US20090035289A1 - Dry platelet composition - Google Patents

Dry platelet composition Download PDF

Info

Publication number
US20090035289A1
US20090035289A1 US12/088,067 US8806706A US2009035289A1 US 20090035289 A1 US20090035289 A1 US 20090035289A1 US 8806706 A US8806706 A US 8806706A US 2009035289 A1 US2009035289 A1 US 2009035289A1
Authority
US
United States
Prior art keywords
composition
platelet
platelets
wound
inhibitors
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US12/088,067
Inventor
Christopher T. Wagner
Jerome Connor
John R. Harper
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
LifeCell Corp
Original Assignee
LifeCell Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US12/088,067 priority Critical patent/US20090035289A1/en
Application filed by LifeCell Corp filed Critical LifeCell Corp
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: CONNOR, JEROME, HARPER, JOHN R., WAGNER, CHRISTOPHER T.
Assigned to BANK OF AMERICA, N.A. reassignment BANK OF AMERICA, N.A. SECURITY AGREEMENT Assignors: LIFECELL CORPORATION
Publication of US20090035289A1 publication Critical patent/US20090035289A1/en
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION PATENT RELEASE Assignors: BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
Assigned to BANK OF AMERICA, N.A., AS COLLATERAL AGENT reassignment BANK OF AMERICA, N.A., AS COLLATERAL AGENT SECURITY AGREEMENT Assignors: KCI LICENSING, INC., LIFECELL CORPORATION, TECHNIMOTION, LLC
Assigned to WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT reassignment WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT SECURITY AGREEMENT Assignors: KCI LICENSING, INC., LIFECELL CORPORATION, TECHNIMOTION, LLC
Assigned to WILMINGTON TRUST, NATIONAL ASSOCIATION reassignment WILMINGTON TRUST, NATIONAL ASSOCIATION SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ACELITY L.P. INC., CHIRON HOLDINGS, INC., CHIRON TOPCO, INC., KCI ANIMAL HEALTH, LLC, KCI HOLDING COMPANY, INC., KCI HOMECARE, INC., KCI IMPORTS, INC., KCI INTERNATIONAL, INC., KCI LICENSING, INC., KCI PROPERTIES LIMITED, KCI REAL HOLDINGS, L.L.C., KCI REAL PROPERTY LIMITED, KCI USA REAL HOLDINGS, L.L.C., KCI USA, INC., KINETIC CONCEPTS, INC., LIFECELL CORPORATION, TECHNIMOTION, LLC
Assigned to TECHNIMOTION, LLC, KINETIC CONCEPTS, INC., KCI LICENSING, INC., LIFECELL CORPORATION reassignment TECHNIMOTION, LLC RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: WILMINGTON TRUST
Assigned to WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT reassignment WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT SECOND LIEN SECURITY AGREEMENT Assignors: KCI LICENSING, INC., KCI USA, INC., LIFECELL CORPORATION
Assigned to WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT reassignment WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT LIMITED THIRD LIEN INTELLECTUAL PROPERTY SECURITY AGREEMENT Assignors: KCI LICENSING, INC., KCI USA, INC., LIFECELL CORPORATION
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: BANK OF AMERICA, N.A.
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION RELEASE OF SECURITY INTEREST 040291/0237 Assignors: WILMINGTON TRUST
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION RELEASE OF SECURITY INTEREST 037845/0497 Assignors: WILMINGTON TRUST
Assigned to LIFECELL CORPORATION reassignment LIFECELL CORPORATION RELEASE OF SECURITY INTEREST 040098/0268 Assignors: WILMINGTON TRUST
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/14Blood; Artificial blood
    • A61K35/19Platelets; Megacaryocytes
    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N1/00Preservation of bodies of humans or animals, or parts thereof
    • A01N1/02Preservation of living parts
    • A01N1/0205Chemical aspects
    • A01N1/021Preservation or perfusion media, liquids, solids or gases used in the preservation of cells, tissue, organs or bodily fluids
    • A01N1/0221Freeze-process protecting agents, i.e. substances protecting cells from effects of the physical process, e.g. cryoprotectants, osmolarity regulators like oncotic agents
    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N1/00Preservation of bodies of humans or animals, or parts thereof
    • A01N1/02Preservation of living parts
    • A01N1/0205Chemical aspects
    • A01N1/021Preservation or perfusion media, liquids, solids or gases used in the preservation of cells, tissue, organs or bodily fluids
    • A01N1/0226Physiologically active agents, i.e. substances affecting physiological processes of cells and tissue to be preserved, e.g. anti-oxidants or nutrients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/4965Non-condensed pyrazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • A61K31/522Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins
    • A61K31/5575Eicosanoids, e.g. leukotrienes or prostaglandins having a cyclopentane, e.g. prostaglandin E2, prostaglandin F2-alpha
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins
    • A61K31/5578Eicosanoids, e.g. leukotrienes or prostaglandins having a pentalene ring system, e.g. carbacyclin, iloprost
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • A61K31/706Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
    • A61K31/7064Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
    • A61K31/7076Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/26Iron; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/14Blood; Artificial blood
    • A61K35/16Blood plasma; Blood serum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present invention relates to dry platelet compositions, in particular to dry platelet compositions containing one or more inhibitors of platelet activation.
  • Platelets are useful in the treatment of various pathologic conditions such as, for example, wounds, platelet deficiencies (e.g., thrombocytopenia), various genetic or acquired abnormalities, and severe blood loss.
  • pathologic conditions such as, for example, wounds, platelet deficiencies (e.g., thrombocytopenia), various genetic or acquired abnormalities, and severe blood loss.
  • the invention is based, in part, on the discovery that platelets dried and rehydrated in the presence of a cryopreservative additive (CPA) containing three inhibitors of platelet activation and cryoprotectants retain all, or a substantial level, of normal function.
  • CPA cryopreservative additive
  • These findings provide the basis for a dry platelet composition (e.g., a freeze-dried platelet composition) and methods of making a freeze-dried platelet composition.
  • the invention features methods of treatment.
  • the invention provides a dry platelet composition.
  • the composition includes: a plurality of dry platelets; and one or more inhibitors of platelet activation.
  • the one or more inhibitors of platelet activation can be, for example, effectors of the cyclic adenosine monophosphate (cAMP) second messenger system, sodium channel inhibitors, and/or effectors of the cyclic guanosine 5′ monophosphate (cGMP) second messenger system.
  • the one or more inhibitors of platelet activation can include, for example, adenosine, amiloride, and/or sodium nitroprusside.
  • the concentration in the composition: of adenosine can be about 10 ⁇ M to about 1 mM; that of amiloride can be about 0.1 mM to about 10 mM; and that of sodium nitroprusside can be about 2.5 ⁇ M to about 250 ⁇ M.
  • the effectors of the cAMP second messenger system can be, for example, iloprost, prostacyclin, prostaglandin E 2 , forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and/or auranofin.
  • the sodium channel inhibitors can be, for example, amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and/or prajnalium.
  • the effectors of the cGMP second messenger system can be, for example, L-arginine, nitrous oxide, SIN-1, SIN-1A, atrial natriuretic factor, vasopressin, oxytocin, and/or glyceril trinitrate.
  • the composition can further induce one or more cryoprotective agents, e.g., dimethylsulfoxide (DMSO), maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, and/or mannitol.
  • DMSO dimethylsulfoxide
  • the composition can also further include dry blood plasma.
  • the composition can further contain one or more extracellular matrix (ECM) components.
  • ECM extracellular matrix
  • the ECM components can be components of particles of particulate acellular tissue matrix, e.g., particles of particulate acellular dermal matrix.
  • the one or more ECM components can be, for example, collagen, elastin, fibronectin, fibrillin, laminin, decorin, fibromodulin, hyaluronic acid, and/or a proteoglycan such as a heparin sulfate, chondroitin sulfate, keratan sulfate, or a dermatan sulfate proteoglycan.
  • hydration of the dry platelet composition can result in a rehydrated platelet composition with substantially the same level of at least one platelet function possessed by a sample of fresh platelets from which the dry platelet composition was derived.
  • the at least one platelet function can be the ability to aggregate or the ability to release one or more growth factors, one or more cytokines, or one or more chemokines.
  • the growth factors or chemokines can be, for example, transforming growth factor- ⁇ (TGF- ⁇ ), members of platelet derived growth factor (PDGF) family, epidermal growth factor (EGF), members of vascular endothelial growth factor (VEGF) family, and/or thymosin ⁇ 4.
  • TGF- ⁇ transforming growth factor- ⁇
  • PDGF platelet derived growth factor
  • EGF epidermal growth factor
  • VEGF vascular endothelial growth factor
  • thymosin ⁇ 4 vascular endothelial growth factor
  • the at least one platelet function can be the ability to
  • any of the platelet compositions described herein can be used as a medicament.
  • any of the platelet compositions described herein can also be used in the preparation of a pharmaceutical composition (i.e., a medicament) for the treatment of a wound (e.g., a wound that will, or is likely to benefit from, administration of platelets (i.e., any of the platelet compositions described herein)) in or on a subject.
  • the wound can be, for example, an internal wound or a cutaneous wound and can include, but is not limited to, any of the types of wounds described below.
  • Another aspect of the invention is a method of making a freeze-dried platelet composition.
  • the method includes: providing a sample that contains platelets; making a mixture containing the platelets and one or more inhibitors of platelet activation; and drying the mixture.
  • the one or more inhibitors of platelet activation can be any of those recited above.
  • the concentration of adenosine can be about 10 ⁇ M to about 1 mM
  • the concentration of amiloride can be about 0.1 mM to about 10 mM
  • the concentration of sodium nitroprusside can be about 2.5 ⁇ M to about 250 ⁇ M.
  • the mixture can further include one or more cryoprotective agents such as any of those recited above.
  • the mixture can also further include blood plasma. Drying the mixture can be by, for example, freeze-drying the mixture.
  • the invention features a method of treatment.
  • the method includes: identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets; and applying the above-described dry platelet composition to the wound.
  • An alternative method of treatment includes: identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets; rehydrating the above-described dry platelet composition to generate a rehydrated platelet composition; and applying the rehydrated platelet composition to the wound.
  • the wound can be a cutaneous wound (e.g., a pressure ulcer, a venous stasis ulcer, a diabetic ulcer, an arterial ulcer, an injury wound, a burn wound, a complex soft tissue wound, a failed skin graft or flap, a radiation-induced wound, or a gangrenous wound) or an internal wound (e.g., a wound under or below the skin).
  • Internal wounds can include, but are not limited to, a contusion, a fracture, a fistula, an ulcer, or an injury wound of an internal organ.
  • dry as used in reference to platelet compositions, platelets, and other components of the compositions (e.g., blood plasma) means that the platelet compositions, platelets, or other components of the compositions are substantially free of water. “Substantially free of water,” as used herein, means containing less than 5 percent (e.g., less than: 4 percent; 3 percent; 1 percent; 0.5 percent; 0.2 percent; 0.1 percent; 0.01 percent; or 0.001 percent) by weight water (including bound and unbound water).
  • a “control wound” is a wound to which a platelet composition of the invention has not been applied.
  • a control wound can be in a subject also having a wound to which a platelet composition of the invention has been applied.
  • the control wound can be in another subject.
  • the control wound is preferably of the same type and size and in the same tissue or organ as the wound to which a platelet composition of the invention is applied.
  • FIG. 1 is a bar graph showing the recovery of the aggregation ability of platelets that had been freeze-dried and rehydrated in the presence or absence of a cryopreservative additive (CPA) solution that contains inhibitors of platelet activation and cryoprotectant agents.
  • the platelet aggregation response was activated by a combination of adenosine diphosphate (10 mM) and collagen (2 ⁇ g/ml).
  • the data are presented as the aggregation responses of the freeze-dried and rehydrated platelet samples as percentages of the aggregation response of fresh platelets from the same sample used for making the freeze-dried platelets.
  • the experiment was performed three times using platelet rich plasma (PRP) from a separate donor for each experiment.
  • PRP platelet rich plasma
  • FIG. 2A is a diagrammatic representation of the “Transwell®” cell culture system used to measure proliferation of fibroblasts in response to soluble factors released by platelets.
  • Fibroblast cells were seeded onto the bottom surfaces of the wells of 24-well tissue culture plates and test platelet materials were added to Transwell® chambers having floors consisting of semi-permeable membranes that permit the diffusion of soluble factors (but not whole platelets or insoluble platelet material) from the Transwell® chambers into the culture well where they come in contact with the fibroblasts.
  • FIG. 2B is a bar and line graph showing the induction of proliferation in fibroblasts at 24, 48, and 72 hours of exposure to growth media alone, serum reduced medium alone, or serum reduced medium and soluble factors released from sonicated platelets or platelets that had been activated with 1 unit/ml of thrombin in the Transwell® culture system described in FIG. 2A .
  • the graph bars represent percent increase in the amount of colored product produced by metabolic conversion of the substrate MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt] (as an indication of relative cell number) over baseline (left y-axis) and the graph lines represent actual cell counts (right y-axis).
  • the horizontal dashed line indicates the number of cells at the time of initial exposure of the fibroblasts to platelet material (i.e., time 0).
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 2C is a bar graph showing the percent induction of fibroblast proliferation after 72 hours of exposure to soluble factors released from sonicated and activated platelets.
  • the data were obtained from the observations at the 72 hour time point of the experiment shown in FIG. 2B .
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 3 is a bar graph showing the percent induction of fibroblast proliferation (calculated from data obtained using the Transwell® cell culture system shown in FIG. 2A ) in response to fresh platelets and platelets freeze-dried and rehydrated in the presence of CPA (F/D/R CPA).
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 4 is a bar graph showing the percent induction of fibroblast proliferation (calculated from data obtained using the Transwell® cell culture system shown in FIG. 2A ) after treatment with fresh platelets, platelets freeze-dried and rehydrated (F/D/R) in the presence of CPA (w/CPA) or the absence of CPA (w/o CPA), or plasma obtained by centrifugation of the platelet rich plasma (PRP) that was the source of the platelets used to make the freeze-dried platelet preparations or by centrifugation of the two rehydrated freeze-dried samples.
  • the dotted line shows the average percent induction of fibroblast proliferation by all three plasma samples.
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 5 is a bar graph showing the ability of various amounts of platelets (freeze-dried and rehydrated in the presence of CPA) to induce fibroblast proliferation as assessed using the Transwell® cell culture system shown in FIG. 2A .
  • the legend indicates the relative amounts of platelets added to the Transwell® chambers of the culture system. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are means of three replicates in each experiment.
  • FIG. 6A is a series of photographs of diabetic mouse wounds after wounding that had not been treated (NT) or had been treated with fresh frozen platelets (FFP), platelets that had been freeze-dried and rehydrated in the absence of CPA (FDP), or platelets that had been freeze-dried and rehydrated in the presence of CPA (FDP-CPA). Scale bar; 500 mm.
  • FIGS. 6B and 6C are bar graphs showing the percent (%) epithelialization ( FIG. 6B ) and percent (%) contraction ( FIG. 6C ) of the wounds shown in FIG. 6A .
  • Scale bar 5 mm.
  • FIG. 7A is a series of photomicrographs showing the different amounts of granulation tissue deposition in histological sections of the beds of the wounds shown in FIG. 6A . Arrows indicate epithelial margins and boxes indicate where measurements of tissue area and thickness were made (see FIGS. 7B and 7C ). Scale bar, 100 ⁇ m.
  • FIGS. 7B and 7C are bar graphs showing the granulation tissue area ( FIG. 7B ) and thickness ( FIG. 7C ) in the areas of the wounds shown by boxes in FIG. 7A . * indicates p ⁇ 0.01.
  • Platelets constitute an important therapeutic for a variety of platelet diseases or abnormalities involving platelet deficiency and/or defective platelet function (e.g., thrombocytopenias) as well as for the treatment of various wounds.
  • platelet diseases or abnormalities involving platelet deficiency and/or defective platelet function (e.g., thrombocytopenias) as well as for the treatment of various wounds.
  • thrombocytopenias e.g., thrombocytopenias
  • CPA cryopreservative additive
  • the invention provides a dry platelet composition.
  • the composition is made by drying (e.g., freeze-drying) isolated platelets or preparations or samples (e.g., platelet rich plasma) containing platelets in the presence of one or more (e.g., two or more, three of more, four or more, five or more, six or more, seven or more, eight or more, nine or more, ten or more, or 12 or more) inhibitors of platelet activation.
  • one or more e.g., two or more, three of more, four or more, five or more, six or more, seven or more, eight or more, nine or more, ten or more, or 12 or more
  • platelet activation refers to a biological (e.g., thrombin-mediated) or physical (e.g., exposure to cold temperature, e.g., 4° C.) process that lead to a change in shape (discoid to spheroid to amorphous) of the platelet, and/or granule release from the platelet, and or platelet aggregation.
