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WO2018137633A1 - Liquid embolic material and preparation method therefor - Google Patents

Liquid embolic material and preparation method therefor Download PDF

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Publication number
WO2018137633A1
WO2018137633A1 PCT/CN2018/073903 CN2018073903W WO2018137633A1 WO 2018137633 A1 WO2018137633 A1 WO 2018137633A1 CN 2018073903 W CN2018073903 W CN 2018073903W WO 2018137633 A1 WO2018137633 A1 WO 2018137633A1
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agarose
nanoparticles
embolic material
coated
liquid embolic
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PCT/CN2018/073903
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French (fr)
Chinese (zh)
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刘奕辰
邱海平
向建平
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珠海神平医疗科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/08Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/02Surgical adhesives or cements; Adhesives for colostomy devices containing inorganic materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/06Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/02Inorganic materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/06Flowable or injectable implant compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/36Materials or treatment for tissue regeneration for embolization or occlusion, e.g. vaso-occlusive compositions or devices

Definitions

  • the invention relates to a liquid embolic material and a preparation method thereof.
  • Arteriovenous malformation is a genetic variation in the congenital local cerebral blood vessels. There is a lack of capillaries between the cerebral artery and the cerebral vein in the lesion, causing the arteries and veins to communicate directly, forming a short circuit between the arteries and veins, resulting in a series of cerebral hemodynamic disorders. Clinically, acute brain and arteriovenous may cause intracranial hemorrhage, which is also the second leading cause of spontaneous subarachnoid hemorrhage in the brain. Hemangiomas are formed in arteriovenous vessels due to internal and external factors such as mechanical damage, vascular sclerosis, hypertension, proliferation of vascular smooth muscle cells, bacterial or viral infection, induction of venous valve disease, or blood flow impact.
  • Cerebral aneurysms are the leading cause of subarachnoid hemorrhage, leading to stroke in patients.
  • the incidence of cerebral arteriovenous malformation is about 1/7 to 1/4 of that of cerebral aneurysms, twice as many as males, and the peak age is 20 to 39 years old.
  • the average age is 25 years old.
  • the mortality caused by rupture of cerebral aneurysms is above 50%. Therefore, embolization or occlusion at the earliest stage of the occurrence of cerebral aneurysms is one of the best cures.
  • Treatment of cerebral aneurysms and AVM can be treated with surgery and intervention.
  • Surgical treatment of aneurysms mainly uses an aneurysm clip to clamp the aneurysm neck, thereby blocking the circulation of blood in the aneurysm.
  • the AVM can perform a total resection of the surgery.
  • this method of surgery takes a long time, the wound is large, the patient needs to recover for a long time, and the surgical treatment method may cause damage of the aneurysm and AVM.
  • embolization has gradually replaced the traditional surgery.
  • embolic materials have been disclosed, mainly divided into solid embolic materials and liquid embolic materials.
  • the solid material is mainly a platinum coil.
  • the method of using a platinum coil has a low embolic rate, is prone to recurrence, and may even form a wide range of thrombus and cause problems such as cerebral infarction.
  • the liquid embolic material can be directly injected into the aneurysm cavity or into the AVM to adapt to different shapes and sizes, so that no gap is left between the tumor wall and the embedding material, thereby achieving permanent occlusion.
  • the liquid embolic material has the advantage of being easy to operate, and can be directly injected into the aneurysm cavity or the AVM through the microcatheter, so the liquid embolic material is an ideal embolic material.
  • the prior art liquid embolic material comprises: (1) an adhesive liquid embolic material n-butyl cyanoacrylate viscous material, which has the disadvantage that "sticky tube” is prone to occur; (2) non-adhesive liquid embolic material, mainly Onyx gel, a suspension composed of EVOH, DMSO (dimethyl sulfoxide) and strontium powder particles in a certain proportion, is a novel intravascular non-adhesive liquid embolic agent, etc., and its disadvantages include the properties of the onyx gel itself. It does not bind closely to the diseased vessel wall. And both types of materials are not well embolized for microvascular aneurysms and vascular malformations that are difficult to fully fit in complex microcatheters.
  • the embolic material in CN103536972B is selected from ethylene vinyl polymer copolymer (EVOH), which has the disadvantage that the release process of the embolic material is uncontrollable.
  • CN106535942A discloses a homogeneous nanocomposite cluster suspended in a liquid medium having a size of from about 1 nm to about 1000 nm, the nanocomposite comprising core nanoparticles and a coating, the core nanoparticles being superparamagnetically oxidized Iron (SPIO) nanoparticles, the coating is a silanized coating, which has the disadvantage that the suspension has a short settling time, resulting in a shorter operating time window.
  • SPIO superparamagnetically oxidized Iron
  • the prior art CN103483626B also discloses a magnetic agarose microsphere which uses superparamagnetic Fe 3 O 4 as the core of the magnetic core, and then fills the magnetic core into the agarose microsphere to obtain magnetic agarose microspheres, magnetic agar.
  • the sugar microspheres have good biocompatibility, and the disadvantage is that the agarose is easily decomposed in the human blood environment, resulting in the release of iron ions and causing ectopic embolization.
  • the liquid embolic material is easy to stick or is not well adhered to the diseased blood vessel wall, so that the microvascular aneurysm and the vascular malformation which are difficult to fully embed in the complicated microcatheter are not well embedd.
  • the invention provides a liquid embolic material and a preparation method thereof, which can embolize microvascular aneurysms and vascular malformations.
  • one of the technical solutions adopted by the present invention is a liquid embolic material comprising nano composite particles and a dispersing agent, wherein the nano composite particles are agarose-coated Fe 3 O 4 nanoparticles as a core.
  • the EVOH polymer is coated on the surface of the core to form a shell; the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is 5:1 to 10:1; the agarose-coated Fe 3 O 4 nanoparticles and the The weight ratio of the EVOH polymer is from 25:2 to 25:5; the nanocomposite particles are dispersed in the dispersant.
  • the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 100 to 1000 nm; the nanocomposite particles have a viscosity of 30 to 1000 cps; and the polydispersity index of the Fe 3 O 4 nanoparticles (PDI) ⁇ 1.2; and/or the dispersing agent is dimethyl sulfoxide.
  • the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is 10:1; and/or the weight of the agarose-coated Fe 3 O 4 nanoparticles and the EVOH polymer The ratio is 10:1.
  • the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 300 nm; the nanocomposite particles have a viscosity of 100 cps; and/or the PDI is 1.12.
  • the magnetic substance or a magnetic metallic element may be selected from compounds such as Fe 2 O 3, MnFe 2 O 4, CoFe 2 O 4, NiFe 2 O 4, FyFe 2 O 4 or one or more of oxides of ruthenium, osmium, iridium, osmium, iridium, osmium or iridium.
  • Arteriovenous malformation refers to a group of diseases in which at least one abnormal communication occurs in an artery or vein, resulting in a local tumor-like substance consisting mainly of blood vessels, which may be congenital or acquired. Sexual.
  • Formation of an embolic body refers to the partial or total occlusion of blood vessels that are filled with blood, such as by selective insertion of an embolic material into a blood vessel to selectively occlude a blood vessel.
  • an embolization is formed to occlude an artery or vein to correct a dysfunction such as an arteriovenous malformation or to block or slow the flow of blood to a solid tumor.
  • injection refers to the injection or infusion of a liquid embolic material into a particular location in the body by a syringe, catheter, needle or other means.
  • Treatment refers to reducing or ameliorating the development, severity, and/or duration of a disease or condition thereof.
  • the liquid embolic material used herein can be any shape, and in embodiments, the liquid embolic material is substantially spherical or spherical. However, it should be understood that in certain embodiments, the liquid embolic material described herein is not limited to a precise spherical or spheroidal shape.
  • the liquid embolic material can be sterilized by any method known in the art, such as X-ray, gamma ray irradiation or beta ray irradiation.
  • one of the technical solutions adopted by the present invention is a method for preparing the above liquid embolic material, which comprises the following steps in sequence:
  • nano composite particles wherein the nano composite particles are further composed of EVOH and further coated with agarose-coated Fe 3 O 4 nanoparticles;
  • the step (1) further comprises:
  • the reaction is carried out at a temperature of 2 to 3 atm and 200 ° C, and after the reaction, it is cooled to obtain a black product; preferably, the reaction is carried out in a polytetrafluoroethylene autoclave.
  • said step (1) further comprises: washing said black product and drying to obtain a black powder.
  • the washing is alternately washed with ethanol and water for 2 to 5 times; and/or, the drying is vacuum drying.
  • said step (2) comprises:
  • the agitation is mechanical agitation
  • the mechanical agitation time is at least 2 hours; and/or the agitation speed is 400 to 500 rpm.
  • the agitation speed is 450 rpm.
  • one of the technical solutions adopted by the present invention is the application of a liquid embolic material in preparing a drug or molecular imaging reagent for diagnosing and treating tumor or vascular malformation.
  • the reagents and starting materials used in the present invention are commercially available.
  • the positive progressive effect of the present invention is that the liquid embolic material of the present invention is injected into the aneurysm cavity or the arteriovenous vascular malformation, and after being guided to a specific site by the magnetic device, the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent into the blood. Thereby forming a plug body.
  • the core-shell structure in the liquid embolic material greatly increases the density of the embolic body, thereby increasing the development efficiency and making the embolization more dense.
  • the liquid embolic material can be targeted by the external magnetic field, and the complex microvascular artery which is difficult to fully fit the microcatheter is well embedd. Tumors and complex vascular malformations.
  • 1 is a schematic view showing the structure of a nanocomposite particle according to an embodiment of the present invention, wherein 1 is a nanocomposite particle, 11 is agarose-coated Fe 3 O 4 nanoparticle, and shell 12 is an EVOH polymer.
