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JPH01279836A - Remedy for cornea - Google Patents

Remedy for cornea

Info

Publication number
JPH01279836A
JPH01279836A JP63105495A JP10549588A JPH01279836A JP H01279836 A JPH01279836 A JP H01279836A JP 63105495 A JP63105495 A JP 63105495A JP 10549588 A JP10549588 A JP 10549588A JP H01279836 A JPH01279836 A JP H01279836A
Authority
JP
Japan
Prior art keywords
fibronectin
cornea
remedy
hyaluronic acid
treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP63105495A
Other languages
Japanese (ja)
Inventor
Kiyoshi Kita
喜多 喜代司
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP63105495A priority Critical patent/JPH01279836A/en
Publication of JPH01279836A publication Critical patent/JPH01279836A/en
Pending legal-status Critical Current

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  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

PURPOSE:To obtain a remedy for cornea capable of curing the wound of anterior epithelium of the cornea by the application to the cornea and correcting the visual acuity by the use of the remedy as a buffering agent for a contact lens by bonding fibronectin to a solid containing polymeric hyaluronic acid. CONSTITUTION:A remedy for cornea is produced by bonding fibronectin to a corneal protection agent composed of a solid containing polymeric hyaluronic acid. Fibronectin has a function to bond with a fibrous protein such as collagen. Since collagen is the main component of cornea, the above remedy for cornea is effective in remedying prolonged defect of the anterior epithelium of the cornea. The period of treatment can be shortened compared with other drug free from fibronectin. The visual acuity can be improved since a contact lens can be used during the treatment period. The fibronectin is separated from the solid according to the dissolution of the hyaluronic acid and is dissipated after remaining to the surroundings to prolong the active period of the drug.

Description

【発明の詳細な説明】 [産業上の利用分野] 本発明のフィブロネクチンを接着した高分子ヒアルロン
酸含有固形体はヒト角膜の治療のための医療に関する。
DETAILED DESCRIPTION OF THE INVENTION [Industrial Field of Application] The polymeric hyaluronic acid-containing solid material to which fibronectin is adhered according to the present invention relates to medical treatment for the treatment of human corneas.

[従来技術の説明] 従来、遷延性角膜上皮創傷の治療には、コンドロイチン
硫酸のような粘性物質の点眼、眼軟膏盗人による強制閉
瞼、眼瞼縫合術、あるいは治療用ソフトコンタクトレン
ズの連続装用などの、外界から角膜への刺激を減らし、
上皮欠損が自然に修復するのを待つと言う方法と、フィ
ブロネクチンの点眼により角膜上皮細胞の再生を促進さ
せようとする方法がある。
[Description of the Prior Art] Conventionally, persistent corneal epithelial wounds have been treated by instillation of viscous substances such as chondroitin sulfate, forced lid closure by eye ointment thieves, lid suturing, or continuous wearing of therapeutic soft contact lenses. , reducing irritation to the cornea from the outside world,
There are two methods: waiting for the epithelial defect to repair naturally, and another method using fibronectin eye drops to promote regeneration of corneal epithelial cells.

[解決しようとする問題点] しかし、種々の治療に抵抗する難治性角膜上皮障害の治
療にはこれら従来の治療方法では長期間の治療となる場
合が多い。
[Problems to be Solved] However, these conventional treatment methods often require long-term treatment for intractable corneal epithelial disorders that resist various treatments.

その上、治療期間中は視力矯正に困難を伴う場合が多く
、角膜上皮の早期治癒が望まれている。
Moreover, it is often difficult to correct vision during the treatment period, and early healing of the corneal epithelium is desired.

[問題点を解決する手段] そこで、角膜上皮創傷の治療を行うためにフィブロネク
チンを接着した高分子ヒアルロン酸を含有した固形体を
角膜上に装用する。そして、この固形体を緩衡剤として
コンタクトレンズを装用して視力矯正を行う。
[Means for Solving the Problems] Therefore, in order to treat corneal epithelial wounds, a solid body containing a polymeric hyaluronic acid to which fibronectin is adhered is worn on the cornea. Then, vision correction is performed by wearing contact lenses using this solid body as a buffering agent.