  • An “inhibitor of platelet activation” is an agent that can totally prevent or partially decrease platelet activation.
  • the preparations or samples containing platelets useful for making the compositions of the invention are preferably free of non-platelet cells.
  • they can contain small numbers of such cells, e.g., blood cells such as erythrocytes, lymphocytes, granulocytes, monocytes, and/or macrophages. They will preferably contain less than 10% (e.g., less than: 5%; 2%; 1%; 0.1%; 0.01%; 0.001%; or 0.0001%) of any of the non-platelet cell types present in blood from which a relevant platelet preparation or sample was made.
  • the dry platelet composition of the invention contains a plurality of dry platelets and one or more inhibitors of platelet activation.
  • the one or more inhibitors of platelet activation include one or more effectors (activators or enhancers) of the cyclic adenosine monophosphate (cAMP) second messenger system, one or more inhibitors of sodium channels, and or one or more effectors (activators or enhancers) of the cyclic guanosine monophosphate (cGMP) second messenger system.
  • inhibitors of platelet activation include inhibitors of the cyclooxygenase second messenger system, inhibitors of the lipoxygenase pathway, inhibitors of the phospholipase pathway, inhibitors of the calcium cascade, protease and proteinase inhibitors, and membrane modifiers.
  • Effectors of the cAMP second messenger system include, for example, adenosine, iloprost, prostacyclin, prostaglandin E 2 , forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and auranofin.
  • Sodium channel inhibitors include, for example, amiloride, amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and prajnalium.
  • Effectors of the cGMP second messenger system include, for example, sodium nitroprusside, L-arginine, nitrous oxide, SIN-1 (3-morpholinosydnonimine), SIN-1A (N-nitroso-N-morpholinoamino-acetonitrile), atrial natriuretic factor, vasopressin, oxytocin, and glyceril trinitrate.
  • Inhibitors of the cyclooxygenase pathway can be aspirin, dipyridamole, flurbiprofen, ticlopidine, ketoprofen, ibuprofen, indomethacin, sulfinpyrazone, guanabenz, ursolic acid and benzohydroquinone.
  • Inhibitors of the lipoxygenase pathway include aspirin, ticlopidine, ursolic acid, unbelliferone, 5,8,11,14 eicosatetraynoic acid and esculetin.
  • Inhibitors of the phospholipase pathway include quinacrine and mepacrine.
  • Inhibitors of the calcium cascade include protein kinase C effectors, calcium channel blockers, calcium concentration modifiers, calmodulin effectors, calcium ionophores, and ATPase stimulators.
  • Protease and proteinase inhibitors include heparin and apoprotinin.
  • Membrane modifiers include amantadine, heparin, ticlopidine, pentoxifylline, and ajoene.
  • Inhibitors of platelet activation are described in greater detail in U.S. Pat. No. 5,919,614, the disclosure of which is incorporated herein by reference in its entirety.
  • the dry platelet composition of the invention can include adenosine as an effector of the cAMP second messenger system, amiloride as a sodium channel inhibitor, and sodium nitroprusside as an effector of the cGMP second messenger system.
  • concentration of these inhibitors of platelet activation in the solution in which the platelets are dried, or after rehydration (if they are rehydrated) can be as follows: the concentration of adenosine can be about 10 ⁇ M to about 1 mM (e.g., about 100 ⁇ M to about 1 mM or about 10 ⁇ M to about 0.1 mM); the concentration of amiloride can be about 0.1 mM to about 10 mM (e.g., about 1 mM to about 10 mM or about 0.1 mM to about 1 mM), and the concentration of sodium nitroprusside can be about 2.5 ⁇ M to about 250 ⁇ M (e.g., about 25 ⁇ M to about 250 ⁇ M or about 2.5 ⁇ M to about
  • concentrations of inhibitors of platelet activation and cryoprotectants indicates that the concentration of the agent referred to can vary by up to 20% (e.g., up to: 15%; 10%; 5%; 2.5%; or 1%) of the concentration stated.
  • cryoprotective agents can be added to platelets before drying.
  • cryoprotective agents can be, for example, dimethylsulfoxide (DMSO), maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, mannitol, and combinations thereof.
  • DMSO dimethylsulfoxide
  • the DMSO concentration can be from about 0.5% to about 10% (e.g., about 1.0% to about 10%; or about 0.5% to about 1%). In one preferred embodiment, the concentration of DMSO can be 0.5%.
  • the resulting dry platelet composition will contain the appropriate one or more cryoprotective agents.
  • the dry platelet composition (and its rehydrated form) likely contains less of the inhibitor of platelet activation or the cryoprotective agent than prior to drying.
  • the dry platelet compositions of the invention can contain one or more proteins.
  • the compositions can contain dry blood plasma, e.g., dry blood plasma derived from the donor of the platelets. This will inherently be the case where the compositions are made using platelet rich plasma (PRP) as the platelet preparation used for making the composition.
  • proteins in the composition can be present as dry blood serum.
  • protein can be added to the platelet mixture prior to drying in the form of one or more (e.g., all) isolated blood plasma-derived or blood serum-derived proteins (e.g., albumin or gamma globulins).
  • Blood plasma, blood serum, or protein(s) derived from either can be from the same donor as the platelets (i.e., autologous), one or more donors of the same species, or one or more donors of one more other species.
  • the species from which these protein sources are obtained can be any of those listed below as sources of platelets for the compositions (see below).
  • blood or serum proteins can be recombinant proteins.
  • the dry platelet compositions can also contain one or more extracellular matrix (ECM) components, e.g., any types of collagen (such as, for example, collagens I, II, III, or IV or any of collagens V-XVII), elastin, fibronectin, laminin, decorin, fibrillin, fibromodulin, hyaluronic acid, and/or a proteoglycan such as a heparin sulfate, chondroitin sulfate, keratan sulfate, or a dermatan sulfate proteoglycan.
  • ECM extracellular matrix
  • ECM components can enhance wound repair by providing a scaffold structure and local binding sites for factors released by administered platelets.
  • the ECM components can substitute for a significant amount of water in the platelet mixture, thereby reducing the amount of ice formed in freezing the platelet mixture and hence reducing ice-mediated damage to the platelets.
  • the ECM components can be obtained from any of the donors described above for blood plasma, blood serum, or proteins derived from either.
  • ECM that are proteins can be recombinant proteins.
  • the ECM components can be added, for example, in the form of particulate acellular tissue matrix made from any of a variety of collagen-containing tissues, e.g., dermis.
  • Particulate acellular tissue matrices are described in detail in U.S. Pat. No. 6,933,326, U.S. application Ser. No. 10/273,780, and U.S. application Ser. No. 10/959,780, the disclosures of all of which are incorporated herein by reference in their entirety.
  • a substantial proportion of the platelets of the dry platelet composition regain at least one platelet function (e.g., at least: two; three; or four platelet functions) upon rehydration (in vitro or in vivo).
  • a platelet composition of the invention has at least 10% (e.g., at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%) of the level of at least one platelet function that a corresponding fresh preparation (not dried and rehydrated, from the same donor, and containing the same number of platelets as the platelet composition of invention) of platelets would have.
  • At least 10% (e.g., at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%) of the platelets of a dry platelet composition of the invention have, upon rehydration, at least one platelet function.
  • Relevant platelet functions include, for example, growth factor, cytokine, and chemokine production upon activation; the ability to stimulate cell (e.g., fibroblast, endothelial cell, or epithelial cell (e.g., keratinocyte)) proliferation upon activation; and the ability to aggregate upon activation.
  • the platelet-produced growth factors, cytokines and chemokines include, without limitation, transforming growth factor- ⁇ (TGF- ⁇ ), members of the platelet derived growth factor family (e.g., PDGF-A, B, C, D, and A/B), epidermal growth factor (EGF), members of the vascular endothelial growth factor (VEGF, VEGF-B, VEGF-C, and VEGF-D), and thymosin- ⁇ 4.
  • TGF- ⁇ transforming growth factor- ⁇
  • members of the platelet derived growth factor family e.g., PDGF-A, B, C, D, and A/B
  • EGF epidermal growth factor
  • VEGF vascular endothelial growth factor
  • VEGF-B vascular endothelial growth factor
  • VEGF-C vascular endothelial growth factor
  • VEGF-D thymosin- ⁇ 4.
  • Additional indicia of intact platelet function include, without limitation, morphology score (proportion of platelets that are discoid, spheroid, and/or amorphous), extent of shape change (ESC), hypotonic shock response (HSR), extent of shape change (ESC), platelet aggregation (as measured by platelet aggregometry), efficiency of inducing blood coagulation (as measured by thromboelastography (TEG)), and platelet adenosine triphosphate (ATP) levels.
  • P-selectin expression on the surface of a platelet indicates that it has degranulated. Degranulation can occur without, for example, aggregation.
  • Assessment of platelet function in the rehydrated dry platelet compositions can be quantitative, semi-quantitative, or qualitative. Thus it can, for example, be measured as a discrete value or expressed relative to a baseline or to similar measurements in control samples (e.g., fresh platelets). Platelet function can be assessed and expressed using any of a variety of semi-quantitative/qualitative systems known in the art.
  • platelet viability and/or function can be expressed as, for example, (a) one or more of “excellent”, “good”, “satisfactory”, and/or “poor”; (b) one or more of “very high”, “high”, “average”, “low”, and/or “very low”; or (c) one or more of “++++”; “+++”, “++”, “+”, “+/ ⁇ ”, and/or “ ⁇ ”.
  • the platelets may be obtained from one or more individuals of any of a variety of mammalian species (e.g., humans, non-human primates (e.g., monkeys, baboons, or chimpanzees), cows, sheep, horses, goats, pigs, dogs, cats, rabbits, guinea pigs, hamsters, gerbils, rats, or mice) but are preferably of the same species as a subject to which they are to be administered.
  • the dry platelet composition can be used in vitro or in vivo.
  • In vitro uses of the dry platelet composition include their use as targets for in vitro screening assays or testing of compounds of interest for, e.g., those with hemostasis-promoting activity, those with hemostasis-inhibiting activity, or those that promote wound healing.
  • the dry platelet composition can be rehydrated (e.g., with a physiological solution such as normal saline or culture medium) and plated into tissue culture dishes.
  • the dry platelet compositions can also be used for the in vitro production and subsequent isolation of soluble factors that are expressed by platelets (see above). Such factors are useful as diagnostic tools themselves or can be used as antigens to generate antibodies for diagnostic use.
  • rehydrated dry platelets of the invention can be used in in vitro drug efficacy or toxicity assays.
  • the dry platelet composition can also be used as “positive controls” in procedures to develop other platelet storage compositions.
  • Platelets obtained by rehydrating a dry platelet composition of the invention can also be used to support the growth and/or differentiation of non-platelet cells in culture. Such platelets upon activation can promote, for example, the survival and/or growth of fibroblast cells or other cells (e.g., fibroblast, endothelial cell, or epithelial cell (e.g., keratinocyte)) in cell culture.
  • fibroblast cells or other cells e.g., fibroblast, endothelial cell, or epithelial cell (e.g., keratinocyte)
  • the dry platelet composition can also be used for in vitro and in vivo basic scientific studies of platelet function.
  • In vivo uses of the dry platelet compositions, or of platelets derived therefrom include, for example, studies in animal models (e.g., in any of the mammals listed above) or in human subjects. Such studies may be performed, for example, in order to assess the therapeutic and/or prophylactic efficacy of platelets per se or of chemical compounds and biological molecules that modulate (up or down regulate) platelet function.
  • Other uses of the platelet compositions of the invention include methods of treatment (see below).
  • platelets can be prepared by centrifugation of whole blood by either the platelet-rich plasma (PRP) method or the buffy coat method.
  • platelets can be collected by various apheresis techniques that are available in the art.
  • Also embodied by the invention is a method of making a freeze-dried platelet composition.
  • the method includes: (a) providing a preparation or sample of platelets; (b) making a mixture including the platelets and one or more inhibitors of platelet activation; and (c) drying the mixture.
  • the mixture can also optionally contain one or more cryoprotectants, one or more proteins (e.g., blood plasma), and/or ECM components described above.
  • the preparation or sample of platelets, the inhibitors of platelet activation, and the optional cryprotectants, proteins, and ECM components can be any of those listed above. Drying the mixture can be by any method known in the art, e.g., air drying, drying in atmosphere of, or under a stream of, inert gas (e.g., nitrogen or argon), or freeze-drying. Freeze-drying methods are well-known in the art (see, for example, “A Guide to Freeze-drying for the Laboratory”—an industry service publication by Labconco, 2004; Franks (1994) Proc. Inst. Refrigeration. 91: 32-39, and U.S. Pat. Nos.
  • Freeze-drying of platelets using one or more inhibitors of platelet activation, and optionally one or more cryoprotectants results in minimal, if any, functional damage to the platelets.
  • Suitable freeze-drying equipment is available from commercial sources, e.g., Labconco (Kansas City, Mo.) and VirTis (Gardiner, N.Y.).
  • Freeze-drying a liquid (e.g., water)-containing sample involves freezing the sample and the subsequent removal of liquids (e.g., water) from the frozen sample by a process called sublimation. Freezing can be, for example, in the freeze-drier apparatus or in a ⁇ 80° C. freezer.
  • Freezing can be at a cooling rate of between, for example, 1° C. and 5° C. per minute and is preferably not by “snap-freezing.” Freezing methods are described extensively in the above references cited in regard to freeze-drying. Sublimation occurs when a frozen liquid goes directly to the gaseous state without passing through the liquid phase. Freeze-drying may be accomplished by any of a variety of methods, including, for example, the manifold, batch, or bulk methods.
  • the invention also provides a method of treatment.
  • the method can include identifying a subject that will, or is likely to, benefit from administration of platelets and administering to the subject any of the platelet compositions described above.
  • the dry platelet compositions can per se be administered to the subject. In this case, rehydration of the platelets occurs in the subject. Alternatively, the platelet compositions can be rehydrated and then administered to the subject. In the latter case, the a composition can optionally, prior to being administered, be subjected to a washing process to remove all or a substantial amount of the one or more inhibitors of platelet activation and, if used in the relevant composition, one or more cryoprotectants.
  • Such washing methods are known in the art and generally involved one or more (e.g., two, three, or four) centrifugation steps. It is particularly desirable to perform such washing steps where inhibitors of platelet activation and/or cryoprotectants used are toxic. In this case, washing is performed until none, or an acceptably low level, of the toxic components remains in the composition.
  • Rehydration can be with any physiological solution (e.g., water, normal saline, tissue culture medium, or the physiological solutions described in Examples 1 and 7 below) such that the platelets retain one or more of their functions (see above).
  • the dried platelet compositions can optionally be rehydrated in the pharmaceutically acceptable carrier in which the platelets are to be administered to an appropriate subject (see below). Rehydration can be by rapid immersion of the platelets in the relevant carrier or by gradual (e.g., drop-wise addition of the carrier) to the dry platelets.
  • the subject that will, or is likely to, benefit from administration of platelets can have a wound.
  • the wound can be one that will, or is likely to, benefit from being treated with platelets.
  • the wound can be a cutaneous wound that can be, or can be a result of, a pressure ulcer, a venous stasis ulcer, a diabetic ulcer, an arterial ulcer, an injury wound, a burn wound, a complex soft tissue wound, a failed skin graft or flap, radiation-induced tissue damage, and a gangrenous wound.
  • the wound can also be an internal wound of any internal organ or tissue, e.g., gastrointestinal tissue, pulmonary (e.g., lung or bronchial) tissue, heart tissue, connective tissue (e.g., tendon, ligament, and cartilage), bone tissue, neural (central and peripheral nerve system) tissue, and vascular (vein and artery) tissue.
  • Internal wounds of interest include, without limitation, contusions, fractures, fistulas, ulcers, or internal organ injuries (e.g., injury of the intestine, spleen, liver, lungs, or heart).
  • the wound can be caused by a trauma, including, e.g., a compound fracture, a gunshot wound, or an abrasion from an accident.
  • the dry (or rehydrated) platelet composition can be delivered to a wound immediately after it occurs or at any stage of its natural healing process.
  • the platelet composition will be delivered to the wound immediately, or soon after, the wound is detected, or formed, in the subject.
  • the wound that is to be treated with the platelet composition can have varying appearance, size, depth (i.e., stage), and color, and can include, for example, the presence of hematomas, seromas, wound exudate, necrotic tissue, and eschar.
  • the dry (or rehydrated) platelet composition can be applied topically, i.e., directly to the wound. It can be applied to the wound by any suitable means, such as by sprinkling or spraying the platelets onto the wound, packing the platelets into the wound, or by means of a surgical aid as discussed below.
  • Sprayable aerosol preparations can include the platelet composition in combination with a solid or liquid inert carrier material and can be packaged in a squeeze bottle or in admixture with a pressurized volatile, normally gaseous propellant, e.g., a freon.
