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Title: Drug releasing
biodegradable fiber for delivery of therapeutics
United States Patent: 7,033,603
Issued: April 25, 2006
Inventors: Nelson; Kevin D.
(Arlington, TX); Crow; Brent B. (Fort Worth, TX)
Assignee: Board of Regents
The University of Texas (Austin, TX)
Appl. No.: 428901
Filed: May 2, 2003
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Pharm/Biotech Jobs
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Abstract
The present invention relates to fiber
compositions comprising gels or hydrogels. The invention further relates
to the composition of a gel or hydrogel loaded biodegradable fiber and
methods of fabricating such fibers. The present invention further provides
tissue engineering and drug-delivery compositions and methods wherein
three-dimensional matrices for growing cells are prepared for in vitro and
in vivo use. The invention also relates to methods of manipulating the
rate of therapeutic agent release by changing both the biodegradable
polymer properties as well as altering the properties of the incorporated
gel or hydrogel.
DESCRIPTION OF
ILLUSTRATIVE EMBODIMENTS
An embodiment of the invention provides a
drug delivery composition comprising at least one fiber, wherein said
fiber comprises a first component and a second component, and wherein said
first component is a biodegradable polymer and said second component is
selected from the group consisting of a gel and a hydrogel. Another
embodiment of the invention provides a drug delivery composition
comprising a fiber, wherein said fiber comprises a first component and a
second component, and wherein said first component is a biodegradable
polymer and said second component is water, and further wherein said water
is present as an inner core. A further embodiment of the invention
provides a drug delivery composition comprising a fiber, wherein said
fiber comprises an emulsion consisting essentially of a gel or hydrogel.
An embodiment of the invention provides drug delivery composition
comprising a fiber, wherein said fiber comprises a first component, and
wherein said first component is a gel or hydrogel and further wherein said
fiber comprises a hollow bore. An embodiment of the invention provides a
scaffold composition comprising one or more fibers, wherein said fibers
comprise a first component and a second component, and wherein said first
component is a biodegradable polymer and said second component is selected
from the group consisting of a gel and a hydrogel. Embodiments of the
invention also provide methods of manufacturing the fibers of the present
invention.
An embodiment of the invention provides a bi-component fiber where the
inner bore of the fiber, i.e., inside diameter of the fiber, comprises a
gel or hydrogel and the outer wall of the fiber comprises a biodegradable
polymer. As used herein, the term "gel" refers to a colloidal system with
at least two phases, one of which forms a continuous three-dimensional
network that acts as an elastic solid. As used herein, the term "hydrogel"
refers to a colloid in which a dispersed phase (colloid) is combined with
a continuous phase (water) to produce a viscous jellylike product.
An alternate embodiment of the invention provides the inverse of the
above, i.e. where the outer wall comprises a gel or hydrogel and the inner
bore comprises a biodegradable polymer fiber.
Another embodiment of the invention provides a monofilament fiber where a
hydrogel or gel is dispersed randomly throughout the biodegradable polymer
layer(s). This configuration results in distinct phase separation where
the biodegradable polymer fiber constitutes a continuous phase and the gel
or hydrogel constitutes a disperse phase. As used herein, a "continuous
phase" refers to the liquid in a disperse system in which solids are
suspended or droplets of another liquid are dispersed. As used herein, a
"disperse phase" refers to the phase of a disperse system consisting of
particles or droplets of one system dispersed through another system.
In certain embodiments, where the gel or hydrogel concentration is zero, a
water-bored fiber is provided i.e., a fiber in which water is present
within the inside diameter of the fiber. In this case, water, optionally
in combination with other materials, comprises the inner core of the fiber
and the biodegradable polymer fiber comprises the surrounding sheath of
the fiber. In an alternate embodiment, the biodegradable polymer fiber
sheath comprises a dispersion of gel or hydrogel. In another embodiment,
the biodegradable polymer fiber sheath comprises a dispersion of water in
place of a dispersion of gel or hydrogel. In other embodiments, the
biodegradable polymer fiber sheath comprises a dispersion of water
together with a dispersion of gel and hydrogel.
In an embodiment of the invention, the above described fibers are combined
with fibers of similar composition. In other embodiments, fibers of
dissimilar type and composition are combined.
In an embodiment, a therapeutic agent is incorporated into one or more of
the above described fibers, present individually or in combination. In
other embodiments, a drug is incorporated into one or more of the above
described fibers, present individually or in combination.
In certain embodiments of the invention, a layer of a fiber circumscribes
a layer of an adjacent inner fiber. The inner fiber is approximately
centered within the outer fiber. In certain embodiments, one or more of
the layers of the circumscribed fibers comprise a hydrogel or a gel in the
wall of the fiber or in the bore of the fiber. In additional embodiments,
a gel or a hydrogel is incorporated as a dispersed phase within the
biodegradable polymer of one or more layers of the fibers. Additional
embodiments of the invention provide multi-layered fibers, where each
layer comprises varying compositions of gels, hydrogels and therapeutic
agents. Certain embodiments of the invention provide fibers comprising
more than one kind of therapeutic agent within its one or more layers.
The invention further relates to methods of manipulating the rate of
therapeutic agent release by changing both the biodegradable polymer
properties as well as altering the properties of the incorporated gel or
hydrogel. A therapeutic agent-loaded fiber is suitable for implantation in
animals, or more preferably in humans as either single strands for use as
a therapeutic agent delivery vehicles, or together with other fibers (of
either similar or different type) for the formation of a fiber-based
scaffold for use in tissue engineering, wound healing, regenerative
medicine, or other medically related applications. These fibers may also
be used outside the body to create scaffolds for cell culture, tissue
culture, or in vitro organogenesis, wherein specific three-dimensional
structures of these fibers may be woven, knitted, braided, used as a
non-woven mesh, or maintained as parallel, non-parallel, twisted or random
arrays for the creation of complex three-dimensional scaffolds. As each
fiber within said fiber scaffold might be loaded with different
therapeutic agents, and each with a different release kinetics profile, it
may be possible to induce specific cell growth into specific regions of
the scaffold. This provides the ability to create complicated
three-dimensional biological architecture by deliberate placement of
specific fibers at specific locations within the fiber scaffold. These
three dimensional biological structures may or may not be biomemetic in
their design. By the same means, it is possible to release different
therapeutic agents to one section of the cell culture, tissue culture, or
organoid than to another within the same sample.
This type of complex three-dimensional fiber scaffold may also be
implanted into an animal, or a human to induce specific biological
responses at different locations within said fiber scaffold. This is
accomplished by designing the fiber scaffold such that fibers with
specific therapeutic agents and specific release profiles are placed at
specific locations within the scaffold. This enables the control of both
temporal and spatial therapeutic agent delivery from the fiber scaffold.
"Defined nonhomogeneous pattern" in the context of the current application
means the incorporation of specific fibers into a scaffold matrix such
that a desired three-dimensional distribution of one or more therapeutic
agents within the scaffold matrix is achieved. The distribution of
therapeutic agents within the fibers, and possibly within their centers,
controls the subsequent spatial distribution within the interstitial
medium of the matrix scaffold following release of the agents from the
polymer fibers. In this way, the spatial contours of desired concentration
gradients can be created within the three dimensional scaffold structure
and in the immediate surroundings of the scaffold matrix. Temporal
distribution is controlled by the polymer composition and gel or hydrogel
composition of the fiber and by the use of multi-layers within a fiber.
One aspect of the present invention is a biocompatible implant composition
comprising a scaffold of biodegradable polymer fibers. In various
embodiments of the present invention, the distance between the fibers may
be about 20 microns, about 70 microns, about 90 microns, about 100
microns, about 120 microns, about 140 microns, about 160 microns, about
180 microns, about 200 microns, about 220 microns, about 240 microns,
about 260 microns, about 280 microns, about 300 microns, about 320
microns, about 340 microns, about 360 microns, about 380 microns, about
400 microns, about 450 microns or about 500 microns. In various
embodiments the distance between the fibers may be less than 50 microns or
greater than 500 microns.
