CN1052632C - Slow-calcifying compound epoxy cross-linking method for collagen tissue material - Google Patents

Slow-calcifying compound epoxy cross-linking method for collagen tissue material Download PDF

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CN1052632C
CN1052632C CN93110964A CN93110964A CN1052632C CN 1052632 C CN1052632 C CN 1052632C CN 93110964 A CN93110964 A CN 93110964A CN 93110964 A CN93110964 A CN 93110964A CN 1052632 C CN1052632 C CN 1052632C
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calcification
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collagen tissue
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valve
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CN1093566A (en
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乐以伦
万昌秀
唐正贵
韩波
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Chengdu University of Science and Technology
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Abstract

对胶原组织人工瓣膜材料缓钙化的方法是用复合环氧交联剂处理天然胶原组织如牛心包,猪主动脉瓣,大动物主动脉血管等,使这类胶原组织的强度,应力松弛、生物相容性、缓钙化和耐酶解等性能均优于戊二醛处理的胶原组织产品,其中用复合环氧胶原组织牛心包和猪主动脉瓣材料缝制的生物瓣膜植入人体后,该生物瓣有明显的缓钙化的功能,使用寿命从7-8年延长至15年以上,病人换瓣后,能恢复健康和延年益寿。The method for slowing calcification of collagen artificial valve materials is to treat natural collagen tissues such as bovine pericardium, porcine aortic valve, large animal aortic blood vessels, etc. with compound epoxy cross-linking agent, so that the strength of such collagen tissues, stress relaxation, biological Compatibility, slow calcification and resistance to enzymolysis are all better than glutaraldehyde-treated collagen tissue products. Among them, the biological valves sewn with composite epoxy collagen tissue bovine pericardium and porcine aortic valve materials are implanted in the human body. The bioprosthetic valve has the obvious function of slowing calcification, and the service life is extended from 7-8 years to more than 15 years. After the valve is replaced, the patient can restore health and prolong life.

Description

对胶原组织人工瓣膜材料缓钙化的方法Method for Slowing Calcification of Collagen Tissue Artificial Valve Material

本发明属于对胶原组织人工瓣膜缓钙化的方法,将天然胶原组织经生化方法处理后,可对人体病变心脏瓣膜进行手术置换,使病患者免除痛苦。The invention belongs to a method for delaying calcification of collagen tissue artificial valves. After the natural collagen tissue is treated with biochemical methods, the diseased heart valves of human body can be surgically replaced, so that patients can be exempted from suffering.

人工心瓣有生物瓣、机械瓣和塑料瓣三种。生物瓣具有类似于天然心瓣的中心血液流道。符合病员的生理要求,不需要长期服用抗凝药物,有利于抗凝剂禁忌症患者;心瓣功能的失效过程是逐渐发生的,这就有利于治疗或重新换瓣;不会产生引起病员不适之感的噪声;原料来源丰富,易于制作,成本低等优点。因此,人工心瓣膜的研究和发展很快。There are three types of artificial heart valves: biological valves, mechanical valves and plastic valves. A biological valve has a central blood flow channel similar to a natural heart valve. It meets the physiological requirements of patients, does not need to take anticoagulant drugs for a long time, and is beneficial to patients with contraindications to anticoagulants; the failure process of heart valve function occurs gradually, which is conducive to treatment or re-valve replacement; it will not cause discomfort to patients The noise of the feeling; the source of raw materials is abundant, easy to make, low cost and other advantages. Therefore, the research and development of artificial heart valves are very fast.

60年代中期对病变心脏瓣的置换,最早是从血管的置换发展起来的。Ross.D.J.,J.Thorac Cardiovasc.Surg 47,713(1964)选用的生物瓣材料有同种心脏瓣膜或经甲醛处理的异种主动脉瓣,经过数年的研究和临床实践,因不能改善生物瓣的功能和对胶原的保护作用而被淘汰。In the mid-1960s, the replacement of diseased heart valves was first developed from the replacement of blood vessels. Ross.D.J., J.Thorac Cardiovasc.Surg 47, 713 (1964) selected biological valve materials including the same kind of heart valve or heterogeneous aortic valve treated with formaldehyde. After several years of research and clinical practice, the biological valve cannot be improved. The function and protective effect on collagen are eliminated.

70年代初期至今由第二代胶原交联剂戊二醛占统治地位。早在1968年A.Carpentier第一次用戊二醛取代甲醛处理猪主动脉瓣,戊二醛在胶原分子键间能形成较稳定的交联键,因而经戊二醛处理的生物瓣的生物学和力学功能远优于甲醛,使用也很方便。但在20多年的长期临床考查中,逐渐发现戊二醛有着如下缺点:(1)戊二醛与胶原的ε-NH2作用生成吡啶鎓键或戊二醛仅有一个醛与胶原作用,剩余的自由醛基和吡啶鎓键能引起内源性的胶原组织钙化;(2)在固定生物瓣材料时,积存在组织中的戊二醇聚合物随着生物瓣植入人体而在体内逐渐解聚,释放出来的戊二醛单体所显示的霉性,使进入瓣叶材料的血细胞和体液细胞失活,因而引起外源性的胶原组织钙化。无论内源性或外源性钙化,都严重地影响着生物瓣的使用寿命,(3)戊二醛在力的作用下不能改善生物瓣的原发性失功;(4)抑制参与胶原钙化的碱性磷酸酶(AP)活性的能力不及Al+++离子强;(5)戊二醛处理的生物瓣材料的亲水性,生物相容性和弹性等还有待提高,加之在贮期中色泽变黄等,充分证明戊二醛不是优良的胶原交联剂。Since the early 1970s, the second-generation collagen cross-linking agent glutaraldehyde has dominated. As early as 1968, A.Carpentier used glutaraldehyde instead of formaldehyde to treat porcine aortic valve for the first time. Glutaraldehyde can form a relatively stable cross-linking bond between collagen molecular bonds, so the bioprosthesis of the biological valve treated with glutaraldehyde Its physical and mechanical functions are far superior to formaldehyde, and it is also very convenient to use. However, in the long-term clinical investigation of more than 20 years, it was gradually found that glutaraldehyde has the following disadvantages: (1) glutaraldehyde reacts with the ε- NH of collagen to form a pyridinium bond or only one aldehyde interacts with collagen, and the remaining The free aldehyde groups and pyridinium bonds in the bioprosthesis can cause endogenous collagen tissue calcification; (2) when the bioprosthesis material is fixed, the pentanediol polymer accumulated in the tissue gradually decomposes in the body as the bioprosthesis is implanted into the human body. Polymerization, the moldyness of the released glutaraldehyde monomers, inactivates blood cells and humoral cells that enter the leaflet material, thus causing exogenous collagen tissue calcification. Regardless of endogenous or exogenous calcification, it seriously affects the service life of biological valves. (3) Glutaraldehyde cannot improve the primary failure of biological valves under the action of force; (4) inhibits the participation of collagen calcification Alkaline phosphatase (AP) activity of alkaline phosphatase (AP) is not as strong as Al +++ ion; (5) The hydrophilicity, biocompatibility and elasticity of glutaraldehyde-treated bioprosthetic materials need to be improved, and in addition, during the storage period The yellowing of color and luster fully proves that glutaraldehyde is not an excellent collagen cross-linking agent.