  • Example 2 is a flow chart showing the preparation of agarose-coated Fe 3 O 4 nanoparticles according to Example 1 of the present invention.
  • Figure 3 is a flow chart showing the preparation of the liquid embolic material of Example 2 of the present invention.
  • FIG. 4 is a schematic view showing the operation of embedding a liquid embolic material in an AVM according to Embodiment 2 of the present invention, wherein 100 is a plug material, 110 is a microcatheter, and 120 is an external magnetic field.
  • Figure 5 is a flow chart showing the preparation of a liquid embolic material according to Embodiment 3 of the present invention.
  • FIG. 6 is a schematic view showing the operation of embolization of a liquid embolization material in a cerebral aneurysm according to Embodiment 3 of the present invention, wherein 200 is an embolic material, 210 is a microcatheter, 220 is an external magnetic field, 230 is a blood vessel, and 240 is a brain aneurysm.
  • the liquid embedding material provided by the invention comprises agarose-coated Fe 3 O 4 nanoparticles, an ethylene/vinyl alcohol copolymer (EVOH) polymer and a dispersing agent, and the EVOH polymer is wrapped in agarose-coated Fe.
  • the surface of the 3 O 4 nanoparticles forms nanocomposite particles.
  • the nanocomposite particles are agarose-coated Fe 3 O 4 nanoparticles as the core and the EVOH polymer as the shell, and the nanocomposite particles are dispersed in the dispersant.
  • Dimethyl sulfoxide can be used as a dispersing agent.
  • Fig. 1 is a schematic view showing the structure of a nanocomposite particle 1 comprising a core 11 and a shell 12, wherein the core 11 is composed of agarose-coated Fe 3 O 4 nanoparticles, and the shell 12 is composed of an EVOH polymer.
  • FIG. 2 is a flow chart for the preparation of agarose-coated Fe 3 O 4 nanoparticles.
  • step S1 is performed, 400 g of FeCl 3 ⁇ 6H 2 O is dissolved in a glass reaction bottle containing 2 L of ethylene glycol under ultrasonic conditions; then, step S2 is performed, and 40 g is added thereto at a temperature of 160 ° C.
  • step S3 Agarose and 200 g of NH 4 Ac were mechanically stirred at 250 rpm for 1 hour to obtain a mixed solution; then, step S3 was performed, and the mixed solution was transferred to an autoclave containing polytetrafluoroethylene; step S4 was further performed at 2 atm to 3atm (standard atmospheric pressure), reaction at 200 ° C for 12 hours; after the reaction, cooled to room temperature to obtain a black product; then step S5 is performed, the black product is repeatedly and alternately washed with ethanol and water several times, and then collected by a magnetic field.
  • step S6 is performed, and the collected black product is dried in a vacuum for 24 hours to obtain a black powder composed of agarose-coated Fe 3 O 4 nanoparticles, agarose-coated Fe 3 O 4 nanometer.
  • the particle diameter of the particles ranges from 100 nanometers to 1000 nanometers.
  • the PDI is made less than 1.2 by the above conventional control and preparation processes in the art such as temperature, time and stirring uniformity.
  • Example 2 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:2)
  • FIG. 3 is a flow chart for the preparation of a liquid embolic material.
  • step S11 is performed, 100 g of the black powder of Example 1 and 8 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S12 is performed, and mechanical stirring is performed at 500 rpm for 2 hours.
  • a liquid embolic material is obtained, which contains a large amount of nanocomposite particles in which agarose-coated Fe 3 O 4 nanoparticles are cores and EVOH polymers are shells.
  • the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 100 nm, and the liquid embolic material has a low viscosity and a viscosity value of about 30 centipoise.
  • Embolization density 1.5-2.0g/ml, data fluctuations are due to changes in formulation and batch;
  • Embolization time 60 to 90 seconds
  • Diffuse Simulates the use of embolic material in the clinic, testing the ratio of forward and backward reflux in a small vessel model filled with a small sphere of 500 micrometers in diameter. This product is 5 times the safety limit distance of reflux, and the existing clinical embedding material, namely EVOH-coated Ta nanoparticles, is 2.3 times the safety limit distance of reflux.
  • Fig. 4 is a working principle diagram of embedding of the liquid embolic material in the AVM of the present embodiment.
  • the experimental means used in the evaluation of the effect is a conventional technique in the art.
  • the liquid embolic material 100 after the liquid embolic material 100 is injected into the arterial blood vessel of the AVM 100 through the microcatheter 110, the liquid embolic material 100 has a low viscosity and a strong penetrating ability, and is externally Under the guidance of the magnetic field 120, it is easily dispersed to the distal end by targeted positioning, and the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent in the blood to form an embolic body, which is well embolized.
  • Example 3 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:5)
  • the agarose-coated Fe 3 O 4 nanoparticles were prepared in the same manner as in Example 1 except that 80 g of agarose was added to the reaction.
  • Fig. 5 is a flow chart for preparing a liquid embolic material of the present embodiment.
  • step S21 is performed, 100 g of the obtained black powder and 20 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at 400 rpm for 2 hours to obtain a liquid.
  • the embolic material contains a large amount of nano-composite particles in which agarose-coated Fe 3 O 4 nanoparticles are cores and EVOH polymers are shells.
  • the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 1000 nm.
  • the liquid embolic material has a high viscosity, a viscosity of 1000 centipoise and a PDI of 1.18.
  • Fig. 6 is a working principle diagram of embolization of the liquid embolic material in the cerebral aneurysm of the present embodiment.
  • the liquid embolic material (200) is injected into the position of the mouse brain aneurysm (240) from the blood vessel 230 through the microcatheter 210, and the liquid embolic material (200) can be cistern under the guidance of the external magnetic field (220).
  • the wall of the aneurysm is solidified.
  • the liquid embolic material (200) of the present embodiment has high viscosity and can achieve the purpose of reducing dead space as much as possible, and thus is particularly suitable for use in an embolization material for irregular brain aneurysms.
  • the embolization time and embolization rate were calculated based on the computer MITK (Medical Imaging Interaction Toolkit), that is, the CT embedding rate was calculated by CT three-dimensional reconstruction and then based on the three-dimensional reconstruction model.
  • MITK Medical Imaging Interaction Toolkit
  • Embolization time 30 seconds to 90 seconds (existing product embolization time: 30 seconds - 2 minutes);
  • Embolization rate vascular closure rate of 70% (about 50% of existing products);
  • Magnetic guide 10-20G, visible magnetically guided material movement under development
  • Toxicity No significant toxic substances; the control group was based on DMSO and had some toxicity, but there was no significant difference.
  • Example 4 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:2.5)
  • the agarose-coated Fe 3 O 4 nanoparticles were prepared in the same manner as in Example 1. First, step S21 is performed, 100 g of the black powder of Example 1 and 10 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at a speed of 450 rpm. Two hours, a liquid embolic material was obtained, which contained a large amount of nanocomposite particles in which agarose-coated Fe 3 O 4 nanoparticles were core and EVOH polymer was a shell. The agarose-coated Fe 3 O 4 nanoparticles have a diameter of 300 nm.
  • the liquid embolic material has a high viscosity, a viscosity of 100 centipoise and a PDI of 1.12.
  • the liquid embolic material is injected into the cerebral aneurysm from the blood vessel through the microcatheter, and the liquid embolic material can be solidified along the wall of the cerebral aneurysm under the guidance of the external magnetic field.
  • Embolization time and embolization rate are automatically calculated based on computer simulation.
  • Embolization time 60 seconds to 90 seconds
  • Embolization density 2.0g/ml
  • Embolization rate vascular closure rate of 75%
  • Magnetic guide 10-20G, visible magnetically guided material movement under development
  • Toxicity No significant toxic substances; the control group was based on DMSO and had some toxicity, but there was no significant difference.
  • the content of the vinyl group in the EVOH polymer was 60% by mol.
  • the agarose-coated Fe 3 O 4 nanoparticles interact with each other through hydrogen bonding, and further hydrogen bonds with the EVOH polymer to finally obtain agarose-coated Fe 3 O 4 nanoparticles as a core to EVOH polymer.
  • the nanocomposite particle of the shell the nanocomposite particle is discretely distributed in a dimethyl sulfoxide solvent, and a hydrogen bond combined with a micelle formed by a self-assembly method, which is a self-reinforced rubber-like composite embolic material.
  • Example 2 The procedure was the same as in Example 1 except that FeCl 3 ⁇ 6H 2 O in S1 was replaced by FeSO 4 to obtain a yellow-brown powder.
  • step S21 is performed, and 100 g of the yellow-brown color powder and 10 g of the EVOH polymer in step 1 are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at 450 rpm for 2 hours.
  • a control embedding material is obtained, which contains a large amount of nano-composite particles in which agarose-coated FeSO 4 nanoparticles are core and EVOH polymer is shell.
  • the agarose-coated FeSO 4 nanoparticles have a diameter of 200 nm and the liquid embolic material has a viscosity of 100 cps and a PDI of 1.15.
  • the liquid embolic material after the liquid embolic material is injected into the arterial blood vessel of the AVM through the microcatheter, the liquid embolic material has low viscosity and strong penetrating ability, but the polymer does not contain Fe 3 O 4 nanoparticles and cannot be outside. Targeted by a magnetic field. After the liquid embolic material is injected into the cerebral aneurysm from the blood vessel through the microcatheter, the liquid embolic material cannot be solidified by the wall of the cerebral aneurysm under the guidance of the external magnetic field.
  • the present invention also attempts to prepare agarose-free Fe 3 O 4 nanoparticles as a comparative example. It has been found experimentally that if agarose is not contained, Fe 3 O 4 particles cannot be stabilized in solution, and the suspension stability time is very short. .
