PHARMACEUTICAL COMPOSITION CAPABLE OF ACCELERATED PENETRATION INTO AFFECTED AREA
20170105935 · 2017-04-20
Assignee
- NAKASHIMA KOGYO CORPORATION (Gifu-Shi, JP)
- National Center for Geriatrics and Gerontology (Obu-shi, JP)
Inventors
- Yoji NAKASHIMA (Gifu-Shi, JP)
- Misako Nakashima (Obu-shi, JP)
- Koichiro IOHARA (Obu-Shi, JP)
- Kazumasa YAMADA (Obu-Shi, JP)
Cpc classification
B01F23/2323
PERFORMING OPERATIONS; TRANSPORTING
B01F23/2375
PERFORMING OPERATIONS; TRANSPORTING
A61K9/06
HUMAN NECESSITIES
A61P1/02
HUMAN NECESSITIES
A61K31/155
HUMAN NECESSITIES
A61K9/0019
HUMAN NECESSITIES
International classification
A61K9/48
HUMAN NECESSITIES
A61C5/50
HUMAN NECESSITIES
B01J13/00
PERFORMING OPERATIONS; TRANSPORTING
A61L27/54
HUMAN NECESSITIES
A61L27/50
HUMAN NECESSITIES
A61K31/155
HUMAN NECESSITIES
A61K9/00
HUMAN NECESSITIES
Abstract
Provided is a pharmaceutical composition excellent in capability of an accelerated penetration into an affected area. The pharmaceutical composition capable of accelerated penetration into the affected area is formed by dispersing nano-bubbles, which are negatively charged and are given high internal pressures due to their surface tension, in the pharmaceutical composition in a form of a liquid or a gel including a predetermined drug.
Claims
1. A pharmaceutical composition in a form of a liquid or a gel capable of accelerated penetration into an affected region, comprising a predetermined drug and containing minute bubbles dispersed therein, characterized in that: the minute bubbles are nano-bubbles each of which has a nano-meter diameter and is given a high internal pressure due to its surface tension and negatively charged.
2. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein each of the nano-bubbles has a diameter within a range of 10 nm-1000 nm.
3. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the nano-bubbles are contained and dispersed at a ratio of 110.sup.6-210.sup.8 in number/ml.
4. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is a mixture obtained by mixing a solution containing the nano-bubbles, and the drug or a liquid or gel-type preliminary composition containing the drug.
5. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the minute bubbles having the nano-meter diameter are generated by a nano-bubble generating device comprising: a cylindrical gas-permeable portion having a gas-permeable film formed by generating crazes in a high molecular resin film arranged on its gas-permeable cylindrical outer circumferential surface, wherein a predetermined pressurized gas is ejected under the control of an amount of permeation of the gas through the gas-permeable film; gas blowing means for blowing the pressurized gas into an inside of the cylindrical gas-permeable portion; a cylindrical casing which has an inside diameter larger than the outside diameter of the cylindrical gas-permeable portion and which is open at its opposite ends; and fluid flowing means for permitting a predetermined fluid to flow through a fluid passage provided by a gap formed by accommodating the cylindrical gas-permeable portion within the cylindrical casing, and wherein bubbles formed by the gas ejected from the gas-permeable outer circumferential surface of the gas-permeable portion are sheared and micronized by the fluid flowing through the fluid passage at an early stage of generation, whereby the minute bubbles with the nano-meter diameter are formed.
6. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is formed as an administrative agent included within a soluble outer shell of a capsule and applied to the affected region.
7. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is atomized by spraying, subjected to absorption to a fibrous absorbent such as a non-woven fabric, a woven fabric, a fabric or a Japanese paper, and applied to the affected region.
8. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is atomized by spraying and applied directly to the affected region.
9. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is intended for medical use and the drug is subjected to penetration into a deep part of the target region affected by a tooth decay and the like by utilizing an effect of accelerated penetration achieved by the nano-bubbles.
10. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used for dental therapy in the case of a damage or a partial loss of the dental pulp, the pharmaceutical composition being administered in the case of the damage or the partial loss of the dental pulp and permitting formation of the dental pulp and/or the dentin by causing differentiation of the odontoblast from the dental pulp cell at a portion to which the pharmaceutical composition is administered, and wherein the drug includes as an effective ingredient at least one of MMPs, BMPs, bFGF, G-CSF, CXCL14, MCP1, SDF-1, PDGF, GM-CSF, HGF, BDNF and NPY.
11. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used for dental therapy to promote sterilization, anti-inflammation and analgesia or regeneration of the dentin, the dental pulp or the periodontal tissue, the pharmaceutical composition containing as the drug at least one of sodium hypochlorite, hydrogen peroxide, formalin cresol, formalin guaiacol, phenol, phenol camphor, parachlorophenol camphor, cresatin, guaiacol, cresol, iodine tincture, an EDTA product, calcium hydroxide, tetracycline hydrochloride, ampicillin, imipenem, panipenem, vancomycin, chloramphenicol, PBSS, PBSC, ofloxacin, levofloxacin, metronidazole, cefaclor, ciprofloxacin, minocycline, imidazole, a cathepsin K inhibitor, BMPs, bFGF, G-CSF, CXCL14, MCP1, SDF-1, PDGF, GM-CSF, HGF, BDNF and NPY.
12. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used for treating periodontal diseases in dental therapy to promote sterilization, anti-inflammation and analgesia or regeneration of the periodontal tissue, the pharmaceutical composition containing as the drug at least one of iodine tincture, an EDTA product, tetracycline hydrochloride, ampicillin, imipenem, panipenem, vancomycin, chloramphenicol, PBSS, PBSC, ofloxacin, levofloxacin, metronidazole, cefaclor, ciprofloxacin, minocycline, imidazole, a cathepsin K inhibitor, BMPs, bFGF, G-CSF, CXCL14, MCP1, SDF-1, PDGF, GM-CSF, HGF, BDNF, NPY and Emdogain.
13. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used for curing hyperesthesia in dental therapy, the pharmaceutical composition containing as the drug at least one of potassium nitrate, oxalic acid, a diamine silver fluoride product, copal resin, sodium fluoride, zinc chloride, a water-soluble aluminium compound, a water-soluble calcium compound, BMPs and bFGF.
14. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used for an oral and implant care in dental therapy to promote sterilization, anti-inflammation and analgesia, recalcification of a tooth, or regeneration of the periodontal tissue, the pharmaceutical composition containing as the drug at least one of benzalkonium, chlorhexidine gluconate, sodium N-lauroylsarcosinate, isopropylmethyl phenol, -aminocaproic acid, sodium hypochlorite, hydrogen peroxide, formalin cresol, formalin guaiacol, phenol, phenol camphor, parachlorophenol camphor, cresatin, guaiacol, cresol, iodine tincture, an EDTA product, calcium hydroxide, tetracycline hydrochloride, ampicillin, imipenem, panipenem, vancomycin, chloramphenicol, PBSS, PBSC, ofloxacin, levofloxacin, metronidazole, cefaclor, ciprofloxacin, minocycline, imidazole, a cathepsin K inhibitor, BMPs, bFGF, G-CSF, CXCL14, MCP1, SDF-1, PDGF, GM-CSF, HGF, BDNF and NPY.
15. The pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, wherein the pharmaceutical composition is used in the field of dental or medical therapy via a mucous membrane or a skin, for the purposes of sterilization, disinfection, anti-inflammation and analgesia, protection of the mucous membrane and the skin, and for other purposes.
16. A method of producing the pharmaceutical composition capable of accelerated penetration into an affected region according to claim 1, comprising: a step of providing a drug to be penetrated into a target affected region or a liquid or gel-type preliminary composition containing the drug; a step of preparing a solution containing the nano-bubbles by using a nano-bubble generating device comprising: a cylindrical gas-permeable portion having a gas-permeable film formed by generating crazes in a high molecular resin film arranged on its gas-permeable cylindrical outer circumferential surface, wherein a predetermined pressurized gas is ejected under the control of an amount of permeation of the gas through the gas-permeable film; gas blowing means for blowing the pressurized gas into an inside of the cylindrical gas-permeable portion; a cylindrical casing which has an inside diameter larger than the outside diameter of the cylindrical gas-permeable portion and which is open at its opposite ends; and liquid flowing means for permitting a predetermined liquid to flow through a liquid passage provided by a gap formed by accommodating the cylindrical gas-permeable portion within the cylindrical casing, the device being characterized in that bubbles formed by the gas ejected from the gas-permeable outer circumferential surface of the gas-permeable portion are sheared and micronized by the liquid flowing through the liquid passage at an early stage of generation, whereby the minute bubbles with the nano-meter diameter are formed; and a step of mixing the obtained solution containing the nano-bubbles, and the drug or the liquid or gel-type preliminary composition containing the drug so as to obtain the pharmaceutical composition.
17. The method of producing the pharmaceutical composition capable of accelerated penetration into an affected region according to claim 16, wherein the amount of inclusion of the nano-bubbles in a nano-bubble-containing liquid is increased by repeatedly reintroducing the nano-bubble-containing liquid flowing from an outlet opening of the casing into the nano-bubble generating device so that the nano-bubbles are further generated through the gas-permeable member in the nano-bubble-containing liquid, whereby the liquid having a desired concentration of the nano-bubbles can be obtained, so that the pharmaceutical composition containing a predetermined size of the nano-bubbles within a predetermined range of concentration can be obtained.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
[0037]
DETAILED DESCRIPTION OF THE INVENTION
[0038] To further clarify the structure of the pharmaceutical composition capable of accelerated penetration into an affected region according to the present invention, embodiments of the present invention will be described in detail by reference to the drawings.
[0039] The pharmaceutical composition capable of accelerated penetration into the affected region according to the present invention is in the form of a liquid or a gel containing minute or ultrafine bubbles, which are introduced therein with nano-meter diameters so as to be given a high internal pressure due to their surface tension and negatively charged. In other words, the minute or ultrafine bubbles are nano-bubbles having a high internal pressure and an electric charge. The surface characteristics and the motion characteristics such as the Brownian motion of the nano-bubbles permit the nano-bubbles to have an effective function of the accelerated penetration, resulting in the characteristic of the nano-bubbles having the capability of advantageously introducing the target drug into the deep part of the affected region without inducting the bubbles by an ultrasonic device or the like. It is noted that, in the pharmaceutical composition in the form of a liquid or a gel according to the present invention, the drug may be dissolved in the composition, or may take the form of fine particles. The fine particles may be, for example, contained in a dispersed form, wherein the particles of the drug having diameters of about 0.001 m-10 m are in the form of floatage or suspension in the composition.
[0040] In view of ease of delivery into the complicated structure of the affected region like the root canal and the tissue in the deep part, and further in view of stability of the nano-bubbles, the size of the nano-bubbles included in the pharmaceutical composition is, preferably within the range of 10-1000 nm, especially 10-800 nm. More preferably, the size is within the range of 10-500 nm, and further preferably 100-400 nm. By setting the diameter (bubble diameter) of the nano-bubbles within the range described above, the nano-bubbles are advantageously delivered to the affected region such as the root canal, lateral branches, dentin tubules and the like. In the case where the size of the nano-bubbles is excessively large, the capability of penetration of the drug into the affected region is deteriorated.
[0041] Furthermore, the nano-bubbles in the above-described pharmaceutical composition have a high internal pressure due to their surface tension, and are negatively charged, because of their nano-sized minute diameters. The internal pressure of the nano-bubbles generally corresponds to the diameter of the nano-bubbles and is calculated according to the Young-Laplace formula. It is considered that the nano-bubbles according to the present invention have an internal pressure of about 3-300 atmospheric pressure. Furthermore, a zeta potential of the nano-bubbles in the water is assumed to be from 30 mV to 40 mV in general, meaning that the nano-bubbles are negatively charged. It is considered that this electric charge property permits the nano-bubbles to catch and introduce the drug components into the deep part of the affected region.
[0042] The amount of existence of the nano-bubbles in the pharmaceutical composition is generally represented by the number of the bubbles in a predetermined volume of the pharmaceutical composition. In the present invention, the nano-bubbles are advantageously dispersed and contained at a ratio of 110.sup.6-210.sup.8/ml, preferably at a ratio of 510.sup.6-1.510.sup.8/ml, and more preferably at a ratio of 110.sup.7-110.sup.8/ml. In the case where the amount of existence of the nano-bubbles is excessively small, the effective function of the accelerated penetration achieved by the nano-bubbles being negatively charged and having a high internal pressure cannot be achieved. On the other hand, in the case where the amount of existence of the nano-bubbles is excessively large, the function of the accelerated penetration tends to be saturated, with a limited economical advantage.
