The present invention relates to a tissue sealant in which collagen and fibrin are mixed, and a method for preparing the same, and more specifically, the present invention is to supplement strength and degradability, which are indicated as weaknesses of a fibrin sealant in the market. That is, the present invention relates to a tissue sealant which, while having an affinity with cells, activates platelets contained in the blood to induce tissue regeneration, and thus, quality and reliability of products can be significantly improved to satisfy various needs of consumers who are users.
As is generally known, medical sealants have been applied to various fields ranging from surgical adhesion and attachment to hemostasis, and have a long history. Since a medical sealant material is directly applied to human tissues, a biocompatible material needs to be used. Since the medical sealant material may substantially flow into the body fluid or blood, the medical sealant material needs to be strictly biocompatible and biodegradable, can be sterilized, and should not exhibit toxicity and harm. In addition, it is important to select a sealant material that has a high affinity with biological tissues even after being applied into the tissues and thus does not interfere with the regeneration into original tissues.
Currently, cyanoacrylate, polyurethane, gelatin, fibrin, or the like, as a medical sealant material, is applied to products. Medical sealants have generally been used in several fields, such as skin, blood vessels, digestive organs, brain nerves, plastic surgery, orthopedics, and the like. Such sealants are required to have prompt adhesive strength in a moisture environment, be sterilizable and untoxic, and not interfere with sufficient mechanical properties, biodegradability, effective hemostasis, and body healing in view of the wound.
Cyanoacrylate is mainly used for industrial purposes, and is used in no more than 5% for a medical purpose. However, since cyanoacrylate has the possibility of substituting for a suture, studies thereof are actively conducting in, especially, developed countries. However, cyanoacrylate is vulnerable to impact, has deteriorations in heat resistance and water resistance after being applied, and retains toxicity and vulnerability to some tissues, and thus, cyanoacrylate is currently used restrictively.
Polyurethane is a material that keeps the flexibility of an attachment region, and has advantages in that polyurethane is fast hardened due to good reactivity with water, and the hardened material maintains its elasticity. On the other hand, polyurethane has a disadvantage in that aromatic diisocyanate, which is a synthetic raw material, is biologically toxic.
A glue using gelatin is a bio-derived sealant, and examples thereof are a product in which gelatin and resorcinol cross-link by formalin and a product using gelatin, polyglutamic acid, and carbodiimide. These products may exhibit toxicity using a chemical cross-linking agent of formalin and carbodiimide. Products that employ formalin as a cross-linking agent have been used in some countries, but the licensing thereof is under way and the effectiveness thereof are being tested in Japan and the like.
Fibrin glue is a product that is obtained by applying the principle of fibrin formation using fibrinogen, thrombin, calcium chloride, and the like as materials. Fibrin glue has rapid adhesion, requires no heat or pressure, is not significantly affected by the environment of a glued region, and retains biological advantages of being biocompatible and biodegradable. However, fibrin glue has disadvantages in that it lacks physical properties and has a relatively higher biodegradation rate when compared with a sealant using a synthetic material. In order to overcome such disadvantages, researches on the inhibition on fibrinolytic enzymes through the addition of aprotinin in order to slow down the degradation rate of a fibrin polymer and retain a shape are being conducted. The use of collagen as an additive to supplement such disadvantages will make a significant contribution to complementing a fibrin glue formulation.
Fibrin used for a fibrin glue is applied and commercialized as a natural adhesive or hemostat, and has biocompatibility and biodegradability. Fibrin is known to be generally absorbed in the procedure of wound healing within several weeks and to have no side effects, such as inflammation, immune responses, tissue necrosis, or fiber hypertrophy. In addition, fibrin is a natural support for fibroblasts, and plays an important role in wound healing. The concept of a fibrin product has been established in the 1970s. The first product has been commercialized in Europe in 1982, and then has been used up to now. Recently, fibrin has been verified as a support for biological tissue engineering in many studies, and has been applied in various fields, such as orthopedics, dentistry, and neurosurgery.
