CN116785500A - A kind of degradable polymer tissue engineering scaffold and its preparation method and application - Google Patents
A kind of degradable polymer tissue engineering scaffold and its preparation method and application Download PDFInfo
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- CN116785500A CN116785500A CN202310879743.XA CN202310879743A CN116785500A CN 116785500 A CN116785500 A CN 116785500A CN 202310879743 A CN202310879743 A CN 202310879743A CN 116785500 A CN116785500 A CN 116785500A
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- MYPYJXKWCTUITO-LYRMYLQWSA-O vancomycin(1+) Chemical compound O([C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@H]1OC1=C2C=C3C=C1OC1=CC=C(C=C1Cl)[C@@H](O)[C@H](C(N[C@@H](CC(N)=O)C(=O)N[C@H]3C(=O)N[C@H]1C(=O)N[C@H](C(N[C@@H](C3=CC(O)=CC(O)=C3C=3C(O)=CC=C1C=3)C([O-])=O)=O)[C@H](O)C1=CC=C(C(=C1)Cl)O2)=O)NC(=O)[C@@H](CC(C)C)[NH2+]C)[C@H]1C[C@](C)([NH3+])[C@H](O)[C@H](C)O1 MYPYJXKWCTUITO-LYRMYLQWSA-O 0.000 description 1
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Abstract
Description
技术领域Technical field
本发明属于组织再生医学领域,尤其涉及一种可降解聚合物组织工程支架及其制备方法与应用。The invention belongs to the field of tissue regeneration medicine, and in particular relates to a degradable polymer tissue engineering scaffold and its preparation method and application.
背景技术Background technique
甲壳质衍生物(甲壳质聚酯)在脂肪族酸酐和环状酸酐以及某些羟基酸存在条件下通过甲壳质酯化反应获得。之前已经去除碳酸钙的甲壳质在所选取的催化剂(同时作为反应介质)和所选取的酸酐或者羟基酸存在下进行酰化作用。甲壳质在一个或两个位置均可发生酯化。甲壳质取代物可以是羟基酸的衍生物(乳酸、乙醇酸)、直链饱和脂肪族酸酐(酸性残余物的链长度从C2到C8,例如从乙酸酐到辛烯酸酐和来自诸如乙酸丙烯酸酐、丁烯丙烯酸酐的酸酐)、支链脂肪族不饱和酸酐(甲基丙烯酸酐、2-丁烯酸酐)或者环状酸酐(马来酸酐、戊二酸酐、唬珀酸酐、邻苯二甲酸酐)。甲壳质可以使用相同或者不同链长度的一个或者两个取代物在一个或者两个位置被取代。Chitin derivatives (chitin polyesters) are obtained by chitin esterification in the presence of aliphatic and cyclic acid anhydrides and certain hydroxy acids. Chitin, from which calcium carbonate has been previously removed, is acylated in the presence of the selected catalyst (which also serves as the reaction medium) and the selected acid anhydride or hydroxy acid. Chitin can be esterified at one or two positions. Chitin substitutes can be derivatives of hydroxy acids (lactic acid, glycolic acid), linear saturated aliphatic anhydrides (acidic residues with chain lengths from C2 to C8, e.g. from acetic anhydride to octenoic anhydride and from e.g. acetic acid acrylic anhydride , anhydride of butylene acrylic anhydride), branched aliphatic unsaturated anhydride (methacrylic anhydride, 2-butenoic anhydride) or cyclic acid anhydride (maleic anhydride, glutaric anhydride, fluoric anhydride, phthalic anhydride ). Chitin can be substituted at one or two positions using one or two substituents of the same or different chain lengths.
在浸出(leaching)的情况下,“甲壳质衍生物”在催化剂和具有C2到C8的酸性残余链的直链饱和脂肪族酸酐(例如,从乙酸酐到辛烯酐和来自诸如乙酸丙酸酐、丁酸-丙酸酐的酸酐)、支链不饱和脂肪酸酐(例如,甲基丙烯酸酐、2-丁烯酸酐)或者环状酸酐(戊二酸酐、唬珀酸酐、邻苯二甲酸酐)的存在下,甲壳质酯化反应中产生的甲壳质聚酯。In the case of leaching, "chitin derivatives" are present in catalysts and linear saturated aliphatic anhydrides with acidic residual chains from C2 to C8 (e.g., from acetic anhydride to octene anhydride and from, for example, acetic anhydride to propionic anhydride, The presence of butyric-propionic anhydride), branched unsaturated fatty acid anhydrides (e.g., methacrylic anhydride, 2-butenoic anhydride), or cyclic anhydrides (glutaric anhydride, fluoric anhydride, phthalic anhydride) Below, chitin polyester produced in chitin esterification reaction.
甲壳质和壳聚糖可作为巨噬细胞或中性粒细胞的化学引诱物,借此开启愈合过程,并刺激肉芽和上皮的再形成过程,同时限制疤痕形成。此外,甲壳质和其衍生物自身具有抗细菌和抗真菌属性。推测与“细菌细胞壁的阴离子相结合的阳离子基团可以抑制生物合成”有关,而且,甲壳质会破坏细菌细胞壁的分子运输,加速其死亡。Chitin and chitosan act as chemoattractants for macrophages or neutrophils, thereby initiating the healing process and stimulating granulation and re-epithelialization processes while limiting scarring. In addition, chitin and its derivatives themselves possess antibacterial and antifungal properties. It is speculated that "the cationic group combined with the anion of the bacterial cell wall can inhibit biosynthesis", and that chitin will disrupt the molecular transport of the bacterial cell wall and accelerate its death.
