CN116687661A - Aqueous humor drainage device and preparation method thereof - Google Patents
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及一种房水引流器及其制备方法。The invention relates to the technical field of medical devices, in particular to an aqueous humor drainage device and a preparation method thereof.
背景技术Background technique
青光眼是全球第二位的致盲因素,是全球第一位不可逆致盲因素。2005年,世卫组织数据显示全球共有超过7000万青光眼患者,全球因青光眼引起的致盲率8%。2020年,美国青光眼患者超过330万人,其中270万超过40岁的患者受到最常见的开角型青光眼困扰,美国每年整体在青光眼治疗的花费超过28.6亿美元,预计2030年美国青光眼患者超过420万人,2050年美国青光眼患者超过630万人。《中国青光眼指南2020年》中提到,“据估算2020年我国青光眼患者的人数可达到2100万,致盲人数可达到567万”。我国青光眼发病率在一般人群中是0.68%,随着年龄的增长发病率越来越高,65岁之后,可达4%-7%。伴随老龄化进程、新技术诞生及检出率的提升,青光眼患者群体将进一步扩大。Glaucoma is the second leading cause of blindness and the first irreversible cause of blindness in the world. In 2005, WHO data showed that there were more than 70 million glaucoma patients in the world, and the global blindness rate caused by glaucoma was 8%. In 2020, there will be more than 3.3 million glaucoma patients in the United States, of which 2.7 million patients over the age of 40 suffer from the most common form of open-angle glaucoma. The overall annual expenditure on glaucoma treatment in the United States exceeds 2.86 billion US dollars. It is estimated that there will be more than 4.2 million glaucoma patients in the United States in 2030 In 2050, there will be more than 6.3 million glaucoma patients in the United States. The "Guidelines for Glaucoma in China 2020" mentioned that "it is estimated that the number of glaucoma patients in my country will reach 21 million in 2020, and the number of blind patients will reach 5.67 million." The incidence rate of glaucoma in my country is 0.68% in the general population, and the incidence rate is getting higher and higher with age, and it can reach 4%-7% after the age of 65. With the aging process, the birth of new technologies and the improvement of detection rate, the group of glaucoma patients will further expand.
对于青光眼的治疗,一直以来以降低眼内压,尽可能的预防或减缓患者视神经的损害,保存现有视力为原则。当传统药物治疗效果不佳,或患者不能耐受长期用药时,可使用激光小梁成形术治疗;当激光小梁成形术治疗也无法使眼压降至安全范围或者最大耐受药物治疗失败时,可以进行植入房水引流器的微创青光眼手术(MIGS);MIGS是指在尽量不损伤结膜和巩膜的前提下,通过各种方法改善房水外流,最终达到降低眼压的目的。MIGS器械的优势是十分突出的,首先对组织破坏很小,术后不良反应较小,用于开角型青光眼患者或者与其他手术方式(白内障超声乳化手术)联用可用于治疗难治性,或者病情较为复杂的青光眼。MIGS尤其适合轻中度青光眼患者,该手术方式的最大特点是具有良好的安全性。For the treatment of glaucoma, the principle has always been to reduce the intraocular pressure, prevent or slow down the damage of the patient's optic nerve as much as possible, and preserve the existing vision. When the effect of traditional drug treatment is not good, or the patient cannot tolerate long-term medication, laser trabeculoplasty can be used for treatment; when laser trabeculoplasty treatment cannot reduce the intraocular pressure to a safe range or the maximum tolerated drug treatment fails , Minimally invasive glaucoma surgery (MIGS) with implantation of an aqueous humor drainage device can be performed; MIGS refers to improving the outflow of aqueous humor through various methods on the premise of not damaging the conjunctiva and sclera as much as possible, and finally achieving the goal of reducing intraocular pressure. The advantages of MIGS devices are very prominent. Firstly, there is little damage to the tissue, and the postoperative adverse reactions are small. It can be used for patients with open-angle glaucoma or combined with other surgical methods (phacoemulsification surgery) for the treatment of refractory, Or more complicated glaucoma. MIGS is especially suitable for patients with mild to moderate glaucoma. The biggest feature of this surgical method is its good safety.
房水引流器作为永久植入物,不仅要求其具有良好的生物相容性,还需要其能够保持结构稳定性。As a permanent implant, the aqueous humor diverter not only requires good biocompatibility, but also needs to maintain structural stability.
现有的房水引流器主要是金属材料和合成高分子材料;其中金属材料的生物相容性较差,为保证良好的生物相容性,多采用可降解的高分子材料来进行制备,但是生物相容性好的高分子材料因降解会导致其结构稳定性不足。Existing aqueous humor drainage devices are mainly made of metal materials and synthetic polymer materials; among them, the biocompatibility of metal materials is poor. In order to ensure good biocompatibility, degradable polymer materials are mostly used for preparation, but Degradation of biocompatible polymer materials will lead to insufficient structural stability.
有鉴于此,提供一种能够兼具生物相容性和结构稳定性的房水引流器是目前亟需解决的技术问题。In view of this, it is an urgent technical problem to provide an aqueous humor drainage device that can have both biocompatibility and structural stability.
发明内容Contents of the invention
本发明要解决的技术问题是:为了解决现有技术中房水引流器难以兼具生物相容性和结构稳定性的问题,本发明提供一种房水引流器,该房水引流器由硫醇-烯材料通过光固化方法制备而成,由于硫醇-烯材料具有良好的生物相容性,且材料中不含有可降解的基团,从而能够兼顾房水引流器的生物相容性以及结构稳定性,进而解决了现有技术中房水引流器难以兼具生物相容性和结构稳定性的问题。The technical problem to be solved by the present invention is: in order to solve the problem that the aqueous humor drainage device is difficult to have both biocompatibility and structural stability in the prior art, the present invention provides an aqueous humor drainage device, which is made of sulfur Alcohol-ene materials are prepared by photo-curing method. Because thiol-ene materials have good biocompatibility and do not contain degradable groups in the material, it can take into account the biocompatibility and Structural stability, thereby solving the problem that the aqueous humor drainage device in the prior art is difficult to have both biocompatibility and structural stability.