Additionally, it is envisioned that in various embodiments of the
invention, the fibers will have a diameter of about 20 microns, about 40
microns, about 60 microns, about 80 microns, about 100 microns, about 120
microns, about 140 microns, about 160 microns, about 180 microns, about
200 microns, about 220 microns, about 240 microns, about 260 microns,
about 280 microns, about 300 microns, about 320 microns, about 340
microns, about 360 microns, about 380 microns, about 400 microns, about
450 microns or about 500 microns (including intermediate lengths). In
various embodiments the diameter of the fibers may be less than about 20
microns or greater than about 500 microns. Additionally, large fibers with
diameters up to 3.5 cm are envisioned for certain embodiments. Preferably,
the diameter of the fibers will be from about 60 microns to about 500
microns.
In another embodiment of the present invention, the fibers or a subset of
fibers, contain one or more therapeutic agents such that the concentration
of the therapeutic agent or agents varies along the longitudinal axis of
the fibers or subset of fibers. The concentration of the active agent or
agents may vary linearly, exponentially or in any desired fashion, as a
function of distance along the longitudinal axis of a fiber. The variation
may be monodirectional, that is, the content of one or more therapeutic
agents decreases from the first end of the fibers or subset of the fibers
to the second end of the fibers or subset of the fibers. The content may
also vary in a bidirection fashion, that is, the content of the
therapeutic agent or agents increases from the first ends of the fibers or
subset of the fibers to a maximum and then decreases towards the second
ends of the fibers or subset of the fibers.
In certain embodiments of the present invention, a subset of fibers
comprising the scaffold may contain no therapeutic agent. For fibers that
contain one or more therapeutic agents, the agent or agents may include: a
growth factor, an immunodulator, a compound that promotes angiogenesis, a
compound that inhibits angiogenesis, an anti-inflammatory compound, an
antibiotic, a cytokine, an anti-coagulation agent, a procoagulation agent,
a chemotactic agent, agents that promotes apoptosis, an agent that
inhibits apoptosis, a mitogenic agent, a radioactive agent, a contrast
agent for imaging studies, a viral vector, a polynucleotide, therapeutic
genes, DNA, RNA, a polypeptide, a glycosaminoglycan, a carbohydrate, a
glycoprotein. The therapeutic agents may also include those drugs that are
to be administered for long-term maintenance to patients such as
cardiovascular drugs, including blood pressure, pacing, anti-arrhythmia,
beta-blocking drugs, and calcium channel based drugs. Therapeutic agents
of the present invention also include anti-tremor and other drugs for
epilepsy or other movement disorders. These agents may also include
long-term medications such as contraceptives and fertility drugs. They
could comprise neurologic agents such as dopamine and related drugs as
well as psychological or other behavioral drugs. The therapeutic agents
may also include chemical scavengers such as chelators, antioxidants and
nutritional agents. Wherein the therapeutic agent promotes angiogenesis,
that agent may be vascular endothelial growth factor. The therapeutic
agents may be synthetic or natural drugs, proteins, DNA, RNA, or cells
(genetically altered or not). As used in the specification and claims,
following long-standing patent law practice, the terms "a" and "an," when
used in conjunction with the word "comprising" or "including" means one or
more.
In general, the present invention contemplates the use of any drug
incorporated in the biodegradable polymer fibers of the invention. The
word "drug" as used herein is defined as a chemical capable of
administration to an organism, which modifies or alters the organism's
physiology. More preferably the word "drug" as used herein is defined as
any substance intended for use in the treatment or prevention of disease.
Drug includes synthetic and naturally occurring toxins and bioaffecting
substances as well as recognized pharmaceuticals, such as those listed in
"The Physicians Desk Reference," 471st edition, pages 101-321; "Goodman
and Gilman's The Pharmacological Basis of Therapeutics" 8th Edition
(1990), pages 84-1614 and 1655-1715; and "The United States Pharmacopela,
The National Formulary", USP XXII NF XVII (1990), the compounds of these
references being herein incorporated by reference. The term "drug" also
includes compounds that have the indicated properties that are not yet
discovered or available in the U.S. The term "drug" includes pro-active,
activated, and metabolized forms of drugs. Tissue stimulating factors are
also included such as: dimers of Platelet Derived Growth Factor (PDGF),
insulin-like growth factor-1 (IGF-1), IGF-2, basic Fibroblast Growth
Factor (bFGF), acidic FGF, Vascular Endothelial Cell Growth Factor (VEGF),
Nerve Growth Factor (NGF), Neurotrophic Factor 3 (NT-3), Neurotrophic
Factor 4 (NT-4), Brain Derived Neurotrophic Factor (BDNF), Endothelial
Growth Factor (EGF), Insulin, Interleukin 1 (II-1), Tumor Necrosis Factor
alpha (TNFα.), Connective Tissue Growth Factor (CTGF), Transforming Growth
Factor alpha (TGFα), and all other growth factors and cytokines, as well
as para-thyroid hormone (PTH), prostaglandin such as Prostaglandin E-1 and
Prostaglandin E-2, Macrophage Colony Stimulating Factor (MCSF), and
corticosteroids such as dexamethasone, prednisolone, and corticosterone.
The present invention also contemplates the use of hydrogel forming
material within the core of the fibers. Hydrogels are structurally stable,
synthetic polymer or biopolymer matrices that are highly hydrated. These
materials may absorb up to thousands of times their weight in water,
(Hoffman, A. S., Advanced Drug delivery Reviews, 43 (2000), 3-12).
Hydrogels can be classified into two broad categories: reversible or
physical and irreversible or chemical. The networks in physical gels are
held together by molecular entanglements and/or secondary forces including
ionic, H-bonding or hydrophobic forces. Physical hydrogels are
characterized by significant changes in the rheological properties as a
function of temperature, ionic concentration, and dilution. Chemical gels,
also called permanent gels, are characterized by chemically crosslinked
networks. When crosslinked, these gels reach an equilibrium swelling level
in aqueous solutions which depends mainly on the crosslink density.
The preparation of hydrogels can be achieved by a variety of methods well
known to those of ordinary skill in the art. Physical gels can be formed
by: heating or cooling certain polymer solutions (cool agarose, for
example), using freeze-thaw cycles to form polymer microcrystals, reducing
the solution pH to form a H-bonded gel between two different polymers in
the same aqueous solution, mixing solutions of a polyanion and a
polycation to form a complex coacervate gel, gelling a polyelectrolyte
solution with a multivalent ion of opposite charge, reticulation of linear
polymers, grafting of synthetic polymers onto naturally occurring
macromolecules, and chelation of polycations (Hoffman, A. S., Advanced
Drug delivery Reviews, 43 (2000), 3-12). Chemical gels can be created by
crosslinking polymers in the solid state or in solution with radiation,
chemical crosslinkers like glutaraldehyde, or multifunctional reactive
compounds. They can also be made by copolymerizing a monomer and a
crosslinker in solution, copolymerizing a monomer and a multifunctional
macromer, polymerizing a monomer within a different solid polymer to form
an IPN gel, or chemically converting a hydrophobic polymer to a hydrogel
(Hoffman, A. S., Advanced Drug delivery Reviews, 43 (2000), 3-12); Hennick,
W. F. and van Nostrum, C. F., Advanced Drug Delivery Reviews, 54 (2002),
13-26.
The present invention contemplates the use of hydrogel precursor materials
and non-gelling proteins and polysaccharides within the bore of the
fibers. Hydrogel precursor materials are the same materials as those that
form hydrogels, but they are not exposed to the agents or conditions that
normally gel the materials, or can be other proteins and polysaccharides
that form gels but not hydrogels. For example, alginate salts, such as
sodium alginate, are gelled in the presence of divalent cations, such as
calcium, while other materials create hydrogels via a change in pH or
temperature. Certain embodiments of the invention comprise the use of
precursor materials that are never gelled. Other embodiments of the
invention comprise the use of precursor materials in the fabrication
process that later may form gels or hydrogels. The formation of gels or
hydrogels in the fiber layer may take place as a part of the fiber
fabrication process, after the fiber has been fabricated, or after the
application of an appropriate type of external stimuli, including placing
the fiber in vitro or in vivo. The terms "gel" or "hydrogel" as used
herein is intended to include the formed gel or hydrogel as well as the
appropriate precursor molecules involved in the formation of gels and
hydrogels.
The biodegradable polymer used for fiber construction may be a single
polymer or a co-polymer or blend of polymers and may comprise poly(L-lactic
acid), poly(DL-lactic acid), polycaprolactone, poly(glycolic acid),
polyanhydride, or natural polymers or polypeptides, such as reconstituted
collagen or spider silk and polysaccharides.
