WO2004104187A1 - Fibroblast and method of culturing the same - Google Patents
Fibroblast and method of culturing the same Download PDFInfo
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- WO2004104187A1 WO2004104187A1 PCT/JP2004/006746 JP2004006746W WO2004104187A1 WO 2004104187 A1 WO2004104187 A1 WO 2004104187A1 JP 2004006746 W JP2004006746 W JP 2004006746W WO 2004104187 A1 WO2004104187 A1 WO 2004104187A1
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- fibroblasts
- culture
- collected
- blood
- skin
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
- C12N5/00—Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
- C12N5/06—Animal cells or tissues; Human cells or tissues
- C12N5/0602—Vertebrate cells
- C12N5/0652—Cells of skeletal and connective tissues; Mesenchyme
- C12N5/0656—Adult fibroblasts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/60—Materials for use in artificial skin
Definitions
- the present invention relates to a portion of cells excised from a living body, particularly to fibroblasts derived from dermal tissue of skin and a method for culturing the same.
- skin cells particularly fibroblasts
- matrix matrix
- the injected fibroblasts will not be sufficiently injected. Do not grow.
- a medium for example, skin pieces having cells to be cultured are placed on a substance called a medium, and cultured in an environment similar to that of a living body.
- a medium various types are commercially available.
- a medium called a mammalian cell culture basic medium is used.
- the present invention has been made in view of the above points, and is a fibroblast capable of culturing cells of a tissue excised from a living body, particularly fibroblasts, in a required amount while having biocompatibility. It is intended to provide a cell culture method and fibroblasts obtained by the culture method.
- the culture method of the present invention includes at least a part of the same blood to be collected in the incubator having fibrin deposited on the culture surface. Filling the fibroblasts into the incubator filled with the liquid medium; and culturing the introduced fibroblasts.
- a sheet made of a polymer material derived from a living body for example, fibrin is spread.
- the cultured cells do not penetrate the polymer material sheet (for example, fibrin sheet) and adhere to the bottom of the casing (the Petri dish 20). It is very easily recovered from the member for use.
- the polymer material sheet for example, fibrin sheet
- blood autologous blood
- a living body having skin cells (fibroblasts) to be cultured.
- the step of coagulating the blood (autologous blood) Collecting blood (eg, by centrifugation) and crushing the collected (coagulated) blood (autologous blood) (eg, physically, by aspirating it into a syringe and pushing it out with a needle)
- the collected (coagulated) blood for example, blood extruded from an injection needle
- the culturing method of the present invention relates to a method of culturing a blood sample collected from the same collection target as described above in an incubator having a biocompatible polymer mounted on the culturing surface. Filling a liquid culture medium containing at least a part thereof; a step of introducing the fibroblasts into the incubator filled with the liquid medium; and a step of culturing the introduced fibroblasts. ; Characterized by having; Further, the biocompatible polymer is preferably a low-temperature sensitive polymer.
- the medium used in the first aspect of the present invention preferably contains serum collected from the same collection target. This makes it possible to obtain fibroblasts that are more compatible with the same collection target.
- the first aspect of the present invention it is possible to obtain more biocompatible cells by culturing and proliferating while being in contact with the extremely biocompatible material used for cell culture. .
- the fibroblast according to the present invention is obtained by the same collection method as described above, wherein the fibroblast is cultured using a liquid medium containing at least a part of blood collected from a collection target. Derived from the subject. This “at least a part” is preferably the same collected serum as the fibroblasts derived from the collected subject.
- liquid medium or medium in the present invention a basic medium for culturing a mammalian cell can be used, and for example, a force including DMEM, RPMI1640, HANKS, Fl2, and the like is not limited thereto. Not.
- the amount of the component for example, autologous blood 26
- proteins such as growth factors such as FGF contained in blood.
- Insufficient components albumin
- the amount of blood (autologous blood) collected from the living body relative to the medium (24) is too large, the amount of the medium (24) becomes relatively small, which is necessary for culturing skin cells contained in the medium.
- Some nutrients such as liquid nutrients such as amino acids and carbohydrates, are deficient.
- the above-described ratio (4% 50%) of the blood (autologous blood 26) to the medium (24) is preferable.
- target cells particularly fibroblasts, that do not cause rejection can be proliferated, and can be easily recovered from the culture systems.
- the blood by adding blood collected from a living body having skin cells (fibroblasts) to be cultured to a culture medium, the blood can be added to a conventional culture medium.
- the protein contained and the components (albumin) required to maintain the osmotic pressure of blood and culture solution are provided in the culture device.
- fibroblasts having particularly strong regenerative power grow and grow very well.
- proteins contained in blood and components (albumin) necessary for maintaining the osmotic pressure of blood and culture solution are supplied by blood collected from other living bodies, bovine serum, or the like. It may be possible to do so.
- the proliferated cells are contaminated by contaminants that may cause toxicity to the proliferated cells, such as blood collected from other organisms or pathogens contained in bovine serum. There is a risk that it will.
- a culture case for containing the above-mentioned casing filled with a culture medium and autologous blood, wherein the culture case has an internal temperature of about 37 ° C and about 5% of carbon dioxide.
- the atmosphere is preferably configured to have an atmosphere containing.
- the cells to be cultured are cultured in an atmosphere close to the in-vivo environment, so that the conditions for multiplying are established.
- FIG. 1 is a diagram illustrating an embodiment of collecting skin pieces.
- FIG. 2 is a process diagram illustrating a processing procedure before culturing.
- FIG. 3 is a cross-sectional view illustrating a main part of the culture device of the present invention.
- FIG. 4 is a perspective view illustrating the structure of a culture case used in the present invention.
- FIG. 5 is a perspective view showing an embodiment in which fibroblasts are collected from a culture device.
- FIG. 6 is a view showing a step of mixing fibroblasts with a substrate.
- FIG. 7 is a view showing a step of mixing fibroblasts and a substrate, which is a step subsequent to FIG. 5;
- FIG. 8 is a view showing a state where a filling material is sucked into a syringe.
- FIG. 9 is a view showing a state where a filling material is injected subcutaneously.
- FIG. 10 is a view showing a filling material after subcutaneous injection.
- FIG. 11 is a diagram of a first stage showing an embodiment in which the proliferated fibroblasts are collected.
- FIG. 12 is a diagram of a second stage showing an embodiment of collecting the fibroblasts shown in FIG. 11.
- FIG. 13 is a diagram of a third stage showing an embodiment of collecting the fibroblasts shown in FIGS. 11 and 12.
- a 3 mm square piece of skin (indicated by reference numeral 10 in FIG. 1) is collected or excised.
- Other parts that can be collected include, in addition to the ear, the oral cavity, axilla, and thigh, but are not limited to these.
- the skin piece 10 is collected (or excised) so as to include the dermis layer. As described later, this is for isolating fibroblasts that migrate by dermal layer culture.
- the portion behind the ear Y as a place where the skin piece 10 is collected "(12) is usually a place which is not affected by ultraviolet rays, and therefore, skin cells including fibroblasts are included. This is because it is a place where the condition is well maintained. At the same time, the marks (scratches) from which skin pieces were collected are noticeable.
- a 3 mm square piece of skin 10 may be collected from a portion other than the portion behind the ear Y.
- the skin piece 10 to be collected was set to "3 mm square".
- the size of the skin piece to be collected is not limited to “3 mm square” unless it is too large and not too small.
- This RINSE solution is added to prevent the skin pieces from drying and killing the cells. Have been calo. However, if the amount of RINSE solution is too large, the skin pieces to be treated will sink in the RINSE solution, making the treatment difficult. From such a viewpoint, the amount of the RINSE solution of “3 m LJ” was set for the “60 mm dish”.
- physiological saline can be used instead.
- general additives such as glucose and vitamins used for cell culture are used. It is preferable to use a RINSE solution containing nutrients such as foods.
- the washing solution is a solution prepared for washing the skin pieces, and is adjusted so that the osmotic pressure and the mineral composition match the cells of the collected skin pieces.
- the RINSE solution can be prepared on a case-by-case basis, but a commercially available product can also be used.
- RINSE solutions include physiological saline, Kreps Ringer's solution, phosphate buffer solution (PBS), and the like, but are not limited thereto.
- step S1 the amount of the RINSE solution "20 mL" is an amount exemplified as a necessary and sufficient amount for washing and removing foreign substances attached to the collected skin pieces 10. If the amount is too small, the skin piece 10 cannot be sufficiently washed. However, if the amount of use is increased too much, it is uneconomical because the skin piece 10 to be cleaned has a small size of 3 mm square.
- the amount of the RINSE solution is not limited to 20 mL as long as the skin pieces 10 can be sufficiently washed to remove the deposits, and the amount does not cause ecology. Absent
- Step S2 the skin piece 10 from which the adhered substance has been removed by washing is put into a dish having an inner diameter of 60 mm containing 3 mL of the RINSE solution.
- the RINSE solution is added to the skin in order to prevent the skin pieces from drying and killing the cells. However, if the amount of RINSE solution is too large, the skin pieces to be treated will sink in the RINSE solution, making the treatment difficult. From such a viewpoint, the amount of the RINSE solution of “3 m LJ” was set for the “60 mm dish”.
- Step S3 It is possible to substitute physiological saline if the processing operation is short, but if the operation is performed over a long period of time, a common addition such as glucose and vitamins used for cell culture is used. It is preferable to use a RINSE solution containing nutrients such as foods. Then, using a surgical knife or the like, the washed skin piece 10 is cut into small pieces having a diameter of about lmm (Step S3).
- the minced skin pieces are transferred together with the RINSE solution to another container (for example, a 50-mL volume Serum tube, and pipetted with a 10-mL pipette (Step S4). This is performed to sufficiently disperse the minced skin pieces and thoroughly wash each of the minced skin pieces.
- another container for example, a 50-mL volume Serum tube, and pipetted with a 10-mL pipette (Step S4). This is performed to sufficiently disperse the minced skin pieces and thoroughly wash each of the minced skin pieces.
- step S5 centrifugation is performed for 5 minutes at 100,000 rpm using a centrifuge (not shown) (step S5).
- step S6 discard the supernatant, add lOmL of new RINSE solution (Step S6), centrifuge again, and centrifuge at lOOOOrpm for 5 minutes (Step S7). .
- Steps S5 and S7 are performed to collect the skin pieces shredded by the surgical knife in step S3. These steps are performed to sufficiently collect only the desired shredded skin pieces.
- the shredded skin pieces are scattered in the RINSE solution, it is difficult to collect them as they are. However, if centrifugation is performed in the steps shown in steps S5 to S7, the shredded skin pieces are separated from the RINSE solution and the like, and are extremely easily collected. In addition, in order to efficiently collect only the intended skin pieces, the centrifugation is performed at 100 rpm for 5 minutes as described above. It is not limited.
- the skin pieces having a diameter of about lmm were This is because fibroblasts, which have a greater degree of freedom in cells in the dermis layer, are more likely to migrate when dispersed in the dermis.
- Step S7 When the centrifugation in Step S7 is completed, 3 mL of the RINSE solution is added to the precipitate containing the cells (Step S8), and the entire amount of the pellet containing the cells and the RINSE solution is transferred to a cell culture dish ( Step S 9). The petri dish for cell culture will be described later in detail. [0064] Thus, the pre-processing is completed.
- step S9 the temperature is set to 37 ° C in an atmosphere of 5% CO.
- step S10 Leave to stand for at least 2 days, and then aseptically culture the cells in the petri dish for at least 2 weeks (step S10).
- step S10 is a stage in which cells are already cultured, and it cannot be called pretreatment. In that sense, in FIG. 2, step S10 is only marked with parentheses, and is clearly different from steps S1 and S9 surrounded by a square frame.
- Step S9 a culture apparatus for culturing a Petri dish for cell culture (Step S9) to which the collected skin debris has been transferred will be described with reference to FIG.
- Fig. 3 represented as a cross-sectional view, this culturing apparatus is indicated by reference numeral 10 as a whole, and a culturing surface 32 of a commercially available petri dish 20 made of glass, synthetic resin, or the like is provided with a high molecular material.
- a layer made of 22 is formed, and contains a mixture of a cell culture medium 24 and autologous blood 26, and a skin strip is formed on the layer of the polymer material 22. 30 is placed.
- the culture surface 32 of the Petri dish 20, which serves as the casing of the culture device is provided with a layer made of a polymer material (for example, fibrin, collagen, platelet-rich plasma, CMC, etc.) 22, and has a high density.
- a skin strip 30 is placed on a layer of molecular material 22.
- a cell culture medium (basic culture medium for mammalian cells: hereinafter, simply referred to as "medium” in the present specification) 24 and a patient from whom skin pieces 10 were collected in the step shown in FIG.
- a mixture 25 in which the own blood (autologous blood) 26 is inseparably mixed is filled in an area above the layer of the polymer material 22 on which the skin strip 30 is placed.
- Autologous blood 26 does not clot because it is a serum component collected from heparin.
- the ratio of the autologous blood 26 to the culture medium 24 is 4% 50%.
- reference numeral 27 denotes a migrating fibroblast.
- the culture vessel having the above-described configuration is accommodated in a culture case 100 as shown in FIG. 4, and the atmosphere in the culture case 100 is adjusted to various conditions as described with reference to step S10 in FIG. Is adjusted to an atmosphere that satisfies the conditions, ie, an atmosphere of a temperature of 37 ° C. and 5% CO.
- the cells in the jar are cultured aseptically. As a result, the dermal layer fibroblasts of the skin strip 30 migrate.
- the reason for allowing the fibroblasts to stand still for 2 days or more is to release the fibroblasts, solidify the scaffold, and stabilize the original culture state. It is necessary at least for culturing. During the culture period, the mixture 25 is replaced with a fresh one at least twice a week, preferably daily.
- FIG. 4 a plurality of Petri dishes 20 for culturing fibroblasts by filling the above-described medium with autologous blood therein are accommodated in a culture case 100.
- This petri dish 20 is placed on the bottom 104 of the culture case 100 via a door 102.
- the culture case 100 has a temperature sensor 106, and the inside of the culture case 100 communicates with an analysis means 108 for analyzing the air composition in the case 100.
- the internal temperature and composition of the culture case 100 are set to predetermined values (temperature 37 ° C, 5% CO 2).
- a setting means 110 is provided for maintaining at 2.
- the adjusting means 110 is in communication with the carbon dioxide supply source 112 via a pipe 114, and the pipe 1
- An adjustment valve 116 is interposed in 14.
- the analysis means 108 oscillates a control signal based on the analysis result of the air composition in the culture case 100, and the preparation valve 116 receives the control signal and determines the opening.
- the carbon dioxide concentration in the culture case 100 was 5. / 0 so that it is maintained at
- the measurement result of the temperature sensor 106 is used as a control unit of the adjusting means 110 (for example,
- HEPA filter 120 has a HEPA filter 120 and a temperature control means (for example, an air conditioner) 122, and the heating amount of the heater 122 is controlled by the control unit 118.
- a temperature control means for example, an air conditioner
- the air (outside air) supplied inside is sterilized and dust-removed by the filter 120 and is suitable for cell culture.
- the air is cleaned.
- the carbon dioxide supplied from the carbon dioxide supply source 112 via the pipe line 114 mixes with the cleaned air.
- the temperature of the cleaned air and carbon dioxide is adjusted to 37 ° C by air conditioner 122. Then, the solution is supplied into the culture case 100 through the conduit 124.
- the inside of the culture case 100 is maintained in an atmosphere of 37 ° C and 5% CO.
- the culture case 100 is not limited to the size shown in FIG.
- a case where the entire room (sterile room) is used as the culture case 100 is also included.
- Fibroblasts constitute interstitial tissue interposed between parenchymal cells of each organ having a high proliferative capacity, have a spindle type, and are derived from the mesenchymal system (in the future, interstitial cells). Cells), which mainly produce collagen proteins.
- Fibroblasts are differentiated into fibroblasts. Usually, fibroblasts and fibroblasts are mixed, and both synthesize and secrete collagen fibers inside the cells.
- fibroblasts in vivo are to repair and maintain stromal cells, and in the process of repairing wounds and inflammation, they proliferate vigorously and produce elastic fibers such as collagen and proteodalican. And responds to repair and defense reactions of the body.
- Such properties are favorable for the above-mentioned treatment, ie, treatment for filling a concave portion formed in the skin (treatment for cosmetic purposes: for example, removing wrinkle lines, repairing a dent part due to an accident or the like).
- the medium 24 contains some nutrients necessary for culturing skin cells. Specifically, it contains liquid nutrients such as amino acids and carbohydrates.
- the conventional culture medium 24 does not include proteins contained in blood or components (albumin) necessary for maintaining the osmotic pressure of blood or culture solution. [0095] Therefore, the autologous blood 26 is filled.
- the medium 24 and / or the autologous blood 26 alone do not satisfy the conditions necessary for culturing skin cells (fibroblasts).
- DMEM Dulbecco's Modified Eagle Medium: commercially available from Invitrogen Corporation
- the table shows the DMEM compositions of usable culture media.
