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CN115040535B - Application of sulfated hyaluronic acid in preparing eye drops for preventing corneal fibrosis and corneal scar - Google Patents

Application of sulfated hyaluronic acid in preparing eye drops for preventing corneal fibrosis and corneal scar Download PDF

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CN115040535B
CN115040535B CN202210971314.0A CN202210971314A CN115040535B CN 115040535 B CN115040535 B CN 115040535B CN 202210971314 A CN202210971314 A CN 202210971314A CN 115040535 B CN115040535 B CN 115040535B
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任力
黄永睿
宋文婧
刘佳
孙晓敏
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Abstract

本发明公开了硫酸化透明质酸在制备预防角膜纤维化、角膜瘢痕滴眼液中的应用。该滴眼液包含硫酸化透明质酸、pH调节剂和渗透压调节剂。滴眼液主要成分硫酸化透明质酸可在角膜基质表面形成均一、完整、稳定的涂层,于眼部停留时间长,生物利用率高。该涂层可有效阻挡为促进上皮愈合而过分泌的细胞因子对基质层的渗透,避免其诱导角膜基质细胞、角膜成纤维细胞分化,进而预防角膜纤维化、角膜瘢痕形成。该滴眼液制备工艺简便、质量稳定、疗效确切,对角膜纤维化、角膜瘢痕此类常见眼科并发症可起到优良的预防效果,具有良好的临床应用前景。

Figure 202210971314

The invention discloses the application of sulfated hyaluronic acid in preparing eye drops for preventing corneal fibrosis and corneal scar. The eye drops contain sulfated hyaluronic acid, a pH adjuster and an osmotic pressure adjuster. Sulfated hyaluronic acid, the main component of the eye drops, can form a uniform, complete and stable coating on the surface of the corneal stroma, which stays in the eye for a long time and has high bioavailability. The coating can effectively prevent the over-secreted cytokines from infiltrating the stroma layer to promote epithelial healing, prevent them from inducing the differentiation of corneal stromal cells and corneal fibroblasts, and prevent corneal fibrosis and corneal scar formation. The eye drop has simple preparation process, stable quality and definite curative effect, can play an excellent preventive effect on common ophthalmic complications such as corneal fibrosis and corneal scar, and has good clinical application prospect.

Figure 202210971314

Description

硫酸化透明质酸在制备预防角膜纤维化、角膜瘢痕滴眼液中 的应用Sulfated hyaluronic acid in the preparation of eye drops for preventing corneal fibrosis and corneal scar Applications

技术领域technical field

本发明属于滴眼液领域,具体涉及硫酸化透明质酸在制备预防角膜纤维化、角膜瘢痕滴眼液中的应用。The invention belongs to the field of eye drops, and in particular relates to the application of sulfated hyaluronic acid in preparing eye drops for preventing corneal fibrosis and corneal scar.

背景技术Background technique

角膜纤维化、角膜瘢痕是角膜受损以及角膜术后常见的并发症,其主要症状表现为正常的角膜组织被纤维化组织(结构紊乱的细胞外基质)所替代,进而进一步的影响患者的角膜透明性与视力。目前,对角膜纤维化与瘢痕发病机理的研究表明其发生主要原因为角膜术后、角膜受机械损伤所导致部分角膜上皮组织发生缺损。为加快修复角膜上皮组织的缺损,保持角膜结构的完整性,缺损周围角膜上皮细胞分泌大量的细胞因子(主要为转化生长因子β1、血小板衍生生长因子等)促进角膜再上皮化。这些过量分泌的细胞因子会穿透受损的角膜基底膜与前弹力层进入基质层中,诱导正常的角膜基质细胞、角膜纤维细胞向肌成纤维细胞分化、增殖。分化而成的肌成纤维细胞向周围分泌紊乱、无序的细胞外基质,最终导致角膜纤维化、角膜瘢痕的发生。世界范围内,角膜纤维化与角膜瘢痕已是主要的角膜盲成因。Corneal fibrosis and corneal scarring are common complications of corneal damage and corneal surgery. The main symptoms are that normal corneal tissue is replaced by fibrotic tissue (disorganized extracellular matrix), which further affects the patient's cornea. Transparency and vision. At present, studies on the pathogenesis of corneal fibrosis and scar have shown that the main reason for its occurrence is partial corneal epithelial tissue defects caused by corneal surgery and mechanical damage to the cornea. In order to speed up the repair of corneal epithelial tissue defects and maintain the integrity of corneal structure, corneal epithelial cells around the defect secrete a large number of cytokines (mainly transforming growth factor β1, platelet-derived growth factor, etc.) to promote corneal re-epithelialization. These excessively secreted cytokines will penetrate the damaged corneal basement membrane and Bowman's membrane into the stroma, and induce normal corneal stromal cells and corneal fibroblasts to differentiate and proliferate into myofibroblasts. The differentiated myofibroblasts secrete disordered and disordered extracellular matrix to the surroundings, eventually leading to corneal fibrosis and corneal scarring. Corneal fibrosis and corneal scarring are the main causes of corneal blindness worldwide.

临床中对于角膜纤维化以及角膜瘢痕的预防主要是使用丝裂霉素C或激素类滴眼液(如:妥布霉素地塞米松滴眼液等)进行控制。此类药物滴眼液虽已广泛的应用,但存在其内在局限性。滴眼液的眼部清除率高,停留时间短,导致这类滴眼液生物利用率低。其次,丝裂霉素C是一种细胞分裂抑制剂,其抑制角膜纤维化、角膜瘢痕的发生主要是通过阻止过分泌的细胞因子引起的角膜细胞过量增殖而实现的。此药物应用时可能会出现如眼压升高等副作用,导致应用亦有所限制。In clinical practice, the prevention of corneal fibrosis and corneal scar is mainly controlled by using mitomycin C or hormone eye drops (such as: tobramycin dexamethasone eye drops, etc.). Although such drug eye drops have been widely used, there are inherent limitations. Eye drops have high ocular clearance and short residence time, resulting in low bioavailability of such eye drops. Secondly, mitomycin C is a cell division inhibitor, which inhibits corneal fibrosis and corneal scar mainly by preventing excessive proliferation of corneal cells caused by oversecreted cytokines. Side effects such as increased intraocular pressure may occur during the application of this drug, resulting in limited application.

