Summary of the invention
The present invention provides a kind of preparation to be applicable to the method for the gel combination that the injection of skin different levels is filled; Can obtain the serial gel combination of different gel particle size range through the easy manufacture process, and lower the potential risk of the remaining free state of cross-linking agent functional group in the gel.
The method that preparation of the present invention is used in the gel combination of injection of skin filling comprises: (1) hyaluronic acid raw material and cross-linking agent generation cross-linking reaction generate gel piece, and gel piece cleans, dialyses; (2) the back gel piece freezing one-tenth gel ice cube of will dialysing after pulverizing mill is pulverized, is collected the gel ice pellets of different-grain diameter scope through a series of different apertures mesh screen; And the gel ice pellets of (3) different-grain diameter scope respectively in the alkalescence hyaluronic acid solution swelling add acid solution then to obtain the gel combination of pH-value with the remaining free state end of sealing cross-linking agent at the physiology tolerance interval.
In one embodiment, the hyaluronic acid raw material of step (1) is selected from hyaluronate sodium, potassium hyaluronate, calcium hyauronate, hyaluronic acid magnesium, hyaluronic acid ammonium, Curiosin or its mixture; Cross-linking agent is divinylsulfone or the epoxide that is selected from down group: 1; 4-butanediol diglycidyl ether (BDDE), Ethylene glycol diglycidyl ether, 1; 6-hexanediol diglycidyl ether, polypropylene glycol diglycidyl ether, polytetramethylene glycol diglycidyl ether, neopentylglycol diglycidyl ether, 1,2,7; 8-diepoxy octane and 1,3-diepoxy butane; Cross-linking reaction is carried out in the sodium hydroxide solution of 0.05N-1.0N or potassium hydroxide solution, and the concentration of participating in the hyaluronic acid raw material of cross-linking reaction is 4-15%, and cross-linking agent is 1: 10~1: 1 with hyaluronic acid raw materials quality ratio.
Preferably, cross-linking agent is 1, the 4-butanediol diglycidyl ether; The cross-linking reaction temperature is 30-4 ℃, and the response time is 2-12 hour, and the employed liquid of gel that cleans, dialyses is distilled water; The dialysis needed time of gel is 2-7 days, and the number of times of changing dialysis solution is 4-20 time.
In one embodiment, the freezing process of gel piece in the step (2) be gel piece-2 ℃ to-6 ℃ held 12-48 hour, the ambient temperature when gel piece is pulverized is 0-8 ℃.The mesh screen that is respectively 200 μ m, 500 μ m, 1000 μ m and 1500 μ m through average pore size is collected the gel ice pellets, to obtain that particle size range is respectively 0~200 μ m, 200~500 μ m, 500~1000 μ m, 1000~1500 μ m and greater than a series of gel ice pellets of 1500 μ m.
In one embodiment, in step (3), the pH value of alkalescence hyaluronic acid solution is that 8-9, hyaluronic concentration are 1-5%; The mass ratio of alkalescence hyaluronic acid solution and gel ice pellets is 1: 1~1: 4; And gel ice pellets swollen temperature in the alkalescence hyaluronic acid solution is 20-4 ℃, and swelling time is 2-12 hour.
Preferably, in the step (3), the alkalescence hyaluronic acid solution comprises that also concentration is the NaCl of 1.5-4.5%.
Preferably; In the step (3); The acid solution that adds is the anesthetics solution of pH value 2-6; The pH that is the gained gel combination is 6.5 to 7.5, and wherein anesthetics is selected from lignocaine, mepivacaine, prilocaine, bupivacaine, cocaine, procaine, tetracaine or its salt, and the final concentration of anesthetics in gel combination is 0.25-0.3%.
Another aspect of the present invention, the gel combination that is applicable to the injection of skin filling that also provides the preparation in accordance with the present invention of knowing clearly to obtain.
Another aspect of the present invention, the different serial gel combination of gel particle size range that is applicable to skin different levels injection filling that also provides method produced according to the present invention to obtain.
It is key knot state and the other end still is the cross-linking agent residue problem of free state functional group that the inventive method (1) has solved after the cross-linking reaction cross-linking agent one end; (2) use simple preparation technology can obtain other micro gel of different-grain diameter level, be suitable for the injection of skin different levels, the cosmetic result of playing and fill reduce wrinkle, repairing depression.
The specific embodiment
The purpose of this invention is to provide a kind of gel combination method for preparing that injection of skin is filled that is suitable for, reach the serial gel combination that especially is fit to skin different levels filling injection that obtains according to this method with different gel particle diameters.