- composition of the medium such as the amount of glucose, the amount of amino acids (particularly glutamic acid), vitamins, mineralella, etc., matches the conditions of fibroblasts, a medium other than DMEM, such as ME
- the inventor also carried out experiments in a case where the culture was performed only with a medium (DMEM) and in a case where the culture was performed with only autologous blood.
- DMEM medium
- Table 2 shows a comparison between the results of such an experiment and the case where fibroblasts were cultured by adding autologous blood to the medium 24 as shown in Fig. 3.
- the amount of autologous blood 26 is sufficient for 10 mL, which is known from the experimental results of the inventors in the past.
- the amount of autologous blood 26 may be less than 10 mL.
- proteins and components albumin
- the Petri dish 20 as shown in FIG. 3 is operated in an atmosphere at a temperature of 37 ° C. and 5% C ⁇ 2 (similar to the environment in a human body). Incubate for at least 2 days and then aseptically culture for about 2 weeks. As described above, the Petri dish 20 as shown in FIG. 3 is placed in a culture case 100 (FIG. 4) at a temperature of 37 ° C. under an atmosphere of 5% CO (an atmosphere similar to the environment in a human body). And conventional
- the culture conditions are the same, as shown in the results of Table 1 above), and the cells are allowed to stand for 2 days or more, and then are subjected to aseptic culture for about 2 weeks.
- fibroblasts of the skin strip 30 divide and proliferate, and migrate from the dermis layer of the collected skin strip.
- fibroblasts divide and proliferate, they extend downward (so-called “stretched” state) and reach the bottom of petri dish 20. Then, when the fibroblasts are further divided and proliferated, when the cultured fibroblasts are collected from the petri dish 20, the cultured fibroblasts adhere to the bottom of the petri dish 20 and cannot be removed therefrom. If such a situation occurs and the cultured fibroblasts cannot be collected, or if the fibroblasts attached to the bottom of the Petri dish 20 are forcibly removed and the fibroblasts are destroyed. In addition, the fibroblasts cultured for a long time cannot be used effectively.
- a layer made of a high molecular material (eg, fibrin sheet) 22 is formed on the bottom of the petri dish 20.
- Proliferated fibroblasts grow downward and attach on a layer of polymeric material (eg, fibrin sheet) 22. Few fibroblasts that have grown downward penetrate the layer of polymeric material 22 and reach the bottom of the Petri dish 20.
- the proliferated fibroblasts can be easily peeled off from the Petri dish 20 without destroying the fibroblasts and recovered.
- Table 3 shows the results of recovering (proliferating) fibroblasts when the fibrin sheet 22 was spread on the bottom of the Petri dish 20, and the Petri dish 20 was directly filled with the medium 24, and the fibrin sheet 22 was not spread. The recovery results in the case are shown in comparison.
- the "recovery rate" was determined by the naked eye by preparing 20 Petri dishes in which fibroblasts were cultured, and those with fibrin sheets spread and those without fibrin sheets. The number of Petri dishes in which fibroblasts cultured within the possible range were collected was expressed as a percentage of the total number of Petri dishes (20).
- the "fraction of cells destroyed” refers to the number of petri dishes that fibroblasts adhered to the bottom wall or side wall and could not be detached and collected as a percentage of the total number of petri dishes (20). It is expressed by
- a layer made of the polymer material 22 is formed of a so-called “fibrin sheet” will be described.
- the collected (coagulated) autologous blood is placed in a syringe and physically crushed by pushing it out of a syringe needle. In this state, if the petri dish is spread on the bottom, a layer of the fibrin sheet 22 is formed on the bottom of the petri dish.
- Autologous blood 26 (Fig. 3) used for culture together with medium 24 is subjected to "heparin blood sampling” so as not to coagulate.
- Blood is collected from the patient from whom the skin fragments have been collected, and centrifuged at the stage where coagulation has started 2-3 hours after the blood collection. If the coagulated clot (coagulated clot) of the collected blood has settled down, the upper uncoagulated component is spread on a medium (eg, a nutrient medium such as a common amino acid).
- a medium eg, a nutrient medium such as a common amino acid
- the "non-coagulated component” is mostly serum, plasma, and other small amounts of leukocytes.
- the “non-coagulated component” when the “non-coagulated component” is spread on a medium, the “non-coagulated component” is dispersed.
- the remaining amount of fibrin contained in the "" is gradually solidified on the ground, forming a thin film, that is, a fibrin sheet.
- the fibrin sheet thus formed may be spread on the bottom of the petri dish as shown in FIG.
- the number of fibroblasts is about several hundred at the beginning of the culture, and after several hundred fibroblasts are released and proliferated sufficiently to reach the above-mentioned number of cells, The patient from whom the skin strip was collected). That is, the cultured or proliferated fibroblasts are injected from a petri dish 20 as shown in FIG. The injected fibroblasts grow at the injected site and produce collagen to repair wounds, wrinkles, and other dents in the patient.
- a three-dimensional structure that serves as a "scaffold” is required even after being injected into a patient (living body).
- the injected fibroblasts do not grow sufficiently and the amount of collagen production is low. It will be connected.
- the fibroblasts are mixed with a substrate for providing a three-dimensional structure (matrix) for fibroblast growth.
- the base materials used are as follows.
- Hespander / Dextran in (1) above has an osmotic pressure equal to or higher than that of blood and is commercially available as a plasma substitute.
- commercially available amino acid preparations as nutrients for fibroblast growth such as moripron (trade name: product of Ajinomoto Pharma Co., Ltd.), Hybleamine (hy-pleamin: trade name: Fuso Pharmaceutical Co., Ltd.) It is preferable to use a mixture of products of the formula company).
- Collagen or hyaluronic acid of the above (2) is a common injection used for injection into wrinkles. It has the advantage that a temporary anti-wrinkle effect can be obtained even if fibroblasts do not proliferate.
- Fibroblasts produce collagen, but the fibroblasts of the patient's own are cultured in the patient's own blood (autologous blood), and the fibroblasts proliferated in this way produce collagen. Disease and other pathogens.
- the fibrin of the above (3) is most suitable as the base material.
- the PRP in the above (4) is plasma containing a large amount of platelets and platelet-derived growth factors contained in autologous blood. (How to collect PRP from patients. Claim!
- CMC in item (5) above is a material used in breast augmentation, for example. Having biocompatibility has the following advantages.
- PLA Poly lactic acid
- lactic acid is a substance produced by fermenting starch and sugars such as corn potatoes with lactic acid bacteria and combining them by chemical treatment, and is derived from plants. As a biocatalyst with low allergenicity, it has the effect of promoting the self-production of collagen.
- the fibroblasts 31 cultured in the dish 20 are aspirated by an instrument 40 such as a pipette or a syringe.
- an instrument 40 such as a pipette or a syringe.
- a fibrin sheet is spread on the bottom of the petri dish 20, so that the fibroblasts 30 are easily detached from the petri dish 20 without adhering to the petri dish, and the inside of the instrument 40 is removed. Is sucked.
- the fibroblasts aspirated by the device 40 are transferred into a shaking container 42 such as a test tube as shown in FIG.
- the above-described base material 34 is further put into the container 42 by an instrument 44 such as a pipette or a syringe.
- the ratio of fibroblasts to the substrate can be up to about 1: 4 to 4: 1, and can be mixed, for example, at 1: 1. However, this varies depending on the type of the base material and other conditions. For example, the mixing amount of a viscous base material such as hyaluronic acid may be small.
- the fibrin sheet (reference numeral 22 in FIG. 3; not shown in FIG. 5) spread on the bottom of the Petri dish 30 is also used with the instrument 40. When sucked, it is not necessary to newly add the substrate 34 to the container 44.
- the fibrin itself constituting the fibrin sheet acts extremely effectively as a base material (as described above), so it is sufficient to put the fibrin sheet sucked by the device 40 into the container 44 together with the fibroblasts 30. Because.
- a machine such as a shaker is not used because there is a risk that fibroblasts may be crushed by mechanical shaking.
- the bottom side can be shaken to the extent that cells are not crushed, hygiene considerations are sufficient, and if the labor can be reduced compared to manual HH, mechanical shaking should be performed. Is also good.
- the substrate (or matrix) and the fibroblasts that is, the mixture of the fibroblasts and the substrate, which have been shaken by the process shown in Fig. 7, are inhaled into the syringe as the filling material 50 (Fig. 8).
- the filling material 50 which is a mixture of fibroblasts and the base material, is provided with a concave portion 55 (for example, a wound, a wrinkle, a defect caused by an accident, etc.) formed on the skin S of a living body. Is injected into the area below (the subcutaneous part).
- the concave portion on the skin S (the concave portion 55B shown by a dotted line in Fig. 9) is the same as the other portions on the skin S as shown by reference numeral 55A in Fig. 9. It rises to the level and is restored.
- the fibroblasts injected subcutaneously as a composition of the filling material 50 because of the presence of the base material, grow steadily even at the injected site and produce collagen, which is an elastic fiber. Therefore, even if the injected fibroblasts have reached their end of life, they will divide and produce another fibroblast, and collagen production will continue. Then, the repaired portion 55A maintains the same level as other portions on the skin S.
- the cultured fibroblasts are removed from the Petri dish 20 (or collected and recovered: the process of Fig. 5) within a predetermined time (6 (Within hours), preferably immediately after mixing, is injected subcutaneously into a predetermined part of the living body (wounds, wrinkles, depressions, etc.) and filled with a syringe (FIG. 10).
- the fibroblasts recovered from the culture medium 24 of the Petri dish 20 are not supplied with necessary nutrients (unlike on the culture medium 24 containing autologous blood), and thus are recovered from the culture medium 24. Then, the cell activity decreases. Therefore, in order for the fibroblasts returned to the living body to grow and function sufficiently, it is more advantageous that the shorter the time from the recovery from the medium 24 to the return to the living body, the shorter the time.
- fibroblasts cultured in the medium 24 containing autologous blood 26 were recovered from the medium, and after 6 hours or more, they were returned to the living body. Cell activities necessary for growth have been lost.
- such a base material can provide favorable conditions for cell growth, and thus attenuates the deterioration of cell activity and reduces the medium power. After collecting fibroblasts, it is possible to specify the critical time until it is returned to the living body.
- Table 4 shows the experimental results regarding the critical time.
- Table 4 shows a comparison of the time required for fibroblasts to lose the required activity after recovery from the medium.
- the fibroblasts recovered from the medium can be easily stored.
- the mixture of fibroblasts and substrate recovered from the medium can be stored frozen.
- cultured fibroblasts, serum for cell preservation obtained from autologous blood, DMSO (Dimethyl Sulfoxide), and fibrin sheet (substrate) are mixed and rapidly cooled with liquid nitrogen, In that state, frozen storage becomes possible.
- Serum for cell preservation obtained from autologous blood can be obtained by adding "inactivation” to the serum.
- the operation of “inactivation” is an operation in which serum is heated at, for example, 55 ° C for 30 minutes.
- a factor for example, TGF-
- TGF- a factor that suppresses cell growth
- Use efficiency as nutrients can be increased.
- DMSO methyl methoxyethyl sulfate
- glycerin glycerol
- HES Hydroethyl Starch
- fibroblasts After being mixed with the base material serving as a scaffold and injected into a predetermined location in a living body, fibroblasts grow smoothly and proliferate, and at the same time, produce collagen to produce wounds, wrinkles, and injuries. It fills the internal space, such as the resulting recess, and restores it to the state (in a living body) before such scratches, wrinkles, and recesses were formed.
- the migrated fibroblasts are attached to the bottom of the Petri dish 20 and grow while solidifying the scaffold.
- the grown fibroblasts are peeled off from the bottom of the Petri dish 20, and in this case, the enzyme Trypsin (trade name: "Roche Inc. as a trypsin recombinant") was used. (Manufactured and sold by the company)), add about 25 mg if the diameter is 10 cm in a Petri dish, and incubate at 10 ° C-37 ° C for 10-20 minutes. Peel from the bottom of layer 20.
- Trypsin trade name: "Roche Inc. as a trypsin recombinant
- trypsin causes cytotoxicity when it is allowed to act for a long period of time. Therefore, trypsin should be used with the minimum necessary processing time. For example, the timing of removing the fibroblasts from the bottom of the Petri dish is not determined by the temperature or time, but by observing them under a microscope. When the blasts have become round, detach them from the bottom of the Petri dish.
- the detached fibroblasts are collected by suction with a pipette, and centrifuged at 800 rpm for 5 minutes using a centrifuge. Since the fibroblasts sediment, collect them and make them turbid with fresh medium (approximately 510 mL).
- the fibroblasts which are newly turbid in the medium, can be grown 10-fold by adjusting the relative concentration by, for example, dispersing them on 10 separate dishes and collecting the grown cells. .
- a predetermined number of fibroblasts are obtained by repeating the above procedure of collecting, centrifuging, turbidity, and culturing in a plurality of different dishes.
- the polymer sheet 22 may be a low-temperature sensitive polymer.
- the low-temperature sensitive polymer is a polymer sheet will be described with reference to FIGS.
- the control unit in FIG. A control signal is sent from 118 to the heating heater 122 to lower the internal temperature of the culture case 100 in which the Petri dish 20 is placed (the ambient temperature in which the Petri dish 20 is placed) to 37 ° C and 32 ° C. I do.
- fibroblasts detached from the sheet 22 and floated are indicated by reference numeral 27A.
- the ratio of autologous blood 26 to culture medium 24 in the mixture of cell culture medium 24 and autologous blood 26 contained in culture apparatus 10 according to the present invention is 4% — It was stated that it was 50%, but the ratio was determined from the experimental results shown in Table 5.
- the ratio of autologous blood 26 to culture medium 24 is less than 4%, the amount of blood (autologous blood 26) collected from a living body with respect to culture medium 24 is too small, and proteins contained in blood and blood Or the components (albumin) required to maintain the osmotic pressure of the culture medium.
- the ratio of autologous blood to the culture medium 24 is greater than 50%, the amount of blood (autologous blood 26) collected from a living body with respect to the culture medium is too large, and the amount of the culture medium 24 becomes relatively small.
- nutrients required for culturing skin cells such as liquid nutrients such as amino acids and carbohydrates.
- the ratio of autologous blood 26 to medium 24 was 4. / 0 — 50. / o is preferred.
- the fibroblasts are mixed with a base material for providing a three-dimensional structure (matrix) for fibroblast growth.
- a base material for providing a three-dimensional structure (matrix) for fibroblast growth.
- the ratio of fibroblasts to the above-described base material can be up to about 1: 4 to 4: 1, but such a ratio was obtained from the results shown in Table 6.
- the ratio of fibroblasts to substrate is 1: 4 (the ratio of fibroblasts in the mixture of fibroblasts and substrate is 20%) and -4: 1 (fibroblasts to substrate).
- the ratio of fibroblasts in the mixture with the above is about 80%) is presumed to be due to the following reasons.
- the above-mentioned ratio of fibroblasts to the substrate was 1: 4 (the ratio of fibroblasts in the mixture of fibroblasts and substrate was 20%) and -4: 1 (the ratio of The ratio of fibroblasts in the mixture with the substrate is preferably 80%).
- the ratio of fibroblast to base material was 1: 1 (fibroblast Particularly good results were obtained when the ratio of fibroblasts in the mixture of the substrate and the substrate was 50%).
- skin pieces (3 x 3 mm) were collected from the subject's ears.
- 50 mL of blood was collected from the above subjects. This blood was coagulated, and the obtained coagulated mass was pulverized by the above-mentioned method and applied to a cell culture dish to prepare a cell culture member.
- the collected blood was mixed with an equal amount of the DMEM medium to prepare a cell culture solution, which was cultured together with the skin pieces. Subculture was repeated as appropriate, and 1.5 ⁇ 10 7 obtained fibroblasts were suspended in 2 mL of physiological saline.
- 0.5 mL of PLA was added to this suspension to prepare a filling material. The entire amount was injected into the eye of the subject according to the method described above. Before injection, wrinkles due to aging were observed in the eyes. After about 8 weeks, the wrinkles disappeared. No significant inflammatory effect was observed at the injection site.
- Fibroblasts can be cultured in an environment where components (albumin) are present.
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Abstract
Description
明 細 書 Specification
線維芽細胞及びその培養方法 Fibroblast and culture method thereof
技術分野 Technical field
[0001] 本発明は、生体から切除された部分の細胞、特に皮膚の真皮組織に由来する線維 芽細胞及びその培養方法に関する。 The present invention relates to a portion of cells excised from a living body, particularly to fibroblasts derived from dermal tissue of skin and a method for culturing the same.
背景技術 Background art
[0002] 例えば、生体の皮膚に何らかの理由で凹部(傷、しわ、 自己による陥没等)が発生 した場合に、当該凹部が形成される以前の状態に復元あるいは修復することは、医 療分野、特に美容を主目的とする施術 (しわの線を取る、事故等でへこんだ箇所の 修復)として、非常に意義がある。 [0002] For example, when a depression (scratch, wrinkle, self-depression, etc.) occurs on the skin of a living body for some reason, restoring or restoring the state before the depression is formed is in the medical field, In particular, it is of great significance as a treatment mainly aimed at beauty (removing wrinkle lines, repairing dents in accidents, etc.).
