CN109316629B

CN109316629B - Injection type bone repair material and preparation method and application thereof

Info

Publication number: CN109316629B
Application number: CN201811443147.2A
Authority: CN
Inventors: 曹建新
Original assignee: Zhejiang Ruigu Biotechnology Co Ltd
Current assignee: Zhejiang Ruigu Biotechnology Co Ltd
Priority date: 2018-11-29
Filing date: 2018-11-29
Publication date: 2020-02-21
Anticipated expiration: 2038-11-29
Also published as: CN109316629A

Abstract

The invention belongs to the field of biomedical materials containing active protein and the field of regenerative medicine, and particularly provides an injection type bone repair material which comprises modified chitosan, phosphate and rH-BMP 2. The material can be used for repairing bone injury. An injection type bone repair material comprises the following components in percentage by mass: rH-BMP 2: 1% -10%; and (3) chitosan: 10% -40%; tetracalcium phosphate: 10% -50%; calcium hydrogen phosphate: 5% -15%; gelatin: 5% -10%; disodium hydrogen phosphate: 0.2% -5; 0.2 to 5 percent of sodium dihydrogen phosphate. The invention takes the allyl trimethyl ammonium chloride or acrylamide modified chitosan and gelatin as the slow release carrier to realize great progress in degradation/drug release time and obviously reduce the anaphylaxis.

Description

Injection type bone repair material and preparation method and application thereof

Technical Field

The invention belongs to the field of biomedical materials containing active protein and the field of regenerative medicine, and particularly provides an injection type bone repair material which comprises modified chitosan, phosphate and rH-BMP 2. The material can be used for repairing bone injury.

Background

BMP-2 belongs to TGF- α family, is secreted by osteoblasts and acts on osteoblasts, and BMP-2 is a main signal molecule for differentiation into mineral-deposited osteoblasts and plays an important role in inducing differentiation of osteoblasts, is expressed during limb growth, endochondral ossification and fracture, plays an important role in bone growth, development and regenerative repair, and is considered to be a promising active ingredient for treating diseases such as fracture, bone defect, etc. due to the significant effect of stimulating new bone formation of BMP-2, it can also be used as an alternative medical solution for bone transplantation (such application has been approved by FDA) in the case of spinal fusion, joint fusion, etc.

The main disadvantages of BMP-2 are its short half-life, t1/2 only 6-7min after intravenous injection, and its susceptibility to denaturation by metabolic processes, changes in physiological environment, or action with enzymes. Therefore, even if a large dose of the drug is continuously administered, the drug administration routes such as injection and oral administration often cannot provide a continuously effective concentration for a target site, cannot provide a good treatment effect for bones which need to grow and recover for a long time, and is easy to cause low bone formation quality, inflammatory reaction and other potential risks for patients. Therefore, the selection of an appropriate delivery means, such as the placement of BMP-2 in a bone repair material, is critical to achieving widespread use of BMP-2 and to improving its therapeutic efficacy.

Natural polymer materials such as chitosan, hyaluronic acid, alginic acid, cellulose and the like become good carriers of BMP-2 due to good biocompatibility and degradation characteristics, but have the problems of poor mechanical properties and rapid degradation when used as bone repair materials, and are difficult to achieve good balance even when used with other materials.

Disclosure of Invention

The inventors tried to modify chitosan, a natural polymer, to solve the above technical problems. The inventors found that the use of allyltrimethylammonium chloride or acrylamide modified chitosan with gelatin as a slow release carrier achieved great progress in degradation/release time and significantly reduced hypersensitivity. The effect which is obviously superior to that of chitosan and the prior similar material is obtained in both in-vitro release experiments and animal experiments. The cytotoxicity test also preliminarily proves the safety of the compound.

The first object of the invention is to provide an injection type bone repair material, which comprises the following components by mass percent:

rH-BMP2：1％-10％；

and (3) chitosan: 10% -40%;

tetracalcium phosphate: 10% -50%;

calcium hydrogen phosphate: 5% -15%;

gelatin: 5% -10%;

disodium hydrogen phosphate: 0.2% -5;

0.2 to 5 percent of sodium dihydrogen phosphate.