[0043] The size and amount of existence of the above-described nano-bubbles can be measured with commercially available nano-particle analyzers such as a nano-particle distribution analyzer available from Shimadzu Corporation (SALD-7100) and a nano-particle analyzer available from Quantum Design Japan, Inc. (NanoSight LM-20), for example.
[0044] The pharmaceutical composition containing the nano-bubbles according to the present invention can be formed by directly introducing the desired nano-bubbles into the predetermined pharmaceutical composition (a drug per se or a preliminary composition including the drug). However, especially preferably, the pharmaceutical composition is formed by mixing a liquid such as water containing the nano-bubbles and a drug or a preliminary composition in the form of a liquid or a gel including the drug, so as to permit easy and advantageous introduction of the desired nano-bubbles into the pharmaceutical composition. That is, a liquid containing the desired nano-bubbles is prepared in advance and uniformly mixed into the predetermined drug or its preliminary composition, so that various kinds of the desired pharmaceutical composition can be easily obtained.
[0045] In the present invention, the nano-bubbles having nano-sized diameters which are introduced into the pharmaceutical composition can be formed by using various known nano-bubble generating devices. In particular, a device having a gas-permeable film formed by generating crazes in a high molecular resin film is advantageously used. The gas-permeable film permits release of a predetermined gas under control of the amount of gas permeation so as to form the nano-bubbles. Such a device is disclosed in Japanese Patent Nos. 3806008 and 5390212, for example.
[0046] Among the known devices, in the present invention, a nano-bubble generating device comprising the following is preferably selected: a cylindrical gas-permeable portion having a gas-permeable film formed by generating crazes in a high molecular resin film arranged on its gas-permeable cylindrical outer circumferential surface, wherein a predetermined pressurized gas is ejected under the control of an amount of permeation of the gas through the gas-permeable film; gas blowing means for blowing the pressurized gas into the cylinder of the cylindrical gas-permeable portion; a cylindrical casing which has an inside diameter larger than the outside diameter of the cylindrical gas-permeable portion and which is open at its opposite ends; and fluid flowing means for permitting a predetermined fluid to flow through a fluid passage provided by a gap formed by accommodating the cylindrical gas-permeable portion within the cylindrical casing. In the above-described device, bubbles formed by the gas ejected from the gas-permeable outer circumferential surface of the gas-permeable portion are sheared and micronized by the fluid flowing through the fluid passage at an early stage of generation, whereby the minute bubbles (nano-bubbles) having the nano-meter diameters, high internal pressures and negative charges, are effectively formed.
[0047] Referring to the cross sectional view of
[0048] In the nano-bubble generating device 10, a gas-introducing passage 22 and a fluid-introducing passage 24 are provided within the base 12 independently of each other. The gas-introducing tube 18 is attached to one open end portion of the gas-introducing passage 22 in the base 12, while to the other side of open end portion of the gas-introducing passage 22, a proximal end portion of the gas-permeable member 14 is gastightly attached. The fluid-introducing tube 20 is attached to one open end portion of the fluid-introducing passage 24 in the base 12, while the casing 16 is attached to the base 12 concentrically with the gas-permeable member 14 such that the other open end of the fluid-introducing passage 24 is open to the cylindrical inside of the casing 16.
[0049] The casing 16 has an inside diameter larger than an outside diameter of the cylindrical gas-permeable member 14, and is in the form of the cylinder open at its opposite ends, so that when one end of the casing 16 is fixed to a predetermined fixing part of the base 12, a difference between the outside diameter of the cylindrical gas-permeable member 14 and the inside diameter of the cylindrical casing 16 causes a predetermined gap to be formed between the outer circumferential surface of the gas-permeable member 14 (gas-permeable surface) and the inner circumferential surface of the casing 16. This gap provides a fluid passage 26.
[0050] As shown in the cross sectional view of
[0051] The crazed film 30 constituting the gas-permeable member 14 is a gas-permeable film obtained by subjecting a high molecular resin film to a conventional crazing treatment to generate crazes and thereby giving the resin film gas permeability, as disclosed in Japanese Patent Nos. 3156058 and 5390212. Generally, the crazed film exhibits a water repellent property, and has a known structure having a multiplicity of minute pores which permit permeation of a gas but do not permit permeation of water or any other liquid, and a gel solution.
[0052] The high molecular resin used for the crazed film 30 may be selected from polyolefin, polyester, polyamide, styrene resins, polycarbonate, halogen-contained thermosetting resins, and nitrile resins, for example. Specific examples of the above-indicated resins may be those as disclosed in Japanese Patent No. 3806008, for example. The crazed film 30 is formed from one of those resin materials or a combination of two or more of the resin materials. It is noted that the crazed film 30 may consist of a single layer or a plurality of layers superposed on each other.
[0053] The thickness of the crazed film 30 is not particularly limited, but is generally selected within a range of 0.5-1000 m, preferably within a range of 1-800 m, and more preferably within a range of 2-500 m. The crazes formed in the crazed film 30 basically take the form of stripes extending almost parallel to the direction of molecular orientation of the high molecular resin film, each stripe having a width within a range of 0.5-100 m, preferably within a range of 1-50 m. A ratio of the number of crazes in the form of stripes formed through the entire thickness of the film in terms of the total number of the crazes is preferably at least 10%, more preferably at least 20%, and further preferably at least 40%. Where the percentage of the number of the crazes formed through the film is lower than the above-indicated lower limit, the crazed film is less likely to assure a sufficient degree of gas permeability. The other properties of the crazed film 30, other structural features of the crazes, and the method of production of the crazes are similar to those described in Japanese Patent No. 3806008.