发明内容Contents of the invention

本发明的目的在于提供硫酸化透明质酸在制备预防角膜纤维化、角膜瘢痕滴眼液中的应用。该滴眼液含有硫酸化透明质酸,可对角膜纤维化、角膜瘢痕有效预防。The purpose of the present invention is to provide the application of sulfated hyaluronic acid in the preparation of eye drops for preventing corneal fibrosis and corneal scar. The eye drops contain sulfated hyaluronic acid, which can effectively prevent corneal fibrosis and corneal scarring.

本发明的目的通过下述技术方案实现。The purpose of the present invention is achieved through the following technical solutions.

硫酸化透明质酸在制备预防角膜纤维化、角膜瘢痕滴眼液中的应用,所述滴眼液包含硫酸化透明质酸、pH调节剂和渗透压调节剂。Application of the sulfated hyaluronic acid in the preparation of eye drops for preventing corneal fibrosis and corneal scar, the eye drops comprising sulfated hyaluronic acid, a pH regulator and an osmotic pressure regulator.

优选的,所述硫酸化透明质酸在滴眼液中的浓度为0.5~5 mg/ml。更优选的,所述硫酸化透明质酸在滴眼液中的浓度为1.0~2.0 mg/ml,最优选为1.0 mg/ml。Preferably, the concentration of the sulfated hyaluronic acid in the eye drops is 0.5-5 mg/ml. More preferably, the concentration of the sulfated hyaluronic acid in the eye drops is 1.0-2.0 mg/ml, most preferably 1.0 mg/ml.

优选的,所述的硫酸化透明质酸分子量为1~1000万道尔顿。更优选的,所述硫酸化透明质酸分子量为100~150万道尔顿。Preferably, the molecular weight of the sulfated hyaluronic acid is 1-10 million Daltons. More preferably, the molecular weight of the sulfated hyaluronic acid is 1 to 1.5 million Daltons.

优选的,所述的硫酸化透明质酸的硫酸酯化度为1.0~3.0。更优选地,所述硫酸化透明质酸的硫酸酯化度为2.5~3.0,最优选为2.6。Preferably, the sulfation degree of the sulfated hyaluronic acid is 1.0-3.0. More preferably, the degree of sulfation of the sulfated hyaluronic acid is 2.5-3.0, most preferably 2.6.

优选的,所述的硫酸化透明质酸包括但不限于硫酸化透明质酸、硫酸化透明质酸钠盐、硫酸化透明质酸钾盐等金属盐。Preferably, the sulfated hyaluronic acid includes, but is not limited to, metal salts such as sulfated hyaluronic acid, sulfated hyaluronic acid sodium salt, and sulfated hyaluronic acid potassium salt.

优选的,所述硫酸化透明质酸的金属盐为硫酸化透明质酸钠盐或硫酸化透明质酸钾盐。Preferably, the metal salt of sulfated hyaluronic acid is sodium sulfated hyaluronic acid or potassium sulfated hyaluronic acid.

优选的,所述渗透压调节剂包括但不限于糖类等渗剂如5 %葡萄糖水溶液、盐类等渗剂如0.9 %氯化钠溶液、有机等渗剂如甘油等。Preferably, the osmotic pressure regulator includes but not limited to sugar isotonic agents such as 5% glucose aqueous solution, salt isotonic agents such as 0.9% sodium chloride solution, organic isotonic agents such as glycerin and the like.

优选的,所述的pH调节剂包括但不限于磷酸盐缓冲液、硼酸盐缓冲液、柠檬酸盐缓冲液、醋酸盐缓冲液、酒石酸盐缓冲液、碳酸盐缓冲液、氨基酸缓冲液等。Preferably, the pH regulator includes but not limited to phosphate buffer, borate buffer, citrate buffer, acetate buffer, tartrate buffer, carbonate buffer, amino acid buffer Wait.

优选的,所述滴眼液还可添加抑菌剂、稳定剂、增粘剂、增溶剂和蛋白保护剂中的至少一种组成的溶液体系。进一步地,可于本滴眼液体系中加入包括但不限于妥布霉素、地塞米松等药物,制备为同时具有预防角膜纤维化、角膜瘢痕以及抗炎、抗感染等多种功能的滴眼液。Preferably, a solution system composed of at least one of bacteriostat, stabilizer, thickener, solubilizer and protein protectant can also be added to the eye drop. Furthermore, drugs including but not limited to tobramycin and dexamethasone can be added to the eye drop system to prepare the eye drops with multiple functions of preventing corneal fibrosis, corneal scarring, anti-inflammation, and anti-infection. eye drops.

优选的,所述的滴眼液的剂型可为水溶液、悬浊液、乳剂等。更优选地,所述滴眼液以水溶液剂型提供。Preferably, the dosage form of the eye drops can be aqueous solution, suspension, emulsion and the like. More preferably, the eye drops are provided as an aqueous solution.

