Biodegradable Polymerswebpages.iust.ac.ir/naimi/Lectures/Polymers for Medicine/7... · Natural...
Transcript of Biodegradable Polymerswebpages.iust.ac.ir/naimi/Lectures/Polymers for Medicine/7... · Natural...
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Biodegradable Polymers:
Chemistry, Degradation and Applications
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Definition A “biodegradable” product has the ability
to break down, safely, reliably, and relatively quickly, by biological means, into raw materials of nature and disappear into nature.
Nature’s way: every resource made by
nature returns to nature.
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How long does it take?
Cotton rags 1-5 months Paper 2-5 months Rope 3-14 months Orange peels 6 months Wool socks 1 to 5 years Cigarette butts 1 to 12 years Plastic coated paper milk cartons 5 years Plastic bags 10 to 20 years Nylon fabric 30 to 40 years Aluminum cans 80 to 100 years Plastic 6-pack holder rings 450 years Glass bottles 1 million years Plastic bottles May be never
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What is Polymer Degradation?
polymers were synthesized from glycolic acid in 1920s At that time, polymer degradation was viewed negatively as a process where properties and performance deteriorated with time.
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Medical Applications of Biodegradable Polymers
Wound management Sutures Staples Clips Adhesives Surgical meshes
Orthopedic devices Pins Rods Screws Tacks Ligaments
Dental applications Guided tissue regeneration
Membrane Void filler following tooth
extraction Cardiovascular applications Stents
Intestinal applications Anastomosis rings
Drug delivery system Tissue engineering
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Why We Use Biodegradable Materials?
Eliminates additional surgery to remove an implant after it serves its function Ideal when the “temporary presence” of the implant is desired replaced by regenerated tissue as the implant degrades
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Biodegradable Materials
Degradation Short term applications sutures drug delivery orthopaedic fixation devices (requires
exceptionally strong polymers) adhesion prevention (requires polymers that
can form soft membranes or films) temporary vascular grafts (development
stage, blood compatibility is a problem)
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Biodegradable Materials
Four main types of degradable implants: the temporary scaffold the temporary barrier the drug delivery device multifunctional devices
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Biodegradable: Scaffold provides support until the tissue heals weakened by disease, injury or surgery healing wound, broken bone, damaged blood vessel sutures, bone fixation devices, vascular grafts
Rate of degradation: implant should degrade at the rate the tissue heals
Sutures are most widely used polyglycolic acid (PGA) - Dexon®
copolymers of PGA and PLA (polylactic acid), Vicryl® polydioxanone (PDS)
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Biodegradable: Barrier
Prevent adhesion caused by clotting of blood in the extravascular tissue space
• clotting inflammation fibrosis adhesions are common problems after cardiac,
spinal and tendon surgery • barrier in the form of thin membrane or film
Another barrier use is artificial skin for treatment of burns
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Biodegradable: Drug Delivery
Most widely investigated application PLA, PGA used frequently Polyanhydrides for administering chemotherapeutic agents to patients suffering from brain cancer
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Biodegradable: Multifunctional Devices
Combination of several functions mechanical support +
drug delivery: biodegradable stents to prevent collapse and restenosis (reblocking) of arteries opened by balloon angioplasty and treated with anti-inflammatory or anti-thrombogenic agents
Biodegradable intravascular stent molded from a blend of polylactide and trimethylene
carbonate. Photo: Cordis Corp. Prototype Molded by Tesco Associates, Inc.
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Biodegradable: Terminology Confusion between biodegradation, bioerosion,
bioabsorption and bioresorption! Consensus Conference of the European Society for
Biomaterials: Biodegradation: A biological agent (an enzyme, microbe or cell) responsible for degradation Bioerosion: Bioerosion contains both physical (such as dissolution) and chemical processes (such as backbone cleavage). A water-insoluble polymer that turns water-soluble under physiological conditions. Bioresorption, Bioabsorption: Polymer or its degradation products removed by cellular activity (e.g. phagocytosis)
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Biodegradable Polymers: Bioerosion
Bioerosion cause: changes in the appearance of the device changes in the physicomechanical properties swelling deformation structural disintegration weight loss loss of function
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Biodegradable Polymers: Bioerosion
Bioerosion is due to chemical degradation
cleavage of backbone cleavage of crosslinks side chains
physical processes (e.g. changes in pH) Two types of erosion bulk erosion surface erosion
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Biodegradable Polymers: Bioerosion
bulk erosion (homogeneous) uniform degradation throughout polymer
water enters polymer causes hydrolytic degradation component hollowed out finally crumbles (like sugar cube in water) releases acid groups (possible inflammation) characteristic of hydrophilic polymers
H2O H2O
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Biodegradable Polymers: Bioerosion
water penetration limited degradation occurs on the surface thinning of the component over time integrity is maintained over longer
time when compared to bulk erosion hydrophobic polymers experience
surface erosion since water intake limited
acidic byproducts are released gradually acid burst less likely, lower chance of inflammation
surface erosion can also occur via enzymatic degradation
H2O H2O
surface erosion (heterogeneous) polymer degrades only at polymer-water interface
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Polymer Degradation by Erosion
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Erodible Matrices or Micro/Nanospheres
(a) Bulk-eroding system
(b) Surface-eroding system
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Degradation Schemes
Surface erosion (poly(ortho)esters and polyanhydrides) Sample is eroded from the surface Mass loss is faster than the ingress of water into the
bulk
Bulk degradation (PLA,PGA,PLGA, PCL) Degradation takes place throughout the whole of the
sample Ingress of water is faster than the rate of degradation
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Biodegradable Polymers: Bioerosion
Factors that determine rate of erosion: 1. chemical stability of the polymer backbone (erosion rate: anhydride > ester > amide parallel to the activity of functional group!!)