[0003] そのような施術を行うために、人工皮膚 (例えば、 日本国特許出願公開公報 2001 -104346号明細書)を用いて行うことが考えられる。 [0003] In order to perform such treatment, it is conceivable to use artificial skin (for example, Japanese Patent Application Publication No. 2001-104346).
[0004] しかし、生体に人工皮膚のような人造物を取り込むことは、拒絶反応を惹起する可 能性があり、好ましくはない。 [0004] However, incorporation of artificial matter such as artificial skin into a living body is not preferable because rejection may occur.
[0005] また、人工皮膚や皮膚移植等の手法は、熱傷等で広範囲に皮膚が損傷された場 合にそれを補填するのが目的であり、皮膚が持つ外界からの防御隔離機能、最近感 染ゃ水分の維持、局所免疫等が欠損した場合に対処するものである。従って、しわ や事故等による凹部のように、皮膚の下の弾性繊維に欠損が生じた場合に対処する ことを本来的にはターゲットとはしていない。 [0005] Further, techniques such as artificial skin and skin transplantation are intended to compensate for widespread damage of the skin due to burns or the like. This is to cope with the case where the maintenance of dyed water and the local immunity are lost. Therefore, it is not originally targeted to deal with a case where a defect occurs in the elastic fiber under the skin, such as a wrinkle or a recess due to an accident.
[0006] これに対して、近年、皮膚の凹部の修復を目的とする生体(患者)の皮膚の細胞を 培養し、培養された皮膚細胞を上述したような凹部に充填して、当該凹部を周辺と同 一のレベルまで盛り上げて修復する技術(レ、わゆる「再移植」 )が行われてレ、る。 [0006] On the other hand, in recent years, cells of the skin of a living body (patient) for the purpose of repairing a concave portion of the skin are cultured, and the cultured skin cells are filled in the concave portion as described above, and the concave portion is filled. Techniques for restoring to the same level as the surrounding area (レ, so-called “re-transplantation”) have been implemented.
[0007] 係る技術であれば、再移植後に拒絶反応の問題が発生せず、皮膚下方の弾性繊 維の欠損に対処するのに好都合である。 [0007] With such a technique, the problem of rejection does not occur after re-implantation, and it is convenient for dealing with the loss of elastic fibers below the skin.
[0008] ここで、皮膚の細胞、特に線維芽細胞は、生長のために「足場」となるような立体的 な構造 (マトリックス)を必要とする。換言すれば、かかる立体的な構造を提供せずに 、線維芽細胞のみを患者 (生体)内に注入しても、注入された線維芽細胞は十分に 生長しない。 [0008] Here, skin cells, particularly fibroblasts, need a three-dimensional structure (matrix) to serve as a "scaffold" for growth. In other words, without providing such a three-dimensional structure, even if only fibroblasts are injected into a patient (living body), the injected fibroblasts will not be sufficiently injected. Do not grow.
[0009] しかし、従来の培養技術では、生体(患者)に充填して前記凹部を修復するのに十 分な程度まで、当該生体 (患者)の皮膚細胞を培養することが困難であった。 [0009] However, it has been difficult for conventional culture techniques to culture skin cells of a living body (patient) to an extent sufficient to fill the living body (patient) and repair the recess.
[0010] 培養に際しては、培養しょうとする細胞を有する小片(例えば、皮膚片)を培地と呼 ばれる物質に載置して、生体内に類似した環境中で培養する。この培地は、多種多 様なものが市販されており、例えば、ヒトの皮膚細胞を培養する場合には、哺乳類細 胞培養基本培地と呼ばれるものを使用する。 [0010] At the time of culturing, small pieces (for example, skin pieces) having cells to be cultured are placed on a substance called a medium, and cultured in an environment similar to that of a living body. As this medium, various types are commercially available. For example, when culturing human skin cells, a medium called a mammalian cell culture basic medium is used.
[0011] ここで、係る培地に包含される栄養素を、生体中の皮膚組織に供給される栄養素と 完全に同一にすることが困難であり、そのため、従来の培養技術では十分な量の皮 膚細胞が培養できなかったのである。 [0011] Here, it is difficult to make the nutrients contained in such a medium exactly the same as the nutrients supplied to the skin tissue in the living body, and therefore, a sufficient amount of skin can be obtained by conventional culture techniques. The cells could not be cultured.
[0012] 発明の開示 [0012] Disclosure of the Invention
本発明は、上記の点に鑑みてなされたものであって、生体から切除した組織の細胞 、特に線維芽細胞を、生体適合性を有しつつ、必要量だけ培養することが出来る線 維芽細胞の培養方法及び当該培養方法により得られた線維芽細胞の提供を目的と している。 The present invention has been made in view of the above points, and is a fibroblast capable of culturing cells of a tissue excised from a living body, particularly fibroblasts, in a required amount while having biocompatibility. It is intended to provide a cell culture method and fibroblasts obtained by the culture method.
[0013] この目的は、以下に説明する手段により解決される。 [0013] This object is solved by the means described below.
[0014] 本発明の第 1の面によると、本発明の培養方法は、培養面にフイブリンを堆積させ た培養器に、前記と同一の採取対象力 採取した血液のうち少なくとも一部を含有す る液体培地を充填する工程と;前記線維芽細胞を、前記液体培地を充填した前記培 養器に投入する工程と;前記の投入された線維芽細胞を培養する工程と;を有するこ とを特徴とする。生体由来の高分子材料 (例えば、フイブリン)製のシートが敷き詰め されていることが好ましい。 [0014] According to the first aspect of the present invention, the culture method of the present invention includes at least a part of the same blood to be collected in the incubator having fibrin deposited on the culture surface. Filling the fibroblasts into the incubator filled with the liquid medium; and culturing the introduced fibroblasts. Features. It is preferable that a sheet made of a polymer material derived from a living body (for example, fibrin) is spread.
[0015] 本発明の培養方法を用いることにより、高分子材料性のシート(例えばフイブリンシ ート)を貫通して、ケーシング(シャーレ 20)底部に付着することはないので、培養した 細胞は、培養用部材から極めて容易に回収される。 [0015] By using the culture method of the present invention, the cultured cells do not penetrate the polymer material sheet (for example, fibrin sheet) and adhere to the bottom of the casing (the Petri dish 20). It is very easily recovered from the member for use.
[0016] そして、フイブリンによりシートを形成して前記ケーシング (シャーレ 20)に敷き詰め るための方法においては、培養しょうとする皮膚細胞 (線維芽細胞)を有する生体か ら血液(自己血)を採取する工程と、その血液(自己血)を凝固する工程と、凝固した 血液を (例えば遠心分離機にかけて)回収する工程と、回収された (凝固した)血液( 自己血)を (例えば、注射器内に吸引し、注射針力 押し出すことにより物理的に)破 砕する工程と、回収された (凝固した)血液を (例えば注射針から押し出された血液を )培養装置のケーシング(シャーレ 20)の底部に敷き詰める工程に作製することが好 ましい。 [0016] In the method for forming a sheet with fibrin and laying the sheet on the casing (a Petri dish 20), blood (autologous blood) is collected from a living body having skin cells (fibroblasts) to be cultured. And the step of coagulating the blood (autologous blood) Collecting blood (eg, by centrifugation) and crushing the collected (coagulated) blood (autologous blood) (eg, physically, by aspirating it into a syringe and pushing it out with a needle) It is preferable that the collected (coagulated) blood (for example, blood extruded from an injection needle) be spread over the bottom of a casing (a Petri dish 20) of a culture device.
[0017] 本発明における第 1の別の面によると、本発明の培養方法は、培養面に生体適合 性を有する高分子を載置した培養器に、前記と同一の採取対象から採取した血液の うち少なくとも一部を含有する液体培地を充填する工程と;前記線維芽細胞を、前記 液体培地を充填した前記培養器に投入する工程と;前記の投入された線維芽細胞を 培養する工程と;を有することを特徴とする。また、この生体適合性を有する高分子は 、低温感受性ポリマーであることが好ましい。 According to a first alternative aspect of the present invention, the culturing method of the present invention relates to a method of culturing a blood sample collected from the same collection target as described above in an incubator having a biocompatible polymer mounted on the culturing surface. Filling a liquid culture medium containing at least a part thereof; a step of introducing the fibroblasts into the incubator filled with the liquid medium; and a step of culturing the introduced fibroblasts. ; Characterized by having; Further, the biocompatible polymer is preferably a low-temperature sensitive polymer.
[0018] 皮膚細胞、特に線維芽細胞は培養されて増殖すると、培地の下方に伸張して、ケ 一シング (シャーレ 20)の底部に到着して、本発明の培養装置から回収することが困 難となってしまう可能性が存在する。 [0018] When skin cells, especially fibroblasts, are cultured and proliferated, they extend below the medium, reach the bottom of the casing (dish 20), and are difficult to collect from the culture device of the present invention. There is a possibility that it will be difficult.
[0019] この構成により、培養用部材の培養面から、極めて容易に細胞を回収することが可 能となる。 With this configuration, it is possible to extremely easily collect cells from the culture surface of the culture member.
[0020] 本発明の第 1面において用いる培地は、同一の採取対象から採取した血清を含有 していることが好ましい。このことにより、同一の採取対象により適合性を有する線維 芽細胞を得ることが可能となる。 [0020] The medium used in the first aspect of the present invention preferably contains serum collected from the same collection target. This makes it possible to obtain fibroblasts that are more compatible with the same collection target.
[0021] 本発明の第 1面によると、その細胞培養に用いる極めて生体に適合性を有する材 料に接しながら培養 ·増殖することにより、より生体適合性を有する細胞を得ることが 可能となる。 According to the first aspect of the present invention, it is possible to obtain more biocompatible cells by culturing and proliferating while being in contact with the extremely biocompatible material used for cell culture. .
[0022] 本発明の第 2面によると、本発明における線維芽細胞は、採取対象から採取された 血液のうち少なくとも一部を含有する液体培地を用いて培養された、前記と同一の採 取対象に由来する。この「少なくとも一部」は、採取対象に由来する線維芽細胞と同 一の採取対象力 採取された血清であることが好ましい。 According to the second aspect of the present invention, the fibroblast according to the present invention is obtained by the same collection method as described above, wherein the fibroblast is cultured using a liquid medium containing at least a part of blood collected from a collection target. Derived from the subject. This “at least a part” is preferably the same collected serum as the fibroblasts derived from the collected subject.
[0023] 本発明における液体媒体又は媒体は、哺乳類細胞培養基本培地が適用でき、例 えば、 DMEM、 RPMI1640、 HANKS, Fl 2等が含まれる力 これに限定されるも のではない。 [0023] As the liquid medium or medium in the present invention, a basic medium for culturing a mammalian cell can be used, and for example, a force including DMEM, RPMI1640, HANKS, Fl2, and the like is not limited thereto. Not.
[0024] 培地(24)に対する生体から採取した成分 (例えば自己血 26)の量が少なすぎると 、血液中に含まれる FGF等の成長因子をはじめとしたタンパク質や、血液や培養液 の浸透圧を維持するのに必要な成分(アルブミン)が不足してしまう。一方、培地(24 )に対する生体から採取した血液(自己血 26)の量が多すぎる場合には、相対的に 培地(24)の量が少なくなり、培地中に含まれる皮膚細胞の培養に必要な幾つかの 栄養素、例えば、アミノ酸や糖質等の液体栄養素、が不足してしまう。 [0024] If the amount of the component (for example, autologous blood 26) collected from a living body with respect to the medium (24) is too small, the osmotic pressure of blood or a culture solution including proteins such as growth factors such as FGF contained in blood. Insufficient components (albumin) to maintain On the other hand, if the amount of blood (autologous blood) collected from the living body relative to the medium (24) is too large, the amount of the medium (24) becomes relatively small, which is necessary for culturing skin cells contained in the medium. Some nutrients, such as liquid nutrients such as amino acids and carbohydrates, are deficient.
[0025] 係る理由により、培地(24)に対する血液(自己血 26)の上述した比率 (4% 50% )が好ましい。 [0025] For such a reason, the above-described ratio (4% 50%) of the blood (autologous blood 26) to the medium (24) is preferable.
[0026] これら培養溶液及び培養系を用いることにより、拒絶反応を生じることなぐ対象の 細胞、特に線維芽細胞を増殖させることが出来るとともに、当該培養系から容易に回 収が可能となる。 [0026] By using these culture solutions and culture systems, target cells, particularly fibroblasts, that do not cause rejection can be proliferated, and can be easily recovered from the culture systems.
[0027] 構成によれば、培養しょうとする皮膚細胞(線維芽細胞)を有する生体から採取した 血液を培地に加えることにより、従来の培地には添加することが不可能であった血液 中に含まれるタンパク質や、血液や培養液の浸透圧を維持するのに必要な成分(ァ ルブミン)が、培養装置内に提供されることとなる。 [0027] According to the configuration, by adding blood collected from a living body having skin cells (fibroblasts) to be cultured to a culture medium, the blood can be added to a conventional culture medium. The protein contained and the components (albumin) required to maintain the osmotic pressure of blood and culture solution are provided in the culture device.
[0028] 従って、皮膚細胞の内、特に再生力が旺盛な線維芽細胞は、極めて良く生長し、 増殖する。 [0028] Accordingly, among the skin cells, fibroblasts having particularly strong regenerative power grow and grow very well.
[0029] ここで、血液中に含まれるタンパク質や、血液や培養液の浸透圧を維持するのに必 要な成分 (アルブミン)を、他の生体から採取した血液や、牛の血清などにより供給す ることも考えられる。しかし、その場合、他の生体から採取した血液や、牛の血清に包 含されている病原体など、増殖した細胞に毒性を及ぼす可能性のある汚染物等によ り、増殖した細胞が汚染されてしまう恐れがある。 [0029] Here, proteins contained in blood and components (albumin) necessary for maintaining the osmotic pressure of blood and culture solution are supplied by blood collected from other living bodies, bovine serum, or the like. It may be possible to do so. However, in this case, the proliferated cells are contaminated by contaminants that may cause toxicity to the proliferated cells, such as blood collected from other organisms or pathogens contained in bovine serum. There is a risk that it will.
[0030] そのような事態は、特に当該細胞を再移植する場合、必ず防止しなければならない [0030] Such a situation must be prevented, especially when the cells are transplanted again.
[0031] 本発明の方法を用いれば、培養しょうとする皮膚細胞 (線維芽細胞)を有する生体 力、ら採取した血液(自己血)を培地に加えてレ、るので、他の生体の血液や他の動物( 牛等)の血液経由で感染する可能性は、完全に排除される。 [0032] 本発明において、培地および自己血を充填した前記ケーシングを収納する培養ケ ースを有し、該培養ケースは、その内部の温度が約 37°Cで且つ約 5%の二酸化炭 素を含有する雰囲気となる様に構成されてレ、るのが好ましレ、。 [0031] According to the method of the present invention, blood collected from a living organism having skin cells (fibroblasts) to be cultured (autologous blood) is added to a culture medium, so that blood of another living organism is added. And the possibility of transmission through the blood of other animals (eg, cattle) is completely excluded. [0032] In the present invention, there is provided a culture case for containing the above-mentioned casing filled with a culture medium and autologous blood, wherein the culture case has an internal temperature of about 37 ° C and about 5% of carbon dioxide. The atmosphere is preferably configured to have an atmosphere containing.
[0033] 係る構成を採用すれば、培養しょうとする細胞は、生体内の環境に近い雰囲気下 で培養されるので、増殖する条件が整う。 [0033] If such a configuration is adopted, the cells to be cultured are cultured in an atmosphere close to the in-vivo environment, so that the conditions for multiplying are established.
図面の簡単な説明 BRIEF DESCRIPTION OF THE FIGURES
[0034] [図 1]皮膚片採取の態様を説明する図である。 FIG. 1 is a diagram illustrating an embodiment of collecting skin pieces.
[図 2]培養前の処理手順を説明する工程図である。 FIG. 2 is a process diagram illustrating a processing procedure before culturing.
[図 3]本発明の培養装置の要部を説明する断面図である。 FIG. 3 is a cross-sectional view illustrating a main part of the culture device of the present invention.
[図 4]本発明で用いられる培養ケースの構造を説明する斜視図である。 FIG. 4 is a perspective view illustrating the structure of a culture case used in the present invention.
[図 5]培養装置力 線維芽細胞を回収する態様を示す斜視図である。 FIG. 5 is a perspective view showing an embodiment in which fibroblasts are collected from a culture device.
[図 6]線維芽細胞と基材と混合する工程を示す図である。 FIG. 6 is a view showing a step of mixing fibroblasts with a substrate.