本发明解决其技术问题所采用的技术方案是:The technical solution adopted by the present invention to solve its technical problems is:
一种房水引流器,呈管状结构;所述房水引流器由硫醇-烯材料通过光固化方法制备而成;所述硫醇-烯材料中的硫醇材料选自四氢双环戊二烯二甲硫醇、1,10-癸二硫醇、四(乙基硫醇)硅烷、1,3,5-三(丙基硫醇)异氰尿酸酯、二硫苏糖醇中的至少一种;所述硫醇-烯材料中的烯材料包括第一烯材料和第二烯材料;所述第一烯材料为马来酸酐改性的丝裂霉素;所述第二烯材料选自三羟甲基丙烷三烯丙基醚、季戊四醇三烯丙基醚、2,4,6-三(烯丙氧基)-1,3,5-三肼、1,3,5-三烯丙基-1,3,5-三嗪-2,4,6(1H,3H,5H)-三酮、乙烯基明胶中的至少一种。An aqueous humor diversion device, in a tubular structure; the aqueous humor diversion device is prepared from a thiol-ene material by photocuring; the thiol material in the thiol-ene material is selected from tetrahydrodicyclopentadiene Dimethylthiol, 1,10-decanedithiol, tetra(ethylthiol) silane, 1,3,5-tri(propylthiol) isocyanurate, dithiothreitol At least one; the ene material in the thiol-ene material includes a first ene material and a second ene material; the first ene material is maleic anhydride-modified mitomycin; the second ene material Trimethylolpropane triallyl ether, pentaerythritol triallyl ether, 2,4,6-tri(allyloxy)-1,3,5-trihydrazine, 1,3,5-tri At least one of allyl-1,3,5-triazine-2,4,6(1H,3H,5H)-trione and vinyl gelatin.
可选地,所述马来酸酐改性的丝裂霉素按照如下方法制备:Alternatively, the maleic anhydride-modified mitomycin is prepared according to the following method:
将丝裂霉素、马来酸酐与溶剂加入到三口烧瓶中,于40℃条件下搅拌反应后,将反应产物用乙醇沉淀,得到马来酸酐改性的丝裂霉素。Add mitomycin, maleic anhydride and a solvent into a three-neck flask, stir and react at 40° C., and precipitate the reaction product with ethanol to obtain maleic anhydride-modified mitomycin.
可选地,所述丝裂霉素与所述马来酸酐的摩尔比为1:1。Optionally, the molar ratio of the mitomycin to the maleic anhydride is 1:1.
可选地,所述乙烯基明胶按照如下方法制备:Optionally, the vinyl gelatin is prepared as follows:
将明胶与水混合,调节pH值至碱性,然后滴入烯丙基缩水甘油醚进行反应后,调节pH值至中性,依次经透析,冷冻干燥,得到乙烯基明胶。Mix the gelatin with water, adjust the pH value to be alkaline, then drop allyl glycidyl ether for reaction, adjust the pH value to neutral, undergo dialysis and freeze-drying successively to obtain vinyl gelatin.
可选地,明胶与烯丙基缩水甘油醚的质量比为20:1。Optionally, the mass ratio of gelatin to allyl glycidyl ether is 20:1.
可选地,所述第一烯材料与所述第二烯材料的摩尔比为(0.1-1):100。Optionally, the molar ratio of the first olefinic material to the second olefinic material is (0.1-1):100.
可选地,所述硫醇-烯材料中烯材料与硫醇材料的摩尔比为(0.9-0.99):1。Optionally, the molar ratio of ene material to thiol material in the thiol-ene material is (0.9-0.99):1.
可选地,所述房水引流器的表面还通过甲基丙烯酰化葡聚糖进行化学改性。Optionally, the surface of the aqueous humor diverter is also chemically modified by methacryloyl dextran.
本发明的另一目的在于提供一种如上所述的房水引流器的制备方法,包括如下过程:按照配方量,将硫醇材料、烯材料、光引发剂混合,注入微流控模具中,通过紫外光进行照射,得到房水引流器。Another object of the present invention is to provide a method for preparing the above-mentioned aqueous humor drainage device, which includes the following process: according to the formula amount, mix the thiol material, the ene material, and the photoinitiator, and inject it into the microfluidic mold, The aqueous humor drainage device is obtained by irradiating with ultraviolet light.
可选地,还包括如下过程:将所述房水引流器加入甲基丙烯酰化葡聚糖水溶液中,于37℃条件下进行振荡,得到表面改性的房水引流器。Optionally, the following process is also included: adding the aqueous humor diverter into the aqueous solution of methacrylylated dextran, and vibrating at 37° C. to obtain a surface-modified aqueous humor diverter.
本发明的有益效果是:The beneficial effects of the present invention are:
本发明提供的房水引流器,通过相容性良好的硫醇-烯材料经光固化方法制备而成,由于材料中不含有可降解的基团,使得以该材料制备的房水引流器在保证生物相容性的同时,在使用过程中不会降解,从而提高房水引流器结构的稳定性,使其能够作为永久植入物来起作用;并且,本发明通过以马来酸酐改性的丝裂霉素结合其他烯材料来共同作为硫醇-烯材料中的烯材料,将改性的丝裂霉素(MMC)引入房水引流器,一方面利用MMC对成纤维细胞较高的生物学效应和长期的抑制作用,减少手术过程中的疤痕化;另一方面,通过改性避免因引入MMC可能会导致的副作用;从而通过将改性的MMC引入到房水引流器中,既降低了MMC的毒性,又减少术后手术部位的疤痕化。The aqueous humor drainage device provided by the present invention is prepared by photocuring a thiol-ene material with good compatibility. Since the material does not contain degradable groups, the aqueous humor drainage device prepared with this material can While ensuring biocompatibility, it will not degrade during use, thereby improving the stability of the structure of the aqueous humor drainage device, so that it can function as a permanent implant; The mitomycin is combined with other ene materials to act as the ene material in the thiol-ene material, and the modified mitomycin (MMC) is introduced into the aqueous humor drainage device. On the one hand, the MMC has a higher effect on fibroblast Biological effects and long-term inhibition can reduce scarring during surgery; on the other hand, avoid the side effects that may be caused by the introduction of MMC through modification; thus, by introducing the modified MMC into the aqueous humor drainage device, both It reduces the toxicity of MMC and reduces the scarring of the surgical site after surgery.