优选的,所述滴眼液的制备包括以下步骤:Preferably, the preparation of the eye drops comprises the following steps:

将硫酸化透明质酸溶于渗透压调节剂生理盐水中,加入pH调节剂于溶液中充分搅拌溶解,将pH调节至7.0~7.5,除菌,分装。Dissolve sulfated hyaluronic acid in physiological saline as an osmotic pressure regulator, add a pH regulator, stir and dissolve in the solution, adjust the pH to 7.0~7.5, sterilize, and dispense.

优选的,所述除菌的方式为滤膜除菌、辐照灭菌和高温高压灭菌的一种。Preferably, the sterilization method is one of filtration membrane sterilization, radiation sterilization and high temperature and high pressure sterilization.

本发明的原理在于:滴眼液滴至眼表后,其中硫酸化透明质酸可于受损的眼表角膜基质上快速形成均一、完整、稳定的涂层。该涂层具有高生物活性,可与过分泌的细胞因子(转化生长因子β1、血小板衍生生长因子等)相结合,阻止其大量进入角膜基质层中诱发下游反应,实现对角膜纤维化、角膜瘢痕的有效预防。The principle of the present invention is that after the eye drops are dropped onto the ocular surface, the sulfated hyaluronic acid can quickly form a uniform, complete and stable coating on the damaged ocular surface corneal stroma. The coating has high biological activity and can combine with oversecreted cytokines (transforming growth factor β1, platelet-derived growth factor, etc.) to prevent them from entering the corneal stroma in large quantities to induce downstream reactions, and to achieve anti-inflammatory effects on corneal fibrosis and corneal scarring. effective prevention.

与现有技术相比,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:

(1)本发明的滴眼液含有硫酸化透明质酸,相较于现有药物滴眼液,其可快速于受损角膜基质上形成均一、完整、稳定的涂层,于眼表停留时间长,生物利用率高。(1) The eye drops of the present invention contain sulfated hyaluronic acid. Compared with the existing drug eye drops, it can quickly form a uniform, complete and stable coating on the damaged corneal stroma, and the residence time on the ocular surface Long, high bioavailability.

(2)本发明的滴眼液制备工艺简便、可重复性与稳定性强、疗效确切。(2) The preparation process of the eye drops of the present invention is simple, repeatable and stable, and has definite curative effect.

(3)本发明的滴眼液可对角膜纤维化、角膜瘢痕此类常见并发症起到优良的预防效果,具有重要的科学研究意义以及良好的临床应用前景。(3) The eye drops of the present invention can have an excellent preventive effect on common complications such as corneal fibrosis and corneal scar, and has important scientific research significance and good clinical application prospects.

附图说明Description of drawings

图1是本发明用于预防角膜纤维化、角膜瘢痕的滴眼液的应用原理图。Fig. 1 is a principle diagram of the application of the eye drops for preventing corneal fibrosis and corneal scar of the present invention.

图2是实施例5所得的具有硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。Fig. 2 is the high-resolution spectrum of sulfur element 2p orbital by X-ray photoelectron spectroscopy of rabbit corneal stroma with sulfated hyaluronic acid coating obtained in Example 5.

图3是实施例7所得的具有硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。Fig. 3 is the high-resolution spectrum of sulfur element 2p orbital by X-ray photoelectron spectroscopy of rabbit corneal stroma with sulfated hyaluronic acid coating obtained in Example 7.

图4是实施例8所得的具有硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。Fig. 4 is the high-resolution spectrum of the 2p orbital of sulfur element obtained in Example 8 with the sulfated hyaluronic acid coating rabbit corneal stroma X-ray photoelectron spectroscopy.

图5是实施例9所得的角膜上皮细胞于具有硫酸化透明质酸涂层I型胶原膜上增殖CCK8实验结果图。Fig. 5 is a graph showing the experimental results of CCK8 proliferation of corneal epithelial cells obtained in Example 9 on type I collagen membrane coated with sulfated hyaluronic acid.

图6是实施例10所得的不同涂层兔角膜基质内部TGF-β1含量图。Fig. 6 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings obtained in Example 10.

图7是实施例11所得的不同涂层兔角膜基质内部TGF-β1含量图。Fig. 7 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings obtained in Example 11.

图8是实施例12所得的不同涂层兔角膜基质内部TGF-β1含量图。Fig. 8 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings obtained in Example 12.

图9是实施例13的兔角膜纤维化模型疗效实验术后28天角膜裂隙灯明场下观察结果图。Fig. 9 is a diagram showing the observation results of corneal slit lamp bright field 28 days after the curative effect experiment of the rabbit corneal fibrosis model in Example 13.

图10是实施例13的兔角膜纤维化模型疗效实验术后28天角膜光学相干断层扫描观察结果。Fig. 10 is the observation result of corneal optical coherence tomography 28 days after the curative effect experiment of the rabbit corneal fibrosis model in Example 13.

图11是实施例13的兔角膜纤维化模型疗效实验术后28天角膜α-平滑肌动蛋白进行免疫组化染色图。Fig. 11 is an immunohistochemical staining diagram of corneal α-smooth actin 28 days after the curative effect experiment of the rabbit corneal fibrosis model in Example 13.

具体实施方式detailed description

下面将结合实施例与附图,对本发明技术方案作进一步的描述,但本发明的实施方式不限于此。The technical solutions of the present invention will be further described below in conjunction with the embodiments and the accompanying drawings, but the embodiments of the present invention are not limited thereto.

本发明用于预防角膜纤维化、角膜瘢痕的滴眼液的应用原理图如图1所示。The principle diagram of the application of the eye drops for preventing corneal fibrosis and corneal scar of the present invention is shown in FIG. 1 .

