CN116687661B - Aqueous humor drainage device and preparation method thereof - Google Patents
Aqueous humor drainage device and preparation method thereof Download PDFInfo
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- CN116687661B CN116687661B CN202310654610.2A CN202310654610A CN116687661B CN 116687661 B CN116687661 B CN 116687661B CN 202310654610 A CN202310654610 A CN 202310654610A CN 116687661 B CN116687661 B CN 116687661B
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- aqueous humor
- drainage device
- humor drainage
- thiol
- mitomycin
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- 238000002360 preparation method Methods 0.000 title abstract description 23
- 239000000463 material Substances 0.000 claims abstract description 91
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- 238000000034 method Methods 0.000 claims abstract description 30
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- VHJLVAABSRFDPM-QWWZWVQMSA-N dithiothreitol Chemical compound SC[C@@H](O)[C@H](O)CS VHJLVAABSRFDPM-QWWZWVQMSA-N 0.000 claims abstract description 15
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- 150000001336 alkenes Chemical class 0.000 claims description 10
- STMDPCBYJCIZOD-UHFFFAOYSA-N 2-(2,4-dinitroanilino)-4-methylpentanoic acid Chemical compound CC(C)CC(C(O)=O)NC1=CC=C([N+]([O-])=O)C=C1[N+]([O-])=O STMDPCBYJCIZOD-UHFFFAOYSA-N 0.000 claims description 8
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- DNJIEGIFACGWOD-UHFFFAOYSA-N ethanethiol Chemical compound CCS DNJIEGIFACGWOD-UHFFFAOYSA-N 0.000 claims description 6
- SUVIGLJNEAMWEG-UHFFFAOYSA-N propane-1-thiol Chemical compound CCCS SUVIGLJNEAMWEG-UHFFFAOYSA-N 0.000 claims description 6
- LSDPWZHWYPCBBB-UHFFFAOYSA-N Methanethiol Chemical compound SC LSDPWZHWYPCBBB-UHFFFAOYSA-N 0.000 claims description 5
- -1 maleic anhydride modified mitomycin Chemical class 0.000 claims description 5
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- BLRPTPMANUNPDV-UHFFFAOYSA-N Silane Chemical compound [SiH4] BLRPTPMANUNPDV-UHFFFAOYSA-N 0.000 claims description 3
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- MQDJYUACMFCOFT-UHFFFAOYSA-N bis[2-(1-hydroxycyclohexyl)phenyl]methanone Chemical compound C=1C=CC=C(C(=O)C=2C(=CC=CC=2)C2(O)CCCCC2)C=1C1(O)CCCCC1 MQDJYUACMFCOFT-UHFFFAOYSA-N 0.000 description 1
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- YMCOIFVFCYKISC-UHFFFAOYSA-N ethoxy-[2-(2,4,6-trimethylbenzoyl)phenyl]phosphinic acid Chemical compound CCOP(O)(=O)c1ccccc1C(=O)c1c(C)cc(C)cc1C YMCOIFVFCYKISC-UHFFFAOYSA-N 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00781—Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment
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- A—HUMAN NECESSITIES
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/043—Proteins; Polypeptides; Degradation products thereof
- A61L31/045—Gelatin
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
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- A—HUMAN NECESSITIES
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/16—Biologically active materials, e.g. therapeutic substances
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- A—HUMAN NECESSITIES
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- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/20—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
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- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
本发明提供一种房水引流器及其制备方法,涉及医疗器械技术领域;房水引流器呈管状结构;由硫醇‑烯材料通过光固化方法制备而成;硫醇‑烯材料中的硫醇材料选自DT1、DT2、SiTSH、TTTSH、二硫苏糖醇中的至少一种;烯材料包括第一烯材料和第二烯材料;第一烯材料为马来酸酐改性的丝裂霉素;第二烯材料选自triene1、triene2、triene3、triene4、乙烯基明胶中的至少一种。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。
The present invention provides an aqueous humor drainage device and a preparation method thereof, and relates to the technical field of medical devices; the aqueous humor drainage device is in a tubular structure; it is prepared by a thiol-ene material through a photocuring method; the thiol material in the thiol-ene material is selected from at least one of DT1, DT2, SiTSH, TTTSH, and dithiothreitol; the 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 is selected from at least one of triene1, triene2, triene3, triene4, and vinyl gelatin. The aqueous humor drainage device provided by the present invention is prepared by a photocuring method using a thiol-ene material with good compatibility, and since the material does not contain a degradable group, the aqueous humor drainage device prepared by the material will not degrade during use while ensuring biocompatibility, thereby improving the stability of the aqueous humor drainage device structure.
