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研究生: 陳威兆
Wei-Chao Chen
論文名稱: 金顆粒結合生物高分子材料促皮下膠原纖維增生技術開發
The development of gold particles combined with hyaluronic acid to promote the proliferation of subcutaneous collagen fiber
指導教授: 廖愛禾
Ai-Ho Liao
口試委員: 廖愛禾
Ai-Ho Liao
莊賀喬
Ho-Chiao Chuang
江建平
Jian-Ping Jiang
沈哲州
Che-Chou Shen
唐上文
Shang-Wen Tang
學位類別: 碩士
Master
系所名稱: 應用科技學院 - 醫學工程研究所
Graduate Institute of Biomedical Engineering
論文出版年: 2019
畢業學年度: 107
語文別: 中文
論文頁數: 54
中文關鍵詞: 金顆粒玻尿酸纖維母細胞膠原蛋白皮下填充物
外文關鍵詞: Gold flake, Hyaluronic acid, Fibroblast, Collagen, Dermal filler
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玻尿酸又稱透明質酸,由雙糖作為基本結構而形成的糖胺聚糖,在人體裡可發現其存在於真皮層中幫助皮膚鎖住水分使肌膚保有彈性,然而隨著時間增加位於人體裡的玻尿酸會逐漸減少而產生皺紋。目前玻尿酸被醫學美容廣泛運用於皮下填充物上,其副作用低、方便取得及排斥現象少等特性深受大眾喜愛,另一方面也常被當作潤滑劑作用於關節炎治療,產品價值相當高,但其存在人體裡經一段時間會被玻尿酸酶分解代謝掉,若想要繼續維持玻尿酸所帶來之效果則必須重覆施打。
本研究目的為以產業生產的碎金/銀薄膜與玻尿酸做結合改善玻尿酸在人體內的降解特性。金擁有相當高的生物相容性不會被人體所排斥,當碎金箔伴隨玻尿酸植入人體皮下,刺激皮膚增生纖維母細胞及膠原蛋白,即使在玻尿酸被降解代謝後仍然可以達到原先的填充效果,進而增加使用的時效性,而銀的離子以及化合物對某些細菌、病毒、藻類以及真菌顯現出毒性,但對人體卻幾乎是完全無害的。銀的這種殺菌效應使得它在活體外就能夠將生物殺死。因此我們將京華堂 Vita Gold 提供之 PVD-金及銀混合現有皮下填充材玻尿酸進行試驗,開發新的皮下填充材料,以期能改善現階段皮下填充物在皮下填充時間過短的問題,並觀察碎金/銀箔在動物皮下所產生的反應,若能有效減緩玻尿酸降解且並未造成皮下組織產生不良反應,未來將有效改善玻尿酸於人體的應用並降低免疫反應的機率。
京華堂實業股份有限公司生產的純度9999的碎金/銀箔已完成過篩,經量測後粒徑皆小於38 µm;玻尿酸的平均電為約介於-16.62 ±19.89mV,碎金/銀薄膜的平均電位則落於-72.28 ±5.06mV與-71.92 ±9.71mV,將玻尿酸與為金/銀薄膜依比例混合後所得倒的電位分別為-27.57 ±14.22mV(HA:Au=10:1)與-20.92 ±7.48mV (HA:Ag=10:1),加了玻尿酸後的碎金/銀薄膜電位隨之變大;玻尿酸的黏滯度受流變儀的轉速(剪力,Shear Force)所影響,當轉速越高,所受Shear Force越大,所測得的黏滯度越小,除了轉速大小,也受溫度變化影響,當溫度升高,黏滯度會逐漸下降。