  • the invention prepares Fe 3 O 4 nanoparticles without EVOH as a comparative example, and found that if EVOH is not contained, it will cause ectopic embolism caused by direct contact of iron particles with blood after agarose degradation as in the prior art. .
  • Agarose different weight ratios of the present invention is prepared wrapped Fe 3 O 4 nanoparticles, agarose, and when the weight Fe 3 O 4 nanoparticles ratio is ⁇ 5: 1, not completely wrapped agarose Fe 3 O 4 nanoparticles This causes the Fe 3 O 4 nanoparticles to diffuse in the suspension to a location that should not be reached.
  • the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is >10:1, the developability of the suspension is insufficient, which is not clinically applicable.
  • the present invention also prepared agarose-coated Fe 3 O 4 nanoparticles and EVOH polymers in different weight ratios.
  • the weight ratio of the agarose-coated Fe 3 O 4 nanoparticles to the EVOH polymer is >25:2, the EVOH concentration is too low, resulting in insufficient embolization effect.
  • the weight ratio of the agarose-coated Fe 3 O 4 nanoparticles to the EVOH polymer is ⁇ 25:5, the developability of the suspension is insufficient, which is not clinically applicable.
  • the invention prepares Fe 3 O 4 nanoparticles with different PDI.
  • the PDI is greater than 1.2, the size difference of the agarose-encapsulated Fe 3 O 4 nanoparticles is significant, resulting in a large difference in the sedimentation speed of the particles in the suspension, and the suspension is stable. Slightly lower than the nanoparticles with PDI ⁇ 1.2.
  • the viscosity of the nanocomposite particles is ⁇ 30 cP
  • the dispersion of the composite particles is too strong, and in a few cases, ectopic embolization in the clinic is caused.
  • the viscosity of the nanocomposite particles is >1000 cP
  • the dispersion of the composite particles is too poor, and in a few cases, the clogging of the injection route in the clinic is caused.
  • the dispersion of the composite particles is too strong, and in a few cases, it may cause ectopic embolization in the clinic.
  • the diameter of the nanocomposite particles is >1000 nm, the dispersion of the composite particles is too poor, and in a few cases, the clogging of the injection channel in the clinic is caused.
  • the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent in the blood to form an embolic body.
  • the core-shell structure in the liquid embolic material greatly increases the density of the embolic body, thereby increasing the development efficiency and making the embolization more dense.
  • the liquid embolic material can be targeted by the external magnetic field, and the complex microvascular artery which is difficult to fully fit the microcatheter is well embedd. Tumors and complex vascular malformations.

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Abstract

Disclosed are a liquid embolic material and a preparation method therefor and the use thereof. The liquid embolic material comprises nanocomposite particles (1) and a dispersant, wherein the nanocomposite particles are made of Fe3O4 nanoparticles (11) wrapped in agarose as a core, and an EVOH polymer (12) wrapped around the surface of the core; the weight ratio of the agarose and the Fe3O4 nanoparticles is 5:1 to 10:1; the weight ratio of the Fe3O4 nanoparticles (11) wrapped in agarose to the EVOH polymer (12) is 25:2 to 25:5; and the nanocomposite particles are dispersed in the dispersant. Also disclosed is a method for preparing the liquid embolic material. Using the superparamagnetic effect of the Fe3O4 nanoparticles, under the guidance of an external magnetic field, through targeting localization, the liquid embolic material can fully embolize a complex microvascular aneurysm and complex vascular malformations where it is difficult for a microcatheter to be completely in place.

Description

一种液体栓塞材料及其制备方法Liquid embolic material and preparation method thereof
本申请要求申请日为2017年01月24日的中国专利申请CN201710059181.9的优先权。本申请引用上述中国专利申请的全文。The present application claims priority to Chinese Patent Application No. CN201710059181.9, filed on Jan. 24, 2017. This application cites the entire text of the above-mentioned Chinese patent application.
技术领域Technical field
本发明涉及一种液体栓塞材料及其制备方法。The invention relates to a liquid embolic material and a preparation method thereof.
背景技术Background technique
脑动静脉畸形(arteriovenous malformation,AVM)是一种先天性局部脑血管在发生学上的变异。在病变部位脑动脉和脑静脉之间缺乏毛细血管,引起动脉和静脉直接相通,形成动静脉之间的短路,导致一系列脑血流动力学方面的紊乱。临床上脑动静脉急性可能引起颅内出血,也是引起颅内自发性蛛网膜下腔出血的第二大病因。由于机械损伤、血管硬化、高血压、血管平滑肌细胞的增生、细菌或病毒感染、静脉瓣疾病的诱导或血流冲击等内外因素的作用,在动静脉血管中会形成血管瘤。脑动脉瘤是蛛网膜下腔出血的第一大病因,从而导致病患中风。脑动静脉畸形发生率大约为脑动脉瘤的1/7至1/4,男性为女性的2倍,年龄高峰为20至39岁,平均年龄25岁,60岁以上患脑动静脉畸形的不足5%。脑动脉瘤破裂造成的死亡率在50%以上。因此,尽可能的在脑动脉瘤出现的较早阶段进行栓塞或封堵成为最佳的治愈手段之一。Arteriovenous malformation (AVM) is a genetic variation in the congenital local cerebral blood vessels. There is a lack of capillaries between the cerebral artery and the cerebral vein in the lesion, causing the arteries and veins to communicate directly, forming a short circuit between the arteries and veins, resulting in a series of cerebral hemodynamic disorders. Clinically, acute brain and arteriovenous may cause intracranial hemorrhage, which is also the second leading cause of spontaneous subarachnoid hemorrhage in the brain. Hemangiomas are formed in arteriovenous vessels due to internal and external factors such as mechanical damage, vascular sclerosis, hypertension, proliferation of vascular smooth muscle cells, bacterial or viral infection, induction of venous valve disease, or blood flow impact. Cerebral aneurysms are the leading cause of subarachnoid hemorrhage, leading to stroke in patients. The incidence of cerebral arteriovenous malformation is about 1/7 to 1/4 of that of cerebral aneurysms, twice as many as males, and the peak age is 20 to 39 years old. The average age is 25 years old. The deficiency of cerebral arteriovenous malformation in patients over 60 years old 5%. The mortality caused by rupture of cerebral aneurysms is above 50%. Therefore, embolization or occlusion at the earliest stage of the occurrence of cerebral aneurysms is one of the best cures.
治疗脑动脉瘤和AVM可以采取外科手术和介入进行治疗。外科手术对动脉瘤的治疗主要采用动脉瘤夹将动脉瘤颈夹住,从而阻断血液在动脉瘤内的循环。AVM可以进行外科手术的全切除。但是,这种外科手术的方法耗时较长,创伤较大,病人需要比较长时间进行恢复,外科手术治疗方式且有可能造成动脉瘤和AVM的破损。近年来,随着血管影像学的发展,采用介 入手术方法,通过将各种栓塞材料输送至脑动脉瘤和AVM内以封堵、栓塞已经渐渐代替了传统的外科手术。Treatment of cerebral aneurysms and AVM can be treated with surgery and intervention. Surgical treatment of aneurysms mainly uses an aneurysm clip to clamp the aneurysm neck, thereby blocking the circulation of blood in the aneurysm. The AVM can perform a total resection of the surgery. However, this method of surgery takes a long time, the wound is large, the patient needs to recover for a long time, and the surgical treatment method may cause damage of the aneurysm and AVM. In recent years, with the development of vascular imaging, the use of surgical methods, through the delivery of various embolic materials into the cerebral aneurysm and AVM to block, embolization has gradually replaced the traditional surgery.
目前已经公开了多种栓塞材料,主要分为固体栓塞材料和液体栓塞材料两类。固体材料主要是铂金弹簧圈。然而,采用铂金弹簧圈的方法其栓塞率较低、易复发,甚至可能形成大范围的血栓而引起大脑梗塞等问题。液体栓塞材料可以直接注入动脉瘤瘤腔内或者AVM内,适应不同形状和大小,使瘤壁和栓塞材料之间不留任何空隙,从而达到永久性闭塞。同时,液体栓塞材料具有易于操作的优点,可以通过微导管直接注入动脉瘤瘤腔内或者AVM内,因此液体栓塞材料是较为理想的栓塞材料。现有技术中液体栓塞材料包括:(1)粘附性液体栓塞材料氰基丙烯酸正丁酯粘性材料,其缺点是容易发生“粘管”;(2)非粘附性液体栓塞材料,主要是onyx胶,由EVOH、DMSO(二甲基亚砜)及钽粉微粒按一定比例组成的混悬液,是一种新型血管内非粘附性液体栓塞剂等,其缺点包括onyx胶自身的性质使其无法与病变血管壁紧密粘合。并且目这俩种类型材料都不能很好地栓塞复杂的微导管难以完全到位的微细血管动脉瘤及血管畸形。A variety of embolic materials have been disclosed, mainly divided into solid embolic materials and liquid embolic materials. The solid material is mainly a platinum coil. However, the method of using a platinum coil has a low embolic rate, is prone to recurrence, and may even form a wide range of thrombus and cause problems such as cerebral infarction. The liquid embolic material can be directly injected into the aneurysm cavity or into the AVM to adapt to different shapes and sizes, so that no gap is left between the tumor wall and the embedding material, thereby achieving permanent occlusion. At the same time, the liquid embolic material has the advantage of being easy to operate, and can be directly injected into the aneurysm cavity or the AVM through the microcatheter, so the liquid embolic material is an ideal embolic material. The prior art liquid embolic material comprises: (1) an adhesive liquid embolic material n-butyl cyanoacrylate viscous material, which has the disadvantage that "sticky tube" is prone to occur; (2) non-adhesive liquid embolic material, mainly Onyx gel, a suspension composed of EVOH, DMSO (dimethyl sulfoxide) and strontium powder particles in a certain proportion, is a novel intravascular non-adhesive liquid embolic agent, etc., and its disadvantages include the properties of the onyx gel itself. It does not bind closely to the diseased vessel wall. And both types of materials are not well embolized for microvascular aneurysms and vascular malformations that are difficult to fully fit in complex microcatheters.
