Deprecated: The each() function is deprecated. This message will be suppressed on further calls in /home/zhenxiangba/zhenxiangba.com/public_html/phproxy-improved-master/index.php on line 456
JP7567109B2 - Wound healing agent - Google Patents
[go: Go Back, main page]

JP7567109B2 - Wound healing agent - Google Patents

Wound healing agent Download PDF

Info

Publication number
JP7567109B2
JP7567109B2 JP2022136254A JP2022136254A JP7567109B2 JP 7567109 B2 JP7567109 B2 JP 7567109B2 JP 2022136254 A JP2022136254 A JP 2022136254A JP 2022136254 A JP2022136254 A JP 2022136254A JP 7567109 B2 JP7567109 B2 JP 7567109B2
Authority
JP
Japan
Prior art keywords
administration
day
cure rate
agarose gel
group
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2022136254A
Other languages
Japanese (ja)
Other versions
JP2023050110A (en
Inventor
雅士 田畑
博章 田畑
Original Assignee
株式会社キュア薬品
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 株式会社キュア薬品 filed Critical 株式会社キュア薬品
Publication of JP2023050110A publication Critical patent/JP2023050110A/en
Application granted granted Critical
Publication of JP7567109B2 publication Critical patent/JP7567109B2/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Materials For Medical Uses (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Description

本発明は創傷治癒剤に関する。 The present invention relates to a wound healing agent.

特許文献1に記載のように、アガロースゲルを担体としたヒドロキシアパタイトとの複合体を人工骨や人工歯根の形成材料とすることは知られている。
また特許文献2、3に記載のように、ポリリン酸カルシウム等の塩の結晶は止血剤とされることも知られている。
これらの文献に記載の、人工骨や人工歯根の形成材料や止血剤は、臨床においては、場合により治癒が悪くなる可能性や、生体との間で異物反応が起きる可能性があった。
また、このような治癒を目的に薬剤としてフィブラストスプレーが使用されるが、フィブラストスプレーは癌患者や、皮膚癌にかかったことがある人に対して使用することは認められていない。
As described in Patent Document 1, it is known that a complex of hydroxyapatite and agarose gel as a carrier is used as a material for forming artificial bones and artificial dental roots.
As described in Patent Documents 2 and 3, crystals of salts such as calcium polyphosphate are also known to be used as hemostatic agents.
The materials for forming artificial bones and artificial dental roots and the hemostatic agents described in these documents may, in clinical practice, impair healing in some cases or cause a foreign body reaction between the tissue and the living body.
In addition, Fiblast Spray is used as a drug for such healing purposes, but Fiblast Spray is not approved for use on cancer patients or those who have had skin cancer.

国際公開第2007/061001号International Publication No. 2007/061001 特表2016-535041号公報Special Publication No. 2016-535041 特表2008-531692号公報Special Publication No. 2008-531692

ヒドロキシアパタイトとアガロースの複合材料を臨床において使用すると、場合により治癒が悪くなったり、生体との間で異物反応が生じたりした。また、フィブラストスプレーは製造費用が高いこと、及び創傷治癒に使用する際には、頻繁に投与することが必要であり、かつ炎症反応が強いため、治療にかかる手間が大きいものであった。加えてタンパク質製剤であるため、創傷部位に炎症性細胞が多いときには、副作用として、投与後の刺激感、疼痛、発赤などを発生させやすい。
本発明は臨床において、より確実に止血を行い、ひいてはより確実に創傷治癒を行い得る創傷治癒剤を得ること、さらに癌患者や皮膚癌にかかったことがある人に対して、使用できる創傷治癒剤を得ること、より費用が安く投与の頻度を削減できて、治療の手間を軽くすることを課題とする。
When hydroxyapatite and agarose composite materials were used in clinical practice, they sometimes led to poor healing or foreign body reactions between the wound and the body. In addition, Fiblast Spray is expensive to manufacture, and when used for wound healing, it needs to be administered frequently and causes a strong inflammatory reaction, so the treatment is laborious. In addition, because it is a protein preparation, it is prone to side effects such as irritation, pain, and redness after administration when there are many inflammatory cells at the wound site.
To provide a wound healing agent which can more reliably stop bleeding and more reliably heal wounds in clinical practice, and which can be used by cancer patients and those who have had skin cancer, and which can be administered at lower cost and with reduced frequency, thereby easing the labor of treatment.

本発明は上記の課題を解決するための発明であり、そのための下記の構成を採用する。
アガロースゲル1.0重量部に対し、単針晶及び/又は球状結晶のCa(HPO4)(H2O)2を0.50~3.00重量部の割合で含有する創傷治癒剤。
The present invention is an invention for solving the above problems, and for that purpose, the following configurations are adopted.
A wound healing agent containing 0.50 to 3.00 parts by weight of mono-needle and/or spherical crystals of Ca(HPO4)(H2O)2 per 1.0 part by weight of agarose gel.

創傷治癒剤として、単針晶の及び/又は球状結晶Ca(HPO4)(H2O)2及びアガロースゲルを含有させ、その止血用組成物を、生体の創傷部に対して塗布や被覆等することにより、速やかにかつ確実に創傷治癒することができる。 The wound healing agent contains monoacicular and/or spherical crystals of Ca(HPO4)(H2O)2 and agarose gel, and the hemostatic composition is applied or coated on a wound in a living body, thereby enabling wound healing to occur quickly and reliably.

投与日数に対する治療率を示す図Treatment rate versus number of days of treatment A群~D群それぞれの治療率総和を示す図Figure showing the total treatment rates for groups A to D B群~D群それぞれの治癒促進率を示す図A graph showing the healing promotion rate for each of groups B to D. リン酸カルシウムアガロースゲル2(単針晶のCa(HPO4)(H2O)2を有する)の走査型電子顕微鏡写真Scanning electron micrograph of calcium phosphate agarose gel 2 (containing monocrystalline Ca(HPO4)(H2O)2)

本発明の創傷治癒剤について以下に説明をする。
本発明の創傷治癒剤は、専ら創傷部の出血部に適用して、創傷治癒を行うための組成物である。単針晶のCa(HPO4)(H2O)2を0.50~3.00重量部に対し、アガロースゲルを1.0重量部の割合で含有するものである。
The wound-healing agent of the present invention will be described below.
The wound healing agent of the present invention is a composition for applying to a bleeding part of a wound to effect wound healing. It contains 0.50 to 3.00 parts by weight of mono-needle crystal Ca(HPO4)(H2O)2 and 1.0 part by weight of agarose gel.