The fibers of the claimed invention are manufactured using wet or dry/wet
(dry jet wet) spinning. Each method affects the final properties of the
fiber being constructed. Wet spinning is a process in which a polymeric
material is extruded into a liquid bath containing a coagulant. The
coagulant is typically comprised of a non-solvent for the polymer that is
miscible with the solvent in the polymer solution, but it can also contain
a solvent/non-solvent mixture. In dry jet wet spinning, the polymer
solution is first exposed to an air gap before entering the coagulation
bath.
In an embodiment of the invention, the fiber comprises a plurality of
co-axial layers of biodegradable polymers. The drug delivery fiber of the
present invention may be implanted into many sites in the body including
dermal tissues, cardiac tissue, soft tissues, nerves, bones, and the eye.
Ocular implantation has particular use for treatment of cataracts,
diabetically induced proliferative retinopathy and non-proliferative
retinopathy, glaucoma, and macular degeneration.
A further aspect of the present invention is a method of producing a
fiber-scaffold for preparing an implant capable of controlling the spatial
and temporal concentration of one or more therapeutic agents. This method
generally comprises forming biodegradable polymer fibers into a three
dimensional fiber-scaffold. The biodegradable polymer fibers contain one
or more therapeutic agents. The therapeutic agent or agents are
distributed in the fiber-scaffold in a defined nonhomogeneous pattern.
In certain embodiments of the invention, gels and hydrogels comprised in
the fiber layers may exist at infinitely dilute concentrations, i.e., the
concentration of gel or hydrogel is zero, and water is used with or
without other substances and/or active agents, including therapeutic
agents, in place of the gel or hydrogel.
In one embodiment of this invention, the preferred material for the
hydrogel contained in the bore of the fiber will be alginate or modified
alginate material. Alginate molecules are comprised of (1-4)-linked β-D-mannuronic
acid (M units) and (α-L-guluronic acid (G units) monomers, which vary in
proportion and sequential distribution along the polymer chain. Alginate
polysaccharides are polyelectrolyte systems that have a strong affinity
for divalent cations (e.g. Ca2+, Sr2+, Ba2+)
and form stable hydrogels when exposed to these molecules. The
biodegradable polymer is poly(L-lactic acid) (PLLA). In an embodiment, the
alginate is contained as the inner core and the PLLA is the outer sheath.
The concentration of alginate is in the range of 0.25 w/v % to 100 w/v %
(i.e., g/100 ml water), preferably in the range of 0.75 w/v % to 20 w/v %,
and most preferably at a concentration of 1 w/v %. The source and
composition of alginate directly affects its usable concentration.
In another embodiment of this invention, the PLLA sheath surrounding the
inner gel or hydrogel core comprises a cocktail of PLLA polymers of
different molecular weights as a means of increasing the degradation rate.
The proportions of the PLLA polymers and the range of the polymer
molecular weights can vary. In an exemplary embodiment, the polymer
cocktail comprises 80% by weight of a PLLA polymer of Mw=100,000 Daltons;
15% by weight of a polymer of Mw=2,000 Daltons; and 5% by weight of a
polymer Mw=300,000 Daltons.
In another embodiment of the invention, the PLLA sheath surrounding the
inner gel or hydrogel core is comprised of two phases, a continuous phase
comprising a biodegradable polymer and a dispersed phase comprising an
aqueous phase stabilized by a surfactant. The aqueous phase may optionally
comprise therapeutic agents. The amount of the dispersed phase ranges from
about 0% to about 85% by weight relative to the weight of the fiber. In a
preferred embodiment the amount of the dispersed phase ranges from about
33% to about 50% by weight relative to the weight of the fiber. As the
ratio of the dispersed phase increases, so does the rate of degradation of
the polymer. This leads to increased release rates of loaded therapeutic
agents.
In an embodiment of this invention, agents that are designed to degrade
the gel or hydrogel are loaded into the dispersed aqueous phase of the
biodegradable polymer component of the fiber (as described above). This
agent is released into the gel or hydrogel slowly over time to break down
the gel or hydrogel. This increases therapeutic agent release rates. In
addition, many of the potential gels and hydrogels are not directly
biodegradable within animals, or more especially humans. Therefore, this
planned degradation helps the body to eliminate the gels or hydrogels when
they are no longer needed.
In an embodiment, the alginate is gelled internally by the addition of
gelling agents added directly to the alginate solution. Typical gelling
agents include calcium chloride, calcium carbonate, calcium-EDTA (Ethylene
Diamine Tetracetic Acid), or other compounds containing bivalent cations
that are well known to those skilled in the art. The concentration of the
gelation agent ranges from about 5 mM to about 100 mM, more preferably
from about 12 mM to about 50 mM, and most preferably from about 15 mM to
30 mM. The range chosen is determined by desired hydrogel properties. If
not readily soluble at neutral pH, the gelling agent is typically
activated by a drop in pH of the solution. This acidification can be
achieved through a number of acids or lactones. This list includes, but is
not limited to, citric acid, hydrochloric acid, D-glucono-delta-lactone,
and glacial acetic acid.
In another embodiment, the gel or hydrogel is gelled externally by
incorporating the gelling agent source into the biodegradable fiber.
Alternately, the gelling agent source is added to a water phase that is
loaded into one or more layers of the biodegradable polymer. In this way,
the gelling agent is slowly released into the gel or hydrogel as the fiber
degrades. In certain embodiments, as the fiber degrades and becomes weaker
and more porous, the gel becomes more tightly cross-linked. In this way,
it may be possible to continuously alter the release rate as the fiber
degrades. Release rates tend to increase as the polymer becomes more
porous, in this case, this trend would be offset by the gel becoming more
tightly cross-linked, hence retarding release rates through the gel or
hydrogel as the fiber degrades.
In another embodiment, the gelling agent is soluble in the polymer solvent
and is mixed with the polymer solution at the time of fiber fabrication.
In this embodiment, rather than the gelling agent being maintained in an
aqueous phase, it is molecularly mixed with the polymer. The same net
effect of releasing the gelling agent into the gel or hydrogel slowly as
the fiber degrades. This embodiment allows the use of organically soluble
sources of gelling agents.
In another embodiment, the gelation agents are carried within the alginate
solution that are activated over time, such as within lipospheres,
microspheres, nanoparticles or other encapsulants that are activated
later. These may be slowly activated over time, or purposefully activated
by some external event. This will result in the gel either being
strengthened, or maintained over time.
In another embodiment of the invention, the gel or hydrogel is the
exterior sheath and the biodegradable polymer is the interior core. In
this embodiment the gelling agent is in the coagulating bath, which would
be an external gelation.
The present invention provides compositions and methods to create single,
drug releasing fibers as well as the composition and methods to create a
heterogeneous, woven, knitted, braided, non-woven, twisted, parallel array
or random three-dimensional fiber scaffold for growing cells in tissue
engineering applications. These scaffolds can be used in vitro and in
vivo, and due to their heterogeneity can create both spatial and temporal
distributions of therapeutic agents. In this invention, therapeutic agents
may include drugs, proteins, peptides, mono- and di-saccharides,
polysaccharides, glycoproteins, DNA, RNA, viruses, or other biological
molecules of interest. The term therapeutic agent in this invention also
includes radioactive materials used to help destroy harmful tissues such
as tumors in the local area, or to inhibit growth of healthy tissues, such
as in current stent applications; or markers to be used in imaging
studies.
A. Three Dimensional Fiber Scaffolds
To create the heterogeneous scaffolds of the present invention, the
therapeutic agents are encapsulated into individual fibers of the matrix
by methods to be described herein. The therapeutic agents are released
from each individual fiber slowly, and in a controlled manner. The fiber
format has many advantages as a drug delivery platform over other slow
drug-releasing agents known to those familiar in the art such as
microspheres, porous plugs or patches. The primary advantage of fibers is
that they can provide complex three-dimensional woven, or non-woven
scaffolding, with or without patterning, to allow cells to attach, spread,
differentiate, and mature into appropriately functioning cells. Because
they can form patterns, a "smart scaffold" can be produced to induce cells
of specific types to migrate to specific regions of the scaffold due to
specific chemotactic factors being released. This scaffold mimics the
function of the extracellular matrix material both during embryological
development and in post-embryological tissues. Additionally, filaments
could be formed into a unique scaffold that provides a growth substrate
for tissue repair or reconstruction that is not reminiscent of a natural
like structure.