CN103536972B中的栓塞材料选自乙烯-乙烯醇共聚物(ethylene viny1alcohol copolymer,即EVOH),其缺点为栓塞材料的释放过程不可控。CN106535942A公开了一种悬浮在液体介质中的均匀的纳米复合物簇,其尺寸为约1nm至约1000nm,所述纳米复合物包含核心纳米粒子和涂层,所述核心纳米粒子是超顺磁性氧化铁(SPIO)纳米粒子,所述涂层是硅烷化涂层,其缺点为悬浮液的安定时间较短,导致手术时间窗口较短。现有技术CN103483626B还公开了一种磁性琼脂糖微球,其以超顺磁性Fe 3O 4为磁核的核心,再将磁核填充在琼脂糖微球内得到磁性琼脂糖微球,磁性琼脂糖微球具有良好生物相容性,其缺点为琼脂糖在人体血液环境下易被分解,导致铁离子的释放,造成异位栓塞。 The embolic material in CN103536972B is selected from ethylene vinyl polymer copolymer (EVOH), which has the disadvantage that the release process of the embolic material is uncontrollable. CN106535942A discloses a homogeneous nanocomposite cluster suspended in a liquid medium having a size of from about 1 nm to about 1000 nm, the nanocomposite comprising core nanoparticles and a coating, the core nanoparticles being superparamagnetically oxidized Iron (SPIO) nanoparticles, the coating is a silanized coating, which has the disadvantage that the suspension has a short settling time, resulting in a shorter operating time window. The prior art CN103483626B also discloses a magnetic agarose microsphere which uses superparamagnetic Fe 3 O 4 as the core of the magnetic core, and then fills the magnetic core into the agarose microsphere to obtain magnetic agarose microspheres, magnetic agar. The sugar microspheres have good biocompatibility, and the disadvantage is that the agarose is easily decomposed in the human blood environment, resulting in the release of iron ions and causing ectopic embolization.
发明内容Summary of the invention
针对现有技术中液体栓塞材料容易粘管或无法很好地与病变血管壁紧密粘合,以至于不能很好地栓塞复杂的微导管难以完全到位的微细血管动脉瘤及血管畸形的缺陷,本发明提供一种液体栓塞材料及其制备方法,所述的液体栓塞材料能很好的栓塞微细血管动脉瘤及血管畸形。In view of the prior art, the liquid embolic material is easy to stick or is not well adhered to the diseased blood vessel wall, so that the microvascular aneurysm and the vascular malformation which are difficult to fully embed in the complicated microcatheter are not well embedd. The invention provides a liquid embolic material and a preparation method thereof, which can embolize microvascular aneurysms and vascular malformations.
为解决上述技术问题,本发明采取的技术方案之一为,一种液体栓塞材料,其包括纳米复合粒子和分散剂,所述纳米复合粒子以琼脂糖包裹的Fe 3O 4纳米粒子为核,EVOH聚合物包裹在核表面形成壳;所述琼脂糖和所述的Fe 3O 4纳米粒子的重量比为5:1~10:1;所述琼脂糖包裹的Fe 3O 4纳米粒子与所述EVOH聚合物的重量比为25:2~25:5;所述纳米复合粒子分散在所述分散剂中。 In order to solve the above technical problems, one of the technical solutions adopted by the present invention is a liquid embolic material comprising nano composite particles and a dispersing agent, wherein the nano composite particles are agarose-coated Fe 3 O 4 nanoparticles as a core. The EVOH polymer is coated on the surface of the core to form a shell; the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is 5:1 to 10:1; the agarose-coated Fe 3 O 4 nanoparticles and the The weight ratio of the EVOH polymer is from 25:2 to 25:5; the nanocomposite particles are dispersed in the dispersant.
优选地,所述琼脂糖包裹的Fe 3O 4纳米粒子的直径为100~1000纳米;所述纳米复合粒子的粘度为30~1000厘泊;所述Fe 3O 4纳米粒子的多分散性指数(PDI)≤1.2;和/或,所述分散剂为二甲基亚砜。 Preferably, the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 100 to 1000 nm; the nanocomposite particles have a viscosity of 30 to 1000 cps; and the polydispersity index of the Fe 3 O 4 nanoparticles (PDI) ≤ 1.2; and/or the dispersing agent is dimethyl sulfoxide.
更优选地,所述琼脂糖和所述的Fe 3O 4纳米粒子的重量比为10:1;和/或,所述琼脂糖包裹的Fe 3O 4纳米粒子与所述EVOH聚合物的重量比为10:1。 More preferably, the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is 10:1; and/or the weight of the agarose-coated Fe 3 O 4 nanoparticles and the EVOH polymer The ratio is 10:1.
进一步更优选地,所述琼脂糖包裹的Fe 3O 4纳米粒子的直径为300纳米;所述纳米复合粒子的粘度为100厘泊;和/或,所述PDI为1.12。 Even more preferably, the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 300 nm; the nanocomposite particles have a viscosity of 100 cps; and/or the PDI is 1.12.
除非另有定义,所有本文使用的技术术语和科技属于具有与如本领域域普通技术人员通常理解的相同含义。Unless defined otherwise, all technical terms and technologies used herein have the same meaning as commonly understood by one of ordinary skill in the art.
本文选用Fe 3O 4为磁性物质,应理解,所述磁性物质还可选自磁性金属元素或其化合物,例如Fe 2O 3、MnFe 2O 4、CoFe 2O 4、NiFe 2O 4、FyFe 2O 4或钬、钆、铕、铽、锑、铥或镱的氧化物中的一种或多种。 This selection is Fe 3 O 4 magnetic substance, it should be understood that the magnetic substance or a magnetic metallic element may be selected from compounds such as Fe 2 O 3, MnFe 2 O 4, CoFe 2 O 4, NiFe 2 O 4, FyFe 2 O 4 or one or more of oxides of ruthenium, osmium, iridium, osmium, iridium, osmium or iridium.
“动静脉畸形”、“AVM”或“血管畸形”指在动脉或静脉中出现至少一个异常交流,导致主要由血管构成的局部肿瘤样物质的一组疾病,这样的疾病可以是先天的或获得性的。"Arteriovenous malformation", "AVM" or "vascular malformation" refers to a group of diseases in which at least one abnormal communication occurs in an artery or vein, resulting in a local tumor-like substance consisting mainly of blood vessels, which may be congenital or acquired. Sexual.
“形成栓塞体”指部分或全部闭塞充满了血液的血管,例如通过将栓塞材料有意引入血管中来选择性闭塞血管。例如形成栓塞使动脉或静脉闭塞,以矫正功能障碍例如动静脉畸形或堵塞或减缓血流流向实体瘤。"Formation of an embolic body" refers to the partial or total occlusion of blood vessels that are filled with blood, such as by selective insertion of an embolic material into a blood vessel to selectively occlude a blood vessel. For example, an embolization is formed to occlude an artery or vein to correct a dysfunction such as an arteriovenous malformation or to block or slow the flow of blood to a solid tumor.
“注射”指由注射器、导管、针或其它方式注射或灌注液体栓塞材料到体内特定位置。“治疗”指减少或改善疾病或其症状的发展、严重性和/或持续时间。"Injection" refers to the injection or infusion of a liquid embolic material into a particular location in the body by a syringe, catheter, needle or other means. "Treatment" refers to reducing or ameliorating the development, severity, and/or duration of a disease or condition thereof.
本文使用的液体栓塞材料可以是任何形状,在实施方案中,所述液体栓塞材料基本是球形的或球状体形。然而,应理解在某些实施例中,本文描述的液体栓塞材料并不限于精确的球形或球状体形。可以通过本领域已知的任何方法对所述液体栓塞材料灭菌,所述方法例如X射线、γ射线照射或β射线照射。The liquid embolic material used herein can be any shape, and in embodiments, the liquid embolic material is substantially spherical or spherical. However, it should be understood that in certain embodiments, the liquid embolic material described herein is not limited to a precise spherical or spheroidal shape. The liquid embolic material can be sterilized by any method known in the art, such as X-ray, gamma ray irradiation or beta ray irradiation.
为解决上述技术问题,本发明采取的技术方案之一为,一种上述液体栓塞材料的制备方法,其特征在于,其依次包含以下步骤:In order to solve the above technical problem, one of the technical solutions adopted by the present invention is a method for preparing the above liquid embolic material, which comprises the following steps in sequence:
(1)制备琼脂糖包裹的Fe 3O 4纳米粒子; (1) Preparation of agarose encapsulated Fe 3 O 4 nanoparticles;
(2)制备纳米复合粒子,所述纳米复合粒子由EVOH进一步包裹琼脂糖包裹的Fe 3O 4纳米粒子而成; (2) preparing nano composite particles, wherein the nano composite particles are further composed of EVOH and further coated with agarose-coated Fe 3 O 4 nanoparticles;
(3)将所述的纳米复合粒子分散于分散剂中。(3) Dispersing the nanocomposite particles in a dispersing agent.
