated biomacromolecule solution is 4-6 mg/ml.
所述紫外光辐照的条件为:在365nm的LED紫外光固化仪中照射1-10分钟,紫外光强为50-200mW/cm2。The conditions of the ultraviolet light irradiation are: irradiating in a 365 nm LED ultraviolet light curing apparatus for 1-10 minutes, and the ultraviolet light intensity is 50-200 mW/cm 2 .
所述生长因子类生物因子通过毛细作用快速吸附于多孔涂层上,制得所述心血管支架涂层。所述生物因子的总浓度为20-200μg/ml,所述生物因子包括人血管内皮细胞生长因子(VEGF)或/和人肝细胞生长因子(HGF)。所述心血管支架涂层上的生物因子负载量为10-1000ng/cm2。The growth factor biological factors are rapidly adsorbed on the porous coating through capillary action to prepare the cardiovascular stent coating. The total concentration of the biological factors is 20-200 μg/ml, and the biological factors include human vascular endothelial growth factor (VEGF) or/and human hepatocyte growth factor (HGF). The biological factor loading on the cardiovascular stent coating is 10-1000 ng/cm 2 .
由于生长因子VEGF与HGF均具有内皮细胞的特异性促生长能力,因此,利用本发明的活性负载模式,在复合涂层之上平滑肌细胞的增长被显著抑制,而内皮细胞能较好地维持其增长。进而在实际的应用中有望实现抗内膜增生的同时促进血管内皮层的重构,从而减小晚期血栓的风险。Since both the growth factors VEGF and HGF have the specific growth-promoting ability of endothelial cells, the growth of smooth muscle cells on the composite coating is significantly inhibited by using the active loading mode of the present invention, while endothelial cells can better maintain their increase. Furthermore, in practical applications, it is expected to achieve anti-intimal hyperplasia while promoting the remodeling of the vascular endothelial layer, thereby reducing the risk of late thrombosis.
本发明还提供了一种由上述制备方法制得的基于双层异相结构的心血管支架涂层。The present invention also provides a double-layer heterogeneous structure-based cardiovascular stent coating prepared by the above preparation method.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
(1)本发明解决了单层药物涂层支架存在的血管愈合不良风险、生物因子的活性受涂层制备、灭菌与储存等诸多过程的影响严重的问题。本发明所述涂层的基底层为载药涂层,实现了抗增生药物的缓释,再通过在载药涂层上进一步构建具有生长因子亲和能力的多孔涂层,实现了仅需在手术植入前实时吸附生长因子类生物因子,使生物因子能高度活性负载,从而达到生长因子与药物的复合,不仅能抑制内膜增生,还促进了内皮层的快速修复,达到更好的血管组织重构性能。(1) The present invention solves the problems that the single-layer drug-coated stent has the risk of poor vascular healing, and the activity of biological factors is seriously affected by many processes such as coating preparation, sterilization, and storage. The base layer of the coating of the present invention is a drug-loaded coating, which realizes the sustained release of anti-proliferative drugs. By further constructing a porous coating with growth factor affinity on the drug-loaded coating, it is only necessary to Real-time adsorption of growth factor biological factors before surgical implantation, so that biological factors can be loaded with high activity, so as to achieve the compounding of growth factors and drugs, which can not only inhibit intimal hyperplasia, but also promote the rapid repair of endothelial layer and achieve better blood vessels. Tissue refactoring performance.
(2)本发明方法先对生物大分子进行巯基修饰制得巯基化生物大分子溶液,再利用巯基与双键的光点击反应,能一步高效地将生物大分子共价修饰到多孔涂层中,大大简化了制备步骤,能实现上述心血管支架涂层的工业化高效稳定制备。(2) The method of the present invention firstly modifies the biomacromolecules with sulfhydryl groups to obtain a solution of sulfhydrylated biomacromolecules, and then utilizes the light click reaction between the sulfhydryl groups and the double bonds to efficiently covalently modify the biomacromolecules into the porous coating in one step. , the preparation steps are greatly simplified, and the industrialized, efficient and stable preparation of the above-mentioned cardiovascular stent coating can be realized.
