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研究生: 鄭志琦
Cheng, Chih-Chi
論文名稱: 溫度敏感型胺基酸水膠作為免疫抑制藥物傳遞系統於複合性異體移植之應用
Thermosensitive Polypeptide Hydrogel for Immunosuppressive Drug Delivery in Vascularized Composite Allotransplantation
指導教授: 朱一民
Chu, I-Ming
口試委員: 王潔
林承弘
Lin, Cheng-Hung
學位類別: 碩士
Master
系所名稱: 工學院 - 化學工程學系
Department of Chemical Engineering
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 86
中文關鍵詞: 複合性異體移植他克莫司溫度敏感型胺基酸水膠
外文關鍵詞: polypeptide thermosensitive hydrogel, tacrolimus, vascularized composite allotransplantation
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  • 複合性異體移植的病患常常因為免疫排斥導致移植物壽命縮短甚至失去功能,因此常常必須在手術後數年內使用免疫抑制劑他克莫司來降低排斥反應。而他克莫司目前臨床多使用每天注射及口服方式給藥。本研究透過新型溫度敏感型高分子PLX-b-poly(ʟ-alanine-lysine) (P-Lys-Ala-PLX)作為包覆他克莫司的長效型藥物緩釋水膠,期望能達到良好的藥物釋放效果,彌補臨床需求。
    本研究透過1H核磁共振確認成功合成P-Lys-Ala-PLX共聚物,並藉由穿透式電子顯微鏡、動態光散射儀、掃描式電子顯微鏡、全反射傅立葉轉換紅外線光譜儀、流變儀等儀器觀測此溫度敏感型胺基酸水膠成膠機制,成膠後性質及胺基酸二級結構變化。實驗結果顯示4-5% P-Lys-Ala-PLX確實能夠在常溫為液態而體溫狀態形成膠體,並隨著溫度上升α-helix比例有增加趨勢。再者,透過改良水膠藥物載體配方,利用混摻少量pluronic F-127加速藥物釋放,此一複合劑型以高效能液相層析儀分析確認其配方能夠有效包覆藥物並達到緩慢長效釋放。研究成果顯示此材料及藥物載體配方具有相當潛力作為包覆免疫抑制劑的長效釋放劑型。


    Tacrolimus is an immunosuppressive agent which is usually applied to patients who received allotransplantation to reduce immune rejection. The strong hydrophobicity of tacrolimus makes it difficult to be applied in aqueous system. It has been studied to be encapsulated by micelles. However, the low efficiency of encapsulation in micelles is an obstacle for further application. Polypeptide thermosensitive hydrogel is considered as a great candidate for drug delivery because of several advantages, such as excellent biocompatibility and biodegradability, low concentration for gelation and sensitive response temperature change. In this study, we synthesized a thermosensitive polypeptide hydrogel by copolymerizing poloxamer and poly(ʟ-alanine) with ʟ-lysine segments at the both ends to form PLX-b-poly(ʟ-alanine-lysine) (P-Lys-Ala-PLX) copolymers. Poly(ʟ-alanine) is the hydrophobic chain of P-Lys-Ala-PLX copolymers which was designed to capture the hydrophobic agents. The synthesis was examined by 1H NMR and showed that P-Lys-Ala-PLX copolymers was successfully synthesized. P-Lys-Ala-PLX has a sol-gel behavior with low concentration of 3-7 wt%. The formulation of mix hydrogel by mixing a little pluronic F127 showed high drug encapsulation efficiency. The experiment of drug release also showed that the tacrolimus released constantly over time. This study indicates that this copolymer and mix hydrogel formulation is a high potential injectable drug carrier for biomedical application.

    目錄 第一章 緒論 1 1.1高分子水膠 1 1.2智慧型水膠 5 1.3溫度敏感型水膠(Thermosensitive hydrogel) 6 1.4溫度敏感型胺基酸水膠 11 1.5藥物釋放系統(Drug Delivery System, DDS) 19 1.6藥物控制釋放機制 21 1.7高分子材料降解 22 1.8移植排斥(Transplant rejection) 23 1.9免疫抑制劑(Immunosuppressive drug)種類 26 1.10他克莫司(Tacrolimus, FK506) 27 第二章 研究動機 32 第三章 實驗材料與方法 33 3.1實驗藥品 33 3.2實驗架構圖 34 3.3實驗方法 34 3.3.1丙胺酸環化反應 (L-alanine N-carboxyl anhydride) 34 3.3.2離胺酸環化反應 (H-Lys(Z)-OH N-carboxyl anhydride) 35 3.3.3共聚物合成反應 36 3.3.4去除保護機反應 37 3.3.5核磁共振光譜鑑定(1H-NMR) 38 3.3.6臨界微胞濃度(critical micelle concentration, CMC) 39 3.3.7動態光散射儀(Dynamic Light Scattering, DLS) 40 3.3.8表面電位分析(Zeta Potential) 40 3.3.9溶液膠體相轉換測試(sol-gel phase transition) 40 3.3.10流變儀(Rheology) 41 3.3.11掃描式電子顯微鏡(Scanning electron microscope, SEM) 41 3.3.12全反射傅立葉轉換紅外光譜儀(Attenuated Total Reflectance Fourier Transform Infrared, ATR-FTIR) 42 3.3.13體外降解實驗(in vitro degradation test) 43 3.3.14藥物配方測試 44 3.3.15配方生物相容性測試 44 3.3.16 Tacrolimus濃度標準曲線建立 45 3.3.17藥物釋放實驗 45 3.3.18 動物實驗 46 第四章 實驗結果與討論 47 4.1 P-Lys-Ala-PLX共聚物結構與性質分析 47 4.1.1 1H-NMR核磁共振結果分析 47 4.1.2全反射傅立葉轉換紅外光譜鑑定 (ATR-FTIR) 48 4.1.3 臨界微胞濃度(critical micelle concentration, CMC) 49 4.1.4 動態光散射儀(Dynamic Light Scattering, DLS) 50 4.1.5 表面電位分析 51 4.2 P-Lys-Ala-PLX水膠基本物理性質分析 52 4.2.1 溶膠-凝膠相轉換測試 52 4.2.2流變性質分析 53 4.2.3掃描式電子顯微鏡(SEM) 54 4.2.4 全反射傅立葉轉換紅外光譜分析(ATR-FTIR) 55 4.2.5 變溫NMR圖譜分析 57 4.2.6 水膠體外降解測試 58 4.3藥物傳遞系統之應用 59 4.3.1 藥物載體配方測試 59 4.3.2藥物載體配方生物相容性測試 67 4.3.3 藥物載體配方掃描式電子顯微鏡(SEM)影像 69 4.3.4 藥物載體配方體外降解實驗 70 4.3.5藥物載體配方體外藥物釋放比較 72 4.3.6 藥物載體配方全反射傅立葉轉換紅外光譜分析(ATR-FTIR) 72 4.3.7藥物釋放實驗 74 4.3.8動物實驗 76 第五章 結論與未來展望 81 5.1結論 81 5.2未來展望 82 第六章 參考資料 83

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