优选地,所述的步骤(1)还包括:Preferably, the step (1) further comprises:
(11)将FeCl 3的乙二醇溶液、琼脂糖和NH4Ac混合,所述的FeCl 3、琼脂糖和NH 4Ac的重量比为10:1:5;优选地,所述混匀为2~3kw超声条件下200~300rpm搅拌至少一小时; (11) The ethylene glycol solution of FeCl 3, agarose and NH4Ac mixing said FeCl 3, agarose, and NH 4 Ac weight ratio of 10: 1: 5; Preferably, the mixing is from 2 to Stir at 200 to 300 rpm for at least one hour under 3kw ultrasonic conditions;
(12)在2~3atm、200℃温度条件下反应,反应后冷却,得到黑色产物;优选地,所述反应在聚四氟乙烯高压釜中进行。(12) The reaction is carried out at a temperature of 2 to 3 atm and 200 ° C, and after the reaction, it is cooled to obtain a black product; preferably, the reaction is carried out in a polytetrafluoroethylene autoclave.
更优选地,所述的步骤(1)还包括:将所述的黑色产物清洗并干燥,得到黑色粉末。优选地,所述清洗为用乙醇和水交替清洗,共2~5遍;和/或,所述干燥为真空干燥。More preferably, said step (1) further comprises: washing said black product and drying to obtain a black powder. Preferably, the washing is alternately washed with ethanol and water for 2 to 5 times; and/or, the drying is vacuum drying.
优选地,所述的步骤(2)包括:Preferably, said step (2) comprises:
(21)将所述的黑色粉末和EVOH聚合物混匀到二甲基亚砜溶剂中;优选地,所述混匀在超声中进行;(21) mixing the black powder and the EVOH polymer into a dimethyl sulfoxide solvent; preferably, the mixing is carried out in ultrasound;
(22)搅拌后得到分散于所述二甲基亚砜中的纳米复合粒子。(22) After stirring, nanocomposite particles dispersed in the dimethyl sulfoxide are obtained.
更优选地,所述搅拌为机械搅拌,所述机械搅拌时间至少为2小时;和/或,搅拌速度400~500rpm。优选地,搅拌速度为450rpm。More preferably, the agitation is mechanical agitation, the mechanical agitation time is at least 2 hours; and/or the agitation speed is 400 to 500 rpm. Preferably, the agitation speed is 450 rpm.
为解决上述技术问题,本发明采取的技术方案之一为,液体栓塞材料在制备诊断、治疗肿瘤或血管畸形的药物或者分子成像试剂中的应用。In order to solve the above technical problems, one of the technical solutions adopted by the present invention is the application of a liquid embolic material in preparing a drug or molecular imaging reagent for diagnosing and treating tumor or vascular malformation.
在符合本领域常识的基础上,上述各优选条件,可任意组合,即得本发明各较佳实例。Based on the common knowledge in the art, the above various preferred conditions can be arbitrarily combined to obtain preferred embodiments of the present invention.
本发明所用试剂和原料均市售可得。The reagents and starting materials used in the present invention are commercially available.
本发明的积极进步效果在于:本发明的液体栓塞材料被注射至动脉瘤腔或者动静脉血管畸形,经磁性设备引导至特定部位后,纳米复合粒子从二甲基亚砜溶剂沉淀到血液中,从而形成栓塞体。液体栓塞材料中的核-壳结构极大地增加了栓塞体的密度,从而提高了显影效率,而且使得栓塞更加致密。利用Fe 3O 4纳米粒子所具有的超顺磁性作用,使所述液体栓塞材料可以在外界磁场的导引作用下通过靶向定位,很好地栓塞微导管难以完全到位的复杂的微细血管动脉瘤及复杂的血管畸形。 The positive progressive effect of the present invention is that the liquid embolic material of the present invention is injected into the aneurysm cavity or the arteriovenous vascular malformation, and after being guided to a specific site by the magnetic device, the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent into the blood. Thereby forming a plug body. The core-shell structure in the liquid embolic material greatly increases the density of the embolic body, thereby increasing the development efficiency and making the embolization more dense. By utilizing the superparamagnetic effect of the Fe 3 O 4 nanoparticles, the liquid embolic material can be targeted by the external magnetic field, and the complex microvascular artery which is difficult to fully fit the microcatheter is well embedd. Tumors and complex vascular malformations.
附图说明DRAWINGS
图1是本发明实施例的纳米复合粒子的结构示意图,其中1为纳米复合粒子,11为琼脂糖包裹的Fe 3O 4纳米粒子,壳12为EVOH聚合物。 1 is a schematic view showing the structure of a nanocomposite particle according to an embodiment of the present invention, wherein 1 is a nanocomposite particle, 11 is agarose-coated Fe 3 O 4 nanoparticle, and shell 12 is an EVOH polymer.
图2是本发明实施例1的琼脂糖包裹的Fe 3O 4纳米粒子的制备流程图。 2 is a flow chart showing the preparation of agarose-coated Fe 3 O 4 nanoparticles according to Example 1 of the present invention.
图3是本发明实施例2的液体栓塞材料的制备流程图。Figure 3 is a flow chart showing the preparation of the liquid embolic material of Example 2 of the present invention.
图4是本发明实施例2的液体栓塞材料在AVM中栓塞的工作原理图,其中100为栓塞材料,110为微导管,120为外界磁场。4 is a schematic view showing the operation of embedding a liquid embolic material in an AVM according to Embodiment 2 of the present invention, wherein 100 is a plug material, 110 is a microcatheter, and 120 is an external magnetic field.
图5是本发明实施例3的液体栓塞材料的制备流程图。Figure 5 is a flow chart showing the preparation of a liquid embolic material according to Embodiment 3 of the present invention.
图6是本发明实施例3的液体栓塞材料在脑动脉瘤中栓塞的工作原理图,其中200为栓塞材料,210为微导管,220为外界磁场,230为血管,240为脑动脉瘤。6 is a schematic view showing the operation of embolization of a liquid embolization material in a cerebral aneurysm according to Embodiment 3 of the present invention, wherein 200 is an embolic material, 210 is a microcatheter, 220 is an external magnetic field, 230 is a blood vessel, and 240 is a brain aneurysm.
具体实施方式detailed description
下面通过实施例的方式进一步说明本发明,但并不因此将本发明限制在所述的实施例范围之中。下列实施例中未注明具体条件的实验方法,按照常规方法和条件,或按照商品说明书选择。The invention is further illustrated by the following examples, which are not intended to limit the invention. The experimental methods in the following examples which do not specify the specific conditions are selected according to conventional methods and conditions, or according to the product specifications.
本发明提供的液体栓塞材料包括琼脂糖包裹的Fe 3O 4纳米粒子、乙烯/乙烯醇共聚物(Ethylene vinyl alcohol copolymer,即EVOH)聚合物和分散剂,EVOH聚合物包裹在琼脂糖包裹的Fe 3O 4纳米粒子的表面,形成纳米复合粒子,纳米复合粒子以琼脂糖包裹的Fe 3O 4纳米粒子为核、EVOH聚合物为壳,纳米复合粒子分散在分散剂中。可以使用二甲基亚砜作为分散剂。 The liquid embedding material provided by the invention comprises agarose-coated Fe 3 O 4 nanoparticles, an ethylene/vinyl alcohol copolymer (EVOH) polymer and a dispersing agent, and the EVOH polymer is wrapped in agarose-coated Fe. The surface of the 3 O 4 nanoparticles forms nanocomposite particles. The nanocomposite particles are agarose-coated Fe 3 O 4 nanoparticles as the core and the EVOH polymer as the shell, and the nanocomposite particles are dispersed in the dispersant. Dimethyl sulfoxide can be used as a dispersing agent.
参见图1,图1是纳米复合粒子的结构示意图,纳米复合粒子1包括核11和壳12,其中,核11由琼脂糖包裹的Fe 3O 4纳米粒子组成,壳12由EVOH聚合物组成。 Referring to Fig. 1, Fig. 1 is a schematic view showing the structure of a nanocomposite particle 1 comprising a core 11 and a shell 12, wherein the core 11 is composed of agarose-coated Fe 3 O 4 nanoparticles, and the shell 12 is composed of an EVOH polymer.
实施例1琼脂糖包裹的Fe 3O 4纳米粒子的制备 Example 1 Preparation of agarose-coated Fe 3 O 4 nanoparticles
参见图2,图2是琼脂糖包裹的Fe 3O 4纳米粒子的制备流程图。首先执行步骤S1,将400克FeCl 3·6H 2O在超声条件下溶解在一个装有2L乙二醇的玻璃反应瓶中;然后执行步骤S2,在160℃温度条件下,向其中加入40克琼脂糖和200克NH 4Ac,以250rpm速度机械搅拌1小时,得到混合溶液;接着执行步骤S3,将混合溶液转移至装有聚四氟乙烯的高压釜中;进一步执行步骤S4,在2atm至3atm(标准大气压)、200℃温度条件下反应12小时;反应后冷却至室温,得到黑色产物;再执行步骤S5,将该黑色产物用乙醇和水反复、交替清洗几遍,然后通过磁场收集该黑色产物;最后执行步 骤S6,将收集到的黑色产物在真空中干燥24小时,得到黑色粉末,该黑色粉末由琼脂糖包裹的Fe 3O 4纳米粒子组成,琼脂糖包裹的Fe 3O 4纳米粒子的颗粒直径在100纳米至1000纳米的范围。通过以上本领域常规控制、制备工艺如温度、时间和搅拌均匀度等使其PDI小于1.2。 Referring to Figure 2, Figure 2 is a flow chart for the preparation of agarose-coated Fe 3 O 4 nanoparticles. First, step S1 is performed, 400 g of FeCl 3 ·6H 2 O is dissolved in a glass reaction bottle containing 2 L of ethylene glycol under ultrasonic conditions; then, step S2 is performed, and 40 g is added thereto at a temperature of 160 ° C. Agarose and 200 g of NH 4 Ac were mechanically stirred at 250 rpm for 1 hour to obtain a mixed solution; then, step S3 was performed, and the mixed solution was transferred to an autoclave containing polytetrafluoroethylene; step S4 was further performed at 2 atm to 3atm (standard atmospheric pressure), reaction at 200 ° C for 12 hours; after the reaction, cooled to room temperature to obtain a black product; then step S5 is performed, the black product is repeatedly and alternately washed with ethanol and water several times, and then collected by a magnetic field. Black product; finally, step S6 is performed, and the collected black product is dried in a vacuum for 24 hours to obtain a black powder composed of agarose-coated Fe 3 O 4 nanoparticles, agarose-coated Fe 3 O 4 nanometer. The particle diameter of the particles ranges from 100 nanometers to 1000 nanometers. The PDI is made less than 1.2 by the above conventional control and preparation processes in the art such as temperature, time and stirring uniformity.