Because of the ability to weave patterns to induce appropriate cell types
into specific regions, it is possible to incorporate strands that will
induce the formation of blood vessels into the fabric. This may be
accomplished by providing fibers that release growth factors such as
vascular endothelial growth factor (VEGF). By appropriate spacing of VEGF
containing-fibers into the weave pattern, large tissues may be engineered,
and the cells in such tissues can be provided with a sufficient blood
supply and thereby receive oxygen and nutrients and enable the removal of
waste products.
Fibers also have the advantage of providing the body with short term
mechanical support in such applications as stents, wherein the polymer
fiber can maintain the lumen of any tubular body, such as arteries, veins,
ducts (e.g. bile duct, ureter, urethra, trachea, etc.), organs of the
digestive track such as esophagus, intestine, colon, and connective tissue
such as tendons, ligaments, muscle and bone. The fibers provide a useful
structure to support mechanical strength or tension during the healing
process. Fibers may also be useful to promote neural regeneration or
reconstruction of nerves or spinal cord.
B. Fiber Formats
There are a large number of combinations and variations within the scope
of this invention. This invention covers gel or hydrogel combinations with
a biodegradable polymer fiber in a multi-layer, multi-component format,
where each layer is fully contained within the next outer layer, and the
inner layer is generally centered within the outer layer. These layers can
be comprised of different gels or hydrogels, or different biodegradable
polymers.
This invention also includes the use of gels or hydrogels as a dispersed
phase within biodegradable polymer layer, wherein the continuous phase is
the biodegradable polymer phase. The dispersed phase may be stabilized by
either an internal or external surfactant.
In the case of the dispersed gel or hydrogel within the biodegradable
polymer layer, and in the case of the gel or hydrogel layer being interior
to a biodegradable polymer layer, an allowable special case is that the
concentration of the hydrogel is zero. This means that water may be used
(with or without the inclusion of other substances) in the place of the
gel or hydrogel.
As an additional special case, it may be possible for the polymer
concentration in the innermost core to be zero, in which case the solvent
normally used with the polymer is replaced by a non-solvent. In this case,
the non-solvent core acts as an internal coagulating bath. The result is
that a hollow fiber is created. This special case can occur with or
without a gel or hydrogel exterior to the biodegradable polymer layer(s)
and with or without a dispersed gel, hydrogel or water phase within the
biodegradable polymer layer(s).
This leads to a large number of potential combinations. The basic types
are external biodegradable polymer with internal gel or hydrogel, and the
inverse design, i.e. gel or hydrogel external with the biodegradable
polymer as the internal core. In each of these combinations, the
biodegradable polymer layer may or may not have a dispersed water, gel or
hydrogel phase. Another case is a monofilament fiber with a gel or
hydrogel dispersed phase.
C. Release Kinetics of Individual Fibers
Further, there are various means for controlling the release kinetics of
the therapeutic agent, thus temporally controlling the release of the
therapeutic agent. The following discussion will pertain only to the fiber
format wherein the polymer sheath surrounds an inner core of gel or
hydrogel. The first point of control for the polymer is to mix low
molecular weight polymer in with the higher molecular weight, fiber
forming polymers. In this way, the lower molecular weight component is
able to rapidly degrade and diffuse from the fiber, making the fiber more
porous. This makes the interior therapeutic agents within the gel or
hydrogel more accessible. A second means of accelerating the release rate
of the fiber is to create a bi-phasic fiber, wherein the continuous phase
is the biodegradable polymer, and the dispersed phase is aqueous pockets
that are stabilized by a surfactant. As the concentration of the dispersed
phase increases, a pathway is created from the outside to the inner gel or
hydrogel where the only polymer that must be degraded is between the
various pockets of the dispersed aqueous phase. This has the effect of
leaving much less polymer to degrade to connect the gel or hydrogel to the
outside world, thus accelerating the release of the therapeutic agent. It
is also possible for this dispersed aqueous phase to contain the same or a
different drug or therapeutic agent. In this case, the drug or therapeutic
agent in the dispersed aqueous phase will be released first, followed by
the release of the therapeutic agent in the gel or hydrogel. To alter the
release kinetics of the drug or therapeutic agent in the polymer fiber
wall, it is possible to slightly adapt the above description such that the
dispersed phase is now a gel or hydrogel as opposed to being aqueous. In
this case, the fluid pathway shortening exists as in the case of an
aqueous dispersed phase; however, the connecting pathway must now go
through pockets of gel or hydrogel, wherein the diffusion of the
therapeutic agent is retarded compared to a purely aqueous pathway. The
degree to which the diffusion is retarded is a function of the type of gel
or hydrogel, the type and degree of cross-linking, and the concentration
of the gel or hydrogel. All of these parameters are within the control of
the entity forming the fiber. It is also possible to control the
concentration of the dispersed aqueous or gel phase within the
biodegradable polymer as a function of distance along the long axis of the
fiber. By this means, it is possible to have different release kinetics at
one end of the fiber than at the other, with a defined gradient of release
kinetics down the length of the fiber. This change in release kinetics may
or may not be combined with a gradient of therapeutic agent concentration.
By the same means, it is possible to have the content of the disperse
phase vary as a function of distance down the polymer fiber such that at
one end the dispersed phase would be for example purely aqueous and at the
second end of the fiber, the dispersed phase could be a gel or hydrogel.
Other gradients are also possible including varying concentrations of the
gel within the disperse phase. Thus a great deal of control is available
on the release kinetics of the fiber. Aside from these changes in the
polymer wall of the fiber, it is also possible to control the release
kinetics from this fiber by altering the type, concentration, and degree
of cross-linking within the gel or hydrogel in the core of the fiber,
which contains a therapeutic agent.
The ability to dynamically change the release kinetics of the gel or
hydrogel being loaded into the core or as a dispersed phase within a
biodegradable polymer fiber over the course of the drug delivery period
constitutes an important aspect of the invention. This affords unique
opportunities that are not possible to be present in other forms of drug
delivery from gels or hydrogels. The first means of control available
because of the gel being loaded into a biodegradable polymer fiber is the
ability of this fiber to release agents known to cross link the gel. In
this way, over time, the cross-linking density of the gel actually
increases, which will retard the release of the therapeutic agent. This
release of the cross linking agent from the biodegradable polymer fiber
sheath is itself controllable by means outlined above, i.e. using a
cocktail of molecular weights, or changing the concentration of the
dispersed aqueous phase. As a special case of the biodegradable polymer
fiber sheath is a multi-layer, and multi-component biodegradable polymer
sheath. This allows the creation of directional specificity, as well as
changes in the release kinetics from each layer of the biodegradable
polymer fiber sheath. For example, consider the case of two layers of
biodegradable polymer fiber in the sheath. The innermost layer could
contain agents that act to cross link the gel or hydrogel core of the
fiber, and this layer could be composed of a biodegradable polymer that
has a rapid degradation rate. Further, this layer could contain a high
degree of dispersed aqueous phase. In this same example, the outermost
layer may be composed of a different biodegradable polymer with a
different degradation rate, and a different concentration of dispersed
aqueous (or gel or hydrogel) dispersed phase, including zero. This example
would create a situation where the cross-linking agent would be delivered
inwardly to the gel or hydrogel in the core of the fiber over time, thus
creating a situation wherein the diffusion coefficient of the therapeutic
agent loaded into the gel or hydrogel in the core of the fiber decreases
over time.
Another special case is where the polymer fiber contains agents that
degrade the gel or hydrogel in the core of the fiber. Using the same logic
as explained above, this too creates a situation where the diffusion
coefficient of the therapeutic agent in the gel or hydrogel in the core or
dispersed within the fiber changes continuously over time. In this case,
however, the diffusion rate increases over time. This particular case also
has the advantage that the body of the animal or preferably the human into
which the fiber is implanted may not have the specific enzymes or other
chemical conditions required to degrade the gel or hydrogel. In this case,
loading appropriate degradation agents into the wall of the fiber allows
the degradation of the gel or hydrogel, and thus aids the clearance of the
gel or hydrogel from the host. Again, as described above, the release of
the degradation agents is largely controllable by changing properties of
the biodegradable polymer layers in the sheath of the fiber.