  • Dry platelets may be applied to the wound by means of a surgical aid, such as, for example, a wound dressing or bandage, a suture, a fabric, or a prosthetic device.
  • a surgical aid such as, for example, a wound dressing or bandage, a suture, a fabric, or a prosthetic device.
  • Such aids can include, for example, a solid physiologically acceptable substrate material and platelets on or in (e.g., applied as a coating on or impregnated in) the substrate material.
  • such surgical aids are provided in a sterile form packaged in a sterile container.
  • the surgical aid substrate material may be coated with the platelets, e.g., by sprinkling dry platelets onto the material or by impregnating the surgical aid substrate with, or applying to its surface, a liquid suspension of fresh platelets containing the one or more inhibitors of platelet activation (and optionally one or more cryoprotectants) and drying (e.g., freeze-drying) the surgical aid/platelet mixture so that the platelets adhere to the surgical aid substrate.
  • dry platelets can be adhered to the surgical aid substrate with a suitable adhesive material, or simply sprinkled onto the surgical aid prior to application of the surgical aid to the subject.
  • the surgical aid can be of any suitable shape and size and be made of any suitable solid material, hydrophobic or hydrophilic, which is physiologically acceptable.
  • Sutures for example, may be monofilament or braided, can be biodegradable, and can be made of materials such as, for example, nylon silk, polyester, or cotton.
  • Prosthetic devices for example, include woven or extruded tubular structures, having use in the repair of arteries, veins, ducts; fabrics useful surgically in hernia repair and in supporting damaged liver, kidney, or other internal organs; pins, screws, and reinforcing plates; heart valves, artificial tendons, or cartilage material.
  • Bandages can be made of any suitable substrate material, such as cotton or other fabric suitable for application to or over a wound, can optionally include a backing material, and can optionally include one or more adhesive regions on the face surface thereof for securing the bandage over the wound.
  • the platelet compositions of the invention are administered to subjects in pharmaceutically acceptable formulations that include a pharmaceutically acceptable carrier.
  • a pharmaceutically acceptable carrier e.g., normal saline, excipient, or stabilizer, can be added to the cells before they are administered to a subject.
  • pharmaceutically acceptable refers to molecular entities and compositions that, at the concentration used, are not deleterious to cells, are physiologically tolerable, and typically do not produce an allergic or similar untoward reaction, such as gastric upset, dizziness and the like, when administered to a human.
  • Suitable formulations include, but are not limited to, solutions, suspensions, emulsions, creams, ointments, powders, liniments, salves, and aerosols, which are, if desired, sterilized or mixed with auxiliary agents, e.g., preservatives, stabilizers, wetting agents, antiseptic agents, antimicrobial agents (e.g., hydrogen peroxide, Betadine, or acetic acid), or buffers or salts for influencing osmotic pressure.
  • auxiliary agents e.g., preservatives, stabilizers, wetting agents, antiseptic agents, antimicrobial agents (e.g., hydrogen peroxide, Betadine, or acetic acid), or buffers or salts for influencing osmotic pressure.
  • auxiliary agents e.g., preservatives, stabilizers, wetting agents, antiseptic agents, antimicrobial agents (e.g., hydrogen peroxide, Betadine, or acetic acid
  • Pharmaceutically acceptable carriers, excipients, or stabilizers include: buffers, such as phosphate, citrate, and other non-toxic organic acid buffers; antioxidants such ascorbic acid; low molecular weight (less than 10 residues) polypeptides; proteins such as serum albumin, gelatin or immunoglobulins; hydrophilic polymers such polyvinylpylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrans; chelating agents such as EDTA; sugar alcohols such as mannitol, or sorbitol; salt-forming counterions such as sodium; and/or nonionic surfactants such as Tween, Pluronics, or PEG.
  • buffers such as phosphate, citrate, and other non-toxic organic acid buffers
  • antioxidants such ascorbic acid
  • the dosage of the platelet composition required depends on the nature of the formulation, the nature of the wound or the type and severity of the wound that is to be treated, the subject's size, weight, surface area, age, and sex, other therapeutic agents being administered, and the judgment of the attending physician. Wide variations in the needed dosage are to be expected in view of differing efficiencies of various routes of administration. Platelet compositions can be applied to wounds such that about 1 ml of rehydrated composition is applied for each about 1 cm 3 of wound. Variations in these dosage levels can be adjusted using standard empirical routines for optimization as is well understood in the art.
  • the platelet compositions can be administered to a subject once or multiple times.
  • the compositions can be administered one, two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, 15, 17, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 100, 150, 200, 250, 300, 350, 400, 450, 500, 700, 1000, or more times.
  • the administrations can separated by any appropriate time period, e.g., 30 seconds, one minute, two minutes, three minutes, four minutes, five minutes, 10 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, two hours, three hours, four hours, five hours, eight hours, 12 hours, 18 hours, 24 hours, two days, three days, four days, a week, two weeks, three weeks, a month, two months, three months, four months, five months, six months, eight months, ten months, a year, 18 months, two years, three years, four years, or five years.
  • any appropriate time period e.g., 30 seconds, one minute, two minutes, three minutes, four minutes, five minutes, 10 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, two hours, three hours, four hours, five hours, eight hours, 12 hours, 18 hours, 24 hours, two days, three days, four days, a week, two weeks, three weeks, a month, two months, three months, four months, five months, six months, eight months, ten months,
  • the platelets can be obtained from the individual to whom the platelet composition is to be administered (the recipient), i.e., the platelets can be autologous. Alternatively, they can be from one or more individuals of the same species as the recipient, e.g., the platelet composition can be made from a pool of platelets samples prepared from a plurality (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 20, 25, 30, 35, 40, 50, 60, 70, 80, 90, 100 or more) of subjects, e.g., human volunteers. A recipient can also be of a species other than the donor. In addition, platelets can be isolated from the blood of adult, infant, or fetal blood of one or more individuals. Recipients and donors of platelets can be of any other species listed above.
  • terapéutica means a complete abolishment of the symptoms of a pathological condition (e.g., a wound) or a decrease in the severity of the symptoms of the pathological condition.
  • prevention means that symptoms of the pathological condition are essentially absent.
  • prophylaxis means complete prevention of the symptoms of a pathological condition, a delay in onset of the symptoms of a pathological condition, or a lessening in the severity of subsequently developed pathological condition symptoms.
  • RDU samples in the form of random donor units (RDU) of human platelets were purchased from an American Association of Blood Banks (AABB) accredited blood bank, stored with agitation at room temperature, and used within 5 days of donation. All required donor-screening and release-testing were performed by the blood bank in accordance with AABB requirements [MEB Technical Manual 14 th ed. Bethesda, Md.: American Association of Blood Banks (2002)].
  • PRP cryopreservative additive
  • CPA cryopreservative additive
  • PVP polyvinyl pyrrolidone
  • DMSO dimethylsulfoxide
  • the final concentration of platelets in the treated and control PRP samples was 9 ⁇ 10 5 cells/ ⁇ l and the final concentrations of the metabolic inhibitors and cryoprotectants were as follows: amiloride (0.25 mM), adenosine (0.1 mM), sodium nitroprusside (50 ⁇ M), polyvinyl pyrrolidone (4% w/v), mannitol (50 mM), and dimethylsulfoxide (0.5% v/v).
  • Both platelet samples were frozen at a cooling rates of between 1° C. and 5° C. per minute and then freeze-dried under standard conditions. After freeze-drying, the PRP samples were stored for less than 5 days at ⁇ 80° C. and then rehydrated by rapid whole volume addition with buffer B to the volume prior to freeze-drying.
  • Aggregation was measured with an optical aggregometer while maintaining the sample temperature at 37° C.
  • the data are presented as aggregation response of freeze-dried and rehydrated platelets expressed as a percentage of the aggregation response of fresh platelets (of the sample PRP sample used for making the freeze-dried samples).
  • Platelets freeze-dried and rehydrated in the presence of CPA showed an increase in aggregation capacity relative to control freeze-dried platelets ( FIG. 1 ).
  • TGF- ⁇ transforming growth factor-beta
  • PDGF A/B platelet derived growth factor
  • EGF epidermal derived growth factor
  • VEGF vascular endothelial growth factor
  • the data are presented as the amounts of growth factor released in the thrombin-activated supernatant expressed as percentages of the amount of growth factor released by sonication of a corresponding sample of the same platelets (Table 1).
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • CPA components were not washed out of the samples before testing.
  • the experiment was performed three times using PRP from a separate donor for each experiment.
  • the data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • TGF- ⁇ Produced by Platelets Freeze-Dried and Rehydrated in the Presence of CPA is Active
  • the levels of active TGF- ⁇ , as measured by a cellular assay (see below), and the levels of total TGF- ⁇ protein, as measured by ELISA, in supernatants from sonicated fresh PRP and sonicated PRP freeze-dried and rehydrated (F/D/R) with CPA were compared (Table 3). These supernatants were the same as some of those shown in Table 2.
  • the cell culture assay used to measure TGF- ⁇ activity was that described in Abe et al. [(1994) Anal. Biochem. 216 (2):276-284], the disclosure of which is incorporated herein by reference in its entirety. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experiment.
  • FIG. 2A is a diagrammatic representation of this “Transwell®” cell culture system.
  • Swiss Albino mouse 3T3 fibroblast cells were plated at a density of 10,000 cells per well onto the bottom surfaces of culture wells of 24-well tissue culture plates in Growth Medium (GM; Dulbecco's Modified Eagle's Medium supplemented with 4 mM glutamine, 405 g/L glucose, 1.5 g/L sodium bicarbonate, and 10% calf serum (Invitrogen, Carlsbad, Calif.) and cultured for 16 hours at 37° C. in a humidified atmosphere of 5% CO 2 .
  • GM Dulbecco's Modified Eagle's Medium supplemented with 4 mM glutamine, 405 g/L glucose, 1.5 g/L sodium bicarbonate, and 10% calf serum
  • This culture system permitted culture media and soluble factors (but not whole platelets or insoluble platelet material) to diffuse through the semi-permeable membranes and contact the fibroblasts on the culture well bottoms.
  • “Positive control” cultures contained GM and no platelet material. The cultures were incubated for the indicated periods of time after which proliferation was determined by an MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt] metabolic conversion assay.
  • FIG. 2B Measurements of cellular proliferation were recorded in separate culture wells every 24 hours, for a total of 72 hours after introduction of the Transwell® chambers containing the test platelet materials into culture vessel wells, ( FIG. 2B ).
  • the graph vertical bars represent percent increase in MTS levels over baseline levels (as measured at time 0, i.e., the time at which the Transwell® chambers containing platelet materials were added to the cultures) (left y-axis) and the graph lines represent actual cell counts (right y-axis).
  • the horizontal dashed line indicates number of cells (right y-axis) at time 0. Sonicated platelets and platelets activated with 1 unit/ml thrombin increased fibroblast proliferation in a time-dependent fashion (compared to cultures containing SRM only).
  • the cell proliferation levels obtained at 72 hours with sonicated and thrombin-activated platelets minus the minimal level of cell proliferation (observed in cultures containing SRM only) were expressed as percentages of the maximal level of cell proliferation (observed in cultures containing GM only) minus the minimal level of cell proliferation (observed in cultures containing SRM only). The values obtained are referred to as “% induction” ( FIG. 2C ).
  • a PRP sample freeze-dried in the presence of CPA was divided into several aliquots that were stored at ⁇ 80° C. for various periods of time up to 24 weeks. The samples were rehydrated at the relevant time points and tested for their ability to induce fibroblast proliferation in the Transwell® culture system described above. All samples demonstrated the same ability to induce fibroblast proliferation as a control sample that was tested without storage.
  • Platelets were freeze-dried and rehydrated in the presence of CPA and thrombin activated as described above.
  • Various volumes of the sample (at the same platelet concentration) were tested in the Transwell® fibroblast proliferation assay system described above by addition of the rehydrated platelet samples to the Transwell® chambers ( FIG. 5 ). Measurements were made after 72 hours of culturing in the presence of the activated platelets. The ability of the thrombin activated freeze-dried platelets to induce proliferation of fibroblast cells was dose-dependent on the amount of rehydrated platelets added to the assay system.
  • Single donor units (SDU) of human platelets were purchased from an American Association of Blood Banks (AABB) accredited blood bank, stored with agitation at room temperature, and used within 5 days of donation. All required donor-screening and release-testing were performed by the blood bank in accordance with AABB requirements [MEB Technical Manual 14 th ed. Bethesda, Md.: American Association of Blood Banks (2002)]. Each SDU was divided into three aliquots to prepare three unique platelet-based therapeutic materials.
  • AABB American Association of Blood Banks
  • the first aliquot was adjusted to 1.2 ⁇ 10 6 platelets/ ⁇ l with a CPA-containing solution using as a solvent a physiologic buffer [buffer B; 136 mM NaCl, 11.9 mM NaHCO 3 , 5.6 mM glucose, 5 mM HEPES, 2.7 mM KCl, 2.0 mM MgCl 2 , 0.42 mM NaH 2 PO 4 ; pH 7.4] and freeze-dried, thereby creating a CPA stably preserved freeze-dried platelet rich plasma (FDP-CPA).
  • the second aliquot was adjusted to 1.2 ⁇ 10 6 platelets/ ⁇ l using Buffer B and freeze-dried to create a freeze-dried platelet rich plasma (FDP) sample.
  • the third aliquot was adjusted to 1.2 ⁇ 10 6 platelets/ ⁇ l using buffer B, sonicated for 10 seconds to disrupt cellular structure and release intracellular constituents, and frozen at ⁇ 80° C. creating a fresh frozen platelet (FFP) sample.
  • FFP frozen platelet
  • Addition of the CPA protectant solution yielded a final treatment composition of 250 ⁇ M amilioride, 100 ⁇ M adenosine, 50 ⁇ M sodium nitroprusside, 1% (v/v) dimethyl sulfoxide, 4% (w/v) polyvinyl pyrrolidone (PlasdoneTM C-15, International Specialty Products, Wayne, N.J.), and 50 mM mannitol.
  • platelet material All manipulations of the platelet material were done using standard aseptic technique and all solutions were filter sterilized using filters having 0.2 ⁇ m diameter pores (Millipore, Billerica, Mass.). Platelet concentrations were verified using a CellDyn® 1700 hematology analyzer (Abbott Laboratories, Abbott Park, Ill.). The dried platelet products were packed under dry nitrogen in heat-sealed foil pouches and stored at ⁇ 80° C. until used.
  • mice Homozygous genetically diabetic 8-12 week-old, Lep/r—db/db male mice (strain C57BL/KsJ-Lepr db ) were used under an approved animal protocol in an AAALAC accredited facility. The day before surgery, hair was clipped and depilated (Nair®; Church & Dwight Co., Princeton, N.J.). On the day of the surgery (post operative day 0; POD 0), animals were weighed and anesthetized with 60 mg/kg Nembutal® (pentobarbital sodium). A dorsal 1.0 cm 2 area of skin and panniculus carnosus was excised and the wounds were photographed.
  • Nembutal® pentobarbital sodium
  • the following platelet-based treatments were prepared: the FFP samples were thawed, while the freeze-dried samples, FDP and FDP-CPA, were rehydrated with sterile dH 2 O to their original volume.
  • Wound biopsies were bisected, processed, and stained according to routine Hematoxylin and Eosin (H&E) protocols. Digital photographs were taken of the microscopic wound sections at 40 ⁇ magnification and panoramic cross-sectional composites of each wound were created using Adobe Photoshop® CS Software (Adobe Systems Incorporated, San Jose, Calif.). The digital images were analyzed with Scion ImageTM software (Scion Corporation, Frederick, Md.) by two independent observers, blinded to experimental treatment mode, to quantify the area and thickness of granulation tissue. Capillary density was evaluated using 3 fields per slide viewed at 200 ⁇ magnification: one in the middle of the lesion and one at each wound margin. The images were viewed with Adobe Photoshop® CS Software and blood vessels in each high-powered field were marked and counted.
  • H&E Hematoxylin and Eosin
  • FIG. 6 shows that re-epithelialization was similar in all treatment groups but there was significantly reduced wound contraction in the FDP-CPA group compared to the other groups.
  • Panoramic cross-sectional digital images of each wound were prepared to analyze granulation tissue area and thickness ( FIG. 7 ). Both FDP-CPA and FDP induced a significant (p ⁇ 0.01) 2.3-fold increase in granulation tissue area compared with the NT group ( FIG. 7 ). Treatment with FFP also stimulated the formation of granulation tissue when compared to untreated wounds (p ⁇ 0.05), but it was visibly more edematous than either of the freeze-dried conditions. Similar results were observed with respect to granulation tissue thickness ( FIG. 7 ). FDP-CPA and FDP treatments induced significant (p ⁇ 0.01) 3.1 and 3.2-fold increases in granulation tissue thickness measured in the center of the wound, respectively, compared with the NT group. Tissue thickness in response to FFP treatment was also significantly elevated over NT (p ⁇ 0.01) but failed to achieve comparable results to the freeze-dried treatment conditions.
  • FDP-CPA treatment resulted in significant (p ⁇ 0.01) 2.2 and 1.8-fold increases in mean vessel count per high-power field compared with the NT group and the FFP group, respectively. FDP treatment induced a 1.6-fold increase compared with NT group (p ⁇ 0.01).