附图说明Description of drawings
图1为本发明未负载生长因子的涂层支架的表观图(a)与显微图(b);FIG. 1 is an apparent view (a) and a micrograph (b) of the coated stent without growth factor loaded according to the present invention;
图2为本发明中荧光标记生长因子负载后涂层的荧光显微图与三维重构图;2 is a fluorescence micrograph and a three-dimensional reconstruction image of the coating after the fluorescently labeled growth factor is loaded in the present invention;
图3为实施例1中负载VEGF前(a)、负载VEGF后(b)内皮细胞与平滑肌细胞共培养增殖行为对比图;Figure 3 is a comparison diagram of the co-culture proliferation behavior of endothelial cells and smooth muscle cells in Example 1 before (a) and after loading with VEGF (b);
图4为实施例1中负载VEGF前(-VEGF)、负载VEGF后(+VEGF)的内皮细胞与平滑肌细胞增殖密度对比图。FIG. 4 is a graph showing the comparison of the proliferation density of endothelial cells and smooth muscle cells before loading with VEGF (-VEGF) and after loading with VEGF (+VEGF) in Example 1. FIG.
具体实施方式Detailed ways
需要指出的是,本发明所述的涂层可用于各类材料的支架,如金属支架、可降解支架,为了方便描述,以下的具体实施例中本发明采用聚左旋乳酸(PLLA)作为模型基底构建涂层,但实际的支架材料包括但不限于实施例中的材料。It should be pointed out that the coating of the present invention can be used for stents of various materials, such as metal stents and degradable stents. For the convenience of description, in the following specific examples, the present invention adopts poly-L-lactic acid (PLLA) as the model substrate Coatings are constructed, but actual stent materials include, but are not limited to, those in the Examples.
下列实施例所述的巯基化生物大分子的制备方法基于文献得到(参考文献:Wang,L.M.;Chang,H.;Zhang,H.;Ren,K.F.;Li,H.;Hu,M.;Li,B.C.;Martins,M.C.L.;Barbosa,M.A.;Ji,J.,Dynamic stiffness of polyelectrolyte multilayer films based ondisulfide bonds for in situ control of cell adhesion.JMater Chem B 2015,3(38),7546-7553.),以巯基化肝素为例,详细的制备方法如下:取0.2g肝素钠(平均分子量为12000)溶解于pH=5.5的醋酸缓冲液中,加入0.42g1-(3-二甲氨基丙基)-3-乙基碳二亚胺(EDC),常温搅拌1小时后加入0.25gN-羟基琥珀酰亚胺(NHS)和0.49g胱胺二盐酸盐,室温下搅拌反应24小时,随后通过透析除去未反应的胱胺二盐酸盐和催化剂EDC/NHS。得到的溶液加入0.34g二硫苏糖醇(DTT),室温搅拌反应6小时,随后通过透析除去残余DTT及反应得到的小分子半胱氨酸,剩余溶液通过冷冻干燥制备得到巯基化修饰的肝素。The preparation methods of thiolated biomacromolecules described in the following examples are obtained based on literature (references: Wang, L.M.; Chang, H.; Zhang, H.; Ren, K.F.; Li, H.; Hu, M.; Li , B.C.; Martins, M.C.L.; Barbosa, M.A.; Ji, J., Dynamic stiffness of polyelectrolyte multilayer films based on disulfide bonds for in situ control of cell adhesion. JMater Chem B 2015,3(38),7546-7553.), with Taking thiolated heparin as an example, the detailed preparation method is as follows: Dissolve 0.2 g of heparin sodium (average molecular weight: 12000) in acetic acid buffer with pH=5.5, add 0.42 g of 1-(3-dimethylaminopropyl)-3- Ethylcarbodiimide (EDC), stir at room temperature for 1 hour, add 0.25g N-hydroxysuccinimide (NHS) and 0.49g cystamine dihydrochloride, stir at room temperature for 24 hours, then remove unreacted by dialysis of cystamine dihydrochloride and catalyst EDC/NHS. The obtained solution was added with 0.34g dithiothreitol (DTT), and the reaction was stirred at room temperature for 6 hours. Then, the residual DTT and the small molecule cysteine obtained by the reaction were removed by dialysis, and the remaining solution was freeze-dried to prepare thiolated heparin. .