甲壳质及其衍生物应用在再生医学中具备以下优点:The application of chitin and its derivatives in regenerative medicine has the following advantages:
(1)生物相容性高,可诱导细胞通讯和组织再生;(1) High biocompatibility, can induce cell communication and tissue regeneration;
(2)具有较适合的机械和物理性能;(2) Has relatively suitable mechanical and physical properties;
(3)可生物降解性:在不超过破损创面再生重塑的适合速率下逐渐降解,且不诱导免疫反应;其降解产物无毒性。该过程是基于乙酰残基的酶解反应(以体内溶菌酶为主);(3) Biodegradability: Gradually degrades at a rate that does not exceed the appropriate rate for regeneration and remodeling of damaged wounds, and does not induce an immune response; its degradation products are non-toxic. This process is based on the enzymatic hydrolysis reaction of acetyl residues (mainly lysozyme in vivo);
(4)可用于干细胞及其他细胞粘附、增生、迁移、分化(聚合物可与生长因子,粘性蛋白,血清蛋白,血纤维蛋白,和凝血酶等结合,促进细胞贴附及用于创面止血),并促进培养过程中的干细胞迁移等;(4) Can be used for adhesion, proliferation, migration, and differentiation of stem cells and other cells (polymers can be combined with growth factors, viscous proteins, serum proteins, fibrin, and thrombin to promote cell adhesion and be used for wound hemostasis) ), and promote stem cell migration during culture;
(5)甲壳质和其衍生物具有一定的物理抗菌能力,同时也可以与抗菌素、化学抗菌剂结合避免创面感染,对难治愈伤口愈合具有重要意义;(5) Chitin and its derivatives have certain physical antibacterial abilities and can also be combined with antibiotics and chemical antibacterial agents to avoid wound infection, which is of great significance for the healing of difficult-to-heal wounds;
(6)甲壳质和其衍生物多糖可作为药物的载体,它们被体液缓慢溶解过程可确保药品随之实现持续缓释。(6) Chitin and its derivative polysaccharides can be used as drug carriers. Their slow dissolution by body fluids can ensure sustained and sustained release of drugs.
目前重度烧伤治疗仍然以植皮为主,多采用自体皮肤进行移植,但是当伤口面积较大时,自体皮肤的供给是有限的,从而不能满足医用需求,且由于自体皮肤的移植是必须依赖手术实现,这将增大患者在治疗期间的痛苦,不利于患者伤口的愈合,另外虽然现在市场上已经出现并用于临床的皮肤替代性产品,但是由于其生物兼容性差,诱发强烈免疫反应,或原材料存在难以溯源的动物或人体围产期废弃物组织等,存在一定安全隐患,且无法进行规模化工业生产,严重影像了同类产品的市场化推广进程。At present, skin grafting is still the main treatment for severe burns, and autologous skin is often used for transplantation. However, when the wound area is large, the supply of autologous skin is limited, which cannot meet medical needs. Moreover, autologous skin transplantation must rely on surgery. , which will increase the patient's pain during treatment and is not conducive to the patient's wound healing. In addition, although skin replacement products have appeared on the market and are used clinically, they induce strong immune responses due to their poor biocompatibility, or the presence of raw materials Animals or human perinatal waste tissues that are difficult to trace have certain safety risks and cannot be produced on a large scale, seriously affecting the market promotion process of similar products.
发明内容Contents of the invention
本发明的首要目的在于提供一种可降解聚合物组织工程支架。The primary purpose of the present invention is to provide a degradable polymer tissue engineering scaffold.
本发明的再一目的在于提供上述可降解聚合物组织工程支架的制备方法。Another object of the present invention is to provide a method for preparing the above-mentioned degradable polymer tissue engineering scaffold.
本发明的另一目的在于提供上述可降解聚合物组织工程支架的应用。Another object of the present invention is to provide the application of the above-mentioned degradable polymer tissue engineering scaffold.
本发明是这样实现的,一种可降解聚合物组织工程支架的制备方法,该方法包括以下步骤:The present invention is implemented as follows: a method for preparing a degradable polymer tissue engineering scaffold, which method includes the following steps:
(1)以厚度为2~8mm的基于甲壳质衍生物的水凝胶敷料作为活性聚合物层,其中,该活性聚合物层内孔隙率为1~90%、孔径大小为100~4000μm;(1) A hydrogel dressing based on chitin derivatives with a thickness of 2 to 8 mm is used as the active polymer layer, wherein the porosity in the active polymer layer is 1 to 90% and the pore size is 100 to 4000 μm;
(2)在活性聚合物层上制备吸收层,该吸收层选自亲水性纤维层、藻酸盐层、半渗透性聚氨酯膜、水状胶体层中的至少一种,得到活性聚合物层-吸收层;(2) Prepare an absorbent layer on the active polymer layer. The absorbent layer is selected from at least one of a hydrophilic fiber layer, an alginate layer, a semi-permeable polyurethane membrane, and a hydrocolloid layer to obtain an active polymer layer. -absorbent layer;
(3)将人血清白蛋白、丝素蛋白、凝血酶及纤维蛋白溶液依次均匀喷涂于活性聚合物层-吸收层表面以形成间充质干细胞贴附层,得到可降解聚合物组织工程支架。(3) Spray human serum albumin, silk fibroin, thrombin and fibrin solutions evenly on the surface of the active polymer layer-absorbent layer in sequence to form a mesenchymal stem cell attachment layer to obtain a degradable polymer tissue engineering scaffold.
优选地,所述甲壳质衍生物选自羟基酸、直链饱和脂肪族酸酐、支链脂肪族不饱和酸酐以及环状酸酐中的任意一种;Preferably, the chitin derivative is selected from any one of hydroxy acids, linear saturated aliphatic acid anhydrides, branched chain aliphatic unsaturated acid anhydrides and cyclic acid anhydrides;
所述甲壳质衍生物的混合物为两种或多种甲壳质衍生物、或者甲壳质衍生物与其他具有生物相容性的、可生物降解的聚合物的组合,该聚合物选自聚交酯、聚乙二醇、3-羟基丁酸聚酯中的至少一种。The mixture of chitin derivatives is a combination of two or more chitin derivatives, or a chitin derivative and other biocompatible, biodegradable polymers, and the polymer is selected from polylactide , at least one of polyethylene glycol and 3-hydroxybutyric acid polyester.
优选地,所述羟基酸为乳酸或乙醇酸;所述直链饱和脂肪族酸酐的酸基链长度为C2~C8,且选自从乙酸酐到辛烯酸酐以及乙酸-丙酸酐、丁酸-丙酸酐的酸酐中的任意一种;所述支链脂肪族不饱和酸酐为甲基丙烯酸酐或2-丁烯酸酐;所述环状酸酐选自马来酸酐、戊二酸酐、唬珀酸酐以及邻苯二甲酸酐中的任意一种。Preferably, the hydroxy acid is lactic acid or glycolic acid; the acid group chain length of the linear saturated aliphatic anhydride is C2 to C8, and is selected from acetic anhydride to octenoic anhydride, acetic acid-propionic anhydride, butyric acid-propionic anhydride. Any one of the acid anhydrides; the branched aliphatic unsaturated acid anhydride is methacrylic anhydride or 2-butenoic anhydride; the cyclic acid anhydride is selected from maleic anhydride, glutaric anhydride, acetic anhydride and ophthalmic anhydride. Any of phthalic anhydride.