[実施例] ヒアルロン酸は人の血液中にも多量にあるN−アセチル
グルコサミンとグルクロン酸が交互に結合し、構成され
ている高分子多糖類で生体適合性があるため、医薬品と
して用いても人体の拒否反応はほとんど無い、 ヒアル
ロン酸はを椎動物の結合組織の中でも鎖帯、関節液およ
び硝子体に高濃度で存在する。 この医薬品としてその
粘弾性、保水性、透明性を持つ生体高分子化合物として
のヒアルロン酸ナトリウム溶液は、関節治療剤および、
眼科医の前眼部手術補助剤となっている。 そして、よ
り高濃度で製膜化、ゲル化、或いは固形化したヒアルロ
ン酸ナトリウムは緑内障や網膜剥離の治療剤、そして角
膜保護剤としての利用が試みられている。
[Example] Hyaluronic acid is a high-molecular polysaccharide composed of alternating bonds of N-acetylglucosamine and glucuronic acid, which are present in large amounts in human blood, and is biocompatible, so it can be used as a drug. There is almost no rejection reaction by the human body.Hyaluronic acid exists in high concentrations in the connective tissues of vertebrates, such as the chain strands, synovial fluid, and vitreous body. This pharmaceutical sodium hyaluronate solution, which is a biopolymer compound with viscoelasticity, water retention, and transparency, is a joint treatment agent and
It is used as an aid for anterior segment surgery by ophthalmologists. Sodium hyaluronate, which has been formed into a film, gelled, or solidified at a higher concentration, is being used as a therapeutic agent for glaucoma and retinal detachment, and as a corneal protectant.

本発明では、高分子ヒアルロン酸を含有した固形体で角
膜保護剤としたものにフィブロネクチンを接着させ、角
膜上皮細胞の再生を促進させようとしたものである。 
 。
The present invention aims to promote the regeneration of corneal epithelial cells by adhering fibronectin to a solid material containing polymeric hyaluronic acid and serving as a corneal protective agent.
.

フィブロネクチンは血液中のグロブリン分画に存在し、
低温にすると沈殿する糖蛋白質として1970年に始め
て分離精製された。 フィブロネクチンは細胞の接着、
伸展や移動を制御する接着性蛋白質であるのみならず、
その他にも多くの機能を持つ多機能蛋白質であることが
明確になってきている。 フィブロネクチンの分子は、
22〜25万の分子量を持つほぼ同じサブユニット2個
がジスルフィド結合(S−3結合)によって連結してダ
イマー(2量体)を形成している。 フィブロネクチン
は唾液中に存在するフィブリン、フィブリノーゲンある
いはコラーゲンなとの!l維性蛋白質と結合する機能が
あり、コラーゲン、プロテオグリカン、ヒアルロン酸、
など細胞間質に存在する分子や、細胞膜に存在するフィ
ブロネクチン受容体などに対して特異的な幾つかの結合
部位を持っている。
Fibronectin is present in the globulin fraction in the blood.
It was first isolated and purified in 1970 as a glycoprotein that precipitates when exposed to low temperatures. Fibronectin promotes cell adhesion,
It is not only an adhesive protein that controls extension and movement, but also
It is becoming clear that it is a multifunctional protein with many other functions. The fibronectin molecule is
Two almost identical subunits with a molecular weight of 220,000 to 250,000 are linked by a disulfide bond (S-3 bond) to form a dimer. Fibronectin is fibrin, fibrinogen, or collagen that exists in saliva! It has the function of binding to fibrous proteins such as collagen, proteoglycans, hyaluronic acid,
It has several specific binding sites for molecules present in the interstitium of cells, such as fibronectin receptors present in cell membranes.

このフィブロネクチンは細胞が移動するための基質とし
て機能すると同時に、細胞を誘引する化学定性因子とし
ても機能している。 この機能として創傷治癒が上げら
れる。 創傷部に存在するフィブロネクチンにより、創
傷部への線維芽細胞の移動が促進される。 フィブロネ
クチンの濃度のより高いほうに向かって、線維芽細胞が
移動する。
This fibronectin functions as a substrate for cell migration, and at the same time, it also functions as a chemoqualitative factor that attracts cells. This function includes wound healing. Fibronectin present at the wound site promotes fibroblast migration to the wound site. Fibroblasts migrate toward higher concentrations of fibronectin.

角膜の主成分がコラーゲンであると言う事と、フィブロ
ネクチンに創傷治癒機能があると言うことより、遷延性
角膜上皮欠損の治療に臨床応用されている。 フィブロ
ネクチン点眼療法は上皮細胞の接着性に作用し、上皮欠
損部の再被覆を促進するが、抗ウィルス作用や、抗生物
質のような殺菌作用はないと言われている。
Because collagen is the main component of the cornea and fibronectin has a wound healing function, it has been clinically applied to treat persistent corneal epithelial defects. Fibronectin eye drops affect the adhesion of epithelial cells and promote the recoating of epithelial defects, but it is said to have no antiviral effect or bactericidal effect like antibiotics.

つまり、原因疾患が治療された後にも持続するような遷
延化した角膜上皮障害が最も適当なフィブロネクチンの
適応であり、フィブロネクチンは角膜上皮のリハビリテ
ーションに極めて有効であると言える。 また、高濃度
の点眼剤を用いたほうがより高い有効率を示し、治療に
要した日数もより短縮すると報告されている。
In other words, the most appropriate indication for fibronectin is a prolonged corneal epithelial disorder that persists even after the causative disease has been treated, and it can be said that fibronectin is extremely effective in rehabilitating the corneal epithelium. It has also been reported that the use of high-concentration eye drops shows a higher efficacy rate and reduces the number of days required for treatment.