影响生物瓣发展的致命弱点是生物材料瓣叶的钙化和撕裂而导致瓣膜使用寿命缩短。引起钙化和撕裂的原因是多方面的,其中涉及到各种生化处理对材料组织结构,力学行为等各方面因素。提高生物材料的强度取决于固定天然生物材料的交联剂种类和交联度。由于胶原的交联反应应控制在极为温和的条件进行,能用于高聚物领域的交联剂多数都不能使用,只有蛋白交联剂才有选用的可能性。我国学者乐以伦、万昌秀等于1983年起对四川阿坝的牦牛心包的组织学、生物化学、免疫学、生物力学、物理化学和胶原的化学改性等方面开展了全面的基础研究。与此同时,还对心包的固定工艺、缝瓣技术与保存方法等进行了系列的研究,并与华西医科大学合作将牦牛心包生物瓣成功地用于临床。《YPV-1牦牛心包瓣膜鉴定资料》之一至十二(1986年),充分肯定了牦牛心包材料是一种很有前途的生物瓣材料,很有发展前景。The Achilles' heel that affects the development of biological valves is the calcification and tearing of the valve leaflets of biomaterials, which leads to shortened service life of the valve. There are many reasons for calcification and tearing, which involve various biochemical treatments on the material structure, mechanical behavior and other factors. Improving the strength of biomaterials depends on the type and degree of crosslinking agent used to immobilize natural biomaterials. Since the cross-linking reaction of collagen should be controlled under extremely mild conditions, most of the cross-linking agents that can be used in the field of polymers cannot be used, and only protein cross-linking agents have the possibility of selection. Since 1983, Chinese scholars Le Yilun and Wan Changxiu have carried out comprehensive basic research on the histology, biochemistry, immunology, biomechanics, physical chemistry and chemical modification of collagen of yak pericardium in Aba, Sichuan. At the same time, a series of researches have been carried out on the fixation technology, slit flap technology and preservation methods of the pericardium, and the yak pericardial biological valve has been successfully used clinically in cooperation with West China University of Medical Sciences. "YPV-1 Yak Pericardial Valve Appraisal Materials" one to twelve (1986), fully affirmed that the yak pericardial material is a promising biological valve material with great development prospects.

为了进一步提高心包材料的耐疲劳性能和防止钙化作用的发生,本发明者还对亲水性双环氧化合物作为牦牛心包材料交联剂的可行性研究。在室温和中性条件下,该双环氧化合物形成的低聚合度自聚物能在胶原分子键间与ε-NH2反应,形成胶原微纤维同桥键,从而提高胶原纤维的力学性能。亲水性环氧交联剂还能与胶原分子链上其它活性基团如 ,胍基和甲硫基等反应。因而在胶原微纤维之间形成桥键的机会多于戊二醛。低聚合度环氧交联剂自聚物降解后的产物,是无毒或毒性很小的醇类产物。对材料的应力应变,弹性模量和应力松弛行为等力学性能的分析,证明环氧复合交联处理的牦牛心包材料较传统的戊二醛固定心包材料有更好的力学行为,更佳的亲水性与生物相容性,和明显优于戊二醛材料的缓钙化效果。In order to further improve the fatigue resistance of the pericardial material and prevent the occurrence of calcification, the inventors also studied the feasibility of hydrophilic diepoxide as a cross-linking agent for the yak pericardial material. Under room temperature and neutral conditions, the self-polymer with a low degree of polymerization formed by the diepoxide can react with ε-NH 2 between collagen molecular bonds to form collagen microfibrils and bridges, thereby improving the mechanical properties of collagen fibers. The hydrophilic epoxy crosslinking agent can also combine with other active groups on the collagen molecular chain such as , Guanidyl and methylthio and other reactions. Therefore, there are more opportunities to form bridges between collagen microfibrils than glutaraldehyde. The product of low polymerization degree epoxy crosslinking agent after polymer degradation is a non-toxic or very little toxic alcohol product. The analysis of mechanical properties such as stress-strain, elastic modulus and stress relaxation behavior of the material proves that the yak pericardium material treated with epoxy composite cross-linking has better mechanical behavior and better affinity than the traditional glutaraldehyde-fixed pericardium material. Water-based and biocompatible, and significantly better than glutaraldehyde materials in slowing down calcification.