实施例1Example 1

将50.0 mg硫酸化透明质酸(分子量100~150万道尔顿,硫酸酯化度为2.6)溶于50ml生理盐水中,再加入0.1 g磷酸二氢钠充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装,得到浓度为1.0 mg/ml 硫酸化透明质酸滴眼液。Dissolve 50.0 mg of sulfated hyaluronic acid (molecular weight 1 to 1.5 million Daltons, degree of sulfation: 2.6) in 50 ml of normal saline, then add 0.1 g of sodium dihydrogen phosphate and stir to dissolve. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0-7.5, filter and sterilize, and dispense to obtain sulfated hyaluronic acid eye drops with a concentration of 1.0 mg/ml.

实施例2Example 2

将250.0 mg硫酸化透明质酸(分子量100~150万道尔顿,硫酸酯化度为2.6)溶于50ml生理盐水中,再加入0.1 g磷酸二氢钠充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装,得到浓度为5.0 mg/ml硫酸化透明质酸滴眼液。Dissolve 250.0 mg of sulfated hyaluronic acid (molecular weight 1 to 1.5 million Daltons, degree of sulfation: 2.6) in 50 ml of normal saline, then add 0.1 g of sodium dihydrogen phosphate and stir to dissolve. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0-7.5, filter and sterilize, and dispense to obtain sulfated hyaluronic acid eye drops with a concentration of 5.0 mg/ml.

实施例3Example 3

将25.0 mg硫酸化透明质酸(分子量100~150万道尔顿,硫酸酯化度为2.6)溶于50ml生理盐水中,再加入0.1 g磷酸二氢钠充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装,得到浓度为0.5 mg/ml硫酸化透明质酸滴眼液。Dissolve 25.0 mg of sulfated hyaluronic acid (molecular weight 1 to 1.5 million Daltons, degree of sulfation: 2.6) in 50 ml of normal saline, then add 0.1 g of sodium dihydrogen phosphate and stir to dissolve. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0-7.5, filter and sterilize, and dispense to obtain sulfated hyaluronic acid eye drops with a concentration of 0.5 mg/ml.

实施例4Example 4

将50.0 mg硫酸化透明质酸(分子量100~150万道尔顿,硫酸酯化度为2.6)溶于50ml生理盐水中,再加入10 μg 苯扎氯铵(抑菌剂)、0.1 g磷酸二氢钠充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装,得到含有3.0 mg/ml妥布霉素的浓度为1.0 mg/ml 硫酸化透明质酸滴眼液。Dissolve 50.0 mg of sulfated hyaluronic acid (molecular weight 1 to 1.5 million Daltons, degree of sulfation: 2.6) in 50 ml of normal saline, then add 10 μg of benzalkonium chloride (bacteriostatic agent), 0.1 g of diphosphate Sodium hydrogen is fully stirred to dissolve. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0-7.5, filter and sterilize, and dispense to obtain 1.0 mg/ml sulfated hyaluronic acid eye drops containing 3.0 mg/ml tobramycin.

实施例5Example 5

取新鲜兔角膜组织,去除角膜上皮层、前弹力层、后弹力层、内皮层,利用剩余的角膜基质层模拟角膜术后或受机械损伤后所暴露的角膜基质表面。Take fresh rabbit corneal tissue, remove the corneal epithelium, Bowman's membrane, Bowman's membrane and endothelium, and use the remaining corneal stroma to simulate the exposed corneal stroma surface after corneal surgery or mechanical damage.

将实施例1所配置的滴眼液,滴加至兔角膜基质表面处停留30秒,使用蒸馏水进行冲洗后风干。对所得角膜基质表层通过X射线光电子能谱分析硫元素变化。图2为具有硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。结果表明,具有涂层的基质表面硫元素2p高分辨图谱中出现符合硫酸酯基的硫元素2p峰,说明硫酸化透明质酸涂层的成功形成。The eye drops prepared in Example 1 were dripped onto the surface of the rabbit corneal stroma and stayed for 30 seconds, rinsed with distilled water and then air-dried. The change of sulfur element was analyzed by X-ray photoelectron spectroscopy on the obtained corneal stroma surface. Fig. 2 is a high-resolution spectrum of sulfur element 2p orbital by X-ray photoelectron spectroscopy of rabbit corneal stroma coated with sulfated hyaluronic acid. The results showed that the sulfur 2p peak corresponding to the sulfate group appeared in the high-resolution spectrum of the sulfur 2p on the substrate surface with the coating, indicating the successful formation of the sulfated hyaluronic acid coating.

实施例6 硫酸化透明质酸涂层形成过程可视化Example 6 Visualization of Sulfated Hyaluronic Acid Coating Formation Process

为了实现对硫酸化透明质酸涂层形成可视化,微量6-氨基荧光素被接枝于硫酸化透明质酸上,具体操作为:取100.0 mg硫酸化透明质酸(分子量100~150万道尔顿,硫酸酯化度为2.6)溶于50 ml生理盐水中,加入10.0 mg 6-氨基荧光素(6-氨基荧光素于水中溶解度较低,此时溶液体系中应有少量未溶解的6-氨基荧光素)。充分搅拌后,加入69.4 mg 1-乙基-(3-二甲基氨基丙基)碳酰二亚胺于溶液内部,反应24小时。反应完成后,离心去除不溶物,剩余液体于截留分子量3000透析袋内以蒸馏水透析72小时后,冻干备用。本接枝反应、透析过程全程避光进行。In order to realize the visualization of the sulfated hyaluronic acid coating, a trace amount of 6-aminofluorescein was grafted onto the sulfated hyaluronic acid, and the specific operation was as follows: take 100.0 mg of sulfated hyaluronic acid (molecular weight: 100-1.5 million dal 10.0 mg 6-aminofluorescein (the solubility of 6-aminofluorescein is low in water, and there should be a small amount of undissolved 6-aminofluorescein in the solution system at this time) in 50 ml of normal saline. aminofluorescein). After thorough stirring, 69.4 mg of 1-ethyl-(3-dimethylaminopropyl) carbodiimide was added into the solution and reacted for 24 hours. After the reaction was completed, the insoluble matter was removed by centrifugation, and the remaining liquid was dialyzed in distilled water for 72 hours in a dialysis bag with a molecular weight cut off of 3000, and then freeze-dried for use. The whole process of grafting reaction and dialysis was carried out in the dark.