[0054] When the desired nano-bubbles are generated by using the nano-bubble generating device 10, a liquid such as a pressurized water the pressure of which is regulated and which is delivered by a delivering device like a delivering pump is passed through the fluid-introducing tube 20 and the fluid-introducing passage 24, and introduced into the fluid passage 26 formed between the outer circumferential surface (gas-permeable surface) of the gas-permeable member 14 and the inner circumferential surface of the cylindrical casing 16. Meanwhile, a gas such as a compressed air the pressure of which is regulated by a compressor (not shown) or a gas such as a pressurized air the pressure of which is regulated and which is delivered by a pressure-resistant cylinder (not shown) or the like is passed through the gas-introducing tube 18 and the gas-introducing passage 22, and introduced into the inside of the cylindrical member 28 of the gas-permeable member 14, by way of the open end portion of the gas-permeable member 14. Then, through multiple gas inlet holes 28a formed on the cylindrical member 28 of the gas-permeable member 14, the pressurized gas permeates through the crazes in the crazed film 30 placed on the outer circumferential surface of the gas-permeable member 14, which crazed film 30 can regulate the amount of permeation of the gas. The pressurized gas is then ejected into the fluid passage 26 so as to form the bubbles. The bubbles are subjected to shearing and micronization at the early stage of formation by a flow of the fluid passing through the fluid passage 26, whereby the nano-bubbles are generated. The gas introduced through the gas-introducing tube 18 is generally an air. However, it is noted that any known gas such as nitrogen, argon and helium can be used as long as the gas does not dissolve in or react with the fluid introduced through the fluid-introducing tube 20.
[0055] In the case where the gas is the air, the nano-bubble generating device 10 permits easy introduction of the nano-bubbles with a size of 10 nm-5 m, specifically not larger than 1000 nm, more specifically not larger than 500 nm in general, into the fluid like water passed through the fluid passage 26. Among the generated minute bubbles, large bubbles which can be seen by the eyes come to the surface of the fluid and disappear. On the other hand, minute nano-bubbles with a size of not larger than 1000 nm, which are difficult to be seen by the eyes, have a low degree of buoyancy, so that the nano-bubbles stay in the fluid, with a sort of motion like the Brownian motion, whereby the fluid containing a large amount of the nano-sized minute bubbles can be advantageously obtained. In addition, the nano-bubbles obtained as described above are given a high internal pressure due to their surface tension and are negatively charged.
[0056] In the nano-bubble generating device 10, the liquid containing the predetermined nano-bubbles can be advantageously obtained by using a liquid such as water, a solvent and various kinds of solution as a fluid introduced through the fluid-introducing tube 20. By mixing such liquid containing the nano-bubbles with the predetermined drug or the preliminary composition in the form of a liquid or a gel containing the drug, the pharmaceutical composition capable of accelerated penetration into the affected region according to the present invention is easily obtained. In the case where the fluid introduced through the fluid-introducing tube 20 is a liquid containing a predetermined drug dissolved or dispersed therein, the nano-bubbles are generated directly in the drug-containing liquid so that the desired pharmaceutical composition capable of accelerated penetration into the affected region can be obtained directly. Furthermore, the fluid introduced through the fluid-introducing tube 20 can be a predetermined drug or a preliminary composition in the form of a gel containing the predetermined drug. In this case too, the desired pharmaceutical composition capable of accelerated penetration into the affected region can be obtained.
[0057] Meanwhile, the amount of inclusion of the nano-bubbles in the nano-bubble-containing liquid or gel composition obtained as described above can be increased by repeatedly reintroducing the nano-bubble-containing liquid or gel composition flowing from an outlet portion of the nano-bubble-containing fluid in the nano-bubble generating device 10, more specifically from a liquid outlet 34, namely from an outlet opening of the casing 16, into the nano-bubble generating device 10 through the fluid-introducing tube 20 so that the nano-bubbles are generated through the gas-permeable member 14 and contained in the nano-bubble-containing liquid or gel composition, whereby the liquid or gel composition having a desired concentration of the nano-bubbles can be obtained, so that the pharmaceutical composition containing the predetermined size of the nano-bubbles within the preferable range of concentration can be advantageously obtained.
[0058] The drug used in the present invention is selected from known drugs according to purposes and is used in the form of a liquid or a gel. Especially, the pharmaceutical composition according to the present invention is advantageously applied for dental therapy. The drug is induced toward the affected region by the advantageous effect of accelerated penetration of the pharmaceutical composition achieved by the nano-bubbles contained therein, so that the intended drug effectively penetrates into the target penetration region affected by tooth decay and the like.
[0059] Described more specifically, with respect to a pharmaceutical composition for dental therapy used in the case of damage or partial loss of the dental pulp, which is administered in the case of the damage or partial loss of the dental pulp and which permits formation of the dental pulp and/or dentin by causing differentiation of an odontoblast from a dental pulp cell in the portion to which the pharmaceutical composition is administered, examples of the drug include ones each containing as an effective ingredient at least one of MMPs (Matrix Metalloproteinase), BMPs (Bone Morphogenetic Protein), bFGF, G-CSF, CXCL14, MCP1, SDF-1, PDGF, GM-CSF, HGF, BDNF and NPY.
[0060] With respect to a pharmaceutical composition for dental therapy for treating tooth decay, which promotes sterilization, anti-inflammation and analgesia, or regeneration of the dentin, dental pulp or periodontal tissue, at least one drug is selected from: sodium hypochlorite; hydrogen peroxide; formalin cresol; formalin guaiacol; phenol; phenol camphor; parachlorophenol camphor; cresatin; guaiacol; cresol; iodine tincture; an EDTA product; calcium hydroxide; tetracycline hydrochloride; ampicillin; imipenem; panipenem; vancomycin; chloramphenicol; PBSS; PBSC; ofloxacin; levofloxacin; metronidazole; cefaclor; ciprofloxacin; minocycline; imidazole; a cathepsin K inhibitor; BMPs; bFGF; G-CSF; CXCL14; MCP1; SDF-1; PDGF; GM-CSF; HGF; BDNF and NPY. Meanwhile, drugs used for the root canal or dental caries therapy may include, in addition to the above-indicated drugs: sodium fluoride; sodium fluorophosphate; stannous fluoride; an acidic phosphate fluoride solution (APF); xylitol; POs-Ca (phosphorylated oligosaccharide calcium) and hydroxyapatite.