附图说明Description of drawings
下面结合附图和实施例对本发明进一步说明。The present invention will be further described below in conjunction with the accompanying drawings and embodiments.
图1是本发明中原料明胶的1H NMR谱图;Fig. 1 is the 1 H NMR spectrogram of raw material gelatin in the present invention;
图2是本发明中乙烯基明胶的1H NMR谱图;Fig. 2 is the 1 H NMR spectrogram of vinyl gelatin in the present invention;
图3是本发明中MMC的核磁谱图;Fig. 3 is the nuclear magnetic spectrum figure of MMC among the present invention;
图4是本发明中MMC-MA的核磁谱图;Fig. 4 is the nuclear magnetic spectrum figure of MMC-MA among the present invention;
图5是本发明中MMC的红外光谱图;Fig. 5 is the infrared spectrogram of MMC among the present invention;
图6是本发明中MMC-MA的红外光谱图。Fig. 6 is an infrared spectrogram of MMC-MA in the present invention.
具体实施方式Detailed ways
现在对本发明作进一步详细的说明。下面描述的实施例是示例性的,旨在用于解释本发明,而不能理解为对本发明的限制,基于本发明的实施例,本领域普通技术人员在没有作出创造性劳动的前提下所获得的所有其他实施例,都属于本发明保护的范围。The present invention will now be described in further detail. The embodiments described below are exemplary and are intended to be used to explain the present invention, but not to be construed as limitations to the present invention. Based on the embodiments of the present invention, those of ordinary skill in the art obtained without creative work All other embodiments belong to the protection scope of the present invention.
在本发明的描述中,需要理解的是,术语“第一”、“第二”仅用于简化描述,而不能理解为指示或暗示相对重要性,或隐含指明所指示的技术特征的数量。由此,限定为“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In the description of the present invention, it should be understood that the terms "first" and "second" are only used to simplify the description, and cannot be understood as indicating or implying relative importance, or implicitly indicating the number of indicated technical features . Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of these features. In the description of the present invention, "plurality" means two or more, unless otherwise specifically defined.
为解决现有技术中房水引流器难以兼具生物相容性和结构稳定性的问题,本发明提供一种房水引流器,呈管状结构,即该房水引流器的整体呈管状,其内部设置有引流通道,以便于通过该引流通道将患者眼内的房水引流至结膜下间隙,从而降低青光眼患者的眼压;需要说明的是,该房水引流器的具体外形结构、尺寸等均可根据实际需求或相应的现有技术进行选择;其内部的引流通道可以为等直径引流通道,也可以是非等直径引流通道。In order to solve the problem that the aqueous humor drainage device is difficult to have both biocompatibility and structural stability in the prior art, the present invention provides an aqueous humor drainage device in a tubular structure, that is, the aqueous humor drainage device is in a tubular shape as a whole, and its There is a drainage channel inside, so that the aqueous humor in the patient's eye can be drained to the subconjunctival space through the drainage channel, thereby reducing the intraocular pressure of glaucoma patients; it should be noted that the specific shape, structure, size, etc. of the aqueous humor drainage device All can be selected according to actual needs or corresponding existing technologies; the internal drainage channels can be equal-diameter drainage channels, or non-equal-diameter drainage channels.
为兼顾房水引流器的生物相容性以及结构稳定性,本发明优选该房水引流器由硫醇-烯材料通过光固化方法制备而成,具体的,本发明优选该房水引流器由硫醇-烯材料加入光引发剂通过微流控结合光固化法制备而成;进一步的,本发明优选该硫醇-烯材料中的硫醇材料选自四氢双环戊二烯二甲硫醇(DT1)、1,10-癸二硫醇(DT2)、四(乙基硫醇)硅烷(SiTSH)、1,3,5-三(丙基硫醇)异氰尿酸酯(TTTSH)、二硫苏糖醇中的至少一种;优选硫醇-烯材料中的烯材料包括第一烯材料和第二烯材料;其中第一烯材料为马来酸酐改性的丝裂霉素(MMC-MA);第二烯材料选自三羟甲基丙烷三烯丙基醚(triene1)、季戊四醇三烯丙基醚(triene2)、2,4,6-三(烯丙氧基)-1,3,5-三肼(triene3)、1,3,5-三烯丙基-1,3,5-三嗪-2,4,6(1H,3H,5H)-三酮(triene4)、乙烯基明胶中的至少一种。In order to take into account the biocompatibility and structural stability of the aqueous humor drainage device, the present invention preferably prepares the aqueous humor drainage device from a thiol-ene material through a photocuring method. Specifically, the present invention preferably selects the aqueous humor drainage device from The thiol-ene material is prepared by adding a photoinitiator through microfluidics combined with photocuring; further, the thiol material in the thiol-ene material is preferably selected from tetrahydrodicyclopentadiene dimethyl mercaptan (DT1), 1,10-decanedithiol (DT2), tetrakis (ethylthiol) silane (SiTSH), 1,3,5-tris (propylthiol) isocyanurate (TTTSH), At least one of dithiothreitol; preferably the ene material in the thiol-ene material includes a first ene material and a second ene material; wherein the first ene material is maleic anhydride-modified mitomycin (MMC -MA); the second alkene material is selected from trimethylolpropane triallyl ether (triene1), pentaerythritol triallyl ether (triene2), 2,4,6-tri(allyloxy)-1, 3,5-trihydrazine (triene3), 1,3,5-triallyl-1,3,5-triazine-2,4,6(1H,3H,5H)-trione (triene4), ethylene At least one of gelatin bases.