Abstract

The invention features a dry platelet composition and methods of making and using the freeze-dried platelet composition.

Description

  • The research described in this application was supported by contract number W81XWH-05-1-0077 from the Department of Defense. Thus, the government has certain rights in the invention.
  • TECHNICAL FIELD
  • The present invention relates to dry platelet compositions, in particular to dry platelet compositions containing one or more inhibitors of platelet activation.
  • BACKGROUND
  • Platelets are useful in the treatment of various pathologic conditions such as, for example, wounds, platelet deficiencies (e.g., thrombocytopenia), various genetic or acquired abnormalities, and severe blood loss. However, despite their high demand, the availability of platelets has been limited, at least in part, by their short shelf-life and the inability of current methods to preserve normal platelet function after storage for relatively long periods of time. There is a need therefore to develop platelet compositions that have increased shelf-life.
  • SUMMARY
  • The invention is based, in part, on the discovery that platelets dried and rehydrated in the presence of a cryopreservative additive (CPA) containing three inhibitors of platelet activation and cryoprotectants retain all, or a substantial level, of normal function. These findings provide the basis for a dry platelet composition (e.g., a freeze-dried platelet composition) and methods of making a freeze-dried platelet composition. In addition, the invention features methods of treatment.
  • More specifically, the invention provides a dry platelet composition. The composition includes: a plurality of dry platelets; and one or more inhibitors of platelet activation. The one or more inhibitors of platelet activation can be, for example, effectors of the cyclic adenosine monophosphate (cAMP) second messenger system, sodium channel inhibitors, and/or effectors of the cyclic guanosine 5′ monophosphate (cGMP) second messenger system. The one or more inhibitors of platelet activation can include, for example, adenosine, amiloride, and/or sodium nitroprusside. After hydration of the composition, the concentration in the composition: of adenosine can be about 10 μM to about 1 mM; that of amiloride can be about 0.1 mM to about 10 mM; and that of sodium nitroprusside can be about 2.5 μM to about 250 μM. The effectors of the cAMP second messenger system can be, for example, iloprost, prostacyclin, prostaglandin E2, forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and/or auranofin. The sodium channel inhibitors can be, for example, amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and/or prajnalium. The effectors of the cGMP second messenger system can be, for example, L-arginine, nitrous oxide, SIN-1, SIN-1A, atrial natriuretic factor, vasopressin, oxytocin, and/or glyceril trinitrate. The composition can further induce one or more cryoprotective agents, e.g., dimethylsulfoxide (DMSO), maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, and/or mannitol. The composition can also further include dry blood plasma. Moreover, the composition can further contain one or more extracellular matrix (ECM) components. The ECM components can be components of particles of particulate acellular tissue matrix, e.g., particles of particulate acellular dermal matrix. The one or more ECM components can be, for example, collagen, elastin, fibronectin, fibrillin, laminin, decorin, fibromodulin, hyaluronic acid, and/or a proteoglycan such as a heparin sulfate, chondroitin sulfate, keratan sulfate, or a dermatan sulfate proteoglycan.
  • Moreover, hydration of the dry platelet composition can result in a rehydrated platelet composition with substantially the same level of at least one platelet function possessed by a sample of fresh platelets from which the dry platelet composition was derived. The at least one platelet function can be the ability to aggregate or the ability to release one or more growth factors, one or more cytokines, or one or more chemokines. The growth factors or chemokines can be, for example, transforming growth factor-β (TGF-β), members of platelet derived growth factor (PDGF) family, epidermal growth factor (EGF), members of vascular endothelial growth factor (VEGF) family, and/or thymosin β4. Alternatively, the at least one platelet function can be the ability to induce cell (e.g., fibroblast) proliferation. The platelets of the composition can be human platelets.
  • Any of the platelet compositions described herein can be used as a medicament. In addition, any of the platelet compositions described herein can also be used in the preparation of a pharmaceutical composition (i.e., a medicament) for the treatment of a wound (e.g., a wound that will, or is likely to benefit from, administration of platelets (i.e., any of the platelet compositions described herein)) in or on a subject. The wound can be, for example, an internal wound or a cutaneous wound and can include, but is not limited to, any of the types of wounds described below.
  • Another aspect of the invention is a method of making a freeze-dried platelet composition. The method includes: providing a sample that contains platelets; making a mixture containing the platelets and one or more inhibitors of platelet activation; and drying the mixture. The one or more inhibitors of platelet activation can be any of those recited above. In the mixture, the concentration of adenosine can be about 10 μM to about 1 mM, the concentration of amiloride can be about 0.1 mM to about 10 mM, and the concentration of sodium nitroprusside can be about 2.5 μM to about 250 μM. The mixture can further include one or more cryoprotective agents such as any of those recited above. The mixture can also further include blood plasma. Drying the mixture can be by, for example, freeze-drying the mixture.
  • In another embodiment, the invention features a method of treatment. The method includes: identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets; and applying the above-described dry platelet composition to the wound. An alternative method of treatment includes: identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets; rehydrating the above-described dry platelet composition to generate a rehydrated platelet composition; and applying the rehydrated platelet composition to the wound.
  • In both methods of treatment, the wound can be a cutaneous wound (e.g., a pressure ulcer, a venous stasis ulcer, a diabetic ulcer, an arterial ulcer, an injury wound, a burn wound, a complex soft tissue wound, a failed skin graft or flap, a radiation-induced wound, or a gangrenous wound) or an internal wound (e.g., a wound under or below the skin). Internal wounds can include, but are not limited to, a contusion, a fracture, a fistula, an ulcer, or an injury wound of an internal organ.
  • The term “dry” as used in reference to platelet compositions, platelets, and other components of the compositions (e.g., blood plasma) means that the platelet compositions, platelets, or other components of the compositions are substantially free of water. “Substantially free of water,” as used herein, means containing less than 5 percent (e.g., less than: 4 percent; 3 percent; 1 percent; 0.5 percent; 0.2 percent; 0.1 percent; 0.01 percent; or 0.001 percent) by weight water (including bound and unbound water).
  • As used herein, a “control wound” is a wound to which a platelet composition of the invention has not been applied. Such a control wound can be in a subject also having a wound to which a platelet composition of the invention has been applied. Alternatively, the control wound can be in another subject. The control wound is preferably of the same type and size and in the same tissue or organ as the wound to which a platelet composition of the invention is applied.
  • Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention pertains. Preferred methods and materials are describe below, although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. The materials, methods, and examples disclosed herein are illustrative only and not intended to be limiting.
  • Other features and advantages of the invention, e.g., dry platelet compositions, will be apparent from the following description, from the drawings and from the claims.
  • DESCRIPTION OF DRAWINGS
  • FIG. 1 is a bar graph showing the recovery of the aggregation ability of platelets that had been freeze-dried and rehydrated in the presence or absence of a cryopreservative additive (CPA) solution that contains inhibitors of platelet activation and cryoprotectant agents. The platelet aggregation response was activated by a combination of adenosine diphosphate (10 mM) and collagen (2 μg/ml). The data are presented as the aggregation responses of the freeze-dried and rehydrated platelet samples as percentages of the aggregation response of fresh platelets from the same sample used for making the freeze-dried platelets. The experiment was performed three times using platelet rich plasma (PRP) from a separate donor for each experiment. The data shown are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages three replicates in each experimental group.
  • FIG. 2A is a diagrammatic representation of the “Transwell®” cell culture system used to measure proliferation of fibroblasts in response to soluble factors released by platelets. Fibroblast cells were seeded onto the bottom surfaces of the wells of 24-well tissue culture plates and test platelet materials were added to Transwell® chambers having floors consisting of semi-permeable membranes that permit the diffusion of soluble factors (but not whole platelets or insoluble platelet material) from the Transwell® chambers into the culture well where they come in contact with the fibroblasts.
  • FIG. 2B is a bar and line graph showing the induction of proliferation in fibroblasts at 24, 48, and 72 hours of exposure to growth media alone, serum reduced medium alone, or serum reduced medium and soluble factors released from sonicated platelets or platelets that had been activated with 1 unit/ml of thrombin in the Transwell® culture system described in FIG. 2A. The graph bars represent percent increase in the amount of colored product produced by metabolic conversion of the substrate MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt] (as an indication of relative cell number) over baseline (left y-axis) and the graph lines represent actual cell counts (right y-axis). The horizontal dashed line indicates the number of cells at the time of initial exposure of the fibroblasts to platelet material (i.e., time 0). The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 2C is a bar graph showing the percent induction of fibroblast proliferation after 72 hours of exposure to soluble factors released from sonicated and activated platelets. The data were obtained from the observations at the 72 hour time point of the experiment shown in FIG. 2B. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 3 is a bar graph showing the percent induction of fibroblast proliferation (calculated from data obtained using the Transwell® cell culture system shown in FIG. 2A) in response to fresh platelets and platelets freeze-dried and rehydrated in the presence of CPA (F/D/R CPA). The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 4 is a bar graph showing the percent induction of fibroblast proliferation (calculated from data obtained using the Transwell® cell culture system shown in FIG. 2A) after treatment with fresh platelets, platelets freeze-dried and rehydrated (F/D/R) in the presence of CPA (w/CPA) or the absence of CPA (w/o CPA), or plasma obtained by centrifugation of the platelet rich plasma (PRP) that was the source of the platelets used to make the freeze-dried platelet preparations or by centrifugation of the two rehydrated freeze-dried samples. The dotted line shows the average percent induction of fibroblast proliferation by all three plasma samples. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • FIG. 5 is a bar graph showing the ability of various amounts of platelets (freeze-dried and rehydrated in the presence of CPA) to induce fibroblast proliferation as assessed using the Transwell® cell culture system shown in FIG. 2A. The legend indicates the relative amounts of platelets added to the Transwell® chambers of the culture system. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are means of three replicates in each experiment.
  • FIG. 6A is a series of photographs of diabetic mouse wounds after wounding that had not been treated (NT) or had been treated with fresh frozen platelets (FFP), platelets that had been freeze-dried and rehydrated in the absence of CPA (FDP), or platelets that had been freeze-dried and rehydrated in the presence of CPA (FDP-CPA). Scale bar; 500 mm.
  • FIGS. 6B and 6C are bar graphs showing the percent (%) epithelialization (FIG. 6B) and percent (%) contraction (FIG. 6C) of the wounds shown in FIG. 6A. Scale bar, 5 mm.
  • FIG. 7A is a series of photomicrographs showing the different amounts of granulation tissue deposition in histological sections of the beds of the wounds shown in FIG. 6A. Arrows indicate epithelial margins and boxes indicate where measurements of tissue area and thickness were made (see FIGS. 7B and 7C). Scale bar, 100 μm.
  • FIGS. 7B and 7C are bar graphs showing the granulation tissue area (FIG. 7B) and thickness (FIG. 7C) in the areas of the wounds shown by boxes in FIG. 7A. * indicates p<0.01.
  • DETAILED DESCRIPTION
  • Platelets constitute an important therapeutic for a variety of platelet diseases or abnormalities involving platelet deficiency and/or defective platelet function (e.g., thrombocytopenias) as well as for the treatment of various wounds. However, the rapid loss of platelet viability and function during storage has greatly complicated management of an effective inventory of platelets in blood banks. In many settings, the limited shelf life of platelets has drastically reduced their usage.
  • Current guidelines allow platelets to be stored for a maximum of only 5 days at 20° C.-24° C., creating an inventory control problem for hospital and blood banks [Lazarus et al. (1982) Transfusion 22:39-43; Murphy (1985) Seminars in Hematology 22:165-177]. This time restriction was established, at least in part, because of concerns over the potential for microbial contamination during storage of platelets at room temperature. On the other hand, the use of various cryopreservation methods to extend the shelf-life of platelets have not proven very effective. Such methods result in, for example, a loss of normal platelet discoid morphology, a loss of platelet cell number, and a reduction in platelet functional activity [Balduni et al. (1993) Haematologia. 78:101-104; Bock et al. (1995) Transfusion. 35:921-924]. It is desirable therefore to obtain platelets that retain function after storage for prolonged periods of time.
  • The inventors found that platelets freeze-dried and rehydrated in the presence of a cryopreservative additive (CPA) solution containing inhibitors of platelet activation, retain their functional properties. Platelets freeze-dried and rehydrated with CPA exhibited increased agonist-induced aggregation compared to platelets freeze-dried and rehydrated without CPA and retained their ability to secrete growth factors. In the case of TGF-β (as a representative growth factor), substantially all of the TGF-β-specific antibody detected protein produced by CPA freeze-dried and rehydrated platelets had activity. In addition, CPA freeze-dried and rehydrated platelets secreted factors that induced proliferation in fibroblasts, an important determinant for normal wound closure and remodeling. In a diabetic mouse wound model, delivery to the wound of platelets that had been freeze-dried in the presence of CPA resulted in increased wound healing as assessed by the degree of granulation, wound closure, vascularity and cell proliferation.
  • These findings provide support for the compositions and methods of the invention, which are described below.
  • Dry Platelet Compositions
  • The invention provides a dry platelet composition. The composition is made by drying (e.g., freeze-drying) isolated platelets or preparations or samples (e.g., platelet rich plasma) containing platelets in the presence of one or more (e.g., two or more, three of more, four or more, five or more, six or more, seven or more, eight or more, nine or more, ten or more, or 12 or more) inhibitors of platelet activation. As used herein, “platelet activation” refers to a biological (e.g., thrombin-mediated) or physical (e.g., exposure to cold temperature, e.g., 4° C.) process that lead to a change in shape (discoid to spheroid to amorphous) of the platelet, and/or granule release from the platelet, and or platelet aggregation. An “inhibitor of platelet activation” is an agent that can totally prevent or partially decrease platelet activation.
  • The preparations or samples containing platelets useful for making the compositions of the invention are preferably free of non-platelet cells. However they can contain small numbers of such cells, e.g., blood cells such as erythrocytes, lymphocytes, granulocytes, monocytes, and/or macrophages. They will preferably contain less than 10% (e.g., less than: 5%; 2%; 1%; 0.1%; 0.01%; 0.001%; or 0.0001%) of any of the non-platelet cell types present in blood from which a relevant platelet preparation or sample was made.
  • The dry platelet composition of the invention contains a plurality of dry platelets and one or more inhibitors of platelet activation. The one or more inhibitors of platelet activation include one or more effectors (activators or enhancers) of the cyclic adenosine monophosphate (cAMP) second messenger system, one or more inhibitors of sodium channels, and or one or more effectors (activators or enhancers) of the cyclic guanosine monophosphate (cGMP) second messenger system. Other inhibitors of platelet activation include inhibitors of the cyclooxygenase second messenger system, inhibitors of the lipoxygenase pathway, inhibitors of the phospholipase pathway, inhibitors of the calcium cascade, protease and proteinase inhibitors, and membrane modifiers.
  • Effectors of the cAMP second messenger system include, for example, adenosine, iloprost, prostacyclin, prostaglandin E2, forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and auranofin. Sodium channel inhibitors include, for example, amiloride, amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and prajnalium. Effectors of the cGMP second messenger system include, for example, sodium nitroprusside, L-arginine, nitrous oxide, SIN-1 (3-morpholinosydnonimine), SIN-1A (N-nitroso-N-morpholinoamino-acetonitrile), atrial natriuretic factor, vasopressin, oxytocin, and glyceril trinitrate. Inhibitors of the cyclooxygenase pathway can be aspirin, dipyridamole, flurbiprofen, ticlopidine, ketoprofen, ibuprofen, indomethacin, sulfinpyrazone, guanabenz, ursolic acid and benzohydroquinone. Inhibitors of the lipoxygenase pathway include aspirin, ticlopidine, ursolic acid, unbelliferone, 5,8,11,14 eicosatetraynoic acid and esculetin. Inhibitors of the phospholipase pathway include quinacrine and mepacrine. Inhibitors of the calcium cascade include protein kinase C effectors, calcium channel blockers, calcium concentration modifiers, calmodulin effectors, calcium ionophores, and ATPase stimulators. Protease and proteinase inhibitors include heparin and apoprotinin. Membrane modifiers include amantadine, heparin, ticlopidine, pentoxifylline, and ajoene. Inhibitors of platelet activation are described in greater detail in U.S. Pat. No. 5,919,614, the disclosure of which is incorporated herein by reference in its entirety.
  • The dry platelet composition of the invention can include adenosine as an effector of the cAMP second messenger system, amiloride as a sodium channel inhibitor, and sodium nitroprusside as an effector of the cGMP second messenger system. The concentration of these inhibitors of platelet activation in the solution in which the platelets are dried, or after rehydration (if they are rehydrated), can be as follows: the concentration of adenosine can be about 10 μM to about 1 mM (e.g., about 100 μM to about 1 mM or about 10 μM to about 0.1 mM); the concentration of amiloride can be about 0.1 mM to about 10 mM (e.g., about 1 mM to about 10 mM or about 0.1 mM to about 1 mM), and the concentration of sodium nitroprusside can be about 2.5 μM to about 250 μM (e.g., about 25 μM to about 250 μM or about 2.5 μM to about 25 μM). For example, in a preferred embodiment, the concentration of adenosine is 0.1 mM, the concentration of amiloride is 0.25 mM, and the concentration of sodium nitroprusside is 50 μM.
  • The term “about” used in regard to concentrations of inhibitors of platelet activation and cryoprotectants (see below) indicates that the concentration of the agent referred to can vary by up to 20% (e.g., up to: 15%; 10%; 5%; 2.5%; or 1%) of the concentration stated.
  • In addition to the one or more inhibitors of platelet activation, one or more cryoprotective agents (also referred to herein as cryoprotectants) can be added to platelets before drying. Such cryoprotective agents can be, for example, dimethylsulfoxide (DMSO), maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, mannitol, and combinations thereof. The DMSO concentration can be from about 0.5% to about 10% (e.g., about 1.0% to about 10%; or about 0.5% to about 1%). In one preferred embodiment, the concentration of DMSO can be 0.5%. Thus, where one or more cryoprotective agents have been added to a platelet preparation before drying, the resulting dry platelet composition will contain the appropriate one or more cryoprotective agents.
  • Where an inhibitor of platelet activation or a cryoprotective agent that is added to platelets prior to drying is in its pure form a liquid (e.g., DMSO), the dry platelet composition (and its rehydrated form) likely contains less of the inhibitor of platelet activation or the cryoprotective agent than prior to drying.
