Patent Application
20100310621
1. Field of the Invention
The present invention relates generally to biocides and more particularly to a biocide that can be used in any mucous membrane/epithelial cell environment. The present invention is particularly directed to protect the female vaginal vault and cervix and the human rectum and penile canal as well as the nasal cavity from infection.
2. Description of the Prior Art
Biocides with applications to the female vagina, cervix and the human rectum and male penile canal are known in the art. Numerous compounds known to kill organisms are used in such applications. However, many of these compounds have difficulties associates with their use.
Targeted nanoparticles have been previously used to apply drugs. Farokhzad states the following in 2006 (Farokhzad et al. 2006, “Targeted nanoparticle-aptamer bioconjugates for cancer chemotherapy in vivo”, PNAS.):
Molecular Iodine is known in the art as a biocide that is long-lasting with very few undesirable side effects. It would be advantageous to have a controlled iodine release polymer that uses delivery nanoparticles too large for endocytosis that are specifically designed to remain outside of cells. It would also be advantageous to use alternative epithelial cell binding substances that are attached to the particles via covalent linkage or biotin-streptavidin.
The present invention relates to a controlled release molecular iodine biocide for use in human cavities especially the vaginal, penile canal, nasal passages and rectum. Particles, which can be polymer or other materials, can be functionalized with epithelial cell binding molecules and lymphocyte-binding molecules attached to their surfaces. Half of all the particles can contain pH buffer salts that control pH to between around pH 3.5 to pH 4.5. A second half of the particles can contain Iodide and iodate salts. When pH particles and iodate/iodide particles are bound next to each other the following chemical reaction occurs: IO3−+5I−+6H+←→>>>3I2+3H20 releasing molecular iodine in a controlled release fashion. Molecular iodine reacts very rapidly with multiple biochemical targets including all proteins and membranes thus acting as an effective biocide. In an alternate embodiment, there can be two distinct populations of particles, one with epithelial cell binding molecules and one with lymphocyte-binding molecules. Again, half of all the particles can contain a pH buffer and half iodide and iodate salts.
Attention is now directed to several illustrations that aid in understanding the features of the present invention:
Several drawings and illustrations have been presented present features of the invention. The scope of the present invention is not limited to what is shown in the figures.
The present invention is distinctly different from Farokhzad et al., 2006, and a major improvement, in several important ways. First, all particles, which can be polymer or other material, are designed to be too large for cell endocytosis and in fact particles are specifically designed to remain outside targeted cells. Second, alternative epithelial cell binding substances are used such as actin, laminin, collagen and fibronectin and these are attached to the particles via covalent linkage or biotin-streptavidin. Particles are 50 to 100 μm are prepared containing a variety of chemicals. The 50 μm particles are preferred. Particles may be either biodegradable or non-biodegradeable but in all cases they carry chemicals both on their surface and throughout their structure. The described structures e.g., biodegradable poly(d,l-lactic-co-glycolic acid)-b/ock-poly(ethylene glycol) (PLGA-b-PEG) copolymer are a preferred embodiment but there are many structures that can support the chemicals described herein. Third, particles can have more than one binding ligand attached to the surface e.g., epithelial-specific ligands and lymphocyte-specific ligands. Fourth, more than one population of particles is always used to create the “iodine-generating factories”.
The present invention uses two distinct populations of particles. Particle population one particles are functionalized with epithelial cell binding molecules e.g., actin, fibronectin, etc. These particles have vaginal epithelial cell binding moieties specific for cell surface molecules such as epithelial glycoprotein. The epithelial cell membrane binding moieties are also found in the rectum and penile canal. The same population of particles is also functionalized with lymphocyte cell binding moieties such as glycosaminoglycan (GAG)—binding molecules including hyaluronic acid, chondroitin-4-sulfate, chondroitin-6-sulfate and heparin. All particles contain both populations of cell-specific binding molecules. For example, particles might have both actin and heparin equally dispersed on the particle surface. Alternatively, distinct particle populations can be employed each with only one cell-specific ligand attached to the particle surface. In this case particles would have only epithelial cell-specific binding moiety e.g., actin. A separate population of particles would have only lymphocyte-specific binding moiety e.g., heparin. Particle population one contains pH buffer salts that control pH at pH 3.5 to pH 4.5. For example, acetate buffer (acetic acid and sodium acetate) or citrate buffer (citric acid and sodium citrate) are preferred to maintain the pH around 4.0. Particle population two contains iodate and iodide salts (such as sodium or potassium iodide and iodate). The particles containing pH buffer salts have sufficient chemical to maintain pH at 4.0 for at least two weeks. Likewise, the particles containing iodide and iodate salts have sufficient chemicals to maintain I2 creation for two weeks. When pH particles and iodate/iodide particles are bound next to each other the following chemical reaction occurs:
IO3−+5I−+6H+←→>>>312+3H20 (1)
Molecular iodine reacts very rapidly with multiple biochemical targets including all proteins and membranes. These interactions include:
The present invention is a system and method for controlled release of molecular iodine to prevent microbial infection. A preferred use is to prevent microbial infections in the vagina and rectum of women and rectum and penile canal of men. The iodine described herein is molecular iodine also known as free iodine or I2. For all discussions herein, molecular iodine will be referred to as free iodine. Also, free iodine is the predominate microbicide in any iodine composition such as polyvinyl pyrrolidone-iodine (PVP-iodine). Previous investigators have used 1% PVP-iodine to disinfect the vagina prior to childbirth to prevent HIV transmission form mother to child. Other investigators have used 1% PVP-iodine to disinfect the vagina prior to childbirth to reduce the risk of newborn child infection from pathogens residing inside the maternal vagina. The use of PVP-iodine reacts directly to kill pathogens. PVP-iodine is very effective in removing bacteria, viruses and fungi from inside the vagina and surface of the cervix. PVP-iodine does not persist inside the vagina and on the surface of the cervix. Consequently, once PVP-iodine is used to disinfect the vagina and cervix the disinfecting properties rapidly dissipate, and unless repeated applications of PVP-iodine are applied, the vagina and cervix become susceptible to new infections e.g., HIV, chlamydia, GC, syphilis, herpes, HPV, etc. Furthermore, not recognized before is that once a disinfecting agent like PVP-iodine is used, all the bacteria and viruses are killed inside the vagina including bacteria like Lactobacillus spp. Lactobacilli produce lactic acid, which maintains a low vaginal pH e.g., 4.0 and inhibits the growth of many microorganisms, including those that cause bacterial vaginosis. In addition, some lactobacilli also produce hydrogen peroxide, which is toxic to a number of microorganisms including HIV. The use of agents like PVP-iodine and 0.2% chlorhexidine to disinfect the vagina effectively disinfect the vaginal vault but also remove all the resident lactobacilli and this results in an elevated vaginal vault pH and opportunistic pathogens enter and grow. Examples include Candida albicans and pathogens associated with bacterial vaginosis such as Gardnerella vaginalis and Microplasma hominis.