<単針晶及び/又は球状結晶のCa(HPO4)(H2O)2>
本発明ではリン酸カルシウムとして、Ca(HPO4)(H2O)2を採用する。
このようなCa(HPO4)(H2O)2を得る手段は特に限定されず、Ca(HPO4)(H2O)2の中でも単針晶及び/又は球状結晶である。そして単針晶の部分と球状結晶の部分を共に有するCa(HPO4)(H2O)2を使用しても良い。
本発明における単針晶のCa(HPO4)(H2O)2は、例えば、20℃のpH7.4の100~1000mMの塩化カルシウム溶液と、20℃のpH7.4の30~500mMのリン水素酸ナトリウム(リン酸水素二ナトリウム・12水和物等)溶液を用意する。そして、20℃のpH7.4の100~1000mMの塩化カルシウム溶液への2時間の浸漬と、純水での洗浄、次いで、20℃のpH7.4の30~500mMリン酸水素ナトリウム溶液に2時間浸漬と、純水での洗浄を、1サイクルとして行い、これを合計で5~20サイクル行って得られる。
本発明中の創傷治癒剤に含有されるリン酸カルシウム中、単針晶及び球状結晶のCa(HPO4)(H2O)2を100質量%含有することが好ましいが、本発明による効果を毀損しない範囲において他のリン酸カルシウム類も含有してもよい。その結果、リン酸カルシウム中の単針晶のCa(HPO4)(H2O)2の含有比率は95質量%以上でも良く、90質量%以上でも良い。この比率が高いほど創傷治癒の効果に優れる。
なお、他のリン酸カルシウムとして、例えば非結晶、単斜晶、六方晶や直方晶のリン酸カルシウム、非結晶のポリリン酸カルシウム、及び単針晶以外のポリリン酸カルシウム、ハイドロキシアパタイト(Ca10(PO4)6(OH)2)等が挙げられる。
<Single-needle and/or spherical crystals of Ca(HPO4)(H2O)2>
In the present invention, Ca(HPO4)(H2O)2 is used as calcium phosphate.
The means for obtaining such Ca(HPO4)(H2O)2 is not particularly limited, and among Ca(HPO4)(H2O)2, mono-needle crystals and/or spherical crystals are used. Ca(HPO4)(H2O)2 having both mono-needle crystal parts and spherical crystal parts may be used.
The monoacicular Ca(HPO4)(H2O)2 of the present invention can be obtained by, for example, preparing a 100-1000 mM calcium chloride solution having a pH of 7.4 at 20° C. and a 30-500 mM sodium hydrogen phosphate (such as disodium hydrogen phosphate dodecahydrate) solution having a pH of 7.4 at 20° C. Then, one cycle of immersion in the 100-1000 mM calcium chloride solution having a pH of 7.4 at 20° C. for 2 hours, washing with pure water, and then immersion in a 30-500 mM sodium hydrogen phosphate solution having a pH of 7.4 at 20° C. for 2 hours and washing with pure water is performed, and this cycle is repeated for a total of 5-20 times.
The calcium phosphate contained in the wound healing agent of the present invention preferably contains 100% by mass of mono-needle and spherical crystals of Ca(HPO4)(H2O)2, but other calcium phosphates may also be contained within a range that does not impair the effects of the present invention. As a result, the content ratio of mono-needle crystals of Ca(HPO4)(H2O)2 in the calcium phosphate may be 95% by mass or more, or may be 90% by mass or more. The higher this ratio, the better the wound healing effect.
Other examples of calcium phosphate include amorphous, monoclinic, hexagonal and orthorhombic calcium phosphate, amorphous calcium polyphosphate, calcium polyphosphate other than monoacicular, hydroxyapatite (Ca10(PO4)6(OH)2), and the like.

本発明の単針晶及び球状結晶のCa(HPO4)(H2O)2の、個々の粒子の平均粒径は1.00μm以上が好ましく、2.00μm以上がより好ましく3.00μm以上が更に好ましい。また、200μm以下が好ましく、100μm以下がより好ましく、30.0μm以下が更に好ましく、10.0μm以下が最も好ましい。
乾燥状態の創傷治癒剤の全重量中の単針晶及び球状結晶のCa(HPO4)(H2O)2の含有比率は、乾燥重量で、アガロースゲルの重量を1重量部としたときの、単針晶及び球状結晶のCa(HPO4)(H2O)2の重量は0.50~3.00重量部である。そして、0.70重量部以上が好ましく、0.80重量部以上がより好ましく、0.90重量部以上が更に好ましく、1.00重量部以上が最も好ましい。また、2.50重量部以下が好ましく、2.00重量部以下がより好ましく、1.70重量部以下が更に好ましく、1.50重量部以下が最も好ましい。質量測定は全体の質量を測定し、ICP質量分析法によりカルシウムの質量を測定し、そこから化学式を基にしてリン酸カルシウムの質量を測定し、全体の質量からそれを引いたのがアガロースの質量とし、重量の比を算定した。 ここでいう単針晶とは、リン酸カルシウム粒子をX線解析(XRD分析 全自動多目的X線解析装置 Rigaku製を使用)し、その結果として、単針晶を示すピークの分布等により、結晶を確認できたものである。球状結晶についても同様に確認できる。
また平均粒径とは粒度分布測定装置により求めた個数基準の算術平均径である。
The average particle size of each particle of the monoacicular and spherical crystals of Ca(HPO4)(H2O)2 of the present invention is preferably 1.00 μm or more, more preferably 2.00 μm or more, and even more preferably 3.00 μm or more. Also, it is preferably 200 μm or less, more preferably 100 μm or less, even more preferably 30.0 μm or less, and most preferably 10.0 μm or less.
The content ratio of the mono-acicular and spherical crystals of Ca(HPO4)(H2O)2 in the total weight of the wound healing agent in a dry state is 0.50 to 3.00 parts by weight when the weight of the agarose gel is 1 part by weight, in terms of dry weight. The content is preferably 0.70 parts by weight or more, more preferably 0.80 parts by weight or more, even more preferably 0.90 parts by weight or more, and most preferably 1.00 parts by weight or more. The content is preferably 2.50 parts by weight or less, more preferably 2.00 parts by weight or less, even more preferably 1.70 parts by weight or less, and most preferably 1.50 parts by weight or less. The mass measurement was performed by measuring the total mass, measuring the mass of calcium by ICP mass spectrometry, measuring the mass of calcium phosphate based on the chemical formula, and subtracting the mass from the total mass to obtain the mass of agarose, and then calculating the weight ratio. The term "single-needle crystals" used here refers to calcium phosphate particles that have been subjected to X-ray analysis (using a fully automated multipurpose X-ray analyzer manufactured by Rigaku) and the results show that they are crystals, based on the distribution of peaks indicating single-needle crystals. Spherical crystals can also be identified in the same way.
The average particle size is an arithmetic mean diameter based on the number of particles determined by a particle size distribution measuring device.

<アガロースゲル>
本発明におけるアガロースゲルは多糖類の一種であるアガロースをヒドロゲル化してなる公知のものである。
なかでもアガロースゲルとしては部分的に架橋されたものが好ましく、アガロースゲル顆粒(Pharmacia Biotech社)およびバイオゲル(商標)A(Bio Rad Laboratories)、Lonza社等の公知のものを使用できる。
<Agarose gel>
The agarose gel in the present invention is a known material obtained by hydrogelling agarose, which is a type of polysaccharide.
Of these, agarose gels that are partially crosslinked are preferred, and known products such as agarose gel granules (Pharmacia Biotech), Biogel (trademark) A (Bio Rad Laboratories), and Lonza can be used.