The present invention's preparation is applicable to that the method for the gel combination that injection of skin is filled comprises step:
(1) hyaluronic acid raw material and cross-linking agent generation cross-linking reaction generate gel piece, and gel piece cleans, dialyses;
(2) the back gel piece freezing one-tenth gel ice cube of will dialysing after pulverizing mill is pulverized, is collected the gel ice pellets of different-grain diameter scope through a series of different apertures mesh screen; And
(3) the gel ice pellets of different-grain diameter scope respectively in the alkalescence hyaluronic acid solution swelling add acid solution then to obtain the gel combination of pH-value with sealing cross-linking agent remaining free state end at the physiology tolerance interval.
The hyaluronic acid raw material is selected from but is not limited to a kind of, two or more the mixture arbitrarily of hyaluronate sodium, potassium hyaluronate, calcium hyauronate, hyaluronic acid magnesium, hyaluronic acid ammonium and Curiosin in the step (1); Preferably clear matter acid sodium, more preferably high-purity, aseptic, low proteic hyaluronate sodium.
Preferably, the initial concentration of hyaluronic acid participation cross-linking reaction is 4-15%.The concentration that this paper relates to " % " is removed other has explanation, all representes w/v.
The cross-linking agent of using always in the medical cross-linked hyaluronic acid gel method for preparing in the prior art, crosslinking process are applicable to the cross-linking reaction among the present invention.In the specific embodiment of the inventive method, cross-linking agent is difunctionality and multifunctional molecule, is selected from epoxide and divinylsulfone; Preferred epoxide is selected from 1,4 butanediol diglycidyl ether, Ethylene glycol diglycidyl ether, 1,6 hexanediol diglycidyl ether, polypropylene glycol diglycidyl ether, polytetramethylene glycol diglycidyl ether, neopentylglycol diglycidyl ether, 1; 2,7,8-diepoxy octane and 1; 3-diepoxy butane, more preferably 1,4 butanediol diglycidyl ether.
Preferably, the addition of cross-linking agent and hyaluronic acid mass ratio are 1: 10-1: 1, be preferably 1: 5-1: 2.
Cross-linking reaction is carried out under alkali condition usually, and for example reaction can be carried out in sodium hydroxide solution that is selected from 0.05N-1.0N or potassium hydroxide solution.Preferably, the cross-linking reaction temperature is a 30-45 ℃ of scope, and the response time is the 2-12h scope.
Gel cleaning of using always in the existing medical cross-linked hyaluronic acid derivatives method for preparing and dialysis process are applicable in the step of the present invention (1).
Preferably, the employed liquid of gel that cleans in the step (1), dialyses is distilled water.Preferably, the time of dialysis gel is 2-7 days, and the number of times of changing dialysis solution is 4-20 time.
The purpose of the freezing process of gel in the step of the present invention (2) is formed with to be beneficial to carries out fine gel ice cube.Preferably, in the specific embodiment, freezing gel process can be to place 12-48 hour at-20 ℃ to-60 ℃ refrigerator-freezers.
Crushing process is meant that the use pulverizing mill is pulverized the solid gel ice cube under low temperature environment.For example, employed pulverizing mill and material contact site are the polishing stainless steel material, and inner corner circular arc is excessive, and the total enclosing operation does not have the material loss, and the refrigeration system minimum temperature of configuration can be to-45 ℃.Preferably, the low temperature environment of pulverizing gel piece is preferably 0-8 ℃ for not being higher than 8 ℃.
Can select the aperture of serial mesh screen according to needed gel particle diameter.In the specific embodiment of the inventive method, use the average pore size of a series of mesh screens to be divided into ranks such as 200 μ m, 500 μ m, 1000 μ m and 1500 μ m in the step (2), come the classification of gel ice pellets.The diameter range of the gel ice pellets that is obtained is respectively 0~200 μ m, 200~500 μ m, 500~1000 μ m, 1000~1500 μ m and greater than 1500 μ m.
Alkalescence hyaluronic acid solution in the step (3) is natural hyaluronic acid solution.The solution pH value is preferably 8-9.Wherein hyaluronic concentration is 1-5%.The optional self-induced transparency matter acid of said natural hyaluronic acid sodium, potassium hyaluronate, calcium hyauronate, hyaluronic acid magnesium, hyaluronic acid ammonium, Curiosin or its mixture, preferably clear matter acid sodium.
Preferably, the mass ratio of natural hyaluronic acid solution of alkalescence and gel ice pellets is 1: 1-1: 4.Preferably, gel ice pellets swollen temperature in the alkalescence hyaluronic acid solution is 20-40 ℃, and swelling time is 2-12 hour.