By these methods, it is seen that the release kinetics of the therapeutic
agent from a gel or hydrogel core or dispersed in a sheath of
biodegradable polymer fiber is alterable by virtue of the presence of
biodegradable polymer sheath.
In the case where the gel or hydrogel is the exterior layer and the
biodegradable polymer is the core of the fiber. In this case the
biodegradable polymer core may consist of one or more multi-component
layers as described above, and again each layer may contain a different
concentration of dispersed aqueous or gel or hydrogel phase, which may or
may not themselves carry therapeutic agents. The overall release of
therapeutic agent(s) from the fiber is controlled by the location of the
therapeutic agents, either in the gel or hydrogel exterior, or within the
biodegradable polymer core or both. By the same means as described above,
the exterior gel or hydrogel release kinetics may be altered by the
release of cross-linking, or degrading agents from the biodegradable
polymer fiber core. As these agents are released from the biodegradable
polymer fiber core, they will alter the properties of the exterior gel or
hydrogel, thus decreasing or increasing the diffusion of the therapeutic
agent from the exterior gel or hydrogel. For any therapeutic agent(s)
within the biodegradable polymer core, the release of these agents is
controlled on two levels. First, as explained above the type and molecular
weight distribution of the polymer itself changes the release kinetics, as
well known to those skilled in the art. In addition to this, the
concentration of any dispersed aqueous or gel or hydrogel phase will alter
the release from the biodegradable polymer. However, as the gel or
hydrogel is surrounding the biodegradable fiber, all therapeutic agents
within the biodegradable polymer must diffuse through the gel or hydrogel.
Therefore, any changes to the diffusion of the therapeutic agent(s)
through the gel or hydrogel also directly affect the release of any
therapeutic agents within the core of the fiber. Therefore, in this case,
one can change the release kinetics of the fiber by altering both the gel
and the biodegradable polymer segments.
If the dispersed phase is a gel or hydrogel that also contains the
therapeutic agent, then the release of that therapeutic agent is
controllable by the same means of choice of biodegradable polymer,
molecular weight distribution, and concentration of the dispersed phase.
In addition, the properties of the gel or hydrogel also alter the release
of the therapeutic agent from the dispersed phase within the monofilament
fiber.
D. Biodegradable Polymers
Preferred polymers for use in the present invention include single
polymer, co-polymer or a blend of polymers of poly(L-lactic acid), poly(DL-lactic
acid), polycaprolactone, poly(glycolic acid) or polyanhydride. Naturally
occurring polymers may also be used such as reconstituted collagen or
natural silks. Those of skill in the art will understand that these
polymers are just examples of a class of biodegradable polymer matrices
that may be used in this invention. Further biodegradable matrices include
polyanhydrides, polyorthoesters, and poly(amino acids) (Peppas and Langer,
1994). Any such matrix may be utilized to fabricate a biodegradable
polymer matrix with controlled properties for use in this invention. A
non-exhaustive list of biodegradable polymers that produce non-toxic
degradation products are listed in Table 1.
| TABLE 1 |
| |
| Biodegradable polymers |
| |
| |
| |
Synthetic |
| |
Polypeptides |
| |
Polydepsipeptides |
| |
Nylon-2/nylon-6 copolyamides |
| |
Aliphatic polyesters |
| |
Poly(glycolic acid) (PGA) and
copolymers |
| |
Poly(lactic acid) (PLA) and
copolymer |
| |
Poly(alkylene succinates) |
| |
Poly(hydroxy butyrate) (PHB) |
| |
Poly(butylene diglycolate) |
| |
Poly(ε-caprolactone) and
copolymers |
| |
Polydihydropyrans |
| |
Polyphosphazenes |
| |
Poly(ortho ester) |
| |
Poly(cyano acrylates) |
| |
Natural |
| |
Modified polysaccharides |
| |
cellulose, starch, chitin |
| |
Modified proteins |
| |
collagen, fibrin |
| |
|
| |
Adapted from Wong and Mooney,
1997. |
E. Types of Gels and Hydrogels
In simple terms, a gel is a liquid system that acts like a solid. More
technically defined, a gel is a colloidal system with at least two phases,
one of which forms a continuous three-dimensional network that acts as an
elastic solid. Gel formation through physical, molecular, or chemical
association results in an infinite molecular weight for the system. The
viscoelastic material formed has a storage modulus, G′, that is greater
than the loss modulus, G", and both G′ and G" are almost independent of
frequency. [E. R. Morris, Polysaccharide solution properties: origin,
rheological characterization and implications for food systems, Frontiers
in Carbohydrate Research 1: Food Applications (R. P. Millane, J. N.
BeMiller, and R. Chandrasekaran, eds.), Elsevier, London, 1989, p. 132.]
The storage modulus characterizes the rigidity of the sample, while the
loss modulus characterizes the resistance of the sample to flow. [Damodaran,
Srinivasan, Food Proteins and Their Applications, Food Science and
Technology (Marcel Dekker, Inc.); New York Marcel Dekker, Inc., 1997.]
Examples are polymer solutions, micellar solutions, microemulsions and, in
more recent years, the field has been extended with the large number of
organic solvents that are gelled by the presence of small organic
molecules at very low concentrations.
A hydrogel is defined as a colloid in which the disperse phase (the
colloid) has combined with the continuous phase (water) to produce a
viscous jellylike product. [Dictionary of Chemical Terms, 4th Ed., McGraw
Hill (1989)]. Hydrogels are able to swell rapidly in excess water and
retain large volumes of water in their swollen structures. The polymeric
material comprising the hydrogel can absorb more than 20% of its weight in
water, though formed hydrogels are insoluble in water and they maintain
three-dimensional networks. [Amidon, Gordon L., Transport Processes in
Pharmaceutical Systems, Drugs and the Pharmaceutical Sciences; v. 102 New
York Marcel Dekker, Inc., 2000]. They are usually made of hydrophilic
polymer molecules crosslinked either by chemical bonds or by other
cohesion forces such as ionic interaction, hydrogen bonding, or
hydrophobic interaction. [J. I. Kroschwitz, Concise Encyclopedia of
Polymer Science and Engineering, New York, Wiley, XXIX, p 1341, 1990.]
Hydrogels are -elastic solids in the sense that there exists a remembered
reference configuration to which the system returns even after being
deformed for a very long time.
An organogel is defined as an organic phase with an interlaced polymeric
component. Preferred solvents include non-toxic organic solvents
including, but not limited to, dimethyl sulfoxide (DMSO), mineral oils and
vegetable oils. The term "organogel" was initially used to describe a
specific concept of gelation, by a gelatin solution, of a water-in-oil
inverse microemulsion (see Luisi et al. Colloid & Polymer Science, 1990,
vol. 268, p. 356-374). The term has recently been extended to gelled
systems comprising two immiscible phases (water in oil) stabilized in
lecithin enriched with phosphatidylcholine and usually hydrogenated (see
Williman et al. Journal of Pharmaceutical Sciences, 1992, vol. 81, p.
871-874, and Schchipunov et al., Colloid Journal, 1995, vol. 57, p.
556-560). These emulsions have a lamellar phase and are in the form of
gels even in the absence of gelling agents, hence the name organogels,
which denotes this type of emulsion irrespective of the orientation of the
emulsion (Water-in-Oil or Oil-in-Water).
The types of gel materials used in the present invention include
polysaccharides, including but not be limited to, amylose, amylopectin,
glycogen, cellulose, hyaluronate, chondroitin, heparin, dextrin, inulin,
mannan, chitin, galactose, guar gum, carrageenan, agar, furcellaran,
xanthan gum, other hydrocolloid gums, pectin, locust bean gum, acacia,
ghatti gum, pentosan, arabinogalactan, synthetic derivatives thereof, and
mixtures thereof
Examples of materials which can form hydrogels include natural and
synthetic polysaccharides and other natural and synthetic polymers and
their derivatives, and combinations of these. Suitable polysaccharides and
polymers include but are not limited to: amylose, amylopectin, glycogen,
cellulose, hyaluronic acid, chondroitin sulfate, heparin, dextrin, inulin,
mannan, chitin, galactose, guar gum, carrageenan, agar, furcellaran,
xanthan gum, other hydrocolloid gums, pectic acid and pectin, locust bean
gum, acacia, ghatti gum, pentosan, arabinogalactan, alginates and alginate
derivatives, gellan, gellan gum, glucose, collagen (and gelatin),
cellulose, carboxymethylcellulose, hydroxymethylcellulose,
hydroxypropylmethylcellulose, methylcellulose, and methoxycellulose,
fibrin, xanthan and xanthan gum, agarose, chitosan (polycationic
polysaccharide polymers), albumin, human gamma globulin, pullulan,
carrageenan (polyanionic polysaccharide polymers), dextrin, dextran,
dextran sulfate, keratin, inulin, dextrose, amylose, glycogen, amylopectin,
polylysine and other polyamino acids, polyesters such as
polyhydroxybutyrate and polyphosphazines, poly(vinyl alcohols),
poly(alkylene oxides) particularly poly(ethylene oxides), polyethylene
glycol (including PEO-PPO-PEO and the like block copolymers like Pluronics®),
poly(allylamines) (PAM), poly(acrylates), modified styrene polymers,
pluronic polyols, polyoxamers, polypropylenes, polyurethanes, poly(uronic
acids), polyvinyl chloride, poly(vinylpyrrolidone) and copolymers, graft
copolymers, synthetic derivatives, blends and other mixtures of the above.