实施例2EVOH包裹的琼脂糖Fe 3O 4纳米粒子(重量比25:2) Example 2 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:2)
1、制备:参见图3,图3是液体栓塞材料的制备流程图。首先执行步骤S11,取100克实施例1中的黑色粉末和8克EVOH聚合物在超声条件下分散在100毫升的二甲基亚砜溶剂中;然后执行步骤S12,以500rpm速度机械搅拌2小时,得到液体栓塞材料,该液体栓塞材料中含有大量的以琼脂糖包裹的Fe 3O 4纳米粒子为核、EVOH聚合物为壳的纳米复合粒子。琼脂糖包裹的Fe 3O 4纳米粒子的直径为100纳米,这种液体栓塞材料粘性低,粘度值在30厘泊左右。PDI由质子核磁共振配合激光粒径分析仪测量得出,其计算公式为PDI=M w/M n,本制备方法中PDI为1.09。 1. Preparation: Referring to Figure 3, Figure 3 is a flow chart for the preparation of a liquid embolic material. First, step S11 is performed, 100 g of the black powder of Example 1 and 8 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S12 is performed, and mechanical stirring is performed at 500 rpm for 2 hours. A liquid embolic material is obtained, which contains a large amount of nanocomposite particles in which agarose-coated Fe 3 O 4 nanoparticles are cores and EVOH polymers are shells. The agarose-coated Fe 3 O 4 nanoparticles have a diameter of 100 nm, and the liquid embolic material has a low viscosity and a viscosity value of about 30 centipoise. PDI is measured by proton nuclear magnetic resonance combined with laser particle size analyzer. The calculation formula is PDI=M w /M n , and the PDI in the preparation method is 1.09.
2、体外实验数据:2. In vitro experimental data:
栓塞密度:1.5-2.0g/ml,数据波动源于配方和批次的变化;Embolization density: 1.5-2.0g/ml, data fluctuations are due to changes in formulation and batch;
栓塞时间:60~90秒;Embolization time: 60 to 90 seconds;
弥散性(渗透率):模拟临床中栓塞材料的使用,在塞满直径500微米的小圆球的小血管模型中测试向前推进与向后反流的比例。本产品为5倍的反流安全极限距离,而现有临床常用的栓塞材料,即EVOH包裹的Ta纳米粒子为2.3倍的反流安全极限距离。Diffuse (permeability): Simulates the use of embolic material in the clinic, testing the ratio of forward and backward reflux in a small vessel model filled with a small sphere of 500 micrometers in diameter. This product is 5 times the safety limit distance of reflux, and the existing clinical embedding material, namely EVOH-coated Ta nanoparticles, is 2.3 times the safety limit distance of reflux.
返流率:几乎无反流,而现有材料反流的经验值为20%-50%。Backflow rate: almost no reflux, and the empirical value of existing material reflux is 20%-50%.
3、效果:参见图4,图4是本实施例的液体栓塞材料在AVM中栓塞的工作原理图。效果评估时使用的实验手段为本领域常规技术,在本实施例中,液体栓塞材料100通过微导管110注入AVM100的动脉血管中后,由于液体栓塞材料100的粘度低,渗透能力强,在外界磁场120的引导下通过靶向定位,很容易向远端弥散,纳米复合粒子从二甲基亚砜溶剂中沉淀于血液中, 从而形成栓塞体,很好地栓塞AVM。3. Effect: Referring to Fig. 4, Fig. 4 is a working principle diagram of embedding of the liquid embolic material in the AVM of the present embodiment. The experimental means used in the evaluation of the effect is a conventional technique in the art. In the present embodiment, after the liquid embolic material 100 is injected into the arterial blood vessel of the AVM 100 through the microcatheter 110, the liquid embolic material 100 has a low viscosity and a strong penetrating ability, and is externally Under the guidance of the magnetic field 120, it is easily dispersed to the distal end by targeted positioning, and the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent in the blood to form an embolic body, which is well embolized.
实施例3EVOH包裹的琼脂糖Fe 3O 4纳米粒子(重量比25:5) Example 3 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:5)
琼脂糖包裹的Fe 3O 4纳米粒子制备方法同实施例1,唯一区别在于:反应中加入80克琼脂糖。 The agarose-coated Fe 3 O 4 nanoparticles were prepared in the same manner as in Example 1 except that 80 g of agarose was added to the reaction.
1、制备:参见图5,图5是本实施例的液体栓塞材料的制备流程图。首先执行步骤S21,取100克制得的黑色粉末和20克EVOH聚合物在超声条件下分散在100毫升的二甲基亚砜溶剂中;然后执行步骤S22,以400rpm速度机械搅拌2小时,得到液体栓塞材料,该液体栓塞材料中含有大量的以琼脂糖包裹的Fe 3O 4纳米粒子为核、EVOH聚合物为壳的纳米复合粒子。琼脂糖包裹的Fe 3O 4纳米粒子的直径为1000纳米,这种液体栓塞材料粘度高,粘度值可以达到1000厘泊,PDI为1.18。 1. Preparation: Referring to Fig. 5, Fig. 5 is a flow chart for preparing a liquid embolic material of the present embodiment. First, step S21 is performed, 100 g of the obtained black powder and 20 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at 400 rpm for 2 hours to obtain a liquid. The embolic material contains a large amount of nano-composite particles in which agarose-coated Fe 3 O 4 nanoparticles are cores and EVOH polymers are shells. The agarose-coated Fe 3 O 4 nanoparticles have a diameter of 1000 nm. The liquid embolic material has a high viscosity, a viscosity of 1000 centipoise and a PDI of 1.18.
2、工作原理:参见图6,图6是本实施例的液体栓塞材料在脑动脉瘤中栓塞的工作原理图。在本实施例中,液体栓塞材料(200)通过微导管210从血管230中注入小鼠脑动脉瘤(240)的位置,液体栓塞材料(200)在外界磁场(220)的引导下可顺脑动脉瘤壁形成固化,本实施例的液体栓塞材料(200)粘度高,可达到尽可能减少死腔的目的,因此特别适用于不规则的脑动脉瘤的栓塞材料使用。2. Working principle: Referring to Fig. 6, Fig. 6 is a working principle diagram of embolization of the liquid embolic material in the cerebral aneurysm of the present embodiment. In the present embodiment, the liquid embolic material (200) is injected into the position of the mouse brain aneurysm (240) from the blood vessel 230 through the microcatheter 210, and the liquid embolic material (200) can be cistern under the guidance of the external magnetic field (220). The wall of the aneurysm is solidified. The liquid embolic material (200) of the present embodiment has high viscosity and can achieve the purpose of reducing dead space as much as possible, and thus is particularly suitable for use in an embolization material for irregular brain aneurysms.
3、实验数据:3. Experimental data:
栓塞时间和栓塞率基于计算机MITK(Medical Imaging Interaction Toolkit,德国肿瘤研究中心GCRC)模拟计算,即先通过CT三维重建,再基于三维重建的模型计算模拟栓塞率。具体使用与分析方法见MITK官方网站的使用说明(http://docs.mitk.org/nightly/HowToNewProject.html)。The embolization time and embolization rate were calculated based on the computer MITK (Medical Imaging Interaction Toolkit), that is, the CT embedding rate was calculated by CT three-dimensional reconstruction and then based on the three-dimensional reconstruction model. For specific usage and analysis methods, see the MITK official website (http://docs.mitk.org/nightly/HowToNewProject.html).
栓塞时间:30秒~90秒(现有产品栓塞时间:30秒-2分钟);Embolization time: 30 seconds to 90 seconds (existing product embolization time: 30 seconds - 2 minutes);
栓塞率:血管闭合率70%(现有产品为50%左右);Embolization rate: vascular closure rate of 70% (about 50% of existing products);
磁性导向:10-20G,显影下可见磁性导向产生物质的移动;Magnetic guide: 10-20G, visible magnetically guided material movement under development;
显影强度:清晰可见,与对照组相同;Development intensity: clearly visible, same as the control group;
毒性:无显著有毒物质;对照组基于DMSO,有一定的毒性,但无显著性差异。Toxicity: No significant toxic substances; the control group was based on DMSO and had some toxicity, but there was no significant difference.