Collagen that can be used as an additive to supplement the disadvantages of the fibrin glue is a structural protein component. Collagen constitutes soft tissues, such as dermis, tendon/ligament, and blood vessel, and hard tissues, such as bone and cartilage, and accounts for approximately ⅓ of the whole-body protein content in mammals. More than twenty types of collagen have been known, and type I collagen constituting skin, tendon/ligament, bone, and the like accounts for approximately 90% of the collagen in the body. Collagen is the protein that is made up of three strands and has a molecular weight of 300,000 daltons (about 100,000 daltons for each strand). In collage, glycine, which is the smallest amino acid unit (having the smallest molecular weight), is repeatedly connected (-G X Y-; glycine is continuously repeated, and X and Y vary). Therefore, glycine accounts for about ⅓ of amino acids constituting collagen. Collagen has been currently used for the medical purpose in fields of hemostat, a wound covering agent, artificial blood vessels, wrinkle improvement, and the like. In cases of the hemostat, Aviten, which is a collagen powdered product extracted from the calf skin, was first developed in 1974, and has been used up to now.
Most of all, the most important characteristic of collagen used in the medical regeneration field is that collagen is a material that is biologically compatible in the human tissue to exhibit an affinity with cells, and thus is important in the adhesion and growth of cells and the maintenance of viability. In addition, collagen stimulates platelets contained in the blood to induce growth factors contained in the platelets, thereby regenerating damaged tissues. Also, collagen has a triple helix structure and its degradability can be relatively maintained compared with a single structure of protein, and thus collagen may serve as a scaffold in the body.
Such material binding can fundamentally retain biodegradable characteristics that the tissue sealant needs to have and maintain characteristics of not interfering with regeneration. In addition, such material binding can complement physical properties that the fibrin glue lacks, and slow down the degradation rate, thereby providing degradable regeneration bones. Thus, the tissue sealant will promote the tissue generation and accelerate the regeneration procedure to shorten the therapy process, in addition to a role as a simple sealant. In addition, in order to use the tissue sealant promptly, the tissue sealant may be a formulation that is mounted in a prefilled type and freeze-stored.
The tissue sealant is a product that reduces the burden of a patient on the surgical procedure and maximizes the satisfaction in cases where a wounding is sutured and coated, such as having a lower risk of pain and infection compared with the conventional methods and shortening the operation time. Therefore, the tissue sealant will be highly favored in this field, and the market scale will be gradually expanded. Further, such a product helps the generation of tissues, and is used for a drug delivery system and a scaffold for regeneration, and thus contributing to a regenerative medical field.
(Patent document 1) Korean patent publication No. 2012-0125465 (patent application No. 2012-7018109, title: dry powder fibrin sealant) has been filed.
Therefore, the present invention has been made in view of the above-mentioned problems, and the present invention provides a tissue sealant which collagen and fibrin are mixed and a method for preparing the same, wherein a first purpose of the present invention is to include the steps of: mixing a first material using fibrinogen and aprotinin; mixing a second material using thrombin, calcium chloride, and collagen; and mixing the first material and the second material with each other to prepare a third material; according to a second purpose of the present invention, it was verified that, as a result of comparison of physical strength, a sealant containing collagen showed high strength; according to a third purpose of the present invention, it was verified that, as a result of long-term/short-term degradability testing, a sealant containing collagen showed low degradability; according to a fourth purpose of the present invention, it was verified that, through electron microscopic observation, collagen and fibrinogen are combined to show a stable structure; according to a fifth purpose of the present invention, it was verified that, as a result of comparison of growth and viability using chondrocytes, osteoblasts, and adipose-derived cells, a structure containing collagen showed a good growth rate and high viability; according to a sixth purpose of the present invention, it was verified that the inclusion of collagen maintains high strength and a stable structure and supplies a material having affinities with cells/blood, thereby greatly helping the regeneration of deleted/damaged region; a seventh purpose of the present invention is to activate platelets included in the blood to induce the tissue regeneration; and an eighth purpose of the present invention is to significantly improve quality and reliability of products, thereby satisfying various needs of consumers who are users, thus giving a good impression.
In accordance with an aspect of the present invention, there is provided a method for preparing a tissue sealant in which collagen and fibrin are mixed, the method including: mixing fibrinogen and aprotinin to prepare a first material; mixing thrombin, calcium chloride, and collagen to prepare a second material; and mixing the first material and the second material with each other to prepare a third material.
In accordance with another aspect of the present invention, there is provided a tissue sealant in which collagen and fibrin are mixed, the tissue sealant being prepared by steps of: mixing fibrinogen and aprotinin to prepare a first material; mixing thrombin, calcium chloride, and collagen to prepare a second material; and mixing the first material and the second material with each other to prepare a third material.
As set forth above, the present invention includes the steps of: mixing a first material using fibrinogen and aprotinin; mixing a second material using thrombin, calcium chloride, and collagen; and mixing the first material and the second material with each other to prepare a third material.