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 present invention relates to the technical field of medical devices, and in particular to an aqueous humor drainage device and a preparation method thereof.
背景技术Background Art
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 in the world 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 were more than 3.3 million glaucoma patients in the United States, of which 2.7 million patients over the age of 40 were troubled by the most common open-angle glaucoma. The overall annual cost of glaucoma treatment in the United States exceeded US$2.86 billion. It is estimated that there will be more than 4.2 million glaucoma patients in the United States in 2030 and more than 6.3 million glaucoma patients in the United States in 2050. The "China Glaucoma Guidelines 2020" mentioned that "it is estimated that the number of glaucoma patients in my country in 2020 may reach 21 million, and the number of blind people may reach 5.67 million". The incidence of glaucoma in my country is 0.68% in the general population. The incidence rate increases with age, and after the age of 65, it can reach 4%-7%. With the aging process, the emergence of new technologies and the increase in detection rates, the glaucoma patient group 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。The treatment of glaucoma has always been based on the principle of reducing intraocular pressure, preventing or slowing down the damage to the patient's optic nerve as much as possible, and preserving existing vision. When traditional drug treatment is ineffective or the patient cannot tolerate long-term medication, laser trabeculoplasty can be used for treatment; when laser trabeculoplasty treatment cannot reduce intraocular pressure to a safe range or 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 aqueous humor outflow through various methods while minimizing damage to the conjunctiva and sclera, ultimately achieving the purpose of reducing intraocular pressure. The advantages of the MIGS device are very prominent. First of all, it causes little damage to tissues and has few adverse reactions after surgery. It can be used for patients with open-angle glaucoma or in combination with other surgical methods (cataract phacoemulsification surgery) to treat 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 drainage device is not only required to have good biocompatibility but also to be able 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 drains are mainly made of metal materials and synthetic polymer materials; among them, metal materials have poor biocompatibility. In order to ensure good biocompatibility, degradable polymer materials are often used for preparation. However, polymer materials with good biocompatibility will lead to insufficient structural stability due to degradation.
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, providing an aqueous humor drainage device that has both biocompatibility and structural stability is a technical problem that urgently needs to be solved.
发明内容Summary 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 in the prior art is difficult to have both biocompatibility and structural stability, the present invention provides an aqueous humor drainage device, which is prepared by a thiol-ene material through a photocuring method. Since the thiol-ene material has good biocompatibility and does not contain degradable groups in the material, the biocompatibility and structural stability of the aqueous humor drainage device can be taken into account, 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 problem 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。A kind of aqueous humor drainage device has a tubular structure; the aqueous humor drainage device is prepared by a thiol-ene material through a photocuring method; the thiol material in the thiol-ene material is selected from at least one of tetrahydrodicyclopentadiene dimethyl mercaptan, 1,10-decandithiol, tetrakis(ethyl mercaptan) silane, 1,3,5-tri(propyl mercaptan) isocyanurate, and dithiothreitol; 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 is selected from at least one of trimethylolpropane triallyl ether, pentaerythritol triallyl ether, 2,4,6-tri(allyloxy)-1,3,5-trihydrazine, 1,3,5-triallyl-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:Optionally, 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。Mitomycin, maleic anhydride and a solvent were added into a three-necked flask, stirred and reacted at 40° C., and then the reaction product was precipitated 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。The gelatin is mixed with water, the pH value is adjusted to alkaline, and then allyl glycidyl ether is dropped into the mixture for reaction, and the pH value is adjusted to neutral. The mixture is dialyzed and freeze-dried 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 olefin material to the second olefin 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 the ene material to the 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 drain is also chemically modified by methacryloylating 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 aqueous humor drainage device as described above, comprising the following process: mixing a thiol material, an olefin material, and a photoinitiator according to the formula, injecting the mixture into a microfluidic mold, and irradiating the mold with ultraviolet light to obtain an aqueous humor drainage device.
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 method further comprises the following process: adding the aqueous humor drainage device into a methacryloylated dextran aqueous solution, and shaking the solution at 37° C. to obtain a surface-modified aqueous humor drainage device.