本发明提供的房水引流器,通过相容性良好的硫醇-烯材料经光固化方法制备而成,由于材料中不含有可降解的基团,使得以该材料制备的房水引流器在保证生物相容性的同时,在使用过程中不会降解,从而提高房水引流器结构的稳定性,使其能够作为永久植入物来起作用;并且,本发明通过以马来酸酐改性的丝裂霉素结合其他烯材料来共同作为硫醇-烯材料中的烯材料,将改性的丝裂霉素(MMC)引入房水引流器,一方面利用MMC对成纤维细胞较高的生物学效应和长期的抑制作用,减少手术过程中的疤痕化;另一方面,通过改性避免因引入MMC可能会导致的副作用;从而通过将改性的MMC引入到房水引流器中,既降低了MMC的毒性,又减少术后手术部位的疤痕化。The aqueous humor drainage device provided by the present invention is prepared by photocuring a thiol-ene material with good compatibility. Since the material does not contain degradable groups, the aqueous humor drainage device prepared with this material can While ensuring biocompatibility, it will not degrade during use, thereby improving the stability of the structure of the aqueous humor drainage device, so that it can function as a permanent implant; The mitomycin is combined with other ene materials to act as the ene material in the thiol-ene material, and the modified mitomycin (MMC) is introduced into the aqueous humor drainage device. On the one hand, the MMC has a higher effect on fibroblast Biological effects and long-term inhibition can reduce scarring during surgery; on the other hand, avoid the side effects that may be caused by the introduction of MMC through modification; thus, by introducing the modified MMC into the aqueous humor drainage device, both It reduces the toxicity of MMC and reduces the scarring of the surgical site after surgery.
具体的,本发明中DT1、DT2、SiTSH、TTTSH的结构式分别如下式所示:Specifically, the structural formulas of DT1, DT2, SiTSH, and TTTSH in the present invention are shown in the following formulas:
本发明中triene1、triene2、triene3、triene4的结构式分别如下式所示:Among the present invention, the structural formulas of triene1, triene2, triene3, and triene4 are shown in the following formula respectively:
本发明优选马来酸酐改性的丝裂霉素按照如下方法制备:The preferred maleic anhydride modified mitomycin of the present invention is prepared according to the following method:
将丝裂霉素、马来酸酐与溶剂加入到三口烧瓶中,于40℃条件下搅拌反应后,将反应产物用乙醇沉淀,得到马来酸酐改性的丝裂霉素。Add mitomycin, maleic anhydride and a solvent into a three-neck flask, stir and react at 40° C., and precipitate the reaction product with ethanol to obtain maleic anhydride-modified mitomycin.
该制备方法的反应式如下:The reaction formula of this preparation method is as follows:
本发明优选该制备方法中的溶剂为四氢呋喃;优选丝裂霉素与马来酸酐的摩尔比为1:1;经计算,本制备方法中MMC-MA的产量可达78%。In the present invention, the preferred solvent in the preparation method is tetrahydrofuran; the preferred molar ratio of mitomycin to maleic anhydride is 1:1; and the yield of MMC-MA in the preparation method can reach 78%.
本发明优选乙烯基明胶按照如下方法制备:The preferred vinyl gelatin of the present invention is prepared according to the following method:
将明胶与水混合,调节pH值至碱性,然后滴入烯丙基缩水甘油醚进行反应后,调节pH值至中性,依次经透析,冷冻干燥,得到乙烯基明胶。Mix the gelatin with water, adjust the pH value to be alkaline, then drop allyl glycidyl ether for reaction, adjust the pH value to neutral, undergo dialysis and freeze-drying successively to obtain vinyl gelatin.
该制备方法的反应式如下:The reaction formula of this preparation method is as follows:
本发明优选上述制备过程中,将明胶与水混合后,用浓度为3mol/L的氢氧化钠水溶液调节溶液pH值至10.50;优选滴入烯丙基缩水甘油醚进行反应后,用浓度为3mol/L的盐酸溶液调节pH值至中性;本发明优选明胶与烯丙基缩水甘油醚的质量比为20:1。In the above-mentioned preparation process of the present invention, after gelatin is mixed with water, the pH value of the solution is adjusted to 10.50 with a sodium hydroxide aqueous solution with a concentration of 3 mol/L; /L hydrochloric acid solution to adjust the pH value to neutral; the mass ratio of gelatin to allyl glycidyl ether is preferably 20:1 in the present invention.
为减少手术部位疤痕化的同时,兼顾房水引流器的相容性与结构稳定性,本发明优选第一烯材料与第二烯材料的摩尔比为(0.1-1):100;优选硫醇-烯材料中烯材料与硫醇材料的摩尔比为(0.9-0.99):1。In order to reduce the scarring of the surgical site while taking into account the compatibility and structural stability of the aqueous humor drainage device, the molar ratio of the first ene material to the second ene material is preferably (0.1-1): 100; thiol is preferred - The molar ratio of the ene material to the thiol material in the ene material is (0.9-0.99):1.
进一步的,本发明优选该房水引流器制备过程中,通过加入光引发剂二苯基-(2,4,6-三甲基苯甲酰)氧磷(TPO)、1-羟基环己基苯基甲酮(184)、2-羟基-4'-(2-羟乙氧基)-2-甲基苯丙酮(2959)、2,4,6-三甲基苯甲酰基苯基膦酸乙酯(TPO-L)、苯基双(2,4,6-三甲基苯甲酰基)氧化膦(819)中的至少一种来进行光固化;并优选光引发剂与硫醇-烯材料的摩尔比为(0.5-2.5):100。Further, the present invention preferably prepares the aqueous humor diverter by adding photoinitiators diphenyl-(2,4,6-trimethylbenzoyl)phosphine (TPO), 1-hydroxycyclohexylbenzene methyl ketone (184), 2-hydroxy-4'-(2-hydroxyethoxy)-2-methylpropiophenone (2959), ethyl 2,4,6-trimethylbenzoylphenylphosphonate At least one of ester (TPO-L), phenylbis(2,4,6-trimethylbenzoyl)phosphine oxide (819) for photocuring; and preferably photoinitiator and thiol-ene material The molar ratio is (0.5-2.5):100.
