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Title: Implantable biocompatible immunoisolatory vehicle
for the delivery of selected therapeutic products
United States Patent: 6,322,804
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. (E. Greenwich, RI); Gentile; Frank
T. (Warwich, RI)
Assignee: Neurotech S.A. (Evry, FR)
Appl. No.: 563248
Filed: May 2, 2000
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 is 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 through 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 5 Claims
What is claimed is:
1. An implantable immunoisolatory vehicle for providing a biologically
active product or function to an individual, the immunoisolatory vehicle
comprising:
(a) a core comprising at least 104 living cells, said cells
being capable of secreting a selected biologically active product or of
providing a selected biological function to an individual, wherein said
core is designed to maintain the viability and function of the living
cells and said cells within said core having a maximum depth-to-surface
distance of 2 mm in at least one dimension; and
(b) an external diffusional surface jacket having a thickness of 5 to 200
microns surrounding said core formed of a biocompatible material free of
said cells projecting externally thereof, said jacket having a molecular
weight cutoff below the molecular weight of substances essential for
immunological rejection of the cells but permitting passage of substances
between the individual and core through said jacket required to provide
said biological product or function.
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