[0061] With respect to a pharmaceutical composition for periodontal disease, which promotes sterilization, anti-inflammation and analgesia, or regeneration of the periodontal tissue, at least one drug is selected from: iodine tincture; an EDTA product; calcium hydroxide; tetracycline hydrochloride; ampicillin; imipenem; panipenem; vancomycin; chloramphenicol; PBSS; PBSC; ofloxacin; levofloxacin; metronidazole; cefaclor; ciprofloxacin; minocycline; imidazole; a cathepsin K inhibitor; BMPs; bFGF; G-CSF; CXCL14; MCP1; SDF-1; PDGF; GM-CSF; HGF; BDNF; NPY and Emdogain.
[0062] Furthermore, with respect to a pharmaceutical composition for dental therapy for treating alveolar pyorrhea, which cures hyperesthesia, at least one drug is selected from: potassium nitrate; oxalic acid; a diamine silver fluoride product; copal resin; sodium fluoride; zinc chloride; a water-soluble aluminium compound; a water-soluble calcium compound; BMPs and bFGF.
[0063] In addition, with respect to a pharmaceutical composition for dental therapy used in oral and implant care, which promotes sterilization, anti-inflammation and analgesia, recalcification of tooth, or regeneration of the periodontal tissue, at least one drug is selected from: benzalkonium; chlorhexidine gluconate; sodium N-lauroylsarcosinate; isopropylmethyl phenol; -aminocaproic acid; sodium hypochlorite; hydrogen peroxide; formalin cresol; formalin guaiacol; phenol; phenol camphor; parachlorophenol camphor; cresatin; guaiacol; cresol; iodine tincture; an EDTA product; calcium hydroxide; tetracycline hydrochloride; ampicillin; imipenem; panipenem; vancomycin; chloramphenicol; PBSS; PBSC; ofloxacin; levofloxacin; metronidazole; cefaclor; ciprofloxacin; minocycline; imidazole; a cathepsin K inhibitor; BMPs; bFGF; G-CSF; CXCL14; MCP1; SDF-1; PDGF; GM-CSF; HGF; BDNF and NPY, for example.
[0064] Further, at least one drug for use for periodontal disease therapy is selected from: isopropylmethyl phenol; thymol; clove oil; dipotassium glycyrrhizinate; allantoin; hinokitiol; cetylpyridinium chloride; panthenol; tocopherol acetate; sodium lauroyl sarcosine; tranexamic acid; -aminocaproic acid; bisphosphonate; tetracycline; presteron; minocycline; doxycycline; ofloxacin; levofloxacin; metronidazole; amoxicillin; a cathepsin K inhibitor; chlorhexidine; hypochlorous acid; BMPs; bFGF and Shoyo (a product of Kobayashi Pharmaceutical Co., Ltd., Japan).
[0065] The pharmaceutical composition containing the nano-bubbles according to the present invention may be applied for animals as well as the humans. In particular, the pharmaceutical composition is used in the field of dental or medical therapy via a mucous membrane or a skin, for the purposes of sterilization, disinfection, anti-inflammation and analgesia, protection of a mucous membrane and a skin, and the like. Particular application methods of the pharmaceutical composition include, with respect to the dental therapy, for example, use of devices such as a syringe for the dental therapy, a plate for the dental therapy and a nebulizer so as to introduce the intended drug into the target region, thereby permitting prevention of dental diseases, curing of dental caries, periodontal diseases, hyperesthesia and the like, and further regeneration of the dental tissue.
[0066] Described more specifically, as the syringe for the dental therapy used in the above-described application method, one of the following is selected: a syringe for introduction of the drug into the root canal, which is inserted into the root canal and introduces the drug into the root canal; a syringe for caring the dental caries used for introducing the drug into the region affected by the dental caries; a syringe for caring the periodontal diseases used for introducing the drug into the region affected by the periodontal disease; a syringe for caring the hyperesthesia used for introducing the drug into the region affected by the hyperesthesia, and the like. Meanwhile, as the plate for the dental therapy used in the above-described application method, one of the following is selected: a plate for oral care used for introducing the drug to the teeth in the oral cavity or the entirety of the periodontal tissue; a plate for caring an affected tooth, which is used for partially introducing the drug to the portions affected by the hyperesthesia or periodontitis around the implant, and the like.
[0067] Introduction of the drug into the target region by the nebulizer is performed such that the pharmaceutical composition containing the nano-bubbles in the form of a mist is absorbed into a fibrous absorbent such as a non-woven fabric, a woven fabric, a fabric or a Japanese paper, and applying it to the affected region, so that effective penetration of the drug into the affected region is achieved. The absorbent is attached to the affected region according to conventional methods. It goes without saying that the pharmaceutical composition containing the nano-bubbles and in the form of a mist can be sprayed directly to the affected region without using the fibrous absorbent such as the non-woven fabric, the woven fabric, the fabric or the Japanese paper, thereby permitting immediate penetration of the drug.
[0068] Described in more detail, the pharmaceutical composition in the form of a liquid or a gel containing nano-sized minute bubbles is introduced into the apical area or lateral branch side of the root canal by using the syringe for introduction of the drug into the root canal, and the pharmaceutical composition described above is introduced into the periodontal pocket by using a syringe for caring the periodontal diseases. Furthermore, the pharmaceutical composition is introduced into a defective part of the dental enamel by using the syringe for caring the hyperesthesia.
[0069] The target region of introduction of the drug performed by the above-described syringe for the dental therapy include, for example, at least one of the periapical lesion of the apical area, the root canal (including a blocked or curved root canal), the accessory canal, the lateral branch, the dentin tubule, the periodontal pocket and a defective part of the dental enamel.
[0070] The pharmaceutical composition containing the nano-bubbles according to the present invention may be applied to the affected region as an administrative agent in the form of a capsule comprising the pharmaceutical composition within its soluble outer shell, as known in the art. In addition, the pharmaceutical composition may be sprayed and subjected to absorption into the fibrous absorbent such as the non-woven fabric, the woven fabric, the fabric or the Japanese paper, and applied to the affected region. Furthermore, the pharmaceutical composition may be applied by directly spraying it to the affected region. Application of the pharmaceutical composition according to the present invention by spraying in the form of a mist permits prevention of the infectious disease in general.