<その他のヒドロゲル形成性ポリマー>
本発明における効果を阻害しない範囲にて、アガロースゲルと共にヒドロゲル形成性ポリマーを併用しても良い。そのヒドロゲル形成性ポリマーとしては、部分的に物理的・化学的な架橋がされていてもよく、1)アルギン酸、プルラン、ペクチン、デンプン、α化デンプン、ヒアルロン酸、セルロース、メチルセルロース、ヒドロキシメチルセルロース、ヒドロキシプロピルセルロース、ヒドロキシプロピルメチルセルロース、カルボキシメチルセルロース、マンナン、キトサン、キチン、キトサン-キチン共重合体、デキストランおよびデキストラン硫酸からなる群より選ばれる多糖類、または2)ポリアスパラテート、コラーゲン、ゼラチン、ポリγ-グルタミン酸、ポリリジンおよびカゼインからなる群より選ばれるポリペプチド、または3)ポリ乳酸、ポリグリコール酸およびポリ乳酸-グリコール酸共重合体からなる群より選ばれるその他の生分解性ポリマー、または4)リグニン、ポリオルニチン、ポリロタキサン、ポリエチレンサクシネート、ポリビニルアルコール、ポリエチレングリコール、ポリアクリルアミド、ポリビニルピロリドンおよびポリ(ヒドロキシエチル)(メタ)アクリレートからなる群より選ばれる生体適合性ポリマーである。
<Other hydrogel-forming polymers>
A hydrogel-forming polymer may be used together with the agarose gel as long as the effects of the present invention are not impaired. The hydrogel-forming polymer may be partially physically or chemically crosslinked, and is 1) a polysaccharide selected from the group consisting of alginic acid, pullulan, pectin, starch, pregelatinized starch, hyaluronic acid, cellulose, methylcellulose, hydroxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, carboxymethylcellulose, mannan, chitosan, chitin, chitosan-chitin copolymer, dextran, and dextran sulfate, or 2) a polypeptide selected from the group consisting of polyaspartate, collagen, gelatin, poly-γ-glutamic acid, polylysine, and casein, or 3) another biodegradable polymer selected from the group consisting of polylactic acid, polyglycolic acid, and polylactic acid-glycolic acid copolymer, or 4) a biocompatible polymer selected from the group consisting of lignin, polyornithine, polyrotaxane, polyethylene succinate, polyvinyl alcohol, polyethylene glycol, polyacrylamide, polyvinylpyrrolidone, and poly(hydroxyethyl)(meth)acrylate.

<創傷治癒剤の形態>
本発明の創傷治癒剤は、本発明による効果を毀損しない範囲において、Ca8(H2PO4)6・5(H2O)等を含有しても良い。
創傷治癒剤の形態としては、水分等を含有した湿潤状態及び乾燥させた状態のいずれでも良い。さらに、それぞれの状態において、シート状、粒子状、フレーク状、粉末状等の任意の形態を採用できる。
創傷部への付着性向上のために、創傷治癒剤を公知の溶媒に浸漬した剤、公知の媒体に分散させてなるクリーム剤や軟膏剤、公知のシート剤と一体化させてなる貼付用シート剤等の任意の形態にて、創傷部に付着し固定させることが必要である。
<Form of wound healing agent>
The wound healing agent of the present invention may contain Ca8(H2PO4)6.5(H2O) or the like within a range that does not impair the effect of the present invention.
The wound healing agent may be in a wet state containing moisture or in a dry state. In each state, any form such as a sheet, particle, flake, powder, etc. may be adopted.
In order to improve adhesion to the wound, it is necessary to adhere and fix the wound in any form, such as an agent in which the wound-healing agent is soaked in a known solvent, a cream or ointment in which the wound-healing agent is dispersed in a known medium, or a patch sheet in which the wound-healing agent is integrated with a known sheet.

<単針晶及び球状結晶のCa(HPO4)(H2O)2、及びアガロースゲルの含有形態>
上記の他に、個別に準備した単針晶及び/又は球状結晶のCa(HPO4)(H2O)2とアガロースゲルを、溶媒中で又は溶媒中ではない状態で、単に混合し、場合によりさらに成形して、得た混合物や成形品を創傷治癒剤としても良い。
図4にリン酸カルシウムアガロースゲル2(単針晶のCa(HPO4)(H2O)2を有する)の走査型電子顕微鏡写真を示す。図4の左上の写真の中央部の一部を拡大した写真が右上の写真であり、右上の写真の中央部をさらに拡大して最も倍率が高い写真がその下の写真である。最も倍率が高い写真の白色部分はCa(HPO4)(H2O)2である。
<Inclusion forms of single needle and spherical crystals of Ca(HPO4)(H2O)2 and agarose gel>
In addition to the above, the mono-needle and/or spherical crystals of Ca(HPO4)(H2O)2 prepared separately can be simply mixed with agarose gel, either in a solvent or without a solvent, and optionally further molded, and the resulting mixture or molded product can be used as a wound healing agent.
Figure 4 shows a scanning electron microscope photograph of calcium phosphate agarose gel 2 (containing mono-needle crystals of Ca(HPO4)(H2O)2). The photograph in the upper right corner of Figure 4 is an enlarged view of a portion of the center of the photograph in the upper left, and the photograph below that is an even larger view of the center of the upper right corner, with the highest magnification. The white portion in the photograph with the highest magnification is Ca(HPO4)(H2O)2.

別の含有形態としては、カルシウムを含有する第1の水溶液(pH7.4の400mM・塩化カルシウム溶液)と、カルシウムを含有しないリン酸イオンを含有する第2の水溶液(pH7.4の120mM・リン酸水素ナトリウム溶液(リン酸水素二ナトリウム・12水和物))を用意し、これら2種の水溶液に対して、ディスク等のシート状や棒状のヒドロゲル状のアガロース(アガロースゲル)を交互に浸漬して、アガロースゲル表面及び/又は内部に、単針晶のCa(HPO4)(H2O)2を形成し、担持させることができる。この交互の浸漬工程を目的に応じて数回から数十回行うこと(交互浸漬法)により、所望の粒径の単針晶のCa(HPO4)(H2O)2の粒子をアガロースゲル中に担持させればよい。
ここで、交互に浸漬する工程においては、アガロースゲルを支持等してアガロースゲルと共に浸漬されるようなステンレス等の金属製の支持部材を使用しないことが、単針晶のCa(HPO4)(H2O)2を形成させる点において好ましい。
As another incorporation form, a first aqueous solution containing calcium (a 400 mM calcium chloride solution at pH 7.4) and a second aqueous solution containing no calcium phosphate ions (a 120 mM sodium hydrogen phosphate solution (disodium hydrogen phosphate dodecahydrate) at pH 7.4) are prepared, and a sheet-like or rod-like hydrogel-like agarose (agarose gel) such as a disk is alternately immersed in these two aqueous solutions to form and support mono-needle Ca(HPO4)(H2O)2 on the surface and/or inside of the agarose gel. By carrying out this alternate immersion process several to several tens of times (alternate immersion method) according to the purpose, mono-needle Ca(HPO4)(H2O)2 particles of the desired particle size can be supported in the agarose gel.
In the step of alternately immersing the agarose gel, it is preferable not to use a metal support member such as stainless steel that supports the agarose gel and is immersed together with the agarose gel, in order to form mono-needle crystals of Ca(HPO4)(H2O)2.

そのため、単針晶及び/又は球状結晶のCa(HPO4)(H2O)2をアガロースゲルに担持させるには、例えばアガロースゲルの端部のみを直に把持して、把持部材を上記水溶液中に浸漬させずに、アガロースゲルのみを浸漬させるようにして、上記のような交互浸漬法を行って処理することが好ましい。仮に金属製や樹脂製の支持部材もアガロースゲルと共に上記第1の水溶液と第2の水溶液に浸漬させる場合には、生成するリン酸カルシウム粒子が単針晶及び/又は球状結晶のCa(HPO4)(H2O)2ではない可能性がある。
また、アガロースゲルを直に把持することに代えて、支持部材として、ガラス、石英、セラミック、薬剤耐性の熱可塑性ポリウレタン等を採用できる。この場合には、予めガラス、石英、セラミックスや薬剤耐性の熱可塑性ポリウレタンのプレート、皿状物や容器状の支持部材の上に、アガロースゲルのシートを載置し、これを支持部材ごと、上記の第1の水溶液と第2の水溶液に交互に浸漬させる。これにより、リン酸カルシウムをアガロースゲルのシートの上面から浸透させて、Ca(HPO4)(H2O)2をアガロースゲルのシート内に形成により単針晶として結晶化させることができる。
Therefore, to make the agarose gel support the monoacicular and/or spherical crystals of Ca(HPO4)(H2O)2, it is preferable to perform the treatment by the above-mentioned alternate immersion method, for example, by directly holding only the end of the agarose gel and immersing only the agarose gel without immersing the holding member in the above-mentioned aqueous solution. If a metal or resin supporting member is also immersed in the first aqueous solution and the second aqueous solution together with the agarose gel, there is a possibility that the calcium phosphate particles generated are not monoacicular and/or spherical crystals of Ca(HPO4)(H2O)2.
Instead of directly holding the agarose gel, glass, quartz, ceramics, drug-resistant thermoplastic polyurethane, etc. can be used as the support member. In this case, the agarose gel sheet is placed on a plate, dish-shaped, or container-shaped support member made of glass, quartz, ceramics, or drug-resistant thermoplastic polyurethane, and the support member is alternately immersed in the first aqueous solution and the second aqueous solution. This allows calcium phosphate to permeate the agarose gel sheet from the upper surface, and Ca(HPO4)(H2O)2 to be crystallized as single needle crystals within the agarose gel sheet.