A natural substance, hyaluronic acid (HA), is an anionic, nonsulfated glycosaminoglycan found in the human dermis. Our skin ability to produce HA declines with age, which can lead to increased dryness, fine lines, wrinkles and sagging. Currently, HA is used as a dermal filler in cosmetic surgery and is used to treat knee pain caused by osteoarthritis. There are very few side effects of using hyaluronic acid. However, natural HA can be rapidly degraded by enzymes and radicals existing in the human body. The effect of the treatment for dermal defects such as wrinkles via the injection of free HA into injections skin only lasts for less than a week.
Cross-linked fillers consist of a homogeneous mixture of high- and low-molecularweight HA, making their application easier. This proposal is mainly to assess the efficiency of a safer and longer lasting filler, cross-linked filler containing gold particles, for the proliferation of subcutaneous collagen fiber. To estimate the feasibility of the cross-linked filler containing gold particles provided by Gold NanoTech Inc. (GNT), in vivo small animal study would be performed to evaluate the optimal condition of cross-linked filler containing gold particles.
The crushed gold/silver flake of 9999 purity produced by Gold NanoTech, Inc. has been sieved, and the particle size is less than 38 μm after measurement. The average electricity of hyaluronic acid is about -16.62±19.89 mV. The average potential of gold/silver flake falls to -72.28±5.06 mV and -71.92±9.71 mV. The potential of the hyaluronic acid mixed with the gold/silver flake is -27.57±14.22 mV (HA:Au = 10:1) and -20.92±7.48 mV (HA:Ag = 10:1). Therefore,the potential of the gold/silver flake after adding hyaluronic acid becomes larger. The viscosity of hyaluronic acid is affected by the rheometer rotation speed (shear force). As the higher speed, the measured viscosity become smaller if the shear force get laeger. In addition to the speed, it is also affected by the changing of temperature. When the temprature rises, the viscosity will gradually decrease.

目錄 中文摘要 i ABSTRACT ii 誌 謝 iii 目錄 iv 圖目錄 vii 第1章 、緒論 1 1.1 皮膚結構 1 1.1.1 表皮層 (Epidermis) 2 1.1.2 真皮層 (Dermis) 3 1.1.3 皮下組織 (Subcutaneous tissue) 4 1.2 皮下植入填補劑簡介 5 1.2.1 玻尿酸(Hyaluronic Acid) 5 1.2.2 膠原蛋白 6 1.2.3 微晶瓷 8 1.3 微整皮下填充物的比較 9 1.3.1 填補型填充物 9 1.3.2 膠原增生型填充物 9 1.3.3 自體填充物 10 1.4 皮下填充物的應用 11 1.5 京華堂實業股份有限公司生產的純度9999的金薄膜 12 1.5.1 金 13 1.5.2 銀 15 1.6 物理氣相沉積(PVD) 16 1.6.1 真空蒸鍍(Vacuum Evaporation) 16 1.6.2 濺射鍍膜(sputter deposition) 17 1.6.3 離子鍍(Ion plating) 17 1.7 研究動機 18 第2章 、材料與方法 19 2.1 藥品與設備 19 2.1.1 藥品 19 2.1.2 設備 20 2.2 金/銀結合玻尿酸皮下植入實驗 21 2.2.1 金/銀結合玻尿酸凝膠之配製 22 2.2.2 皮下植入物配製 22 2.2.3 動物實驗 24 2.3 玻尿酸黏滯度分析 25 2.4 皮膚玻尿酸及膠原蛋白含量分析 26 2.4.1 逆向高效能液相層析儀 26 2.4.2 皮下玻尿酸含量分析 27 2.5 組織切片 28 2.5.1 蘇木素-伊紅染色(H&E染色) 28 2.5.2 Masson’s trichrome染色 29 第3章 、實驗結果 30 3.1 粒徑及電位分析 30 3.1.1 粒徑分析 30 3.1.2 電位分析 32 3.2 玻尿酸之濃度分析 33 3.3 玻尿酸黏滯度分析 35 3.4 組織切片染色分析 37 第4章 、討論 38 第5章 、結論 39 參考文獻 40 圖目錄 圖 1 1、皮膚結構示意圖 1 圖 1 2、表皮層結構示意圖 2 圖 1 3、真皮層示意圖 3 圖 1 4、微晶瓷植入後六個月之組織切片圖 8 圖 1 5、碎金箔於TEM下之照片及粒徑分布 12 圖 1 6、碎金箔於SEM下之照片與粒徑分布圖 13 圖 1 7、皮膚組織對於皮下植入物的生物效應 14 圖 2 1、動物實驗植入比例及位置圖 21 圖 2 2、動物實驗犧牲時間點 21 圖 2 3、動物實驗示意圖 24 圖 2 4、迴轉式動態流變儀Modular Compact Rheometer 25 圖 3 1、碎金/銀箔與玻尿酸之顯微鏡圖 30 圖 3 2、碎金/銀箔之粒徑分布 31 圖 3 3、碎金/銀箔以及玻尿酸混合後之電位分析 32 圖 3 4、不同濃度之波尿酸所測得之光譜圖 33 圖 3 5、玻尿酸之檢量線 34 圖 3 6、流變儀不同轉速所測得之黏滯度 35 圖 3 7、玻尿酸黏滯度應力變化圖 36 圖 3 8、玻尿酸黏滯度隨溫度變化圖 36

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