The inventive method also can be included in adds NaCl to regulate the gel infiltration pressure in the gel combination, the osmotic pressure that makes gel is the physiology tolerance interval.Particularly, can in above-mentioned alkalescence hyaluronic acid solution, add NaCl, concentration is 1.5-4.5%.Preferable osmotic pressure is between 270mOsmol/L to 330mOsmol/L
In the step (3), in the mixture that comprises microgel particle, hyaluronic acid solution, add acid solution and make pH-value reach the physiology tolerance interval, use gel combination thereby finally obtain injection of skin filling of the present invention.
In an embodiment, the neutralize alkalescence of the mixture that comprises microgel particle, hyaluronic acid solution of the acidity of anesthetics solution capable of using itself, making the pH-value of gel combination is the physiology tolerance interval, is preferably pH between 6.5 to 7.5.For example, anesthetics is selected from lignocaine, mepivacaine, prilocaine, bupivacaine, cocaine, procaine, tetracaine, or its esters or solvate, preferably lidocaine hydrochloride.Preferably, the pH value of anesthetics solution is the 2-6 scope.Preferably, behind the adding anesthetics, the final concentration of anesthetics can be 0.25-0.3% in the combined gels solution.
Can obtain serial gel combination according to said method, the hyaluronic acid derivatives in each compositions has different gel particle diameters, thereby should be suitable for skin different levels injection filling by the series gel combination.
Advantage of the present invention is following:
Gel combination in the preparation process, hyaluronic acid (HA) cross-linked gel ice pellets is swollen in the natural HA solution of alkalescence.Under alkaline environment, the cross-linking agent free state end in the gel can be further and the hydroxyl generation cross-linking reaction of natural HA, forms ehter bond; In addition, pulverize that back gel particle diameter is less, infiltration is forced down, help natural HA and be penetrated into micro gel inside and carry out cross-linking reaction.The result of cross-linking reaction reduced the free state terminal number amount of cross-linking agent, thereby reduced the potential risk after cross-linking agent is implanted in the body.
Simple technologies such as that the preparation process of crosslinked HA microgel particle adopts is freezing, pulverizing and sieving; Easily obtained other micro gel of different-grain diameter level; Wherein small particle diameter rank gel is fit to be expelled to the dermis of skin shallow-layer; Middle particle diameter rank gel is fit to be expelled to the dermis of skin middle level to deep layer, and big particle diameter rank gel is fit to be expelled to subcutaneous, the cosmetic result of all playing and fill reduce wrinkle, repairing depression.Therefore, the present invention makes easily and is suitable for the serial gel combination that the injection of skin different levels is filled.
Owing to used the natural HA solution of alkalescence to mix with the gel ice pellets, include a small amount of natural HA in the gel combination that the present invention makes, inject resistance in the time of can reducing injection product.In addition; Because the small-amount free HA that contains in the gel combination; And crosslinked HA molecule constantly is degraded into free HA by body in injection back several weeks or several months, has the effect of inducing the fibroblast generation and suppressing extracellular matrix degradation, can improve the filling cosmetic result of injection site.
Include a small amount of anesthetics in the gel combination of the present invention, but the pain of injection site, reduction of patient injection back has improved the comfortableness that product uses.
Method of testing
1. microgel particle measuring diameter
To the crosslinked HA micro gel for preparing, use laser light scattering instrument (LS 300) to measure its particle size and distribution thereof.
2. the mensuration of content of crosslinking agent
Take by weighing an amount of gel combination or crosslinked HA gel; In the physiological balance liquid that contains hyaluronidase 1000U/ml; 3 ℃ of calorstats are placed to cross-linked hyaluronic acid gel degrade fully after, use gas chromatography to detect the content of crosslinking agent in the degradation solution, extrapolate content of crosslinking agent in the gel then.
3. cell toxicity test
Method according to GB/T16886.5-2003 (lixiviating solution method) regulation is carried out cell toxicity test.
4. Implantation Test
Cavia porcellus intradermal injection study model is adopted in this test, and sample and control material are carried out intradermal injection, and in the 2nd, 4,8,12 time-of-week nodes are measured the height and the diameter in each injection site (each 6 sites of each sample), have or not the edema situation with detection; Simultaneously, at per observing time of node, put to death experimental animal and also do Histological assessment, to detect in the tissue whether have inflammatory reaction.
Injecting the last hour hair with each animal left side and right side cuts off.6 injections of every animals received, every side 3 points.Test material and control material randomize all in each animal.Each injection site is all accepted the dose ejection of 0.2ml.Distance is about 2cm between each injection site.