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 a thiol-ene material with good compatibility through a photocuring method. Since the material does not contain a degradable group, the aqueous humor drainage device prepared by the material will not degrade during use while ensuring biocompatibility, thereby improving the stability of the aqueous humor drainage device structure and enabling it to function as a permanent implant. In addition, the present invention uses maleic anhydride-modified mitomycin combined with other ene materials as the ene material in the thiol-ene material to introduce modified mitomycin (MMC) into the aqueous humor drainage device. On the one hand, the high biological effect and long-term inhibitory effect of MMC on fibroblasts are utilized to reduce scarring during surgery. On the other hand, the side effects that may be caused by the introduction of MMC are avoided through modification. Therefore, by introducing the modified MMC into the aqueous humor drainage device, the toxicity of MMC is reduced and the scarring of the surgical site after surgery is reduced.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
下面结合附图和实施例对本发明进一步说明。The present invention is 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;FIG1 is a 1 H NMR spectrum of raw gelatin in the present invention;
图2是本发明中乙烯基明胶的1H NMR谱图;FIG2 is a 1 H NMR spectrum 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 of MMC in the present invention;
图4是本发明中MMC-MA的核磁谱图;FIG4 is a nuclear magnetic spectrum of MMC-MA in the present invention;
图5是本发明中MMC的红外光谱图;Fig. 5 is an infrared spectrum of MMC in the present invention;
图6是本发明中MMC-MA的红外光谱图。FIG. 6 is an infrared spectrum of MMC-MA in the present invention.
具体实施方式DETAILED DESCRIPTION
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 is now further described in detail. The embodiments described below are exemplary and intended to be used to explain the present invention, but cannot be understood as limiting the present invention. All other embodiments obtained by ordinary technicians in this field without creative work based on the embodiments of the present invention belong to the scope of protection 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 should not be understood as indicating or implying relative importance, or implicitly indicating the number of the indicated technical features. Thus, the features defined as "first" and "second" may explicitly or implicitly include one or more of the features. In the description of the present invention, the meaning of "plurality" is two or more, unless otherwise clearly and 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 aqueous humor drainage devices in the prior art are difficult to have both biocompatibility and structural stability, the present invention provides an aqueous humor drainage device with a tubular structure, that is, the aqueous humor drainage device is tubular as a whole, and a drainage channel is arranged inside it, so as to drain the aqueous humor in the patient's eye to the subconjunctival space through the drainage channel, thereby reducing the intraocular pressure of glaucoma patients; it should be noted that the specific appearance structure, size, etc. of the aqueous humor drainage device can be selected according to actual needs or corresponding prior art; the drainage channel inside it can be a drainage channel of equal diameter or a drainage channel of non-equal diameter.
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 by a photocuring method. Specifically, the present invention preferably prepares the aqueous humor drainage device from a thiol-ene material by adding a photoinitiator through microfluidics combined with a photocuring method; further, the present invention preferably selects the thiol material in the thiol-ene material from tetrahydrodicyclopentadiene dimethyl mercaptan (DT1), 1,10-decanedithiol (DT2), tetrakis(ethyl mercaptan) silane (SiTSH), 1,3,5-tri(propyl mercaptan) isocyanurate (TTTSH), dithiothreitol At least one of; 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 ene material is selected from at least one of 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), and vinyl gelatin.
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 a thiol-ene material with good compatibility through a photocuring method. Since the material does not contain a degradable group, the aqueous humor drainage device prepared by the material will not degrade during use while ensuring biocompatibility, thereby improving the stability of the aqueous humor drainage device structure and enabling it to function as a permanent implant. In addition, the present invention uses maleic anhydride-modified mitomycin combined with other ene materials as the ene material in the thiol-ene material to introduce modified mitomycin (MMC) into the aqueous humor drainage device. On the one hand, the high biological effect and long-term inhibitory effect of MMC on fibroblasts are utilized to reduce scarring during surgery. On the other hand, the side effects that may be caused by the introduction of MMC are avoided through modification. Therefore, by introducing the modified MMC into the aqueous humor drainage device, the toxicity of MMC is reduced and the scarring of the surgical site after surgery is reduced.
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 respectively shown as follows:
本发明中triene1、triene2、triene3、triene4的结构式分别如下式所示:The structural formulas of triene1, triene2, triene3 and triene4 in the present invention are respectively shown as follows:
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 maleic anhydride-modified mitomycin of the present invention is preferably 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。Mitomycin, maleic anhydride and a solvent were added into a three-necked flask, stirred and reacted at 40° C., and then the reaction product was precipitated with ethanol to obtain maleic anhydride-modified mitomycin.