Polysaccharides are the preferred polymers for this invention. Alginate,
for example, is biocompatible, non-cytotoxic, non-carcinogenic,
non-inflammatory, and non-immunogenic, and, therefore, a good candidate
for use.
F. Types of Polymeric Materials
Exemplary natural polymers include naturally occurring polysaccharides,
such as, for example, arabinans, fructans, fucans, galactans,
galacturonans, glucans, mannans, xylans (such as, for example, inulin),
levan, fucoidan, carrageenan, galatocarolose, pectic acid, pectins,
including amylose, pullulan, glycogen, amylopectin, cellulose, dextran,
dextrin, dextrose, glucose, polyglucose, polydextrose, pustulan, chitin,
agarose, keratin, chondroitin, dermatan, hyaluronic acid, alginic acid,
xanthan gum, starch and various other natural homopolymer or
heteropolymers, such as those containing one or more of the following
aldoses, ketoses, acids or amines: erythrose, threose, ribose, arabinose,
xylose, lyxose, allose, altrose, glucose, dextrose, mannose, gulose, idose,
galactose, talose, erythrulose, ribulose, xylulose, psicose, fructose,
sorbose, tagatose, mannitol, sorbitol, lactose, sucrose, trehalose,
maltose, cellobiose, glycine, serine, threonine, cysteine, tyrosine,
asparagine, glutamine, aspartic acid, glutamic acid, lysine, arginine,
histidine, glucuronic acid, gluconic acid, glucaric acid, galacturonic
acid, mannuronic acid, glucosamine, galactosamine, and neuraminic acid,
and naturally occurring derivatives thereof Accordingly, suitable polymers
include, for example, proteins, such as albumin.
Exemplary semi-synthetic polymers include carboxymethylcellulose,
hydroxymethylcellulose, hydroxypropylmethylcellulose, methylcellulose, and
methoxycellulose. Exemplary synthetic polymers include polyphosphazenes,
polyethylenes (such as, for example, polyethylene glycol (including the
class of compounds referred to as Pluronics®, commercially available from
BASF, Parsippany, N.J.), polyoxyethylene, and polyethylene terephthlate),
polypropylenes (such as, for example, polypropylene glycol),
polyurethanes, polyvinyl alcohol (PVA), polyvinyl chloride and
polyvinylpyrrolidone, polyamides including nylon, polystyrene, polylactic
acids, fluorinated hydrocarbon polymers, fluorinated carbon polymers (such
as, for example, polytetrafluoroethylene), acrylate, methacrylate, and
polymethylmethacrylate, and derivatives thereof.
The polymeric materials are selected from those materials which can be
polymerized or their viscosity altered in vivo by application of exogenous
means, for example, by application of light, ultrasound, radiation, or
chelation, alone or in the presence of added catalyst, or by endogenous
means, for example, a change to physiological pH, diffusion of calcium
ions (alginate) or borate ions (polyvinyl alcohol) into the polymer, or
change in temperature to body temperature (37° C.).
G. Agents that Promote Angiogenesis
One class of therapeutic agents to be encapsulated by the polymer fibers
of the present invention are therapeutic agents that promote angiogenesis.
The successful engineering of new tissue requires the establishment of a
vascular network. The induction of angiogenesis is mediated by a variety
of factors, any of which may be used in conjunction with the present
invention (Folkman and Klagsbrun, 1987, and references cited therein, each
incorporated herein in their entirety by reference). Examples of
angiogenic factors includes, but is not limited to: vascular endothelial
growth factor (VEGF) or vascular permeability factor (VPF); members of the
fibroblast growth factor family, including acidic fibroblast growth factor
(aFGF) and basic fibroblast growth factor (bFGF); interleukin-8 (IL-8);
epidermal growth factor (EGF); platelet-derived growth factor (PDGF) or
platelet-derived endothelial cell growth factor (PD-ECGF); transforming
growth factors alpha and beta (TGF-α, TGF-β); tumor necrosis factor alpha
(TNF-α); hepatocyte growth factor (HGF); granulocyte-macrophage colony
stimulating factor (GM-CSF); insulin growth factor-1 (IGF-1); angiogenin;
angiotropin; angiotensin; fibrin and nicotinamide (Folkman, 1986, 1995;
Auerbach and Auerbach, 1994; Fidler and Ellis, 1994; Folkman and Klagsbrun,
1987; Nagy et al., 1995).
H. Cytokines
In certain embodiments the use of particular cytokines incorporated in the
polymer fibers of the present invention is contemplated. Table 2 below is
an exemplary, but not limiting, list of cytokines and related factors
contemplated for use in the present invention.
| TABLE 2 |
| |
| Cytokine |
Reference |
| |
| Human IL-1 |
March et al., Nature, 315: 641,
1985 |
| Murine IL-1 |
Lomedico et al., Nature, 312: 458,
1984 |
| Human IL-1 |
March et al., Nature, 315: 641,
1985; Auron et al., |
| |
Proc. Natl. Acad. Sci. U.S.A., 81:
7907, 1984 |
| Murine IL-1 |
Gray, J. Immunol., 137: 3644,
1986; Telford, |
| |
NAR, 14: 9955, 1986 |
| Human IL-1ra |
Eisenberg et al., Nature, 343:
341, 1990 |
| Human IL-2 |
Taniguchi et al., Nature, 302:
305, 1983; Maeda et |
| |
al., Biochem. Biophys. Res. Commun.,
115: 1040, |
| |
1983 |
| Human IL-2 |
Taniguchi et al., Nature, 302:
305, 1983 |
| Human IL-3 |
Yang et al., Cell, 47: 3, 1986 |
| Murine IL-3 |
Yokota et al., Proc. Natl. Acad.
Sci. U.S.A., |
| |
81: 1070, 1984; Fung et al.,
Nature, 307: 233, 1984; |
| |
Miyatake et al., Proc. Natl. Acad.
Sci. U.S.A., 82: |
| |
316, 1985 |
| Human IL-4 |
Yokota et al., Proc. Natl. Acad.
Sci. U.S.A., |
| |
83: 5894, 1986 |
| Murine IL-4 |
Norma et al., Nature, 319: 640,
1986; Lee et al., |
| |
Proc. Natl. Acad. Sci. U.S.A., 83:
2061, 1986 |
| Human IL-5 |
Azuma et al., Nuc. Acids Res., 14:
9149, 1986 |
| Murine IL-5 |
Kinashi et al., Nature, 324: 70,
1986; Mizuta et |
| |
al., Growth Factors, 1: 51, 1988 |
| Human IL-6 |
Hirano et al., Nature, 324: 73,
1986 |
| Murine IL-6 |
Van Snick et al., Eur. J. Immunol.,
18: 193, 1988 |
| Human IL-7 |
Goodwin et al., Proc. Natl. Acad.
Sci. U.S.A., |
| |
86: 302, 1989 |
| Murine IL-7 |
Namen et al., Nature, 333: 571,
1988 |
| Human IL-8 |
Schmid et al., J. Immunol., 139:
250, 1987; |
| |
Matsushima et al., J. Exp. Med.
167: 1883, 1988; |
| |
Lindley et al., Proc. Natl. Acad.