优选地,在步骤(3)中,所述喷涂的过程包括以下步骤:将含有浓度为1ug/mL~100mg/mL的人血清白蛋白、0.1-100mg/mL丝素蛋白混合溶液,以0.1~2mL/s均匀喷涂5~60s于聚合物层-吸收层表面,待该层材料基本干燥后,以0.1~2mL/s流速匀速喷涂5~60s含有0.1~000U/mL人凝血酶的溶液),间隔5min~5h后,以0.1~2mL/s流速匀速喷涂5~60s含有0.2~5.0mg/mL纤维蛋白原的溶液,37℃静置5min~5h,烘干。Preferably, in step (3), the spraying process includes the following steps: adding a mixed solution containing human serum albumin and silk fibroin at a concentration of 1ug/mL to 100mg/mL, and adding 0.1 to 100mg/mL of silk fibroin. Spray 2 mL/s evenly on the surface of the polymer layer-absorbent layer for 5 to 60 seconds. After the layer material is basically dry, spray a solution containing 0.1 to 000 U/mL human thrombin at a flow rate of 0.1 to 2 mL/s for 5 to 60 seconds. After an interval of 5 minutes to 5 hours, spray a solution containing 0.2 to 5.0 mg/mL fibrinogen at a constant flow rate of 0.1 to 2 mL/s for 5 to 60 seconds, let it stand at 37°C for 5 minutes to 5 hours, and dry.
本发明进一步公开了上述制备方法得到的可降解聚合物组织工程支架。The invention further discloses the degradable polymer tissue engineering scaffold obtained by the above preparation method.
本发明进一步公开了上述可降解聚合物组织工程支架在制备破损创面再生重塑的药物或药物载体中的应用。The invention further discloses the application of the above-mentioned degradable polymer tissue engineering scaffold in preparing drugs or drug carriers for regeneration and remodeling of damaged wounds.
本发明进一步公开了一种复合组织工程支架系统,该系统包括上述可降解聚合物组织工程支架以及负载结合在该可降解聚合物组织工程支架上的干细胞。The invention further discloses a composite tissue engineering scaffold system, which system includes the above-mentioned degradable polymer tissue engineering scaffold and stem cells loaded and combined on the degradable polymer tissue engineering scaffold.
本发明进一步公开了上述复合组织工程支架系统在制备伤口的愈合药物和/或皮肤、组织再生药物中的应用。The invention further discloses the application of the above-mentioned composite tissue engineering scaffold system in preparing wound healing drugs and/or skin and tissue regeneration drugs.
本发明克服现有技术的不足,提供一种可降解聚合物组织工程支架及其制备方法与应用。本发明通过以厚度为2~8mm的基于甲壳质衍生物的水凝胶敷料作为活性聚合物层,其中,该活性聚合物层内孔隙率为1~90%、孔径大小为100~4000μm;其次,在活性聚合物层上制备吸收层,该吸收层选自亲水性纤维层、藻酸盐层、半渗透性聚氨酯膜、水状胶体层中的至少一种,得到活性聚合物层-吸收层;最后,将人血清白蛋白、丝素蛋白、凝血酶及纤维蛋白溶液依次均匀喷涂于活性聚合物层-吸收层表面以形成间充质干细胞贴附层,得到可降解聚合物组织工程支架。The present invention overcomes the shortcomings of the existing technology and provides a degradable polymer tissue engineering scaffold and its preparation method and application. The present invention uses a hydrogel dressing based on chitin derivatives with a thickness of 2 to 8 mm as an active polymer layer, wherein the porosity in the active polymer layer is 1 to 90% and the pore size is 100 to 4000 μm; secondly , prepare an absorption layer on the active polymer layer, the absorption layer is selected from at least one of a hydrophilic fiber layer, an alginate layer, a semi-permeable polyurethane membrane, and a hydrocolloid layer, to obtain an active polymer layer-absorption layer layer; finally, human serum albumin, silk fibroin, thrombin and fibrin solutions are evenly sprayed on the surface of the active polymer layer-absorbent layer in sequence to form a mesenchymal stem cell adhesion layer, and a degradable polymer tissue engineering scaffold is obtained. .
活性聚合物层是由一种甲壳质衍生物(0.1~100体积%)或甲壳质衍生物的混合物(两种或多种甲壳质衍生物或者结合有其他常见可获得的生物相容的、可生物降解的聚合物,如:聚丙交酯(polylactide)、聚乙二醇、3-羟基丁酸聚酯等甲壳质衍生物)制成的基于一个或者多个甲壳质衍生物的生物复合材料。甲壳质衍生物是指与羟基酸(诸如:乳酸、乙醇酸)、直链饱和脂肪族酸酐(酸基链长度C2~C8),(如,从乙酸酐到辛烯酸酐和来自诸如乙酸丙酸酐、丁酸-丙酸酐的酸酐)、支链脂肪族不饱和酸酐(如,甲基丙烯酸酐、2-丁烯酸酐)或者环状酸酐(马来酸酐、戊二酸酐、唬珀酸酐、邻苯二甲酸酐)。甲壳质衍生物能借助其一个或者两个位点与不同长度的一个或两个取代物发生取代反应。活性聚合物层具有三维结构(包括直径为0.1mm~4.0mm的孔隙(直孔或盘绕孔),取决于伤口类型,或者形成不同尺寸的孔,孔在敷料材料中的占比为1~90体积%)。该活性聚合物层可进一步结合与有助于创面修复的吸收层。The active polymer layer is composed of a chitin derivative (0.1 to 100% by volume) or a mixture of chitin derivatives (two or more chitin derivatives or in combination with other commonly available biocompatible, bioavailable Biocomposite materials based on one or more chitin derivatives made from biodegradable polymers, such as polylactide, polyethylene glycol, 3-hydroxybutyric acid polyester and other chitin derivatives. Chitin derivatives refer to compounds with hydroxy acids (such as lactic acid, glycolic acid), linear saturated aliphatic anhydrides (acid group chain length C2 ~ C8), (for example, from acetic anhydride to octenoic anhydride and from such as acetic acid propionic anhydride , butyric acid-propionic anhydride), branched aliphatic unsaturated anhydride (such as methacrylic anhydride, 2-butenoic anhydride) or cyclic acid anhydride (maleic anhydride, glutaric anhydride, fluoric anhydride, phthalic anhydride dicarboxylic anhydride). Chitin derivatives can undergo substitution reactions with one or two substituents of different lengths via one or two of their sites. The active polymer layer has a three-dimensional structure (including pores (straight holes or coiled holes) with a diameter of 0.1 mm to 4.0 mm, depending on the type of wound, or forming holes of different sizes, and the proportion of holes in the dressing material is 1 to 90 volume%). The active polymer layer can be further combined with an absorbent layer that aids in wound repair.