[0071] In particular, the pharmaceutical composition containing the nano-bubbles according to the present invention exhibits an advantage with respect to a sterilization treatment of the target region. Such target region is not particularly limited, and a tooth or a periodontal tissue is advantageously selected as the target region. Especially, the pharmaceutical composition is effectively used for caring the periapical lesion of the apical area, the root canal (including the blocked or curved root canal), the accessory canal, the lateral branch, the dentin tubule, the periodontal pocket and a defective part of the dental enamel.
[0072] Meanwhile, the drug used in the above-described treatment is not particularly limited as far as it is capable of disinfection or sterilization of the target region, or capable of enlarging and cleaning of the root canal. Examples of such drug include: a solution of sodium hypochlorite; a solution of hydrogen peroxide; a formalin product (such as formalin cresol and formalin guaiacol); a phenol product (such as phenol, phenol camphor, parachlorophenol camphor, cresatin, guaiacol and cresol); an iodine product (iodine tincture); a solution of calcium hydroxide and an EDTA product (such as Smearclean, which is a 3% EDTA solution, and MORHONINE, which is an edetate disodium).
[0073] Also an antibacterial agent, antibiotics or a factor for cell proliferation/differentiation can be selected as the drug. For example, the following can be used: tetracycline hydrochloride; ampicillin; imipenem; panipenem; vancomycin; chloramphenicol; PBSS; PBSC (penicillin for gram-positive bacteria, bacitracin for penicillin-resistant strain, Streptomycin for gram-negative bacteria and sodium caprylate for yeast); ofloxacin; levofloxacin; metronidazole; cefaclor; ciprofloxacin; imidazole; a cathepsin K inhibitor; BMPs; bFGF; and the like.
Examples
[0074] To clarify the present invention more specifically, some examples of the present invention will be described. However, it is to be understood that the present invention is by no means limited by the details of the illustrated examples and that the invention may be embodied with various changes, modifications and improvements not described below in the examples, and above in the detailed description, which may occur to those skilled in the art without departing from the spirit and scope of the invention.
[0075] [Experiment 1]
[0076] In Vitro Sterilization Test of the Root Canal Using an Extracted Canine Front Tooth
[0077] The root canal of an extracted canine front tooth was subjected to enlargement by removal of the root canal wall using a reamer #60, and subjected to removal of a smear layer with an EDTA product (Smearclean: a product of Nippon Shika Yakuhin Co., Ltd., Japan). Then, the inside of the root canal was dried with a cotton plug, and the apical hole was filled with a self-curing resin. Subsequently, a kanamycin-resistant E. faecalis labeled by Green Fluorescence Protein (GFP) cultured within a liquid culture medium of Brain Heart Infusion (BHI) was injected into the root canal, and the root canal was temporarily sealed with an impression material and a film. Then, the kanamycin-resistant E. faecalis was subjected to an aerobic culture at a temperature of 37 C. in a humid environment for seven days, such that a deep part of the root canal was infected.
[0078] Meanwhile, 2 L of distilled water as a fluid was introduced under a predetermined pressure through the fluid-introducing tube (20) of the nano-bubble generating device (10) shown in
[0079] Subsequently, the temporary sealing material was removed from the above-described infected root canal, and the root canal was irrigated with 5 mL of the saline. Then, the inside of the root canal was dried by using a sterilized paper point, and subjected to treatments under the following conditions A)-E). It is noted that the nano-bubble water was used in the following treatments after it was subjected to filtration and sterilization.
[0080] A) An experimental control (no injection into the root canal)
[0081] B) 20 L of a pharmaceutical composition having an ampicillin concentration of 10 mg/mL and obtained by mixing 50 parts by volume of the nano-bubble water and 50 parts by volume of an ampicillin solution was injected into the root canal, and the root canal was left for 5 minutes.
[0082] C) 20 L of a pharmaceutical composition having an ampicillin concentration of 10 mg/mL and obtained by mixing 50 parts by volume of the nano-bubble water and 50 parts by volume of an ampicillin solution was injected into the root canal, and the root canal was left for 10 minutes.
[0083] D) 20 L of a pharmaceutical composition having an ampicillin concentration of 10 mg/mL and obtained by mixing 99 parts by volume of the nano-bubble water and 1 part by volume of an ampicillin solution was injected into the root canal, and the root canal was left for 5 minutes.
[0084] E) 20 L of a pharmaceutical composition having an ampicillin concentration of 10 mg/mL and obtained by mixing 99 parts by volume of the nano-bubble water and 1 part by volume of an ampicillin solution was injected into the root canal, and the root canal was left for 10 minutes.
[0085] For confirming the amount of the bacteria existing within the root canal, each of the root canals subjected to the above treatments was cleaned with the sterilized saline with respect to its inside and dried by using the sterilized paper point. Then, the root canal was subjected to injection of the saline and sliced to a thickness of about 300 m after two days of the aerobic culture of the bacteria under a humid environment. The sliced root canal was observed through a confocal laser microscope to measure a range within which GFP-labeled fluorescence-emitting E. faecalis was observed, and an effect of mixing of the nano-bubble water was evaluated.
[0086] As is apparent from the observation images shown in
[0087] [Experiment 2]
[0088] In Vivo Sterilization Test of a Tooth Having an Infected Root Canal Using Nano-Bubbles and an Antibacterial Drug
[0089] A front tooth of a dog under general anesthesia was subjected to opening of the pulp chamber according to the conventional method, and its root canal was enlarged with the reamer #60. The root canal was left for 15 days in an open state with a pledget being placed on its orifice, so that an artificial infected root canal was prepared. After the first extraction of bacteria was performed to confirm the number of bacteria before the operation, the infected root canal was repeatedly irrigated by using 2 ml of a 3-5% solution of sodium hypochlorite and 2 ml of a 3% solution of hydrogen peroxide in turn, and further irrigated with saline. Subsequently, the inside of the root canal was dried by using the sterilized paper point. The dried root canal was subjected to injection of a solution of Vibramycin wherein Vibramycin was added to the nano-bubble water prepared in the above Experiment 1 in a concentration of 35 g/mL, and was left for 5 minutes. Afterward, the root canal was subjected to irrigation with saline, medical application of the above-described solution of Vibramycin having the concentration of 35 g/mL by the paper point, and temporary sealing with a filling (stopping) and a composite resin. After removal of the temporary sealing and the second extraction of bacteria performed one week after the medical application, the operation consisting of the following steps was performed in the same manner as described above: the irrigation by using the solution of sodium hypochlorite and the solution of hydrogen peroxide in turn; the injection of the above solution of Vibramycin and subsequent leaving for 5 minutes; and the medical application of the solution of Vibramycin using the paper point and the temporary sealing. Subsequently, one week after the above operation, the third extraction of bacteria was performed, followed by the operation described above. Further subsequently, the fourth extraction of bacteria was performed, followed by the operation described above. Then, one week after the fourth operation, the fifth extraction of bacteria was performed, in advance of a stem cell transplantation of the dental pulp.