本発明では、このフィブロネクチンの創傷治癒効果と、
フィブロネクチンと結合部位を持つヒアルロン酸とを接
着し、角膜治療剤としたものである。
In the present invention, the wound healing effect of fibronectin,
Fibronectin and hyaluronic acid, which has a binding site, are bonded together to form a corneal treatment agent.

精製あるいは製造したヒアルロン酸及びフィブロネクチ
ンは、高純度とする。 純度が低いと、フィブロネクチ
ンはヒアルロン酸以外のコラーゲンや細胞などとの結合
部位でその不純物と接着し、生理活性の度合いが低下す
る。
Purified or manufactured hyaluronic acid and fibronectin should be of high purity. When purity is low, fibronectin adheres to impurities at binding sites with collagen other than hyaluronic acid, cells, etc., and the degree of physiological activity decreases.

[発明の効果] 以上説明したように高分子ヒアルロン酸を含有した固形
体にフィブロネクチンを接着させた角膜治療剤を角膜上
皮創傷治癒に使うことにより、他の、フィブロネクチン
を使用しない治療方法より治癒日数を短縮する事が出来
る。
[Effects of the Invention] As explained above, by using a corneal treatment agent in which fibronectin is adhered to a solid body containing polymeric hyaluronic acid for corneal epithelial wound healing, the healing time is longer than that of other treatment methods that do not use fibronectin. can be shortened.

そして、この治療期間中の患者の視力矯正にコンタクト
レンズが使用できるので、視力の改善が行える。 なお
、角膜上での装用時に、高分子ヒアルロン酸含有固形体
のヒアルロン酸が機械的な分解作用により徐々に低分子
化され、溶解すると共にフィブロネクチンがこの高分子
ヒアルロン酸含有固形体より分離し、その周囲に滞留し
、その後、流失するので、薬効時間を長く保つことがで
きる。
Since contact lenses can be used to correct the patient's vision during this treatment period, the patient's vision can be improved. In addition, when worn on the cornea, the hyaluronic acid in the solid body containing high molecular weight hyaluronic acid is gradually reduced to a lower molecular weight by mechanical decomposition, and as it dissolves, fibronectin is separated from this solid body containing high molecular weight hyaluronic acid. Since it stays around the area and then washes away, the drug's effectiveness can be maintained for a long time.

Claims (1)

【特許請求の範囲】[Claims] 高分子ヒアルロン酸を含有した固形体にフィブロネクチ
ンを接着した事を特徴とする角膜治療剤。
A corneal treatment agent characterized by adhering fibronectin to a solid material containing high molecular weight hyaluronic acid.
JP63105495A 1988-04-30 1988-04-30 Remedy for cornea Pending JPH01279836A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP63105495A JPH01279836A (en) 1988-04-30 1988-04-30 Remedy for cornea

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP63105495A JPH01279836A (en) 1988-04-30 1988-04-30 Remedy for cornea

Publications (1)

Publication Number Publication Date
JPH01279836A true JPH01279836A (en) 1989-11-10

Family

ID=14409181

Family Applications (1)

Application Number Title Priority Date Filing Date
JP63105495A Pending JPH01279836A (en) 1988-04-30 1988-04-30 Remedy for cornea

Country Status (1)

Country Link
JP (1) JPH01279836A (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5654267A (en) * 1988-12-20 1997-08-05 La Jolla Cancer Research Center Cooperative combinations of ligands contained within a matrix
US5789462A (en) * 1995-09-13 1998-08-04 Seikagaku Kogyo Kabushiki Kaisha (Seikagaku Corporation) Photocured crosslinked-hyaluronic acid contact lens
US5955578A (en) * 1988-12-20 1999-09-21 La Jolla Cancer Research Foundation Polypeptide-polymer conjugates active in wound healing
WO2003007969A1 (en) * 2001-07-17 2003-01-30 Baylor College Of Medicine Bio-compatible molecules for improving vision
JP2007063218A (en) * 2005-09-01 2007-03-15 Teika Seiyaku Kk Agent for treatment of corneal disease

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5654267A (en) * 1988-12-20 1997-08-05 La Jolla Cancer Research Center Cooperative combinations of ligands contained within a matrix
US5830504A (en) * 1988-12-20 1998-11-03 La Jolla Cancer Research Foundation Cooperative combinations of ligands contained within a matrix
US5955578A (en) * 1988-12-20 1999-09-21 La Jolla Cancer Research Foundation Polypeptide-polymer conjugates active in wound healing
US5789462A (en) * 1995-09-13 1998-08-04 Seikagaku Kogyo Kabushiki Kaisha (Seikagaku Corporation) Photocured crosslinked-hyaluronic acid contact lens
WO2003007969A1 (en) * 2001-07-17 2003-01-30 Baylor College Of Medicine Bio-compatible molecules for improving vision
JP2007063218A (en) * 2005-09-01 2007-03-15 Teika Seiyaku Kk Agent for treatment of corneal disease

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