此外,本发明进一步优选该房水引流器的表面还通过甲基丙烯酰化葡聚糖(DXM)进行化学改性,以便于通过在房水引流器的表面修饰葡聚糖来限制细胞黏附和扩散,从而可以降低因细胞黏附导致的房水引流器堵塞的风险。In addition, it is further preferred in the present invention that the surface of the aqueous humor diverter is also chemically modified by methacrylated dextran (DXM), so as to limit cell adhesion and Diffusion, thereby reducing the risk of blockage of the aqueous humor drain due to cell adhesion.
其中DXM的结构式如下式所示:The structural formula of DXM is as follows:
本发明的另一目的在于提供一种如上所述的房水引流器的制备方法,包括如下过程:按照配方量,将硫醇材料、烯材料、光引发剂混合,注入微流控模具中,通过紫外光进行照射,得到房水引流器。Another object of the present invention is to provide a method for preparing the above-mentioned aqueous humor drainage device, which includes the following process: according to the formula amount, mix the thiol material, the ene material, and the photoinitiator, and inject it into the microfluidic mold, The aqueous humor drainage device is obtained by irradiating with ultraviolet light.
本发明提供的房水引流器的制备方法,通过相容性良好的硫醇-烯材料经光固化方法制备而成,由于材料中不含有可降解的基团,使得以该材料制备的房水引流器在保证生物相容性的同时,在使用过程中不会降解,从而提高房水引流器结构的稳定性,使其能够作为永久植入物来起作用;通过采用微流控与翻模技术,优化加工工艺,提高生产效率,便于批量化生产。The preparation method of the aqueous humor drainage device provided by the present invention is prepared by photocuring a thiol-ene material with good compatibility. Since the material does not contain degradable groups, the aqueous humor prepared from this material While ensuring biocompatibility, the diverter will not degrade during use, thereby improving the stability of the aqueous humor diverter structure and enabling it to function as a permanent implant; through the use of microfluidics and overmolding Technology, optimize processing technology, improve production efficiency, and facilitate mass production.
进一步的,本发明提供的房水引流器的制备方法还包括如下过程:将房水引流器加入甲基丙烯酰化葡聚糖水溶液中,于37℃条件下进行振荡,得到表面改性的房水引流器。Further, the preparation method of the aqueous humor drainage device provided by the present invention also includes the following process: adding the aqueous humor drainage device to the aqueous solution of methacrylated dextran, and shaking at 37°C to obtain a surface-modified aqueous humor drainage device. Water diverter.
本发明优选甲基丙烯酰化葡聚糖水溶液的质量分数为15%;通过在房水引流器的表面修饰甲基丙烯酰化葡聚糖,能够限制细胞黏附和扩散,从而可以降低因细胞黏附导致的房水引流器堵塞的风险。The present invention preferably has a mass fraction of methacrylated dextran aqueous solution of 15%; by modifying methacrylated dextran on the surface of the aqueous humor drainage device, cell adhesion and diffusion can be limited, thereby reducing the risk of cell adhesion. Risk of blockage of the aqueous humor drain.
为使本发明的上述目的、特征和优点能够更为明显易懂,下面结合附图对本发明的具体实施例做详细的说明。In order to make the above objects, features and advantages of the present invention more comprehensible, specific embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings.
在无特别说明的情况下,本发明各实施例以及对比例中的乙烯基明胶按照如下方法制备:In the absence of special instructions, the vinyl gelatin in each embodiment of the present invention and comparative examples is prepared according to the following method:
在配有温度计、搅拌器和回流冷凝器的圆底烧瓶(100毫升)中,加入5.935g明胶和60毫升水,用浓度为3mol L-1的氢氧化钠水溶液调节溶液pH值至10.50,然后滴入0.29675g烯丙基缩水甘油醚,反应4小时,用浓度为3mol L-1的盐酸水溶将反应混合物的pH调节到中性,透析3天,冷冻干燥,得到乙烯基明胶。In a round-bottom flask (100 ml) equipped with a thermometer, a stirrer and a reflux condenser, add 5.935 g of gelatin and 60 ml of water, adjust the pH value of the solution to 10.50 with a concentration of 3 mol L -1 aqueous sodium hydroxide solution, and then Add 0.29675 g of allyl glycidyl ether dropwise, react for 4 hours, adjust the pH of the reaction mixture to neutral with hydrochloric acid with a concentration of 3 mol L -1 , dialyze for 3 days, and freeze-dry to obtain vinyl gelatin.
图1和图2分别为原料明胶与乙烯基明胶的1H NMR谱图,将图1与图2进行对比可知,乙烯基明胶在δ=5.35ppm,5.75ppm新出现了乙烯基的峰。Figure 1 and Figure 2 are the 1 H NMR spectra of the raw material gelatin and vinyl gelatin respectively. Comparing Figure 1 and Figure 2, it can be seen that vinyl gelatin has new vinyl peaks at δ=5.35ppm and 5.75ppm.
在无特别说明的情况下,本发明各实施例以及对比例中的马来酸酐改性的丝裂霉素按照如下方法制备:In the absence of special instructions, the maleic anhydride-modified mitomycin in each embodiment of the present invention and comparative examples is prepared according to the following method:
将1mol丝裂霉素(MMC)、1mol马来酸酐与100ml溶剂四氢呋喃加入到三口烧瓶中,于40℃条件下搅拌7小时,反应产物用乙醇沉淀,得到马来酸酐改性的丝裂霉素(MMC-MA),产量为78%。Add 1 mol of mitomycin (MMC), 1 mol of maleic anhydride and 100 ml of solvent tetrahydrofuran into a three-necked flask, stir at 40°C for 7 hours, and precipitate the reaction product with ethanol to obtain maleic anhydride-modified mitomycin (MMC-MA) with a yield of 78%.