取制备所得6-氨基荧光素接枝硫酸化透明质酸50.0 mg溶于50 ml生理盐水中,加入0.1 g磷酸二氢钠于溶液中充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装。Take 50.0 mg of the prepared 6-aminofluorescein grafted sulfated hyaluronic acid and dissolve it in 50 ml of normal saline, add 0.1 g of sodium dihydrogen phosphate into the solution and stir well to dissolve. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0~7.5, filter and sterilize, and pack in aliquots.

将所得滴眼液滴加至兔角膜基质表面,通过激光共聚焦显微镜观察硫酸化透明质酸涂层于角膜基质表面的形成过程。结果表明,硫酸化透明质酸可以在滴加至角膜基质表面30秒内于其上形成一个均一、完整的涂层。浸泡30分钟所形成的硫酸化透明质酸涂层情况与浸泡30秒时涂层形成时一致,说明该涂层于眼部冲洗条件下十分稳定,停留时间长,生物利用率高。The obtained eye drops are added dropwise to the surface of the corneal stroma of the rabbit, and the formation process of the sulfated hyaluronic acid coating on the surface of the corneal stroma is observed through a laser confocal microscope. The results show that sulfated hyaluronic acid can form a uniform and complete coating on the corneal stroma surface within 30 seconds after being dropped on it. The situation of the sulfated hyaluronic acid coating formed after soaking for 30 minutes is consistent with that of the coating formed after soaking for 30 seconds, indicating that the coating is very stable under eye flushing conditions, has a long residence time and high bioavailability.

实施例7Example 7

取新鲜兔角膜组织,去除角膜上皮层、前弹力层、后弹力层、内皮层,利用剩余的角膜基质层模拟角膜术后或受机械损伤后所暴露的角膜基质表面。Take fresh rabbit corneal tissue, remove the corneal epithelium, Bowman's membrane, Bowman's membrane and endothelium, and use the remaining corneal stroma to simulate the exposed corneal stroma surface after corneal surgery or mechanical damage.

将实施例2所配置的滴眼液,滴加至兔角膜基质表面处停留30秒,使用蒸馏水进行冲洗后风干。对所得角膜基质表层通过X射线光电子能谱分析硫元素变化。The eye drops prepared in Example 2 were dripped onto the surface of the rabbit corneal stroma and stayed for 30 seconds, rinsed with distilled water and then air-dried. The change of sulfur element was analyzed by X-ray photoelectron spectroscopy on the obtained corneal stroma surface.

取实施例6制备所得6-氨基荧光素接枝硫酸化透明质酸250.0 mg溶于50 ml生理盐水中,加入0.1 g磷酸二氢钠于溶液中充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装。将所得浓度为5.0 mg/ml的滴眼液滴加至兔角膜基质表面30秒后进行冲洗并通过激光共聚焦显微镜观察硫酸化透明质酸涂层于角膜基质表面的形成情况。Take 250.0 mg of the 6-aminofluorescein grafted sulfated hyaluronic acid prepared in Example 6 and dissolve it in 50 ml of physiological saline, add 0.1 g of sodium dihydrogen phosphate into the solution and stir to dissolve fully. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0~7.5, filter and sterilize, and pack in aliquots. The resulting eye drops with a concentration of 5.0 mg/ml were added dropwise to the surface of the corneal stroma of the rabbit for 30 seconds, rinsed, and the formation of the sulfated hyaluronic acid coating on the surface of the corneal stroma was observed by confocal laser microscopy.

图3为滴眼液中硫酸化透明质酸组分浓度为5.0 mg/ml时,硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。结果表明,基质表面硫元素2p高分辨图谱中出现符合硫酸酯基的硫元素2p峰,说明硫酸化透明质酸涂层的成功形成。Figure 3 is the high-resolution spectrum of the sulfur 2p orbital of the sulfated hyaluronic acid-coated rabbit corneal stroma by X-ray photoelectron spectroscopy when the concentration of the sulfated hyaluronic acid component in the eye drops is 5.0 mg/ml. The results showed that the sulfur 2p peak corresponding to the sulfate group appeared in the high-resolution spectrum of the sulfur 2p on the surface of the substrate, indicating the successful formation of the sulfated hyaluronic acid coating.

同时通过激光共聚焦显微镜对涂层形成情况进行观察,当滴眼液中硫酸化透明质酸组分浓度为5.0 mg/ml时,硫酸化透明质酸可以在滴加至角膜基质表面30秒内于其上形成一个均一、完整的涂层。At the same time, the formation of the coating was observed by laser confocal microscopy. When the concentration of the sulfated hyaluronic acid component in the eye drops was 5.0 mg/ml, the sulfated hyaluronic acid could be dropped on the surface of the corneal stroma within 30 seconds. Form a uniform and complete coating on it.

实施例8Example 8

取新鲜兔角膜组织,去除角膜上皮层、前弹力层、后弹力层、内皮层,利用剩余的角膜基质层模拟角膜术后或受机械损伤后所暴露的角膜基质表面。Take fresh rabbit corneal tissue, remove the corneal epithelium, Bowman's membrane, Bowman's membrane and endothelium, and use the remaining corneal stroma to simulate the exposed corneal stroma surface after corneal surgery or mechanical damage.