  • In addition to inhibitors of platelet activation and cryoprotective agents, the dry platelet compositions of the invention can contain one or more proteins. For example, the compositions can contain dry blood plasma, e.g., dry blood plasma derived from the donor of the platelets. This will inherently be the case where the compositions are made using platelet rich plasma (PRP) as the platelet preparation used for making the composition. In addition, proteins in the composition can be present as dry blood serum. Alternatively, protein can be added to the platelet mixture prior to drying in the form of one or more (e.g., all) isolated blood plasma-derived or blood serum-derived proteins (e.g., albumin or gamma globulins). Blood plasma, blood serum, or protein(s) derived from either can be from the same donor as the platelets (i.e., autologous), one or more donors of the same species, or one or more donors of one more other species. The species from which these protein sources are obtained can be any of those listed below as sources of platelets for the compositions (see below). Moreover, blood or serum proteins can be recombinant proteins.
  • The dry platelet compositions can also contain one or more extracellular matrix (ECM) components, e.g., any types of collagen (such as, for example, collagens I, II, III, or IV or any of collagens V-XVII), elastin, fibronectin, laminin, decorin, fibrillin, fibromodulin, hyaluronic acid, and/or a proteoglycan such as a heparin sulfate, chondroitin sulfate, keratan sulfate, or a dermatan sulfate proteoglycan. These components can be added to the mixture containing platelets before drying or they can be added after drying. Such ECM components can enhance wound repair by providing a scaffold structure and local binding sites for factors released by administered platelets. Moreover, when added to platelet mixtures prior to drying by freeze-drying, the ECM components (like the above described protein additives) can substitute for a significant amount of water in the platelet mixture, thereby reducing the amount of ice formed in freezing the platelet mixture and hence reducing ice-mediated damage to the platelets. The ECM components can be obtained from any of the donors described above for blood plasma, blood serum, or proteins derived from either. In addition, ECM that are proteins can be recombinant proteins. The ECM components can be added, for example, in the form of particulate acellular tissue matrix made from any of a variety of collagen-containing tissues, e.g., dermis. Particulate acellular tissue matrices are described in detail in U.S. Pat. No. 6,933,326, U.S. application Ser. No. 10/273,780, and U.S. application Ser. No. 10/959,780, the disclosures of all of which are incorporated herein by reference in their entirety.
  • A substantial proportion of the platelets of the dry platelet composition regain at least one platelet function (e.g., at least: two; three; or four platelet functions) upon rehydration (in vitro or in vivo). After drying and rehydration, a platelet composition of the invention has at least 10% (e.g., at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%) of the level of at least one platelet function that a corresponding fresh preparation (not dried and rehydrated, from the same donor, and containing the same number of platelets as the platelet composition of invention) of platelets would have. Moreover, at least 10% (e.g., at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 98%, at least 99%, or 100%) of the platelets of a dry platelet composition of the invention have, upon rehydration, at least one platelet function. Relevant platelet functions include, for example, growth factor, cytokine, and chemokine production upon activation; the ability to stimulate cell (e.g., fibroblast, endothelial cell, or epithelial cell (e.g., keratinocyte)) proliferation upon activation; and the ability to aggregate upon activation. Assays for platelet function are known in the art and include those described in the Examples below. The platelet-produced growth factors, cytokines and chemokines include, without limitation, transforming growth factor-β (TGF-β), members of the platelet derived growth factor family (e.g., PDGF-A, B, C, D, and A/B), epidermal growth factor (EGF), members of the vascular endothelial growth factor (VEGF, VEGF-B, VEGF-C, and VEGF-D), and thymosin-β4. Additional indicia of intact platelet function that can be tested include, without limitation, morphology score (proportion of platelets that are discoid, spheroid, and/or amorphous), extent of shape change (ESC), hypotonic shock response (HSR), extent of shape change (ESC), platelet aggregation (as measured by platelet aggregometry), efficiency of inducing blood coagulation (as measured by thromboelastography (TEG)), and platelet adenosine triphosphate (ATP) levels. P-selectin expression on the surface of a platelet indicates that it has degranulated. Degranulation can occur without, for example, aggregation.
  • Assessment of platelet function in the rehydrated dry platelet compositions can be quantitative, semi-quantitative, or qualitative. Thus it can, for example, be measured as a discrete value or expressed relative to a baseline or to similar measurements in control samples (e.g., fresh platelets). Platelet function can be assessed and expressed using any of a variety of semi-quantitative/qualitative systems known in the art. Thus, platelet viability and/or function can be expressed as, for example, (a) one or more of “excellent”, “good”, “satisfactory”, and/or “poor”; (b) one or more of “very high”, “high”, “average”, “low”, and/or “very low”; or (c) one or more of “++++”; “+++”, “++”, “+”, “+/−”, and/or “−”.
  • The platelets may be obtained from one or more individuals of any of a variety of mammalian species (e.g., humans, non-human primates (e.g., monkeys, baboons, or chimpanzees), cows, sheep, horses, goats, pigs, dogs, cats, rabbits, guinea pigs, hamsters, gerbils, rats, or mice) but are preferably of the same species as a subject to which they are to be administered. The dry platelet composition can be used in vitro or in vivo. In vitro uses of the dry platelet composition include their use as targets for in vitro screening assays or testing of compounds of interest for, e.g., those with hemostasis-promoting activity, those with hemostasis-inhibiting activity, or those that promote wound healing. The dry platelet composition can be rehydrated (e.g., with a physiological solution such as normal saline or culture medium) and plated into tissue culture dishes.
  • The dry platelet compositions can also be used for the in vitro production and subsequent isolation of soluble factors that are expressed by platelets (see above). Such factors are useful as diagnostic tools themselves or can be used as antigens to generate antibodies for diagnostic use. In addition, rehydrated dry platelets of the invention can be used in in vitro drug efficacy or toxicity assays. The dry platelet composition can also be used as “positive controls” in procedures to develop other platelet storage compositions.
  • Platelets obtained by rehydrating a dry platelet composition of the invention can also be used to support the growth and/or differentiation of non-platelet cells in culture. Such platelets upon activation can promote, for example, the survival and/or growth of fibroblast cells or other cells (e.g., fibroblast, endothelial cell, or epithelial cell (e.g., keratinocyte)) in cell culture. The dry platelet composition can also be used for in vitro and in vivo basic scientific studies of platelet function.
  • In vivo uses of the dry platelet compositions, or of platelets derived therefrom, include, for example, studies in animal models (e.g., in any of the mammals listed above) or in human subjects. Such studies may be performed, for example, in order to assess the therapeutic and/or prophylactic efficacy of platelets per se or of chemical compounds and biological molecules that modulate (up or down regulate) platelet function. Other uses of the platelet compositions of the invention include methods of treatment (see below).
  • Methods of isolating platelets are well known in the art. For example, platelets can be prepared by centrifugation of whole blood by either the platelet-rich plasma (PRP) method or the buffy coat method. Moreover, platelets can be collected by various apheresis techniques that are available in the art.
  • Method of Making Freeze-Dried Platelet Composition
  • Also embodied by the invention is a method of making a freeze-dried platelet composition. The method includes: (a) providing a preparation or sample of platelets; (b) making a mixture including the platelets and one or more inhibitors of platelet activation; and (c) drying the mixture. The mixture can also optionally contain one or more cryoprotectants, one or more proteins (e.g., blood plasma), and/or ECM components described above.
  • The preparation or sample of platelets, the inhibitors of platelet activation, and the optional cryprotectants, proteins, and ECM components can be any of those listed above. Drying the mixture can be by any method known in the art, e.g., air drying, drying in atmosphere of, or under a stream of, inert gas (e.g., nitrogen or argon), or freeze-drying. Freeze-drying methods are well-known in the art (see, for example, “A Guide to Freeze-drying for the Laboratory”—an industry service publication by Labconco, 2004; Franks (1994) Proc. Inst. Refrigeration. 91: 32-39, and U.S. Pat. Nos. 4,619,257; 4,676,070; 4,799,361; 4,865,871; 4,964,280; 5,024,838; 5,044,165; 5,154,007; 6,194,136; 5,336,616; 5,364,756; and 5,780,295, the disclosures of all of which are incorporated herein be reference in their entirety).
  • Freeze-drying of platelets using one or more inhibitors of platelet activation, and optionally one or more cryoprotectants, results in minimal, if any, functional damage to the platelets. Suitable freeze-drying equipment is available from commercial sources, e.g., Labconco (Kansas City, Mo.) and VirTis (Gardiner, N.Y.). Freeze-drying a liquid (e.g., water)-containing sample involves freezing the sample and the subsequent removal of liquids (e.g., water) from the frozen sample by a process called sublimation. Freezing can be, for example, in the freeze-drier apparatus or in a −80° C. freezer. The sample is cooled until the liquid in the sample has solidified (as assessed by the visually). Freezing can be at a cooling rate of between, for example, 1° C. and 5° C. per minute and is preferably not by “snap-freezing.” Freezing methods are described extensively in the above references cited in regard to freeze-drying. Sublimation occurs when a frozen liquid goes directly to the gaseous state without passing through the liquid phase. Freeze-drying may be accomplished by any of a variety of methods, including, for example, the manifold, batch, or bulk methods.
  • Method of Treatment
  • The invention also provides a method of treatment. The method can include identifying a subject that will, or is likely to, benefit from administration of platelets and administering to the subject any of the platelet compositions described above.
  • The dry platelet compositions can per se be administered to the subject. In this case, rehydration of the platelets occurs in the subject. Alternatively, the platelet compositions can be rehydrated and then administered to the subject. In the latter case, the a composition can optionally, prior to being administered, be subjected to a washing process to remove all or a substantial amount of the one or more inhibitors of platelet activation and, if used in the relevant composition, one or more cryoprotectants. Such washing methods are known in the art and generally involved one or more (e.g., two, three, or four) centrifugation steps. It is particularly desirable to perform such washing steps where inhibitors of platelet activation and/or cryoprotectants used are toxic. In this case, washing is performed until none, or an acceptably low level, of the toxic components remains in the composition.
  • Rehydration (and optional washing) can be with any physiological solution (e.g., water, normal saline, tissue culture medium, or the physiological solutions described in Examples 1 and 7 below) such that the platelets retain one or more of their functions (see above). The dried platelet compositions can optionally be rehydrated in the pharmaceutically acceptable carrier in which the platelets are to be administered to an appropriate subject (see below). Rehydration can be by rapid immersion of the platelets in the relevant carrier or by gradual (e.g., drop-wise addition of the carrier) to the dry platelets.
  • The subject that will, or is likely to, benefit from administration of platelets can have a wound. The wound can be one that will, or is likely to, benefit from being treated with platelets. The wound can be a cutaneous wound that can be, or can be a result of, a pressure ulcer, a venous stasis ulcer, a diabetic ulcer, an arterial ulcer, an injury wound, a burn wound, a complex soft tissue wound, a failed skin graft or flap, radiation-induced tissue damage, and a gangrenous wound. The wound can also be an internal wound of any internal organ or tissue, e.g., gastrointestinal tissue, pulmonary (e.g., lung or bronchial) tissue, heart tissue, connective tissue (e.g., tendon, ligament, and cartilage), bone tissue, neural (central and peripheral nerve system) tissue, and vascular (vein and artery) tissue. Internal wounds of interest include, without limitation, contusions, fractures, fistulas, ulcers, or internal organ injuries (e.g., injury of the intestine, spleen, liver, lungs, or heart). The wound can be caused by a trauma, including, e.g., a compound fracture, a gunshot wound, or an abrasion from an accident.
  • The dry (or rehydrated) platelet composition can be delivered to a wound immediately after it occurs or at any stage of its natural healing process. Preferably, the platelet composition will be delivered to the wound immediately, or soon after, the wound is detected, or formed, in the subject. The wound that is to be treated with the platelet composition can have varying appearance, size, depth (i.e., stage), and color, and can include, for example, the presence of hematomas, seromas, wound exudate, necrotic tissue, and eschar.
  • The dry (or rehydrated) platelet composition can be applied topically, i.e., directly to the wound. It can be applied to the wound by any suitable means, such as by sprinkling or spraying the platelets onto the wound, packing the platelets into the wound, or by means of a surgical aid as discussed below. Sprayable aerosol preparations can include the platelet composition in combination with a solid or liquid inert carrier material and can be packaged in a squeeze bottle or in admixture with a pressurized volatile, normally gaseous propellant, e.g., a freon.
  • Dry platelets may be applied to the wound by means of a surgical aid, such as, for example, a wound dressing or bandage, a suture, a fabric, or a prosthetic device. Such aids can include, for example, a solid physiologically acceptable substrate material and platelets on or in (e.g., applied as a coating on or impregnated in) the substrate material. Typically, such surgical aids are provided in a sterile form packaged in a sterile container. The surgical aid substrate material may be coated with the platelets, e.g., by sprinkling dry platelets onto the material or by impregnating the surgical aid substrate with, or applying to its surface, a liquid suspension of fresh platelets containing the one or more inhibitors of platelet activation (and optionally one or more cryoprotectants) and drying (e.g., freeze-drying) the surgical aid/platelet mixture so that the platelets adhere to the surgical aid substrate. Alternatively, dry platelets can be adhered to the surgical aid substrate with a suitable adhesive material, or simply sprinkled onto the surgical aid prior to application of the surgical aid to the subject.
  • The surgical aid can be of any suitable shape and size and be made of any suitable solid material, hydrophobic or hydrophilic, which is physiologically acceptable. Sutures, for example, may be monofilament or braided, can be biodegradable, and can be made of materials such as, for example, nylon silk, polyester, or cotton. Prosthetic devices, for example, include woven or extruded tubular structures, having use in the repair of arteries, veins, ducts; fabrics useful surgically in hernia repair and in supporting damaged liver, kidney, or other internal organs; pins, screws, and reinforcing plates; heart valves, artificial tendons, or cartilage material. Bandages can be made of any suitable substrate material, such as cotton or other fabric suitable for application to or over a wound, can optionally include a backing material, and can optionally include one or more adhesive regions on the face surface thereof for securing the bandage over the wound.
  • The platelet compositions of the invention are administered to subjects in pharmaceutically acceptable formulations that include a pharmaceutically acceptable carrier. A pharmaceutically acceptable carrier e.g., normal saline, excipient, or stabilizer, can be added to the cells before they are administered to a subject. The phrase “pharmaceutically acceptable” refers to molecular entities and compositions that, at the concentration used, are not deleterious to cells, are physiologically tolerable, and typically do not produce an allergic or similar untoward reaction, such as gastric upset, dizziness and the like, when administered to a human.
  • Suitable formulations include, but are not limited to, solutions, suspensions, emulsions, creams, ointments, powders, liniments, salves, and aerosols, which are, if desired, sterilized or mixed with auxiliary agents, e.g., preservatives, stabilizers, wetting agents, antiseptic agents, antimicrobial agents (e.g., hydrogen peroxide, Betadine, or acetic acid), or buffers or salts for influencing osmotic pressure. A wide variety of pharmaceutically acceptable carriers, excipients or stabilizers are known in the art [Remington's Pharmaceutical Sciences, 16th Edition, Osol, A. Ed. 1980]. Pharmaceutically acceptable carriers, excipients, or stabilizers include: buffers, such as phosphate, citrate, and other non-toxic organic acid buffers; antioxidants such ascorbic acid; low molecular weight (less than 10 residues) polypeptides; proteins such as serum albumin, gelatin or immunoglobulins; hydrophilic polymers such polyvinylpylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrans; chelating agents such as EDTA; sugar alcohols such as mannitol, or sorbitol; salt-forming counterions such as sodium; and/or nonionic surfactants such as Tween, Pluronics, or PEG.
  • The dosage of the platelet composition required depends on the nature of the formulation, the nature of the wound or the type and severity of the wound that is to be treated, the subject's size, weight, surface area, age, and sex, other therapeutic agents being administered, and the judgment of the attending physician. Wide variations in the needed dosage are to be expected in view of differing efficiencies of various routes of administration. Platelet compositions can be applied to wounds such that about 1 ml of rehydrated composition is applied for each about 1 cm3 of wound. Variations in these dosage levels can be adjusted using standard empirical routines for optimization as is well understood in the art.
  • The platelet compositions can be administered to a subject once or multiple times. Thus, the compositions can be administered one, two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, 15, 17, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 100, 150, 200, 250, 300, 350, 400, 450, 500, 700, 1000, or more times. Where a plurality of administrations is made, the administrations can separated by any appropriate time period, e.g., 30 seconds, one minute, two minutes, three minutes, four minutes, five minutes, 10 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, two hours, three hours, four hours, five hours, eight hours, 12 hours, 18 hours, 24 hours, two days, three days, four days, a week, two weeks, three weeks, a month, two months, three months, four months, five months, six months, eight months, ten months, a year, 18 months, two years, three years, four years, or five years.
  • The platelets can be obtained from the individual to whom the platelet composition is to be administered (the recipient), i.e., the platelets can be autologous. Alternatively, they can be from one or more individuals of the same species as the recipient, e.g., the platelet composition can be made from a pool of platelets samples prepared from a plurality (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 20, 25, 30, 35, 40, 50, 60, 70, 80, 90, 100 or more) of subjects, e.g., human volunteers. A recipient can also be of a species other than the donor. In addition, platelets can be isolated from the blood of adult, infant, or fetal blood of one or more individuals. Recipients and donors of platelets can be of any other species listed above.
  • As used herein, “therapeutic” or “therapy” means a complete abolishment of the symptoms of a pathological condition (e.g., a wound) or a decrease in the severity of the symptoms of the pathological condition. “Prevention” means that symptoms of the pathological condition are essentially absent. As used herein, “prophylaxis” means complete prevention of the symptoms of a pathological condition, a delay in onset of the symptoms of a pathological condition, or a lessening in the severity of subsequently developed pathological condition symptoms.
  • The following examples are meant to illustrate, not limit, the invention.