Embodiment
Further specify the present invention through embodiment below, but be not limited to following instance.
Material
The used hyaluronic acid raw material of following example all derives from bacterial fermentation.
Embodiment 1
5.0g hyaluronic acid (HA) raw material (molecular weight is 1,000,000 dalton) is dissolved in the 0.2N NaOH solution of 40ml, the dissolving back adds 1,4 butanediol diglycidyl ether 3ml, fully stirs, and places 37 ℃ of calorstats 4 hours, promptly forms crosslinked HA gel piece.With distilled water cleaning, dialysis gel piece, in subsequently 3 days, change 6 times dialysis solution.Remove distilled water; Crosslinked HA gel piece is put freezing 24h in-50 ℃ of refrigerator-freezers, take out crosslinked HA ice cube, in 4 ℃ of environment; The pulverizing mill temperature is set to-20 ℃; Using pulverizing mill to pulverize ice cube fast, is the rustless steel mesh screen of 200 μ m, 500 μ m, 1000 μ m and 1500 μ m through average pore size successively then, and the different gel ice pellets of difference collection cut size rank.Respectively with the amount of the crosslinked HA ice pellets of per 100 grams add that pH is 8.5, HA concentration is 4%, NaCl concentration is 1.5% solution 50ml, stir back 30 ℃ and place 6h.Add pH and be 5.5, lidocaine hydrochloride concentration is 1.2%, NaCl concentration is 1.5% solution 50ml.Jolting 24h in four-dimensional bottle swingging machine makes the gel combination sample that obtains present embodiment after the abundant balance of each component.
Embodiment 2
5.0gHA raw material (molecular weight is 1,000,000 dalton) is dissolved in the 0.2N NaOH solution of 50ml, the dissolving back adds 1,4 butanediol diglycidyl ether 4ml, fully stirs, and places 32 ℃ of calorstats 6 hours, promptly forms crosslinked HA gel piece.With distilled water cleaning, dialysis gel piece, in subsequently 3 days, change 9 times dialysis solution.Remove distilled water; Crosslinked HA gel piece is put freezing 48h in-50 ℃ of refrigerator-freezers, take out crosslinked HA ice cube, in 4 ℃ of environment; The pulverizing mill temperature is set to-15 ℃; Using pulverizing mill to pulverize ice cube fast, is the rustless steel mesh screen of 200 μ m, 500 μ m, 1000 μ m and 1500 μ m through average pore size successively then, and the different gel ice pellets of difference collection cut size rank.With the amount of the crosslinked HA ice pellets of per 100 grams add that pH is 8.9, HA concentration is 3.5%, NaCl concentration is 1.5% solution 50ml, stir back 35 ℃ and place 6h.Add pH and be 5.4, lidocaine hydrochloride concentration is 1.2%, NaCl concentration is 1.5% solution 50ml.Jolting 24h in four-dimensional bottle swingging machine makes the gel combination sample that obtains present embodiment after the abundant balance of each component.
Comparative Examples 1 adopts existing method directly to squeeze broken to crosslinked HA gel
5.0gHA raw material (molecular weight is 1,000,000 dalton) is dissolved in the 0.2N NaOH solution of 40ml, the dissolving back adds 1,4 butanediol diglycidyl ether 3ml, fully stirs, and places 37 ℃ of calorstats 4 hours, promptly forms crosslinked HA gel piece.With distilled water cleaning, dialysis gel piece, in subsequently 3 days, change 6 times dialysis solution.Remove distilled water, using and squeezing crushing device is that the stainless steel mesh of 500 μ m squeezes the broken micro gel that is to crosslinked HA gel piece through the aperture.With the amount of the crosslinked HA micro gel of per 100 grams add that pH is 8.5, HA concentration is 4%, NaCl concentration is 1.5% solution 50ml, stir back 30 ℃ and place 6h.Add pH and be 5.5, lidocaine hydrochloride concentration is 1.2%, NaCl concentration is 1.5% solution 50ml.Jolting 24h in four-dimensional bottle swingging machine makes the gel combination sample that obtains this Comparative Examples after the abundant balance of each component.
Use laser light scattering instrument (LS 300) to measure the gel combination sample of embodiment 1, embodiment 2, Comparative Examples 1, reach microgel particle size and distribution thereof among commercially available prod Restylane (auspicious indigo plant) and the Perlane, the result sees table 1.
Table 1
Visible by table 1, the inventive method can prepare a series of other gel combinations of different-grain diameter level that have, and the injection that can be suitable for the skin different levels is filled.And Comparative Examples 1 adopts traditional single aperture to squeeze broken method, only prepares other sample of a kind of grain-size grade.