本发明的目的是针对现有技术的不足而提供一种对胶原组织人工瓣膜材料缓钙化的方法,其特点是在常温条件下,采用亲水性双环氧复合交联剂对生物组织材料,如牦牛心包等进行生化处理,获得的人工生物瓣或缝制成其它器官,植入人体后有明显的缓钙化效果,使用寿命从7-8年延到15年以上,强度、应力松弛,生物相容性,缓钙化和耐酶解等性能,优于戊二醛法处理的胶原组织材料,有利于病患者恢复健康。The purpose of the present invention is to provide a kind of slow calcification method to collagen tissue artificial valve material in view of the deficiencies in the prior art, and its characteristic is that under normal temperature condition, adopts hydrophilic double epoxy composite cross-linking agent to biological tissue material, For example, biochemical treatment of yak pericardium, etc., to obtain artificial biological valves or sewn into other organs, after implantation in the human body, there is an obvious effect of slowing calcification, and the service life is extended from 7-8 years to more than 15 years. The strength and stress are relaxed, and the biological Compatibility, slow calcification and resistance to enzymolysis, etc., are superior to collagen tissue materials treated with glutaraldehyde, which is beneficial to the recovery of patients.

本发明提供对胶原组织人工瓣膜材料缓钙化的方法是将天然胶原组织(可用牛心包、猪主动脉瓣、硬脑膜、阔筋膜、大动物动脉血管、蹄筋和羊腹膜等)进行生化处理后用于临床或者缝制成器官植入人体内。The method for slowing calcification of collagen tissue artificial valve materials is that the natural collagen tissue (bovine pericardium, porcine aortic valve, dura mater, fascia lata, large animal arteries, hoof tendon and sheep peritoneum, etc.) is biochemically treated. It is used clinically or sewn into organs to be implanted in the human body.

1、粗选:在环境洁净和接触胶原组织的器材、药液均按外科要求灭菌消毒的条件下,在半小时内立即将采集的新鲜胶原组织于室温下去掉其表面的脂肪和网状结缔组织。1. Rough selection: Under the condition that the environment is clean and the equipment and liquid medicine in contact with collagen tissue are sterilized and sterilized according to surgical requirements, the collected fresh collagen tissue is immediately removed at room temperature within half an hour to remove the fat and reticular tissue on its surface. connective tissue.

2、漂洗:将粗选的新鲜胶原组织用灭菌生理盐水(0.9%NaCl)溶液洗涤多次,直至无血水渗出为止。每次固液比为1∶10~50,即重量与体积之比。2. Rinse: wash the roughly selected fresh collagen tissue with sterilized physiological saline (0.9% NaCl) solution for several times until no blood seeps out. Each solid-liquid ratio is 1:10-50, that is, the ratio of weight to volume.

3、浸泡萃取可溶性蛋白质:萃取用不含钙盐的HanKs液,固液比同前(2),洗至用茚三酮试剂检验无可溶性蛋白质浸出为止。3. Soaking and extracting soluble protein: the HanKs solution without calcium salt is used for extraction, the solid-to-liquid ratio is the same as in (2), and washed until no soluble protein is leached out by ninhydrin reagent test.

4、精选:选取胶原组织的均匀部分,裁成一定尺寸的矩形片。4. Selection: Select a uniform part of the collagen tissue and cut it into a rectangular piece of a certain size.

5、抗菌素灭菌:每500毫升生理盐水中加入4~8万单位庆大霉素,固液比同前(2)。5. Antibiotic sterilization: add 40,000 to 80,000 units of gentamicin per 500 ml of normal saline, and the solid-liquid ratio is the same as before (2).

6、交联剂固定:交联剂用1-15%的多官能度的环氧化合物n=1~10,与0.1N的碳酸盐缓冲液的pH9-12)和5-50%(体积/体积)水溶性有机溶剂(可用乙醇、丙酮、二氧杂环己烷)作为助溶剂,防止胶原肿胀,加速反应进程,pH9-10,对胶原组织进行交联固定,室温下反应96小时以上。6. Cross-linking agent fixation: 1-15% multifunctional epoxy compound is used for cross-linking agent n=1~10, with the pH 9-12 of the carbonate buffer solution of 0.1N) and 5-50% (volume/volume) water-soluble organic solvent (available ethanol, acetone, dioxane) as Cosolvent, prevent collagen swelling, accelerate the reaction process, pH 9-10, crosslink and fix collagen tissue, react at room temperature for more than 96 hours.

7、储放入保存液中备用:用2%甲醛磷酸缓冲液和0.5-3%水溶性表面活性剂(可用聚乙二醇、聚丙二醇和十二烷基硫酸钠)中灭菌保存。按上述方法制得的胶原组织材料除用于缝制生物心瓣膜外亦可用作心脏修补片、血管或其它医用修复材料。7. Store in preservation solution for later use: sterilize and preserve in 2% formaldehyde phosphate buffer solution and 0.5-3% water-soluble surfactant (available polyethylene glycol, polypropylene glycol and sodium lauryl sulfate). The collagen tissue material prepared by the above method can also be used as heart patch, blood vessel or other medical repair materials besides being used for sewing biological heart valves.

8、生物瓣的固定成型:用0.05-5%的复合金属盐可用ZrOCl2、Al2(SO4)3、AlCl3、FeCl3、Cr2(SO4)3、CrCl3等一种或一种以上的混合物 于生理盐水溶液中,使缝制好的生物瓣快速固定成型为缓钙化复合环氧交联法产品,然后放入2%的甲醛磷酸缓冲液和表面活性剂中灭菌保存。8. Fixation of bioprosthetic valve: ZrOCl 2 , Al 2 (SO 4 ) 3 , AlCl 3 , FeCl 3 , Cr 2 (SO 4 ) 3 , CrCl 3 , etc. The above mixtures are placed in physiological saline solution to make the sewn bioprosthesis rapidly fixed and molded into slow calcification composite epoxy cross-linked products, and then put into 2% formaldehyde phosphate buffer and surfactant for sterilization and preservation.

本发明的胶原组织材料缓钙化复合环氧交联法处理的牦牛心包与传统的戊二醛法处理的牦牛心包的效果比较如下表1。实践证明本发明克服了传统的戊二醛处理胶原组织后带来的一系列弊端和缺点。Table 1 below compares the effects of the yak pericardium treated with the slow calcification compound epoxy crosslinking method of the collagen tissue material of the present invention and the yak pericardium treated with the traditional glutaraldehyde method. Practice has proved that the present invention overcomes a series of disadvantages and shortcomings brought about by the traditional glutaraldehyde treatment of collagen tissue.