[0090] On the other hand, as a control group, the first extraction through the fifth extraction of bacteria were performed as described above by using an antibacterial drug solution (without nano-bubbles) wherein the concentration of Vibramycin was adjusted to 35 g/ml with saline, in place of the above-described solution of Vibramycin.
[0091] Each of the samples subjected to the extraction of bacteria was inoculated to a blood agar based on a limiting dilution method, and the number of bacteria was counted after 5 days of anaerobiotic culture. The results are shown in
[0092] As is apparent from
[0093] [Experiment 3]
[0094] In Vivo Regeneration of the Dental Pulp and Periapical Tissue of a Tooth Having an Infected Root Canal Using Nano-Bubbles and an Antibacterial Drug
[0095] The inside of the infected root canal of a tooth subjected to the operation described in the Experiment 2 was irrigated by using 2 ml of a 3-5% solution of sodium hypochlorite and 2 ml of a 3% solution of hydrogen peroxide in turn. Then, the root canal was irrigated with 5 mL of saline, exposed to an EDTA product (Smearclean) for 60 seconds, further irrigated with saline, and dried by using the sterilized paper point.
[0096] Meanwhile, 510.sup.5 autologous stem cells of dental pulp, which were collected by an induced mobilization method and frozen after 6 generations of subculturing, were suspended in 20 L of Atelocollagen Implant (a product of Koken Co., Ltd., Japan), and further 1.5 L of a 100 g/mL solution of Granulocyte-Colony Stimulating Factor (G-CSF) was suspended therein, so that the obtained suspension was injected into the root canal. Then, a gelatin sponge for hemostasis (Spongel: a product of Astellas Pharma Inc., Japan) was put onto the root canal, and its cavity was sealed with a glass ionomer cement (FUJI IX: a product of GC Corporation, Japan) and a composite resin (CLEARFIL MAJESTY LV: a product of Kuraray Noritake Dental Inc., Japan).
[0097] 14 days after the transplantation of the above stem cells of the dental pulp, the tooth including its periapical tissue was removed from the dog. Then, a paraffin section of a thickness of about 5 m in its vertical section was prepared from the tooth according to the conventional method, which paraffin section was subjected to Hematoxylin-Eosin staining (HE staining), so as to be subjected to observation of its form to confirm whether the dental pulp was formed or not. Immunostaining operations were performed by lectin with respect to angiogenesis, and by PGP 9.5 with respect to neurite outgrowth. In addition, differentiation of an odontoblast-like cell adhering to the side wall was examined by in situ hybridization of Dentin Sialophosphoprotein (DSPP) and Enamelysin.
[0098] As shown in
[0099] On the other hand, as shown in
[0100] According to the above results, it is recognized that mixing of the nano-bubbles into the pharmaceutical composition permits a dramatical effect with respect to the regeneration of the dental pulp, dentin or periodontal tissue within the tooth having the infected root canal.
[0101] [Experiment 4]
[0102] In Vivo Decrease of the Number of Bacteria within a Periodontal Pocket by Using Both of Nano-Bubbles and an Antibacterial Disinfecting Drug
[0103] An affected tooth (maxillary) of a research subject was subjected to removal of dental plaque with a pledget, and to extraction of bacteria by insertion of a #25 paper point into each of 5 points in the periodontal pocket on its buccal side. The extracted bacteria was put into a special cup (DU-AC-02NP-H: a product of Panasonic Corporation, Japan) and subjected to measurement with respect to its number by using a bacterial counter (DU-AC-01NP-H: a product of Panasonic Corporation, Japan).
[0104] 5 drops of ConCool (a 0.05% solution of chlorhexidine gluconate: a product of Weltec Corporation, Japan) were added to 25 mL of sterilized distilled water, and further a sterilized gel (Ultrasound transmission gel, Aquasonic 100: Parker Lab. Inc., U.S.A.) was added at a ratio of 1/25, so that a ConCool dilution was prepared. The dilution was injected into the dental pocket on the buccal side of the affected tooth. After one minute, the research subject was made to gargle, and the affected tooth was dried by air. Then, the extraction of bacteria was performed at 5 points within the periodontal pocket on the buccal side to count the number of bacteria, as described above.
[0105] Furthermore, a ConCool dilution having the same concentration as the above (the 1/25 concentration of the gel) was prepared so as to contain the nano-bubble water prepared by the method as in the case of Experiment 1 at a ratio of 50 volume % and injected into the periodontal pocket on the buccal side of the affected tooth by using a tip. After one minute, the research subject was made to gargle, and the affected tooth was dried by air. Then the extraction of bacteria was performed at 5 points within the periodontal pocket on the buccal side to count the number of bacteria, as described above.
[0106] As a result of the above operations, the number of bacteria, which had been 1.010.sup.7 CFU/mL before the operation, was reduced to approximately 1/3, namely 310.sup.6 CFU/mL, by using the ConCool dilution without the nano-bubbles. Furthermore, it was recognized that the ConCool dilution containing the nano-bubbles permitted dramatic reduction of the number of bacteria to an undetectable degree, proving an advantageous effect of the nano-bubbles to reduce the number of bacteria within the periodontal pocket with respect to the periodontal diseases.