  • EXAMPLES Example 1 Preparation of Platelet Compositions Used in Examples 1-6 Collection of Human Platelet-Rich Plasma (PRP)
  • PRP samples in the form of random donor units (RDU) of human platelets were purchased from an American Association of Blood Banks (AABB) accredited blood bank, stored with agitation at room temperature, and used within 5 days of donation. All required donor-screening and release-testing were performed by the blood bank in accordance with AABB requirements [MEB Technical Manual 14th ed. Bethesda, Md.: American Association of Blood Banks (2002)].
  • Freeze-Drying of PRP
  • An aliquot of PRP was mixed with a cryopreservative additive (CPA) solution consisting of the metabolic inhibitors amiloride, adenosine, and sodium nitroprusside and the cryoprotectants polyvinyl pyrrolidone (PVP), mannitol, and dimethylsulfoxide (DMSO). These compounds were all diluted in isotonic buffer (buffer B described in Example 7). A separate control PRP aliquot was mixed with isotonic buffer only. The final concentration of platelets in the treated and control PRP samples was 9×105 cells/μl and the final concentrations of the metabolic inhibitors and cryoprotectants were as follows: amiloride (0.25 mM), adenosine (0.1 mM), sodium nitroprusside (50 μM), polyvinyl pyrrolidone (4% w/v), mannitol (50 mM), and dimethylsulfoxide (0.5% v/v).
  • Both platelet samples were frozen at a cooling rates of between 1° C. and 5° C. per minute and then freeze-dried under standard conditions. After freeze-drying, the PRP samples were stored for less than 5 days at −80° C. and then rehydrated by rapid whole volume addition with buffer B to the volume prior to freeze-drying.
  • Example 2 Platelets Freeze-Dried and Rehydrated in the Presence of CPA Exhibit Increased Platelet Aggregation
  • To determine whether platelets freeze-dried and rehydrated with CPA are capable of mediating functions important for hemostasis, the aggregation potential of samples freeze-dried and rehydrated with and without CPA was studied in the presence of adenosine disphosphate (10 μM) and type I equine collagen (2 μg/ml; Chrono-Log Corp, Havertown, Pa.). For these studies, in contrast to other experiments described below, the CPA-treated and control freeze-dried were washed once with buffer B. The concentration of platelets in both samples was then adjusted to 3×105 platelets/μl with buffer B and both sample were incubated at 37° C. for one hour after which the adenosine and collagen were added at the indicated concentrations. Aggregation was measured with an optical aggregometer while maintaining the sample temperature at 37° C. The data are presented as aggregation response of freeze-dried and rehydrated platelets expressed as a percentage of the aggregation response of fresh platelets (of the sample PRP sample used for making the freeze-dried samples).
  • Platelets freeze-dried and rehydrated in the presence of CPA showed an increase in aggregation capacity relative to control freeze-dried platelets (FIG. 1).
  • Example 3 Platelet Growth Factor Release Assay
  • In an initial validation of an assay to measure growth factor release from thrombin-activated platelets, fresh platelet suspensions (that had not been frozen or freeze-dried and rehydrated) were tested. The fresh platelet PRP samples were diluted to a concentration of 3×105 cells/μl with buffer B and activated with thrombin (1 unit/ml) for 5 minutes at room temperature. The resulting platelet clot was centrifuged and the supernatant was separated from the pelleted clot. The concentrations in the supernatant of four growth factors were measured by enzyme-linked immunosorbent assays (ELISA) using a commercially available kit (R & D Systems, Minneapolis, Minn.) according to the manufacturer's directions. The growth factors were transforming growth factor-beta (TGF-β), platelet derived growth factor (PDGF A/B), epidermal derived growth factor (EGF), and vascular endothelial growth factor (VEGF).
  • The data are presented as the amounts of growth factor released in the thrombin-activated supernatant expressed as percentages of the amount of growth factor released by sonication of a corresponding sample of the same platelets (Table 1). The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • As shown in Table 1, for all four growth factors, approximately 50% of sonication-releasable growth factor was released from fresh platelets by thrombin activation.
  • TABLE 1
    Growth Factor Release from Fresh Human Platelets
    Growth
    Factor Release
    TGF-β 60.4% ± 18.8%
    PDGF 55.7% ± 16.0%
    EGF 50.8% ± 19.0%
    VEGF 47.0% ± 7.8% 
  • Example 4 Growth Factor Release of CPA-Containing Freeze-Dried and Rehydrated Platelets
  • The effect of freeze-drying and rehydration of platelets in the presence and absence of CPA on platelet growth factor release was determined. Data obtained for TGF-β as a representative growth factor are shown in Table 2. ELISA assays (as in Example 3) were performed on the following samples:
  • (a) a supernatant obtained by centrifugation of the PRP sample used for freeze-drying (“Fresh” “Plasma”).
    (b) the same PRP sample after sonication (“Fresh” “Sonicate”); this measurement gave the total TGF-β releasable from platelets in the PRP sample plus the TGF-β in the plasma of the PRP sample.
    (c) supernatants obtained by centrifugation of samples of freeze-dried and rehydrated (in the presence and absence of CPA) PRP (“F/D/R” “Plasma”).
    (d) freeze-dried and rehydrated (in the presence and absence of CPA) PRP samples after sonication (“F/D/R” “Sonicate”).
    (e) supernatants obtained by centrifugation of thrombin-treated (as in Example 3), freeze-dried and rehydrated (in the presence and absence of CPA) PRP; the amounts detected in these supernatants minus the amounts detected in (c) were expressed as a fraction (percentage) of the amounts detected in (d) minus the amounts detected in (c) (“Release”).
  • CPA components were not washed out of the samples before testing. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experimental group.
  • TABLE 2
    Release of TGF-β by Freeze-Dried and
    Rehydrated Platelets (with or without CPA)
    Condition TGF-β (ng/ml) PRP
    Fresh Plasma 18.1 ± 0.7 
    Sonicate 65.3 ± 11.2
    PRP without CPA PRP with CPA
    F/D/R Plasma 33.6 ± 5.5  28.2 ± 2.3
    Sonicate 57.5 ± 12.0 57.1 ± 9.1
    Release 16.9% 40.4%
    F/D/R; freeze-dried and rehydrated
  • Freeze-drying and/or rehydration of both CPA-treated and untreated platelets resulted in a significant level of spontaneous leakage of TGF-β compared to fresh platelet suspensions (Table 2). However, this spontaneous leakage was somewhat lower in the platelets freeze-dried in the presence than in the absence of CPA. Most importantly, platelets that had been freeze-dried and rehydrated in the presence of CPA have a substantially higher ability to release TGF-β than platelets freeze-dried and rehydrated without CPA. Similar results were observed for the other three growth factors listed above.
  • Example 5 TGF-β Produced by Platelets Freeze-Dried and Rehydrated in the Presence of CPA is Active
  • The levels of active TGF-β, as measured by a cellular assay (see below), and the levels of total TGF-β protein, as measured by ELISA, in supernatants from sonicated fresh PRP and sonicated PRP freeze-dried and rehydrated (F/D/R) with CPA were compared (Table 3). These supernatants were the same as some of those shown in Table 2. The cell culture assay used to measure TGF-β activity was that described in Abe et al. [(1994) Anal. Biochem. 216 (2):276-284], the disclosure of which is incorporated herein by reference in its entirety. The experiment was performed three times using PRP from a separate donor for each experiment. The data are the means obtained from the three experiments and standard deviations are indicated. These means are the means of the averages of three replicates in each experiment.
  • Essentially all the TGF-β released from sonicated fresh platelets and sonicated platelets freeze-dried and rehydrated with CPA was active (Table 3). The same results were obtained with sonicated platelets freeze-dried and rehydrated without CPA.
  • TABLE 3
    Measurements of TGF-β Activity in Human Platelets
    Total TGF-β TGF-β Percent of
    protein Activity TGF-β protein
    Condition (ng/ml) (ng/ml) that is active
    Fresh 65.3 ± 11.2 57.1 ± 2.9 87.4%
    Sonicate
    F/D/R (CPA) 57.1 ± 9.1  57.9 ± 3.0  100%
    Sonicate
  • Example 6 Cellular Proliferation Assay Assay Design and Validation
  • To test for cell proliferation-inducing activity insoluble factors released by thrombin-activated platelets, an in vitro “Transwell®” cell culture system was used. FIG. 2A is a diagrammatic representation of this “Transwell®” cell culture system. Swiss Albino mouse 3T3 fibroblast cells were plated at a density of 10,000 cells per well onto the bottom surfaces of culture wells of 24-well tissue culture plates in Growth Medium (GM; Dulbecco's Modified Eagle's Medium supplemented with 4 mM glutamine, 405 g/L glucose, 1.5 g/L sodium bicarbonate, and 10% calf serum (Invitrogen, Carlsbad, Calif.) and cultured for 16 hours at 37° C. in a humidified atmosphere of 5% CO2. In cultures to which activated or sonicated platelets (and corresponding control cultures) were added (see below), the GM was replaced with serum reduced medium (SRM; same as GM but supplemented with 0.5% rather than 10% calf serum). Sonicated or thrombin-activated (1 unit/ml for 5 minutes at 37° C.) platelets (in 75 μl of 1.2×106 platelets per μl) and SRM (225 μl of 1.2×106 platelets per μl) were added to Transwell® chambers having bottoms consisting of semi-permeable membranes (having 8 μm pores) and the chambers were placed above the cells in appropriate culture wells such that the bottoms of the chambers were submerged in culture media in the culture wells (see FIG. 2A). This culture system permitted culture media and soluble factors (but not whole platelets or insoluble platelet material) to diffuse through the semi-permeable membranes and contact the fibroblasts on the culture well bottoms. “Positive control” cultures contained GM and no platelet material. The cultures were incubated for the indicated periods of time after which proliferation was determined by an MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt] metabolic conversion assay. This involved: (a) removal of the Transwell® chambers and culture medium from culture wells; (b) addition to the wells of 0.5 ml fresh SRM and 100 μl of CellTiter96® Aqueous One solution (Promega Corporation, Madison, Wis.); and (c) a further incubation (under the same conditions described above) for 3 hours. Supernatants (100 μl) from each culture were transferred to the wells of 96-well microtiter plates and the OD540 (as a measure of relative cell proliferation) of each was measured using a microtiter plate reader (BioRad, Hercules, Calif.).
  • Measurements of cellular proliferation were recorded in separate culture wells every 24 hours, for a total of 72 hours after introduction of the Transwell® chambers containing the test platelet materials into culture vessel wells, (FIG. 2B). In FIG. 2B, the graph vertical bars represent percent increase in MTS levels over baseline levels (as measured at time 0, i.e., the time at which the Transwell® chambers containing platelet materials were added to the cultures) (left y-axis) and the graph lines represent actual cell counts (right y-axis). The horizontal dashed line indicates number of cells (right y-axis) at time 0. Sonicated platelets and platelets activated with 1 unit/ml thrombin increased fibroblast proliferation in a time-dependent fashion (compared to cultures containing SRM only).
  • The cell proliferation levels obtained at 72 hours with sonicated and thrombin-activated platelets minus the minimal level of cell proliferation (observed in cultures containing SRM only) were expressed as percentages of the maximal level of cell proliferation (observed in cultures containing GM only) minus the minimal level of cell proliferation (observed in cultures containing SRM only). The values obtained are referred to as “% induction” (FIG. 2C).
  • Soluble Factors Produced by Platelets Freeze-Dried and Rehydrated in the Presence of CPA Retain the Ability to Induce Cellular Proliferation
  • The above-described in vitro cellular proliferation assay was used to determine the effect of freeze-drying and rehydration in the presence of CPA on the ability of platelets to induce cell proliferation. Platelets were mixed with CPA solution, freeze-dried, and resuspended in buffer B as described in Example 1. The same controls described for the experiment shown in FIG. 2 were performed and the data were calculated as described for FIG. 2C. Platelet preparations which had been freeze-dried and rehydrated with CPA exhibited approximately the same % induction of proliferation as fresh platelets after activation with thrombin (FIG. 3).
  • Supernatants from centrifuged fresh platelets PRP, platelets freeze-dried and rehydrated in the absence of CPA, and platelets freeze-dried and rehydrated in the presence of CPA (“Plasma” data in FIG. 4) and supernatants of from the same three samples after thrombin activation were tested in an assay essentially the same as that in the experiment depicted in FIG. 2 (“Platelets” data in FIG. 4). Platelets freeze-dried and rehydrated with CPA, but not those freeze-dried and rehydrated without CPA, retained the ability of fresh platelets to induce cell proliferation (FIG. 4). The dotted line in FIG. 4 shows the average ability of plasma samples to induce fibroblast proliferation. In addition, a PRP sample freeze-dried in the presence of CPA was divided into several aliquots that were stored at −80° C. for various periods of time up to 24 weeks. The samples were rehydrated at the relevant time points and tested for their ability to induce fibroblast proliferation in the Transwell® culture system described above. All samples demonstrated the same ability to induce fibroblast proliferation as a control sample that was tested without storage.
  • Ability of Freeze-Dried Platelets to Induce Cellular Proliferation is Dose-Dependent
  • Platelets were freeze-dried and rehydrated in the presence of CPA and thrombin activated as described above. Various volumes of the sample (at the same platelet concentration) were tested in the Transwell® fibroblast proliferation assay system described above by addition of the rehydrated platelet samples to the Transwell® chambers (FIG. 5). Measurements were made after 72 hours of culturing in the presence of the activated platelets. The ability of the thrombin activated freeze-dried platelets to induce proliferation of fibroblast cells was dose-dependent on the amount of rehydrated platelets added to the assay system.
  • Example 7 CPA-Treated Freeze-Dried Platelets Increase Wound Healing in a Diabetic Mouse Wound Model Materials and Methods Preparation of Platelet Therapeutics
  • Single donor units (SDU) of human platelets were purchased from an American Association of Blood Banks (AABB) accredited blood bank, stored with agitation at room temperature, and used within 5 days of donation. All required donor-screening and release-testing were performed by the blood bank in accordance with AABB requirements [MEB Technical Manual 14th ed. Bethesda, Md.: American Association of Blood Banks (2002)]. Each SDU was divided into three aliquots to prepare three unique platelet-based therapeutic materials. The first aliquot was adjusted to 1.2×106 platelets/μl with a CPA-containing solution using as a solvent a physiologic buffer [buffer B; 136 mM NaCl, 11.9 mM NaHCO3, 5.6 mM glucose, 5 mM HEPES, 2.7 mM KCl, 2.0 mM MgCl2, 0.42 mM NaH2PO4; pH 7.4] and freeze-dried, thereby creating a CPA stably preserved freeze-dried platelet rich plasma (FDP-CPA). The second aliquot was adjusted to 1.2×106 platelets/μl using Buffer B and freeze-dried to create a freeze-dried platelet rich plasma (FDP) sample. The third aliquot was adjusted to 1.2×106 platelets/μl using buffer B, sonicated for 10 seconds to disrupt cellular structure and release intracellular constituents, and frozen at −80° C. creating a fresh frozen platelet (FFP) sample. Addition of the CPA protectant solution yielded a final treatment composition of 250 μM amilioride, 100 μM adenosine, 50 μM sodium nitroprusside, 1% (v/v) dimethyl sulfoxide, 4% (w/v) polyvinyl pyrrolidone (Plasdone™ C-15, International Specialty Products, Wayne, N.J.), and 50 mM mannitol. All manipulations of the platelet material were done using standard aseptic technique and all solutions were filter sterilized using filters having 0.2 μm diameter pores (Millipore, Billerica, Mass.). Platelet concentrations were verified using a CellDyn® 1700 hematology analyzer (Abbott Laboratories, Abbott Park, Ill.). The dried platelet products were packed under dry nitrogen in heat-sealed foil pouches and stored at −80° C. until used.
  • Wound Model & Treatment Procedure
  • Homozygous genetically diabetic 8-12 week-old, Lep/r—db/db male mice (strain C57BL/KsJ-Leprdb) were used under an approved animal protocol in an AAALAC accredited facility. The day before surgery, hair was clipped and depilated (Nair®; Church & Dwight Co., Princeton, N.J.). On the day of the surgery (post operative day 0; POD 0), animals were weighed and anesthetized with 60 mg/kg Nembutal® (pentobarbital sodium). A dorsal 1.0 cm2 area of skin and panniculus carnosus was excised and the wounds were photographed. Simultaneously, the following platelet-based treatments were prepared: the FFP samples were thawed, while the freeze-dried samples, FDP and FDP-CPA, were rehydrated with sterile dH2O to their original volume. The three different platelet treatments, with equivalent platelet concentrations, based on pre-processing determinations, were divided into 250 μl aliquots. Each aliquot was treated with 1 U/ml thrombin (Chronolog Corporation, Havertown, Pa.) just prior to application and allowed to clot in situ, thereby facilitating persistence of the platelet material in the wound. Fifteen wounds in each platelet experimental group (NT (not treated), FFP, FDP and FDP-CPA) were included. All wounds were covered with a semi-occlusive polyurethane dressing (Tegaderm™, 3M, St. Paul, Minn.). On post operative day 9 (POD 9), the animals were euthanized and the wounds were photographed, excised, and fixed in 10% neutral-buffered folmalin solution.
  • Wound Closure Analysis
  • Digital photographs captured on POD 9 were compared with initial photographs (POD 0) by two independent observers, who were blinded to the treatment mode, using planimetric methods (Scion Image, Scion Corporation, Frederick, Md.). Wound closure was quantified by measuring contraction, re-epithelialization, and open wound as a percentage of the original wound area. The sum of contracted, re-epithelialized, and open wound areas equals 100% of the original wound size [Sullivan et al. (2004) Plast. Reconstr. Surg. 113(3):953].
  • Microscopic Analysis
  • Wound biopsies were bisected, processed, and stained according to routine Hematoxylin and Eosin (H&E) protocols. Digital photographs were taken of the microscopic wound sections at 40× magnification and panoramic cross-sectional composites of each wound were created using Adobe Photoshop® CS Software (Adobe Systems Incorporated, San Jose, Calif.). The digital images were analyzed with Scion Image™ software (Scion Corporation, Frederick, Md.) by two independent observers, blinded to experimental treatment mode, to quantify the area and thickness of granulation tissue. Capillary density was evaluated using 3 fields per slide viewed at 200× magnification: one in the middle of the lesion and one at each wound margin. The images were viewed with Adobe Photoshop® CS Software and blood vessels in each high-powered field were marked and counted.
  • Statistical Analysis
  • Values were expressed as means +/− standard deviation in the text and figures. One-way analysis of variance and ad hoc Dunnetts tests were used to determine the significance of differences between treatment modes.
  • Results Wound Closure
  • Wound healing occurred in all groups by a combination of wound contration and re-epithelialization. Previous work showed that a 1.0 square cm2 wound in a diabetic mouse reaches the 50% closure point at about 8-12 days after surgery and that, once healed, there are no differences in either the histology or visual appearance of wounds in diabetic and control non-diabetic mice (data not shown). FIG. 6 shows that re-epithelialization was similar in all treatment groups but there was significantly reduced wound contraction in the FDP-CPA group compared to the other groups.
  • Granulation Tissue
  • Panoramic cross-sectional digital images of each wound were prepared to analyze granulation tissue area and thickness (FIG. 7). Both FDP-CPA and FDP induced a significant (p<0.01) 2.3-fold increase in granulation tissue area compared with the NT group (FIG. 7). Treatment with FFP also stimulated the formation of granulation tissue when compared to untreated wounds (p<0.05), but it was visibly more edematous than either of the freeze-dried conditions. Similar results were observed with respect to granulation tissue thickness (FIG. 7). FDP-CPA and FDP treatments induced significant (p<0.01) 3.1 and 3.2-fold increases in granulation tissue thickness measured in the center of the wound, respectively, compared with the NT group. Tissue thickness in response to FFP treatment was also significantly elevated over NT (p<0.01) but failed to achieve comparable results to the freeze-dried treatment conditions.
  • Neovascularity
  • Increased tissue vascularity in response to treatment with platelet material was evident measuring standard H&E stained wound sections. FDP-CPA treatment resulted in significant (p<0.01) 2.2 and 1.8-fold increases in mean vessel count per high-power field compared with the NT group and the FFP group, respectively. FDP treatment induced a 1.6-fold increase compared with NT group (p<0.01).