复合环氧法与戊二醛法处理牦牛心包材料的性能测试:Performance test of yak pericardium treated by compound epoxy method and glutaraldehyde method:

                 表1两种交联剂处理牦牛心包的效果 项  目   用复合环氧交联剂处理牦牛心包   用戊二醛处理牦牛心包     色  泽收缩温度(℃)断裂应变(%)定负荷拉伸应力松弛试验(拉伸500秒时的残余应力)柔软性与弹性生物相容性抗原性免疫反应耐酶水解性溶血试验细胞毒性急性毒性皮下刺激热原实验皮下埋植实验抗原性免疫反应钙含量测定微克/毫克干组织     白色或绿色82~90℃70±10.687.6±1.8柔软、厚而富有弹性动物组织相容性佳极微优小于5%96级无毒阴性阴性阴性优良极微0.57±0.19     浅黄色8549±5.886.5±2.8粗糙感、薄而僵硬细胞不易生长极微良小于5%96级无毒阴性阴性阴性较好极微23.2±4.6 Table 1 Effects of two cross-linking agents on yak pericardium project Treatment of Yak Pericardium with Compound Epoxy Crosslinking Agent Treatment of Yak Pericardium with Glutaraldehyde Color Shrinkage Temperature (°C) Breaking Strain (%) Constant Load Tensile Stress Relaxation Test (Residual Stress When Stretched for 500 Seconds) Softness and Elasticity Biocompatibility Antigenic Immunity Resistant to Enzyme Hydrolysis Hemolysis Test Cytotoxicity Acute Toxicity Subcutaneous stimulation pyrogen test Subcutaneous implantation test Antigenic immune response Determination of calcium content μg/mg dry tissue White or green 82~90°C 70±10.687.6±1.8 soft, thick and elastic animal tissue compatibility good very slightly excellent less than 5% 96 grade non-toxic negative negative negative negative excellent very small 0.57±0.19 Light yellow 8549±5.886.5±2.8 Rough feeling, thin and stiff cells are not easy to grow Very slightly good Less than 5% Grade 96 non-toxic Negative negative Negative better Minimal 23.2±4.6

1、氨基酸分析1. Amino acid analysis

复合环氧法处理样品经四川省农科院中心实验室进行氨基酸分析,戊二醛法处理样品作对比,用日立835-50型高速氨基酸分析仪测定,The samples processed by the composite epoxy method were analyzed for amino acids by the central laboratory of the Sichuan Academy of Agricultural Sciences, and the samples processed by the glutaraldehyde method were used for comparison, and were determined by Hitachi 835-50 high-speed amino acid analyzer.

                 表2两种交联剂处理牦牛包后氨基酸含量   氨基酸残基          氨基酸残基数      已反应数 新样   复合环氧 戊二醛   复合环氧 戊二醛   Arg(精氨酸)Lys(赖氨酸)His(组氨酸)Thr(苯氨酸)Met(甲硫氨酸)Ser(丝氨酸)Tyr(酪氨酸)Glu(谷氨酸)Asp(天门冬氨酸)   350198511622925070576382   35023511621325029576382   35267511622925270576382   -175--16-41**   -131-----** Table 2 Amino acid content after two kinds of cross-linking agents treated yak bag amino acid residue Number of amino acid residues Number of responses new style composite epoxy glutaraldehyde composite epoxy Glutaraldehyde Arg (Arginine) Lys (Lysine) His (Histidine) Thr (Phenyl) Met (Methionine) Ser (Serine) Tyr (Tyrosine) Glu (Glu) Asp (Tianmen aspartic acid) 350198511622925070576382 35023511621325029576382 35267511622925270576382 -175--16-41** -131-----**

每1000个总氨基酸中的氨基酸残基Amino acid residues per 1000 total amino acids

环氧与酸性氨基酸形成的酯键在酸性水解条件下水解破坏。The ester bond formed by epoxy and acidic amino acid is hydrolytically broken under acidic hydrolysis conditions.

氨基酸分析表明,经环氧交联处理的材料较戊二醛处理的材料,引入了多种交联键,交联点数也有所增加。Amino acid analysis showed that, compared with glutaraldehyde-treated materials, the materials treated with epoxy cross-linking introduced a variety of cross-linking bonds, and the number of cross-linking points also increased.

2、力学性能测试2. Mechanical performance test

经卫生部药检所采用Shimadzu-AG-5000A生物材料试验机对复合环氧交联处理材料与戊二醛法处理材料对比试验如图1,图2所示。The comparison test of composite epoxy cross-linked materials and glutaraldehyde-treated materials by Shimadzu-AG-5000A biological material testing machine is shown in Figure 1 and Figure 2 by the Drug Control Institute of the Ministry of Health.

图1,牦牛心包材料的应力-应变曲线* Figure 1. Stress-strain curves of yak pericardial material *

1、新鲜样品  2,复合环氧法,3、戊二醛法1. Fresh sample 2. Compound epoxy method, 3. Glutaraldehyde method

*试样周向取向,试样数n=9,曲线上各点为平均值±标准误差。*Circumferential orientation of samples, number of samples n=9, each point on the curve is mean ± standard error.

图2,牦牛心包材料的应力松弛曲线* Figure 2. Stress relaxation curve of yak pericardial material *

1、新鲜样品,2、复合环氧法,3、戊二醛法1. Fresh sample, 2. Compound epoxy method, 3. Glutaraldehyde method

* 时间刻度log(t),试样数n=10,曲线上各点为平均±标准误差,载荷在550秒的情况下,复合环氧处理的牦牛心包材料的力学性能优于戊二醛处理牦牛心包材料。* The time scale is log(t), the number of samples is n=10, the points on the curve are mean ± standard error, and the mechanical properties of the composite epoxy-treated yak pericardium material are better than those of the glutaraldehyde-treated yak under the load of 550 seconds pericardial material.

