Flexible substrate/liquid electrolyte viscous composite material and preparation method therefor

Abstract

Disclosed is a flexible substrate/liquid electrolyte viscous composite material and preparation method therefor. The preparation method includes: adding a particular percentage by weight of a flexible substrate to a liquid electrolyte solution having a particular concentrate; fully stirring the solution at a particular temperature to dissolve and evenly disperse the substrate, so as to obtain a viscous liquid; and then standing the viscous liquid at a particular temperature for a particular period of time to obtain the material. The material has viscosity due to which the material can actively adhere to the surface of tissue of an organ, the mechanical property matching cardiac muscle, biocompatibility and security, and is used for treating acute and chronic myocardial infarction and heart failures, inhibiting the reconstruction, thinning, and fiberization of a ventricular wall, and improving the myocardial function. In addition, the material also features conductivity, in vivo degradability, and the like.

Claims

1. A flexible substrate/liquid electrolyte viscous composite biomedical material for the treatment of myocardium infarction and heart failure, consisting of: a flexible substrate selected from the group consisting of and corn starch; and a liquid electrolyte is a solution containing one selected from the group consisting of zinc nitrate, lithium nitrate, calcium nitrate, magnesium nitrate, potassium nitrate, lithium chloride, calcium chloride, zinc chloride, magnesium chloride, calcium iodine, and a combination thereof, wherein the material's bonding strength with the surface of organ tissue is higher than 0.1 Kpa, and the ratio of loss modulus to storage modulus of said material is 0.2 to 5 when tested at 37 C., oscillation frequency at 0.01 to 100 Hz, strain at 0.01 to 10; at 37 C., the elastic tensile strength of said material is 3 to 100 kPa, and the elongation to fracture is more than 50%, the time for reaching the 10% stress relaxation rate is less than 10 min; at 37 C., the electric conductivity is between 0.01 and 10 S/m, the cytotoxicity level of material extract is 0 to 1; and wherein the flexible substrate/liquid electrolyte viscous composite biomedical material is adapted for the treatment of myocardium infarction and heart failure.

2. A preparation method of the flexible substrate/liquid electrolyte viscous composite material according to claim 1, comprising the following steps: (1) according to the mass percent of 10% to 20%, dissolving the metallic salt into deionized water to form an electrolyte solution; (2) according to the mass percent of 3% to 10%, mixing flexible substrate into the electrolyte solution prepared in step (1), then stirring at the temperature between 25 and 80 C. to form a viscous liquid; (3) aging the viscous liquid obtained in step (2) between 25 and 45 C. until the material achieving a stable state, to obtain the flexible substrate/liquid electrolyte viscous composite material.

3. The preparation method of the flexible substrate/liquid electrolyte viscous composite material according to claim 2, wherein said metallic salt is either of zinc nitrate, lithium nitrate, calcium nitrate, magnesium nitrate, potassium nitrate, lithium chloride, calcium chloride, zinc chloride, magnesium chloride, calcium iodine or any combination thereof.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIG. 1 is a photo showing the stickiness and stretchability of the sticky and flexible substrate/liquid electrolyte composite prepared in Embodiment 1.

DETAILED DESCRIPTION OF THE INVENTION

Embodiment 1

(2) An electrolyte solution was prepared by dissolving calcium chloride in deionized water with mass percent of 18%. Then corn starch was added in the electrolyte with mass percent of 6% and was continuously stirred at 50 C., to obtain a viscous liquid. Then let the viscous liquid standing at 40 C. for 48 h, forming a high sticky and flexible conductive composite.

(3) FIG. 1 is a photo showing the stickiness and stretchability of the sticky and flexible substrate/liquid electrolyte composite prepared above (L=1.2 mm). The photo shows that the composite stuck firmly on the surface of surgical latex glove, and could be stretched 10 times of original length, indicating the good stickiness and stretchability (more than 1000%). As measured at 37 C., the bonding strength between material and epicardium is 0.51 kPa, the tensile strength is 310 kPa, stretch ratios at fracture is 100%1500%. The time for achieving 10% stress relaxation is 30100 s. When test at oscillation frequency of 1100 Hz and strain of 1%, the ratio of loss modulus to storage modulus of sticky composite is 0.81.5. At 37 C., the electric conductivity is 0.21.8 S/m. The cytotoxicity level of material extracts to NIH3T3 fibroblast is within 01 grade. After patching the material on the surface of heart of Sprague Dawley (SD) rats for 6 months, the histology analysis shows no obvious toxicity, inflammation reaction and severe immunological rejection.

(4) The myocardial ischemia induced acute infarction model in SD rats was used. The SD rats were divided into two groups: experiment group and control group. No treatment was done for the control group. For the experiment group, the sticky composite was implanted following the procedures: opening the chest to expose the myocardium infarction or the cardiac insufficiency site and making sure the required amount of sticky composite based on the size of myocardium infarction and the degree of cardiac insufficiency; taking certain amount of sticky composite with surgical forceps and patching the sticky composite on the surface of epicardium of heart infarction zone or ventricle with heart failure into a required shape, size and thickness with surgical forceps; pressing the material slightly to make it sticking firmly on the heart surface without additional fixation; closing the chest, leaving the material in vivo to play the therapeutic effect.