[図 7]線維芽細胞と基材とを混合する工程であって、図 5に後続する工程を示す図で ある。 FIG. 7 is a view showing a step of mixing fibroblasts and a substrate, which is a step subsequent to FIG. 5;
[図 8]充填材料を注射器に吸引する状態を示す図である。 FIG. 8 is a view showing a state where a filling material is sucked into a syringe.
[図 9]充填材料を皮下注入する状態を示す図である。 FIG. 9 is a view showing a state where a filling material is injected subcutaneously.
[図 10]皮下注入された後の充填材料を示す図である。 FIG. 10 is a view showing a filling material after subcutaneous injection.
[図 11]増殖した線維芽細胞を回収する態様を示す第 1段階の図である。 FIG. 11 is a diagram of a first stage showing an embodiment in which the proliferated fibroblasts are collected.
[図 12]図 11で示す線維芽細胞を回収する態様を示す第 2段階の図である。 FIG. 12 is a diagram of a second stage showing an embodiment of collecting the fibroblasts shown in FIG. 11.
[図 13]図 11、図 12で示す線維芽細胞を回収する態様を示す第 3段階の図である。 発明を実施するための最良の形態 FIG. 13 is a diagram of a third stage showing an embodiment of collecting the fibroblasts shown in FIGS. 11 and 12. BEST MODE FOR CARRYING OUT THE INVENTION
[0035] 以下、図面に基づいて本発明の実施の形態を説明する。 Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0036] 上述したように、皮膚に生じた凹部を充填する施術 (美容目的の施術:例えば、しわ の線を取る、事故等でへこんだ箇所の修復)を行うに際しては、拒絶反応等の不都 合が生じないため、係る施術を行う患者自身の皮膚の細胞で当該凹部を充填するこ とが望ましい。 [0036] As described above, when performing a treatment for filling a concave portion formed in the skin (treatment for cosmetic purposes: for example, removing a wrinkle line, repairing a dent portion due to an accident or the like), it is difficult to perform a treatment such as a rejection reaction. Since no inconvenience occurs, it is desirable to fill the recess with cells of the patient's own skin to perform such a treatment.
[0037] 係る見地より、当該施術を行う患者の皮膚の細胞を培養する必要がある。 [0037] From such a viewpoint, it is necessary to culture the cells of the skin of the patient performing the treatment.
[0038] 皮膚の細胞を培養するに際して、図 1で示すように、当該施術を行う患者の耳 Yの 後ろの部分(耳 Yと髪の毛の生え際 Hとの間:図 1では符号 12で示す)から 3mm四方 の皮膚片(図 1では符号 10で示す)を採取あるいは切除する。採取可能な他の部分 としては、耳の他に、 口腔内、腋窩、大腿部などを挙げることが出来るが、これらに限 定されるものではない。 When culturing the skin cells, as shown in FIG. From the back part (between the ear Y and the hairline H: indicated by reference numeral 12 in FIG. 1), a 3 mm square piece of skin (indicated by reference numeral 10 in FIG. 1) is collected or excised. Other parts that can be collected include, in addition to the ear, the oral cavity, axilla, and thigh, but are not limited to these.
[0039] 当該皮膚片 10は、真皮層を含むように採取(あるいは切除)される。後述するように 、真皮層力 培養により遊走する線維芽細胞を単離するためである。 [0039] The skin piece 10 is collected (or excised) so as to include the dermis layer. As described later, this is for isolating fibroblasts that migrate by dermal layer culture.
[0040] ここで、当該皮膚片 10を採取する箇所として耳 Yの後ろの部分」(12)としては、通 常、紫外線の影響を受けない箇所であるため、線維芽細胞を含む皮膚の細胞の状 態が良好に保たれている箇所だからである。それと同時に、皮膚片を採取した跡 (傷 )が目立たなレ、部分だからである。 [0040] Here, the portion behind the ear Y as a place where the skin piece 10 is collected "(12) is usually a place which is not affected by ultraviolet rays, and therefore, skin cells including fibroblasts are included. This is because it is a place where the condition is well maintained. At the same time, the marks (scratches) from which skin pieces were collected are noticeable.
[0041] 換言すれば、紫外線の影響を受けず、線維芽細胞を含む皮膚の細胞の状態が良 好に保たれている箇所であって、皮膚片を採取した跡(傷)が目立たない部分であれ ば、耳 Yの後ろの部分以外の箇所から、 3mm四方の皮膚片 10を採取しても良い。 [0041] In other words, a portion where the condition of skin cells including fibroblasts is not affected by ultraviolet rays and the condition of skin cells including fibroblasts is well maintained, and a trace (scratch) of a skin piece collected is inconspicuous. In this case, a 3 mm square piece of skin 10 may be collected from a portion other than the portion behind the ear Y.
[0042] ここで、あまりに多量の皮膚を採取してしまうと、採取した跡が患者に残存してしまう 可能性がある。また、上述した耳 Yの後ろの部分からは、あまりに大きな皮膚片を採 取することは不可能である。従って、採取する皮膚片 10の面積を必要以上に大きく することは出来ない。 Here, if an excessively large amount of skin is collected, there is a possibility that the collected trace may remain in the patient. In addition, it is impossible to obtain an excessively large piece of skin from the portion behind the ear Y described above. Therefore, the area of the skin piece 10 to be collected cannot be made larger than necessary.
[0043] 一方、皮膚片にある程度の大きさが無いと、後述する前処理を行って培養を行う際 に、十分な量の線維芽細胞が確保出来なくなる可能性がある。 [0043] On the other hand, if the skin pieces do not have a certain size, there is a possibility that a sufficient amount of fibroblasts cannot be secured when performing the pretreatment described below and culturing.
[0044] 以上の理由により、採取するべき皮膚片 10を「3mm四方」とした。し力 ながら、上 述の理由に基づき、大きすぎず且つ小さ過ぎない範囲であれば、採取するべき皮膚 片のサイズは「3mm四方」に限定するものではなレ、。 [0044] For the above reasons, the skin piece 10 to be collected was set to "3 mm square". However, based on the above reasons, the size of the skin piece to be collected is not limited to “3 mm square” unless it is too large and not too small.
[0045] 次に、採取 (切除)した皮膚片 10を、図 2で示すような手順にて、前処理を行う。 Next, the collected (excised) skin piece 10 is subjected to pretreatment according to the procedure shown in FIG.
[0046] まず、採取された皮膚片 10を洗浄液 (RINSE液) 20mL中で 2回洗浄する(図 2 :ス テツプ Sl)。 First, the collected skin pieces 10 are washed twice in 20 mL of a washing solution (RINSE solution) (FIG. 2: Step Sl).
[0047] 皮膚片 10に付着した異物、特に外皮に付着した異物を洗浄して除去するためであ る。 [0047] This is for cleaning and removing foreign substances attached to the skin piece 10, particularly foreign substances attached to the outer skin.
[0048] この RINSE液は、皮膚片が乾燥して細胞が死滅してしまうのを防止するために添 カロされている。ただし、 RINSE液が多すぎると、処理すべき皮膚片が RINSE液に沈 んでしまい、処理が難しくなる。係る見地により、「60mmのディッシュ」に対して「3m LJという RINSE液の量を設定した。 [0048] This RINSE solution is added to prevent the skin pieces from drying and killing the cells. Have been calo. However, if the amount of RINSE solution is too large, the skin pieces to be treated will sink in the RINSE solution, making the treatment difficult. From such a viewpoint, the amount of the RINSE solution of “3 m LJ” was set for the “60 mm dish”.
[0049] なお、処理作業が短時間であれば、生理食塩水を代用することが可能であるが、長 時間にわたる作業の際には、グルコースやビタミン類など、細胞培養に用いる一般的 な添加物など栄養素を包含する RINSE液の使用が好適である。 [0049] If the processing operation is short, physiological saline can be used instead. However, if the operation is performed over a long period of time, general additives such as glucose and vitamins used for cell culture are used. It is preferable to use a RINSE solution containing nutrients such as foods.
[0050] ここで洗浄液 (RINSE液)は、皮膚片の洗浄のために調製された溶液であり、浸透 圧とミネラル組成が、採取された皮膚片の細胞と合致するように調製されている。 [0050] Here, the washing solution (RINSE solution) is a solution prepared for washing the skin pieces, and is adjusted so that the osmotic pressure and the mineral composition match the cells of the collected skin pieces.
[0051] 当該 RINSE液を、ケース 'バイ'ケースで調製することができるが、市販品を用いる ことも可能である。係る RINSE液には、生理食塩水、クレプスリンゲル液、リン酸緩衝 液(PBS)等が挙げられる力 S、これに限定されるものではなレ、。 [0051] The RINSE solution can be prepared on a case-by-case basis, but a commercially available product can also be used. Such RINSE solutions include physiological saline, Kreps Ringer's solution, phosphate buffer solution (PBS), and the like, but are not limited thereto.
[0052] ステップ S1において、 RINSE液の量「20mL」は、採取された皮膚片 10に付着し た異物を洗浄除去するのに必要且つ十分な量として例示された量である。あまりに少 な過ぎると皮膚片 10を十分に洗浄することが出来なくなる。ただし、あまりに使用量を 増加すると、洗浄の対象である皮膚片 10が 3mm四方という微小なサイズであるため 、不経済である。 [0052] In step S1, the amount of the RINSE solution "20 mL" is an amount exemplified as a necessary and sufficient amount for washing and removing foreign substances attached to the collected skin pieces 10. If the amount is too small, the skin piece 10 cannot be sufficiently washed. However, if the amount of use is increased too much, it is uneconomical because the skin piece 10 to be cleaned has a small size of 3 mm square.
[0053] ただし、皮膚片 10を十分に洗浄して付着物を除去することが出来て、しかも、不経 済とならない程度の量であれば、 RINSE液の量は 20mLに限定されるものではない [0053] However, the amount of the RINSE solution is not limited to 20 mL as long as the skin pieces 10 can be sufficiently washed to remove the deposits, and the amount does not cause ecology. Absent
[0054] 洗浄後、 RINSE液 3mLの入った内径 60mmのディッシュに、洗浄により付着物が 除去された皮膚片 10を投入する (ステップ S2)。 After the washing, the skin piece 10 from which the adhered substance has been removed by washing is put into a dish having an inner diameter of 60 mm containing 3 mL of the RINSE solution (Step S2).
[0055] この RINSE液は、皮膚片が乾燥して細胞が死滅してしまうのを防止するために添 カロされている。ただし、 RINSE液が多すぎると、処理すべき皮膚片が RINSE液に沈 んでしまい、処理が難しくなる。係る見地により、「60mmのディッシュ」に対して「3m LJという RINSE液の量を設定した。 [0055] The RINSE solution is added to the skin in order to prevent the skin pieces from drying and killing the cells. However, if the amount of RINSE solution is too large, the skin pieces to be treated will sink in the RINSE solution, making the treatment difficult. From such a viewpoint, the amount of the RINSE solution of “3 m LJ” was set for the “60 mm dish”.
[0056] なお、処理作業が短時間であれば、生理食塩水を代用することが可能であるが、長 時間にわたる作業の際には、グルコースやビタミン類など、細胞培養に用いる一般的 な添加物など栄養素を包含する RINSE液の使用が好適である。 [0057] そして、手術用のメス等を用いて、洗浄された皮膚片 10を、直径 lmm程度の細片 に切断する (ステップ S3)。 [0056] It is possible to substitute physiological saline if the processing operation is short, but if the operation is performed over a long period of time, a common addition such as glucose and vitamins used for cell culture is used. It is preferable to use a RINSE solution containing nutrients such as foods. Then, using a surgical knife or the like, the washed skin piece 10 is cut into small pieces having a diameter of about lmm (Step S3).
[0058] 皮膚片を細切後、 RINSE液と共に細切された皮膚片を他の容器 (例えば、容量 50 mLの Serum tubeに移し、 10mLピペットでピペッティングする(ステップ S4)。この ステップは、細切された皮膚片を十分に分散させ、且つ、細断された各皮膚片を十 分に洗浄するために行う。 [0058] After the skin pieces have been minced, the minced skin pieces are transferred together with the RINSE solution to another container (for example, a 50-mL volume Serum tube, and pipetted with a 10-mL pipette (Step S4). This is performed to sufficiently disperse the minced skin pieces and thoroughly wash each of the minced skin pieces.
[0059] そして、遠心分離機(図示せず)で、 lOOOrpmにて 5分間の遠心分離を行う(ステツ プ S5)。当該遠心分離が終了したならば、上清を捨てて、新しい RINSE液 lOmLを 入れて (ステップ S6)、再度、遠心分離機にかけて、 lOOOrpmにて 5分間の遠心分 離を行う(ステップ S 7)。 [0059] Then, centrifugation is performed for 5 minutes at 100,000 rpm using a centrifuge (not shown) (step S5). When the centrifugation is completed, discard the supernatant, add lOmL of new RINSE solution (Step S6), centrifuge again, and centrifuge at lOOOOrpm for 5 minutes (Step S7). .
[0060] ステップ S5 S7に示す工程は、ステップ S3で手術用メスにより細断された皮膚片 を回収するために行われる。これらステップにて、 目的としている細断された皮膚片 のみを十分に回収するために行う。 [0060] Steps S5 and S7 are performed to collect the skin pieces shredded by the surgical knife in step S3. These steps are performed to sufficiently collect only the desired shredded skin pieces.
[0061] 細断された皮膚片は、 RINSE液中に点在しているので、そのままでは回収が困難 である。しかし、ステップ S5— S7で示す工程で遠心分離を行えば、細断された皮膚 片は RINSE液その他から分離され、極めて容易に回収される。また、回収を目的と する皮膚片のみを効率的に回収するため、上記のごとく lOOOrpmにて 5分間、遠心 分離を行っている力 この目的を達成できる遠心分離条件であれば、上述の条件に 限定されるものではない。 [0061] Since the shredded skin pieces are scattered in the RINSE solution, it is difficult to collect them as they are. However, if centrifugation is performed in the steps shown in steps S5 to S7, the shredded skin pieces are separated from the RINSE solution and the like, and are extremely easily collected. In addition, in order to efficiently collect only the intended skin pieces, the centrifugation is performed at 100 rpm for 5 minutes as described above. It is not limited.
[0062] ここで、 3mm四方の試験片 10を洗浄後、ただちに培地で培養せずに、直径 lmm 程度の細片に細断して回収するのは、図 1に示す工程にて採取した 3mm四方の皮 膚片 10を、図 2に示す工程の処理を行わずに直接培地上に設置して培養する場合 に比較して、直径 lmm程度の皮膚細片を (後述するように)培地上に分散させる方 が真皮層の細胞における自由度が大きぐ線維芽細胞が遊走する可能性が高くなる からである。 Here, after washing the 3 mm square test piece 10, it is not immediately cultured in the medium but cut into small pieces having a diameter of about lmm and collected. Compared to a case where the four sides of the skin pieces 10 were directly placed on the culture medium without performing the treatment shown in FIG. 2 and cultured, the skin pieces having a diameter of about lmm were This is because fibroblasts, which have a greater degree of freedom in cells in the dermis layer, are more likely to migrate when dispersed in the dermis.
[0063] ステップ S7の遠心分離が終了したならば、 RINSE液 3mLを細胞を含む沈澱物に 添加し (ステップ S8)、細胞培養用のシャーレに細胞を含むペレットと RINSE液の全 量を移す (ステップ S 9)。細胞培養用のシャーレについては、詳細に後述する。 [0064] これで、前処理が完了する。 [0063] When the centrifugation in Step S7 is completed, 3 mL of the RINSE solution is added to the precipitate containing the cells (Step S8), and the entire amount of the pellet containing the cells and the RINSE solution is transferred to a cell culture dish ( Step S 9). The petri dish for cell culture will be described later in detail. [0064] Thus, the pre-processing is completed.
[0065] ステップ S9が行われて前処理が完了したならば、温度 37°C、 5% COの雰囲気下 [0065] If the pretreatment is completed after step S9 is performed, the temperature is set to 37 ° C in an atmosphere of 5% CO.
2 で 2日以上静置し、その後、 2週間以上、シャーレ内の細胞を無菌培養する(ステップ S10)。 2. Leave to stand for at least 2 days, and then aseptically culture the cells in the petri dish for at least 2 weeks (step S10).
[0066] ここで、ステップ S10は既に細胞を培養する段階であり、前処理とは言い得なレ、。そ の意味で、図 2において、ステップ S10には括弧を付するのみで、四角い枠で囲まれ ているステップ S1 S9とは明確に異なって表現されている。 Here, step S10 is a stage in which cells are already cultured, and it cannot be called pretreatment. In that sense, in FIG. 2, step S10 is only marked with parentheses, and is clearly different from steps S1 and S9 surrounded by a square frame.
[0067] ここで、回収された皮膚細片が移された細胞培養用のシャーレ (ステップ S9)を培 養する培養装置について、図 3を参照して説明する。 Here, a culture apparatus for culturing a Petri dish for cell culture (Step S9) to which the collected skin debris has been transferred will be described with reference to FIG.