Sci. U.S.A., 85: |
| |
9199, 1988 |
| Human IL-9 |
Renauld et al., J. Immunol., 144:
4235, 1990 |
| Murine IL-9 |
Renauld et al., J. Immunol., 144:
4235, 1990 |
| Human Angiogenin |
Kurachi et al., Biochemistry, 24:
5494, 1985 |
| Human GRO |
Richmond et al., EMBO J., 7: 2025,
1988 |
| Murine MIP-1 |
Davatelis et al., J. Exp. Med.,
167: 1939, 1988 |
| Murine MIP-1 |
Sherry et al., J. Exp. Med., 168:
2251, 1988 |
| Human MIF |
Weiser et al., Proc. Natl. Acad.
Sci. U.S.A., |
| |
86: 7522, 1989 |
| Human G-CSF |
Nagata et al., Nature, 319: 415,
1986; Souza et |
| |
al., Science, 232: 61, 1986 |
| Human GM-CSF |
Cantrell et al., Proc. Natl. Acad.
Sci. U.S.A., |
| |
82: 6250, 1985; Lee et al., Proc.
Natl. Acad. Sci. |
| |
U.S.A., 82: 4360, 1985; Wong et
al., Science, |
| |
228: 810, 1985 |
| Murine GM-CSF |
Gough et al., EMBO J., 4: 645,
1985 |
| Human M-CSF |
Wong, Science, 235: 1504, 1987;
Kawasaki, |
| |
Science, 230; 291, 1985; Ladner,
EMBO J., 6: |
| |
2693, 1987 |
| Human EGF |
Smith et al., Nuc. Acids Res., 10:
4467, 1982; Bell |
| |
et al., NAR, 14: 8427, 1986 |
| Human TGF- |
Derynck et al., Cell, 38: 287,
1984 |
| Human FGF acidic |
Jaye et al., Science, 233: 541,
1986; Gimenez- |
| |
Gallego et al., Biochem. Biophys.
Res. Commun., |
| |
138: 611, 1986; Harper et al.,
Biochem., 25: 4097, |
| |
1986 |
| Human-ECGF |
Jaye et al., Science, 233: 541,
1986 |
| Human FGF basic |
Abraham et al., EMBO J., 5: 2523,
1986; Sommer |
| |
et al., Biochem. Biophys. Res.
Comm., 144: 543, |
| |
1987 |
| Murine IFN- |
Higashi et al., J. Biol. Chem.,
258: 9522, 1983; |
| |
Kuga, NAR, 17: 3291, 1989 |
| Human IFN- |
Gray et al., Nature, 295: 503,
1982; Devos et al., |
| |
NAR, 10: 2487, 1982; Rinderknecht,
J. Biol. |
| |
Chem., 259: 6790, 1984 |
| Human IGF-I |
Jansen et al., Nature, 306: 609,
1983; Rotwein et |
| |
al., J. Biol. Chem., 261: 4828,
1986 |
| Human IGF-II |
Bell et al., Nature, 310: 775,
1984 |
| Human-NGF chain |
Ullrich et al., Nature, 303: 821,
1983 |
| Human NT-3 |
Huang EJ. Et al., Development.
126(10): 2191- |
| |
203, 1999 May. |
| Human PDGF A |
Betsholtz et al., Nature, 320:
695, 1986 |
| chain |
| Human PDGF B |
Johnsson et al., EMBO J., 3: 921,
1984; Collins et |
| chain |
al., Nature, 316: 748, 1985 |
| Human TGF-1 |
Derynck et al., Nature, 316: 701,
1985 |
| Human TNF- |
Pennica et al., Nature, 312: 724,
1984; Fransen et |
| |
al., Nuc. Acids Res., 13: 4417,
1985 |
| Human TNF- |
Gray et al., Nature, 312: 721,
1984 |
| Murine TNF- |
Gray et al., Nucl. Acids Res., 15:
3937, 1987 |
| Human E-Selectin |
Bevilacqua el al., Science, 243:
1160, 1989; |
| |
Hensley et al., J. Biol. Chem.,
269: 23949, 1994 |
| Human ICAM-1 |
Simmons et al., Nature, 331: 624,
1988 |
| Human PECAM |
Simmons et al., J. Exp. Med., 171:
2147, 1990 |
| Human VCAM-1 |
Hession et al., J. Biol. Chem.,
266: 6682; Osborn |
| |
et al., Cell, 59: 1203, 1989 |
| Human L-Selectin |
Ord et al., J. Biol. Chem., 265:
7760, 1990; |
| (membrane bound) |
Tedder et al., J. Exp. Med., 170:
123, 1989 |
| Human L-Selectin |
Ord et al., J. Biol. Chem., 265:
7760, 1990; |
| (soluble form) |
Tedder et al., J. Exp. Med., 170:
123, 1989 |
| Human Calcitonin |
Le Moullec et al., FEBS Lett.,
167: 93, 1984 |
| Human Hirudin (E. |
Dodt et al., FEBS Lett., 165: 180,
1984 |
| coli
optimized) |
| |
G. Polynucelotides
The polynucleotides to be incorporated within the polymer fibers of the
present invention extend to the full variety of nucleic acid molecules.
The nucleic acids thus include genomic DNA, cDNAs, single stranded DNA,
double stranded DNA, triple stranded DNA, oligonucleotides, Z-DNA, mRNA,
tRNA and other RNAs. DNA molecules are generally preferred, even where the
DNA is used to express a therapeutic RNA, such as a ribozyme or antisense
RNA.
A "gene" or DNA segment encoding a selected protein or RNA, generally
refers to a DNA segment that contains sequences encoding the selected
protein or RNA, but is isolated away from, or purified free from, total
genomic DNA of the species from which the DNA is obtained. Included within
the terms "gene" and "DNA segment", are DNA segments and smaller fragments
of such segments, and also recombinant vectors, including, for example,
plasmids, cosmids, phage, retroviruses, adenoviruses, and the like.
The term "gene" is used for simplicity to refer to a functional protein or
peptide encoding unit. As will be understood by those in the art, this
functional term includes both genomic sequences and cDNA sequences.
"Isolated substantially away from other coding sequences" means that the
gene of interest forms the significant part of the coding region of the
DNA segment, and that the DNA segment does not contain large portions of
naturally-occurring coding DNA, such as large chromosomal fragments or
other functional genes or cDNA coding regions. Of course, this refers to
the DNA segment as originally isolated, and does not exclude genes or
coding regions, such as sequences encoding leader peptides or targeting
sequences, later added to the segment by the hand of man.
The present invention does not require that highly purified DNA or vectors
be used, so long as any coding segment employed encodes a selected protein
or RNA and does not include any coding or regulatory sequences that would
have a significant adverse effect on the target cells. Therefore, it will
also be understood that useful nucleic acid sequences may include
additional residues, such as additional non-coding sequences flanking
either of the 5′ or 3′ portions of the coding region or may include
various internal sequences, i.e., introns, that are known to occur within
genes.
Many suitable DNA segments may be obtained from existing, including
commercial sources. One may also obtain a new DNA segment encoding a
protein of interest using any one or more of a variety of molecular
biological techniques generally known to those skilled in the art. For
example, cDNA or genomic libraries may be screened using primers or probes
with designed sequences. Polymerase chain reaction (PCR) may also be used
to generate a DNA fragment encoding a protein of interest.
After identifying an appropriate selected gene or DNA molecule, it may be
inserted into any one of the many vectors currently known in the art, so
that it will direct the expression and production of the selected protein
when incorporated into a target cell. In a recombinant expression vector,
the coding portion of the DNA segment is positioned under the control of a
promoter/enhancer element. The promoter may be in the form of the promoter
that is naturally associated with a selected gene, as may be obtained by
isolating the 5′ non-coding sequences located upstream of the coding
segment or exon, for example, using recombinant cloning and/or PCR
technology.
In other embodiments, it is contemplated that certain advantages will be
gained by positioning the coding DNA segment under the control of a
recombinant, or heterologous, promoter. As used herein, a recombinant or
heterologous promoter is intended to refer to a promoter that is not
normally associated with a selected gene in its natural environment. Such
promoters may include those normally associated with other selected genes,
and/or promoters isolated from any other bacterial, viral, eukaryotic, or
mammalian cell. Naturally, it will be important to employ a promoter that
effectively directs the expression of the DNA segment in the chosen target
cells.