(5) The details of operation are as follows:

(6) (1) Male SD rats weighing about 250 g are placed in a gas anesthetized chamber and anesthetized with 5% isoflurane;

(7) (2) The rats access to ventilator, respiratory rate is 75 beats/min, respiratory ratio is 1:1 and isoflurane concentration is maintained at 2%;

(8) (3) Open the chest after the rats breathe smoothly, expose the heart and open the pericardium, ligate the left anterior descending artery with 7-0 silk suture and determine the success of myocardial ischemia after observing the apex becomes white;

(9) (4) About 0.1 g of the material provided in this example was gripped with tweezers and stretched to a thickness of about 0.5 mm and applied to the surface of the left ventricular ischemic site;

(10) (5) Exclude the gas inside the chest, suture to close the chest;

(11) (6) Turn off the gas anesthesia until the rats have autonomous respiration, then closed ventilator and intraperitoneal injection of 200 thousand units of penicillin.

(12) The left ventricular diameter at the end of diastole (LVIDd) and left ventricular diameter at the end of systole (LVIDs) were measured using echocardiography every other week. The left ventricular ejection fraction (LVEF) and the left ventricular fractional shortening (LVFS) were calculated to evaluate the cardiac function in rats. Four weeks later, the rat heart was obtained, and the treatment group showed that the material still stuck on the left ventricular surface of the rat. Rat myocardial infarct size and degree of fibrosis were analyzed by hematoxylin and eosin (HE) staining and Masson trichrome staining.

(13) Results:

(14) (1) The fourth week of echocardiography shows that the LVIDd and LVIDs of the treatment group affixed with the material of this material were 6.2-6.5 mm and 3.6-4.3 mm respectively, while the two values of the control group were 8.5-9 mm and 8-8.6 mm respectively. The LVEF of the treatment group and the control group were 60-65% and 45-50% respectively, and the LVFS were 32-36% and 21-26% respectively, indicating that the heart function of the rats in the treatment group was restored to some extent.

(15) (2) By HE and Masson staining we can see the material treatment group left ventricular wall thickness was 3.53.8 mm, while the control group was 2.42.6 mm, and the treatment group myocardial infarction area decreased by 70% to 76%, while the control group was 40% to 45%. It can be seen that the treatment group well inhibits the process of myocardial remodeling after myocardial ischemia and has a good therapeutic effect on myocardial infarction. Eight months after the operation, the material still adhered to the epicardium and degraded about 60-65%.

Embodiment 2

(16) An electrolyte solution was prepared by dissolving calcium chloride, magnesium nitride and calcium nitride in deionized water with total mass percent of 15%. Then hyaluronic acid was added in the electrolyte with mass percent of 8% and was continuously stirred at 25 C., to obtain a viscous liquid. Then let the viscous liquid standing at 35 C. for 36 h, forming a sticky and flexible conductive composite.

(17) The bonding strength between composite and epicardium is 0.10.5 kPa. When test at oscillation frequency of 0.1100 Hz, strain at 2%, the ratio of loss modulus to storage modulus of the composite is 0.40.8. The tensile strength and stretch ratio at fracture are 1015 kPa and 50%150%. The time for achieving 10% stress relaxation is 100300 s. The electric conductivity is 0.010.12 S/m. The cytotoxicity level of material extracts to NIH3T3 fibroblast is within 01 grade. After patching the material on the surface of heart of SD rats for 6 months, the histological analysis shows no obvious toxicity, inflammation reaction and severe immunological rejection.

(18) The myocardial ischemia induced chronic infarction model in SD rats was used. The SD rats were divided into two groups: experiment group and control group. No treatment was done for the control group. For the experiment group, the material was implanted following the procedures: identifying the location and area of infarction zone though coronary angiography, thoracoscopic observation or echocardiogram and making sure the required amount of sticky composite based on the size of myocardium infarction and the degree of cardiac insufficiency; guided by the thoracoscope or X-ray machine, using injection devices or minimally invasive surgical forceps to deliver certain amount of sticky composite though working channel of minimally invasive surgery on the surface of epicardium of heart infarction zone or ventricle with heart failure, without additional fixation; withdrawing the delivery devices and closing the wound after the sticky composite forming an intact piece of film on the surface of epicardium of heart infarction zone or ventricle with heart failure, and finishing the operation. The sticky composite degrades after the treatment cycle, without need to remove though operation.

(19) The details of operation are as follows:

(20) (1) Chronic myocardial infarction rats were placed in a gas anesthetized chamber and rats were anesthetized with 5% isoflurane;

(21) (2) Coronary angiography and echocardiography were performed in rats to determine the location and extent of myocardial infarction and the amount of material used;

(22) (3) The rats were accessed to ventilator, with respiratory rate being 75 beats/min and respiratory ratio being 1:1. And isoflurane concentration was maintained at 2%;

(23) (4) Implant material to the epicardium to be treated, exit the delivery system and close the wound;

(24) (5) Turn off the gas anesthesia until the rats have autonomous respiration, then closed ventilator and intraperitoneal injection of 200 thousand units of penicillin.

(25) The LVIDd and LVIDs was measured using echocardiography every other week. The LVEF and LVFS were calculated to evaluate the cardiac function in rats. Four weeks later, the rat heart was obtained, and the treatment group showed that the material still sticky to the left ventricular surface of the rat. Rat myocardial infarct size and degree of fibrosis were analyzed by HE and Masson trichrome staining.

(26) Results:

(27) (1) LVIDd and LVIDs of the treated group were lower than those of the control group in the fourth week while LVFS of the LVEF in the treated group were higher than that of the control group, indicating that the cardiac function of the rats in the treated group was recovered to some extent. (2) The left ventricular wall thickness of the treated group was significantly higher than that of the control group by staining, and the reduction of myocardial infarction area in the treatment group was also significantly higher than that of the control group, indicating that the material represses the ventricular remodeling process better. Four weeks after the operation, it was found that the material still adhered to the epicardial tissue and showed a complete laminar appearance. Eight months after the operation, the material still adhered to the epicardium and degraded about 4050%.