实施例4EVOH包裹的琼脂糖Fe 3O 4纳米粒子(重量比25:2.5) Example 4 EVOH-coated agarose Fe 3 O 4 nanoparticles (weight ratio 25:2.5)
琼脂糖包裹的Fe 3O 4纳米粒子制备方法同实施例1。首先执行步骤S21,取100克实施例1中的黑色粉末和10克EVOH聚合物在超声条件下分散在100毫升的二甲基亚砜溶剂中;然后执行步骤S22,以450rpm速度的机械方法搅拌2小时,得到液体栓塞材料,该液体栓塞材料中含有大量的以琼脂糖包裹的Fe 3O 4纳米粒子为核、EVOH聚合物为壳的纳米复合粒子。琼脂糖包裹的Fe 3O 4纳米粒子的直径为300纳米,这种液体栓塞材料粘度高,粘度值可以达到100厘泊,PDI为1.12。液体栓塞材料通过微导管从血管中注入脑动脉瘤的位置,液体栓塞材料在外界磁场的引导下可顺脑动脉瘤壁形成固化。 The agarose-coated Fe 3 O 4 nanoparticles were prepared in the same manner as in Example 1. First, step S21 is performed, 100 g of the black powder of Example 1 and 10 g of the EVOH polymer are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at a speed of 450 rpm. Two hours, a liquid embolic material was obtained, which contained a large amount of nanocomposite particles in which agarose-coated Fe 3 O 4 nanoparticles were core and EVOH polymer was a shell. The agarose-coated Fe 3 O 4 nanoparticles have a diameter of 300 nm. The liquid embolic material has a high viscosity, a viscosity of 100 centipoise and a PDI of 1.12. The liquid embolic material is injected into the cerebral aneurysm from the blood vessel through the microcatheter, and the liquid embolic material can be solidified along the wall of the cerebral aneurysm under the guidance of the external magnetic field.
栓塞时间和栓塞率基于计算机模拟自动计算。Embolization time and embolization rate are automatically calculated based on computer simulation.
栓塞时间:60秒~90秒;Embolization time: 60 seconds to 90 seconds;
栓塞密度:2.0g/mlEmbolization density: 2.0g/ml
栓塞率:血管闭合率75%;Embolization rate: vascular closure rate of 75%;
磁性导向:10-20G,显影下可见磁性导向产生物质的移动;Magnetic guide: 10-20G, visible magnetically guided material movement under development;
显影强度:清晰可见,与对照组相同;Development intensity: clearly visible, same as the control group;
毒性:无显著有毒物质;对照组基于DMSO,有一定的毒性,但无显著性差异。Toxicity: No significant toxic substances; the control group was based on DMSO and had some toxicity, but there was no significant difference.
在上述一系列实施例中,EVOH聚合物中乙烯基的含量为60%(摩尔)。琼脂糖包裹的Fe 3O 4纳米粒子,通过氢键相互作用在一起,通过进一步与EVOH聚合物的氢键结合,最后得到以琼脂糖包裹的Fe 3O 4纳米粒子为核,以EVOH聚合物为壳的纳米复合粒子,该纳米复合粒子离散分布在二甲基亚砜溶剂中,通过自组装的方式形成的氢键组合的胶团,这是一种自增强的类橡胶的组合栓塞材料。 In the series of the above examples, the content of the vinyl group in the EVOH polymer was 60% by mol. The agarose-coated Fe 3 O 4 nanoparticles interact with each other through hydrogen bonding, and further hydrogen bonds with the EVOH polymer to finally obtain agarose-coated Fe 3 O 4 nanoparticles as a core to EVOH polymer. As a nanocomposite particle of the shell, the nanocomposite particle is discretely distributed in a dimethyl sulfoxide solvent, and a hydrogen bond combined with a micelle formed by a self-assembly method, which is a self-reinforced rubber-like composite embolic material.
对比例1不含Fe 3O 4的纳米复合粒子 Comparative Example 1 Nanocomposite particles without Fe 3 O 4
1、琼脂糖包裹的FeSO 4纳米粒子的制备 1. Preparation of agarose-coated FeSO 4 nanoparticles
除S1中FeCl 3·6H 2O替换为FeSO 4以外,其它步骤同实施例1,制得黄褐色粉末。 The procedure was the same as in Example 1 except that FeCl 3 ·6H 2 O in S1 was replaced by FeSO 4 to obtain a yellow-brown powder.
2、EVOH包裹的琼脂糖FeSO 4纳米粒子的制备 2. Preparation of EVOH-coated agarose FeSO 4 nanoparticles
首先执行步骤S21,取100克步骤1中黄褐色色粉末和10克EVOH聚合物在超声条件下分散在100毫升的二甲基亚砜溶剂中;然后执行步骤S22,以450rpm速度机械搅拌2小时,得到对照栓塞材料,该对照栓塞材料中含有大量的以琼脂糖包裹的FeSO 4纳米粒子为核、EVOH聚合物为壳的纳米复合粒子。琼脂糖包裹的FeSO 4纳米粒子的直径为200纳米,这种液体栓塞材料粘度值达到100厘泊,PDI为1.15。 First, step S21 is performed, and 100 g of the yellow-brown color powder and 10 g of the EVOH polymer in step 1 are dispersed in 100 ml of dimethyl sulfoxide solvent under ultrasonic conditions; then, step S22 is performed, and mechanical stirring is performed at 450 rpm for 2 hours. A control embedding material is obtained, which contains a large amount of nano-composite particles in which agarose-coated FeSO 4 nanoparticles are core and EVOH polymer is shell. The agarose-coated FeSO 4 nanoparticles have a diameter of 200 nm and the liquid embolic material has a viscosity of 100 cps and a PDI of 1.15.
3、效果:在本实施例中,液体栓塞材料通过微导管注入AVM的动脉血管中后,液体栓塞材料的粘度低,渗透能力强,但聚合物不含Fe 3O 4纳米粒子,无法在外界磁场的引导下通过靶向定位。液体栓塞材料通过微导管从血管中注入脑动脉瘤的位置后,液体栓塞材料也无法在外界磁场的引导下顺脑动脉瘤壁形成固化。 3. Effect: In the present embodiment, after the liquid embolic material is injected into the arterial blood vessel of the AVM through the microcatheter, the liquid embolic material has low viscosity and strong penetrating ability, but the polymer does not contain Fe 3 O 4 nanoparticles and cannot be outside. Targeted by a magnetic field. After the liquid embolic material is injected into the cerebral aneurysm from the blood vessel through the microcatheter, the liquid embolic material cannot be solidified by the wall of the cerebral aneurysm under the guidance of the external magnetic field.
对比例2EVOH包裹的Fe 3O 4纳米粒子 Comparative Example 2EVOH-coated Fe 3 O 4 Nanoparticles
此外,本发明还尝试制备了不含琼脂糖的Fe 3O 4纳米粒子作为对比例,经实验发现,如果不含琼脂糖,Fe 3O 4粒子无法稳定与溶液中,悬浮液安定时间非常短。 In addition, the present invention also attempts to prepare agarose-free Fe 3 O 4 nanoparticles as a comparative example. It has been found experimentally that if agarose is not contained, Fe 3 O 4 particles cannot be stabilized in solution, and the suspension stability time is very short. .
对比例3琼脂糖包裹的Fe 3O 4纳米粒子 Comparative Example 3 agarose-coated Fe 3 O 4 nanoparticles
本发明制备了不含EVOH的Fe 3O 4纳米粒子作为对比例,经实验发现,如果不含EVOH,将和现有技术一样,导致琼脂糖降解后铁粒子与血液直接接触导致的异位栓塞。 The invention prepares Fe 3 O 4 nanoparticles without EVOH as a comparative example, and found that if EVOH is not contained, it will cause ectopic embolism caused by direct contact of iron particles with blood after agarose degradation as in the prior art. .
对比例4:琼脂糖和Fe 3O 4纳米粒子的不同比例 Comparative Example 4: Different ratios of agarose and Fe 3 O 4 nanoparticles
本发明制备了不同重量比的琼脂糖包裹的Fe 3O 4纳米粒子,当琼脂糖和 Fe 3O 4纳米粒子的重量比为<5:1时,琼脂糖无法完全包裹Fe 3O 4纳米粒子,导致Fe 3O 4纳米粒子在悬浮液中扩散至不应到达的部位。当琼脂糖和Fe 3O 4纳米粒子的重量比为>10:1时,悬浮液的显影性不足,在临床上不适用。 Agarose different weight ratios of the present invention is prepared wrapped Fe 3 O 4 nanoparticles, agarose, and when the weight Fe 3 O 4 nanoparticles ratio is <5: 1, not completely wrapped agarose Fe 3 O 4 nanoparticles This causes the Fe 3 O 4 nanoparticles to diffuse in the suspension to a location that should not be reached. When the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is >10:1, the developability of the suspension is insufficient, which is not clinically applicable.
此外,本发明还制备了不同重量比的琼脂糖包裹的Fe 3O 4纳米粒子与EVOH聚合物。当琼脂糖包裹的Fe 3O 4纳米粒子与EVOH聚合物的重量比为>25:2时,EVOH浓度过低导致栓塞效果不足。琼脂糖包裹的Fe 3O 4纳米粒子与EVOH聚合物的重量比为<25:5时,悬浮液的显影性不足,在临床上不适用。 In addition, the present invention also prepared agarose-coated Fe 3 O 4 nanoparticles and EVOH polymers in different weight ratios. When the weight ratio of the agarose-coated Fe 3 O 4 nanoparticles to the EVOH polymer is >25:2, the EVOH concentration is too low, resulting in insufficient embolization effect. When the weight ratio of the agarose-coated Fe 3 O 4 nanoparticles to the EVOH polymer is <25:5, the developability of the suspension is insufficient, which is not clinically applicable.
对比例5:Fe 3O 4纳米粒子的不同PDI Comparative Example 5: Different PDI of Fe 3 O 4 nanoparticles
本发明制备了不同PDI的Fe 3O 4纳米粒子,当PDI大于1.2时,琼脂糖包裹的Fe 3O 4纳米粒子大小差异显著,导致悬浮液中粒子的沉降速度差异较大,悬浮液的稳定性略低于PDI≤1.2的纳米粒子。 The invention prepares Fe 3 O 4 nanoparticles with different PDI. When the PDI is greater than 1.2, the size difference of the agarose-encapsulated Fe 3 O 4 nanoparticles is significant, resulting in a large difference in the sedimentation speed of the particles in the suspension, and the suspension is stable. Slightly lower than the nanoparticles with PDI ≤ 1.2.
