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Title: Photopolymerizable biodegradable hydrogels as
tissue contacting materials and controlled-release carriers
United States Patent: 6,306,922
Inventors: Hubbell; Jeffrey A. (Austin, TX); Pathak;
Chandrashekhar P. (Waltham, MA); Sawhney; Amarpreet S. (Newton, MA);
Desai; Neil P. (Los Angeles, CA); Hill; Jennifer L. (Austin, TX)
Assignee: Boards of Regents, The University of Texas
System (Austin, TX)
Appl. No.: 492011
Filed: January 26, 2000
Abstract
Hydrogels of polymerized and crosslinked macromers comprising
hydrophilic oligomers having biodegradable monomeric or oligomeric
extensions, which biodegradable extensions are terminated on free ends
with end cap monomers or oligomers capable of polymerization and cross
linking are described. The hydrophilic core itself may be degradable, thus
combining the core and extension functions. Macromers are polymerized
using free radical initiators under the influence of long wavelength
ultraviolet light, visible light excitation or thermal energy.
Biodegradation occurs at the linkages within the extension oligomers and
results in fragments which are non-toxic and easily removed from the body.
Preferred applications for the hydrogels include prevention of adhesion
formation after surgical procedures, controlled release of drugs and other
bioactive species, temporary protection or separation of tissue surfaces,
adhering of sealing tissues together, and preventing the attachment of
cells to tissue surfaces.
SUMMARY OF THE INVENTION
Disclosed herein are biocompatible, biodegradable, polymerizable and at
least substantially water soluble macromers, having a variety of uses in
vivo. The macromers include at least one water soluble region, at least
one region which is biodegradable, usually by hydrolysis, and at least two
free radical-polymerizable regions. The regions can, in some embodiments,
be both water soluble and biodegradable. The macromers are polymerized by
exposure of the polymerizable regions to free radicals generated, for
example, by photosensitive chemicals and dyes.
An important aspect of the macromers are that the polymerizable regions
are separated by at least one degradable region to facilitate uniform
degradation in vivo. There are several variations of these polymers. For
example, the polymerizable regions can be attached directly to degradable
extensions or indirectly via water soluble nondegradable sections so long
as the polymerizable regions are separated by a degradable section. For
example, if the macromer contains a simple water soluble region coupled to
a degradable region, one polymerizable region may be attached to the water
soluble region and the other attached to the degradable extension or
region. In another embodiment, the water soluble region forms the central
core of the macromer and has at least two degradable regions attached to
the core. At least two polymerizable regions are attached to the
degradable regions so that, upon degradation, the polymerizable regions,
particularly in the polymerized gel form, are separated. Conversely, if
the central core of the macromer is formed by a degradable region, at
least two water soluble regions can be attached to the core and
polymerizable regions attached to each water soluble region. The net
result will be the same after gel formation and exposure to in vivo
degradation conditions. In still another embodiment, the macromer has a
water soluble backbone region and a degradable region affixed to the
macromer backbone. At least two polymerizable regions are attached to the
degradable regions, so that they are separated upon degradation, resulting
in gel product dissolution. In a further embodiment, the macromer backbone
is formed of a nondegradable backbone having water soluble regions as
branches or grafts attached to the degradable backbone. Two or more
polymerizable regions are attached to the water soluble branches or
grafts. In another variation, the backbone may be star shaped, which may
include a water soluble region, a biodegradable region or a water soluble
region which is also biodegradable. In this general embodiment, the star
region contains either water soluble or biodegradable branches or grafts
with polymerizable regions attached thereto. Again, the polymerizable
regions must be separated at some point by a degradable region.