将实施例3所配置的滴眼液,滴加至兔角膜基质表面处停留30秒,使用蒸馏水进行冲洗后风干。对所得角膜基质表层通过X射线光电子能谱分析硫元素变化。The eye drops prepared in Example 3 were dripped onto the surface of the rabbit corneal stroma and stayed for 30 seconds, rinsed with distilled water and then air-dried. The change of sulfur element was analyzed by X-ray photoelectron spectroscopy on the obtained corneal stroma surface.

取实施例6制备所得6-氨基荧光素接枝硫酸化透明质酸25.0 mg溶于50 ml生理盐水中,加入0.1 g磷酸二氢钠于溶液中充分搅拌溶解。使用适量氢氧化钠将pH调节至7.0~7.5,过滤除菌,分装。将所得浓度为0.5 mg/ml的滴眼液滴加至兔角膜基质表面30秒后进行冲洗并通过激光共聚焦显微镜观察硫酸化透明质酸涂层于角膜基质表面的形成情况。25.0 mg of 6-aminofluorescein grafted sulfated hyaluronic acid obtained in Example 6 was dissolved in 50 ml of normal saline, and 0.1 g of sodium dihydrogen phosphate was added to the solution, stirred and dissolved fully. Use an appropriate amount of sodium hydroxide to adjust the pH to 7.0~7.5, filter and sterilize, and pack in aliquots. The resulting eye drops with a concentration of 0.5 mg/ml were added dropwise to the surface of the corneal stroma of the rabbit for 30 seconds, rinsed, and the formation of the sulfated hyaluronic acid coating on the surface of the corneal stroma was observed through a laser confocal microscope.

图4为滴眼液中硫酸化透明质酸组分浓度为0.5 mg/ml时,硫酸化透明质酸涂层兔角膜基质X射线光电子能谱硫元素2p轨道高分辨谱图。结果表明,基质表面硫元素2p高分辨图谱中出现符合硫酸酯基的硫元素2p峰,说明硫酸化透明质酸涂层的成功形成。Fig. 4 is the high-resolution spectrum of the sulfur 2p orbital of the sulfated hyaluronic acid-coated rabbit corneal stroma X-ray photoelectron spectroscopy when the concentration of the sulfated hyaluronic acid component in the eye drops is 0.5 mg/ml. The results showed that the sulfur 2p peak corresponding to the sulfate group appeared in the high-resolution spectrum of the sulfur 2p on the surface of the substrate, indicating the successful formation of the sulfated hyaluronic acid coating.

同时通过激光共聚焦显微镜对涂层形成情况进行观察,当滴眼液中硫酸化透明质酸组分浓度为0.5 mg/ml时,硫酸化透明质酸可以在滴加至角膜基质表面30秒内于其上形成一个均一、完整的涂层。At the same time, the formation of the coating was observed by laser confocal microscope. When the concentration of the sulfated hyaluronic acid component in the eye drops was 0.5 mg/ml, the sulfated hyaluronic acid could be dropped on the surface of the corneal stroma within 30 seconds. Form a uniform and complete coating on it.

实施例9 硫酸化透明质酸涂层的生物安全性Example 9 Biological Safety of Sulfated Hyaluronic Acid Coating

将无菌的直径为1 cm的圆形I型胶原膜浸泡于10 ml实施例1配置的滴眼液中5分钟,使用PBS润洗后得到具有硫酸化透明质酸涂层的I型胶原膜。角膜上皮细胞以10000个/cm2的接种密度接种于其上,于37 ℃,5 %CO2下进行培养。分别于培养24小时、48小时、72小时进行CCK8实验。图5为角膜上皮细胞于具有硫酸化透明质酸涂层I型胶原膜上增殖CCK8结果。结果表明,角膜上皮细胞可在具有硫酸化透明质酸涂层I型胶原膜上正常增殖,增殖速度与对照组无显著差异,证明硫酸化透明质酸涂层具有良好的生物相容性。Soak a sterile circular type I collagen membrane with a diameter of 1 cm in 10 ml of the eye drops prepared in Example 1 for 5 minutes, rinse with PBS to obtain a type I collagen membrane with a sulfated hyaluronic acid coating . Corneal epithelial cells were seeded on it at a seeding density of 10,000 cells/cm 2 and cultured at 37 °C under 5% CO 2 . CCK8 experiments were carried out at 24 hours, 48 hours and 72 hours of culture respectively. Figure 5 is the results of CCK8 proliferation of corneal epithelial cells on type I collagen membrane coated with sulfated hyaluronic acid. The results showed that corneal epithelial cells could proliferate normally on the type I collagen membrane coated with sulfated hyaluronic acid, and the proliferation rate was not significantly different from that of the control group, which proved that the sulfated hyaluronic acid coating had good biocompatibility.

实施例10 滴眼液中硫酸化透明质酸组分浓度为1.0 mg/ml时,所形成的硫酸化透明质酸涂层对TGF-β1(转化生长因子β1)渗透的阻挡作用Example 10 When the concentration of the sulfated hyaluronic acid component in the eye drops is 1.0 mg/ml, the barrier effect of the formed sulfated hyaluronic acid coating on the penetration of TGF-β1 (transforming growth factor β1)

将实施例5所制备的具有硫酸化透明质酸涂层的兔角膜基质浸入5 ml含有30 ng/ml TGF-β1的PBS溶液中1小时。完成浸泡后,以PBS洗去表面残留的TGF-β1,利用手术器械去除表层30微米角膜基质。对所得组织匀浆后测定其内TGF-β1含量。无涂层兔角膜基质进行相同操作用作对照实验。图6为不同涂层兔角膜基质内部TGF-β1含量图。结果表明,相较于无涂层组,硫酸化透明质酸涂层组角膜基质内部TGF-β1含量显著降低,说明硫酸化透明质酸涂层可有效阻挡TGF-β1渗透入角膜基质内部。The rabbit corneal stroma with sulfated hyaluronic acid coating prepared in Example 5 was immersed in 5 ml of PBS solution containing 30 ng/ml TGF-β1 for 1 hour. After immersion, the remaining TGF-β1 on the surface was washed away with PBS, and 30 microns of corneal stroma on the surface were removed with surgical instruments. The TGF-β1 content in the obtained tissue was determined after homogenization. Uncoated rabbit corneal stroma was subjected to the same operation as a control experiment. Fig. 6 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings. The results showed that compared with the uncoated group, the content of TGF-β1 in the corneal stroma of the sulfated hyaluronic acid coating group was significantly reduced, indicating that the sulfated hyaluronic acid coating can effectively prevent TGF-β1 from penetrating into the corneal stroma.