实施例1:VEGF/雷帕霉素共负载支架涂层Example 1: VEGF/rapamycin co-loaded stent coating
(1)雷帕霉素/PDLLA药物层制备:采用数均分子量10万的PDLLA作为可降解涂层材料,雷帕霉素作为抗增生药物,氯仿作为溶剂,通过超声雾化喷涂的方式制备得到载药基底层,药物涂层厚度10μm,当基底为支架时,雷帕霉素含量为6μg/mm。(1) Preparation of rapamycin/PDLLA drug layer: PDLLA with a number average molecular weight of 100,000 is used as the degradable coating material, rapamycin is used as an anti-proliferative drug, and chloroform is used as a solvent, which is prepared by ultrasonic atomization spraying The drug-loaded base layer has a drug coating thickness of 10 μm, and when the base is a stent, the rapamycin content is 6 μg/mm.
(2)肝素化PDLLA多孔涂层制备:采用双键封端的数均分子量10万的PDLLA作为涂层材料,重均分子量4万的聚乙烯基吡咯烷酮(PVP)作为溶蚀相,溶蚀相的质量分数为55%,采用三氯甲烷作为溶剂,采用超声喷涂方法将共混物涂覆于基底载药层之上,并通过无菌超纯水溶蚀得到厚度为5μm的多孔涂层。随后,在涂层表面覆盖含300ppm光引发剂I2959的巯基化肝素水溶液(浓度5mg/ml),采用LED 365nm光源紫外灯,光强为100mW/cm2下辐照5分钟,超纯水清洗后真空干燥得到肝素修饰的双层异相结构涂层。(2) Preparation of heparinized PDLLA porous coating: PDLLA with a double bond-terminated number average molecular weight of 100,000 was used as the coating material, and polyvinylpyrrolidone (PVP) with a weight average molecular weight of 40,000 was used as the corrosion phase. The mass fraction of the corrosion phase 55%, using chloroform as solvent, using ultrasonic spraying method to coat the blend on the drug-carrying layer of the substrate, and obtain a porous coating with a thickness of 5 μm by etching with sterile ultrapure water. Subsequently, the surface of the coating was covered with a thiolated heparin aqueous solution (concentration 5 mg/ml) containing 300 ppm of photoinitiator I2959, and an LED 365 nm light source UV lamp was used to irradiate for 5 minutes under the light intensity of 100 mW/cm 2. After cleaning with ultrapure water Vacuum drying to obtain heparin-modified bilayer heterogeneous structure coating.
(3)VEGF负载:将涂层浸没于浓度为50μg/ml的VEGF无菌水溶液中,充分浸润2分钟后取出,采用无菌水清洗后得到VEGF/雷帕霉素共负载涂层,VEGF的负载量为560±40ng/cm2。(3) VEGF loading: The coating was immersed in a sterile aqueous solution of VEGF with a concentration of 50 μg/ml, fully soaked for 2 minutes, and then taken out. After washing with sterile water, a VEGF/rapamycin co-loaded coating was obtained. The loading was 560±40 ng/cm 2 .
图1(a)为步骤(2)制得的未负载生长因子的涂层支架的表观图,图1(b)为步骤(3)制得的未负载生长因子的涂层支架的显微图。Fig. 1(a) is an apparent view of the coated scaffold without growth factor loaded in step (2), and Fig. 1(b) is a microscopic view of the coated scaffold without growth factor loaded in step (3). picture.
图2为利用荧光标记生长因子负载后涂层的荧光显微图与三维重构图,由图2可知,吸附的生物因子均匀分布于涂层之中。FIG. 2 is a fluorescence micrograph and a three-dimensional reconstruction image of the coating after the growth factor is loaded with fluorescently labeled growth factors. It can be seen from FIG. 2 that the adsorbed biological factors are evenly distributed in the coating.
图3和图4为上述负载VEGF前后内皮细胞与平滑肌细胞增殖行为对比图,由图可知,利用本发明活性负载生长因子后,复合涂层上平滑肌细胞的增长被显著抑制,而内皮细胞能较好地维持其增长。Figures 3 and 4 are graphs showing the comparison of the proliferation behavior of endothelial cells and smooth muscle cells before and after loading with VEGF. It can be seen from the figures that after using the active loading growth factor of the present invention, the growth of smooth muscle cells on the composite coating is significantly inhibited, while endothelial cells can be more maintain its growth well.
实施例2:VEGF/紫杉醇共负载支架涂层Example 2: VEGF/paclitaxel co-loaded stent coating
(1)紫杉醇/PLGA药物层制备:采用数均分子量10万的PLGA(LA:GA=75:25)作为可降解涂层材料,紫杉醇作为抗增生药物,氯仿作为溶剂,通过超声喷涂制备得到载药基底层,药物涂层厚度10μm,药物负载量为5μg/mm。(1) Preparation of paclitaxel/PLGA drug layer: PLGA with a number average molecular weight of 100,000 (LA:GA=75:25) was used as the degradable coating material, paclitaxel was used as an anti-proliferative drug, and chloroform was used as a solvent. The drug base layer, the drug coating thickness is 10 μm, and the drug loading is 5 μg/mm.