本発明の創傷治癒剤は、施用または埋植の目的(例えば、止血と同時に、骨再生や組織再成を促進したり、または止血作用を促進したりする)または部位に応じて、各種細胞の増殖因子(例えば、上皮増殖因子、線維芽細胞増殖因子等)、血液凝固因子(例えば、トロンビン、第VIII因子等)、または抗菌剤(抗生物質)等の剤を含むことができる。これらの他の剤は、例えば上記交互浸漬法における浸漬工程に用いるいずれかの水溶液中に存在させておくか、アガロースゲル形成時又は形成後にアガロースゲルのマトリックス中に混合・封入しておくことによって、アガロースゲルのマトリックス中またはCa(HPO4)(H2O)2上に担持させることができる。 The wound healing agent of the present invention can contain agents such as growth factors of various cells (e.g., epidermal growth factor, fibroblast growth factor, etc.), blood coagulation factors (e.g., thrombin, factor VIII, etc.), or antibacterial agents (antibiotics) depending on the purpose of application or implantation (e.g., to promote bone regeneration or tissue regeneration or promote hemostatic action at the same time as hemostasis) or the site. These other agents can be supported in the agarose gel matrix or on Ca(HPO4)(H2O)2 by being present in any of the aqueous solutions used in the immersion step in the above-mentioned alternating immersion method, or by being mixed and encapsulated in the agarose gel matrix during or after the formation of the agarose gel.

こうして得られる本発明の創傷治癒剤は、哺乳動物、特にヒトにおける開放創、例えば、擦過傷等の開放創、抜歯窩、歯周ポケット、閉鎖創、例えば、のう胞や骨欠損における出血部位へ、適量(通常、窩全体に充填されるように)施用または埋植することにより、速やかに止血できるか、あるいは止血もしくは血液凝固時間を大幅に短縮できる。さらに、血餅保持を通じて、組織治癒を促進する。
特に、歯科領域では歯周病治療、インプラント手術、抜歯後止血、骨髄炎治療、整形外科領域でも骨折や外傷時の止血や創傷保護、擦過傷、褥瘡などの組織治癒に使用できる。
本発明の複合材料は骨欠損に密に充填等することで失われた骨を再生し、骨の形態を保持することができる。また、本発明の複合材料を、適当な支持体、例えば、シート部材や包帯等に支持した状態で使用してもよい。また、公知の適当な基材と混ぜることで軟膏にもできる。
The wound healing agent of the present invention thus obtained can be quickly applied to or embedded in an appropriate amount (usually so as to fill the entire cavity) at a bleeding site in an open wound, such as an open wound such as an abrasion, a tooth extraction socket, a periodontal pocket, or a closed wound, such as a cyst or bone defect, in a mammal, particularly a human, to rapidly stop bleeding or significantly shorten the time required for hemostasis or blood clotting.Furthermore, tissue healing can be promoted through blood clot retention.
In particular, in the field of dentistry, it can be used for the treatment of periodontal disease, implant surgery, hemostasis after tooth extraction, and osteomyelitis treatment, and in the field of orthopedics, it can be used for hemostasis and wound protection in the event of fractures or trauma, and for tissue healing of abrasions, bedsores, etc.
The composite material of the present invention can regenerate lost bone and maintain the bone morphology by densely filling a bone defect. The composite material of the present invention may be used in a state supported on a suitable support, such as a sheet member or a bandage. It can also be made into an ointment by mixing with a known suitable base material.

以下、本発明を、特定の例を挙げて、具体的に説明するが、これらの例に本発明を限定することを意図するものでない。
<擦過傷モデルの作製>
ヘアレスラットの背部皮膚の発毛状態を確認し,必要に応じて電気バリカン及び電気シェーバーを用いて除毛した。
イソフルラン吸入麻酔下で,臨床用皮膚部分欠損作製ナイフを用いて、背部に約20×25mm,深さ400~500μm程度の真皮に及ぶ剥離創を作製した。
The present invention will be described in detail below by way of specific examples, but it is not intended that the present invention be limited to these examples.
<Preparation of abrasion model>
The state of hair growth on the back skin of the hairless rats was checked, and hair was removed using electric clippers and an electric shaver if necessary.
Under isoflurane inhalation anesthesia, a clinical skin defect creation knife was used to create an abrasion wound approximately 20 × 25 mm in size and 400 to 500 μm deep, extending into the dermis, on the back.

<創面径の測定,動物の選択及び群分け>
擦過傷モデル作製日に群分けを実施した。ノギスにより創面径(長径及び短径)を測定し、算出した創面積(長径×短径(mm2))を指標にして、層別連続無作為化法により表1に従い群分けを行った。A群の6匹については何ら措置をせず、B群、C群及びD群の各6匹に対して、表1に示すように、リン酸カルシウムアガロースゲル1及び2、フィ
ブラストスプレー500(科研製薬社)のいずれかを投与した。なお、群分け時において、
創面の状態が不良な動物を予め除外した。A群、B群、C群及びD群の各6匹のヘアレスラットにそれぞれに動物番号を付与した。
<Measurement of wound surface diameter, selection of animals and grouping>
Grouping was performed on the day the abrasion model was made. The wound surface diameter (long diameter and short diameter) was measured using a caliper, and the calculated wound area (long diameter x short diameter (mm2)) was used as an index to perform grouping according to Table 1 using a stratified sequential randomization method. No treatment was given to the six animals in group A, and either calcium phosphate agarose gel 1 or 2 or Fiblast Spray 500 (Kaken Pharmaceutical Co., Ltd.) was administered to the six animals in groups B, C, and D, as shown in Table 1. At the time of grouping,
Animals with poor wound conditions were excluded in advance. Six hairless rats in each of groups A, B, C, and D were assigned animal numbers.

<創傷治癒剤の調製>
被験物質であるリン酸カルシウムアガロースゲル1及び2(粉末)は下記の方法により得たものを使用した。
別の被験物質であるフィブラストスプレー500は凍結乾燥品の粉末を添付溶解液5mLで溶解して冷蔵保存し(使用期限は2週間),投与当日に必要量分取した。
<Preparation of wound healing agent>
The test substances, calcium phosphate agarose gels 1 and 2 (powders), were obtained by the following method.
Another test substance, Fiblast Spray 500, was prepared by dissolving the freeze-dried powder in 5 mL of the attached dissolving solution and storing it in a refrigerator (expiry date was 2 weeks), and the required amount was dispensed on the day of administration.