该制备方法的反应式如下:The reaction formula of the 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%。The invention preferably uses tetrahydrofuran as the solvent in the preparation method; preferably uses 1:1 as the molar ratio of mitomycin to maleic anhydride; and according to calculation, 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。The gelatin is mixed with water, the pH value is adjusted to alkaline, and then allyl glycidyl ether is dropped into the mixture for reaction, and the pH value is adjusted to neutral. The mixture is dialyzed and freeze-dried to obtain vinyl gelatin.
该制备方法的反应式如下:The reaction formula of the 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, the present invention preferably mixes gelatin and water, and then adjusts the pH value of the solution to 10.50 with a 3 mol/L sodium hydroxide aqueous solution; preferably, after allyl glycidyl ether is dropped into the mixture for reaction, the pH value is adjusted to neutral with a 3 mol/L hydrochloric acid solution; the present invention preferably has a mass ratio of gelatin to allyl glycidyl ether of 20:1.
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 scarring at the surgical site while taking into account the compatibility and structural stability of the aqueous humor drainage device, the present invention preferably has a molar ratio of the first olefin material to the second olefin material of (0.1-1):100; and preferably has a molar ratio of the olefin material to the thiol material of the thiol-ene material of (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。Furthermore, the present invention preferably performs photocuring during the preparation of the aqueous humor drainage device by adding at least one of the photoinitiators diphenyl-(2,4,6-trimethylbenzoyl)phosphine oxide (TPO), 1-hydroxycyclohexyl phenyl ketone (184), 2-hydroxy-4'-(2-hydroxyethoxy)-2-methylpropiophenone (2959), ethyl 2,4,6-trimethylbenzoylphenylphosphonate (TPO-L), and phenylbis(2,4,6-trimethylbenzoyl)phosphine oxide (819); and preferably, the molar ratio of the photoinitiator to the thiol-ene material 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, the present invention further preferably has the surface of the aqueous humor drainage device chemically modified by methacryloylated dextran (DXM) so as to limit cell adhesion and diffusion by modifying the dextran on the surface of the aqueous humor drainage device, thereby reducing the risk of blockage of the aqueous humor drainage device 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 aqueous humor drainage device as described above, comprising the following process: mixing a thiol material, an olefin material, and a photoinitiator according to the formula, injecting the mixture into a microfluidic mold, and irradiating the mold with ultraviolet light to obtain an aqueous humor drainage device.
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 a thiol-ene material with good compatibility through a photocuring method. Since the material does not contain a degradable group, the aqueous humor drainage device prepared with the material will not degrade during use while ensuring biocompatibility, thereby improving the stability of the aqueous humor drainage device structure and enabling it to function as a permanent implant; by adopting microfluidics and mold remodeling technology, the processing technology is optimized, the production efficiency is improved, and mass production is facilitated.
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。Furthermore, 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 into the methacryloylated dextran aqueous solution, shaking at 37° C., to obtain a surface-modified aqueous humor drainage device.
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 mass fraction of the methacryloylated dextran aqueous solution in the present invention is preferably 15%; by modifying the surface of the aqueous humor drainage device with methacryloylated dextran, cell adhesion and diffusion can be restricted, thereby reducing the risk of blockage of the aqueous humor drainage device due to cell adhesion.
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-mentioned objects, features and advantages of the present invention more obvious and easy to understand, specific embodiments of the present invention are described in detail below with reference to 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:Unless otherwise specified, the vinyl gelatin in each embodiment and comparative example of the present invention 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, 5.935 g of gelatin and 60 ml of water were added, and the pH value of the solution was adjusted to 10.50 with a 3 mol L -1 sodium hydroxide aqueous solution, and then 0.29675 g of allyl glycidyl ether was dropped. The reaction was allowed to react for 4 hours, and the pH of the reaction mixture was adjusted to neutral with a 3 mol L -1 hydrochloric acid aqueous solution. The mixture was dialyzed for 3 days and freeze-dried 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。FIG1 and FIG2 are 1 H NMR spectra of raw gelatin and vinyl gelatin, respectively. Comparing FIG1 with FIG2 , it can be seen that vinyl gelatin has new peaks of vinyl 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:Unless otherwise specified, the maleic anhydride-modified mitomycin in each embodiment and comparative example of the present invention was 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%。1 mol of mitomycin (MMC), 1 mol of maleic anhydride and 100 ml of tetrahydrofuran solvent were added into a three-necked flask and stirred at 40°C for 7 hours. The reaction product was precipitated 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。FIG3 and FIG4 are the NMR spectra of the raw material MMC and maleic anhydride-modified mitomycin (MMC-MA) of the present invention, respectively. By comparing FIG3 and FIG4 , it can be seen that MMC-MA has new characteristic peaks after maleic anhydride ring opening at δ=5.65ppm, 5.83ppm, and 6.27ppm.