Further, the bone repair material comprises the following components in percentage by mass:

rH-BMP2：2％-8％；

and (3) chitosan: 20% -35%;

tetracalcium phosphate: 20% -40%;

calcium hydrogen phosphate: 8% -12%;

gelatin: 5% -10%;

0.5 to 2.5 percent of disodium hydrogen phosphate;

0.5 to 2.5 percent of sodium dihydrogen phosphate.

Further, the chitosan is modified chitosan, and the modified chitosan is allyl trimethyl ammonium chloride or acrylamide modified chitosan.

Further, the modified chitosan is prepared by the following method:

dissolving 3g of chitosan in 250ml of 5% (volume) acetic acid solution; heating to 90 ℃ under the protection of argon, adding 6ml of 0.08mol/L cerium nitrate, and reacting for 30 min; adding 9ml of 50 percent (mass) allyl trimethyl ammonium chloride aqueous solution, and reacting for 2 hours; cooling, precipitating with ethanol, washing, filtering, and vacuum drying to obtain allyl trimethyl ammonium chloride modified chitosan.

Further, the modified chitosan is prepared by the following method:

dissolving 3g of chitosan solution in 250ml of 5% (volume) acetic acid solution; heating to 50 ℃ under the protection of argon, adding 5ml of 0.06mol/L cerium nitrate, and reacting for 30 min; adding 8g of acrylamide, and reacting for 2 hours; cooling, adding sodium hydroxide solution to adjust the pH value to 10 to obtain a precipitate, washing the precipitate with acetone, and drying in vacuum to obtain the acrylamide modified chitosan.

Further, the rH-BMP2 of the present invention employs BMP-2 protein, protein mutant or protein active fragment having bone forming activity, which can be extracted from sources or expressed from various host strains by genetic engineering methods.

Further, the amino acid sequence of the rH-BMP2 of the present invention is SEQ ID NO.2, and the gene sequence editing the amino acid sequence is SEQ ID NO. 1.

Further, the amino acid sequence of the rH-BMP2 of the present invention is SEQ ID NO.4, and the gene sequence editing the amino acid sequence is SEQ ID NO. 3.

The chitosan of the present invention can be derived from various sources, the molecular weight thereof can be adjusted by those skilled in the art within the range of 1 to 80 ten thousand according to the needs of the repair site, and the modification can be carried out by the practitioner or the modified finished product can be purchased.

The second object of the present invention is to provide a method for preparing the above bone repair material, which comprises the steps of:

1) grinding tetracalcium phosphate and calcium hydrogen phosphate uniformly, mixing, filling, and performing irradiation sterilization to prepare a bottle A;

2) mixing chitosan and rH-BMP2, bottling, and sterilizing by irradiation to obtain bottle B;

3) preparing 5-15% aqueous solution of disodium hydrogen phosphate and sodium dihydrogen phosphate, filling, and sterilizing with high temperature steam to obtain bottle C;

4) the A, B, C bottle is mixed in a sterile container before use, filled into a bone cement gun and injected into a surgical site for use.

The third purpose of the invention is to provide the application of the bone repair material in repairing bone injury.

Further, the bone injury is bone defect, bone nonunion, and delayed bone healing.

In addition to bone injury, the compositions of the present application may also be used in therapeutic orthopedic bone repair, cosmetic orthopedic repair, spinal fusion, joint fusion, and the like, where filling and promotion of bone growth is desired.

Due to the adoption of the technical scheme, the invention takes the allyl trimethyl ammonium chloride or acrylamide modified chitosan and gelatin as the slow release carrier to realize great progress in degradation/drug release time, and obviously reduces the anaphylaxis. The effect which is obviously superior to that of chitosan and the prior similar material is obtained in both in-vitro release experiments and animal experiments. The cytotoxicity test also preliminarily proves the safety of the compound. The invention also adds gelatin which can improve the bone repair effect.