<創面径の測定>
イソフルラン吸入麻酔下でテープ類を剥がした。その際,創面に付着しているガーゼは、生理食塩液で十分に湿らせてから、ゆっくりと創面から剥がし除去した。創面を生理食塩液で軽く洗い流し、脱脂綿で押えて水分を除去した後、創面径(長径及び短径)をノギスで測定した.測定期間はA及びD群は群分け翌日(投与1日目)から投与14日目まで、B及びC群は投与3、6~14日目とし、測定頻度は1日1回とした。
<Measurement of wound surface diameter>
The tapes were removed under isoflurane inhalation anesthesia. The gauze attached to the wound surface was thoroughly moistened with saline and slowly peeled off to remove it. The wound surface was lightly washed with saline and pressed with absorbent cotton to remove moisture, and the wound diameter (long diameter and short diameter) was measured with a vernier caliper. The measurement period was from the day after group division (day 1 of administration) to day 14 of administration for groups A and D, and from days 3 and 6 to 14 of administration for groups B and C, and the measurement frequency was once a day.

<被験物質の投与>
各被験物質の投与について、B及びC群は投与0及び3日目、6日目以降は出血や湿潤状態の場合に1日1回、D群は投与0日目から1日1回、いずれも投与期間は14日間とし、創面径の測定後にイソフルラン吸入麻酔下で実施した。
B及びC群は、それぞれ粉末の被験物質を創面全体に散布し、3×3cmのガーゼ2枚
を重ねて被せ、木製へらで軽く圧迫後、その上に4×4cmの防水フィルムを貼付した。さらにその上から粘着性伸縮包帯5×5cmを貼付し、7.5×7.5cmのベンコットで覆った後、粘着性伸縮包帯を胴体に巻き固定した(投与0及び3日目に固定、その後6日目以降は毎日交換)。
D群は液剤100μLを創面全体に塗布し、ガーゼ、防水フィルム、粘着性伸縮包帯、ベンコットを用いて、B及びC群と同様に固定した(毎日交換)。
A群は被験物質を投与しないことを除き,被験物質群と同様の処置をした(毎日交換)
Administration of test substance
The test substances were administered to groups B and C once a day on days 0 and 3, and from day 6 onwards if there was bleeding or wetness, while group D was administered once a day from day 0 onwards. The administration period for all groups was 14 days, and after measuring the wound diameter, the administration was performed under isoflurane inhalation anesthesia.
For groups B and C, powdered test substance was spread over the entire wound, two layers of 3x3cm gauze were placed over the wound, lightly pressed with a wooden spatula, and a 4x4cm waterproof film was applied on top of the gauze. A 5x5cm adhesive elastic bandage was then applied over the gauze, which was then covered with a 7.5x7.5cm Bemcot, and the adhesive elastic bandage was then wrapped around the torso and fixed (fixed on days 0 and 3 of administration, and changed daily from day 6 onwards).
In group D, 100 μL of the liquid was applied to the entire wound surface, and the wound was secured in the same manner as in groups B and C using gauze, waterproof film, adhesive elastic bandage, and Bemcot (changed daily).
Group A was treated in the same way as the test substance group, except that the test substance was not administered (changed daily).

<皮膚の採取>
全群全例について,投与14日目に後大静脈からの全採血後に放血致死させ,正常部位を含む創面皮膚を摘出し、10%中性緩衝ホルマリンで固定した。
<Skin collection>
All animals in all groups were sacrificed by exsanguination after total blood collection from the posterior vena cava on the 14th day after administration, and the wounded skin including the normal area was excised and fixed in 10% neutral buffered formalin.

<治癒率>
創面径より創面積(長径×短径)mm2を算出し、更に次式により治癒率(%)及び治癒
率総和(AUC0-14、%・日)を算出した。
治癒率(%)=
(投与開始日の創面積-測定時の創面積)÷(投与開始日の創面積)×100
(なおここでいう「投与開始日」とは初回投与日のことである。)
<治癒率総和(AUC0-14、%・日,A及びD群)>
治癒率総和=
(投与0日目の治癒率+投与1日目の治癒率)×1/2
+(投与1日目の治癒率+投与2日目の治癒率)×1/2
+(投与2日目の治癒率+投与3日目の治癒率)×1/2
+(投与3日目の治癒率+投与4日目の治癒率)×1/2
+(投与4日目の治癒率+投与5日目の治癒率)×1/2
+(投与5日目の治癒率+投与6日目の治癒率)×1/2
+(投与6日目の治癒率+投与7日目の治癒率)×1/2
+(投与7日目の治癒率+投与8日目の治癒率)×1/2
+(投与8日目の治癒率+投与9日目の治癒率)×1/2
+(投与9日目の治癒率+投与10日目の治癒率)×1/2
+(投与10日目の治癒率+投与11日目の治癒率)×1/2
+(投与11日目の治癒率+投与12日目の治癒率)×1/2
+(投与12日目の治癒率+投与13日目の治癒率)×1/2
+(投与13日目の治癒率+投与14日目の治癒率)×1/2
<Cure rate>
The wound area (long diameter x short diameter) in mm2 was calculated from the wound surface diameter, and the healing rate (%) and total healing rate (AUC0-14, %/day) were calculated using the following formula.
Cure rate (%) =
(Wound area on the day administration started - Wound area at time of measurement) ÷ (Wound area on the day administration started) × 100
(Note that the "start date of administration" here refers to the date of the first administration.)
<Total cure rate (AUC0-14, %/day, Groups A and D)>
Total cure rate =
(Cure rate on day 0 of administration + cure rate on day 1 of administration) x 1/2
+ (cure rate on the first day of administration + cure rate on the second day of administration) x 1/2
+ (cure rate on the second day of administration + cure rate on the third day of administration) x 1/2
+ (cure rate on the 3rd day of administration + cure rate on the 4th day of administration) x 1/2
+ (cure rate on the 4th day of administration + cure rate on the 5th day of administration) x 1/2
+ (cure rate on the 5th day of administration + cure rate on the 6th day of administration) x 1/2
+ (cure rate on the 6th day of administration + cure rate on the 7th day of administration) x 1/2
+ (cure rate on the 7th day of administration + cure rate on the 8th day of administration) x 1/2
+ (cure rate on the 8th day of administration + cure rate on the 9th day of administration) x 1/2
+ (cure rate on the 9th day of administration + cure rate on the 10th day of administration) x 1/2
+ (cure rate on the 10th day of administration + cure rate on the 11th day of administration) x 1/2
+ (cure rate on the 11th day of administration + cure rate on the 12th day of administration) × 1/2
+ (cure rate on the 12th day of administration + cure rate on the 13th day of administration) x 1/2
+ (cure rate on the 13th day of administration + cure rate on the 14th day of administration) × 1/2