        表3两种交联剂处理牦牛心包的抗张强度与断裂伸长率 样    品  试样数(n) 抗张强度KN·m-2·103 断裂伸长率% 新    样复合环氧戊 二 醛     71410     12.5±4.412.3±3.85.0±1.1  6.1±6.570±10.649±5.8 Table 3 Tensile strength and elongation at break of yak pericardium treated with two cross-linking agents sample Number of samples (n) Tensile strength KN·m -2 ·10 3 Elongation at break% New compound epoxy glutaraldehyde 71410 12.5±4.412.3±3.85.0±1.1 6.1±6.570±10.649±5.8

由于环氧化合物能与胶原分子中多种氨基酸侧基起反应,如ε-NH2,-COOH,-OH等,形成分布较为均匀的交联键。此外,环氧交联剂是带醚键的柔性分子链。因此,在保持材料的抗张强度基础上,环氧处理的断裂伸长率也有显著提高,对于体内受多变应力作用的瓣叶材料,是十分有利的。胶原组织的应力松弛主要来自  纤维束间的滑移和纤维分子本身的粘弹性。经化学改性后,材料的应力松弛速率均有所下降,但以EP心包材料下降率较小。再次说明改性心包材料的应力松弛效应与材料的氨基酸分析结果吻合,即环氧在胶原分子间引入的交联键数较戊二醛的交联键多。Because epoxy compounds can react with various amino acid side groups in collagen molecules, such as ε-NH 2 , -COOH, -OH, etc., to form cross-linking bonds with a relatively uniform distribution. In addition, epoxy crosslinkers are flexible molecular chains with ether linkages. Therefore, on the basis of maintaining the tensile strength of the material, the elongation at break of the epoxy treatment is also significantly improved, which is very beneficial for the leaflet material subjected to variable stress in the body. The stress relaxation of collagen tissue mainly comes from the slippage between fiber bundles and the viscoelasticity of fiber molecules themselves. After chemical modification, the stress relaxation rate of the materials decreased, but the decrease rate was smaller for EP pericardial material. Again, it shows that the stress relaxation effect of the modified pericardial material is consistent with the amino acid analysis results of the material, that is, the number of cross-links introduced by epoxy between collagen molecules is more than that of glutaraldehyde.

经复合环氧交联剂处理的牦牛心包材料,其柔性较戊二醛处理的好,抗拉强度和断裂伸长率增加,力学性能优于戊二醛处理材料。The yak pericardium material treated with compound epoxy cross-linking agent is more flexible than glutaraldehyde-treated material, its tensile strength and elongation at break are increased, and its mechanical properties are better than those treated with glutaraldehyde.

3、材料的钙化实验3. Calcification experiment of materials

在生物瓣失效的原因中,无毒退变(主要是组织的退变)占失效原因总数的74%,而组织退变多数与瓣叶的钙化有关。研究缓Among the causes of bioprosthetic valve failure, non-toxic degeneration (mainly tissue degeneration) accounts for 74% of the total failure reasons, and tissue degeneration is mostly related to valve leaflet calcification. research slow

钙化材料是解决生物瓣使用寿命的关键问题。Calcification material is the key problem to solve the service life of biological valve.

参照Fishbein和Levy的方法,将样品及对照包埋于大鼠背部皮下,21天后取出,烘干至恒重称量,硝化,并用PE3030型原子吸收分光光度仪测定钙含量。According to the method of Fishbein and Levy, the samples and controls were embedded subcutaneously in the back of rats, taken out after 21 days, dried to constant weight, nitrated, and the calcium content was determined by PE3030 atomic absorption spectrophotometer.

   表4  两种交联剂处理牦牛心包后钙化实验 样  品   测定次数 Ca++μg/mg干组织 戊二醛复合环氧     99     23.2±4.60.57±0.19 复合环氧处理样品的钙含量与戊二醛样品相比显著下降,复合环氧处理材料具有明显的缓钙化作用。Table 4 Calcification experiment of yak pericardium treated with two cross-linking agents sample Measurement times Ca ++ μg/mg dry tissue Glutaraldehyde composite epoxy 99 23.2±4.60.57±0.19 Compared with the glutaraldehyde sample, the calcium content of composite epoxy treated samples decreased significantly, and the composite epoxy treated materials had obvious calcification slowing effect.

4、材料的酶解实验:4. Enzyme hydrolysis experiment of materials:

酶解法是以胶原组织材料在酶(I型胶原酶Collagenase I,或链蛋白酶Pronase)作用下释放出的羟脯氨酸(Hypro)量来表达的,羟脯氨酸值愈低,则材料的耐酶解能力愈强。The enzymatic hydrolysis method is expressed by the amount of hydroxyproline (Hypro) released by the collagen tissue material under the action of enzyme (type I collagenase Collagenase I, or pronase Pronase). The lower the value of hydroxyproline, the more The stronger the resistance to enzymatic hydrolysis.

                  表5 两种交联剂处理牦牛心包后酶解实验 心包材料                      牦牛心包 黄牛心包 新鲜 环氧  锆复合环氧   铬复合环氧 戊二醛 戊二醛(巴西) 戊二醛(美国) 收缩温度Ts℃羟脯氨酸含量Hypro值mg/g绝干试样   68116.0   7952   8442.2   8350.1   8860.3  8858.8  8860.5 Table 5 Enzyme hydrolysis experiment of yak pericardium treated with two cross-linking agents pericardial material Yak pericardium Cattle pericardium Fresh epoxy Zirconium composite epoxy Chrome Composite Epoxy glutaraldehyde Glutaraldehyde (Brazil) Glutaraldehyde (USA) Shrinkage temperature Ts℃ Hydroxyproline content Hypro value mg/g dry sample 68116.0 7952 8442.2 8350.1 8860.3 8858.8 8860.5

实验证明复合环氧交联法处理的牦牛心包材料在收缩温度Ts℃较低的情况下,其羟脯氨酸值仍明显低于戊二醛法处理的牦牛心包材料和巴西、美国的黄牛心包商品试样。Experiments have shown that the yak pericardium material treated by composite epoxy crosslinking method has significantly lower hydroxyproline value than that of yak pericardium material treated by glutaraldehyde method and yellow cattle pericardium materials from Brazil and the United States under the condition of low shrinkage temperature Ts℃. Product samples.