Drawings

FIG. 1 is a view showing a radiology examination of mice in experimental group 1.

FIG. 2 is a view showing a radiology examination of mice in Experimental group 2.

FIG. 3 is a photograph showing the results of the radiology examination of the mice of experimental group 3.

FIG. 4 is a photograph showing a radiological examination of a control group of mice.

Detailed Description

Reagents and instrumentation:

tetracalcium phosphate, calcium hydrophosphate, disodium hydrogen phosphate, and sodium dihydrogen phosphate are all provided by Shanghai Ribang biomaterial, Inc.;

gelatin is supplied by Yangxin east Biotechnology Ltd of Shandong province;

chitosan (medium molecular weight, about 40 million) is produced by shanghai ai gay biotechnology limited;

allyl trimethyl ammonium chloride, acrylamide (analytical purity) are produced by Shanghai Banghong chemical industry Co., Ltd;

the detection kit for the residual protein of the escherichia coli host is produced by Shanghai Chengxao biological science and technology limited;

the rH-BMP2 ELISA detection kit is produced by Tianjin Anorikang biotechnology, Inc.;

the CCK-8 cell proliferation toxicity detection kit is produced by Dalian Meilun biological technology limited company;

nicolet 5700 an infrared spectrometer is produced by Nicolet;

partial molecular biology operations are entrusted to Kingsry Biotechnology, Inc;

partial chemical modification operation is entrusted to Shanghai pioneer chemical research management company;

part of animal experiments are carried out by the scientific research experiment center/experimental animal center of Beijing university of traditional Chinese medicine;

the rest reagents and instruments are all made by conventional brands and models.

Example 1 preparation of BMP-2 to facilitate the experimental procedure and quality control, BMP-2 used in the experiment was prepared by the applicant at his own discretion:

constructing an rH-BMP2 gene sequence suitable for being expressed in escherichia coli according to an rH-BMP2 amino acid and gene sequence in Genbank, wherein the nucleotide sequence (containing partial enzyme cutting sites) is SEQ ID NO.1 in a sequence table; the gene fragment is inserted into a pET plasmid vector after enzyme digestion, and is transformed into an escherichia coli host after connection; screening positive clones, and inducing rH-BMP2 to express; fermenting, breaking thallus, collecting inclusion body, cracking inclusion body and renaturing protein; anion and cation exchange chromatography purification to obtain rH-BMP2, electrophoresis shows a single band of about 12kDa (consistent with reported rH-BMP 2), and the amino acid sequence of the product is SEQ ID NO.2 in the sequence table.

The detection of residual protein (less than 0.005%) in colibacillus host by using colibacillus host residual protein detection kit and the detection of antibiotic residue (less than 0.1ppm) by using bacteriostatic loop method all meet the requirements of further experiments.

Example 2 preparation of modified chitosan allyl trimethyl ammonium chloride modified chitosan:

The infrared spectrum detection of the product shows 1415cm^-1(-NH)、1555cm^-1Characteristic absorption peak of (C ═ O), indicating that allyl trimethyl ammonium chloride has been grafted on chitosan.

Modifying chitosan with acrylamide:

The infrared spectrum detection of the product shows 1670cm^-1(-CONH₂)、1415cm^-1(-NH)、1574cm^-1(-NH₂) Indicating that acrylamide has been grafted on chitosan.

EXAMPLE 3 preparation of bone repair Material and basic Properties thereof

The bone repair material is prepared from tetracalcium phosphate, allyl trimethyl ammonium chloride or acrylamide modified chitosan and rH-BMP2 polypeptide according to the following formula, and is stored at 4 ℃ when not used.

The method for preparing the bone repair material comprises the following steps:

4) mixing A, B, C bottles in sterile container, and kneading into desired shape to obtain bone repairing material.

CCK-8 cell proliferation toxicity test carried out according to the kit instruction shows that the cytotoxicity of the material is CTS0-I grade, and the safety of the material is preliminarily verified.