<治癒率総和(AUC0-14、%・日,B及びC群)>
治癒率総和=
(投与0日目の治癒率+投与3日目の治癒率)×3/2
+(投与3日目の治癒率+投与6日目の治癒率)×3/2
+(投与6日目の治癒率+投与7日目の治癒率)×1/2
+(投与7日目の治癒率+投与8日目の治癒率)×1/2
+(投与8日目の治癒率+投与9日目の治癒率)×1/2
+(投与9日目の治癒率+投与10日目の治癒率)×1/2
+(投与10日目の治癒率+投与11日目の治癒率)×1/2
+(投与11日目の治癒率+投与12日目の治癒率)×1/2
+(投与12日目の治癒率+投与13日目の治癒率)×1/2
+(投与13日目の治癒率+投与14日目の治癒率)×1/2
<Total cure rate (AUC0-14, %/day, Groups B and C)>
Total cure rate =
(Cure rate on day 0 of administration + cure rate on day 3 of administration) x 3/2
+ (cure rate on the 3rd day of administration + cure rate on the 6th day of administration) x 3/2
+ (cure rate on the 6th day of administration + cure rate on the 7th day of administration) x 1/2
+ (cure rate on the 7th day of administration + cure rate on the 8th day of administration) x 1/2
+ (cure rate on the 8th day of administration + cure rate on the 9th day of administration) x 1/2
+ (cure rate on the 9th day of administration + cure rate on the 10th day of administration) x 1/2
+ (cure rate on the 10th day of administration + cure rate on the 11th day of administration) x 1/2
+ (cure rate on the 11th day of administration + cure rate on the 12th day of administration) × 1/2
+ (cure rate on the 12th day of administration + cure rate on the 13th day of administration) x 1/2
+ (cure rate on the 13th day of administration + cure rate on the 14th day of administration) × 1/2

<治癒促進率>
治癒促進率(%)=(各個体の治癒率総和-対照の治癒率総和の平均値)÷対照の治癒率総和の平均値×100
<Healing promotion rate>
Healing promotion rate (%) = (sum of healing rates of each individual - average of sum of healing rates of controls) ÷ average of sum of healing rates of controls × 100

<統計処理>
各群別に、得られた数値(体重、治癒率、治癒率総和)、それらの平均値及び標準誤差を算出した。各群間の有意差は、Bartlett法により等分散性の検定を行い、すべて等分散であったため一元配置分散分析を行った。Bartlett法及び一元配置分散分析については有意水準を危険率5%、Tukey法については有意水準を危険率5%及び1%とした。すべての統計学的解析は、SPSS14.0J(日本アイ・ビー・エム(株))、Microsoft Excel2013(Microsoft Corp.)及びOS(Windows 10)を用いて実施した。
<Statistical processing>
The obtained values (body weight, cure rate, total cure rate), their average value and standard error were calculated for each group. The significant difference between each group was tested for homogeneity of variance by the Bartlett method, and since all values were homogeneous, one-way analysis of variance was performed. The significance level for the Bartlett method and one-way analysis of variance was set at a risk level of 5%, and for the Tukey method, the significance levels were set at a risk level of 5% and 1%. All statistical analyses were performed using SPSS14.0J (IBM Japan, Ltd.), Microsoft Excel2013 (Microsoft Corp.), and OS (Windows 10).

(a)リン酸カルシウムアガロースゲル1(比較例)
アガロース(Lonza社製)の0.45gを熱水(15ml)で溶解させた後、冷却しゲル化させシート状(厚さ、約1mm)のアガロースゲルを調製した。調製したシート状のアガロースゲルを直径10mmに打ち抜きディスク状に成形し以下の交互浸漬法に用いた。
Ca(ClO)2・Ca3(PO4)とアガロースゲルの複合物を得るにあたり、4℃の200mMの塩化カルシウム溶液と、4℃のpH7.4の120mMのリン酸水素ナトリウム溶液(リン酸水素二ナトリウム・12水和物)溶液を用意する。上記の直径10mmのシート状のアガロースゲルを、4℃の200mMの塩化カルシウム溶液への2時間浸漬、純水での洗浄、次いで4℃のpH7.4の120mMリン酸水素ナトリウム溶液(リン酸水素二ナトリウム・12水和物)溶液への2時間浸漬と、純水での洗浄の、計2回の浸漬と洗浄を1サイクルとして行い、これを合計で12サイクル行った。なお、浸漬時にはアガロースゲルを支持等してアガロースゲルと共に浸漬されるステンレス等の金属製又は樹脂製等の支持部材を使用しなかった。ディスク状のアガロースゲルの端部を把持して、把持部が浸漬されないように、アガロースゲルの部分のみを浸漬するようにして交互浸漬法により処理した。
得られたCa(ClO)2・Ca3(PO4)の粒子径は6.2μm±1.8μmであった。そしてアガロース1重量部に対してCa(ClO)2・Ca3(PO4)を0.67重量部含有していた。
(a) Calcium phosphate agarose gel 1 (Comparative example)
0.45 g of agarose (Lonza) was dissolved in hot water (15 ml) and then cooled to gel, to prepare a sheet-like agarose gel (thickness: about 1 mm). The prepared sheet-like agarose gel was punched out to a diameter of 10 mm and formed into a disk shape, which was used in the following alternate immersion method.
To obtain a composite of Ca(ClO)2.Ca3(PO4) and agarose gel, a 200 mM calcium chloride solution at 4°C and a 120 mM sodium hydrogen phosphate solution (disodium hydrogen phosphate dodecahydrate) solution at pH 7.4 at 4°C were prepared. The above-mentioned sheet-shaped agarose gel with a diameter of 10 mm was immersed in a 200 mM calcium chloride solution at 4°C for 2 hours, washed with pure water, and then immersed in a 120 mM sodium hydrogen phosphate solution (disodium hydrogen phosphate dodecahydrate) solution at pH 7.4 at 4°C for 2 hours and washed with pure water, for a total of 2 immersions and washings as one cycle, for a total of 12 cycles. During the immersion, no support member made of metal such as stainless steel or resin, which is immersed together with the agarose gel to support the agarose gel, was used. The edge of the disk-shaped agarose gel was held, and the disk was treated by an alternate immersion method in which only the agarose gel portion was immersed, while the held portion was not immersed.
The particle size of the obtained Ca(ClO)2·Ca3(PO4) was 6.2 μm±1.8 μm, and the content of Ca(ClO)2·Ca3(PO4) was 0.67 parts by weight per part by weight of agarose.

(b)リン酸カルシウムアガロースゲル2(実施例)
アガロース(Lonza社製)の0.45gを熱水(15ml)で溶解させた後、冷却しゲル化させシート状(厚さ、約1mm)のアガロースゲルを調製した。調製したシート状のアガロースゲルを直径10mmに打ち抜きディスク状に成形し以下の交互浸漬法に用いた。
単針晶のCa(HPO4)(H2O)2とアガロースゲルの複合物を得るにあたり、20℃のpH7.4の400mMの塩化カルシウム溶液と、20℃のpH7.4の120mMのリン酸水素ナトリウム溶液(リン酸水素二ナトリウム・12水和物)溶液を用意する。上記の直径10mmのシート状のアガロースゲルを、20℃のpH7.4の400mMの塩化カルシウム溶液への2時間浸漬、純水での洗浄、次いで20℃のpH7.4の120mMリン酸水素ナトリウム溶液(リン酸水素二ナトリウム・12水和物)溶液への2時間浸漬と、純水での洗浄の、計2回の浸漬と洗浄を1サイクルとして行い、これを合計で12サイクル行った。
なお、浸漬時にはアガロースゲルを支持等してアガロースゲルと共に浸漬されるステンレス等の金属製又は樹脂製等の支持部材を使用しなかった。ディスク状のアガロースゲルの端部を把持して、把持部が浸漬されないように、アガロースゲルの部分のみを浸漬するようにして交互浸漬法により処理した。
得られたCa(HPO4)(H2O)2の粒子径は4.05μm±1.36μmであった。乾燥重量で、アガロース1重量部に対してCa(HPO4)(H2O)2を1.13重量部含有していた。
(b) Calcium phosphate agarose gel 2 (Example)
0.45 g of agarose (Lonza) was dissolved in hot water (15 ml) and then cooled to gel, to prepare a sheet-like agarose gel (thickness: about 1 mm). The prepared sheet-like agarose gel was punched out to a diameter of 10 mm and formed into a disk shape, which was used in the following alternate immersion method.
To obtain a composite of monoacicular Ca(HPO4)(H2O)2 and agarose gel, a 400 mM calcium chloride solution at pH 7.4 at 20° C. and a 120 mM sodium hydrogen phosphate solution (disodium hydrogen phosphate dodecahydrate) at pH 7.4 at 20° C. were prepared. The above-mentioned sheet-shaped agarose gel with a diameter of 10 mm was immersed in a 400 mM calcium chloride solution at pH 7.4 at 20° C. for 2 hours, washed with pure water, and then immersed in a 120 mM sodium hydrogen phosphate solution (disodium hydrogen phosphate dodecahydrate) at pH 7.4 at 20° C. for 2 hours and washed with pure water, for a total of 12 cycles of immersion and washing.
During the immersion, no support member made of metal such as stainless steel or resin was used to support the agarose gel and to be immersed together with the agarose gel. The end of the disk-shaped agarose gel was held, and the treatment was performed by the alternate immersion method in which only the agarose gel portion was immersed, while the held portion was not immersed.
The particle size of the obtained Ca(HPO4)(H2O)2 was 4.05 μm±1.36 μm. In terms of dry weight, the content of Ca(HPO4)(H2O)2 was 1.13 parts by weight per part by weight of agarose.