实施例11 滴眼液中硫酸化透明质酸组分浓度为5.0 mg/ml时,所形成的硫酸化透明质酸涂层对TGF-β1(转化生长因子β1)渗透的阻挡作用Example 11 When the concentration of the sulfated hyaluronic acid component in the eye drops is 5.0 mg/ml, the barrier effect of the formed sulfated hyaluronic acid coating on the penetration of TGF-β1 (transforming growth factor β1)

将实施例7所制备的具有硫酸化透明质酸涂层的兔角膜基质浸入5 ml含有30 ng/ml TGF-β1的PBS溶液中1小时。完成浸泡后,以PBS洗去表面残留的TGF-β1,利用手术器械去除表层30微米角膜基质。对所得组织匀浆后测定其内TGF-β1含量。无涂层兔角膜基质进行相同操作用作对照实验。图7为不同涂层兔角膜基质内部TGF-β1含量图。结果表明,相较于无涂层组,硫酸化透明质酸涂层组角膜基质内部TGF-β1含量显著降低,说明硫酸化透明质酸涂层可有效阻挡TGF-β1渗透入角膜基质内部。The rabbit corneal stroma with sulfated hyaluronic acid coating prepared in Example 7 was immersed in 5 ml of PBS solution containing 30 ng/ml TGF-β1 for 1 hour. After immersion, the remaining TGF-β1 on the surface was washed away with PBS, and 30 microns of corneal stroma on the surface were removed with surgical instruments. The TGF-β1 content in the obtained tissue was determined after homogenization. Uncoated rabbit corneal stroma was subjected to the same operation as a control experiment. Fig. 7 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings. The results showed that compared with the uncoated group, the content of TGF-β1 in the corneal stroma of the sulfated hyaluronic acid coating group was significantly reduced, indicating that the sulfated hyaluronic acid coating can effectively prevent TGF-β1 from penetrating into the corneal stroma.

实施例12 滴眼液中硫酸化透明质酸组分浓度为0.5 mg/ml时,所形成的硫酸化透明质酸涂层对TGF-β1(转化生长因子β1)渗透的阻挡作用Example 12 When the concentration of the sulfated hyaluronic acid component in the eye drops is 0.5 mg/ml, the barrier effect of the formed sulfated hyaluronic acid coating on the penetration of TGF-β1 (transforming growth factor β1)

将实施例8所制备的具有硫酸化透明质酸涂层的兔角膜基质浸入5 ml含有30 ng/ml TGF-β1的PBS溶液中1小时。完成浸泡后,以PBS洗去表面残留的TGF-β1,利用手术器械去除表层30微米角膜基质。对所得组织匀浆后测定其内TGF-β1含量。无涂层兔角膜基质进行相同操作用作对照实验。图8为不同涂层兔角膜基质内部TGF-β1含量图。结果表明,相较于无涂层组,硫酸化透明质酸涂层组角膜基质内部TGF-β1含量显著降低,说明硫酸化透明质酸涂层可有效阻挡TGF-β1渗透入角膜基质内部。The rabbit corneal stroma with sulfated hyaluronic acid coating prepared in Example 8 was immersed in 5 ml of PBS solution containing 30 ng/ml TGF-β1 for 1 hour. After immersion, the remaining TGF-β1 on the surface was washed away with PBS, and 30 microns of corneal stroma on the surface were removed with surgical instruments. The TGF-β1 content in the obtained tissue was determined after homogenization. Uncoated rabbit corneal stroma was subjected to the same operation as a control experiment. Fig. 8 is a graph showing the content of TGF-β1 in rabbit corneal stroma with different coatings. The results showed that compared with the uncoated group, the content of TGF-β1 in the corneal stroma of the sulfated hyaluronic acid coating group was significantly reduced, indicating that the sulfated hyaluronic acid coating can effectively prevent TGF-β1 from penetrating into the corneal stroma.

实施例13 兔角膜纤维化模型疗效实验Example 13 Curative Effect Experiment of Rabbit Corneal Fibrosis Model

兔角膜纤维化模型建立:将新西兰兔麻醉后,冲洗结膜囊并滴入眼部麻醉滴眼液。使用5.0 mm角膜环钻于角膜中央定位,轻微旋转切割角膜组织。通过手术切除约100 μm角膜组织,切割厚度通过角膜A超测厚仪确定。Rabbit corneal fibrosis model establishment: New Zealand rabbits were anesthetized, the conjunctival sac was flushed and eye anesthesia eye drops were instilled. Use a 5.0 mm corneal trephine to position in the center of the cornea and rotate slightly to cut the corneal tissue. About 100 μm of corneal tissue was surgically removed, and the cutting thickness was determined by corneal A-ultrasound pachymeter.

实验分组:本实验分为三个组别分别为对照组、实验组、对比组。Experimental grouping: This experiment is divided into three groups: the control group, the experimental group, and the comparison group.