[0107] [Experiment 5]
[0108] In Vivo Decrease of the Number of Bacteria within the Periodontal Pocket by Applying Nano-Bubbles and an Antibacterial Disinfecting Drug by Using a Plate
[0109] First, a plate (mold) for covering the entirety of the maxillary premolar portion of a dog was made from a silicone impression material in the form of a paste. Each of the second and third maxillary premolars of the dog was subjected to removal of dental plaque with a pledget, and to extraction of bacteria by using a #25 paper point from each of 2 points in the periodontal pocket on its buccal side. The sample of bacteria was preserved in a sterile and anaerobic state within a solution of PLADIA (available from Showa Yakuhin Kako Co., Ltd., Japan) as a transport solution.
[0110] Subsequently, 5 drops of ConCool (a 0.05% solution of chlorhexidine gluconate: a product of Weltec Corporation) were added to 25 mL of sterilized distilled water, and further a sterilized gel (Ultrasound transmission gel, Aquasonic 100: Parker Lab. Inc., U.S.A.) was added at a ratio of 1/10, so that a ConCool dilution (a gel solution) was prepared. After application of this gel solution to the part of the plate corresponding to the second maxillary premolar, the plate was put on the dog to cover the entirety of its maxillary premolar portion, and the second maxillary premolar was subjected to the effect of the gel solution for 5 minutes. Then, the second maxillary premolar was irrigated by the sterilized saline and dried by air. Then, the extraction of bacteria was performed at 2 points within the periodontal pocket on the buccal side. A sample of the extracted bacteria was preserved within a PLADIA solution.
[0111] Furthermore, a ConCool dilution having the same concentration as the above (the 1/10 concentration of the gel) was prepared so as to contain the nano-bubble water prepared by the method as in the case of Experiment 1 and was further subjected to filtration and sterilization by a filter. After application of this gel solution to the part of the plate corresponding to the third maxillary premolar, the plate was put on the dog to cover the entirety of its maxillary premolar portion, and the third maxillary premolar was subjected to the effect of the gel solution for 5 minutes. As in the case of the above, the third maxillary premolar was then irrigated by the sterilized saline and dried by air. Then the extraction of bacteria was performed at 2 points within the periodontal pocket on the buccal side. A sample of the extracted bacteria was preserved within a PLADIA solution.
[0112] Each of three samples subjected to the extraction of bacteria and preserved as described above was inoculated to a blood agar based on a multiple-dilution method, and the number of colonies was counted after 5 days of anaerobiotic culture. A statistical treatment was performed with a non-parametric test. The results are shown in
[0113] As is apparent from the results shown in
[0114] [Experiment 6]
[0115] In Vivo Verification of Safety of Nano-Bubbles
[0116] A front tooth of a dog under general anesthesia was subjected to opening of the pulp chamber according to the conventional method, and its root canal was enlarged with a reamer #45. Then, the root canal was repeatedly irrigated by using a 3-5% solution of sodium hypochlorite and a 3% solution of hydrogen peroxide in turn, and further irrigated with saline. Subsequently, the inside of the root canal was dried by using the sterilized paper point. The dried root canal was subjected to injection of the nano-bubble water, and was left for 5 minutes. After further irrigation with saline, the root canal was temporarily sealed by using a glass ionomer cement (FUJI IX: a product of GC Corporation, Japan) and a composite resin (CLEARFIL MAJESTY LV: a product of Kuraray Noritake Dental Inc., Japan). After one week and after two weeks, the temporary sealing was removed and the irrigation was performed by using the solution of sodium hypochlorite and the solution of hydrogen peroxide in turn. Furthermore, the nano-bubble water was injected as in the case of the first operation.
[0117] Three weeks after the first injection of the nano-bubble water, the tooth including its periapical tissue was removed from the dog. Then, a paraffin section of a thickness of about 5 m in its vertical section was prepared from the tooth according to the conventional method, which paraffin section was subjected to HE staining, so as to be subjected to observation of its form. In addition, every one week after the first injection of the nano-bubble water, a blood sample was taken from the dog in order to evaluate toxicity of the nano-bubble water. As a result, as shown in
[0118] [Experiment 7]
[0119] In Vivo Verification of an Effect of Accelerated Penetration of a Drug into Skin, Mucous Membrane and Gingiva Achieved by Nano-Bubbles
[0120] With respect to a dog under general anesthesia, each of its well-dried skin, mucous membrane and gums was subjected to dripping of a drug solution containing the nano-bubble water and tetracycline (088K0680: Sigma, U.S.A.) at a ratio of 4.5 g/mL. The nano-bubble water was prepared by the same method as in Experiment 1. Subsequently, 5 minutes after the dripping of the drug solution, the dripped drug solution was removed, and each part was collected for preparing a frozen sample in the vertical section. As an experimental control, a liquid obtained by diluting tetracycline with water was subjected to dripping as described above and frozen samples were prepared after 5 minutes as described above.
[0121] The thus obtained samples were observed through a fluorescent microscope, using a property of tetracycline to generate fluorescence by irradiation of an ultraviolet ray. As a result, it was found that the effect of penetration of the drug was increased advantageously with respect to the frozen samples subjected to the dripping of the drug solution containing the nano-bubble water, as compared with the frozen samples obtained by using the water as a diluting medium.
INDUSTRIAL APPLICABILITY
[0122] The pharmaceutical composition capable of accelerated penetration into an affected region according to the present invention contains the nano-sized minute bubbles exhibiting an excellent effect of the accelerated penetration, and thus has a characteristic of permitting a desired drug to be directed deep into the target region such as a tooth decay, for example, and to effectively penetrate into the target region. Besides, this characteristic contributes to the penetration of the drug not only for the humans but also for animals. Furthermore, according to the present invention, the nano-sized minute bubbles may be included in various kinds of liquid (including a liquid in the form of a gel) to exhibit the effect of accelerated penetration of the drug. The effect of accelerated penetration is advantageously utilized for spray in the field of agriculture and horticulture, for surface modification of materials in various industries, and for other purposes.
DESCRIPTION OF NUMERALS
[0123] 10 nano-bubble generating device [0124] 12 base (base stand) [0125] 14 gas-permeable member [0126] 16 casing [0127] 18 gas-introducing tube [0128] 20 fluid-introducing tube [0129] 22 gas-introducing passage [0130] 24 fluid-introducing passage [0131] 26 fluid passage [0132] 28 cylindrical member [0133] 28a gas inlet hole [0134] 30 crazed film [0135] 32 binding string