图3和图4分别为本发明的原料MMC和马来酸酐改性的丝裂霉素(MMC-MA)的核磁谱图,将图3和图4对比可知,MMC-MA在δ=5.65ppm,5.83ppm,6.27ppm新出现了马来酸酐开环后的特征峰。Fig. 3 and Fig. 4 are respectively the NMR spectra of the raw material MMC of the present invention and the mitomycin (MMC-MA) of maleic anhydride modification, by comparing Fig. 3 and Fig. 4, MMC-MA is at δ=5.65ppm , 5.83ppm, 6.27ppm new characteristic peaks after ring opening of maleic anhydride appeared.
本发明中原料MMC和马来酸酐改性的丝裂霉素(MMC-MA)的红外光谱图分别见图5、图6所示。The infrared spectrograms of raw material MMC and maleic anhydride-modified mitomycin (MMC-MA) in the present invention are shown in Fig. 5 and Fig. 6 respectively.
实施例1Example 1
本实施例提供一种房水引流器,其制备方法如下:This embodiment provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.9mol乙烯基明胶、0.009mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1 mol of dithiothreitol, 0.9 mol of vinyl gelatin, 0.009 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO, inject it into the microfluidic mold, and pass ultraviolet rays with a wavelength of 355nm Light irradiated for 30s to obtain an aqueous humor diverter; then add the aqueous humor diverter to a 15% methacrylylated dextran (DXM) aqueous solution, shake at 37°C for 7 days, and obtain a surface-modified Aqueous drainage device.
实施例2Example 2
本实施例提供一种房水引流器,其制备方法如下:This embodiment provides an aqueous humor drainage device, the preparation method of which is as follows:
将0.5mol二硫苏糖醇、0.5mol DT1、0.99mol乙烯基明胶、0.0099mol马来酸酐改性的丝裂霉素MMC-MA、0.025mol引发剂184,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Inject 0.5mol dithiothreitol, 0.5mol DT1, 0.99mol vinyl gelatin, 0.0099mol maleic anhydride-modified mitomycin MMC-MA, and 0.025mol initiator 184 into the microfluidic mold. The aqueous humor diverter was obtained by irradiating with 355nm ultraviolet light for 30s; the aqueous humor diverter was then added to 15% methacrylylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain Surface-modified aqueous humor diverters.
实施例3Example 3
本实施例提供一种房水引流器,其制备方法如下:This embodiment provides an aqueous humor drainage device, the preparation method of which is as follows:
将0.5mol二硫苏糖醇、0.5mol TTTSH、0.45mol乙烯基单体riene1、0.45mol乙烯基明胶、0.0095mol马来酸酐改性的丝裂霉素MMC-MA、0.01mol引发剂TPO-L,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。0.5mol dithiothreitol, 0.5mol TTTSH, 0.45mol vinyl monomer riene1, 0.45mol vinyl gelatin, 0.0095mol maleic anhydride modified mitomycin MMC-MA, 0.01mol initiator TPO-L , injected into the microfluidic mold, and irradiated by ultraviolet light with a wavelength of 355nm for 30s to obtain an aqueous humor drainage device; then add the aqueous humor drainage device to a 15% mass fraction of dextran methacryl (DXM) aqueous solution , shaking at 37°C for 7 days to obtain a surface-modified aqueous humor diverter.
对比例1Comparative example 1
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1.5mol二硫苏糖醇、0.9mol乙烯基明胶、0.009mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1.5mol dithiothreitol, 0.9mol vinyl gelatin, 0.009mol maleic anhydride-modified mitomycin MMC-MA and 0.005mol initiator TPO, inject it into the microfluidic mold, pass UV light was irradiated for 30s to obtain an aqueous humor diverter; then the aqueous humor diverter was added to a 15% mass fraction of methacrylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor diverter.
对比例2Comparative example 2
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将0.5mol二硫苏糖醇、0.9mol乙烯基明胶、0.009mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 0.5mol dithiothreitol, 0.9mol vinyl gelatin, 0.009mol maleic anhydride-modified mitomycin MMC-MA and 0.005mol initiator TPO, inject it into the microfluidic mold, and pass the UV light was irradiated for 30s to obtain an aqueous humor diverter; then the aqueous humor diverter was added to a 15% mass fraction of methacrylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor diverter.
对比例3Comparative example 3
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.909mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,无法成型得到想要的房水引流器。Mix 1 mol of dithiothreitol, 0.909 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO, inject it into the microfluidic mold, and irradiate it with ultraviolet light with a wavelength of 355nm for 30s, but it cannot be formed Get the aqueous diverter you want.
对比例4Comparative example 4
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.909mol乙烯基明胶与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1 mol dithiothreitol, 0.909 mol vinyl gelatin and 0.005 mol initiator TPO, inject it into the microfluidic mold, and irradiate it with ultraviolet light with a wavelength of 355nm for 30s to obtain an aqueous humor drainage device; then drain the aqueous humor The device was added to an aqueous solution of 15% mass fraction of methacryloyl dextran (DXM), and shaken at 37° C. for 7 days to obtain a surface-modified aqueous humor diverter.
对比例5Comparative example 5
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.9mol乙烯基明胶、0.015mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射120s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1 mol of dithiothreitol, 0.9 mol of vinyl gelatin, 0.015 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO, inject it into the microfluidic mold, and pass ultraviolet rays with a wavelength of 355nm Light irradiated for 120s to obtain an aqueous humor diverter; then add the aqueous humor diverter to a 15% methacrylylated dextran (DXM) aqueous solution, shake at 37°C for 7 days, and obtain a surface-modified Aqueous drainage device.