2. hydrophobicity of the monomer (addition of
hydrophobic comonomers reduce erosion rate)
3. morphology of polymer crystalline vs. amorphous: crystallinity ↑ packing density ↑ water penetration ↓ erosion rate ↓
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Biodegradable Polymers: Bioerosion
Factors that determine rate of erosion (cont.): 4. initial molecular weight of the polymer 5. fabrication process 6. presence of catalysts, additives or plasticizers 7. geometry of the implanted device (surface/volume
ratio) 8. Annealing: Polymer less permeable to water in
glassy state: Tg of the polymer should be greater than 37 °C to maintain resistance to hydrolysis under physiological conditions
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Biodegradable Polymers: Bioerosion
Factors that determine rate of erosion (cont.): 9. Method of Sterilization 10. Storage History 11. Site of Implantation 12. Absorbed Compounds 13. Mechanism of Hydrolysis (enzymes vs water)
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Biodegradable Polymers: Chemical Degradation
Chemical degradation mediated by water, enzymes, microorganisms Mechanisms of chemical degradation cleavage of crosslinks between chains cleavage of side chains cleavage of polymer backbone combination of above
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Biodegradable Polymers: Chemical Degradation
CLEAVAGE OF CROSSLINKS
TRANSFORMATION OF SIDE CHAINS
CLEAVAGE OF BACKBONE
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Biodegradable Polymers: Storage, Sterilization and Packaging
minimize premature polymer degradation during fabrication and storage moisture can seriously degrade, controlled atmosphere facilities sterilization γ-irradiation or ethylene oxide both methods degrade physical properties choose lesser of two evils for a given polymer γ-irradiation dose at 2-3 Mrad (standard level to
reduce HIV) can induce significant backbone damage ethylene oxide highly toxic
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Biodegradable Polymers: Storage, Sterilization and Packaging
Packed in airtight, aluminum-backed, plastic foil pouches. Refrigeration may be necessary
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Enzymatic Degradation Natural polymers degrade primarily via enzyme action collagen by collagenases, lysozyme glycosaminoglycans by hyaluronidase, lysozyme
There is also evidence that degradation of synthetic polymers is due to or enhanced by enzymes. poly(ε-caprolactone) elastomers
-20.0
0.0
20.0
40.0
60.0
80.0
-5 0 5 10 15 20 25
in vitro
in vivo
% w
eigh
t los
s
time (weeks)
C.G. Pitt et al., J. Control. Rel. 1(1984) 3-14
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Methods of Studying Polymer Degradation
Morphological changes (swelling, deformation, bubbling, disappearance…)
Weight lose Thermal behavior changes Differential Scanning Calorimetry (DSC)
Molecular weight changes Dilute solution viscosity Size exclusion chromatograpgy(SEC) Gel permeation chromatography(GPC)
Change in chemistry Infared spectroscopy (IR) Nuclear Magnetic Resonance Spectroscopy (NMR)
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Biodegradable Polymers
Variety of available degradable polymers is limited due to stringent requirements biocompatibility free from degradation related toxic products
(e.g. monomers, stabilizers, polymerization initiators, emulsifiers)
Few approved by FDA PLA, PGA, PDS used routinely
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Biodegradable Polymers
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Biodegradable Polymers
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Biodegradable Polymers
Effect of molecular weight on the mechanical
strength????
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Biodegradable Polymers
Carbonyl bond to
O N S
R1 C X
O
R2 R1 C OH
O
+ HX R2
OH2
Where X= O, N, S
R1 C O
O
R2
Ester
R1 C NH
O
R2
Amide
R1 C S
O
R2
A.
Thioester
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X C X'
O
R2R1 + HX' R2X C OH
O
R1
OH2
Where X and X’= O, N
B.
