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研究生: 曾裕霖
Yu-Lin Tzeng
論文名稱: 醋酸纖維素薄膜固定化血小板活化因子受體拮抗劑之血液與生物相容性研究
The study of hemocompatibility and biocompatibility on cellulose acetate with membranes surface-immobilized platelet-activating factor (PAF)-antagonist
指導教授: 蘇舜恭
SHUENN-KUNG SU
口試委員: 楊銘乾
MING-CHIEN YANG
邱士軒
SHIU-HSUAN CHIU
學位類別: 碩士
Master
系所名稱: 工程學院 - 材料科學與工程系
Department of Materials Science and Engineering
論文出版年: 2008
畢業學年度: 96
語文別: 中文
論文頁數: 77
中文關鍵詞: 銀杏內酯B接枝血液相容性
外文關鍵詞: Ginkgolide B, grafting, blood compatibility
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  • 本實驗將以CA膜(cellulose acetate) 經雙氧水(H2O2)氧化處理後,在膜表面成一帶有羧基 COOH 之凝膠層,再以水溶性二亞胺基羰 EDC 活化表面上羧基,然後與銀杏內酯B(Ginkgolide B)接合,期望改質之後的CA膜會有更好的血液及生物相容性,並能提高凝血時間,以作為血液透析材料之應用,藉以改變以抗凝血劑肝素之給予方式,以減少對人體之不相容性。本實驗利用分別APTT, PT, FT, 凝血時間,纖維蛋白吸附與血小板吸附與形態觀察評價材料之血液相容性,以及分析其血液凝固路徑,由實驗結果顯示PT及FT凝血時間有明顯的提升由血小板的吸附與形態觀察分析亦可證明接枝銀杏內酯B之薄膜不使血小板活化以及吸附在材料的表面。由實驗結果證明以銀杏內酯B接枝於薄膜的表面顯示出良好的抗凝血效果。


    In this study, cellulose acetate (CA) membrane were oxidized with hydrogen peroxide to introduce carboxyl groups, which in turn were immobilized with Ginkgolide B(GB). Blood compatibility was evaluated by measuring the activated partial thromboplastin time (APTT), prothrombin time (PT), fibrinogen time(FT), as well as the activation and adhesion of platelet. The protein affinity was determined by human plasma fibrinogen(HPF) The results showed that the immobilizing amount of GB increased with the density of carboxyl groups, and After grafting Ginkgolide B,the PT and FT was greatly elongated. These results indicated that the blood compatibility of CA membrane could be improved by the immobilization of Ginkgolide B.

    摘要 I Abstract II 圖目錄 VII 表目錄 IX 第一章 緒論 1 1-1研究背景 1 1-2 研究目的 2 第二章 文獻回顧與理論基礎 3 2-1銀杏內酯B介紹 3 2-1-1 銀杏內酯B抗凝血原理 5 2-1-2血小板活化因子生物效應 6 2-1-3 血小板活化因子受體信號傳導機制 7 2-2 銀杏內酯生物活性 9 2-2-1 抗炎作用 9 2-2-2 對中樞神經系統作用 9 2-2-3 抗休克作用 10 2-2-4 降低肝硬化門脈高壓作用 11 2-2-5 治療急性胰腺炎 12 2-3 血液學凝固(Blood coagulation)原理 14 2-3-1 血液凝固學理論 14 2-3-2凝血作用程序 15 2-4血液凝固時間的測量及其臨床意義 17 2-4-1 凝血時間(clotting time, CT) 17 2-4-2 凝血酶原時間(prothrombin time, PT) 18 2-4-3活化部分凝血活酶時間(activated partial thromboplastin time, APTT ) 19 2-5 血小板 21 2-5-1 血小板的構造與介紹 21 2-5-2血小板活化 22 2-6血小板微顆粒和血小板活化的關係 25 2-6-1血小板微顆粒的形成 25 2-6-2 血小板微顆粒與血小板活化 26 2-6 高分子的表面化學組成與生物相容性 27 2-7 生醫材料與血液相互作用過程 32 2-7-1 血漿蛋白分子在材料表面的吸附 32 2-7-2 吸附的血漿蛋白分子的構型變化 33 2-7-3 材料對血漿接觸活化系統的啟動 34 2-7-4 材料與血小板的相互作用 34 第3章 實驗設備與方法 36 3-1 實驗材料 36 3-2 實驗設備 37 3-3實驗流程 39 3-4 實驗步驟 40 3-4-1薄膜的備製 40 3-4-2 纖維素薄膜改質 40 3-4-3 力學性質測試 40 3-4-4 表面羧基染色測定 40 3-4-5 CA薄膜接枝反應 41 3-4-5-1 EDC接枝反應 41 3-4-5-2 銀杏內酯B(ginkgolides B)接枝反應 41 3-4-6 銀杏內酯B 固定化計量 42 3-4-7 表面化學性質測試 42 3-4-8 生物相容性測試 42 第4章 結果與討論 48 4-1 CA薄膜改質及COOH基密度測定 48 4-2 力學性質測試 50 4-3 銀杏內酯B固定化計量 52 4-4全反射紅外線光譜儀分析(ATIR) 54 4-5凝血時間測試 56 4-6蛋白質吸附試驗 59 4-7 血小板黏附實驗 62 4-8細胞相容性實驗 65 第五章 結論 69 參考文獻 70

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