对比例6Comparative example 6
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.9mol明胶、0.009mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1mol dithiothreitol, 0.9mol gelatin, 0.009mol maleic anhydride-modified mitomycin MMC-MA and 0.005mol initiator TPO, inject into the microfluidic mold, and irradiate with ultraviolet light with a wavelength of 355nm After 30 seconds, the aqueous humor drainage device was obtained; then the aqueous humor drainage device was added to a 15% mass fraction of methacrylylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain surface-modified aqueous humor diverter.
对比例7Comparative example 7
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.9mol乙烯基明胶、0.009mol丝裂霉素MMC与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射60s,得到房水引流器;再将该房水引流器加入质量分数15%的甲基丙烯酰化葡聚糖(DXM)水溶液中,在37℃下振荡7天,得到表面改性的房水引流器。Mix 1 mol dithiothreitol, 0.9 mol vinyl gelatin, 0.009 mol mitomycin MMC and 0.005 mol initiator TPO, inject it into the microfluidic mold, and irradiate it with ultraviolet light with a wavelength of 355 nm for 60 seconds to obtain aqueous humor drainage Then add the aqueous humor diverter to 15% methacryloyl dextran (DXM) aqueous solution, shake at 37° C. for 7 days to obtain a surface-modified aqueous humor diverter.
对比例8Comparative example 8
本对比例提供一种房水引流器,其制备方法如下:This comparative example provides an aqueous humor drainage device, the preparation method of which is as follows:
将1mol二硫苏糖醇、0.9mol乙烯基明胶、0.009mol马来酸酐改性的丝裂霉素MMC-MA与0.005mol引发剂TPO混合,注入微流控模具中,通过波长为355nm的紫外光照射30s,得到房水引流器。Mix 1 mol of dithiothreitol, 0.9 mol of vinyl gelatin, 0.009 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO, inject it into the microfluidic mold, and pass ultraviolet rays with a wavelength of 355nm Light was irradiated for 30 seconds to obtain an aqueous humor drainage device.
按照如下方法对各实施例以及对比例制备的房水引流器的性能进行检测:The performance of the aqueous humor drainage device prepared by each embodiment and comparative examples is detected according to the following methods:
细胞抑制影响测试:Cytostatic effect test:
通过细胞的响应来评价细胞抑制的影响,原代成纤维细胞(10个细胞/孔)用含有质量分数10%胎牛血清的法尔孔培养基(DMEM)培养。在成纤维细胞沉淀后,迁移试验插入房水引流器,使其完全沉浸在介质中。培养5天后,用活/死染色和CCK-8检测成纤维细胞的状态,计算5天成纤细胞(HTFs)活/死比,成纤细胞活性越高,疤痕化越严重。The effect of cell inhibition was evaluated by the response of the cells. The primary fibroblasts (10 cells/well) were cultured with Falcon medium (DMEM) containing 10% fetal bovine serum. After the fibroblasts have settled, the migration assay inserts the aqueous drain so that it is completely submerged in the medium. After culturing for 5 days, the status of fibroblasts was detected by live/dead staining and CCK-8, and the live/dead ratio of fibroblasts (HTFs) was calculated on day 5. The higher the activity of fibroblasts, the more serious the scarring.
细胞黏附测试:Cell adhesion test:
3T3小鼠胚胎溴母细胞在T-75Falcon细胞培养中保存,使用无菌杜尔贝科改良的法尔孔培养基(DMEM),含质量分数10%胎牛血清(FBS)和100单位/ml青霉素和0.1mg/ml链霉素。每种覆盖物的6个样本(共36个样本)放入6孔组织培养板中,在紫外线下照射10-15分钟。将细胞以大约11 000个细胞/厘米的密度接种到覆盖膜上。然后将细胞在37℃、5%二氧化碳下孵育24h,然后倒出培养基,用PBS轻轻冲洗一次。贴壁细胞数定义为每100*场的活细胞数。控制的百分比通过将处理过的底物上的活细胞百分比与未处理过的底物上的活细胞百分比之比乘以100来计算粘附力。测定每个样品组的平均对照粘附率,并按上述方法进行活力测定的统计比较。3T3 mouse embryonic bromocytes were preserved in T-75Falcon cell culture, using sterile Dulbecco's modified Falcon medium (DMEM), containing 10% fetal bovine serum (FBS) and 100 units/ml Penicillin and 0.1 mg/ml streptomycin. Six samples of each covering (total of 36 samples) were placed in a 6-well tissue culture plate and exposed to UV light for 10-15 min. Cells were seeded onto the cover membrane at a density of approximately 11 000 cells/cm. Then the cells were incubated at 37° C. under 5% carbon dioxide for 24 h, and then the culture medium was decanted and gently washed once with PBS. The number of adherent cells was defined as the number of viable cells per 100*field. Percentage of control Adhesion was calculated by multiplying the ratio of the percent viable cells on the treated substrate to the percent viable cells on the untreated substrate by 100. The mean control adhesion rate was determined for each sample group and statistical comparisons for viability assays were performed as described above.
质量损失率的测试:Test of mass loss rate:
降解稳定性测试,通过将样品于37℃浸泡在1mol氢氧化钠中4各时间点超过1月后的重量变化来测定。样品由10mg机械切除的圆柱体组成,直径1.6毫米,高1.2毫米。每个样品的干质量用0.1μg精度。在每个期望的时间点,每个样品将被从溶液中取出,和对聚合物表面轻轻烘干吸收擦拭。质量损失为将样品放置在聚四氟乙烯上后,测量(聚四氟乙烯)块内的质量;放置于120℃真空烤箱24小时,然后将样品取出并重新称重,以确定最终损失的质量。质量损失按质量百分比计算从初始重量到真空干燥质量的变化。数据报告是四个样本的平均值。The degradation stability test is determined by soaking the sample in 1mol sodium hydroxide at 37°C for more than 1 month at each time point for weight change. The samples consisted of 10 mg mechanically excised cylinders measuring 1.6 mm in diameter and 1.2 mm in height. The dry mass of each sample was measured with 0.1 μg accuracy. At each desired time point, each sample will be removed from the solution, and the polymer surface will be gently dried with an absorbent wipe. Mass loss is the mass of the (PTFE) block measured after the sample is placed on the PTFE; placed in a vacuum oven at 120°C for 24 hours, then the sample is taken out and re-weighed to determine the final mass lost . Mass loss is calculated as the change in mass percent from initial weight to vacuum-dried mass. Data reported are the mean of four samples.