此外,活性聚合物层的敷料特性也可以直接制成具有悬浮甲壳质衍生物或者它们的混合物分子的水凝胶,该水凝胶存储大量的水(5~85体积%),可直接涂抹于创面,由于其亲水性能,能确保干伤口的集中保湿和水化,并仅在小范围吸收和结合伤口渗出物,可用于无大面积渗出物的伤口。这种类型活性聚合物层敷料可用于二级烧伤、擦伤已经覆盖皮肤移植过程中取皮的区域。In addition, the dressing properties of the active polymer layer can also be directly made into a hydrogel with suspended chitin derivatives or their mixture molecules. The hydrogel stores a large amount of water (5-85% by volume) and can be directly applied to the The wound surface, due to its hydrophilic properties, can ensure concentrated moisturizing and hydration of dry wounds, and only absorbs and binds wound exudate in a small area, so it can be used for wounds without large-area exudates. This type of active polymer layer dressing can be used for second-degree burns and abrasions over areas where skin has been removed during skin grafting.
在吸收层中可根据功能需要选择为亲水性纤维层、藻酸盐层、半渗透性聚氨酯膜、水状胶体层中的至少一种。In the absorption layer, at least one of a hydrophilic fiber layer, an alginate layer, a semi-permeable polyurethane membrane, and a hydrocolloid layer can be selected according to functional requirements.
(1)亲水性纤维层(1) Hydrophilic fiber layer
基于羧甲基纤维素(或者具有类似的物理和化学性能的其他纤维素衍生物),纤维素衍生物含量从5~100体积%,层厚度从0.1mm~5.0mm,形状和尺寸取决于内层,以亲水性纤维的形式被压缩成板。亲水性纤维层与伤口渗出物接触形成凝胶涂层,其中,渗出物被吸收并捕获在亲水性纤维层的纤维结构中,因而消除了致病菌。亲水性纤维层优先适用于存在大量渗出物的高感染风险类创面。此外,可添加银离子(0.1~2体积%)为该亲水性纤维层提供抑菌功能。Based on carboxymethyl cellulose (or other cellulose derivatives with similar physical and chemical properties), the cellulose derivative content ranges from 5 to 100% by volume, the layer thickness ranges from 0.1mm to 5.0mm, and the shape and size depend on the inner Layers, in the form of hydrophilic fibers, are compressed into sheets. The hydrophilic fibrous layer contacts the wound exudate to form a gel coating, in which the exudate is absorbed and trapped in the fibrous structure of the hydrophilic fibrous layer, thus eliminating pathogenic bacteria. The hydrophilic fiber layer is preferred for wounds with a high risk of infection that have a large amount of exudate. In addition, silver ions (0.1 to 2 volume %) can be added to provide the hydrophilic fiber layer with an antibacterial function.
(2)藻酸盐层(2)Alginate layer
基于藻酸盐层-钙和从藻酸(D-甘露糖醛酸和L-葡萄糖醛酸)钠-钙衍生物获得的钠-钙藻酸盐和从海洋褐藻得到的聚合物(GG、MM、MG blocks;L-葡萄糖醛酸25~85体积%、甘露糖醛酸20~70体积%,葡萄糖醛酸的百分比含量超过甘露糖醛酸百分比含量;钙离子含量0.1~10.0体积%、钠离子含量0.1~2.0%)。藻酸盐层是由纤维被压缩的形式制备。当伤口渗出物被吸收时,结合了渗出物的凝胶形成在纤维周围。凝胶化的现象是基于纤维表面上钙离子和渗出物中的钠离子的交换,藻酸盐层可用于中度和重度的渗出型伤口。Based on alginate layer - calcium and sodium-calcium alginates obtained from sodium-calcium derivatives of alginic acid (D-mannuronic acid and L-glucuronic acid) and polymers obtained from marine brown algae (GG, MM , MG blocks; L-glucuronic acid 25 to 85 volume %, mannuronic acid 20 to 70 volume %, the percentage content of glucuronic acid exceeds the percentage content of mannuronic acid; calcium ion content 0.1 to 10.0 volume %, sodium ion Content 0.1~2.0%). The alginate layer is prepared from fibers in a compressed form. As wound exudate is absorbed, a gel incorporating the exudate forms around the fibers. The phenomenon of gelation is based on the exchange of calcium ions on the fiber surface and sodium ions in the exudate. The alginate layer can be used for moderate and severe exudative wounds.
(3)半渗透性聚氨酯膜(3) Semi-permeable polyurethane membrane
聚氨酯含量为15~100体积%、层厚度为0.1mm~5.0mm,形成微生物和水的屏障(防水),并允许气体从伤口表面蒸发,同时确保了内部潮湿,表面干燥的伤口环境,且容易从与伤口直接接触的层面移除。因此,半渗透性聚氨酯膜适用于轻微和中等渗出型创面。The polyurethane content is 15~100% by volume and the layer thickness is 0.1mm~5.0mm, forming a barrier (waterproof) between microorganisms and water, and allowing gas to evaporate from the wound surface, while ensuring a moist internal wound environment and a dry surface, and is easy to Remove from layers that are in direct contact with the wound. Therefore, semi-permeable polyurethane membranes are suitable for mild and moderate exuding wounds.
(4)水状胶体层(4) Hydrocolloid layer
水状胶体层为板状形式,包括外保护层和内层。外保护层是半渗透性的(目的:保护免受致病微生物的污染和入侵),内层包含悬浮在疏水性果胶中的羧甲基纤维素(羧甲基纤维素钠和其他类型的羧甲基纤维素)的亲水性分子(确保适合的湿度)和胶质(确保略酸性pH)的混合物。在与伤口渗出物接触过程中,水状胶体层发生膨胀并且由于增大分子的相互作用变成凝胶。凝结成均质的粘性胶体系统,其中自由空间填充有所吸收的渗出物。该水状胶体层可维持湿润的伤口环境、恒温和略酸性pH条件(降低疼痛、酸性pH降低了使神经末梢变得敏感的PGE2的前列腺素产生)。水状胶体层可用于轻微和中等地渗出型伤口。The hydrocolloid layer is in the form of a plate, including an outer protective layer and an inner layer. The outer protective layer is semi-permeable (purpose: to protect against contamination and invasion by pathogenic microorganisms), the inner layer contains carboxymethylcellulose (sodium carboxymethylcellulose and other types) suspended in hydrophobic pectin A mixture of hydrophilic molecules (ensure suitable humidity) and colloids (ensure a slightly acidic pH) of carboxymethyl cellulose. During contact with wound exudate, the hydrocolloid layer swells and becomes a gel due to the interaction of enlarging molecules. Condensation into a homogeneous viscous colloid system in which the free spaces are filled with absorbed exudate. This hydrocolloid layer maintains a moist wound environment, constant temperature and slightly acidic pH conditions (reduces pain, acidic pH reduces prostaglandin production of PGE2 that sensitizes nerve endings). The hydrocolloid layer can be used in mild to moderate exuding wounds.