[0068] 断面図として表現されている図 3において、この培養装置は全体を符号 10で示さ れており、ガラスや合成樹脂などを材料とする市販のシャーレ 20の培養面 32に、高 分子材料 (例えばフイブリンシート) 22からなる層が形成されており、細胞培養用の培 地 24と自己血 26との混合物を収容して構成されており、高分子材料 22の層上に皮 膚細片 30が載置されてレ、る。 [0068] In Fig. 3 represented as a cross-sectional view, this culturing apparatus is indicated by reference numeral 10 as a whole, and a culturing surface 32 of a commercially available petri dish 20 made of glass, synthetic resin, or the like is provided with a high molecular material. (For example, fibrin sheet), a layer made of 22 is formed, and contains a mixture of a cell culture medium 24 and autologous blood 26, and a skin strip is formed on the layer of the polymer material 22. 30 is placed.
[0069] より詳細には、培養装置のケーシングとなるシャーレ 20の培養面 32には、高分子 材料 (例えばフイブリン、コラーゲン、多血小板血漿、 CMC等) 22からなる層が形成 されており、高分子材料 22の層上に皮膚細片 30が載置されている。 [0069] More specifically, the culture surface 32 of the Petri dish 20, which serves as the casing of the culture device, is provided with a layer made of a polymer material (for example, fibrin, collagen, platelet-rich plasma, CMC, etc.) 22, and has a high density. A skin strip 30 is placed on a layer of molecular material 22.
[0070] そして、細胞培養用の培地(哺乳類細胞培養基本培地:以下、本明細書では、単 に、「培地」と記載する) 24と、図 1で示す工程で皮膚片 10を採取した患者自身の血 液(自己血) 26とが分離不能に混合された混合物 25が、皮膚細片 30が載置されて レ、る高分子材料 22の層から上方の領域に充填されている。 自己血 26はへパリン採 血した血清成分なので、凝固することは無い。 [0070] Then, a cell culture medium (basic culture medium for mammalian cells: hereinafter, simply referred to as "medium" in the present specification) 24 and a patient from whom skin pieces 10 were collected in the step shown in FIG. A mixture 25 in which the own blood (autologous blood) 26 is inseparably mixed is filled in an area above the layer of the polymer material 22 on which the skin strip 30 is placed. Autologous blood 26 does not clot because it is a serum component collected from heparin.
[0071] ここで、培地 24と自己血 26とを混合するに際して、培地 24に対する自己血 26の比 率は、 4% 50%である。 Here, when the culture medium 24 and the autologous blood 26 are mixed, the ratio of the autologous blood 26 to the culture medium 24 is 4% 50%.
[0072] なお、図 3において、符号 27は、遊走している線維芽細胞を示す。 [0072] In Fig. 3, reference numeral 27 denotes a migrating fibroblast.
[0073] そして、温度が 37°C、 5% COという雰囲気(図 2のステップ S10に関連して説明) [0073] Then, an atmosphere with a temperature of 37 ° C and 5% CO (described in relation to step S10 in Fig. 2)
2 Two
下で 2日以上静置し、その後、 2週間以上、シャーレ内の細胞を無菌培養する。その 結果、皮膚細片 30の真皮層から線維芽細胞が遊走する。 [0074] 上述した構成を有する培養容器を、図 4で示すような培養ケース 100内に収容し、 培養ケース 100内の雰囲気を、図 2のステップ S10に関連して説明したような各種条 件を充足する雰囲気、すなわち、温度 37°C、 5%COという雰囲気下に調節する。 Leave the cells in the Petri dish under sterile culture for 2 weeks or more. As a result, fibroblasts migrate from the dermis layer of the skin strip 30. The culture vessel having the above-described configuration is accommodated in a culture case 100 as shown in FIG. 4, and the atmosphere in the culture case 100 is adjusted to various conditions as described with reference to step S10 in FIG. Is adjusted to an atmosphere that satisfies the conditions, ie, an atmosphere of a temperature of 37 ° C. and 5% CO.
2 Two
[0075] かかる雰囲気下(温度 37°C、 5% CO )で 2日以上静置し、その後、 2週間以上、シ [0075] In such an atmosphere (temperature of 37 ° C, 5% CO 2), leave still for 2 days or more, and then
2 Two
ヤーレ内の細胞を無菌培養する。その結果、皮膚細片 30の真皮層力 線維芽細胞 が遊走する。 The cells in the jar are cultured aseptically. As a result, the dermal layer fibroblasts of the skin strip 30 migrate.
[0076] ここで、 2日以上静置するのは、線維芽細胞が遊離して足場を固め、本来の培養状 態に安定化させるためであり、「2週間」という期間は、線維芽細胞の培養に最低限必 要である。係る培養期間の最中は、最低でも 1週間に 2回、好ましくは毎日、上記混 合物 25を新鮮なものに交換する。 [0076] The reason for allowing the fibroblasts to stand still for 2 days or more is to release the fibroblasts, solidify the scaffold, and stabilize the original culture state. It is necessary at least for culturing. During the culture period, the mixture 25 is replaced with a fresh one at least twice a week, preferably daily.
[0077] 図 4において、培養ケース 100の内部に、上述した自己血を加えた培地を充填して 線維芽細胞を培養しているシャーレ 20が、複数収納されている。このシャーレ 20は、 ドア 102を経由して、培養ケース 100の底部 104に載置される。 [0077] In FIG. 4, a plurality of Petri dishes 20 for culturing fibroblasts by filling the above-described medium with autologous blood therein are accommodated in a culture case 100. This petri dish 20 is placed on the bottom 104 of the culture case 100 via a door 102.
[0078] 培養ケース 100は温度センサ 106を有しており、培養ケース 100内部は、ケース 10 0内の空気組成を分析する分析手段 108に連通している。 [0078] The culture case 100 has a temperature sensor 106, and the inside of the culture case 100 communicates with an analysis means 108 for analyzing the air composition in the case 100.
[0079] そして、培養ケース 100の内部温度および組成を所定の値(温度 37°C、 5% CO ) [0079] Then, the internal temperature and composition of the culture case 100 are set to predetermined values (temperature 37 ° C, 5% CO 2).
2 に維持するための調設手段 110が設けられている。 A setting means 110 is provided for maintaining at 2.
[0080] 調設手段 110は、二酸化炭素供給源 112と管路 114を介して連通しており、管路 1[0080] The adjusting means 110 is in communication with the carbon dioxide supply source 112 via a pipe 114, and the pipe 1
14には調整弁 116が介装されてレ、る。 An adjustment valve 116 is interposed in 14.
[0081] 分析手段 108は、培養ケース 100内の空気組成の分析結果に基づいて制御信号 を発振して、調製弁 116はその制御信号を受信して、開度を決定する。その結果、培 養ケース 100内の二酸化炭素濃度が 5。/0に維持されるように、二酸化炭素供給源 11[0081] The analysis means 108 oscillates a control signal based on the analysis result of the air composition in the culture case 100, and the preparation valve 116 receives the control signal and determines the opening. As a result, the carbon dioxide concentration in the culture case 100 was 5. / 0 so that it is maintained at
2から二酸化炭素が供給されるのである。 From two, carbon dioxide is supplied.
[0082] また、温度センサー 106の計測結果が調設手段 110のコントロールユニット(例えば[0082] Further, the measurement result of the temperature sensor 106 is used as a control unit of the adjusting means 110 (for example,
HEPAフィルター) 120と、温度調節手段 (例えば空調機) 122とを有しており、加熱 用ヒーター 122の加熱量は、コントロールユニット 118で制御される。 It has a HEPA filter 120 and a temperature control means (for example, an air conditioner) 122, and the heating amount of the heater 122 is controlled by the control unit 118.
[0083] 調設置手段 110には、図示しないブロワにより、外気が供給される。調設置手段 11[0083] Outside air is supplied to the adjusting and setting means 110 by a blower (not shown). Conditioning and installation means 11
0内に供給された空気(外気)は、フィルター 120で除菌、除塵されて細胞培養に適し た空気に洗浄化される。一方、管路 114を介して二酸化炭素供給源 112から供給さ れた二酸化炭素は、洗浄化された空気と混合する。 The air (outside air) supplied inside is sterilized and dust-removed by the filter 120 and is suitable for cell culture. The air is cleaned. On the other hand, the carbon dioxide supplied from the carbon dioxide supply source 112 via the pipe line 114 mixes with the cleaned air.
[0084] そして、洗浄化された空気および二酸化炭素は、空調機 122により 37°Cに温度調 節される。そして、管路 124を通って、培養ケース 100内部に供給される。 [0084] Then, the temperature of the cleaned air and carbon dioxide is adjusted to 37 ° C by air conditioner 122. Then, the solution is supplied into the culture case 100 through the conduit 124.
[0085] その結果、培養ケース 100内部は、 37°C、 5% COという雰囲気に維持されるので [0085] As a result, the inside of the culture case 100 is maintained in an atmosphere of 37 ° C and 5% CO.
2 Two
ある。 is there.
[0086] なお、培養ケース 100については、図 4で示すサイズに限定されるものではない。 [0086] The culture case 100 is not limited to the size shown in FIG.
例えば、部屋(無菌室)全体を培養ケース 100とする場合も含まれる。 For example, a case where the entire room (sterile room) is used as the culture case 100 is also included.
[0087] この場合、増殖するのは線維芽細胞のみである。表皮細胞や真皮成分が仮に混入 していても、この条件下で生存し且つ増殖するだけの活性は持たなレ、。従って、線維 芽細胞のみが培養、増殖する。 [0087] In this case, only fibroblasts proliferate. Even if epidermal cells or dermis components are contaminated, they do not have the activity to survive and proliferate under these conditions. Therefore, only fibroblasts are cultured and proliferated.
[0088] 線維芽細胞は増殖能力が高ぐ各臓器の実質細胞の間に介在する間質組織を構 成し、紡錐型をしており、間葉系由来の(将来的には間質細胞となる)細胞であり、主 にコラーゲンタンパク質を産出する。 [0088] Fibroblasts constitute interstitial tissue interposed between parenchymal cells of each organ having a high proliferative capacity, have a spindle type, and are derived from the mesenchymal system (in the future, interstitial cells). Cells), which mainly produce collagen proteins.
[0089] 線維芽細胞は分化して線維細胞になるが、通常、線維芽細胞および線維細胞は 混在しており、いずれも、その細胞内部でコラーゲン繊維を合成し、分泌する。 [0089] Fibroblasts are differentiated into fibroblasts. Usually, fibroblasts and fibroblasts are mixed, and both synthesize and secrete collagen fibers inside the cells.
[0090] 線維芽細胞の生体内での機能としては、間質細胞の修復や維持であり、そして、傷 や炎症の修復過程では旺盛に増殖し、コラーゲンやプロテオダリカン等の弾性繊維 を産生し、修復や生体の防御反応に応答する。 [0090] The function of fibroblasts in vivo is to repair and maintain stromal cells, and in the process of repairing wounds and inflammation, they proliferate vigorously and produce elastic fibers such as collagen and proteodalican. And responds to repair and defense reactions of the body.
[0091] そして、線維芽細胞は、それが生存すれば、その場に留まってコラーゲンの供給源 となるものである。 [0091] If the fibroblasts survive, they will stay in place and become a source of collagen.
[0092] 係る性質は、上述した施術、すなわち、皮膚に生じた凹部を充填する施術 (美容目 的の施術:例えば、しわの線を取る、事故等でへこんだ箇所の修復)に好都合である [0092] Such properties are favorable for the above-mentioned treatment, ie, treatment for filling a concave portion formed in the skin (treatment for cosmetic purposes: for example, removing wrinkle lines, repairing a dent part due to an accident or the like).
[0093] ここで、培地 24は、皮膚細胞の培養に必要な幾つかの栄養素を含んでいる。具体 的には、アミノ酸や糖質等の液体栄養素を含有する。 [0093] Here, the medium 24 contains some nutrients necessary for culturing skin cells. Specifically, it contains liquid nutrients such as amino acids and carbohydrates.
[0094] しかし、従来の培地 24には、血液中に含まれるタンパク質や、血液や培養液の浸 透圧を維持するのに必要な成分 (アルブミン)は、包含されていない。 [0095] そのため、 自己血 26が充填されているのである。 [0094] However, the conventional culture medium 24 does not include proteins contained in blood or components (albumin) necessary for maintaining the osmotic pressure of blood or culture solution. [0095] Therefore, the autologous blood 26 is filled.
[0096] 換言すれば、培地 24、 自己血 26のレ、ずれか一方のみでは、皮膚細胞(線維芽細 胞)の培養に必要な条件は充足しない。 [0096] In other words, the medium 24 and / or the autologous blood 26 alone do not satisfy the conditions necessary for culturing skin cells (fibroblasts).
[0097] 培地としては、 DMEM (Dulbecco 's Modified Eagle Medium :インビトロジ ェン株式会社販売:市販品)を使用した。 [0097] As a medium, DMEM (Dulbecco's Modified Eagle Medium: commercially available from Invitrogen Corporation) was used.
[0098] ここで、表に、使用可能な培地 DMEM組成を示す。 [0098] Here, the table shows the DMEM compositions of usable culture media.
[0099] [表 1] [0099] [Table 1]
ただし、グルコースの量、アミノ酸(特にグルタミン酸)の量、ビタミン、ミネラノレ等、培 地の組成が線維芽細胞の条件に合致していれば、 DMEM以外の培地、例えば MEHowever, if the composition of the medium, such as the amount of glucose, the amount of amino acids (particularly glutamic acid), vitamins, mineralella, etc., matches the conditions of fibroblasts, a medium other than DMEM, such as ME
M、 RPMI1640, HANKS, F12等を使用することも可能である。 It is also possible to use M, RPMI1640, HANKS, F12, etc.
[0100] 発明者は、図示の実施形態に加えて、培地 (DMEM)のみで培養した場合と、自 己血のみで培養した場合についても、実験した。 [0100] In addition to the illustrated embodiment, the inventor also carried out experiments in a case where the culture was performed only with a medium (DMEM) and in a case where the culture was performed with only autologous blood.
[0101] 係る実験の結果と、図 3で示すように培地 24に自己血を加えて線維芽細胞を培養 した場合とを比較して、以下の表 2に示す。 [0101] Table 2 below shows a comparison between the results of such an experiment and the case where fibroblasts were cultured by adding autologous blood to the medium 24 as shown in Fig. 3.
[0102] [表 2] シャーレ内容物 培養の結果 [0102] [Table 2] Petri dish contents Result of culture
培地のみ 成長せず Medium only does not grow
自己血のみ 死滅 Only autologous blood died
培地 +自己血 増殖 Medium + autologous blood growth
被検者: 20代 女性 3名 Subject: 3 women in their 20s
30代 女性 2名 Women in their 30s 2
40代 男性 1名 40s male 1 person
培地: DMEM Medium: DMEM
37°C、 5%C02で 14日間無菌培養 14 days sterile culture at 37 ° C, 5% C02
表 2から明らかなように、培地 24に自己血 26をカ卩えた(図 3参照)場合における線 維芽細胞の培養結果が極めて良好であるのに対して、培地 24のみ、あるいは自己 血 26のみでは、線維芽細胞の培養は失敗している。 As is evident from Table 2, the culture results of fibroblasts when the autologous blood 26 was added to the culture medium 24 (see Fig. 3) were very good, whereas the culture medium 24 alone or the autologous blood 26 was used. Alone, the fibroblast culture failed.
[0103] 自己血 26を用いることにより、培養される皮膚細片を構成する細胞が、拒絶反応等 を起こすという不都合を防止することができる。また、増殖した線維芽細胞が、血液を 媒介とする各種感染症等の各種疾病に感染してしまうことも防止できる。 [0103] By using the autologous blood 26, it is possible to prevent the inconvenience that cells constituting the cultured skin strips cause a rejection reaction or the like. It is also possible to prevent the proliferated fibroblasts from being infected with various diseases such as various blood-borne infectious diseases.
[0104] さらに、 自己血 26を用いる結果として、従来の牛の血清を用いて培養する手法とは 異なり、いわゆる「狂牛病」(BSE)感染の恐れが皆無となる。 [0104] Furthermore, as a result of using autologous blood 26, there is no possibility of so-called "mad cow disease" (BSE) infection, unlike the conventional method of culturing using bovine serum.
[0105] 自己血 26の量は、 10mLで十分であること力 発明者の過去における実験結果より 分かっている。 自己血 26の量は、 10mL以下でも良い場合がある力 線維芽細胞の 培養中に、タンパク質や、血液や培養液の浸透圧を維持するのに必要な成分 (アル ブミン)が不足する事態を未然に防止するため、 10mLの自己血 26を用いる。 [0105] The amount of autologous blood 26 is sufficient for 10 mL, which is known from the experimental results of the inventors in the past. The amount of autologous blood 26 may be less than 10 mL. During the cultivation of fibroblasts, a situation in which proteins and components (albumin) necessary to maintain the osmotic pressure of blood and culture medium are insufficient. Use 10 mL of autologous blood 26 to prevent this.