According to the present invention having the foregoing technical feature, it was verified that, as a result of comparison of physical strength, a sealant containing collagen showed high strength.
In addition, according to the present invention, it was verified that, as a result of long-term/short-term degradability testing, a sealant containing collagen showed low degradability.
In addition, according to the present invention, it was verified that, through electron microscopic observation, collagen and fibrinogen are combined to show a stable structure.
In addition, according to the present invention, it was verified that, as a result of comparison of growth and viability using chondrocytes, osteoblasts, and adipose-derived cells, a structure containing collagen showed a good growth rate and high viability.
In addition, according to the present invention, it was verified that the inclusion of collagen maintains high strength and a stable structure and supplies a material having affinities with cells/blood, thereby greatly helping the generation of deleted/damaged region.
In addition, the present invention is to activate platelets included in the blood to induce the tissue regeneration.
The present invention can significantly improve quality and reliability of products through the foregoing effects, thereby satisfying various needs of consumers as users thereof, thus giving a good impression, and thus the present invention is very useful.
Hereinafter, preferred embodiments of the present invention for attaining the above effects will be described in detail with reference to the accompanying drawings.
A tissue sealant in which collagen and fibrin are mixed and a method for preparing the same according to the present invention are as shown in
In the following descriptions, when it is determined that detailed descriptions of known functions or constitutions associated with the present invention obscure the gist of the present invention, detailed descriptions thereof will be omitted.
In addition, the terms to be later described are defined in consideration of functions in the present invention, and thus the definitions of the terms are to be interpreted throughout the present specification since the terms may be interpreted by the intention of the producer or custom.
First, the present invention includes a step of mixing a first material using fibrinogen and aprotinin.
In addition, the present invention includes a step of mixing a second material using thrombin, calcium chloride, and collagen.
In addition, the present invention includes a step of mixing the first material and the second material with each other to prepare a third material, and thus a tissue sealant in which collagen and fibrinogen are mixed is prepared.
Especially, according to the present invention, preferably, the fibrinogen has a concentration of 65-130 mg/mL and the aprotinin has a concentration of 1,000-3,000 KIU/mL. In addition, preferably, the thrombin has a concentration of 40-600 U/ml, the calcium chloride has a concentration of 4-140 mmol/mL, and the collagen has a concentration of no more than 60 mg/mL.
Here, the concentration of the fibrinogen is preferably 65-130 mg/mL. Less than 65 mg/mL of fibrinogen weakens physical strength, and more than 130 mg/mL of fibrinogen leads to the densification of the physical structure, resulting in reducing the pore sizes, thereby inhibiting cellular activity, and thus the concentration of fibrinogen is preferably 65-130 mg/mL.
In addition, the concentration of the aprotinin is preferably 1,000-3,000 KIU/mL. Less than 1,000 KIU/mL of aprotinin accelerates the degradation of a composition, and more than 3,000 KIU/mL of aprotinin increases the risk of causing anaphylaxis, and thus the concentration of aprotinin is preferably 1,000-3,000 KIU/mL.
In addition, the concentration of the thrombin is preferably 40-600 KIU/mL. Less than 40 U/ml of thrombin weakens the physical strength of a composition, and more than 60 U/ml of thrombin leads to the densification of the structure of the composition, which therefore has no affinity with cells and rapidly increases the gelation rate, failing to serve as a sealant in an applied region, and thus, the concentration of the thrombin is preferably 40-60 U/ml.
In addition, the concentration of calcium chloride is preferably 4-140 mmol/mL. Less than 4 mmol/mL of calcium chloride too slows down the gelation rate, and more than 140 mmol/mL of calcium chloride may have a bad influence on cells due to a high osmotic pressure, and thus the concentration of calcium chloride is preferably 4-140 mmol/mL.
Last, the concentration of the collagen is preferably no more than 60 mg/mL. Especially, the preferable concentration of the collagen is 10-30 mg/mL.
That is, less than 10 mg/mL of collagen weakens physical strength, and more than 30 mg/mL has a bad influence on degradability and a stable structure and has no affinity with cells and blood, and thus the concentration of the collagen is preferably 10-30 mg/mL.
Meanwhile, the method for preparing a tissue sealant in which collagen and fibrin are mixed according to the present invention will be specifically described as follows.
First, a step of preparing a first material including fibrinogen and aprotinin is conducted.
After that, a step of preparing a second material including thrombin, calcium chloride, and collagen is conducted.