本发明具有如下优点:The present invention has the following advantages:

经过生化处理的胶原组织材料植入人体后,生物相容性好,排异反应小,在医学外科手术上的应用日渐广泛,其中以人工生物心瓣用量最大,仅以国内外换瓣情况为例,全世界已有100多万人换瓣,美国每年约10000人换瓣,1988年联邦德国换瓣术已达5000多例,国际市场销售量每年约增长6.9%。我国成人风心病患者约140万,其中8万人急需换瓣,根据以上增长率,我国每年还将增加5000急需换瓣者。目前国内已有100多家医院开展换瓣手术,但产量远远满足不了临床需要,据华西医科大学80年代初调查,四川一亿人中0.8%患心瓣病,即80万病员,其中10%应换心瓣,加上愿意或可能换的为应换心瓣的10%,则本省急等换瓣者也在近万人之上。因此,本发明更有利于病患者在于:After biochemically treated collagen tissue materials are implanted into the human body, they have good biocompatibility and little rejection, and are increasingly widely used in medical surgery. Among them, artificial biological heart valves are the most used, and only domestic and foreign valve replacements are the most important. For example, more than 1 million valve replacements have been performed in the world, about 10,000 valve replacements are performed in the United States every year, and more than 5,000 valve replacements have been performed in the Federal Republic of Germany in 1988, and the sales volume in the international market has increased by about 6.9% per year. There are about 1.4 million adults with rheumatic heart disease in my country, 80,000 of whom are in urgent need of valve replacement. According to the above growth rate, there will be an additional 5,000 people in urgent need of valve replacement every year in my country. At present, more than 100 hospitals in China have carried out valve replacement surgery, but the output is far from meeting the clinical needs. According to the survey of West China Medical University in the early 1980s, 0.8% of the 100 million people in Sichuan suffered from heart valve disease, that is, 800,000 patients, of which 10 % should be replaced, plus 10% of those who are willing or likely to be replaced, there are more than 10,000 people in this province who are urgently waiting for valve replacement. Therefore, the present invention is more beneficial to patient because:

1、减小或延缓胶原组织材料在体内的钙化,从而大大延长生物瓣植入人体后的使用寿命,从7-8年提高到15年以上,有利于病患者恢复健康。1. Reduce or delay the calcification of collagen tissue materials in the body, thereby greatly prolonging the service life of the biological valve implanted in the human body, from 7-8 years to more than 15 years, which is conducive to the recovery of patients.

2、生物瓣与人工机械瓣相比造价低廉,血动力学功能接近人体生理功能,血液相容性好,不需要服用抗凝药物,适合于我国和发展中国家的国情,本专利的实施将为人类心瓣病患者带来福音。2. Compared with artificial mechanical valves, biological valves are cheaper to manufacture, and their hemodynamic functions are close to the physiological functions of the human body. They have good blood compatibility and do not need to take anticoagulant drugs. They are suitable for the national conditions of our country and developing countries. The implementation of this patent will Bring the gospel to human heart valve disease patients.

3、我国具有丰富的生物组织材料资源,尤其四川省每年宰杀数以千万计的生猪和数以万计牦牛,有取之不尽,用之不竭的型号齐全的猪主动脉瓣和优良的牦牛心包材料,为发展生物瓣工业提供了可靠的保证。天然胶原组织材料,在经过交联处理前,一般是屠宰加工厂废弃不用之物,经过生化处理后变废为宝造福人类,不仅可以救死扶伤,还可节汇创汇。例如国内广州太平洋公司每张心包约100元,制成的生物瓣每只为1500元,而且是用传统的戊二醛处理的材料。美国进口的生物瓣每只为1000美元,如果用本发明的方法生产的材料制造缓钙化生物瓣,且质量比美国的好。若年产5000只,并以同样价格销售,则年产值可达750万元,出口可创汇5000美元。3. my country has abundant resources of biological tissue materials, especially tens of millions of pigs and tens of thousands of yaks are slaughtered every year in Sichuan Province, and there are inexhaustible and inexhaustible pig aortic valves of complete models and high-quality The advanced yak pericardial material provides a reliable guarantee for the development of the biological valve industry. Natural collagen tissue materials, before cross-linking treatment, are generally waste products from slaughtering and processing factories. After biochemical treatment, they can turn waste into treasures for the benefit of mankind. It can not only save lives, but also earn foreign exchange. For example, Guangzhou Pacific Company in China costs about 100 yuan per pericardium, and 1,500 yuan for each bioprosthesis, and it is made of traditional glutaraldehyde-treated materials. The cost of bioprosthesis imported from the U.S. is $1,000 each. If the materials produced by the method of the present invention are used to manufacture slow-calcification bioprosthetic valves, the quality is better than that of the U.S. If 5,000 pieces are produced annually and sold at the same price, the annual output value can reach 7.5 million yuan, and the export can earn 5,000 US dollars.

实施例1:Example 1:

1、粗选:选择3-5岁的健康小牛,宰杀后半小时内采集,要求环境洁净、接触心包的器材药液按外科灭菌消毒,采集的新鲜牦牛心包于室温,最佳温度为4-10℃下去掉表面的脂肪和粗糙结缔组织。1. Rough selection: select healthy calves aged 3-5, and collect them within half an hour after slaughter. The environment is required to be clean, and the medical solution of the equipment that contacts the pericardium is sterilized according to surgery. The collected fresh yak pericardium is kept at room temperature, and the optimal temperature is 4-10°C to remove superficial fat and rough connective tissue.

