|
|

Title: Implantable biocompatable immunoisolatory vehicle for
delivery of selected therapeutic products
United States Patent: 6,083,523
Inventors: Dionne; Keith E. (Rehoboth, MA); Emerich; Dwaine
F. (Providence, RI); Hoffman; Diane (Cambridge, MA); Sanberg; Paul R.
(Spring Hill, FL); Christenson; Lisa (New Haven, CT); Hegre; Orion D.
(Green Valley, AZ); Scharp; David W. (St. Louis, MO); Lacy; Paul E.
(Webster Grove, MO); Aebischer; Patrick (Lutry, CH); Vasconcellos; Alfred
V. (Cranston, RI); Lysaght; Michael J. (Greenwich, RI); Gentile; Frank T.
(Warwich, RI)
Assignee: Brown University Research Foundation
(Providence, RI); Brown University (Providence, RI)
Appl. No.: 148671
Filed: September 4, 1998
Abstract
An immunoisolatory vehicle for the implantation into an individual of
cells which produce a needed product or provide a needed metabolic
function. The vehicle is comprised of a core region containing isolated
cells and materials sufficient to maintain the cells, and a permselective,
biocompatible, peripheral region free of the isolated cells, which
immunoisolates the core yet provides for the delivery of the secreted
product or metabolic function to the individual.
SUMMARY OF THE INVENTION
This invention relates to a biocompatible, immunoisolatory,
implantable vehicle. The instant vehicle is suitable for isolating
biologically active cells or substances from the body's protective
mechanisms following implantation into an individual. The instant vehicle
is comprised of (a) a core which contains isolated cells, either suspended
in a liquid medium or immobilized within a hydrogel matrix, and (b) a
surrounding or peripheral region ("jacket") of permselective
matrix or membrane which does not contain isolated cells, which is
biocompatible, and which is sufficient to protect the isolated cells in
the core from immunological attack.
The immunoisolatory vehicle is useful (a) to deliver a wide range of
biologically active moieties, including high molecular weight products, to
an individual in need of them, and/or (b) to provide needed metabolic
functions to an individual, such as the removal of harmful substances. The
instant vehicle contains a multiplicity of cells, such that implantation
of a few or a single vehicle is sufficient to provide an effective amount
of the needed substance or function to an individual. A further advantage
offered by the instant vehicle is practicality of retrieval.
In one embodiment of the invention, which is particularly useful with
islets of Langerhans, both the core and the surrounding or peripheral
region of the instant vehicle are hydrogels, which can be the same
composition hydrogel or different composition hydrogels.
This invention also relates to a method of delivering a biologically
active moiety or altering a metabolic or immunologic function in an
individual in need of the moiety or altered metabolic function. An
immunoisolatory vehicle of the present invention is implanted into the
individual (referred to as the recipient), using known techniques or
methods and selected for the particular immunoisolatory vehicle and site
of implantation. Once implanted, cells isolated within the biocompatible
immunoisolatory vehicle produce the desired moieties or perform the
desired function(s). If moieties are released by the isolated cells, they
pass th rough the surrounding or peripheral permselective membrane or
hydrogel matrix into the recipient's body. If metabolic functions are
provided by the isolated cells, the substances to be metabolized (e.g.,
degraded or inactivated) enter the vehicle from the recipient's body and
are removed from the recipient's bloodstream.
Thus, this invention relates to a method of isolating cells within a
biocompatible, immunoisolatory implantable vehicle, thereby protecting the
cells within the vehicle from immunological attack after being implanted
into an individual. Although some low molecular weight mediators of the
immune responses (e.g. cytokines) may be permeable to the membrane, in
most cases local or circulating levels of these substances are not high
enough to have detrimental effects. The isolated cells are protected from
attack by the recipient's immune system and from potentially deleterious
inflammatory responses from the tissues which surround the implanted
vehicle. In the core of the vehicle, the isolated cells are maintained in
a suitable local environment. In this manner, needed substances or
metabolic functions can be delivered to the recipient even for extended
periods of time, and without the need to treat the recipient with
dangerous immunosuppressive drugs.
This invention relates further to a method of making a biocompatible
immunoisolatory vehicle. In a first embodiment, the vehicle is formed by
coextruding from a nested-bore extrusion nozzle materials which form the
core and surrounding or peripheral regions, under conditions sufficient to
gel, harden, or cast the matrix or membrane precursor(s) of the
surrounding or peripheral region (and of the core region). A particular
advantage of this coextrusion embodiment is that the cells in the core are
isolated from the moment of formation of the vehicle, ensuring that the
core materials do not become contaminated or adulterated during handling
of the vehicle prior to implantation. A further advantage of the
coextrusion process is that it ensures that the surrounding or peripheral
region is free of cells and other core materials. The permeability and
biocompatibility characteristics of the surrounding or peripheral region
are determined by both the matrix or membrane precursor materials used,
and the conditions under which the matrix or membrane is formed.
In another embodiment of the present method, the immunoisolatory vehicle
is formed stepwise. For example, if the immunoisolatory vehicle being made
includes a hydrogel core containing the isolated cells, the core can be
formed initially, and the surrounding or peripheral matrix or membrane can
be assembled or applied subsequently. Conversely, the surrounding or
peripheral matrix or membrane can be preformed, and then filled with the
preformed isolated-cell containing core material or with materials which
will form the core (i.e., core precursor materials). The vehicle is sealed
in such a manner that the core materials are completely enclosed. If a
core precursor material is used, the vehicle is then exposed to conditions
which result in formation of the core.
Claim 1 of 40 Claims
1. An implantable immunoisolatory vehicle for providing a
biologically active product or function to an individual, the
immunoisolatory vehicle comprising:
(a) a core comprising a volume in excess of 1 .mu.l and at least 104
living cells dispersed in a biocompatible liquid, said cells being capable
of secreting a selected biologically active product or of providing a
selected biological function to an individual; and
(b) an external permselective jacket surrounding said core, said jacket
being greater than 5 microns thick and formed from a hydrogel that does
not tonically bond to a polymer of opposite charge on the core during
formation of the jacket, said jacket being free of said cells projecting,
externally therefrom, said jacket being biocompatible and having a
molecular weight cutoff permitting passage of molecules to and from the
core through said jacket to provide said biologically active product or
function.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|