(2)透明质酸修饰PLGA多孔涂层制备:采用双键封端的数均分子量10万的PLGA作为涂层材料,重均分子量4万的聚乙烯基吡咯烷酮(PVP)作为溶蚀相,溶蚀相的质量分数为60%,氯仿作为溶剂,采用超声喷涂方法将共混物涂覆与基底载药层之上,并通过无菌超纯水溶蚀得到厚度为5μm的多孔涂层。随后,在涂层表面覆盖含300ppm光引发剂I2959的巯基化透明质酸水溶液(分子量5万,浓度5mg/ml),采用LED 365nm光源紫外灯,光强为80mW/cm2下辐照5分钟,超纯水清洗后真空干燥得到肝素修饰的双层异相结构涂层。(2) Preparation of hyaluronic acid-modified PLGA porous coating: PLGA with a double bond-terminated number average molecular weight of 100,000 was used as the coating material, and polyvinylpyrrolidone (PVP) with a weight average molecular weight of 40,000 was used as the corrosion phase. The mass fraction is 60%, chloroform is used as the solvent, the blend is coated on the substrate drug-carrying layer by ultrasonic spraying method, and a porous coating with a thickness of 5 μm is obtained by etching with sterile ultrapure water. Subsequently, the coating surface was covered with a thiolated hyaluronic acid aqueous solution (molecular weight 50,000, concentration 5mg/ml) containing 300ppm of photoinitiator I2959, and irradiated for 5 minutes under an LED 365nm light source UV lamp with a light intensity of 80mW/cm 2 , washed with ultrapure water and dried in vacuum to obtain a heparin-modified double-layer heterogeneous structure coating.
(3)VEGF负载:将涂层浸没于浓度为100μg/ml的VEGF无菌水溶液中,充分浸润2分钟后取出,采用无菌水清洗后得到VEGF/紫杉醇共负载涂层,VEGF的负载量为860±65ng/cm2。(3) VEGF loading: The coating was immersed in a sterile aqueous solution of VEGF with a concentration of 100 μg/ml, fully soaked for 2 minutes, and then taken out. After washing with sterile water, a VEGF/paclitaxel co-loaded coating was obtained. The loading amount of VEGF was 860±65ng/cm 2 .
通过VEGF与紫杉醇的共同作用,涂层显著抑制了平滑肌细胞的增殖,并特异性降低紫杉醇对内皮细胞的影响,内皮细胞密度为平滑肌细胞的15倍。Through the combined action of VEGF and paclitaxel, the coating significantly inhibited the proliferation of smooth muscle cells and specifically reduced the effect of paclitaxel on endothelial cells, which were 15 times denser than smooth muscle cells.
实施例3:VEGF/佐他莫司共负载支架涂层Example 3: VEGF/zotarolimus co-loaded stent coating
(1)佐他莫司/PDLLA药物层制备:采用数均分子量15万的PDLLA作为可降解涂层材料,紫杉醇作为抗增生药物,氯仿作为溶剂,通过超声喷涂制备得到载药基底层,药物涂层厚度5μm,药物负载量为5μg/mm。(1) Preparation of zotarolimus/PDLLA drug layer: PDLLA with a number average molecular weight of 150,000 was used as a degradable coating material, paclitaxel was used as an anti-proliferative drug, and chloroform was used as a solvent, and the drug-loaded base layer was prepared by ultrasonic spraying. The layer thickness was 5 μm, and the drug loading was 5 μg/mm.