本发明采用于可降解聚合物结合干细胞技术具备联合治疗效果,及针对深三度烧伤等难愈合创面修复能力。因为甲壳质是阳离子,并且它主要介导与阴离子葡萄糖胺聚糖(GAG)、蛋白多糖和其他带负电的分子的静电结合。而间充质干细胞可分泌大量细胞因子/生长因子,可直接与GAG结合并被高度富集与修复材料表面,进而协助干细胞促进周围组织有序再生。The invention uses degradable polymer combined with stem cell technology to have a combined therapeutic effect and the ability to repair difficult-to-heal wounds such as deep third-degree burns. Because chitin is cationic, and it primarily mediates electrostatic binding to anionic glycosaminoglycans (GAGs), proteoglycans, and other negatively charged molecules. Mesenchymal stem cells can secrete a large amount of cytokines/growth factors, which can directly bind to GAG and be highly enriched and repair the material surface, thereby assisting stem cells in promoting orderly regeneration of surrounding tissues.
本发明具有内在的抗菌效果,同时允许外源性的抗菌因子的结合和受控释放,并且甲壳素的抗菌效果与MSC的组织抗炎效果的交互影响,在抗感染及促进组织愈合方面具有双重效果,相比同类竞品(聚合物网)具有显著优势。The present invention has an intrinsic antibacterial effect, while allowing the binding and controlled release of exogenous antibacterial factors, and the interaction between the antibacterial effect of chitin and the tissue anti-inflammatory effect of MSC has dual effects in anti-infection and promoting tissue healing. The effect is significant compared to similar competing products (polymer mesh).
相比于现有技术的缺点和不足,本发明具有以下有益效果:Compared with the shortcomings and deficiencies of the prior art, the present invention has the following beneficial effects:
(1)本发明采用三次喷涂工艺,分别将可控剂量的人血清白蛋白和丝素蛋白的混合溶液,凝血酶及纤维蛋白溶液均匀喷涂于可降解聚合物组织工程支架的吸收层表面。该保护层一方面有助于干细胞依附增殖,同时当该皮肤支架贴附在伤口处时,可通过皮肤支架上的人血清白蛋白实现创面保护(防止组织液渗出),以此降低伤口溃烂发生率,同时还可为破损组织提供营养成分,促进伤口的愈合,该皮肤支架贴附在伤口上时,还可通过其上的残余凝血酶活性与患者血液中纤维蛋白源作用,对破损处起到止血效果。丝素蛋白可在一定程度上增加支架的柔韧性。(1) The present invention uses three spraying processes to evenly spray controllable doses of a mixed solution of human serum albumin and silk fibroin, thrombin and fibrin solutions on the surface of the absorption layer of the degradable polymer tissue engineering scaffold. On the one hand, this protective layer helps stem cells adhere and proliferate. At the same time, when the skin scaffold is attached to a wound, the human serum albumin on the skin scaffold can achieve wound protection (prevent tissue fluid from leaking out), thereby reducing the occurrence of wound ulcers. At the same time, it can also provide nutrients for damaged tissue and promote wound healing. When the skin stent is attached to the wound, it can also act on the damaged area through the interaction of the residual thrombin activity on it with the fibrin source in the patient's blood. To stop bleeding. Silk fibroin can increase the flexibility of the scaffold to a certain extent.
(2)本发明在使用前将其独立保存的复合支架材料与干细胞培养液浸泡后,可以承载不同来源的干细胞贴附其中,实现更好的烧伤治疗效果,解决深三度大面积烧伤患者依赖反复植皮的“痛苦境况”,大大降低患者手术难度及治疗费用,同时可以显著提高深三度烧伤组织愈合效果。由于干细胞的存在,可在局部诱导特异性的表皮、真皮、血管等结缔组织有序分化,形成较小疤痕,同时能够促进毛囊汗腺等特殊皮肤结构的再生;最终形成具有生理功能的再生皮肤。(2) In the present invention, after soaking the independently preserved composite scaffold material in the stem cell culture solution before use, stem cells from different sources can be attached to it to achieve better burn treatment effects and solve the dependence of patients with deep third-degree and large-area burns. The "painful situation" of repeated skin grafting can greatly reduce the difficulty of surgery and treatment costs for patients, and at the same time, it can significantly improve the healing effect of deep third-degree burn tissue. Due to the existence of stem cells, specific epidermis, dermis, blood vessels and other connective tissues can be locally induced to differentiate in an orderly manner, forming smaller scars. At the same time, it can promote the regeneration of special skin structures such as hair follicles and sweat glands; ultimately forming regenerated skin with physiological functions.
(3)本发明由于贴附在伤口上的皮肤支架具有活性,使皮肤支架贴合伤口患处一段时间内能够与人体皮肤成为一体,使伤口处实现永久性修复,避免多次植皮的传统修复过程,该复合皮肤支架可减轻病人因反复植皮承受的痛苦。(3) In the present invention, since the skin stent attached to the wound is active, the skin stent can be integrated with the human skin after being attached to the affected part of the wound for a period of time, enabling permanent repair of the wound and avoiding the traditional repair process of multiple skin grafts. , the composite skin scaffold can reduce the pain suffered by patients due to repeated skin grafting.
(4)本发明使用的材料来源广泛,为常见无机及有机化合物,成本低廉,便于规模化生产,有效的减少了皮肤供需矛盾;另外该种复合皮肤支架不仅取材方便,还具有制作过程简单,便于医护人员的操作、便于储存、运输、商品化制备及临床应用的优点。(4) The materials used in the present invention come from a wide range of sources, including common inorganic and organic compounds. They are low-cost, convenient for large-scale production, and effectively reduce the contradiction between supply and demand of skin. In addition, this kind of composite skin scaffold is not only convenient to obtain materials, but also has a simple manufacturing process. It has the advantages of convenience for medical staff to operate, storage, transportation, commercial preparation and clinical application.
(5)本发明生产的特殊皮肤支架系统,具备极高的生物兼容性(附带的MSC同样为低免疫原性细胞),移植后无排异反应,可充分保障该复合皮肤支架使用的安全性。(5) The special skin scaffold system produced by the present invention has extremely high biocompatibility (the attached MSCs are also low immunogenic cells), and there is no rejection reaction after transplantation, which can fully ensure the safety of the composite skin scaffold. .