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 spectra of the raw material MMC and maleic anhydride-modified mitomycin (MMC-MA) in the present invention are shown in Figures 5 and 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, and the preparation method thereof 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。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 were mixed and injected into a microfluidic mold. The mixture was irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device. The aqueous humor drainage device was then added into a 15% mass fraction aqueous solution of methacryloylated dextran (DXM), and the mixture was shaken at 37°C for 7 days to obtain a surface-modified aqueous humor 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, and the preparation method thereof 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。0.5 mol of dithiothreitol, 0.5 mol of DT1, 0.99 mol of vinyl gelatin, 0.0099 mol of maleic anhydride-modified mitomycin MMC-MA, and 0.025 mol of initiator 184 were injected into a microfluidic mold and irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device; the aqueous humor drainage device was then added into a 15% by mass aqueous solution of methacryloylated dextran (DXM), and the mixture was shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and the preparation method thereof 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。0.5 mol of dithiothreitol, 0.5 mol of TTTSH, 0.45 mol of vinyl monomer riene1, 0.45 mol of vinyl gelatin, 0.0095 mol of maleic anhydride-modified mitomycin MMC-MA, and 0.01 mol of initiator TPO-L were injected into a microfluidic mold and irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device; the aqueous humor drainage device was then added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。1.5 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 were mixed, injected into a microfluidic mold, and irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device; then the aqueous humor drainage device was added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。0.5 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 were mixed and injected into a microfluidic mold. The mixture was irradiated with ultraviolet light of a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device. The aqueous humor drainage device was then added into a 15% by mass aqueous solution of methacryloylated dextran (DXM), and the mixture was shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。1 mol of dithiothreitol, 0.909 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO were mixed and injected into a microfluidic mold. After irradiation with ultraviolet light at a wavelength of 355 nm for 30 seconds, the desired aqueous humor drainage device could not be obtained.
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, and its preparation method 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。1 mol of dithiothreitol, 0.909 mol of vinyl gelatin and 0.005 mol of initiator TPO were mixed and injected into a microfluidic mold. The mixture was irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device. The aqueous humor drainage device was then added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。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 were mixed and injected into a microfluidic mold. The mixture was irradiated with ultraviolet light at a wavelength of 355 nm for 120 s to obtain an aqueous humor drainage device. The aqueous humor drainage device was then added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor 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, and its preparation method 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。1 mol of dithiothreitol, 0.9 mol of gelatin, 0.009 mol of maleic anhydride-modified mitomycin MMC-MA and 0.005 mol of initiator TPO were mixed and injected into a microfluidic mold. The mixture was irradiated with ultraviolet light at a wavelength of 355 nm for 30 seconds to obtain an aqueous humor drainage device. The aqueous humor drainage device was then added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。1 mol of dithiothreitol, 0.9 mol of vinyl gelatin, 0.009 mol of mitomycin MMC and 0.005 mol of initiator TPO were mixed, injected into a microfluidic mold, and irradiated with ultraviolet light at a wavelength of 355 nm for 60 seconds to obtain an aqueous humor drainage device; then the aqueous humor drainage device was added into a 15% mass fraction of methacryloylated dextran (DXM) aqueous solution, and shaken at 37°C for 7 days to obtain a surface-modified aqueous humor drainage device.