The use of recombinant promoters to achieve protein expression is
generally known to those of skill in the art of molecular biology, for
example, see Sambrook et al (1989; incorporated herein by reference). The
promoters employed may be constitutive, or inducible, and can be used
under the appropriate conditions to direct high level or regulated
expression of the introduced DNA segment. Expression of genes under the
control of constitutive promoters does not require the presence of a
specific substrate to induce gene expression and will occur under all
conditions of cell growth. In contrast, expression of genes controlled by
inducible promoters is responsive to the presence or absence of an
inducing agent.
Promoters isolated from the genome of viruses that grow in mammalian
cells, e.g., RSV, vaccinia virus 7.5K, SV40, HSV, adenoviruses MLP, MMTV
LTR and CMV promoters, may be used herewith, as well as promoters produced
by recombinant DNA or synthetic techniques. Currently preferred promoters
are those such as CMV, RSV LTR, the SV40 promoter alone, and the SV40
promoter in combination with the SV40 enhancer.
Exemplary tissue specific promoter/enhancer elements and transcriptional
control regions that exhibit tissue specificity include, but are not
limited to: the elastase I gene control region that is active in
pancreatic acinar cells; the insulin gene control region that is active in
pancreatic cells; the immunoglobulin gene control region that is active in
lymphoid cells; the albumin, 1-antitrypsin and -fetoprotein gene control
regions that are active in liver; the -globin gene control region that is
active in myeloid cells; the myelin basic protein gene control region that
is active in oligodendrocyte cells in the brain; the myosin light chain-2
gene control region that is active in skeletal muscle; and the
gonadotropic releasing hormone gene control region that is active in the
hypothalamus.
Specific initiation signals may also be required for sufficient
translation of inserted protein coding sequences. These signals include
the ATG initiation codon and adjacent sequences. In cases where the entire
coding sequence, including the initiation codon and adjacent sequences are
inserted into the appropriate expression vectors, no additional
translational control signals may be needed. However, in cases where only
a portion of the coding sequence is inserted, exogenous translational
control signals, including the ATG initiation codon should be provided.
The initiation codon must be in phase with the reading frame of the
protein coding sequences to ensure translation of the entire insert. These
exogenous translational control signals and initiation codons can be of a
variety of origins, both natural and synthetic. The efficiency and control
of expression may be enhanced by the inclusion of transcription
attenuation sequences, enhancer elements, etc.
A variety of vectors may be used including, but not limited to, those
derived from recombinant bacteriophage DNA, plasmid DNA or cosmid DNA. For
example, plasmid vectors such as pBR322, pUC 19/18, pUC 118, 119 and the
M13 mp series of vectors may be used. Bacteriophage vectors may include
gt10, gt11, gt18-23, ZAP/R and the EMBL series of bacteriophage vectors.
Cosmid vectors that may be utilized include, but are not limited to, pJB8,
pCV 103, pCV 107, pCV 108, pTM, pMCS, pNNL, pHSG274, COS202, COS203,
pWE15, pWE16 and the charomid 9 series of vectors. Vectors that allow for
the in vitro transcription of RNA, such as SP6 vectors, may also be used
to produce large quantities of RNA that may be incorporated into matrices.
The selected genes and DNA segments may also be in the form of a DNA
insert located within the genome of a recombinant virus, such as, for
example a recombinant herpes virus, retroviruses, vaccinia viruses,
adenoviruses, adeno-associated viruses or bovine papilloma virus. While
integrating vectors may be used, non-integrating systems, which do not
transmit the gene product to daughter cells for many generations will
often be preferred. In this way, the gene product is expressed during a
defined biological process, e.g., a wound healing process, and as the gene
is diluted out in progeny generations, the amount of expressed gene
product is diminished.
In such embodiments, to place the gene in contact with a target cell, one
would prepare the recombinant viral particles, the genome of which
includes the gene insert, and contact the target cells or tissues via
release from the polymer fiber of the present invention, whereby the virus
infects the cells and transfers the genetic material.
Genes with sequences that vary from those described in the literature are
also contemplated for use in the invention, so long as the altered or
modified gene still encodes a protein that functions to effect the target
cells in the desired (direct or indirect) manner. These sequences include
those caused by point mutations, those due to the degeneracies of the
genetic code or naturally occurring allelic variants, and further
modifications that have been introduced by genetic engineering, i.e., by
the hand of man.
Techniques for introducing changes in nucleotide sequences that are
designed to alter the functional properties of the encoded proteins or
polypeptides are well known in the art. Such modifications include the
deletion, insertion or substitution of bases, and thus, changes in the
amino acid sequence. Changes may be made to increase the activity of a
protein, to increase its biological stability or half-life, to change its
glycosylation pattern, confer temperature sensitivity or to alter the
expression pattern of the protein, and the like. All such modifications to
the nucleotide sequences are encompassed by this invention.
It is an advantage of the present invention that one or more than one
selected gene may be used in the gene transfer methods and compositions.
The nucleic acid delivery methods may thus entail the administration of
one, two, three, or more, selected genes. The maximum number of genes that
may be applied is limited only by practical considerations, such as the
effort involved in simultaneously preparing a large number of gene
constructs or even the possibility of eliciting an adverse cytotoxic
effect. The particular combination of genes may be chosen to alter the
same, or different, biochemical pathways. For example, a growth factor
gene may be combined with a hormone gene; or a first hormone and/or growth
factor gene may be combined with a gene encoding a cell surface receptor
capable of interacting with the polypeptide product of the first gene.
In using multiple genes, they may be combined on a single genetic
construct under control of one or more promoters, or they may be prepared
as separate constructs of the same of different types. Thus, an almost
endless combination of different genes and genetic constructs may be
employed. Certain gene combinations may be designed to, or their use may
otherwise result in, achieving synergistic effects on cell stimulation and
tissue growth, any and all such combinations are intended to fall within
the scope of the present invention. Indeed, many synergistic effects have
been described in the scientific literature, so that one of ordinary skill
in the art would readily be able to identify likely synergistic gene
combinations, or even gene-protein combinations.
It will also be understood that, if desired, the nucleic segment or gene
could be administered in combination with further agents, such as, e.g.
proteins or polypeptides or various pharmaceutically active agents. So
long as genetic material forms part of the composition, there is virtually
no limit to other components which may also be included, given that the
additional agents do not cause a significant adverse effect upon contact
with the target cells or tissues. The nucleic acids may thus be delivered
along with various other agents, for example, in certain embodiments one
may wish to administer an angiogenic factor as disclosed in U.S. Pat. No.
5,270,300 and incorporated herein by reference.
As the chemical nature of genes, i.e., as a string of nucleotides, is
essentially invariant, and as the process of gene transfer and expression
are fundamentally the same, it will be understood that the type of genes
transferred by the fiber matrices of the present invention is virtually
limitless. This extends from the transfer of a mixture of genetic material
expressing antigenic or immunogenic fragments for use in DNA vaccination;
to the stimulation of cell function, as in wound-healing; to aspects of
cell killing, such as in transferring tumor suppressor genes, antisense
oncogenes or apoptosis-inducing genes to cancer cells.
By way of example only, genes to be supplied by the invention include, but
are not limited to, those encoding and expressing: hormones, growth
factors, growth factor receptors, interferons, interleukins, chemokines,
cytokines, colony stimulating factors and chemotactic factors;
transcription and elongation factors, cell cycle control proteins,
including kinases and phosphatases, DNA repair proteins,
apoptosis-inducing genes; apoptosis-inhibiting genes, oncogenes, antisense
oncogenes, tumor suppressor genes; angiogenic and anti-angiogenic
proteins; immune response stimulating and modulating proteins; cell
surface receptors, accessory signaling molecules and transport proteins;
enzymes; and anti-bacterial and anti-viral proteins.
H. Kits
All the essential materials and reagents required for the various aspects
of the present invention may be assembled together in a kit. The kits of
the present invention also will typically include a means for containing
the vials comprising the desired components in close confinement for
commercial sale such as, e.g., injection or blow-molded plastic containers
into which the desired vials are retained. Irrespective of the number or
type of containers, the kits of the invention are typically packaged with
instructions for use of the kit components.
Claim 1 of 34 Claims
1. A drug delivery composition
comprising at least one fiber having a bore and a wall, wherein said fiber
comprises a first component and a second component, and wherein said first
component is a biodegradable polymer and said second component is selected
from the group consisting of a gel and a hydrogel.
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