2、漂洗:将粗选的新鲜牦牛心包用灭菌生理盐水(0.9%NaCl)溶液洗涤多次,直至无血水渗出为止,每次固液比为1∶40重量比体积温度为室温,最佳温度为4-10℃。2. Rinsing: Wash the rough-selected fresh yak pericardium several times with sterilized physiological saline (0.9% NaCl) solution until no blood seeps out. The best temperature is 4-10°C.

3、浸泡萃取可溶性蛋白质:灭菌用不含钙盐的HanKs液,固液比同前(2),洗至用茚三酮试验无可溶性蛋白质浸出为止。3. Soaking and extracting soluble protein: Sterilize with HanKs solution without calcium salt, the solid-liquid ratio is the same as in (2), and wash until no soluble protein is leached out in the ninhydrin test.

4、精选:选取心前区均匀部分,裁成120×100毫米大小的矩形片。4. Selection: Select a uniform part of the precordial area and cut it into a rectangular piece with a size of 120×100 mm.

5、抗菌素灭菌:在500毫升生理盐水中加入4-8万单位庆大霉素,固液比同前(2),温度为室温,最佳温度4-10℃。5. Antibiotic sterilization: Add 40,000-80,000 units of gentamycin to 500 milliliters of normal saline, the solid-to-liquid ratio is the same as in (2), and the temperature is room temperature, preferably 4-10°C.

6、交联剂固定:交联剂可用2-3官能度环氧化合物与0.1N的碳酸盐缓冲液和20%乙醇作为助溶剂(pH9-10)对生物材料进行交联固定,反应温度为4-10℃,时间96小时以上。6. Cross-linking agent fixation: the cross-linking agent can be 2-3 functional epoxy compound The biological material is cross-linked and fixed with 0.1N carbonate buffer solution and 20% ethanol as co-solvent (p H 9-10), the reaction temperature is 4-10° C., and the time is more than 96 hours.

7、储放入保存液中备用:用2%甲醛磷酸缓冲液和1%聚乙二醇中灭菌保存1个月左右。由此制得的缓钙化胶原组织材料除缝制生物瓣外,亦可用作心脏修补片、血管或其它医用修复材料。7. Store in preservation solution for later use: sterilize and preserve in 2% formaldehyde phosphate buffer and 1% polyethylene glycol for about 1 month. The slow calcification collagen tissue material thus prepared can be used as a heart patch, blood vessel or other medical repair materials in addition to sewing biological valves.

8、生物瓣的固定成型:用0.2%的ZrOCl2于生理盐水溶液中,使缝制好的生物瓣快速固定成型。然后放入2%的甲醛磷酸缓冲液和表面活性剂聚乙二醇中灭菌保存。8. Fixation of biological valve: use 0.2% ZrOCl 2 in physiological saline solution to quickly fix and form the sewn biological valve. Then put it into 2% formaldehyde phosphate buffer and surfactant polyethylene glycol for sterilized preservation.

实施例2:Example 2:

1、粗选:选取新鲜的狗动脉血管于室温下去掉血管表面的肌肉和要求,同实施1的(1)。1. Rough selection: select fresh dog arterial blood vessels at room temperature to remove the muscle and requirements on the surface of the blood vessels, and implement (1) of 1.

2、漂洗:将粗选的新鲜狗动脉血管用灭菌生理盐水(0.9%NaCl)溶液洗涤多次,直至无血水渗出为止,每次固液比为1∶30重量比体积比,温度为室温。2. Rinsing: Wash the roughly selected fresh dog arteries several times with sterilized physiological saline (0.9% NaCl) solution until no blood seeps out. room temperature.

4、浸泡萃取可溶性蛋白质,同实施例1的(3)。4. Soak and extract soluble protein, same as (3) in Example 1.

4、精选:选取均匀部分,切取一定长度的血管。4. Selection: Select a uniform part and cut a certain length of blood vessel.

5、抗菌素灭菌:同实施1的(5)。5. Antimicrobial sterilization: the same as (5) in Implementation 1.

6、交联剂固定:交联剂可用2%双官能度环氧化合物

Figure C9311096400141
,n=3与0.1N的碳酸盐缓冲液和20%丙酮作为助溶剂,pH9-10,对血管进行交联固定,室温下反应96小时。6. Cross-linking agent fixation: 2% bifunctional epoxy compound can be used as cross-linking agent
Figure C9311096400141
, n=3 and 0.1N carbonate buffer solution and 20% acetone as co-solvent, pH 9-10, blood vessels were cross-linked and fixed, and reacted at room temperature for 96 hours.

7、储放入保存液中备用:用2%甲醛磷酸缓冲液和0.5%聚丙二醇中灭菌保存,即可直接用于置换病变的血管。7. Store in preservation solution for later use: sterilize and preserve in 2% formaldehyde phosphate buffer solution and 0.5% polypropylene glycol, then it can be directly used to replace diseased blood vessels.

实施例3:Example 3:

1、粗选:选取新鲜的猪主动脉瓣于室温下去掉脂肪和不均匀部分,要求同实施例1的(1)。1. Rough selection: select fresh porcine aortic valve to remove fat and uneven parts at room temperature, and the requirements are the same as in Example 1 (1).

2、漂洗:3、浸泡萃取可溶性蛋白质,4、精选和5抗菌素灭菌皆同实施例2的(2)(3)(4)(5)。2. Rinsing: 3. Soaking and extracting soluble protein, 4. Selecting and 5 antibiotic sterilization are all the same as (2)(3)(4)(5) in Example 2.

6、交联固定:交联剂可用2%的双官能度的环氧化合物

Figure C9311096400142
n=10与0.1N的碳酸盐缓冲液和10%二氧环己烷作为助溶剂,pH9-10,对该主动脉瓣进行交联固定,室温下反应96小时。6. Cross-linking fixation: the cross-linking agent can be 2% difunctional epoxy compound
Figure C9311096400142
n=10 and 0.1N carbonate buffer solution and 10% dioxane as co-solvent, pH 9-10, the aortic valve was cross-linked and fixed, and reacted at room temperature for 96 hours.