O C O
O
R2R1 NH C O
O
R2R1 NH C NH
O
R2R1
Carbonate Urethane Urea
C. R1 C X
O
C
O
R2 +R1 C OH
O
HX C
O
R2
OH2
R1 C NH
O
C
O
R2 R1 C O
O
C
O
R2
Imide Anhydride
Where X and X’= O, N
Biodegradable Polymers
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Biodegradable Polymers
Acetal:
Hemiacetal:
Ether
OH2 +C
O
H H
R' OHO C O
H
H
R R' R OH +
O C
C
C C
C
OH
OH
OH
OH
OH OH C
C
C C
OH
OH
OH
OH
H2O +
C==O
H
H2O
R C O C R'
H H
H HOH2
R C OH
H
H
R' C OH
H
H
+
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R C R
C
H
N
R C R
C O
H
NH2
R C R
C O
H
OH
OH2 OH2
RO P OR'
O
OR''
OH P OH
O
OR''
+ +R OH OH R'OH2
R C C C C R'
CN
C
OR''
CNH
H O C
OR'''
O
H
H
OH2R C C C
CN
C
OR''
H
H O
H
H
OH C R'
CN
C
OR'''
O
+
Nitrile
Phosphonate
Polycyanocrylate
Biodegradable Polymers
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Biodegradable Polymers
Most degradable polymers are polyesters ester is a covalent bond with polar nature, more reactive can be broken down by hydrolysis the C-O bond breaks
ESTER BOND
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Biodegradable Polymers
contain a peptide (or amide) link can be broken down by hydrolysis the C-N bond breaks can be spun into fibres for strength
AMIDE BOND
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Biodegradable Polymers: Hydrolysis
Breakdown of a molecule in the presence of water Hydrolysis of the ester bond results in formation of an acid and an alcohol Inverse of reaction to condensation is hydrolysis (remember condensation polymerization)
Preparation of ester
Preparation of anhydride
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Biodegradable Polymers PGA and PLA most widely used biodegradable polymers PGA is the simplest aliphatic polyester
highly crystalline, high melting point, low solubility appeared with the trade name Dexon Dexon sutures lose strength within 2-4 weeks sooner than desired used as bone screws, Biofix®
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Biodegradable Polymers
PLA D,L-PLA amorphous polymer; thus, used for drug delivery L-PLA semicrystalline; thus, mechanical applications such as sutures or orthopaedic devices compare mechanical properties of D,L-PLA and L-PLA in the Table in slide # 33
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Biodegradable Polymers
PGA and PLA (cont.) PLA is more hydrophobic than PGA hydrophobicity of PLA limits water uptake of thin films to about 2% and reduces the rate of hydrolysis compared with PGA sutures with trade names Vicryl® and Polyglactin 910®
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Biodegradable Polymers
PGA and PLA (cont.) copolymers of PGA and PLA used to adapt
material properties suitable for wider range of applications
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Biodegradable Polymers
polyhydroxybutyrate (PHB), polyhydroxyvalerate (PHV) and copolymers polyesters synthesized and used by
microorganisms for intracellular energy storage
70% PHB-30% PHV copolymer commercially available as Biopol®
rate of degradation controlled by varying copolymer composition
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Biodegradable Polymers
polyhydroxybutyrate (PHB), polyhydroxyvalerate (PHV) and copolymers (cont) in vivo PHB degrades to hydroxybutyric acid which is a
normal constituent of human blood biocompatible, nontoxic
PHB homopolymer is highly crystalline and brittle copolymer of PHB with hydroxyvaleric acid is less
crystalline, more flexible and more processible used in controlled drug release, suturing, artificial skin,
and paramedical disposables
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Biodegradable Polymers
polycaprolactone semi-crystalline polymer slower degradation rate than PLA remains active as long as a year for drug delivery Capronor®, implantable biodegradable contraceptive
implanted under skin dissolve in the body and does not require removal degradation of the poly(epsilon-caprolactone) matrix occurs through bulk hydrolysis of ester linkages autocatalyzed by the carboxylic acid end groups of the polymer, eventually forming carbon dioxide and water
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Polyesters
Biodegradable Polymers
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Biodegradable Polymers Capronor®, implantable biodegradable
contraceptive (cont.) Capronor II consists of 2 rods of poly(e-caprolactone) each containing 18 mg of levonorgestrel Capronor III is a single capsule of copolymer (caprolactone and trimethylenecarbonate) filled with 32 mg of levonorgestrel the implant remains intact during the first year of use, thus could be removed if needed. Over the second year, it biodegrades to carbon dioxide and water, which are absorbed by the body
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Biodegradable Polymers
polyanhydrides highly reactive and hydrolytically unstable degrade by surface degradation without the
need for catalysts aliphatic (CH2 in backbone and side chains)
polyanhydrides degrade within days aromatic (benzene ring as the side chain)
polyanhydrides degrade over several years
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Biodegradable Polymers
ester bond
o
c o o
= anhydride
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Biodegradable Polymers
polyanhydrides (cont.) aliphatic-aromatic copolymers can be used to
tailor degradation rate excellent biocompatibility used in drug delivery drug loaded devices prepared by
compression molding or microencapsulation insulin, bovine growth factors, angiogenesis
inhibitors, enzymes
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Biodegradable Polymers
polyorthoesters formulated so that degradation occurs by
surface erosion drug release at a constant rate
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Polyesters
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Biodegradable Polymers
polyaminoacids poly-L-lysine, polyglutamic acid aminoacid side-chains offer sites for drug
attachment low-level systemic toxicity owing to their
similarity to naturally occurring amino acids investigated as suture materials artificial skin subtitutes
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Biodegradable Polymers
polycyanocrylates used as bioadhesives use as implantable material is limited due to
significant inflammatory response
polyphosphazenes inorganic polymer backbone consists of nitrogen-phosphorus bonds use for drug delivery under investigation