(6)大动物深三度烧伤实验证明本发明结合干细胞可促进毛囊等高级皮肤结构的有效再生。(6) Experiments on deep third-degree burns in large animals prove that the present invention combined with stem cells can promote the effective regeneration of advanced skin structures such as hair follicles.
(7)本发明加入丝蛋白可在一定程度改善聚合物材料的柔韧性。(7) The addition of silk protein in the present invention can improve the flexibility of the polymer material to a certain extent.
附图说明Description of the drawings
图1是本发明可降解组织工程敷料(未结合MSC)促进创面愈合效果图;其中,A:敷料贴敷创面,B:敷料与创面高度融合;Figure 1 is a diagram showing the effect of the degradable tissue engineering dressing (not combined with MSC) of the present invention on promoting wound healing; A: the dressing is applied to the wound, B: the dressing is highly integrated with the wound;
图2是干细胞与支架的结合过程;其中,图2A~B是支架的活化,尚未接种细胞;图2C~D是接种细胞后的状态;Figure 2 shows the combination process of stem cells and scaffolds; Figures 2A-B show the activation of the scaffold, before cells are seeded; Figures 2C-D show the state after cells are seeded;
图3是可降解组织工程支架结合MSC增效改善深三度烧伤治疗效果;其中。左图:未结合MSC的可降解组织工程支架对深三度烧伤模型猪疗效评价(新生毛发相对较少);右图:结合MSC的可降解组织工程支架对深三度烧伤模型猪疗效评价(可诱导毛发再生)。Figure 3 shows the degradable tissue engineering scaffold combined with MSC synergy to improve the treatment effect of deep third-degree burns; among them. Left picture: Evaluation of the efficacy of a degradable tissue engineering scaffold without MSC on deep third-degree burn model pigs (relatively less new hair); Right picture: Evaluation of the efficacy of a degradable tissue engineering scaffold combined with MSC on deep third-degree burn model pigs ( Can induce hair regeneration).
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本发明,并不用于限定本发明。In order to make the purpose, technical solutions and advantages of the present invention more clear, the present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention and are not intended to limit the present invention.
实施例1Example 1
本实施例活性聚合物层的制备与参考专利CN 104582745 A中实施例1所记载内容和内涵相同,具体包括以下步骤:The preparation of the active polymer layer in this embodiment is the same as the content and connotation described in Example 1 of the reference patent CN 104582745 A, and specifically includes the following steps:
该活性聚合物层由一种甲壳质衍生物产生,该甲壳质衍生物通过与丙酸酐的酯化反应获得(在敷料中甲壳质衍生物的浓度百分比是100%)。通过直径2~8mm的喷嘴在恒定运输速率为0.5~1.0米/分、宽度为100mm的平坦的非吸收的表面(以带的形式)上以1~3升/分的速度倾倒丙酮中溶解的浓度为10~30%的衍生物甲壳质。一旦聚合物带固化,就可以用备好的印台(针的尺寸从0.098到3.98mm)以不同的路线、尺寸和布置密度和形状来形成孔,由此获得形状依赖于敷料的类型和目的的聚合物带。The active polymer layer is produced from a chitin derivative obtained by esterification with propionic anhydride (the concentration percentage of the chitin derivative in the dressing is 100%). Pour dissolved in acetone through a nozzle with a diameter of 2 to 8 mm at a rate of 1 to 3 l/min on a flat, non-absorbent surface (in the form of a belt) with a constant transport rate of 0.5 to 1.0 m/min and a width of 100 mm. Derivative chitin at a concentration of 10 to 30%. Once the polymer tape has cured, prepared ink pads (needle sizes from 0.098 to 3.98 mm) can be used to form holes in different routes, sizes and placement densities and shapes, thereby obtaining shapes depending on the type and purpose of the dressing. Polymer tape.
作为该过程的结果,产生活性聚合物层,它具有三维多孔结构或者无孔结构(在多孔结构的情况下,孔的直径是0.1mm到4.0mm,直的或者盘绕的,或者混合尺寸的孔,孔在单个敷料中的百分比从1到90%)。As a result of this process, an active polymer layer is produced, which has a three-dimensional porous structure or a non-porous structure (in the case of a porous structure, the diameter of the pores is 0.1 mm to 4.0 mm, straight or coiled, or mixed sized pores , the percentage of holes in a single dressing from 1 to 90%).
将准备好的活性聚合物浸入赋形剂的溶液中然后通过蒸发该溶剂而从该溶液中吸收来附加地浸透有赋形剂或者其他杀菌物质。活性聚合物层浸透有赋形剂,该赋形剂为例如0.01%量的Ag+离子、0.01%量的Ca2+离子。活性聚合物等还浸透有新霉素、杀菌剂和抑菌性能的抗菌素。The prepared active polymer is immersed in a solution of the excipient and then is additionally impregnated with the excipient or other bactericidal substance by evaporation of the solvent and absorption from the solution. The active polymer layer is impregnated with excipients, such as 0.01% of Ag + ions and 0.01% of Ca 2+ ions. Active polymers, etc. are also impregnated with neomycin, bactericides and antibiotics with bacteriostatic properties.
表征单层敷料的技术参数取决于活性聚合物层厚度和孔隙率:The technical parameters characterizing a single-layer dressing depend on the active polymer layer thickness and porosity:
—氧渗透率(cm3/m2):1000~9000;—Oxygen permeability (cm 3 /m 2 ): 1000~9000;
—延伸率:0.5~400%;—Elongation: 0.5~400%;
—拉伸强度(kg/cm2):1~200;—Tensile strength (kg/cm 2 ): 1 to 200;
—PBS吸收率(0.2~50g PBS/24h/100cm2敷料)。—PBS absorption rate (0.2~50g PBS/24h/100cm 2 dressing).