(2)肝素化PLGA多孔涂层制备:采用双键封端的数均分子量10万的PDLLA作为涂层材料,重均分子量1万的聚乙二醇(PEG)作为溶蚀相,溶蚀相的质量分数为50%,氯仿作为溶剂,采用超声喷涂方法将共混物涂覆与基底载药层之上,并通过无菌超纯水溶蚀得到厚度为5μm的多孔涂层。随后,在涂层表面覆盖含300ppm光引发剂I2959的巯基化肝素溶液(浓度5mg/ml),采用LED 365nm光源紫外灯,光强为100mW/cm2下辐照5分钟,超纯水清洗后真空干燥得到肝素修饰的双层异相结构涂层。(2) Preparation of heparinized PLGA porous coating: PDLLA with a double bond-terminated number average molecular weight of 100,000 was used as the coating material, polyethylene glycol (PEG) with a weight average molecular weight of 10,000 was used as the erosion phase, and the mass fraction of the erosion phase was 50%, chloroform was used as a solvent, the blend was coated on the substrate drug-carrying layer by ultrasonic spraying method, and a porous coating with a thickness of 5 μm was obtained by etching with sterile ultrapure water. Subsequently, the surface of the coating was covered with a thiolated heparin solution (concentration 5 mg/ml) containing 300 ppm of photoinitiator I2959, and an LED 365 nm light source UV lamp was used to irradiate for 5 minutes at a light intensity of 100 mW/cm 2. After cleaning with ultrapure water Vacuum drying to obtain heparin-modified bilayer heterogeneous structure coating.
(3)VEGF负载:将涂层浸没于浓度为50μg/ml的VEGF无菌水溶液中,充分浸润2分钟后取出,采用无菌水清洗后得到VEGF/紫杉醇共负载涂层,VEGF的负载量为520±45ng/cm2。(3) VEGF loading: The coating was immersed in a sterile aqueous solution of VEGF with a concentration of 50 μg/ml, fully soaked for 2 minutes, and then taken out. After washing with sterile water, a VEGF/paclitaxel co-loading coating was obtained. The loading amount of VEGF was 520±45ng/cm 2 .
通过VEGF与佐他莫司药物的共同作用,涂层显著抑制了平滑肌细胞的增殖,并特异性降低紫杉醇对内皮细胞的影响,内皮细胞密度为平滑肌细胞的20倍。Through the combined action of VEGF and zotarolimus, the coating significantly inhibited the proliferation of smooth muscle cells and specifically reduced the effect of paclitaxel on endothelial cells, which were 20 times denser than smooth muscle cells.
实施例4:HGF/雷帕霉素共负载支架涂层Example 4: HGF/rapamycin co-loaded stent coating
(1)雷帕霉素/PDLLA药物层制备:采用数均分子量15万的PDLLA作为可降解涂层材料,雷帕霉素作为抗增生药物,氯仿作为溶剂,通过超声喷涂制备得到载药基底层,药物涂层厚度5μm,药物负载量为4μg/mm。(1) Preparation of rapamycin/PDLLA drug layer: PDLLA with a number average molecular weight of 150,000 was used as the degradable coating material, rapamycin was used as an anti-proliferative drug, and chloroform was used as a solvent, and the drug-loaded base layer was prepared by ultrasonic spraying , the drug coating thickness is 5 μm, and the drug loading is 4 μg/mm.
(2)透明质酸修饰PDLLA多孔涂层制备:采用双键封端的数均分子量15万的PDLLA作为涂层材料,重均分子量4万的聚乙烯基吡咯烷酮(PVP)作为溶蚀相,溶蚀相的质量分数为55%,氯仿作为溶剂,采用超声喷涂方法将共混物涂覆与基底载药层之上,并通过无菌超纯水溶蚀得到厚度为5μm的多孔涂层。随后,在涂层表面覆盖含300ppm光引发剂I2959的巯基化透明质酸溶液(分子量10万,浓度5mg/ml),采用LED 365nm光源紫外灯,光强为100mW/cm2下辐照5分钟,超纯水清洗后真空干燥得到肝素修饰的双层异相结构涂层。(2) Preparation of hyaluronic acid-modified PDLLA porous coating: PDLLA with a double bond-terminated number average molecular weight of 150,000 was used as the coating material, and polyvinylpyrrolidone (PVP) with a weight average molecular weight of 40,000 was used as the corrosion phase. The mass fraction is 55%, chloroform is used as a solvent, the blend is coated on the drug-loaded layer of the substrate by ultrasonic spraying, and a porous coating with a thickness of 5 μm is obtained by etching with sterile ultrapure water. Subsequently, the surface of the coating was covered with a thiolated hyaluronic acid solution (molecular weight 100,000, concentration 5 mg/ml) containing 300 ppm of photoinitiator I2959, and irradiated for 5 minutes with an LED 365 nm light source UV lamp with a light intensity of 100 mW/cm 2 , washed with ultrapure water and dried in vacuum to obtain a heparin-modified double-layer heterogeneous structure coating.