治疗方法:对照组-滴加妥布霉素滴眼液预防感染;实验组-滴加妥布霉素预防感染、滴加实施例1所制备的滴眼液;对比组-滴加妥布霉素地塞米松滴眼液预防感染并治疗(临床用药对比)。滴眼液每天4次,不同滴眼液之间间隔10分钟。Therapeutic method: control group - drop tobramycin eye drops to prevent infection; experimental group - drop tobramycin to prevent infection, drop the eye drops prepared in Example 1; contrast group - drop tobramycin Dexamethasone eye drops for prevention and treatment of infection (comparison of clinical medication). Eye drops 4 times a day, 10 minutes between different eye drops.

用裂隙灯拍照观察角膜纤维化、角膜瘢痕的发生情况。结果如图9所示,在用药28天后,使用了硫酸化透明质酸滴眼液的实验组角膜纤维化与瘢痕的发生情况相较于其他组别轻。通过光学相干断层扫描(见图10)结果可以看出,实验组高反光白色条带最为轻微,说明该组角膜新生基质较其余两组更为规整。同时,对28日取材角膜进行角膜纤维化的标志性蛋白α-平滑肌动蛋白进行免疫组化染色(见图11),实验组该蛋白表达的范围相较于其余两组大幅降低。上述观察结果均表明本发明滴眼液可对角膜纤维化、角膜瘢痕有效预防。The occurrence of corneal fibrosis and corneal scar was observed by photographing with slit lamp. The results are shown in Figure 9. After 28 days of medication, the experimental group that used the sulfated hyaluronic acid eye drops had less corneal fibrosis and scarring than the other groups. From the results of optical coherence tomography (see Figure 10), it can be seen that the highly reflective white bands in the experimental group were the slightest, indicating that the new corneal stroma in this group was more regular than the other two groups. At the same time, immunohistochemical staining was carried out on the corneal fibrosis marker protein α-smooth actin (see Figure 11), and the expression range of the protein in the experimental group was significantly lower than that in the other two groups. The above observation results all show that the eye drops of the present invention can effectively prevent corneal fibrosis and corneal scarring.

本发明未尽事宜为公知技术。Matters not covered in the present invention are known technologies.

上述实施例只为说明本发明的技术构思及特点,其目的在于让熟悉此项技术的人士能够了解本发明的内容并据以实施,并不能以此限制本发明的保护范围。凡根据本发明精神实质所作的等效变化或修饰,都应涵盖在本发明的保护范围之内。The above-mentioned embodiments are only to illustrate the technical concept and characteristics of the present invention, and the purpose is to enable those skilled in the art to understand the content of the present invention and implement it accordingly, and not to limit the protection scope of the present invention. All equivalent changes or modifications made according to the spirit of the present invention shall fall within the protection scope of the present invention.

Claims (8)

1. The application of sulfated hyaluronic acid in preparing eye drops for preventing corneal fibrosis and corneal scar is characterized in that the eye drops comprise sulfated hyaluronic acid, a pH regulator and an osmotic pressure regulator;
after the eye drops are dripped on the ocular surface, the sulfated hyaluronic acid in the eye drops forms a uniform, complete and stable coating on the damaged corneal stroma on the ocular surface;
the molecular weight of the sulfated hyaluronic acid is 100 to 150 kilodaltons, and the sulfation degree is 2.6.
2. The use of the sulfated hyaluronic acid as claimed in claim 1, in the preparation of eye drops for preventing corneal fibrosis and corneal scar, wherein the concentration of the sulfated hyaluronic acid in the eye drops is 0.5 to 5.0 mg/ml.
3. The use of the sulfated hyaluronic acid as defined in claim 2, in the preparation of eye drops for preventing corneal fibrosis and corneal scar, wherein the concentration of the sulfated hyaluronic acid in the eye drops is 1.0 to 2.0 mg/ml.
4. Use of sulfated hyaluronic acid as defined in any of claims 1 to 3, in the preparation of eye drops for the prevention of corneal fibrosis and corneal scarring, wherein the sulfated hyaluronic acid comprises sulfated hyaluronic acid and metal salts thereof.
5. The use of sulfated hyaluronic acid as defined in claim 4, for the preparation of eye drops for the prevention of corneal fibrosis and corneal scarring, wherein the metal salt of sulfated hyaluronic acid is a sodium or potassium salt of sulfated hyaluronic acid.
6. Use of sulfated hyaluronic acid as defined in any of claims 1-3, in the preparation of ophthalmic solutions for the prevention of corneal fibrosis, corneal scarring, wherein the osmolality adjusting agent is at least one of an aqueous glucose solution, a sodium chloride solution and glycerol; the pH regulator is at least one of phosphate buffer solution, borate buffer solution, citrate buffer solution, acetate buffer solution, tartrate buffer solution, carbonate buffer solution and amino acid buffer solution.
7. The use of sulfated hyaluronic acid as claimed in any of claims 1 to 3, for the preparation of eye drops for the prevention of corneal fibrosis and corneal scarring, wherein a solution system consisting of at least one of a bacteriostatic agent, a stabilizer, a viscosity-increasing agent, a solubilizing agent and a protein protectant is further added to the eye drops; the dosage form of the eye drops is aqueous solution, suspension or emulsion.
8. Use of sulfated hyaluronic acid according to any of claims 1 to 3, for the preparation of ophthalmic solutions for the prevention of corneal fibrosis, corneal scarring, characterized in that the preparation of said ophthalmic solutions comprises the following steps:
dissolving sulfated hyaluronic acid in physiological saline as an osmotic pressure regulator, adding a pH regulator into the solution, fully stirring and dissolving, regulating the pH to 7.0 to 7.5, sterilizing and packaging.
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