测试结果见表1所示:The test results are shown in Table 1:
从表1中数据看出,本发明各实施例制备的房水引流器均具有优异的结构稳定性,同时有助于降低疤痕化,限制细胞黏附和扩散。It can be seen from the data in Table 1 that the aqueous humor diverters prepared in each embodiment of the present invention have excellent structural stability, help reduce scarring, and limit cell adhesion and diffusion.
对比例1与实施例1相比,增加了硫醇-烯材料中硫醇材料的添加量,制备的房水引流器虽然减少了细胞黏附,降低了房水引流器堵塞的风险,但是其质量损失率增加,房水引流器的结构稳定性变差。Compared with Example 1, Comparative Example 1 increased the amount of thiol material in the thiol-ene material. Although the prepared aqueous humor drainage device reduced cell adhesion and reduced the risk of blocking the aqueous humor drainage device, its quality The loss rate increases, and the structural stability of the aqueous humor diverter becomes worse.
对比例2与实施例1相比,减少了硫醇-烯材料中硫醇材料的添加量,制备的房水引流器细胞的黏附增加,房水引流器的堵塞风险增加,同时质量损失率也稍有下降,结构稳定性有所变差。Compared with Example 1, comparative example 2 reduces the amount of thiol material added in the thiol-ene material, the adhesion of the cells of the prepared aqueous humor drainage device increases, the risk of blockage of the aqueous humor drainage device increases, and the mass loss rate also decreases. Slightly decreased, the structural stability deteriorated.
对比例3与实施例1相比,硫醇-烯材料中烯材料仅添加第一烯材料MMC-MA,按照实施例1中的成型参数难以成型,无法制备得到制备的房水引流器。Comparative Example 3 Compared with Example 1, only the first ene material MMC-MA was added to the thiol-ene material, and it was difficult to mold according to the molding parameters in Example 1, and the aqueous humor drainage device could not be prepared.
对比例4与实施例1相比,硫醇-烯材料中烯材料仅添加第二烯材料,制备的房水引流器5天HTFs成纤细胞活/死比显著升高,增加了疤痕化的风险;同时细胞黏附较实施例1也稍有增加,房水引流器堵塞的风险有所增加。Comparative Example 4 Compared with Example 1, only the second ene material was added to the ene material in the thiol-ene material, and the live/dead ratio of HTFs fibroblasts in the prepared aqueous humor drainage device was significantly increased after 5 days, and the scarring rate was increased. risk; at the same time, cell adhesion is also slightly increased compared with Example 1, and the risk of aqueous humor drainage device blockage is increased.
对比例5与实施例1相比,增加了烯材料中第一烯材料的添加量,成型难度增加,所需的成型时间变长;虽然能够成型得到房水引流器,制备的房水引流器虽然5天HTFs成纤细胞活/死比降低,疤痕化风险降低,但是质量损失率增加,结构稳定性变差。Compared with Example 1, Comparative Example 5 increased the amount of the first olefin material in the olefin material, and the molding difficulty increased, and the required molding time became longer; although the aqueous humor drainage device could be formed, the prepared aqueous humor drainage device Although the 5-day HTFs fibroblast live/dead ratio decreased and the risk of scarring decreased, the mass loss rate increased and the structural stability deteriorated.
对比例6与实施例1相比,以明胶替代乙烯基明胶,无法交联形成房水引流器。Compared with Example 1, comparative example 6 uses gelatin instead of vinyl gelatin, which cannot be cross-linked to form an aqueous humor drainage device.
对比例7与实施例1相比,以MMC替代MMC-MA,成型难度增加,所需的成型时间变长;制备的房水引流器5天HTFs成纤细胞活/死比升高,MMC不是以共价键的形式结合在房水引流器中,而是以共混的形式填充在房水引流器中,减少了长期抑制疤痕化的能力;同时质量损失率增加,结构的稳定性变差。In Comparative Example 7, compared with Example 1, MMC was used to replace MMC-MA, the molding difficulty increased, and the required molding time became longer; the prepared aqueous humor drainage device had an increased live/dead ratio of HTFs fibroblasts after 5 days, while MMC did not. Combined in the aqueous humor drainage device in the form of covalent bonds, but filled in the aqueous humor drainage device in the form of blending, which reduces the ability to inhibit scarring for a long time; at the same time, the mass loss rate increases and the stability of the structure deteriorates .
对比例8与实施例1相比,未采用甲基丙烯酰化葡聚糖对房水引流器的表面进行化学改性,制备的房水引流器细胞黏附显著增加,同时其5天HTFs成纤细胞活/死比也有所升高,疤痕化风险较实施例1增加。Comparative Example 8 Compared with Example 1, no methacryloyl dextran was used to chemically modify the surface of the aqueous humor drainage device, and the cell adhesion of the prepared aqueous humor drainage device was significantly increased, and at the same time, the HTFs formed fibrils after 5 days The cell live/dead ratio also increased, and the risk of scarring increased compared with Example 1.
以上述依据本发明的理想实施例为启示,通过上述的说明内容,相关工作人员完全可以在不偏离本项发明技术思想的范围内,进行多样的变更以及修改。本项发明的技术性范围并不局限于说明书上的内容,必须要根据权利要求范围来确定其技术性范围。Inspired by the above-mentioned ideal embodiment according to the present invention, through the above-mentioned description content, relevant workers can make various changes and modifications within the scope of not departing from the technical idea of the present invention. The technical scope of the present invention is not limited to the content in the specification, but must be determined according to the scope of the claims.
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