A control bone repair material was also prepared according to the formulation of example 1, wherein chitosan was used instead of modified chitosan, with the other processes and ingredients unchanged.

EXAMPLE 4 in vitro rH-BMP2 Release assay of Material

A bone repair material and a control bone repair material each containing 3g of rH-BMP 2142 mg were prepared in accordance with the method of example 3, and placed in a dialysis bag, which was placed in 20ml of PBS buffer solution containing 0.2% sodium azide and having a pH of 7.0. After standing at 37 ℃, 1ml of each of 12h, 24h, 120h, 168h, 336h, 504h, 672h and 840h was sampled (followed by 1ml of PBS buffer containing 0.2% sodium azide and having pH 7.0) and the rH-BMP2 concentration was measured by ELISA method according to the kit instructions and converted to the cumulative release percentage. The results are shown in the following table.

TABLE 1 cumulative percent release of rH-BMP2

The rH-BMP2 in the control material is basically released within 168h (at the same time, chitosan and collagen in the material are basically disappeared), while the drug release time of the modified chitosan material is prolonged to about 672(4 weeks), which basically corresponds to the initial growth stage in bone repair (at the same time, chitosan and gelatin in the material are basically disappeared), which is not inferior to many polymer microsphere materials provided in the prior art, and the problems of acidic environment and allergy when the polymer microspheres are degraded can be avoided.

Example 5 Chitosan allergy test

30 Hartley male guinea pigs weighing about 400g were selected and divided into 3 groups on average. Three groups on days 1 and 4 of the experiment were injected with aqueous suspensions containing 2.0mg of allyl trimethyl ammonium chloride modified chitosan, acrylamide modified chitosan and unmodified chitosan, and three groups on day 7 of the experiment were injected with aqueous suspensions containing 3.0mg of allyl trimethyl ammonium chloride modified chitosan, acrylamide modified chitosan and unmodified chitosan. Weight of guinea pigs was weighed on days 1, 4, and 10 of the experiment. The allergic reaction condition is observed on the 7 th to 10 th days of the experiment, and the evaluation indexes comprise negative (normal) allergic reaction, weak positive (restlessness, shivering and nasal pruritus), positive (sneezing, tachypnea, urination and lacrimation), strong positive (dyspnea, wheezing, purpura, unstable gait, spasm and rotation) allergic reaction and strong positive (death) allergic reaction.

TABLE 2 Chitosan allergy test

The results show that the average weight change of three groups of guinea pigs is basically consistent (the average weight gain is about 30-35g by day 10); in all three groups of guinea pigs, strong anaphylaxis occurred, but in a higher proportion of the non-modified chitosan group, weak anaphylaxis occurred (similar to the results of previous literature studies), and the allergy of the two modified chitosans was significantly better than that of the non-modified chitosan, wherein no allergy was observed in the allyl trimethyl ammonium chloride modified chitosan.

Example 6 actual bone repair experiment

Firstly, designing:

grouping comparison and multi-angle evaluation observation experiment.

II, materials:

the mouse breed is ICR or ICR male mouse, and the mouse age is about 30 days; the bone repair material prepared from the rH-BMP2 and the carrier material is provided by Zhejiang Ruigao Biotechnology GmbH.

Thirdly, the method comprises the following steps:

35 normal ICR or KM male mice were randomly divided into 7 groups of 3 mice each.

After the mice are anesthetized by 6% sodium pentobarbital, the hind limb and the thigh are unhaired and disinfected, the skin is cut open, the muscle gap is separated, different carrier materials are implanted, a certain amount of antibiotic is added to prevent infection, then the muscle and the skin are sutured layer by layer, the wound is disinfected, and the mice are normally raised.

Fourthly, observation:

4 weeks after completion of the implantation experiment, the mice were subjected to a radiological examination (X-ray) to see whether or not bone tissue was present in the hind limbs of the mice. After 4 weeks of radiologic examination, the mice were sacrificed, bone tissues in the implanted region were taken out, wet weights of bones contained therein were measured, and HE staining histological evaluation was performed.