[0106] 図 2のステップ S10を参照して上述したように、図 3で示すようなシャーレ 20は、温 度 37°C、 5%C〇2の雰囲気下(人間の生体内の環境と類似した雰囲気)で 2日以上 静置し、その後、約 2週間、無菌培養される。 [0107] 上述したように、図 3に示すようなシャーレ 20は、培養ケース 100 (図 4)内で温度 3 7°C、 5%COの雰囲気下 (人間の生体内の環境と類似した雰囲気であり、常套的な As described above with reference to step S10 in FIG. 2, the Petri dish 20 as shown in FIG. 3 is operated in an atmosphere at a temperature of 37 ° C. and 5% C〇2 (similar to the environment in a human body). Incubate for at least 2 days and then aseptically culture for about 2 weeks. As described above, the Petri dish 20 as shown in FIG. 3 is placed in a culture case 100 (FIG. 4) at a temperature of 37 ° C. under an atmosphere of 5% CO (an atmosphere similar to the environment in a human body). And conventional
2 Two
培養条件と同様であり、上記表 1の結果にも示すように)で 2日以上静置し、その後、 約 2週間、無菌培養される。 The culture conditions are the same, as shown in the results of Table 1 above), and the cells are allowed to stand for 2 days or more, and then are subjected to aseptic culture for about 2 weeks.
[0108] 無菌培養されている間に、皮膚細片 30の線維芽細胞が分裂し増殖して、採取した 皮膚片の真皮層から遊走する。 [0108] During the aseptic cultivation, fibroblasts of the skin strip 30 divide and proliferate, and migrate from the dermis layer of the collected skin strip.
[0109] ここで、線維芽細胞が分裂、増殖すると、下方に延びて(いわゆる「足を伸ばした」 状態)、シャーレ 20の底部まで到達する。そして、さらに分裂、増殖すると、培養され た線維芽細胞をシャーレ 20から回収する際に、当該培養された線維芽細胞が、シャ ーレ 20の底部に付着して、そこか外れなくなってしまう。そして、係る事態が生じて培 養した線維芽細胞が回収できなくなった場合や、シャーレ 20の底部に付着した線維 芽細胞を無理に外した際に線維芽細胞を破壊してしまった場合には、長時間をかけ て培養した線維芽細胞を有効利用することが出来なくなってしまう。 Here, when fibroblasts divide and proliferate, they extend downward (so-called “stretched” state) and reach the bottom of petri dish 20. Then, when the fibroblasts are further divided and proliferated, when the cultured fibroblasts are collected from the petri dish 20, the cultured fibroblasts adhere to the bottom of the petri dish 20 and cannot be removed therefrom. If such a situation occurs and the cultured fibroblasts cannot be collected, or if the fibroblasts attached to the bottom of the Petri dish 20 are forcibly removed and the fibroblasts are destroyed. In addition, the fibroblasts cultured for a long time cannot be used effectively.
[0110] そのため、従来は係る事態になった場合は、酵素(トリプシン、リガーゼ)を用いて、 培養された線維芽細胞をシャーレの底部から剥がしていた。しかし、前記酵素を用い た処理を行うために、多大な労力を費やさなければならな力 た。 [0110] Therefore, conventionally, when such a situation occurs, the cultured fibroblasts were peeled off from the bottom of the petri dish using enzymes (trypsin, ligase). However, a great deal of labor had to be spent to perform the treatment using the enzyme.
[0111] これに対して、図示の実施形態では、図 3で示すように、シャーレ 20の底部には高 分子材料 (例えばフイブリンシート) 22からなる層が形成されている。増殖した線維芽 細胞が下方に生長して、高分子材料 (例えばフイブリンシート) 22からなる層の上で 付着する。下方に生長した線維芽細胞が高分子材料 22の層を貫通してシャーレ 20 の底部に到達する線維芽細胞はほとんど存在しない。 On the other hand, in the illustrated embodiment, as shown in FIG. 3, a layer made of a high molecular material (eg, fibrin sheet) 22 is formed on the bottom of the petri dish 20. Proliferated fibroblasts grow downward and attach on a layer of polymeric material (eg, fibrin sheet) 22. Few fibroblasts that have grown downward penetrate the layer of polymeric material 22 and reach the bottom of the Petri dish 20.
[0112] したがって、図 3の容器において、増殖して下方へ生長した線維芽細胞がシャーレ 20の底部に付着することによる不都合は防止される。 Therefore, in the container of FIG. 3, the inconvenience caused by the fibroblasts that have proliferated and grown downward adhere to the bottom of the petri dish 20 is prevented.
[0113] その結果、増殖した線維芽細胞を破壊してしまうこと無ぐシャーレ 20から容易に剥 離して回収することが出来る。 [0113] As a result, the proliferated fibroblasts can be easily peeled off from the Petri dish 20 without destroying the fibroblasts and recovered.
[0114] 表 3に、シャーレ 20の底部にフイブリンシート 22を敷き詰めた場合における(増殖し た)線維芽細胞の回収結果と、シャーレ 20に直接培地 24を充填し、フイブリンシート 22を敷き詰めなかった場合における回収結果とを、比較して示す。 [0115] 表 3において、「回収率」は、線維芽細胞を培養したシャーレと、フイブリンシートを 敷き詰めたものとフイブリンシートを有していないものとを、それぞれ 20個用意して、 肉眼で判別できる範囲で培養した線維芽細胞を回収できたシャーレの個数を、全シ ヤーレ数(20個)に対する百分率で表現したものである。 [0114] Table 3 shows the results of recovering (proliferating) fibroblasts when the fibrin sheet 22 was spread on the bottom of the Petri dish 20, and the Petri dish 20 was directly filled with the medium 24, and the fibrin sheet 22 was not spread. The recovery results in the case are shown in comparison. [0115] In Table 3, the "recovery rate" was determined by the naked eye by preparing 20 Petri dishes in which fibroblasts were cultured, and those with fibrin sheets spread and those without fibrin sheets. The number of Petri dishes in which fibroblasts cultured within the possible range were collected was expressed as a percentage of the total number of Petri dishes (20).
[0116] 同様に、「破壊された細胞の比率」は、線維芽細胞が底壁や側壁に付着してしまい 、剥離、回収できなかったシャーレの個数を、全シャーレ数(20個)に対する百分率 で表現している。 [0116] Similarly, the "fraction of cells destroyed" refers to the number of petri dishes that fibroblasts adhered to the bottom wall or side wall and could not be detached and collected as a percentage of the total number of petri dishes (20). It is expressed by
[0117] [表 3] [0117] [Table 3]
表 3から明らかに、フイブリンシートを有している方力 細胞が潰れて (破砕されて)し まうという不都合が抑制されている。 It is clear from Table 3 that the disadvantage of cells with fibrin sheet being crushed (crushed) is suppressed.
[0118] 次に、高分子材料 22からなる層を、いわゆる「フイブリンシート」で形成する態様に ついて、説明する。 Next, an embodiment in which a layer made of the polymer material 22 is formed of a so-called “fibrin sheet” will be described.
[0119] 図 3において、シャーレ 20の底部にフイブリンシート 22 (高分子材料)の層を作成す るには、 自己血力 採取したフイブリンをシャーレ 20の底へ膜状に敷き詰め、フイブリ ンシートとして作成するのである。 In FIG. 3, in order to form a layer of the fibrin sheet 22 (polymer material) on the bottom of the petri dish 20, self-blood-strength-collected fibrin is spread in the form of a film on the bottom of the petri dish 20 and formed as a fibrin sheet. You do it.
[0120] 具体的には、 10mLの自己血を凝固させ、凝固した自己血を遠心分離によって回 収する。ここで、「10mL」という数値は、必要且つ十分と思われる数値として例示した ものであり、限定的な意味は有さない。 [0120] Specifically, 10 mL of autologous blood is coagulated, and the coagulated autologous blood is collected by centrifugation. Here, the numerical value “10 mL” is exemplified as a numerical value considered necessary and sufficient, and has no limiting meaning.
[0121] 回収された(凝固した)自己血を注射器の中に入れ、注射針から押し出すことにより 物理的に破砕する。 [0122] その状態で、シャーレの底に敷き詰めれば、シャーレの底部にフイブリンシート 22 の層が形成される。 [0121] The collected (coagulated) autologous blood is placed in a syringe and physically crushed by pushing it out of a syringe needle. In this state, if the petri dish is spread on the bottom, a layer of the fibrin sheet 22 is formed on the bottom of the petri dish.
[0123] このような手法でフイブリンシート 22を形成する場合、フイブリンシート作成のために 凝固させる自己血の量は、実験的に、 10mLで十分なことが判明している。すなわち 、皮膚片を採取した患者の自己血は、前述した培養用に必要な 10mLと合わせて、 合計で 20mLが採血される。 [0123] When the fibrin sheet 22 is formed by such a method, it has been experimentally proved that 10 mL of the amount of autologous blood to be coagulated for preparing the fibrin sheet is sufficient. That is, a total of 20 mL of the autologous blood of the patient from whom the skin piece was collected is collected in addition to the 10 mL required for the culture described above.
[0124] なお、培地 24と共に培養に用いられる自己血 26 (図 3)については、凝固させない ように、「へパリン採血」を行う。 [0124] Autologous blood 26 (Fig. 3) used for culture together with medium 24 is subjected to "heparin blood sampling" so as not to coagulate.
[0125] 次に、フイブリンシート作成の他の形態を説明する。 Next, another embodiment of the production of a fibrin sheet will be described.
[0126] 皮膚片を採取した患者の血液を採血し、採血後 2— 3時間経過して凝固が始まった 段階で、遠心分離にかける。採血された血液の凝固した塊 (凝固塊)が下方に沈降し たならば、上方にある凝固していない成分を培地 (例えば、一般的なアミノ酸等の栄 養培地)上に撒く。 [0126] Blood is collected from the patient from whom the skin fragments have been collected, and centrifuged at the stage where coagulation has started 2-3 hours after the blood collection. If the coagulated clot (coagulated clot) of the collected blood has settled down, the upper uncoagulated component is spread on a medium (eg, a nutrient medium such as a common amino acid).
[0127] 前記「凝固していない成分」は、大部分が血清であり、血漿、その他少量の白血球 [0127] The "non-coagulated component" is mostly serum, plasma, and other small amounts of leukocytes.
、血小板、赤血球を含んでおり、血清中には未だに凝固していない成分 (フイブリンを 含む)が、必要かつ十分な量だけ残存している。 , Platelets and erythrocytes, and a necessary and sufficient amount of uncoagulated components (including fibrin) remain in serum.
[0128] 従って、前記「凝固していない成分」を培地上に撒けば、前記「凝固していない成分Therefore, when the “non-coagulated component” is spread on a medium, the “non-coagulated component” is dispersed.
」に包含されているフイブリンの残存量が倍地上で徐々に凝固して、薄い膜、すなわ ちフイブリンシートが形成されるのである。 The remaining amount of fibrin contained in the "" is gradually solidified on the ground, forming a thin film, that is, a fibrin sheet.
[0129] そしてこのように形成されたフイブリンシートを、図 3で示すように、シャーレの底部に 敷き詰めればよい。 [0129] Then, the fibrin sheet thus formed may be spread on the bottom of the petri dish as shown in FIG.
[0130] (皮膚細片 30の)線維芽細胞の培養は、細胞数が 1000万程度から 1億個程度に 増殖するまで行われる。しかし、増殖した細胞数は、培養期間を決定するための厳密 な条件ではない。細胞数のオーダーが一桁違っても、容量的にはほとんど変化がな いからである。 [0130] Culture of fibroblasts (of skin strips 30) is performed until the number of cells grows from about 10 million to about 100 million. However, the number of cells grown is not a strict condition for determining the culture period. This is because even if the order of cell number is different by one digit, there is almost no change in capacity.
[0131] なお、培養当初は、線維芽細胞は数 100個程度であり、この数 100個の線維芽細 胞が遊離して、上述した細胞数になるまで十分に増殖してから、生体 (皮膚片を採取 した患者)に戻される。 [0132] すなわち、培養あるいは増殖された線維芽細胞は、図 3で示すようなシャーレ 20か ら、患者の傷やしわ、事故等でへこんだ箇所の皮膚に注入される。注入された線維 芽細胞は、注入された箇所で生長し、コラーゲンを産生して、患者の傷やしわ、その 他のへこんだ箇所を修復する。 [0131] Initially, the number of fibroblasts is about several hundred at the beginning of the culture, and after several hundred fibroblasts are released and proliferated sufficiently to reach the above-mentioned number of cells, The patient from whom the skin strip was collected). That is, the cultured or proliferated fibroblasts are injected from a petri dish 20 as shown in FIG. The injected fibroblasts grow at the injected site and produce collagen to repair wounds, wrinkles, and other dents in the patient.
[0133] ここで、線維芽細胞が生長するためには、患者(生体)内に注入された後において も、「足場」となるような立体的な構造 (マトリックス)を必要とする。換言すれば、係る立 体的な構造を提供せずに、線維芽細胞のみを患者(生体)内に注入しても、注入され た線維芽細胞は十分に生長せず、コラーゲン産生量も少なくなつてしまう。 [0133] Here, in order for fibroblasts to grow, a three-dimensional structure (matrix) that serves as a "scaffold" is required even after being injected into a patient (living body). In other words, even if only fibroblasts are injected into a patient (living body) without providing such a stereostructure, the injected fibroblasts do not grow sufficiently and the amount of collagen production is low. It will be connected.
[0134] そのため、培養された線維芽細胞のみを患者(生体)内に注入する以前に、線維芽 細胞生育のための立体的な構造 (マトリックス)を提供するための基材と混合する。 Therefore, before injecting only cultured fibroblasts into a patient (living body), the fibroblasts are mixed with a substrate for providing a three-dimensional structure (matrix) for fibroblast growth.
[0135] 使用する基材は次の通りである。 [0135] The base materials used are as follows.
[0136] (l) Hespander (ヘスパンダー:商品名:杏林制約株式会社の製品) /Dextran ( デキストラン:商品名:大塚製薬株式会社の製品) [0136] (l) Hespander (Product name: Kyorin Constraint Co., Ltd.) / Dextran (Dextran: Product name: Otsuka Pharmaceutical Co., Ltd.)
(2)コラーゲン(Collagen)あるいはヒアルロン酸(Hyaluronic acid) (2) Collagen or Hyaluronic acid
(3)フイブリン(Fibrin) (3) Fibrin
(4) PRP (多血小板血漿: Platelet Rich Plasma) (4) PRP (Platelet Rich Plasma)
(5) CMC (Carboxy Methyl Cellulose:カルボキシメチルセルロース) (5) CMC (Carboxy Methyl Cellulose)
(6) PLA (Poly lactic acid ;ポリ乳酸) (6) PLA (Poly lactic acid)
上記(1)の「Hespander/Dextran」は、浸透圧が血液と同等以上に設定されて いるもので、代用血漿として市販されている。市販の際には、線維芽細胞生育のため の栄養素として市販のアミノ酸製剤、例えばモリブロン(Moripron :商品名:味の素フ オルマ株式会社の製品)、ハイブレアミン (Hy—pleamin :商品名:扶桑薬品工業株 式会社の製品)等を混合して使用することが好ましい。 “Hespander / Dextran” in (1) above has an osmotic pressure equal to or higher than that of blood and is commercially available as a plasma substitute. When commercialized, commercially available amino acid preparations as nutrients for fibroblast growth, such as moripron (trade name: product of Ajinomoto Pharma Co., Ltd.), Hybleamine (hy-pleamin: trade name: Fuso Pharmaceutical Co., Ltd.) It is preferable to use a mixture of products of the formula company).
[0137] 上記(2)のコラーゲンあるいはヒアルロン酸は、しわへの注入に用いられている一 般的な注入剤である。線維芽細胞が増殖しなくても、一時的に抗しわ効果が得られる という利点を有する。 [0137] Collagen or hyaluronic acid of the above (2) is a common injection used for injection into wrinkles. It has the advantage that a temporary anti-wrinkle effect can be obtained even if fibroblasts do not proliferate.
[0138] 従来技術で用いられているものは動物由来であるため、感染症、その他の病原体 による汚染を帽子する十分な処理が必須であった。これに対して、本発明においても 線維芽細胞がコラーゲンを産生するが、患者自信の線維芽細胞を患者自身の血液( 自己血)で培養しており、そのようにして増殖した線維芽細胞が産生したコラーゲンで あるため、「感染症、その他の病原体による汚染」のおそれが無い。 [0138] Since those used in the prior art are derived from animals, sufficient treatment to prevent infection and other pathogens was essential. On the other hand, in the present invention, Fibroblasts produce collagen, but the fibroblasts of the patient's own are cultured in the patient's own blood (autologous blood), and the fibroblasts proliferated in this way produce collagen. Disease and other pathogens. "
[0139] 上記(3)のフイブリン、特に患者の自己血から生成したフイブリンは、基材として最 適である。 [0139] The fibrin of the above (3), particularly the fibrin generated from the autologous blood of the patient, is most suitable as the base material.