实施例2Example 2
本实施例活性聚合物层的制备与参考专利CN 104582745 A中实施例2所记载内容和内涵相同,具体包括以下步骤:The preparation of the active polymer layer in this embodiment is the same as the content and connotation described in Example 2 of the reference patent CN 104582745 A, and specifically includes the following steps:
活性聚合物层由三种甲壳质衍生物混合而产生(乙酸衍生物10%、戊酸衍生物10%和丁酸衍生物80%)。通过直径2~8mm的喷嘴在恒定运输速率为0.5-1.0米/分、宽度为100mm的平坦的非吸收的表面(以带形式)上以0.5~3升/分的速度倾倒添加了乙醇中浓度为5~30%的赋形剂(下述)溶解的聚合物混合物。接着,在倾倒的层固化之后,形成活性聚合物。所获得的活性聚合物形成为形状取决于敷料的类型和目的。该活性聚合物层浸透有赋形剂,该赋形剂例如K+离子、1.5%量的柠檬酸、0.001%量的铋盐。活性聚合物还浸透有杀菌素:万古霉素(0.1%)。The active polymer layer is produced by mixing three chitin derivatives (acetic acid derivative 10%, valeric acid derivative 10% and butyric acid derivative 80%). Pour ethanol added at a rate of 0.5 to 3 l/min through a nozzle with a diameter of 2 to 8 mm on a flat, non-absorbent surface (in the form of a belt) with a constant transport rate of 0.5 to 1.0 m/min and a width of 100 mm. It is a polymer mixture dissolved in 5 to 30% of excipients (described below). Next, after the poured layer solidifies, a living polymer is formed. The resulting active polymer is formed into a shape that depends on the type and purpose of the dressing. The active polymer layer is impregnated with excipients such as K + ions, 1.5% citric acid, and 0.001% bismuth salt. The active polymer is also impregnated with the bactericide: vancomycin (0.1%).
表征单层敷料的技术参数取决于活性聚合物层厚度和孔隙率:The technical parameters characterizing a single-layer dressing depend on the active polymer layer thickness and porosity:
—氧渗透率(cm3/m2):500~3000;—Oxygen permeability (cm 3 /m 2 ): 500~3000;
—延伸率:0.5~500%;—Elongation: 0.5~500%;
—拉伸强度(kg/cm2):1~200;—Tensile strength (kg/cm 2 ): 1 to 200;
—PBS吸收率(0.2~50g PBS/24h/100cm2敷料)。—PBS absorption rate (0.2~50g PBS/24h/100cm 2 dressing).
实施例3Example 3
本实施例活性聚合物层-吸收层的制备过程包括以下具体步骤:The preparation process of the active polymer layer-absorbent layer in this embodiment includes the following specific steps:
活性聚合物层由三种甲壳质衍生物的混合物(通过与以下酸酐依次进行甲壳质酯化反应而获得:乙酸丙烷20%、丁烷丙烷40%和甲基丙烯酸20%),并组合广泛获得的生物相容性生物可降解聚合物聚乙二醇(聚乙二醇百分比20%)制成。活性聚合物层根据实施例1的描述制备并浸透有赋形剂。活性聚合物层1浸透有2.5%(质量,下同)的Ag+离子、0.1%的K+离子、0.1%量的铋盐。活性聚合物1还浸透有甲硝唑(0.3%)。The active polymer layer consists of a mixture of three chitin derivatives (obtained by the esterification of chitin with the following anhydrides in sequence: propane acetate 20%, butane propane 40% and methacrylic acid 20%), and the combinations are widely available Made of biocompatible biodegradable polymer polyethylene glycol (polyethylene glycol 20%). The active polymer layer was prepared as described in Example 1 and impregnated with excipients. The active polymer layer 1 is impregnated with 2.5% (mass, the same below) of Ag + ions, 0.1% of K + ions, and 0.1% of bismuth salt. Active polymer 1 was also impregnated with metronidazole (0.3%).
吸收层通过外围粘附体系(聚乙烯粘合剂)结合到活性聚合物层1上,得到活性聚合物层-吸收层。其中,吸收层由可在市场上买到的亲水性纤维制成。The absorbent layer is bonded to the active polymer layer 1 via a peripheral adhesive system (polyethylene adhesive), resulting in an active polymer layer-absorbent layer. Among them, the absorbent layer is made of commercially available hydrophilic fibers.
实施例4Example 4
本实施例活性聚合物层-吸收层的制备过程包括以下具体步骤:The preparation process of the active polymer layer-absorbent layer in this embodiment includes the following specific steps:
活性聚合物层由三种甲壳质衍生物的混合物(通过与以下酸酐依次进行甲壳质酯化反应而获得:乙酸丙烷20%,琥珀酸酯40%和邻苯二甲酸酯20%),并组合广泛获得的生物相容性生物可降解聚合物聚乙二醇(聚乙二醇百分比20%)制成。活性聚合物层根据实施例1的描述制备并浸透有赋形剂。活性聚合物层浸透有2.5%量的Ag+离子、1.0%量的Ca2+离子、0.1%量的Zn2+离子。活性聚合物1还浸透有甲硝唑(0.3%)。The active polymer layer consists of a mixture of three chitin derivatives (obtained by the esterification of chitin with the following anhydrides in sequence: propane acetate 20%, succinate ester 40% and phthalate ester 20%), and Made by combining the widely available biocompatible biodegradable polymer polyethylene glycol (polyethylene glycol 20%). The active polymer layer was prepared as described in Example 1 and impregnated with excipients. The active polymer layer is permeated with 2.5% Ag + ions, 1.0% Ca 2+ ions, and 0.1% Zn 2+ ions. Active polymer 1 was also impregnated with metronidazole (0.3%).
吸收层通过外围粘附体系2(聚乙烯粘合剂)结合到活性聚合物层上。吸收层由藻酸盐制成。The absorbent layer is bonded to the active polymer layer via Peripheral Adhesion System 2 (polyethylene adhesive). The absorbent layer is made of alginate.
实施例5Example 5
本实施例可降解聚合物组织工程支架的制备,包括以下步骤:The preparation of the degradable polymer tissue engineering scaffold in this embodiment includes the following steps:
将含有浓度为1ug/mL~100mg/mL的人血清白蛋白、0.1~100mg/mL丝蛋白的混合溶液,均匀喷涂于实施例3中制备的活性聚合物层-吸收层表面,喷涂过程需要以0.1~2mL/s流速匀速进行,待该层材料基本干燥后,再次以0.1~2mL/s流速匀速喷涂含有0.1~1000U/mL人凝血酶的溶液,间隔5min~5h后,再次以0.1~2mL/s流速匀速喷涂含有0.2~5.0mg/mL纤维蛋白原的溶液,37℃静置5min~5h,烘干,得到可降解聚合物组织工程支架1。A mixed solution containing human serum albumin and silk protein at a concentration of 1ug/mL~100mg/mL and 0.1~100mg/mL silk protein is evenly sprayed on the surface of the active polymer layer-absorbent layer prepared in Example 3. The spraying process needs to be Carry out at a constant flow rate of 0.1 to 2mL/s. After the layer of material is basically dry, spray a solution containing 0.1 to 1000U/mL human thrombin at a constant flow rate of 0.1 to 2mL/s again. After an interval of 5min to 5h, spray the solution containing 0.1 to 2mL again at a constant flow rate of 0.1 to 2mL/s. Spray a solution containing 0.2 to 5.0 mg/mL fibrinogen at a constant flow rate /s, leave it at 37°C for 5 minutes to 5 hours, and dry to obtain a degradable polymer tissue engineering scaffold 1.