Five, scoring standard for bone healing observed by X-ray

1.1962 Chaibenfu fracture healing criteria:

Lane-Sandhu X-ray and histological scoring criteria:

sixthly, the results

The radiologic examination of mice in the experimental group and the control group is shown in FIGS. 1 to 4, and the scores are shown in Table 1 and Table 2.

TABLE 11962 measurement Table for fracture healing

Numbering	Edge of broken end	Periosteal reaction	Amount of callus	Density of callus	Callus margin
						Example 1	++++	++++	++++	++++	+++
Example 2	+++	++++	++++	++++	+++
						Example 3	++++	++++	++++	++++	++++
Example 4	++	++	++	++	++

TABLE 2 Lane-Sandhu X-ray and histological grading Table

Numbering	Bone formation	Bone connection	Bone shaping
				Example 1	4	3	4
Example 2	4	3	4
				Example 3	4	4	4
Example 4	2	2	2

The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention, including any reference to the above-mentioned embodiments. Various modifications to these embodiments will be readily apparent to those skilled in the art. The general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

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Claims

1. An injection type bone repair material is characterized by comprising the following components in percentage by mass:

rH-BMP2：5%；

allyl trimethyl ammonium chloride modified chitosan: 42%;

tetracalcium phosphate: 38 percent;

calcium hydrogen phosphate: 14 percent;

disodium hydrogen phosphate: 0.5 percent;

0.5 percent of sodium dihydrogen phosphate;

the preparation method of the bone repair material comprises the following steps:

2. An injection type bone repair material is characterized by comprising the following components in percentage by mass:

rH-BMP2：5%；

acrylamide-modified chitosan: 42%;

tetracalcium phosphate: 38 percent;

calcium hydrogen phosphate: 14 percent;

disodium hydrogen phosphate: 0.5 percent;

0.5 percent of sodium dihydrogen phosphate;

3. The injectable bone repair material according to claim 1 or 2, wherein the modified chitosan is prepared by the following method:

dissolving 3g of chitosan in 250ml of 5% volume acetic acid solution; heating to 90 ℃ under the protection of argon, adding 6ml of 0.08mol/L cerium nitrate, and reacting for 30 min; adding 9ml of 50% by mass allyl trimethyl ammonium chloride aqueous solution, and reacting for 2 hours; cooling, precipitating with ethanol, washing, filtering, and vacuum drying to obtain allyl trimethyl ammonium chloride modified chitosan;

or, the modified chitosan is prepared by the following method:

dissolving 3g of chitosan solution in 250ml of 5% volume acetic acid solution; heating to 50 ℃ under the protection of argon, adding 5ml of 0.06mol/L cerium nitrate, and reacting for 30 min; adding 8g of acrylamide, and reacting for 2 hours; cooling, adding sodium hydroxide solution to adjust the pH value to 10 to obtain a precipitate, washing the precipitate with acetone, and drying in vacuum to obtain the acrylamide modified chitosan.

4. An injectable bone repair material according to claim 1 or 2 wherein rH-BMP2 is BMP-2 protein, protein mutant or protein active fragment with bone forming activity, extracted from sources or expressed from various host bacterial species by genetic engineering.

5. The injectable bone repair material of claim 4, wherein the amino acid sequence of rH-BMP2 is SEQ ID No.2, and the gene sequence in which the amino acid sequence is edited is SEQ ID No. 1.

6. The injectable bone repair material of claim 5, wherein the amino acid sequence of the rH-BMP2 is SEQ ID NO.4, and the gene sequence editing the amino acid sequence is SEQ ID NO. 3.

7. Use of the bone repair material according to any one of claims 1 to 6 in the preparation of a medicament for repairing bone damage.

8. Use according to claim 7, wherein the bone injury is a bone defect, a bone discontinuity or delayed bone healing.