[0140] 上記(4)の PRPは、 自己血中に含まれる血小板および血小板由来の成長因子を 多量に含む血漿である。 (患者からの PRPの採取方法。請求項に!) [0140] The PRP in the above (4) is plasma containing a large amount of platelets and platelet-derived growth factors contained in autologous blood. (How to collect PRP from patients. Claim!)
なお、上記項目(5)の CMCは、例えば豊胸術で用いられている素材である。生体 適合性を有するとレ、うメリットを有する。 CMC in item (5) above is a material used in breast augmentation, for example. Having biocompatibility has the following advantages.
[0141] (6) PLA (Poly lactic acid ;ポリ乳酸)は、とうもろこしゃジャガイモなどの澱粉や 糖類を乳酸菌で発酵させ、化学処理によって結合させて製造される物質であり、植 物由来であることからアレルギー性が低ぐ生体触媒としてコラーゲンの自己産生を 促す作用を有している。 [0141] (6) PLA (Poly lactic acid) is a substance produced by fermenting starch and sugars such as corn potatoes with lactic acid bacteria and combining them by chemical treatment, and is derived from plants. As a biocatalyst with low allergenicity, it has the effect of promoting the self-production of collagen.
[0142] 次に、上述したように培養された線維芽細胞と、上述の基材とを用いて、生体に再 移植する場合について、図 5—図 10を参照して説明する。 [0142] Next, the case of reimplantation into a living body using the fibroblasts cultured as described above and the above-described base material will be described with reference to Figs.
[0143] 上述した基材を培養された線維芽細胞と混合するに際して、図 5に示すように、シャ ーレ 20内で培養された線維芽細胞 31を、ピペットや注射器等の器具 40で吸引する 。その際に、図 3で示すように、シャーレ 20の底部にはフイブリンシートが敷き詰めら れているので、線維芽細胞 30はシャーレに付着することなぐシャーレ 20から容易に 剥離して、器具 40内に吸引される。 [0143] When the above-described base material is mixed with the cultured fibroblasts, as shown in FIG. 5, the fibroblasts 31 cultured in the dish 20 are aspirated by an instrument 40 such as a pipette or a syringe. Do At this time, as shown in FIG. 3, a fibrin sheet is spread on the bottom of the petri dish 20, so that the fibroblasts 30 are easily detached from the petri dish 20 without adhering to the petri dish, and the inside of the instrument 40 is removed. Is sucked.
[0144] 器具 40に吸引された線維芽細胞は、図 6で示すように、試験管等の振盪用容器 42 内に移される。容器 42には、さらに、上述した基材 34が、ピペットや注射器等の器具 44により、投入される。 [0144] The fibroblasts aspirated by the device 40 are transferred into a shaking container 42 such as a test tube as shown in FIG. The above-described base material 34 is further put into the container 42 by an instrument 44 such as a pipette or a syringe.
[0145] 線維芽細胞と基材との比率は、 1 : 4一 4 : 1程度まで可能であり、例えば、 1: 1で混 合することが出来る。ただし、これは基材の種類やその他の条件により変動する。例 えば、ヒアルロン酸のように粘稠な基材の混合量は、少なくてすむ。 [0145] The ratio of fibroblasts to the substrate can be up to about 1: 4 to 4: 1, and can be mixed, for example, at 1: 1. However, this varies depending on the type of the base material and other conditions. For example, the mixing amount of a viscous base material such as hyaluronic acid may be small.
[0146] ここで、図 5で示す段階において、培養された線維芽細胞 30と共に、シャーレ 30底 部に敷き詰められたフイブリンシート(図 3の符号 22;図 5では図示せず)も器具 40で 吸引される場合には、基材 34を容器 44へ新たに投入する必要はない。 Here, at the stage shown in FIG. 5, together with the cultured fibroblasts 30, the fibrin sheet (reference numeral 22 in FIG. 3; not shown in FIG. 5) spread on the bottom of the Petri dish 30 is also used with the instrument 40. When sucked, it is not necessary to newly add the substrate 34 to the container 44.
[0147] フイブリンシートを構成するフイブリン自体力 (上述したように)基材として極めて有 効に作用するため、器具 40で吸引されたフイブリンシートを線維芽細胞 30と共に容 器 44へ投入すれば足りるからである。 [0147] The fibrin itself constituting the fibrin sheet acts extremely effectively as a base material (as described above), so it is sufficient to put the fibrin sheet sucked by the device 40 into the container 44 together with the fibroblasts 30. Because.
[0148] 線維芽細胞 30及び基材 34 (フイブリンシートの場合を含む)が投入された後、容器 [0148] After the fibroblasts 30 and the base material 34 (including the case of the fibrin sheet) are charged, the container
42は、図 7で示すように、人手 HHにより振盪される。 42 is shaken by hand HH as shown in FIG.
[0149] ここで、振盪機等の機械を使用しないのは、機械による振盪では、線維芽細胞が潰 れてしまうおそれが存在するためである。もちろん、細胞が潰れない程度の底側の振 盪が可能であり、衛生面での配慮が十分になされ、且つ、人手 HHで行うよりも労力 が低減できるのであれば、機械による振盪を行っても良い。 [0149] Here, a machine such as a shaker is not used because there is a risk that fibroblasts may be crushed by mechanical shaking. Of course, if the bottom side can be shaken to the extent that cells are not crushed, hygiene considerations are sufficient, and if the labor can be reduced compared to manual HH, mechanical shaking should be performed. Is also good.
[0150] 図 7で示す工程により振盪された基材 (あるいはマトリックス)及び線維芽細胞、換言 すれば、線維芽細胞と基材との混合物は、充填材料 50として、注射器に吸入される( 図 8)。 [0150] The substrate (or matrix) and the fibroblasts, that is, the mixture of the fibroblasts and the substrate, which have been shaken by the process shown in Fig. 7, are inhaled into the syringe as the filling material 50 (Fig. 8).
[0151] そして図 9で示すように、線維芽細胞と基材との混合物である充填材料 50は、生体 の皮膚 S上に生じた凹部 55 (例えば、傷、しわ、事故による欠損部等)の下方の領域 (皮下部分)へ注入される。 [0151] As shown in Fig. 9, the filling material 50, which is a mixture of fibroblasts and the base material, is provided with a concave portion 55 (for example, a wound, a wrinkle, a defect caused by an accident, etc.) formed on the skin S of a living body. Is injected into the area below (the subcutaneous part).
[0152] 充填材料 50を皮下注入した結果、皮膚 S上の凹部(図 9において、点線で示す凹 部 55B)は、図 9において符号 55Aで示すように、皮膚 S上のその他の部位と同一レ ベルまで盛り上がり、修復される。 [0152] As a result of injecting the filling material 50 subcutaneously, the concave portion on the skin S (the concave portion 55B shown by a dotted line in Fig. 9) is the same as the other portions on the skin S as shown by reference numeral 55A in Fig. 9. It rises to the level and is restored.
[0153] 充填材料 50の組成物として皮下に注入された線維芽細胞は、基材が存在するた め、注入された箇所でも順調に生長し、弾性繊維であるコラーゲンを産生する。その ため、注入された線維芽細胞自体が寿命を向かえたとしても、分裂して別の線維芽 細胞を産生し、コラーゲンの産生が継続される。そして、修復箇所 55Aは皮膚 S上の その他の部位と同一レベルの状態を維持する。 [0153] The fibroblasts injected subcutaneously as a composition of the filling material 50, because of the presence of the base material, grow steadily even at the injected site and produce collagen, which is an elastic fiber. Therefore, even if the injected fibroblasts have reached their end of life, they will divide and produce another fibroblast, and collagen production will continue. Then, the repaired portion 55A maintains the same level as other portions on the skin S.
[0154] ここで、図 8 図 10で示す生体への再移植は、培養された線維芽細胞をシャーレ 2 0から取り出して (あるいは回収して:図 5の工程)から所定の時間内(6時間以内)に、 好ましくは混合した直後に、注射器により、生体の所定箇所 (傷、しわ、凹部、その他 )の皮下へ注入され、充填される(図 10)。 [0155] シャーレ 20の培地 24から回収された状態の線維芽細胞は、(自己血を加えた培地 24上とは異なり)必要な栄養素が供給されている状態でなくなるため、培地 24から回 収すると細胞活性が低下しまう。従って、生体内に戻された線維芽細胞が十分に成 育して機能するためには、培地 24から回収された後、生体内に戻されるまでの時間 が短ければ短い程、好都合である。 [0154] Here, in the reimplantation into the living body shown in Fig. 8 and Fig. 10, the cultured fibroblasts are removed from the Petri dish 20 (or collected and recovered: the process of Fig. 5) within a predetermined time (6 (Within hours), preferably immediately after mixing, is injected subcutaneously into a predetermined part of the living body (wounds, wrinkles, depressions, etc.) and filled with a syringe (FIG. 10). [0155] The fibroblasts recovered from the culture medium 24 of the Petri dish 20 are not supplied with necessary nutrients (unlike on the culture medium 24 containing autologous blood), and thus are recovered from the culture medium 24. Then, the cell activity decreases. Therefore, in order for the fibroblasts returned to the living body to grow and function sufficiently, it is more advantageous that the shorter the time from the recovery from the medium 24 to the return to the living body, the shorter the time.
[0156] 発明者等の実験によれば、 自己血 26をカ卩えた培地 24で培養された線維芽細胞は 、培地から回収された後、 6時間以上経過すると、生体内に戻された後に成長するの に必要な細胞活性が失われた。 According to experiments performed by the inventors, fibroblasts cultured in the medium 24 containing autologous blood 26 were recovered from the medium, and after 6 hours or more, they were returned to the living body. Cell activities necessary for growth have been lost.
[0157] ただし、基材としてフイブリンや PRPを使用する場合には、かかる基材は細胞が増 殖するための好条件を提供することができるため、細胞活性の劣化を減衰して、培地 力 線維芽細胞を回収した後、生体内に戻すまでの臨界時間を文字各することが可 能である。 [0157] However, when fibrin or PRP is used as the base material, such a base material can provide favorable conditions for cell growth, and thus attenuates the deterioration of cell activity and reduces the medium power. After collecting fibroblasts, it is possible to specify the critical time until it is returned to the living body.
[0158] かかる臨界時間に関する実験結果を表 4で示す。 Table 4 shows the experimental results regarding the critical time.
[0159] 表 4は、線維芽細胞が培地から回収後、必要な活性を失うまでの時間を比較して示 している。 [0159] Table 4 shows a comparison of the time required for fibroblasts to lose the required activity after recovery from the medium.
[0160] [表 4] [0160] [Table 4]
表 4で示す実験結果から明らかなように、基材としてコラーゲン、ヒアルロン酸、フィ ブリンあるいは PRPを用いれば、線維芽細胞を培地から回収後、必要な活性を失う までの時間を長期化することができる。 As is evident from the experimental results shown in Table 4, collagen, hyaluronic acid, The use of Blin or PRP can extend the time it takes for fibroblasts to recover the required activity from the culture medium.
[0161] したがって、培地から回収された線維芽細胞の保存も容易となる。 [0161] Therefore, the fibroblasts recovered from the medium can be easily stored.
[0162] 培地から回収された線維芽細胞と基材との混合物は、冷凍保存することが可能で ある。すなわち、培養された線維芽細胞、自己血から得られた細胞保存用の血清、 D MSO (ジメチルスルホキシド: Dimethyl Sulfoxide)、フイブリンシート(基材)とを 混合し、液体窒素により急速冷却すれば、その状態で冷凍保存が可能となる。 [0162] The mixture of fibroblasts and substrate recovered from the medium can be stored frozen. In other words, if cultured fibroblasts, serum for cell preservation obtained from autologous blood, DMSO (Dimethyl Sulfoxide), and fibrin sheet (substrate) are mixed and rapidly cooled with liquid nitrogen, In that state, frozen storage becomes possible.
[0163] 自己血から得られた細胞保存用の血清は、血清に「非働化」という走查をカ卩えること により得られる。 「非働化」という操作は、血清を例えば 55°Cで 30分加熱する操作で あり、係る操作により、細胞増殖を抑制する因子 (例えば TGF— 等)を不活性化し て、血清中の成分を栄養素としての利用効率を高めることができる。 [0163] Serum for cell preservation obtained from autologous blood can be obtained by adding "inactivation" to the serum. The operation of “inactivation” is an operation in which serum is heated at, for example, 55 ° C for 30 minutes. By such an operation, a factor (for example, TGF-) that suppresses cell growth is inactivated and components in the serum are removed. Use efficiency as nutrients can be increased.
[0164] 冷凍保存に際しては、保存用の血清 10%、培地、 DMSO10%の保存液中に増殖 した線維芽細胞を入れて、 1分間に 1°Cずつ冷却して、最終的には液体窒素中に保 存するのである。 [0164] For frozen storage, put the proliferating fibroblasts in a stock solution containing 10% serum, medium, and 10% DMSO for storage, cool at 1 ° C per minute, and finally add liquid nitrogen. It is stored inside.
[0165] なお、 DMSOに代えて、培養細胞を液体窒素中で保存する際に用いる溶媒を用 いることも可能であり、例えば、グリセリン(grycerin, glycerol)や、 HES (Hydrox y Ethyl Starch)を使用することも可能である。 [0165] Instead of DMSO, it is also possible to use a solvent used for storing cultured cells in liquid nitrogen. For example, glycerin (grycerin, glycerol) or HES (Hydroxy Ethyl Starch) may be used. It is also possible to use.
[0166] 足場となる基材と混合されて生体内の所定箇所に注入された後、線維芽細胞は、 順調に生育して、増殖すると共に、コラーゲンを産生して、傷やしわ、怪我で生じた 凹部等の内部空間を充填し、係る傷、しわ、凹部が出来る以前の(生体の)状態に修 復するのである。 [0166] After being mixed with the base material serving as a scaffold and injected into a predetermined location in a living body, fibroblasts grow smoothly and proliferate, and at the same time, produce collagen to produce wounds, wrinkles, and injuries. It fills the internal space, such as the resulting recess, and restores it to the state (in a living body) before such scratches, wrinkles, and recesses were formed.
[0167] 図 3の符号 22で示す高分子シート (例えばフイブリンシート)を使用しない場合には 、遊走してきた線維芽細胞は、シャーレ 20の底部に針付き、足場を固めながら生育 する。 [0167] When the polymer sheet (eg, fibrin sheet) indicated by the reference numeral 22 in Fig. 3 is not used, the migrated fibroblasts are attached to the bottom of the Petri dish 20 and grow while solidifying the scaffold.
[0168] 所定の培養期間が経過したならば、シャーレ 20の底部から生育した線維芽細胞を 剥がすが、その際には、酵素トリプシン (Trypsin :商品名:「トリプシンレコンビナントと して Roche社が製造、販売)を、直径が 10cmシャーレ 20であれば 25mg程度添加し 、 10°C— 37°Cで 10 20分保温すれば、当該酵素の作用により、線維芽細胞はシャ ーレ 20の底部から剥離する。 [0168] After a predetermined culture period has elapsed, the grown fibroblasts are peeled off from the bottom of the Petri dish 20, and in this case, the enzyme Trypsin (trade name: "Roche Inc. as a trypsin recombinant") was used. (Manufactured and sold by the company)), add about 25 mg if the diameter is 10 cm in a Petri dish, and incubate at 10 ° C-37 ° C for 10-20 minutes. Peel from the bottom of layer 20.
[0169] なお、トリプシンは長時間作用させると細胞毒性が出てくるので、必要最小限の処 理時間で使用する。例えば、シャーレの底部から線維芽細胞を剥がすタイミングにつ いては、温度や時間をパラメータとせずに、顕微鏡で観察しながら、線維芽細胞が増 殖時に示していた本来の紡錐型ではなぐ線維芽細胞が丸くなつたならば、シャーレ の底部から剥離する。 [0169] Trypsin causes cytotoxicity when it is allowed to act for a long period of time. Therefore, trypsin should be used with the minimum necessary processing time. For example, the timing of removing the fibroblasts from the bottom of the Petri dish is not determined by the temperature or time, but by observing them under a microscope. When the blasts have become round, detach them from the bottom of the Petri dish.
[0170] 剥離した線維芽細胞をピペットで吸引して回収し、遠心分離機で 800rpmで 5分間 、遠心分離を行う。線維芽細胞は沈降するので、これを回収して新たに培地で混濁 する(約 5 10mL)。新たに培地で混濁された線維芽細胞は、例えば 10枚の別のシ ヤーレに撒くことによって、相対的な濃度を調整し、増殖した細胞を回収すれば、 10 倍に増殖させること力 Sできる。 [0170] The detached fibroblasts are collected by suction with a pipette, and centrifuged at 800 rpm for 5 minutes using a centrifuge. Since the fibroblasts sediment, collect them and make them turbid with fresh medium (approximately 510 mL). The fibroblasts, which are newly turbid in the medium, can be grown 10-fold by adjusting the relative concentration by, for example, dispersing them on 10 separate dishes and collecting the grown cells. .