Comparative Examples 2 gel ice pellets are directly with the NaCl solution swelling that contains natural HA, anesthetics
5.0gHA raw material (molecular weight is 1,000,000 dalton) is dissolved in the 0.2N NaOH solution of 40ml, the dissolving back adds 1,4 butanediol diglycidyl ether 3ml, fully stirs, and places 37 ℃ of calorstats 4 hours, promptly forms crosslinked HA gel piece.With distilled water cleaning, dialysis gel piece, in subsequently 3 days, change 6 times dialysis solution.Remove distilled water; Crosslinked HA gel piece is put freezing 24h in-50 ℃ of refrigerator-freezers, take out crosslinked HA ice cube, in 4 ℃ of environment; The pulverizing mill temperature is set to-20 ℃; Using pulverizing mill to pulverize ice cube fast, is the rustless steel mesh screen of 200 μ m, 500 μ m, 1000 μ m and 1500 μ m through average pore size successively then, and the different gel ice pellets of difference collection cut size rank.Respectively with the amount of the crosslinked HA ice pellets of per 100 grams add that pH is 7.5, HA concentration is 2%, lidocaine hydrochloride concentration is 0.6%, NaCl concentration is 1.5% solution 100ml; Jolting 48h in four-dimensional bottle swingging machine; After making the abundant balance of each component, obtain this Comparative Examples gel combination sample.
Comparative Examples 3 gel ice pellets are directly with the NaCl solution swelling that contains natural HA, anesthetics
5.0gHA raw material (molecular weight is 1,000,000 dalton) is dissolved in the 0.2N NaOH solution of 50ml, the dissolving back adds 1,4 butanediol diglycidyl ether 4ml, fully stirs, and places 32 ℃ of calorstats 6 hours, promptly forms crosslinked HA gel piece.With distilled water cleaning, dialysis gel piece, in subsequently 3 days, change 9 times dialysis solution.Remove distilled water; Crosslinked HA gel piece is put freezing 24h in-50 ℃ of refrigerator-freezers, take out crosslinked HA ice cube, in 4 ℃ of environment; The pulverizing mill temperature is set to-15 ℃; Using pulverizing mill to pulverize ice cube fast, is the rustless steel mesh screen of 200 μ m, 500 μ m, 1000 μ m and 1500 μ m through average pore size successively then, and the different gel ice pellets of difference collection cut size rank.Respectively with the amount of the crosslinked HA ice pellets of per 100 grams add that pH is 7.3, HA concentration is 2%, lidocaine hydrochloride concentration is 0.6%, NaCl concentration is 1.5% solution 100ml; Jolting 48h in four-dimensional bottle swingging machine; After making the abundant balance of each component, obtain the gel combination sample of this Comparative Examples.
Take off the row test specimen: the gel combination that 1. makes through 500 μ m screen clothes among the embodiment 1,2. among the embodiment 2 through gel combination that 500 μ m screen clothes make, 3. (be the natural HA product of selling on the market through gel combination that 500 μ m screen clothes make, the gel combination and the 5. natural HA that 4. make through 500 μ m screen clothes in the Comparative Examples 3 in the Comparative Examples 2; Commodity are called Shi Peike; Produce by Shandong Freda Biopharm Co., Ltd.), carry out cell toxicity test and Implantation Test.Wherein, 1., 2., 3. and 4. (121 ℃ 30min), 5. is the control material group to sample through steam high-voltage sterilizing before making an experiment.Testing result is seen table 2.
Table 2
Table 2 shows that in embodiment of the invention sample and the comparative example, the content of crosslinking agent B DDE is all less than 1 μ g/g, and according to related data, BDDE concentration is lower than 2 μ g/g among the crosslinked HA, and non-carcinogenesis, hereditary-less toxicity belong to safety range.
Cell toxicity test result shows that the cytotoxicity of all test specimens all is not more than 1 grade, all meets the regulation of national sector standard to bio-medical material, can be used in the organism.
The Implantation Test result shows that the edema situation of embodiment of the invention sample and tissue reaction and control material group do not have significant difference, and the inflammatory reaction in the comparative example overweights the control material group.Cause the reason of above-mentioned result of the test; It possibly be the content of crosslinking agent seldom (qualified) of dissociating in the comparative example because content of crosslinking agent mensuration and cell toxicity test result show; But also having cross-linking agent one end is key knot state and the other end still is free state functional group; The free state end of cross-linking agent can react with body after implanting, and causes inflammation to produce.And the free state end owing to cross-linking agent is closed in the embodiment of the invention, so inflammatory reaction is with the matched group zero difference.