7、储放入保存液中备用:用2%甲醛磷酸缓冲液和0.5%十二烷基硫酸钠中灭菌保存。7. Store in preservation solution for later use: sterilize and preserve in 2% formaldehyde phosphate buffer and 0.5% sodium dodecyl sulfate.

Claims (6)

1.对胶原组织人工瓣膜材料缓钙化的方法,其特征在于:1. the method for the slow calcification of collagen tissue artificial valve material, is characterized in that: (1)粗选:在环境洁净和接触胶原组织的器材、药液均按外科要求灭菌消毒的条件下,在半小时内立即将采集到的新鲜胶原组织于室温下去掉其表面的脂肪和网状结缔组织,(1) Rough selection: Under the condition that the environment is clean and the equipment and liquid medicine in contact with collagen tissue are sterilized and sterilized according to surgical requirements, the collected fresh collagen tissue is immediately removed at room temperature within half an hour to remove the fat and fat on its surface. reticular connective tissue, (2)漂洗:将粗选的新鲜胶原组织用灭菌生理盐水溶液洗涤多次,直至无血水渗出为止,每次固液比为1∶10~50,即重量与体积之比,(2) Rinse: Wash the roughly selected fresh collagen tissue with sterilized saline solution for several times until no blood seeps out. The solid-liquid ratio is 1:10-50 each time, that is, the ratio of weight to volume, (3)浸泡萃取可溶性蛋白质:萃取用不含钙盐的HanKs液,固液比同前(2),洗至用茚三酮试剂检验无可溶性蛋白质浸出为止,(3) Soaking and extracting soluble protein: HanKs solution without calcium salt is used for extraction, the solid-to-liquid ratio is the same as in (2), and washed until no soluble protein is leached out in the ninhydrin reagent test, (4)精选:选取胶原组织的均匀部分,裁成一定尺寸的矩形片,(4) Selection: select a uniform part of the collagen tissue and cut it into a rectangular sheet of a certain size. (5)抗菌素灭菌:每500毫升生理盐水中加入4~8万单位庆大霉素,固液比同前(2),(5) Antibiotic sterilization: Add 40,000 to 80,000 units of gentamicin per 500 ml of normal saline, and the solid-liquid ratio is the same as in (2). (6)交联剂固定:交联剂用1~15%的多官能度的环氧化合物与0.1N的碳酸盐缓冲液和5~50%水溶性有机溶剂作为助溶剂,对胶原组织进行第一次交联固定,室温下反应96个小时以上,(6) Cross-linking agent fixation: the cross-linking agent uses 1 to 15% multifunctional epoxy compound, 0.1N carbonate buffer and 5 to 50% water-soluble organic solvent as cosolvents to carry out collagen tissue The first cross-linking fixation, reaction at room temperature for more than 96 hours, (7)储放于保存液中备用:用2%甲醛磷酸缓冲液和0.5~3%水溶性表面活性剂中灭菌保存,(7) Store in preservation solution for later use: sterilize and preserve in 2% formaldehyde phosphate buffer and 0.5-3% water-soluble surfactant, (8)生物瓣的固定成型:用0.05~5%的复合金属盐于生理盐水溶液中,使缝制好的牛心包或猪主动脉瓣进行第二次固定成型为缓钙化复合环氧交联法产品,然后放入2%甲醛磷酸缓冲液和表面活性剂中灭菌保存。(8) Fixation of biological valve: use 0.05-5% compound metal salt in physiological saline solution to make the sewn bovine pericardium or porcine aortic valve for the second time to form a slow calcification composite epoxy crosslinking Method products, and then put into 2% formaldehyde phosphate buffer and surfactant for sterilization and preservation. 2.按照权利要求1所述对胶原组织人工瓣膜材料缓钙化的方法,其特征在于胶原组织材料为牛心包,猪主动脉瓣,人体硬脑膜,阔筋膜、大动物动脉血管、蹄筋和羊腹膜。2. according to the method for slow calcification of collagen tissue artificial valve material according to claim 1, it is characterized in that collagen tissue material is bovine pericardium, porcine aortic valve, human dura mater, fascia lata, large animal arterial vessel, tendon and sheep peritoneum. 3.按照权利要求1所述对胶原组织人工瓣膜材料缓钙化的方法,其特征在于多官能度环氧交联剂为 n=1~10同系化合物。3. according to the method for the slow calcification of collagen tissue artificial valve material according to claim 1, it is characterized in that the polyfunctionality epoxy cross-linking agent is n=1-10 homologous compounds. 4.按照权利要求1所述对胶原组织人工瓣膜材料缓钙化的方法,其特征在于水溶性有机助溶剂为乙醇、丙酮和二氧杂环己烷。4. according to the method for slowing calcification of collagen tissue artificial valve material according to claim 1, it is characterized in that the water-soluble organic co-solvent is ethanol, acetone and dioxane. 5.按照权利要求1所述对胶原组织人工瓣膜材料缓钙化的方法,其特征在于水溶性表面活性剂为聚乙二醇、聚丙二醇和十二烷基硫酸钠。5. According to the method for slowing calcification of collagen tissue artificial valve material according to claim 1, it is characterized in that the water-soluble surfactant is polyethylene glycol, polypropylene glycol and sodium lauryl sulfate. 6.按照权利要求1所述对胶原组织人工瓣膜材料缓钙化的方法,其特征在于复合金属盐为ZrOCl2、Al2(SO4)3、AlCl2、FeCl3、Cr2(SO4)3、CrCl3的一种或一种以上的混合物。6. The method for slowing calcification of collagen artificial valve material according to claim 1, characterized in that the composite metal salt is ZrOCl 2 , Al 2 (SO 4 ) 3 , AlCl 2 , FeCl 3 , Cr 2 (SO 4 ) 3 , CrCl 3 or a mixture of more than one.
CN93110964A 1993-04-16 1993-04-16 Slow-calcifying compound epoxy cross-linking method for collagen tissue material Expired - Fee Related CN1052632C (en)

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