The present invention kills all pathogens inside the vaginal vault and on surface of the cervix but also will maintain the pH at pH 3.5-4.5 over time and thus maintain the low pH environment that resists re-colonization by harmful microorganisms. Furthermore, since low levels of free iodine e.g., 2-4 μg/mL are created from iodate and iodide containing particles. As stated earlier, free iodine synthesis is favored at pH 4.0. Therefore, the present invention creates the following microbial ecosystem:
The present invention thus relates to a mixture of particles that have both epithelial cell-binding molecules and lymphocyte-binding molecules attached to the particle surface. Half of these particles have pH buffer salts incorporated into their structure and the other half has iodide and iodate salts incorporated into their structure. In this composition of matter pH particles and iodine particles will be distributed throughout the vaginal vault and bind to epithelial cells lining the vagina. Iodine and pH particles will be bound next to each other 66% of the time and thus will become “Iodine Factories” and generate free iodine over time thus providing a constant level of antiseptic iodine over time up to two weeks. Furthermore, if lymphocytes are inoculated into the vagina by semen during unprotected vaginal intercourse the lymphocytes would become bound to particles attached to the vaginal wall. If the lymphocytes are infected with HIV then budding HIV virions will be immediately killed by iodine as they egress from inside the lymphocyte.
An alternative embodiment of the invention contains distinct populations of particles. One population has only epithelial cell-specific binding molecules e.g., actin and half have pH buffer salts incorporated into their structure and the other half have iodide and iodate salts incorporated into their structure. The second population of particles has only lymphocyte cell-specific binding molecules e.g., heparin and half have pH buffer salts incorporated into their structure and the other half have iodide and iodate salts incorporated into their structure.
A further embodiment of the present invention can be thought of as a “first aid” composition. If a female has unwanted vaginal intercourse where semen is inserted into the vagina, the present invention will immediately kill all pathogens in the vaginal vault. This is a two-part chemistry that requires a unique delivery device. Briefly, the two-chambered device that resembles a syringe with two chambers in the barrel of the syringe. A breakable membrane separates the chambers and each chamber contains a unique solution. Solution one contains a pH buffered solution containing glycerol and solution two contains free iodine in 100% ethanol. The delivery device is inserted into the vagina and when the plunger is depressed the solutions are mixed and dispensed into the vaginal vault. The resulting solution contains free iodine at 100 μg/mL and this level of free iodine will kill all pathogens and will “tan” or coat all free CD4 cells in the vagina and inhibit egress of HIV. This embodiment is stable at room temperature and can be kept in a purse or anywhere and if an unplanned vaginal event occurs then the woman can protect herself from any microbial infection.
Most, if not all, previous attempts to prevent HIV infection of host cells have directed the action on preventing the HIV virion from infecting the host cell. The present invention is distinctly different from all previous attempts to prevent HIV infection of host cells. The present invention uses a combination of pH particles and iodine microbicide particles that bind to the surface of HIV-infected lymphocytes and create an antimicrobial environment that kills all HIV virions as they emerge from host lymphocytes. This is shown in
The binding to lymphocytes is accomplished using lymphocyte-specific binding-molecules such as heparin. Particles containing both epithelial binding molecules and lymphocyte binding molecules are created to have both binding ligands on the same particles or can be on separate particles. The important distinction from all previous inventions is that the present invention kills HIV virions as they emerge from infected cells before they can infect new cells such as cells in the vagina or anus. In this regard, the present invention free iodine kills HIV before the virus can infect any new cell.
A further embodiment of the invention contains a mixture of particles that have both epithelial cell-binding molecules and lymphocyte-binding molecules attached to the particle surface. Half of these particles have pH buffer salts incorporated into their structure, and the other half has iodide and iodate salts incorporated into their structure. This is illustrated in
Another embodiment contains distinct populations of particles. One population has only epithelial cell-specific binding molecules e.g., actin and half have pH buffer salts incorporated into their structure, and the other half have iodide and iodate salts incorporated into their structure. This is illustrated in
Several descriptions and illustrations have been presented to aid in understanding the present invention. One with skill in the art will realize that numerous changes and variations are possible without departing from the spirit of the invention. Each of these changes and variations is within the scope of the present invention.
This application is related to and claims priority from U.S. Provisional Patent Application No. 61/184,286 filed Jun. 4, 2009. Application 61/184,286 is hereby incorporated by reference.
| Number | Date | Country | |
|---|---|---|---|
| 61184286 | Jun 2009 | US |