Claims (43)

1. A dry platelet composition, the composition comprising:
a plurality of dry platelets; and
one or more inhibitors of platelet activation.
2. The composition of claim 1, wherein the one or more inhibitors of platelet activation are selected from effectors of the cyclic adenosine monophosphate (cAMP) second messenger system, sodium channel inhibitors, and effectors of the cyclic guanosine 5′ monophosphate (cGMP) second messenger system.
3. The composition of claim 1, wherein the one or more inhibitors of platelet activation comprise adenosine, amiloride, and sodium nitroprusside.
4. The composition of claim 3, wherein, after hydration of the composition, the concentration in the composition: of adenosine is about 10 μM to about 1 mM; of amiloride is about 0.1 mM to about 10 mM; and of sodium nitroprusside is about 2.5 μM to about 250 μM.
5. The composition of claim 2, wherein the effectors of the cAMP second messenger system are selected from the group consisting of iloprost, prostacyclin, prostaglandin E2, forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and auranofin.
6. The composition of claim 2, wherein the sodium channel inhibitors are selected from the group consisting of amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and prajnalium.
7. The composition of claim 2, wherein the effectors of the cGMP second messenger system are selected from the group consisting of L-arginine, nitrous oxide, SIN-1, SIN-1A, atrial natriuretic factor, vasopressin, oxytocin, and glyceril trinitrate.
8. The composition of claim 1, further comprising one or more cryoprotective agents
9. The composition of claim 8, wherein the cryoprotective agents are selected from the group consisting of dimethylsulfoxide, maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, mannitol, and combinations thereof.
10. The composition of claim 1, further comprising dry blood plasma.
11. The composition of claim 1, further comprising one or more extracellular matrix (ECM) components.
12. The composition of claim 11, wherein the one or more ECM components are selected from the group consisting of collagen, elastin, fibronectin, fibrillin, laminin, decorin, fibromodulin, hyaluronic acid, and a proteoglycan.
13. The composition of claim 11, wherein the ECM components are in particles of particulate acellular tissue matrix.
14. The composition of claim 13, wherein the particulate acellular tissue matrix is particulate acellular dermal matrix.
15. The composition of claim 1, wherein hydration of the dry platelet composition results in a rehydrated platelet composition with substantially the same level of at least one platelet function possessed by a sample of fresh platelets from which the dry platelet composition was derived.
16. The composition of claim 15, wherein the at least one platelet function is the ability to aggregate.
17. The composition of claim 15, wherein the at least one platelet function is the ability to release one or more growth factors or chemokines.
18. The composition of claim 17, wherein the growth factors or chemokines are selected from the group consisting of transforming growth factor-β (TGF-β), members of platelet derived growth factor (PDGF) family, epidermal growth factor (EGF), members of vascular endothelial growth factor (VEGF) family, and thymosin β4.
19. The composition of claim 15, wherein the at least one platelet function is the ability to induce cell proliferation.
20. The composition of claim 19, wherein the cell proliferation is fibroblast proliferation.
21. The composition of claim 1, wherein the platelets are human platelets.
22. A method of making a freeze-dried platelet composition, the method comprising:
providing a sample comprising platelets;
making a mixture comprising the platelets and one or more inhibitors of platelet activation; and
drying the mixture.
23. The method of claim 22, wherein the one or more inhibitors of platelet activation are selected from effectors of the cAMP second messenger system, sodium channel inhibitors, and effectors of the cGMP second messenger system.
24. The method of claim 22, wherein the one or more inhibitors of platelet activation comprise adenosine, amiloride, and sodium nitroprusside.
25. The method of claim 24, wherein, in the mixture, the concentration of adenosine is about 10 μM to about 1 mM, the concentration of amiloride is about 0.1 mM to about 10 mM, and the concentration of sodium nitroprusside is about 2.5 μM to about 250 μM.
26. The method of claim 23, wherein the effector of the cAMP second messenger system is selected from the group consisting of iloprost, prostacyclin, prostaglandin E2, forskolin, cholera toxin, isoproterenol, 8-bromo cyclic adenosine monophosphate, dibutyl cyclic adenosine monophosphate, theophylline, isobutylmethyl xanthine, thyrotropin, and auranofin.
27. The method of claim 23, wherein the sodium channel inhibitor is selected from the group consisting of amiloride analogues, bepridil, flecamide, saxitoxin, benzamil, and prajnalium.
28. The method of claim 23, wherein the effector of the cGMP second messenger system is selected from the group consisting of L-arginine, nitrous oxide, SIN-1, SIN-1A, atrial natriuretic factor, vasopressin, oxytocin, and glyceril trinitrate.
29. The method of claim 22, wherein the mixture further comprises one or more cryoprotective agents.
30. The method of claim 29, wherein the one or more cryoprotective agents are selected from the group consisting of dimethyl sulfoxide, maltodextrin, dextran, hydroxyethyl starch, glucose, polyvinyl pyrrolidone, mannitol, and combinations thereof.
31. The method of claim 22, wherein the mixture further comprises one or more extracellular matrix (ECM) components.
32. The method of claim 31, wherein the one or more ECM components are selected from the group consisting of collagen, elastin, fibronectin, fibrillin, laminin, decorin, fibromodulin, hyaluronic acid, and a proteoglycan.
33. The method of claim 31, wherein the ECM components are in particles of particulate acellular tissue matrix.
34. The method of claim 33, wherein the particulate acellular tissue matrix is particulate acellular dermal matrix.
35. The method of claim 22, wherein the mixture further comprises blood plasma.
36. The method of claim 22, wherein drying the mixture comprises freeze-drying the mixture.
37.-38. (canceled)
39. A method of treatment, the method comprising:
identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets; and
applying the dry platelet composition of claim 1 to the wound.
40. A method of treatment, the method comprising:
identifying a subject that has a wound that will, or is likely to, benefit from administration of platelets;
rehydrating the dry platelet composition of claim 1 to generate a rehydrated platelet composition; and
applying the rehydrated platelet composition to the wound.
41. The method or use of claim 40, wherein the wound is a cutaneous wound.
42. The method of claim 41, wherein the cutaneous wound is selected from the group consisting of a pressure ulcer, a venous stasis ulcer, a diabetic ulcer, an arterial ulcer, an injury wound, a burn wound, a complex soft tissue wound, a failed skin graft or flap, a radiation-induced wound, and a gangrenous wound.
43. The method claim 40, wherein the wound is an internal wound.
44. The method of claim 43, wherein the internal wound is selected from the group consisting of a contusion, a fracture, a fistula, an ulcer, and an injury wound of an internal organ.
US12/088,067 2005-09-26 2006-09-26 Dry platelet composition Abandoned US20090035289A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US12/088,067 US20090035289A1 (en) 2005-09-26 2006-09-26 Dry platelet composition

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US72085105P 2005-09-26 2005-09-26
US12/088,067 US20090035289A1 (en) 2005-09-26 2006-09-26 Dry platelet composition
PCT/US2006/037741 WO2007038629A2 (en) 2005-09-26 2006-09-26 Dry platelet composition

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/037741 A-371-Of-International WO2007038629A2 (en) 2005-09-26 2006-09-26 Dry platelet composition

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US15/366,768 Continuation US10179150B2 (en) 2005-09-26 2016-12-01 Dry platelet composition

Publications (1)

Publication Number Publication Date
US20090035289A1 true US20090035289A1 (en) 2009-02-05

Family

ID=37900439

Family Applications (3)

Application Number Title Priority Date Filing Date
US12/088,067 Abandoned US20090035289A1 (en) 2005-09-26 2006-09-26 Dry platelet composition
US15/366,768 Active US10179150B2 (en) 2005-09-26 2016-12-01 Dry platelet composition
US16/214,896 Abandoned US20190175655A1 (en) 2005-09-26 2018-12-10 Dry platelet composition

Family Applications After (2)

Application Number Title Priority Date Filing Date
US15/366,768 Active US10179150B2 (en) 2005-09-26 2016-12-01 Dry platelet composition
US16/214,896 Abandoned US20190175655A1 (en) 2005-09-26 2018-12-10 Dry platelet composition

Country Status (7)

Country Link
US (3) US20090035289A1 (en)
EP (1) EP1929289B1 (en)
JP (1) JP5478884B2 (en)
AU (1) AU2006294654B2 (en)
CA (1) CA2623666C (en)
ES (1) ES2668551T3 (en)
WO (1) WO2007038629A2 (en)

Cited By (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100040687A1 (en) * 2008-08-14 2010-02-18 Kci Licensing, Inc. Tissue Scaffolds
US20100137677A1 (en) * 2008-11-20 2010-06-03 Evan Friedman Method for treatment and prevention of parastomal hernias
US20110208320A1 (en) * 2010-02-19 2011-08-25 Lifecell Corporation Abdominal wall treatment devices
US20110238186A1 (en) * 2010-03-25 2011-09-29 Lifecell Corporation Preparation of regenerative tissue scaffolds
US20120087903A1 (en) * 2010-10-06 2012-04-12 Central Medical Technologies Inc. Hair growth agent having a platelet dry powder
WO2012122524A1 (en) * 2011-03-09 2012-09-13 Worden Charles E Wound healant system and method of use
US8333803B2 (en) 2008-11-21 2012-12-18 Lifecell Corporation Reinforced biologic material
TWI448312B (en) * 2012-05-23 2014-08-11 An implant of freeze - dried platelets and its coating method
TWI448310B (en) * 2012-05-23 2014-08-11 Medical dressings and their coating methods for frozen freeze - dried platelets
US20140276493A1 (en) * 2013-03-15 2014-09-18 Braden King-Fung Leung Wound healing compositions
US20150080300A1 (en) * 2013-09-17 2015-03-19 Bestop Group Holdings Limited Growth factor concentrate and the use thereof
US9089523B2 (en) 2011-07-28 2015-07-28 Lifecell Corporation Natural tissue scaffolds as tissue fillers
US9238090B1 (en) 2014-12-24 2016-01-19 Fettech, Llc Tissue-based compositions
US9271821B2 (en) 2012-01-24 2016-03-01 Lifecell Corporation Elongated tissue matrices
US9370536B2 (en) 2012-09-26 2016-06-21 Lifecell Corporation Processed adipose tissue
US9375017B2 (en) 2009-01-02 2016-06-28 Lifecell Corporation Method for debristling animal skin
US9375513B2 (en) 2011-04-14 2016-06-28 Lifecell Corporation Regenerative materials
US9532863B2 (en) 2011-12-20 2017-01-03 Lifecell Corporation Sheet tissue products
US9549805B2 (en) 2011-12-20 2017-01-24 Lifecell Corporation Flowable tissue products
US9592278B2 (en) 2012-03-08 2017-03-14 Lifecell Corporation Enzyme-activated collagen and tissue matrices
US9592254B2 (en) 2013-02-06 2017-03-14 Lifecell Corporation Methods for localized modification of tissue products
US9636435B2 (en) 2010-07-08 2017-05-02 Lifecell Corporation Method for shaping tissue matrices
US9649408B1 (en) 2009-11-05 2017-05-16 Lifecell Corporation Systems and methods for sterilization of bone or bone components
US9782436B2 (en) 2012-04-24 2017-10-10 Lifecell Corporation Flowable tissue matrices
US9999702B2 (en) 2010-04-09 2018-06-19 Kci Licensing Inc. Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US10363343B2 (en) 2012-07-05 2019-07-30 Lifecell Corporation Tissue-based drain manifolds
WO2020056009A1 (en) * 2018-09-11 2020-03-19 Cellphire, Inc. Blood plasma-containing compositions
US10639398B2 (en) 2016-07-05 2020-05-05 Lifecell Corporation Tissue matrices incorporating multiple tissue types
WO2020139689A1 (en) 2018-12-26 2020-07-02 Kim Katherine Echo Compositions and methods for treating burns, wounds, and skin disorders
US20200206143A1 (en) * 2018-11-30 2020-07-02 Cellphire, Inc. Platelets loaded with anti-cancer agents
CN111537326A (en) * 2020-05-07 2020-08-14 天津德祥生物技术有限公司 Method for preparing freeze-dried blood platelet and application thereof
US10786595B2 (en) 2011-03-24 2020-09-29 Kci Licensing, Inc. Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US10792394B2 (en) 2016-06-03 2020-10-06 Lifecell Corporation Methods for localized modification of tissue products
US10821205B2 (en) 2017-10-18 2020-11-03 Lifecell Corporation Adipose tissue products and methods of production
US11045583B2 (en) 2016-12-22 2021-06-29 Lifecell Corporation Devices and methods for tissue cryomilling
US11090338B2 (en) 2012-07-13 2021-08-17 Lifecell Corporation Methods for improved treatment of adipose tissue
US11123375B2 (en) 2017-10-18 2021-09-21 Lifecell Corporation Methods of treating tissue voids following removal of implantable infusion ports using adipose tissue products
US11179505B2 (en) 2016-02-11 2021-11-23 Lifecell Corporation Methods for stabilizing collagen-containing tissue products against enzymatic degradation
US11191781B2 (en) * 2016-06-16 2021-12-07 Eye Care International, Llc Compositions and methods of treating dry eye syndrome and other traumatized non-keratinized epithelial surfaces
US11246994B2 (en) 2017-10-19 2022-02-15 Lifecell Corporation Methods for introduction of flowable acellular tissue matrix products into a hand
US11529587B2 (en) 2019-05-03 2022-12-20 Cellphire, Inc. Materials and methods for producing blood products
US11633521B2 (en) 2019-05-30 2023-04-25 Lifecell Corporation Biologic breast implant
US11701388B2 (en) 2019-08-16 2023-07-18 Cellphire, Inc. Thrombosomes as an antiplatelet agent reversal agent
US11767511B2 (en) 2018-11-30 2023-09-26 Cellphire, Inc. Platelets as delivery agents
US11826488B2 (en) 2017-10-19 2023-11-28 Lifecell Corporation Flowable acellular tissue matrix products and methods of production
US11903971B2 (en) 2020-02-04 2024-02-20 Cellphire, Inc. Treatment of von Willebrand disease

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2508892A1 (en) * 2011-04-04 2012-10-10 Siemens Healthcare Diagnostics Products GmbH Controls and kit for thrombocyte activity tests
CN104906052B (en) * 2014-03-14 2017-09-05 复旦大学附属中山医院 A kind of preparation method of autologous platelet rich plasma freeze-dried powder
BR112017014098A2 (en) * 2014-12-31 2018-03-06 Anthrogenesis Corp platelet isolation methods
CN107047538B (en) * 2017-03-16 2021-04-13 苏州大学 Application of protein kinase A activator in platelet preservation and platelet preservation method
JP6391872B1 (en) * 2018-03-30 2018-09-19 セルソース株式会社 Growth factor mixture and method for its preparation

Citations (38)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4004975A (en) * 1975-12-30 1977-01-25 The United States Of America As Represented By The Secretary Of The Navy Method of isolating and cryopreserving human white cells from whole blood
US4665088A (en) * 1984-11-14 1987-05-12 The Research Foundation Of State University Of New York (E-Z)-4,5,9-trithiadodeca-1,6,11-triene 9-oxides
US4764463A (en) * 1986-10-30 1988-08-16 The University Of Tennessee Research Corporation Platelet cyropreservation
US4774088A (en) * 1986-01-08 1988-09-27 The United States Of America As Represented By The Deptment Of Health And Human Services Method and additives for improving the quality and shelf life of stored blood
US4812310A (en) * 1986-08-29 1989-03-14 Toru Sato Preserving solution for blood or packed blood cells and method for preserving blood or packed blood cells by using the same
US4940581A (en) * 1986-10-30 1990-07-10 The University Of Tennessee Research Corporation Platelet cryopreservation
US4983514A (en) * 1987-05-22 1991-01-08 Hoechst Aktiengesellschaft Method for detecting the antiaggregatory effect of vasoactive substances, specifically of inhibitors of phosphodiesterase and/or cyclooxygenase
US4994367A (en) * 1988-10-07 1991-02-19 East Carolina University Extended shelf life platelet preparations and process for preparing the same
US5043261A (en) * 1989-04-10 1991-08-27 Cryopharm Corporation Lyophilized and reconstituted red blood cell and hemosome compositions
US5118512A (en) * 1990-01-23 1992-06-02 Osteotech, Inc. (A Delaware Corp.) Process for cryopreserving biological materials and materials prepared thereby
US5153004A (en) * 1989-06-02 1992-10-06 Cryopharm Corporation Freezing and thawing of erythrocytes
US5162571A (en) * 1987-06-09 1992-11-10 Takeda Chemical Industries, Ltd. Phenol derivatives, their production and use
US5242792A (en) * 1991-02-25 1993-09-07 The United States Of America As Represented By The Secretary Of The Navy Method for the preservation of red blood cells by lyophilization using glycerol or inositol with disaccharides
US5256559A (en) * 1988-03-04 1993-10-26 Biogen, Inc. Methods and compositions for inhibiting platelet aggregation
US5309723A (en) * 1989-02-08 1994-05-10 The Secretary Of State For Defence In Her Britannic Majesty's Government Of The United Kingdom Of Great Britain And Northern Ireland Method of freezing red blood cells
US5364756A (en) * 1990-09-12 1994-11-15 Lifecell Method of cryopreserving a suspension of biological material
US5552267A (en) * 1992-04-03 1996-09-03 The Trustees Of Columbia University In The City Of New York Solution for prolonged organ preservation
US5580714A (en) * 1995-03-08 1996-12-03 Celox Laboratories, Inc. Cryopreservation solution
US5601972A (en) * 1995-03-24 1997-02-11 Organ, Inc. Long term storage of red cells in unfrozen solution
US5622867A (en) * 1994-10-19 1997-04-22 Lifecell Corporation Prolonged preservation of blood platelets
US5629145A (en) * 1995-03-24 1997-05-13 Organ, Inc. Cryopreservation of cell suspensions
US5736313A (en) * 1995-10-20 1998-04-07 The United States Of America As Represented By The Secretary Of The Navy Method of lyophilizing platelets by incubation with high carbohydrate concentrations and supercooling prior to freezing
US5750330A (en) * 1996-06-19 1998-05-12 Litron Laboratories Method and composition for lyophilizing red blood cells
US5750039A (en) * 1987-01-30 1998-05-12 Baxter International Inc. Blood processing systems and methods for collecting mono nuclear cells
US5800978A (en) * 1992-01-21 1998-09-01 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US5919614A (en) * 1994-10-19 1999-07-06 Lifecell Corporation Composition comprising three platelet lesion inhibitors for platelet storage
US5958670A (en) * 1988-05-18 1999-09-28 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US6007978A (en) * 1988-05-18 1999-12-28 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US6037116A (en) * 1996-06-14 2000-03-14 Biostore New Zealand, Ltd. Compositions comprising betaine, sodium citrate and sodium chloride and methods for the preservation of biological materials
US6045990A (en) * 1998-07-09 2000-04-04 Baust; John M. Inclusion of apoptotic regulators in solutions for cell storage at low temperature
US6127111A (en) * 1996-08-24 2000-10-03 Dade Behring Marburg Gmbh Lyophilized platelet composition containing chloroquine, hydroxychloroquine, camoquin, quinacrine or procaine
US6176089B1 (en) * 1998-10-27 2001-01-23 Modex Th{acute over (e)}rapeutics Methods and compositions for cryopreservation of cells and tissues
US6221669B1 (en) * 1994-10-19 2001-04-24 Lifecell Corporation Prolonged preservation of blood platelets
US20010019819A1 (en) * 2000-02-10 2001-09-06 Wolkers Willem F. Therapeutic platelets and methods
US20060127375A1 (en) * 1998-05-26 2006-06-15 Lifecell Corporation Cryopreservation of human red blood cells
US7879802B2 (en) * 2007-06-04 2011-02-01 Synergy Pharmaceuticals Inc. Agonists of guanylate cyclase useful for the treatment of gastrointestinal disorders, inflammation, cancer and other disorders
US8034782B2 (en) * 2008-07-16 2011-10-11 Synergy Pharmaceuticals, Inc. Agonists of guanylate cyclase useful for the treatment of gastrointestinal disorders, inflammation, cancer and other disorders
US8486617B2 (en) * 2004-08-12 2013-07-16 Cellphirc, Inc Methods for preparing freeze-dried platelets, compositions comprising freeze-dried platelets, and methods of use