<試験方法>
上記リン酸カルシウムアガロースゲル1及びリン酸カルシウムアガロースゲル2、さらに、フィブラストスプレー500を用いて、ラットの擦過傷部を処置し、14日間の経過を観察した。14日後であってもフィブラストスプレー500により処置をした場合には、止血できず、炎症反応が発生したため、炎症性細胞の湿潤が豊富に認められた。それに対してゲル2により処置をした場合には炎症性細胞は認められなかった。
<Test Method>
The above calcium phosphate agarose gel 1, calcium phosphate agarose gel 2, and Fiblast Spray 500 were used to treat the abrasion wounds of rats, and the progress was observed for 14 days. Even after 14 days, when the wounds were treated with Fiblast Spray 500, bleeding could not be stopped and an inflammatory reaction occurred, so that abundant infiltration of inflammatory cells was observed. In contrast, when the wounds were treated with Gel 2, no inflammatory cells were observed.

(投与量)
B群(リン酸カルシウムアガロースゲル1)及びC群(リン酸カルシウムアガロースゲル2)の投与量について、1日の使用量を使用匹数で除して算出した概算は次表の通りで
あった.投与量はリン酸カルシウムアガロース ゲルの重量を基に求めた。
(Dosage)
The dosages of Group B (calcium phosphate agarose gel 1) and Group C (calcium phosphate agarose gel 2) were calculated by dividing the daily dosage by the number of animals used, and the results are shown in the following table. The dosages were calculated based on the weight of calcium phosphate agarose gel.

表2中の追加投与量は、1匹あたりの、初回投与後に出血や湿潤により追加で投与した量である。
合計投与量は、1匹あたりの、初回投与を含む投与期間中(14日間)の合計投与量である。
B群及びC群共に、合計投与量は初回投与量の約1.4回分であり、投与期間中の追加投与回数は1回又は2回であった。
なお、上記単針晶のCa(HPO4)(H2O)2に代えて、球状結晶のCa(HPO4)(H2O)2を採用した場合も、上記単針晶の場合の効果と同様の効果を発揮する。
The additional dose in Table 2 is the amount additionally administered to each animal due to bleeding or wetting after the initial administration.
The total dose is the total dose administered per animal during the administration period (14 days) including the first administration.
In both groups B and C, the total dose was approximately 1.4 times the initial dose, and the number of additional doses during the administration period was one or two.
In addition, even when spherical crystals of Ca(HPO4)(H2O)2 are used instead of the mono-needle crystals of Ca(HPO4)(H2O)2, the same effects as those in the case of the mono-needle crystals are exhibited.

D群のフィブラストスプレー500は14日間にわたり毎日投与が必須であった。その主
成分であるトラフェルミンとしての投与量は、1匹の投与液量100μL/日あたり10μg/日であり、投与期間中(14日間)の合計は、その14倍の140μg/匹であった。
A群(対照)には、何ら投与しなかった。
Group D required daily administration of Fiblast Spray 500 for 14 days. The dosage of its main ingredient, trafermin, was 10 μg/day per mouse in a volume of 100 μL/day, and the total dosage during the administration period (14 days) was 140 μg/mouse, 14 times that amount.
Group A (control) received no treatment.

<治癒率及び治癒率総和>
治癒率を図1、治癒率総和を図2にそれぞれ示した。
A群:対照であるA群には何ら投与しなかった。その治癒率は日数の経過と共に徐々に
上昇し、投与14日目における治癒率は62.3±2.5%、治癒率総和は446.3±26.5%・日であった。
B群:(リン酸カルシウムアガロースゲル1(Ca(ClO)2・Ca3(PO4)))を投与したB群の治癒率は,投与日数の経過と共に徐々に上昇し,投与14日目における治癒率は68.9±1.4%,治癒率総和は490.9±13.8%・日であった。
C群:(リン酸カルシウムアガロースゲル2(単針晶のCa(HPO4)(H2O)2))を投与したC群の治癒率は,投与日数の経過と共に徐々に上昇し,投与14日目における治癒率は75.8±2.5%、治癒率総和は560.7±18.2%・日であった。
D群:(フィブラストスプレー500)を投与したD群の治癒率は、投与日数の経過と共
に徐々に上昇し、投与14日目における治癒率は70.6±1.9%,治癒率総和は552.0±17.6%・日であった。
B群の投与6日目以降、C群の投与3日目以降、D群の投与1日目以降の治癒率は、A
群と比較して高い治癒率であった。また、C群の投与7~14日目の治癒率及び治癒率総和、及び、D群の投与6~11日目の治癒率及び治癒率総和の間では、有意差がみられた。
<Cure rate and total cure rate>
The cure rates are shown in Figure 1, and the total cure rates are shown in Figure 2.
Group A: No medication was administered to the control group A. The cure rate gradually increased over time, and on the 14th day of administration, the cure rate was 62.3±2.5%, and the total cure rate was 446.3±26.5%/day.
Group B: The cure rate in group B, which was administered (calcium phosphate agarose gel 1 (Ca(ClO)2·Ca3(PO4))), gradually increased with the number of days of administration, and on the 14th day of administration the cure rate was 68.9±1.4%, and the total cure rate was 490.9±13.8%/day.
Group C: The cure rate of group C, which was administered calcium phosphate agarose gel 2 (mononeedle crystals of Ca(HPO4)(H2O)2), gradually increased with the number of days of administration. The cure rate on the 14th day of administration was 75.8±2.5%, and the total cure rate was 560.7±18.2%-days.
Group D: The cure rate of group D, which was administered (Fiblast Spray 500), gradually increased with the number of days of administration, and the cure rate on the 14th day of administration was 70.6±1.9%, and the total cure rate was 552.0±17.6%-days.
The cure rates for group B from the 6th day after administration, group C from the 3rd day after administration, and group D from the 1st day after administration were A.
In addition, there was a significant difference between the cure rate and the sum of cure rates from 7 to 14 days after administration in group C and the cure rate and the sum of cure rates from 6 to 11 days after administration in group D.