对比例6:纳米复合粒子的不同粘度Comparative Example 6: Different viscosities of nanocomposite particles
纳米复合粒子的粘度为<30cP时,复合粒子的弥散性过强,少数情况下会导致临床中的异位栓塞。纳米复合粒子的粘度为>1000cP时,复合粒子的弥散性过差,少数情况下导致临床中注射通路的堵塞。When the viscosity of the nanocomposite particles is <30 cP, the dispersion of the composite particles is too strong, and in a few cases, ectopic embolization in the clinic is caused. When the viscosity of the nanocomposite particles is >1000 cP, the dispersion of the composite particles is too poor, and in a few cases, the clogging of the injection route in the clinic is caused.
对比例7:纳米复合粒子的不同粒径Comparative Example 7: Different particle sizes of nanocomposite particles
纳米复合粒子的直径为<100纳米时,复合粒子的弥散性过强,少数情况下会导致临床中的异位栓塞。纳米复合粒子的直径为>1000纳米时,复合粒子的弥散性过差,少数情况下会导致临床中注射通路的堵塞。When the diameter of the nanocomposite particles is <100 nm, the dispersion of the composite particles is too strong, and in a few cases, it may cause ectopic embolization in the clinic. When the diameter of the nanocomposite particles is >1000 nm, the dispersion of the composite particles is too poor, and in a few cases, the clogging of the injection channel in the clinic is caused.
而本发明实施例中的液体栓塞材料被注射至动脉瘤腔或者AVM后,纳米复合粒子从二甲基亚砜溶剂中沉淀于血液中,从而形成栓塞体。液体栓塞材料中的核-壳结构极大地增加了栓塞体的密度,从而提高了显影效率,而且使得栓塞更加致密。利用Fe 3O 4纳米粒子所具有的超顺磁性作用,使所述液体栓塞材料可以在外界磁场的导引作用下通过靶向定位,很好地栓塞微导管难以完全到位的复杂的微细血管动脉瘤及复杂的血管畸形。 After the liquid embolic material in the embodiment of the present invention is injected into the aneurysm cavity or AVM, the nanocomposite particles are precipitated from the dimethyl sulfoxide solvent in the blood to form an embolic body. The core-shell structure in the liquid embolic material greatly increases the density of the embolic body, thereby increasing the development efficiency and making the embolization more dense. By utilizing the superparamagnetic effect of the Fe 3 O 4 nanoparticles, the liquid embolic material can be targeted by the external magnetic field, and the complex microvascular artery which is difficult to fully fit the microcatheter is well embedd. Tumors and complex vascular malformations.
最后需要强调的是,本发明不限于上述实施方式,对于本领域的技术人员来说,本发明可以有各种变化和更改,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明权利要求的保护范围内。In the end, it is to be noted that the present invention is not limited to the above embodiments, and various changes and modifications can be made to the present invention, and any modifications made within the spirit and principles of the present invention, Equivalent substitutions, improvements, etc., are intended to be included within the scope of the appended claims.

Claims (10)

  1. 一种液体栓塞材料,其特征在于,其包括纳米复合粒子和分散剂,所述纳米复合粒子以琼脂糖包裹的Fe 3O 4纳米粒子为核,EVOH聚合物包裹在核表面形成壳;所述琼脂糖和所述的Fe 3O 4纳米粒子的重量比为5:1~10:1;所述琼脂糖包裹的Fe 3O 4纳米粒子与所述EVOH聚合物的重量比为25:2~25:5;所述纳米复合粒子分散在所述分散剂中。 A liquid embolic material comprising nanocomposite particles and a dispersing agent, wherein the nanocomposite particles are agarose-coated Fe 3 O 4 nanoparticles as a core, and the EVOH polymer is coated on a surface of the core to form a shell; agarose, and the weight of the nanoparticles Fe 3 O 4 ratio of 5: 1 to 10: 1; the weight of the parcel agarose Fe 3 O 4 nanoparticles and the polymer is EVOH ratio of 25: 2 ~ 25:5; the nanocomposite particles are dispersed in the dispersant.
  2. 根据权利要求1所述的液体栓塞材料,其特征在于,所述琼脂糖包裹的Fe 3O 4纳米粒子的直径为100~1000纳米;所述纳米复合粒子的粘度为30~1000厘泊;所述Fe 3O 4纳米粒子的多分散性指数PDI≤1.2;和/或,所述分散剂为二甲基亚砜。 The liquid embolic material according to claim 1, wherein the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 100 to 1000 nm; and the nanocomposite particles have a viscosity of 30 to 1000 cps; The polydispersity index PDI ≤ 1.2 of the Fe 3 O 4 nanoparticles; and/or the dispersing agent is dimethyl sulfoxide.
  3. 根据权利要求2所述的液体栓塞材料,其特征在于,所述琼脂糖和所述的Fe 3O 4纳米粒子的重量比为10:1;和/或,所述琼脂糖包裹的Fe 3O 4纳米粒子与所述EVOH聚合物的重量比为10:1。 The liquid embolic material according to claim 2, wherein the weight ratio of the agarose to the Fe 3 O 4 nanoparticles is 10:1; and/or the agarose-coated Fe 3 O The weight ratio of 4 nanoparticles to the EVOH polymer was 10:1.
  4. 根据权利要求3所述的液体栓塞材料,其特征在于,所述琼脂糖包裹的Fe 3O 4纳米粒子的直径为300纳米;所述纳米复合粒子的粘度为100厘泊;和/或,所述PDI为1.12。 The liquid embolic material according to claim 3, wherein the agarose-coated Fe 3 O 4 nanoparticles have a diameter of 300 nm; the nanocomposite particles have a viscosity of 100 cps; and/or The PDI is 1.12.
  5. 一种如权利要求1~4任一项所述的液体栓塞材料的制备方法,其特征在于,其包含以下步骤:A method of preparing a liquid embolic material according to any one of claims 1 to 4, characterized in that it comprises the following steps:
    (1)制备琼脂糖包裹的Fe 3O 4纳米粒子; (1) preparing agarose-coated Fe 3 O 4 nanoparticles;
    (2)制备纳米复合粒子,所述纳米复合粒子由EVOH进一步包裹琼脂糖包裹的Fe 3O 4纳米粒子而成; (2) preparing nano composite particles, wherein the nano composite particles are further composed of EVOH and further coated with agarose-coated Fe 3 O 4 nanoparticles;
    (3)将所述的纳米复合粒子分散于分散剂中。(3) Dispersing the nanocomposite particles in a dispersing agent.
  6. 根据权利要求5所述的制备方法,其特征在于,所述的步骤(1)包括:The preparation method according to claim 5, wherein the step (1) comprises:
    (11)将FeCl 3的乙二醇溶液、琼脂糖和NH4Ac混合,所述的FeCl 3、 琼脂糖和NH 4Ac的重量比为10:1:5;优选地,所述混匀为2~3kw超声条件下200~300rpm搅拌至少一小时;更优选搅拌速度为250rpm; (11) The ethylene glycol solution of FeCl 3, agarose and NH4Ac mixing said FeCl 3, agarose, and NH 4 Ac weight ratio of 10: 1: 5; Preferably, the mixing is from 2 to Stirring at 200 to 300 rpm for at least one hour under 3kw ultrasonic conditions; more preferably, the stirring speed is 250 rpm;
    (12)在2~3atm、200℃温度条件下反应,反应后冷却,得到黑色产物;优选地,所述反应在聚四氟乙烯高压釜中进行。(12) The reaction is carried out at a temperature of 2 to 3 atm and 200 ° C, and after the reaction, it is cooled to obtain a black product; preferably, the reaction is carried out in a polytetrafluoroethylene autoclave.
  7. 根据权利要求6所述的制备方法,其特征在于,所述的步骤(1)还包括:将所述的黑色产物清洗并干燥,得到黑色粉末;优选地,所述清洗为用乙醇和水交替清洗,共2~5遍;和/或,所述干燥为真空干燥。The preparation method according to claim 6, wherein the step (1) further comprises: washing and drying the black product to obtain a black powder; preferably, the washing is alternated with ethanol and water. Washing, a total of 2 to 5 times; and / or, the drying is vacuum drying.
  8. 根据权利要求7所述的制备方法,其特征在于,所述的步骤(2)还包括:The preparation method according to claim 7, wherein the step (2) further comprises:
    (21)将所述的黑色粉末和EVOH聚合物混匀到二甲基亚砜溶剂中;优选地,所述混匀在超声中进行;(21) mixing the black powder and the EVOH polymer into a dimethyl sulfoxide solvent; preferably, the mixing is carried out in ultrasound;
    (22)搅拌后得到分散于所述二甲基亚砜中的纳米复合粒子。(22) After stirring, nanocomposite particles dispersed in the dimethyl sulfoxide are obtained.
  9. 根据权利要求8所述的方法,其特征在于,所述搅拌为机械搅拌,所述机械搅拌时间至少为2小时;和/或,搅拌速度400~500rpm;优选地,搅拌速度为450rpm。The method according to claim 8, wherein the agitation is mechanical agitation, the mechanical agitation time is at least 2 hours; and/or the agitation speed is 400 to 500 rpm; preferably, the agitation speed is 450 rpm.
  10. 权利要求1~4任一项所述的液体栓塞材料在制备诊断、治疗肿瘤或血管畸形的药物或者分子成像试剂中的应用。Use of the liquid embolic material according to any one of claims 1 to 4 for the preparation of a medicament or molecular imaging reagent for diagnosing, treating a tumor or vascular malformation.
PCT/CN2018/073903 2017-01-24 2018-01-24 Liquid embolic material and preparation method therefor WO2018137633A1 (en)

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