[0171] 以下、回収、遠心分離、混濁、複数の別のシャーレで培養、という上記手順を繰り 返して、所定数の線維芽細胞を得るのである。 [0171] Hereinafter, a predetermined number of fibroblasts are obtained by repeating the above procedure of collecting, centrifuging, turbidity, and culturing in a plurality of different dishes.
[0172] 図 5—図 10を参照して上述した実施形態において、高分子シート 22上で培養され た細胞が注射器の針を通らず、回収が困難となってしまう場合が存在する。上述した ように、トリプシンを用いれば回収することは可能である力 出来る限りトリプシンは使 用したくないという要請が存在する。 [0172] In the embodiment described above with reference to Fig. 5 to Fig. 10, there are cases where cells cultured on the polymer sheet 22 do not pass through the needle of the syringe, making it difficult to collect. As mentioned above, there is a demand that trypsin should not be used as much as possible if trypsin can be used to recover it.
[0173] 力かる場合に対処するには、例えば、高分子シート 22を、低温感受性ポリマーにす ればよい。以下、図 11一図 13を参照して、低温感受性ポリマーを高分子シートにし た場合について、説明する。 [0173] In order to cope with a strong case, for example, the polymer sheet 22 may be a low-temperature sensitive polymer. Hereinafter, a case where the low-temperature sensitive polymer is a polymer sheet will be described with reference to FIGS.
[0174] 図 3および図 5で示すような状態で培養した結果、図 11で示すように高分子シート 2 2の表面全域にわたって線維芽細胞 27が増殖したのであれば、図 5のコントロールュ ニット 118から加熱用ヒーター 122へ制御信号を送出して、シャーレ 20が配置されて レ、る培養ケース 100の内部温度(シャーレ 20が配置されている雰囲気温度)を 37°C 力 32°Cまで降温する。 If the fibroblasts 27 proliferated over the entire surface of the polymer sheet 22 as shown in FIG. 11 as a result of culturing in the state shown in FIG. 3 and FIG. 5, the control unit in FIG. A control signal is sent from 118 to the heating heater 122 to lower the internal temperature of the culture case 100 in which the Petri dish 20 is placed (the ambient temperature in which the Petri dish 20 is placed) to 37 ° C and 32 ° C. I do.
[0175] 雰囲気温度を 32°Cまで降温すると、低温感受性ポリマーの特性に基づいて、図 12 で示すように、線維芽細胞 27のシート 22に対する付着状態が解除され、培養された 線維芽細胞は、培地と自己血の混合物 25 (液相)中を浮上する。 [0176] 図 12では、シート 22から剥離して浮上した線維芽細胞は符号 27Aで示されている When the ambient temperature was lowered to 32 ° C., the state of attachment of the fibroblasts 27 to the sheet 22 was released based on the characteristics of the low-temperature sensitive polymer, as shown in FIG. Float in a mixture of medium and autologous blood 25 (liquid phase). [0176] In Fig. 12, fibroblasts detached from the sheet 22 and floated are indicated by reference numeral 27A.
[0177] そして、図 12で示すように、増殖した線維芽細胞の全量が低温感受性ポリマーの シート 22から剥離して浮上したならば、(符号「27A」で示す線維芽細胞)、ピペットの ような大径の器具 64により、浮上した線維芽細胞 27Aを回収すればよい。 [0177] Then, as shown in Fig. 12, if the total amount of the proliferating fibroblasts detached from the low-temperature-sensitive polymer sheet 22 and floated (fibroblasts indicated by reference numeral "27A"), a pipette-like shape was obtained. What is necessary is just to collect the floating fibroblasts 27A by using a large-diameter instrument 64.
[0178] 図 3に関する上述した説明において、本発明に係る培養装置 10に収容される細胞 培養用の培地 24と自己血 26との混合物における、培地 24に対する自己血 26の比 率は、 4%— 50%である旨を述べたが、係る比率は、表 5で示す実験結果から求めら れた。 In the above description of FIG. 3, the ratio of autologous blood 26 to culture medium 24 in the mixture of cell culture medium 24 and autologous blood 26 contained in culture apparatus 10 according to the present invention is 4% — It was stated that it was 50%, but the ratio was determined from the experimental results shown in Table 5.
[0179] 表 5で示す実験では、培地 24に対する自己血 26の比率を 1 %毎に、 2%から 52% の範囲で実験を行った。そして、 7% 48%の結果については、いずれも良好であ るため、表 5では省略してある。 [0179] In the experiments shown in Table 5, the ratio of the autologous blood 26 to the culture medium 24 was set to 1% for every 2% to 52%. The results of 7% and 48% are omitted in Table 5 because they are all good.
[0180] なお、移植に必要な量だけ培養が出来た場合力 S「良好」、必要量が得られなかった 場合を「不良」と判定している。 [0180] It should be noted that the force S was determined to be "good" when culturing was performed in an amount necessary for transplantation, and "poor" when the required amount was not obtained.
[0181] [表 5] [0181] [Table 5]
培地に対する自己血の比率 培養の結果 Autologous blood to medium ratio Culture results
2 不良 2 Bad
3 不良 3 Bad
4 良好 4 Good
5 良好 5 Good
6 良好 6 Good
49 良好 49 Good
50 良好 50 Good
51 不良 51 Bad
52 不良 表 5から明ら力なように、培地 24に対する自己血 26の比率が 4%未満である力、あ るいは 50%より大きいと、線維芽細胞の培養はうまくいかなかった。その理由は、以 下のように推察される。 52 Bad As is evident from Table 5, fibroblast cultivation failed when the ratio of autologous blood 26 to medium 24 was less than 4% or greater than 50%. The reason is presumed as follows.
[0182] すなわち、培地 24に対する自己血 26の比率が 4%未満であると、培地 24に対する 生体から採取した血液(自己血 26)の量が少なすぎて、血液中に含まれるタンパク質 や、血液や培養液の浸透圧を維持するのに必要な成分 (アルブミン)が不足してしま う。一方、培地 24に対する自己血の比率が 50%より大きいと、培地に対する生体か ら採取した血液(自己血 26)の量が多すぎて、相対的に培地 24の量が少なくなり、培 地中に含まれる皮膚細胞の培養に必要な幾つかの栄養素、例えばアミノ酸や糖質 等の液体栄養素、が不足してしまう。 [0182] That is, if the ratio of autologous blood 26 to culture medium 24 is less than 4%, the amount of blood (autologous blood 26) collected from a living body with respect to culture medium 24 is too small, and proteins contained in blood and blood Or the components (albumin) required to maintain the osmotic pressure of the culture medium. On the other hand, if the ratio of autologous blood to the culture medium 24 is greater than 50%, the amount of blood (autologous blood 26) collected from a living body with respect to the culture medium is too large, and the amount of the culture medium 24 becomes relatively small. Of nutrients required for culturing skin cells, such as liquid nutrients such as amino acids and carbohydrates.
[0183] そのため、培地 24に対する自己血 26の比率は、 4。/0— 50。/oが好適なのである。 [0183] Therefore, the ratio of autologous blood 26 to medium 24 was 4. / 0 — 50. / o is preferred.
[0184] また、培養された線維芽細胞のみを患者(生体)内に注入する以前に、線維芽細胞 成育のための立体的な構造 (マトリックス)を提供するための基材と混合するが、線維 芽細胞と上述した基材との比率は、 1 : 4一 4 : 1程度まで可能である旨を上述したが、 係る比率は、表 6で示す結果から得られた。 [0184] Before injecting only cultured fibroblasts into a patient (living body), the fibroblasts are mixed with a base material for providing a three-dimensional structure (matrix) for fibroblast growth. As described above, the ratio of fibroblasts to the above-described base material can be up to about 1: 4 to 4: 1, but such a ratio was obtained from the results shown in Table 6.
[0185] 表 6では、線維芽細胞と上述した基材との比率を、線維芽細胞と基材との混合物に 対する線維芽細胞の百分率で示し、係る百分率を 5%毎に、 10% (線維芽細胞と上 述した基材との比率が 1: 9)から 90% (線維芽細胞と上述した基材との比率が 9: 1) の範囲で実験を行った。そして、 35%— 65%の結果については、いずれも「良好」で あるため、表 6では省略してある。 [0185] In Table 6, the ratio between the fibroblasts and the above-described base material is shown as a percentage of the fibroblasts relative to the mixture of the fibroblasts and the base material. The experiments were carried out in the range of fibroblasts to the above-mentioned substrate in the ratio of 1: 9) to 90% (the ratio of fibroblasts to the above-mentioned substrate was 9: 1). The results between 35% and 65% are “good” and are omitted in Table 6.
[0186] なお、移植後に再生箇所が他の領域と同一のレベルを維持することが出来た場合 力 S「良好」、肉眼で判別できる程度のへこみが発生した場合を「不良」と判定している [0186] In addition, when the reproduced portion can maintain the same level as the other region after transplantation, the force S is "good", and when a dent that can be discerned by the naked eye occurs, it is determined as "poor". Is
[0187] [表 6] 混合物に対する線維芽細胞の 結^! [0187] [Table 6] Fibroblast binding to the mixture ^!
百分率 Percentage
1 0 不良 1 0 Bad
1 5 不良 1 5 Bad
20 良好 20 Good
25 良好 25 Good
30 良好 30 Good
70 良好 70 Good
75 良好 75 Good
80 良好 80 Good
85 不良 85 Bad
90 不良 90 Bad
このように、線維芽細胞と基材との比率が 1 : 4 (線維芽細胞と基材との混合物にお ける線維芽細胞の比率が 20%) -4 : 1 (線維芽細胞と基材との混合物における線維 芽細胞の比率が 80%)程度であるのは、次の理由によるものと推測される。 Thus, the ratio of fibroblasts to substrate is 1: 4 (the ratio of fibroblasts in the mixture of fibroblasts and substrate is 20%) and -4: 1 (fibroblasts to substrate). The ratio of fibroblasts in the mixture with the above is about 80%) is presumed to be due to the following reasons.
[0188] すなわち、線維芽細胞の比率が 80%よりも多いと、相対的に基材の量が少なすぎ て、線維芽細胞が成長するために必要な「足場」となるような立体的な構造 (マトリック ス)がジ不十分となり、生体内に注入された線維芽細胞は十分に生長せず、コラーゲ ン産生量も少なくなつてしまう。一方、線維芽細胞の比率が 20%未満であると、そも そも線維芽細胞の絶対量が少ないため、コラーゲン産生量も少なくなつてしまう。 [0188] That is, if the proportion of fibroblasts is more than 80%, the amount of the base material is relatively too small, and a three-dimensional structure that becomes a "scaffold" necessary for fibroblasts to grow is obtained. The structure (matrix) becomes insufficient, and the fibroblasts injected into the living body do not grow sufficiently, and the production of collagen is reduced. On the other hand, if the proportion of fibroblasts is less than 20%, the absolute amount of fibroblasts is small in the first place, so that the amount of collagen production is also reduced.
[0189] そのため、上述した線維芽細胞と基材との比率が 1 : 4 (線維芽細胞と基材との混合 物における線維芽細胞の比率が 20%) -4 : 1 (線維芽細胞と基材との混合物におけ る線維芽細胞の比率が 80 % )が好ましいのである。 [0189] Therefore, the above-mentioned ratio of fibroblasts to the substrate was 1: 4 (the ratio of fibroblasts in the mixture of fibroblasts and substrate was 20%) and -4: 1 (the ratio of The ratio of fibroblasts in the mixture with the substrate is preferably 80%).
[0190] なお、表 6では示されていないが、線維芽細胞と基材との割合が 1: 1 (線維芽細胞 と基材との混合物における線維芽細胞の比率が 50%)の場合は、特に良好な結果を 示した。 [0190] Although not shown in Table 6, the ratio of fibroblast to base material was 1: 1 (fibroblast Particularly good results were obtained when the ratio of fibroblasts in the mixture of the substrate and the substrate was 50%).
[0191] (実施例) [Example]
本発明に従い、対象の耳から採取した皮膚片(3 X 3mm)を採取した。また、上記 対象から血液 50mLを採血した。この血液を凝固させ、得られた凝固塊を上記の方 法により粉砕し、細胞培養用シャーレに塗布し、細胞培養用部材とした。一方、採取 した血液は DMEM培地と等量ずつ混和し細胞培養溶液とし、皮膚片とともに培養し た。適宜継代を繰り返し、得た 1. 5 X 107個の線維芽細胞を生理食塩水 2mLに懸濁 した。この懸濁液に 0. 5mLの PLAを加え、充填材料とした。この全量を、上記の方 法に従レ、、対象の目元に注入した。注入前、 目元には加齢によるしわが観察された 、約 8週間後、しわが消えた。また、注入部位には、有意な炎症作用が観察されな かった。 In accordance with the present invention, skin pieces (3 x 3 mm) were collected from the subject's ears. In addition, 50 mL of blood was collected from the above subjects. This blood was coagulated, and the obtained coagulated mass was pulverized by the above-mentioned method and applied to a cell culture dish to prepare a cell culture member. On the other hand, the collected blood was mixed with an equal amount of the DMEM medium to prepare a cell culture solution, which was cultured together with the skin pieces. Subculture was repeated as appropriate, and 1.5 × 10 7 obtained fibroblasts were suspended in 2 mL of physiological saline. 0.5 mL of PLA was added to this suspension to prepare a filling material. The entire amount was injected into the eye of the subject according to the method described above. Before injection, wrinkles due to aging were observed in the eyes. After about 8 weeks, the wrinkles disappeared. No significant inflammatory effect was observed at the injection site.
[0192] また、この方法と同様に、隆起が顕著ではない鼻唇溝、加齢によるしわと見られる前 額部にも注入したが、 目元で得た結果と同様、前者では 8週間後に顕著な隆起が見 られ、前額部における加齢によるしわは顕著に消失した。また、注入部位には、有意 な炎症作用が観察されなかった。 [0192] Similarly to this method, injection was also carried out into the nasolabial sulcus where the prominence was not remarkable, and the forehead where wrinkles due to aging were seen, but similar to the results obtained at the eyes, the remarkable after 8 weeks in the former Ridges were seen, and wrinkles due to aging in the forehead had disappeared significantly. No significant inflammatory effect was observed at the injection site.
[0193] 図示の実施形態はあくまでも例示であり、本発明の技術的範囲を減知恵する主旨 ではない。 [0193] The illustrated embodiment is merely an example, and does not purport to reduce the technical scope of the present invention.
[0194] 上述した本発明の作用効果を以下に列挙する。 [0194] The effects of the present invention described above are listed below.
[0195] (1)培養しょうとする線維芽細胞を有する生体の血液(自己血)を市販の培地に加 えて構成しているので、必要な栄養素やアミノ酸、浸透圧を維持するのに必要な成 分 (アルブミン)が存在する環境下で、線維芽細胞を培養することができる。 (1) Since the blood (autologous blood) of the living body containing the fibroblasts to be cultured is added to a commercially available medium, it is necessary to maintain the necessary nutrients, amino acids, and osmotic pressure. Fibroblasts can be cultured in an environment where components (albumin) are present.
[0196] (2)自己血を用いるため、例えば他の生体の血液を媒介とする各種感染症や病原 体が、培養容器内で増殖した線維芽細胞を汚染してしまうことを、確実に防止するこ とができる。 [0196] (2) Since autologous blood is used, it is possible to surely prevent, for example, various infectious diseases and pathogens mediated by blood of another living body from contaminating fibroblasts grown in the culture container. can do.
[0197] (3)線維芽細胞を培養しょうとする培養容器の底部に高分子 (フイブリン)のシートを 敷き詰めておくことにより、培養された線維芽細胞が培養容器の底部に付着して、剥 離することができなくなることが防止される。 (4)「足場」となるような立体的な構造 (マトリックス)を培養した線維芽細胞と混合す れば、培養溶液から剥離した線維芽細胞を生体内に戻した際に、当該線維芽細胞 が順調に生長する。 (3) By laying a sheet of polymer (fibrin) on the bottom of the culture vessel in which the fibroblasts are to be cultured, the cultured fibroblasts adhere to the bottom of the culture vessel and peel off. It is prevented that it cannot be released. (4) If a three-dimensional structure (matrix) that becomes a “scaffold” is mixed with cultured fibroblasts, the fibroblasts detached from the culture solution are returned to the body when the fibroblasts are removed. Grows smoothly.
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| JP2003146130A JP2006230418A (en) | 2003-05-23 | 2003-05-23 | Filling material |
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| JP2002200161A (en) * | 2000-10-24 | 2002-07-16 | Menicon Co Ltd | Method of manufacturing cultured skin substitute and cultured skin substitute obtained thereby |
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| JP2002200161A (en) * | 2000-10-24 | 2002-07-16 | Menicon Co Ltd | Method of manufacturing cultured skin substitute and cultured skin substitute obtained thereby |
| WO2002045767A1 (en) * | 2000-12-07 | 2002-06-13 | Japan Tissue Engineering Co.,Ltd | Substrate for tissue regeneration, material for transplantation, and processes for producing these |
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| WO2004103427A1 (en) | 2004-12-02 |
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