C群の投与7~14日目の治癒率および治癒率総和と、D群の投与6~11日目の治癒率および治癒率総和は、A群及びB群と比較して有意な高値がみられた。また、A群の治癒率総和を100%として算出した治癒促進率より、B群で10.0%、C群で25.6%、
D群で23.7%の治癒の促進がみられた。
以上のことから、本試験条件下においては、C群とD群でラットの擦過傷モデルに被験物質を経皮投与することにより、創傷治癒を促進することが確認され、C群はすでに市販されているD群と同等程度の作用であることが示唆された。但し、D群は毎日の投与を要したが、C群は出血や湿潤により、数回の投与を要したに過ぎなかった。この経緯を考慮すると、一見C群とD群は同じ効果を発揮するが、投与回数の違いにより、C群の本発明の創傷治癒剤がより使用性に優れることが理解できる。さらに、D群では投与期間中に創傷部位に強い炎症が発生したが、B群及びC群では、何ら投与しないA群と同程度の弱い炎症を生じたに過ぎなかった。
また、B群についても、D群より弱いものの、治癒を促進する傾向がみられたが、C群の方がB群よりも明らかに治癒が進展した。
このような結果によれば、本発明の創傷治癒剤は、タンパク質製剤ではないため、比較安価に製造でき、かつ投与の頻度を少なくできるので、毎日投与を要するフィブラストスプレーよりも治療の負担を軽減できる。
The cure rate and the sum of cure rates from 7 to 14 days after administration in group C, and the cure rate and the sum of cure rates from 6 to 11 days after administration in group D were significantly higher than those in groups A and B. In addition, the cure promotion rate calculated by setting the sum of cure rates in group A as 100% was 10.0% in group B, 25.6% in group C, and 10.0% in group D.
A 23.7% increase in healing was observed in group D.
From the above, under the conditions of this test, it was confirmed that the test substance was administered percutaneously to the rat abrasion model in groups C and D, and it was suggested that group C had the same effect as group D, which is already on the market. However, group D required daily administration, while group C only required several administrations due to bleeding and wetness. Considering this history, it can be understood that although groups C and D seemingly have the same effect, the wound healing agent of the present invention in group C is more usable due to the difference in the number of administrations. Furthermore, in group D, strong inflammation occurred at the wound site during the administration period, but in groups B and C, only weak inflammation occurred to the same extent as group A, which was not administered.
Group B also showed a tendency to promote healing, although this tendency was weaker than that of group D. However, healing in group C was clearly more advanced than that in group B.
According to these results, the wound healing agent of the present invention is not a protein preparation, and therefore can be produced relatively inexpensively and can be administered less frequently, thereby reducing the burden of treatment compared to Fiblast Spray, which requires daily administration.

Claims (1)

アガロースゲル1.0重量部に対し、単針晶及び/又は球状結晶のCa(HPO4)(H2O)2を0.50~3.00重量部の割合で含有する創傷治癒剤。





A wound healing agent containing 0.50 to 3.00 parts by weight of mono-needle and/or spherical crystals of Ca(HPO4)(H2O)2 per 1.0 part by weight of agarose gel.





JP2022136254A 2021-09-29 2022-08-29 Wound healing agent Active JP7567109B2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2021159071 2021-09-29
JP2021159071 2021-09-29

Publications (2)

Publication Number Publication Date
JP2023050110A JP2023050110A (en) 2023-04-10
JP7567109B2 true JP7567109B2 (en) 2024-10-16

Family

ID=85802122

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2022136254A Active JP7567109B2 (en) 2021-09-29 2022-08-29 Wound healing agent

Country Status (1)

Country Link
JP (1) JP7567109B2 (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004026653A (en) 2002-03-04 2004-01-29 Mitsuru Akashi Hydroxyapatite-polymer composite hemostatic composition
JP2007117748A (en) 2005-10-28 2007-05-17 Zimmer Inc Mineralized hydrogels, and methods of making and using mineralized hydrogels
JP2009261582A (en) 2008-04-24 2009-11-12 Biomedical Technology Hybrid Ltd Method of manufacturing organic-inorganic hybrid disk and structure used for its method
CN105013002A (en) 2014-04-25 2015-11-04 胡庆柳 Absorbable bioactive bone inducing material and preparation method thereof
JP2018528005A (en) 2015-09-14 2018-09-27 エコール・ポリテクニーク・フェデラル・ドゥ・ローザンヌ (ウ・ペ・エフ・エル)Ecole Polytechnique Federale De Lausanne (Epfl) Composition for bone regeneration
WO2020008558A1 (en) 2018-07-04 2020-01-09 オリンパス株式会社 Bone substitute and method for producing bone substitute

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004026653A (en) 2002-03-04 2004-01-29 Mitsuru Akashi Hydroxyapatite-polymer composite hemostatic composition
JP2007117748A (en) 2005-10-28 2007-05-17 Zimmer Inc Mineralized hydrogels, and methods of making and using mineralized hydrogels
JP2009261582A (en) 2008-04-24 2009-11-12 Biomedical Technology Hybrid Ltd Method of manufacturing organic-inorganic hybrid disk and structure used for its method
CN105013002A (en) 2014-04-25 2015-11-04 胡庆柳 Absorbable bioactive bone inducing material and preparation method thereof
JP2018528005A (en) 2015-09-14 2018-09-27 エコール・ポリテクニーク・フェデラル・ドゥ・ローザンヌ (ウ・ペ・エフ・エル)Ecole Polytechnique Federale De Lausanne (Epfl) Composition for bone regeneration
WO2020008558A1 (en) 2018-07-04 2020-01-09 オリンパス株式会社 Bone substitute and method for producing bone substitute

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
MRS Online Proceedings Library,1996年02月15日,Vol.463,p.281-286

Also Published As

Publication number Publication date
JP2023050110A (en) 2023-04-10

Similar Documents

Publication Publication Date Title
RU2176525C2 (en) Surgical implant material or bandage material releasing medication preparation
US20070190110A1 (en) Agents and devices for providing blood clotting functions to wounds
CN112107723B (en) Medical water-based adhesive and using method thereof
JPH07500095A (en) Hemostatic composition for local hemostasis
CN107454851A (en) Hemostatic composition and hemostatic device (variants)
Dai et al. Silk fibroin/gelatin/calcium alginate composite materials: Preparation, pore characteristics, comprehensive hemostasis in vitro
JP2002531533A (en) Hemostatic collagen foam
CN103520764A (en) Functional dressing, and preparation method and application thereof
WO2009088726A2 (en) Mucosal tissue dressing and method of use
ES2882506T3 (en) Hemostatic fluid
JP2021106935A (en) Composition for treating wound
WO1990014110A1 (en) Improvements in or relating to pharmaceutical preparations
RU2180856C1 (en) Agent for wound healing
CN116077707B (en) Collagen sponge dressing and preparation method thereof
EP2789353B1 (en) Membrane for inducing regeneration of bone/tissue, and method for producing same
JP7567109B2 (en) Wound healing agent
RU2193896C2 (en) Covering for wounds
WO2025019519A2 (en) Highly porous gelatin based foam doped with super absorbent polymers and method of preparation thereof
RU2240140C2 (en) Medicinal multilayer bandage and articles based on such bandage
King Catrix: an easy-to-use collagen treatment for wound healing
CN107982568A (en) Degradable biological auxiliary material and its preparation method and application
KR20040051130A (en) Method for the preparation of hydrogels for wound dressings
US20130018334A1 (en) Biodegradable wound care products with biocompatible artificial skin treatment and healing accelerator
TW202327657A (en) Three-dimensional mesh-like hydrogel and manufacturing method thereof capable of increasing treatment effects and reducing side effects of epidermal irritation
Naser et al. Efficacy of local haemostatic agent following minor surgery (an experimental and clinical study)

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20220902

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20231030

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20240827

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20240828

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20240830

R150 Certificate of patent or registration of utility model

Ref document number: 7567109

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150