实施例6Example 6
在给患者移植前24h,制备复合组织工程支架系统,该制备过程具体包括以下步骤:24 hours before transplantation to the patient, prepare the composite tissue engineering scaffold system. The preparation process specifically includes the following steps:
(1)可降解聚合物组织工程支架的预处理(1) Pretreatment of degradable polymer tissue engineering scaffolds
将上述实施例5中制备的可降解聚合物组织工程支架按需要尺寸裁剪放置于不同规格细胞培养皿内(干细胞贴附溶液喷涂处理后的吸收层向上),加入适量商品化(含庆大霉素)专业培养基(货号:LF-BIO,MSCM CatNo:LF0101A添加2~5%血清替代物)浸泡5min~5h。Cut the degradable polymer tissue engineering scaffold prepared in the above Example 5 according to the required size and place it in a cell culture dish of different specifications (the absorbent layer after spraying with the stem cell attachment solution faces upward), add an appropriate amount of commercialized (containing gentamicin) (Cat No.: LF-BIO, MSCM Cat No.: LF0101A, add 2-5% serum substitute) and soak for 5 minutes-5 hours.
(2)间充质干细胞(MSC)培养(2) Mesenchymal stem cell (MSC) culture
将元代分离或商品化购买获取的脐带间充质干细胞(也可以使用患者自体骨髓、脂肪来源的MSC或体细胞转分化来源的iPS细胞)培养至对数生长期,经胰酶消化处理,制备为单细胞悬液,1000rpm/min离心后,1mL商品化专业培养基(货号:LF-BIO,MSCM CatNo:LF0101A添加2~5%血清替代物)重悬,37℃静置备用。Umbilical cord mesenchymal stem cells isolated or commercially purchased from the original generation (the patient's autologous bone marrow, adipose-derived MSC or iPS cells derived from somatic cell transdifferentiation can also be used) are cultured to the logarithmic growth phase, and then digested with trypsin. Prepare a single cell suspension, centrifuge at 1000 rpm/min, resuspend in 1 mL of commercial professional culture medium (Cat No.: LF-BIO, MSCM Cat No: LF0101A plus 2-5% serum substitute), and let stand at 37°C for later use.
(3)复合组织工程支架系统的制备(干细胞贴附组织工程支架)(3) Preparation of composite tissue engineering scaffold system (stem cell attached tissue engineering scaffold)
将重悬后的MSC均匀种植于预处理后的组织工程支架干细胞贴附层表面(尽量避免细胞落入培养皿其他区域),随后置于37℃、5体积%CO2的细胞培养箱内,静置培养24h。The resuspended MSCs were evenly planted on the surface of the stem cell adhesion layer of the pretreated tissue engineering scaffold (try to avoid cells falling into other areas of the culture dish), and then placed in a cell culture incubator at 37°C and 5 volume% CO2 . Leave to incubate for 24 hours.
应用实施例1Application Example 1
将本发明实施例3得到的可降解聚合物组织工程支架贴附在患者大面积烧伤表面,3天后,创面炎症反应得以控制,表面与组织高度融合,局部发生组织再生,如图1所示。The degradable polymer tissue engineering scaffold obtained in Example 3 of the present invention was attached to the patient's large-area burn surface. After 3 days, the inflammatory response of the wound was controlled, the surface was highly integrated with the tissue, and local tissue regeneration occurred, as shown in Figure 1.
本发明实施例3得到的可降解聚合物组织工程支架的可见光及激光共聚焦显微镜证实间充质干细胞(MSC)可依附支架表面生长,如图2所示。Visible light and laser confocal microscopy of the degradable polymer tissue engineering scaffold obtained in Example 3 of the present invention confirmed that mesenchymal stem cells (MSC) can adhere to the surface of the scaffold and grow, as shown in Figure 2.
应用实施例2Application Example 2
将实施例6中制备的复合组织工程支架系统应用在大动物深三度烧伤模型中(猪),结果如图3所示,可以看出,该系统能够有效促进组织伤口愈合,并诱导毛囊等皮肤附属结构再生,治疗效果优于未结合干细胞的单纯支架产品。The composite tissue engineering scaffold system prepared in Example 6 was applied to a large animal deep third-degree burn model (pig). The results are shown in Figure 3. It can be seen that the system can effectively promote tissue wound healing and induce hair follicles, etc. The skin appendage structure is regenerated, and the therapeutic effect is better than that of simple scaffold products without stem cells.
应用实施例3Application Example 3
将实施例6中无菌培养的复合组织工程支架系统在手术室无菌环境下用镊子小心取出,以载有干细胞的吸收层为底面,均匀贴附于清创处理后的创伤部位,该复合组织工程支架系统可替代皮肤移植,满足深三度大面积烧伤患者的治疗需要。The composite tissue engineering scaffold system cultured aseptically in Example 6 was carefully taken out with tweezers in a sterile environment in the operating room, with the absorption layer containing stem cells as the bottom surface, and evenly attached to the wound site after debridement. The composite The tissue engineering scaffold system can replace skin transplantation and meet the treatment needs of patients with deep third-degree and large-area burns.
需要注意的是,深三度及以上烧伤创面,多发生结缔组织炭化,针对此类患者,需要将其炭化组织及周围组织进行彻底清除,充分暴露新鲜组织,适当止血处理后,将干细胞组织工程支架贴附于处理后创面,并结合止血海绵及凡士林纱布及时包扎伤口,但需要避免包扎物与创面的过度粘连。待伤口愈合过程中,定期更换纱布等包扎物并及时检查创面愈合情况,如遇支架吸收过快情况,可考虑再次贴敷,但一般情况下,同一创面部位贴敷3次以内,可以痊愈。It should be noted that charring of connective tissue often occurs in burn wounds of deep third degree and above. For such patients, the charred tissue and surrounding tissue need to be completely removed, fresh tissue is fully exposed, and after appropriate hemostasis treatment, stem cell tissue engineering The stent is attached to the treated wound surface and is combined with a hemostatic sponge and Vaseline gauze to bandage the wound in a timely manner. However, excessive adhesion between the dressing and the wound surface needs to be avoided. During the wound healing process, regularly replace gauze and other dressings and check the wound healing status in time. If the stent is absorbed too quickly, you can consider applying it again. However, under normal circumstances, the same wound can be healed within three times of application.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention shall be included in the protection of the present invention. within the range.
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