(3)HGF负载:将涂层浸没于浓度为100μg/ml的HGF无菌水溶液中,充分浸润1分钟后取出,采用无菌水清洗后得到VEGF/雷帕霉素共负载涂层,HGF的负载量为760±55ng/cm2。(3) HGF loading: The coating was immersed in a sterile aqueous solution of HGF with a concentration of 100 μg/ml, fully soaked for 1 minute, and then taken out. After washing with sterile water, a VEGF/rapamycin co-loaded coating was obtained. The loading was 760±55 ng/cm 2 .
通过HGF与雷帕霉素药物的共同作用,涂层显著抑制了平滑肌细胞的增殖,并特异性降低紫杉醇对内皮细胞的影响,内皮细胞密度为平滑肌细胞的12倍。Through the combined action of HGF and rapamycin, the coating significantly inhibited the proliferation of smooth muscle cells and specifically reduced the effect of paclitaxel on endothelial cells, which were 12 times denser than smooth muscle cells.
实施例5:HGF/佐他莫司共负载支架涂层Example 5: HGF/zotarolimus co-loaded stent coating
(1)佐他莫司/PLLA药物层制备:采用数均分子量8万的PLLA作为可降解涂层材料,佐他莫司作为抗增生药物,氯仿作为溶剂,通过超声喷涂制备得到载药基底层,药物涂层厚度5μm,药物负载量为4μg/mm。(1) Preparation of zotarolimus/PLLA drug layer: PLLA with a number average molecular weight of 80,000 was used as the degradable coating material, zotarolimus was used as an anti-proliferative drug, and chloroform was used as a solvent, and the drug-loaded base layer was prepared by ultrasonic spraying , the drug coating thickness is 5 μm, and the drug loading is 4 μg/mm.
(2)肝素化PDLLA多孔涂层制备:采用双键封端的数均分子量10万的PDLLA作为涂层材料,重均分子量4万的聚乙烯基吡咯烷酮(PVP)作为溶蚀相,溶蚀相的质量分数为55%,氯仿作为溶剂,采用超声喷涂方法将共混物涂覆与基底载药层之上,并通过无菌超纯水溶蚀得到厚度为5μm的多孔涂层。随后,在涂层表面覆盖含300ppm光引发剂I2959的巯基化肝素水溶液(浓度5mg/ml),采用LED 365nm光源紫外灯,光强为100mW/cm2下辐照5分钟,超纯水清洗后真空干燥得到肝素修饰的双层异相结构涂层。(2) Preparation of heparinized PDLLA porous coating: PDLLA with a double bond-terminated number average molecular weight of 100,000 was used as the coating material, and polyvinylpyrrolidone (PVP) with a weight average molecular weight of 40,000 was used as the corrosion phase. The mass fraction of the corrosion phase 55%, chloroform was used as solvent, the blend was coated on the substrate drug-carrying layer by ultrasonic spraying method, and a porous coating with a thickness of 5 μm was obtained by etching with sterile ultrapure water. Subsequently, the coating surface was covered with a thiolated heparin aqueous solution (concentration 5 mg/ml) containing 300 ppm of photoinitiator I2959, and irradiated with an LED 365 nm light source ultraviolet lamp with a light intensity of 100 mW/cm 2 for 5 minutes, and after cleaning with ultrapure water Vacuum drying to obtain heparin-modified bilayer heterogeneous structure coating.
(3)HGF负载:将涂层浸没于浓度为50μg/ml的HGF无菌水溶液中,充分浸润1分钟后取出,采用无菌水清洗后得到VEGF/雷帕霉素共负载涂层,VEGF的负载量为580±60ng/cm2。(3) HGF loading: The coating was immersed in a sterile aqueous solution of HGF with a concentration of 50 μg/ml, fully soaked for 1 minute, and then taken out. After washing with sterile water, a VEGF/rapamycin co-loaded coating was obtained. The loading was 580±60 ng/cm 2 .
通过HGF与佐他莫司药物的共同作用,涂层显著抑制了平滑肌细胞的增殖,并特异性降低紫杉醇对内皮细胞的影响,内皮细胞密度为平滑肌细胞的14倍。Through the combined action of HGF and zotarolimus, the coating significantly inhibited the proliferation of smooth muscle cells and specifically reduced the effect of paclitaxel on endothelial cells, which were 14 times denser than smooth muscle cells.
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