Examples of these macromers are PEG-oligoglycolyl-acrylates. The choice of
appropriate end caps permits rapid polymerization and gelation; acrylates
were selected because they can be polymerized using several initiating
systems, e.g., an eosin dye, by brief exposure to ultraviolet or visible
light. The poly(ethyleneglycol) or PEG central structural unit (core) was
selected on the basis of its high hydrophilicity and water solubility,
accompanied by excellent biocompatibility. A short oligo or poly(.alpha.-hydroxy
acid), such as polyglycolic acid, was selected as a preferred chain
extension because it rapidly degrades by hydrolysis of the ester linkage
into glycolic acid, a harmless metabolite. Although highly crystalline
polyglycolic acid is insoluble in water and most common organic solvents,
the entire macromer is water-soluble and can be rapidly gelled into a
biodegradable network while in contact with aqueous tissue fluids. Such
networks can be used to entrap and homogeneously disperse water-soluble
drugs and enzymes and to deliver them at a controlled rate. Further, they
may be used to entrap particulate suspensions of water-insoluble drugs.
Other preferred chain extensions are polylactic acid, polycaprolactone,
polyorthoesters, and polyanhydrides. Polypeptides may also be used. Such
"polymeric" blocks should be understood to include timeric,
trimeric, and oligomeric blocks.
These materials are particularly useful for controlled drug delivery,
especially of hydrophilic materials, since the water soluble regions of
the polymer enable access of water to the materials entrapped within the
polymer. Moreover, it is possible to polymerize the macromer containing
the material to be entrapped without exposing the material to organic
solvents. Release may occur by diffusion of the material from the polymer
prior to degradation and/or by diffusion of the material from the polymer
as it degrades, depending upon the characteristic pore sizes within the
polymer, which is controlled by the molecular weight between crosslinks
and the crosslink density. Deactivation of the entrapped material is
reduced due to the immobilizing and protective effect of the gel and
catastrophic burst effects associated with other controlled-release
systems are avoided. When the entrapped material is an enzyme, the enzyme
can be exposed to substrate while the enzyme is entrapped, provided the
gel proportions are chosen to allow the substrate to permeate the gel.
Degradation of the polymer facilitates eventual controlled release of free
macromolecules in vivo by gradual hydrolysis of the terminal ester
linkages.
An advantage of these macromers are that they can be polymerized rapidly
in an aqueous surrounding. Precisely conforming, semi-permeable,
biodegradable films or membranes can thus be formed on tissue in situ to
serve as biodegradable barriers, as carriers for living cells or other
biologically active materials, and as surgical adhesives. In a
particularly preferred embodiment, the macromers are applied to tissue
having bound thereto an initiator, and polymerized to form ultrathin
coatings. This is especially useful in forming coatings on the inside of
tissue lumens such as blood vessels where there is a concern regarding
restenosis, and in forming tissue barriers during surgery which thereby
prevent adhesions from forming.
Examples demonstrate the use of these macromers and polymers for the
prevention of postoperative surgical adhesions in rat cecum and rabbit
uterine horn models. The polymer shows excellent biocompatibility, as seen
by a minimal fibrous overgrowth on implanted samples. Hydrogels for the
models were gelled in situ from water-soluble precursors by brief exposure
to long wavelength ultraviolet (LWUV) light, resulting in formation of an
interpenetrating network of the hydrogel with the protein and
glycosaminoglycan components of the tissue. The degradable hydrogel was
very effective, both by itself and in combination with tPA, in preventing
adhesions.
Claim 1 of 8 Claims
We claim:
1. A biodegradable, photopolymerizable, and at least substantially water
soluble macromer comprising:
components P, B, and L, wherein P comprises an organic group capable of
being crosslinked by photopolymerization, L is a linking group, comprising
at least one repeating unit, and having at least one of the properties of
water solubility or biodegradability, and B is a backbone group,
comprising at least one repeating unit, and having at least one of the
properties of water solubility or biodegradability;
wherein each P is separated by at least one biodegradable group from any
other P;
wherein at least one of B and L is biodegradable;
wherein at least one of the repeating units of B and L are different;
wherein the macromer as a whole is substantially water soluble;
wherein there are at least two P groups per molecule; and
wherein a plurality of P groups are linked to B groups via L groups,
further comprising a biologically active substance.
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