Then, a step of putting the first material in one side of a two-way syringe and the second material in the other side of the two-way syringe and then mixing the first and second materials with each other is conducted, and thus, a tissue sealant in which collagen and fibrin are mixed is prepared.
According to the present invention, aprotinin and calcium solutions are injected into the fibrinogen and the thrombin, respectively, and the thrombin is mixed with a collagen solution, and then the resultant solutions are loaded in the two-way syringe, thereby preparing a tissue sealant in which collagen and fibrin are mixed.
According to the present invention, a tissue sealant in which collagen and fibrin are mixed can be prepared by going through the respective steps for preparing a tissue sealant in which collagen and fibrin are mixed.
The tissue sealant in which collagen and fibrin are mixed and the method for preparing the same according to the present invention will be described by giving examples.
Comparison of physical properties between present invention and prior art
In order to verify physical properties of the present invention, the maximum stress, the gel strength, and the tensile strength were checked using a physical property meter.
1. Sample Preparation
1) In the prior art, the Greenplast product was used.
2) For components of the present invention, dried fibrinogen and thrombin of Greenplast were dissolved in an aprotinin solution and a calcium solution added thereto, respectively. Here, the thrombin solution was mixed with a 3% collagen solution. The resultant solutions were loaded in a two-way syringe.
3) For the measurement of physical properties, each sample was put in a cylindrical-shaped mold (Φ12×15 mm) to manufacture a form.
2. Measurement of Physical Properties
1) Physical property meter: Rheometer (CR-500DX, Sun scienctific rheometer)
2) Test items: maximum stress (N), gel strength (g-cm), tensile strength (g/cm2)
3) Test conditions: entry distance (7.5 mm), table speed (50 mm/min), maximum stress (10 kg), adapter (No. 1 Φ20 mm)
3. Test Results
Comparison of degradability between present invention and prior art product (short-term/long-term)
In order to verify degradability of the composition of the present invention, the degradability of the fibrin glue product and the material for a predetermined period was checked.
1. Degradability (Short-Term)
1) Sample Preparation
2) Treatment Conditions for Degradability Verification
3) Test Results
2. Degradability (Long-Term)
1) Sample Preparation
2) Treatment Conditions for Degradability Verification
3) Test Results
Electron micrographic analysis of present invention
The structure of the composition of the present invention was observed by an electron microscope.
1. Sample Preparation
2. Methods
3. Test Results
As a result of observing in the electron microscope at the magnification of 20,000, it was verified that collagen and fibrin cross-linked with each other. The fibrous structure of collagen was also observed. It can be anticipated that such a material cross-linkage enhances physical properties.
Test on cell compatibility and growth of present invention (chondrocytes)
In order to verify proliferation and viability of chondrocytes in the composition of the present invention, CCK-8 assay and Calcein-AM & EthD-1 staining were used.
1. Cells and Composition
2. CCK-8 Assay
3. Calcein-AM & EthD-1 Staining
4. Test results
A. CCK-8 assay (
B. Calcein-AM & EthD-1 staining (
Test on Cell Biocompatibility of Present Invention (Osteoblasts)
In order to verify proliferation and viability of osteoblasts in the composition of the present invention, CCK-8 assay and Calcein-AM & EthD-1 staining were used.
1. Cells and Composition
2. CCK-8 Assay
3. Calcein-AM & EthD-1 Staining
4. Test Results
A. CCK-8 assay (
B. Calcein-AM & EthD-1 staining (
Test on Cell Biocompatibility of Present Invention (Adipose-Derived Cells)
In order to verify proliferation and viability of adipose-derived cells in the composition of the present invention, CCK-8 assay and Calcein-AM & EthD-1 staining were used.
1. Cells and Composition
2. Calcein-AM & EthD-1 Staining
3. Test Results
Meanwhile, the present invention can be modified in various ways and embodied in many different forms for the application of the foregoing feature.
However, it shall be noted that it is not intended to limit the present invention to specific embodiments described in the detailed description, but intended to cover all the modifications, equivalents or substitutions belonging to the technical idea and technical scope of the present invention, which are defined by the accompanying claims.
Technical spirits of the tissue sealant in which collagen and fibrin are mixed and the method for preparing the same of the present invention are sufficiently worthy of protection since the same results are actually replicable, and, especially, the implementation of the present invention can promote the technical development and contribute to the industrial development.
Number | Date | Country | Kind |
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10-2012-0143519 | Dec 2012 | KR | national |
Filing Document | Filing Date | Country | Kind |
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PCT/KR2013/000143 | 1/9/2013 | WO | 00 |