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, and its preparation method 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。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 were mixed, injected into a microfluidic mold, and irradiated with ultraviolet light at a wavelength of 355 nm 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 devices prepared in each embodiment and comparative example was tested according to the following method:
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 cell response. Primary fibroblasts (10 cells/well) were cultured with DMEM containing 10% fetal bovine serum by mass. After the fibroblasts were precipitated, the aqueous humor drain was inserted into the migration test so that it was completely immersed in the medium. After 5 days of culture, the state of fibroblasts was detected by live/dead staining and CCK-8, and the live/dead ratio of fibroblasts (HTFs) at 5 days was calculated. The higher the activity of fibroblasts, the more severe 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 bromide cells were maintained in T-75 Falcon cell culture medium (DMEM) containing 10% fetal bovine serum (FBS) and 100 units/ml penicillin and 0.1 mg/ml streptomycin using sterile Dulbecco's modified Falcon medium (DMEM) with 10% fetal bovine serum (FBS) and 100 units/ml penicillin and 0.1 mg/ml streptomycin. Six samples of each cover (36 samples in total) were placed in 6-well tissue culture plates and irradiated under UV light for 10-15 minutes. Cells were seeded onto the coverslips at a density of approximately 11 000 cells/cm. The cells were then incubated at 37°C, 5% CO2 for 24 h, after which the medium was decanted and gently rinsed once with PBS. The number of adherent cells was defined as the number of viable cells per 100*field. The percentage of control adhesion was calculated by multiplying the ratio of the percentage of viable cells on the treated substrate to the percentage of viable cells on the untreated substrate by 100. The mean control adhesion rate was determined for each sample group, and statistical comparisons of viability assays were performed as described above.
质量损失率的测试:Quality loss rate test:
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。Degradation stability testing is determined by measuring the weight change of samples after immersion in 1 mol sodium hydroxide at 37°C for 4 time points over 1 month. The samples consist of 10 mg mechanically cut cylinders with a diameter of 1.6 mm and a height of 1.2 mm. The dry mass of each sample is measured with a precision of 0.1 μg. 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. The mass loss is the mass inside the (polytetrafluoroethylene) block after the sample is placed on the polytetrafluoroethylene; placed in a vacuum oven at 120°C for 24 hours, and then the sample is removed and reweighed to determine the final mass lost. The mass loss is calculated as the change from the initial weight to the vacuum dried mass as a mass percentage. The data reported is the average 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 drainage devices prepared in various embodiments of the present invention have excellent structural stability, and are helpful in reducing scarring and limiting 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 increases the amount of thiol material added in the thiol-ene material. Although the prepared aqueous humor drainage device reduces cell adhesion and reduces the risk of aqueous humor drainage device blockage, its mass loss rate increases and the structural stability of the aqueous humor drainage device deteriorates.
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 cells in the prepared aqueous humor drainage device increases, the risk of clogging of the aqueous humor drainage device increases, and the mass loss rate also decreases slightly, and the structural stability deteriorates.
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, the ene material in the thiol-ene material only added the first ene material MMC-MA. It was difficult to form according to the molding parameters in Example 1, and the prepared 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。In Comparative Example 4, compared with Example 1, only the second ene material was added to the ene material in the thiol-ene material. The live/dead ratio of HTFs fibroblasts in the prepared aqueous humor drainage device was significantly increased after 5 days, which increased the risk of scarring. At the same time, cell adhesion was slightly increased compared with Example 1, and the risk of blockage of the aqueous humor drainage device was 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 increases the amount of the first olefin material added in the olefin material, the molding difficulty increases, and the required molding time becomes longer; although the aqueous humor drainage device can be molded, the prepared aqueous humor drainage device has a lower live/dead ratio of HTFs fibroblasts at 5 days and a lower risk of scarring, but the mass loss rate increases and the structural stability deteriorates.
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, in Comparative Example 6, gelatin was used instead of vinyl gelatin, but the aqueous humor drainage device could not be formed by cross-linking.
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 is used instead of MMC-MA, which increases the difficulty of molding and prolongs the required molding time; the live/dead ratio of HTFs fibroblasts in the prepared aqueous humor drainage device increases after 5 days; MMC is not covalently bonded to the aqueous humor drainage device but filled in the aqueous humor drainage device in the form of a blend, which reduces the ability to inhibit scarring in the long term; 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。Compared with Example 1, in Comparative Example 8, the surface of the aqueous humor drainage device was not chemically modified by using methacryloyl dextran. The cell adhesion of the prepared aqueous humor drainage device was significantly increased, and the 5-day HTFs fibroblast live/dead ratio was also increased, and the risk of scarring was 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。Based on the above ideal embodiments of the present invention, the relevant staff can make various changes and modifications without departing from the technical concept of the present invention through the above description. The technical scope of the present invention is not limited to the contents of the specification, and its technical scope must be determined according to the scope of the claims.
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