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA1216518A (en) 1982-11-01 1987-01-13 Gail A. Rock Plasma-free medium for platelet storage
US4676070A (en) 1984-11-30 1987-06-30 The Board Of Regents, The University Of Texas Apparatus and method for cryopreparing biological tissue
US4799361A (en) 1983-08-23 1989-01-24 Board Of Regents, The University Of Texas System Method for cryopreparing biological tissue for ultrastructural analysis
US4865871A (en) 1983-08-23 1989-09-12 Board Of Regents The University Of Texas System Method for cryopreparing biological tissue
US4619257A (en) 1984-11-30 1986-10-28 Board Of Regents, The University Of Texas System Apparatus and method for cryopreparing corneal tissue for surgical procedures
US5044165A (en) 1986-12-03 1991-09-03 Board Of Regents, The University Of Texas Cryo-slammer
MX164619B (en) 1988-03-02 1992-09-09 Vicente Parrilla Cerrillo COMPOSITION FOR THE TREATMENT OF SKIN INJURIES
IL90188A0 (en) 1988-05-18 1989-12-15 Cryopharm Corp Process and medium for the lyophilization of erythrocytes
US5045446A (en) 1988-08-26 1991-09-03 Cryopharm Corporation Lyophilization of cells
JPH02129127A (en) 1988-11-04 1990-05-17 Sumitomo Seika Chem Co Ltd Improved erythrocyte preserving solution
JPH04503660A (en) 1988-12-05 1992-07-02 バイオジェン インコーポレイテッド Method and composition for inhibiting platelet aggregation
US5154007A (en) 1989-08-17 1992-10-13 Board Of Regents University Of Texas System Method and apparatus for cryopreparing biological tissue
US4964280A (en) 1989-08-17 1990-10-23 Board Of Regents Method and apparatus for cryopreparing biological tissue
IL95912A (en) 1989-10-06 1998-08-16 American Nat Red Cross Method for prolonging the shelf life or red blood cells
DD288316A5 (en) 1989-10-11 1991-03-28 Beziksinstitut F. Blutspende- U. Transfusionswesen,De METHOD FOR THE REGENERATION OF STORED ERYTHROCYTE CONCENTRATES
AU8064691A (en) 1990-05-25 1991-12-31 Cryopharm Corporation Process for lyophilizing cells, cell-like materials and platelets in a mixture of biocompatible amphipathic polymers
US5336616A (en) 1990-09-12 1994-08-09 Lifecell Corporation Method for processing and preserving collagen-based tissues for transplantation
GB9114202D0 (en) 1991-07-01 1991-08-21 Quadrant Holdings Cambridge Blood products
US5651966A (en) * 1992-05-29 1997-07-29 The University Of North Carolina At Chapel Hill Pharmaceutically acceptable fixed-dried human blood platelets
US5378601A (en) 1992-07-24 1995-01-03 Montefiore Medical Center Method of preserving platelets with apyrase and an antioxidant
US5891617A (en) 1993-09-15 1999-04-06 Organogenesis Inc. Cryopreservation of harvested skin and cultured skin or cornea equivalents by slow freezing
EP0668013B1 (en) 1994-02-22 2005-04-20 Nippon Telegraph And Telephone Corporation Freeze-dried blood cells, stem cells and platelets and manufacturing method for the same
JP3788522B2 (en) * 1994-02-22 2006-06-21 日本電信電話株式会社 Method for producing freeze-dried products of blood cells, stem cells, and platelets
US5789151A (en) 1997-05-15 1998-08-04 The Regents Of The University Of California Prolonged cold storage of red blood cells by oxygen removal and additive usage
AT407484B (en) * 1997-11-12 2001-03-26 Bio Prod & Bio Eng Ag MEDICINES FOR PROMOTING Wound Healing
US6139878A (en) * 1998-04-27 2000-10-31 Aventis Behring, Llc Method for preparing a diafiltered stabilized blood product
US6933326B1 (en) 1998-06-19 2005-08-23 Lifecell Coporation Particulate acellular tissue matrix
US20020076445A1 (en) * 2000-02-10 2002-06-20 Crowe John H. Eukaryotic cells and method for preserving cells
US7846845B2 (en) 2006-10-26 2010-12-07 Applied Materials, Inc. Integrated method for removal of halogen residues from etched substrates in a processing system

Patent Citations (43)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4004975A (en) * 1975-12-30 1977-01-25 The United States Of America As Represented By The Secretary Of The Navy Method of isolating and cryopreserving human white cells from whole blood
US4665088A (en) * 1984-11-14 1987-05-12 The Research Foundation Of State University Of New York (E-Z)-4,5,9-trithiadodeca-1,6,11-triene 9-oxides
US4774088A (en) * 1986-01-08 1988-09-27 The United States Of America As Represented By The Deptment Of Health And Human Services Method and additives for improving the quality and shelf life of stored blood
US4812310A (en) * 1986-08-29 1989-03-14 Toru Sato Preserving solution for blood or packed blood cells and method for preserving blood or packed blood cells by using the same
US4764463A (en) * 1986-10-30 1988-08-16 The University Of Tennessee Research Corporation Platelet cyropreservation
US4940581A (en) * 1986-10-30 1990-07-10 The University Of Tennessee Research Corporation Platelet cryopreservation
US5750039A (en) * 1987-01-30 1998-05-12 Baxter International Inc. Blood processing systems and methods for collecting mono nuclear cells
US4983514A (en) * 1987-05-22 1991-01-08 Hoechst Aktiengesellschaft Method for detecting the antiaggregatory effect of vasoactive substances, specifically of inhibitors of phosphodiesterase and/or cyclooxygenase
US5162571A (en) * 1987-06-09 1992-11-10 Takeda Chemical Industries, Ltd. Phenol derivatives, their production and use
US5256559A (en) * 1988-03-04 1993-10-26 Biogen, Inc. Methods and compositions for inhibiting platelet aggregation
US6007978A (en) * 1988-05-18 1999-12-28 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US5958670A (en) * 1988-05-18 1999-09-28 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US4994367A (en) * 1988-10-07 1991-02-19 East Carolina University Extended shelf life platelet preparations and process for preparing the same
US5309723A (en) * 1989-02-08 1994-05-10 The Secretary Of State For Defence In Her Britannic Majesty's Government Of The United Kingdom Of Great Britain And Northern Ireland Method of freezing red blood cells
US5043261A (en) * 1989-04-10 1991-08-27 Cryopharm Corporation Lyophilized and reconstituted red blood cell and hemosome compositions
US5153004A (en) * 1989-06-02 1992-10-06 Cryopharm Corporation Freezing and thawing of erythrocytes
US5118512A (en) * 1990-01-23 1992-06-02 Osteotech, Inc. (A Delaware Corp.) Process for cryopreserving biological materials and materials prepared thereby
US6194136B1 (en) * 1990-09-12 2001-02-27 Lifecell Corporation Cryoprotective solutions comprising DMSO, PG, 2,3-butanediol,raffinose and PVP
US5364756A (en) * 1990-09-12 1994-11-15 Lifecell Method of cryopreserving a suspension of biological material
US5780295A (en) * 1990-09-12 1998-07-14 Life Cell Corporation Apparatus for cryopreparation, dry stabilization and rehydration of biological suspensions
US5242792A (en) * 1991-02-25 1993-09-07 The United States Of America As Represented By The Secretary Of The Navy Method for the preservation of red blood cells by lyophilization using glycerol or inositol with disaccharides
US5800978A (en) * 1992-01-21 1998-09-01 Cobe Laboratories, Inc. Method of freezing cells and cell-like materials
US5552267A (en) * 1992-04-03 1996-09-03 The Trustees Of Columbia University In The City Of New York Solution for prolonged organ preservation
US6221669B1 (en) * 1994-10-19 2001-04-24 Lifecell Corporation Prolonged preservation of blood platelets
US5622867A (en) * 1994-10-19 1997-04-22 Lifecell Corporation Prolonged preservation of blood platelets
US5919614A (en) * 1994-10-19 1999-07-06 Lifecell Corporation Composition comprising three platelet lesion inhibitors for platelet storage
US5580714A (en) * 1995-03-08 1996-12-03 Celox Laboratories, Inc. Cryopreservation solution
US5759764A (en) * 1995-03-08 1998-06-02 Celox Laboratories, Inc. Cryopreservation solution
US5629145A (en) * 1995-03-24 1997-05-13 Organ, Inc. Cryopreservation of cell suspensions
US5601972A (en) * 1995-03-24 1997-02-11 Organ, Inc. Long term storage of red cells in unfrozen solution
US5736313A (en) * 1995-10-20 1998-04-07 The United States Of America As Represented By The Secretary Of The Navy Method of lyophilizing platelets by incubation with high carbohydrate concentrations and supercooling prior to freezing
US6037116A (en) * 1996-06-14 2000-03-14 Biostore New Zealand, Ltd. Compositions comprising betaine, sodium citrate and sodium chloride and methods for the preservation of biological materials
US5750330A (en) * 1996-06-19 1998-05-12 Litron Laboratories Method and composition for lyophilizing red blood cells
US6127111A (en) * 1996-08-24 2000-10-03 Dade Behring Marburg Gmbh Lyophilized platelet composition containing chloroquine, hydroxychloroquine, camoquin, quinacrine or procaine
US6372423B1 (en) * 1996-08-24 2002-04-16 Dade Behring Marburg Gmbh Method for stabilizing platelets
US20060127375A1 (en) * 1998-05-26 2006-06-15 Lifecell Corporation Cryopreservation of human red blood cells
US6045990A (en) * 1998-07-09 2000-04-04 Baust; John M. Inclusion of apoptotic regulators in solutions for cell storage at low temperature
US6176089B1 (en) * 1998-10-27 2001-01-23 Modex Th{acute over (e)}rapeutics Methods and compositions for cryopreservation of cells and tissues
US20010019819A1 (en) * 2000-02-10 2001-09-06 Wolkers Willem F. Therapeutic platelets and methods
US6723497B2 (en) * 2000-02-10 2004-04-20 The Regents Of The University Of California Therapeutic platelets and methods
US8486617B2 (en) * 2004-08-12 2013-07-16 Cellphirc, Inc Methods for preparing freeze-dried platelets, compositions comprising freeze-dried platelets, and methods of use
US7879802B2 (en) * 2007-06-04 2011-02-01 Synergy Pharmaceuticals Inc. Agonists of guanylate cyclase useful for the treatment of gastrointestinal disorders, inflammation, cancer and other disorders
US8034782B2 (en) * 2008-07-16 2011-10-11 Synergy Pharmaceuticals, Inc. Agonists of guanylate cyclase useful for the treatment of gastrointestinal disorders, inflammation, cancer and other disorders

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Kauhanen et al. (Arterioscler. Thromb. Vasc. Biol., pages 1-8, 2014) *
Li et al. (Cell, vol. 112, pages 77-86, Jan 2003) *

Cited By (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10413636B2 (en) 2008-08-14 2019-09-17 Kci Licensing, Inc. Tissue scaffolds
US20100040687A1 (en) * 2008-08-14 2010-02-18 Kci Licensing, Inc. Tissue Scaffolds
US8323352B2 (en) 2008-11-20 2012-12-04 Lifecell Corporation Method for treatment and prevention of parastomal hernias
US20100137677A1 (en) * 2008-11-20 2010-06-03 Evan Friedman Method for treatment and prevention of parastomal hernias
US9421306B2 (en) 2008-11-21 2016-08-23 Lifecell Corporation Reinforced biologic material
US8333803B2 (en) 2008-11-21 2012-12-18 Lifecell Corporation Reinforced biologic material
US9375017B2 (en) 2009-01-02 2016-06-28 Lifecell Corporation Method for debristling animal skin
US9649408B1 (en) 2009-11-05 2017-05-16 Lifecell Corporation Systems and methods for sterilization of bone or bone components
US10293064B1 (en) 2009-11-05 2019-05-21 Lifecell Corporation Systems and methods for tissue sterilization
US10448951B2 (en) 2010-02-19 2019-10-22 Lifecell Corporation Abdominal wall treatment devices
US20110208320A1 (en) * 2010-02-19 2011-08-25 Lifecell Corporation Abdominal wall treatment devices
US8784499B2 (en) 2010-03-25 2014-07-22 Lifecell Corporation Preparation of regenerative tissue scaffolds
US20110238186A1 (en) * 2010-03-25 2011-09-29 Lifecell Corporation Preparation of regenerative tissue scaffolds
US11090409B2 (en) 2010-04-09 2021-08-17 Kci Licensing, Inc. Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US9999702B2 (en) 2010-04-09 2018-06-19 Kci Licensing Inc. Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US11896733B2 (en) 2010-04-09 2024-02-13 3M Innovative Properties Company Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US9636435B2 (en) 2010-07-08 2017-05-02 Lifecell Corporation Method for shaping tissue matrices
US20120087903A1 (en) * 2010-10-06 2012-04-12 Central Medical Technologies Inc. Hair growth agent having a platelet dry powder
US9168281B2 (en) 2011-03-09 2015-10-27 Charles E. Worden, SR. Kit for treating a wound
WO2012122524A1 (en) * 2011-03-09 2012-09-13 Worden Charles E Wound healant system and method of use
US10786595B2 (en) 2011-03-24 2020-09-29 Kci Licensing, Inc. Apparatuses, methods, and compositions for the treatment and prophylaxis of chronic wounds
US10828391B2 (en) 2011-04-14 2020-11-10 Lifecell Corporation Regenerative materials
US9375513B2 (en) 2011-04-14 2016-06-28 Lifecell Corporation Regenerative materials
US10092677B2 (en) 2011-07-28 2018-10-09 Lifecell Corporation Natural tissue scaffolds as tissue fillers
US9504770B2 (en) 2011-07-28 2016-11-29 Lifecell Corporation Natural tissue scaffolds as tissue fillers
US10610615B2 (en) 2011-07-28 2020-04-07 Lifecell Corporation Natural tissue scaffolds as tissue fillers
US9089523B2 (en) 2011-07-28 2015-07-28 Lifecell Corporation Natural tissue scaffolds as tissue fillers
US9532863B2 (en) 2011-12-20 2017-01-03 Lifecell Corporation Sheet tissue products
US10022214B2 (en) 2011-12-20 2018-07-17 Lifecell Corporation Sheet tissue products
US9549805B2 (en) 2011-12-20 2017-01-24 Lifecell Corporation Flowable tissue products
US9913705B2 (en) 2011-12-20 2018-03-13 Lifecell Corporation Flowable tissue products
US10722339B2 (en) 2011-12-20 2020-07-28 Lifecell Corporation Flowable tissue products
US10327884B2 (en) 2012-01-24 2019-06-25 Lifecell Corporation Elongated tissue matrices
US9271821B2 (en) 2012-01-24 2016-03-01 Lifecell Corporation Elongated tissue matrices
US10159722B2 (en) 2012-03-08 2018-12-25 Lifecell Corporation Enzyme-activated collagen and tissue matrices
US9592278B2 (en) 2012-03-08 2017-03-14 Lifecell Corporation Enzyme-activated collagen and tissue matrices
US10314861B2 (en) 2012-04-24 2019-06-11 Lifecell Corporation Flowable tissue matrices
US9782436B2 (en) 2012-04-24 2017-10-10 Lifecell Corporation Flowable tissue matrices
TWI448310B (en) * 2012-05-23 2014-08-11 Medical dressings and their coating methods for frozen freeze - dried platelets
TWI448312B (en) * 2012-05-23 2014-08-11 An implant of freeze - dried platelets and its coating method
US10363343B2 (en) 2012-07-05 2019-07-30 Lifecell Corporation Tissue-based drain manifolds
US11090338B2 (en) 2012-07-13 2021-08-17 Lifecell Corporation Methods for improved treatment of adipose tissue
US10709810B2 (en) 2012-09-26 2020-07-14 Lifecell Corporation Processed adipose tissue
US9370536B2 (en) 2012-09-26 2016-06-21 Lifecell Corporation Processed adipose tissue
US9592254B2 (en) 2013-02-06 2017-03-14 Lifecell Corporation Methods for localized modification of tissue products
US10568988B2 (en) 2013-02-06 2020-02-25 Lifecell Corporation Methods for localized modification of tissue products
US20140276493A1 (en) * 2013-03-15 2014-09-18 Braden King-Fung Leung Wound healing compositions
US10792337B2 (en) * 2013-03-15 2020-10-06 Kci Licensing, Inc. Wound healing compositions
US20150080300A1 (en) * 2013-09-17 2015-03-19 Bestop Group Holdings Limited Growth factor concentrate and the use thereof
US9238090B1 (en) 2014-12-24 2016-01-19 Fettech, Llc Tissue-based compositions
US11179505B2 (en) 2016-02-11 2021-11-23 Lifecell Corporation Methods for stabilizing collagen-containing tissue products against enzymatic degradation
US10792394B2 (en) 2016-06-03 2020-10-06 Lifecell Corporation Methods for localized modification of tissue products
US11191781B2 (en) * 2016-06-16 2021-12-07 Eye Care International, Llc Compositions and methods of treating dry eye syndrome and other traumatized non-keratinized epithelial surfaces
US11534459B2 (en) 2016-06-16 2022-12-27 Eye Care International, Llc Compositions and methods of treating dry eye syndrome and other traumatized non-keratinized epithelial surfaces
US10639398B2 (en) 2016-07-05 2020-05-05 Lifecell Corporation Tissue matrices incorporating multiple tissue types
US11045583B2 (en) 2016-12-22 2021-06-29 Lifecell Corporation Devices and methods for tissue cryomilling
US11123375B2 (en) 2017-10-18 2021-09-21 Lifecell Corporation Methods of treating tissue voids following removal of implantable infusion ports using adipose tissue products
US10821205B2 (en) 2017-10-18 2020-11-03 Lifecell Corporation Adipose tissue products and methods of production
US11246994B2 (en) 2017-10-19 2022-02-15 Lifecell Corporation Methods for introduction of flowable acellular tissue matrix products into a hand
US11826488B2 (en) 2017-10-19 2023-11-28 Lifecell Corporation Flowable acellular tissue matrix products and methods of production
WO2020056009A1 (en) * 2018-09-11 2020-03-19 Cellphire, Inc. Blood plasma-containing compositions
EP3849570A4 (en) * 2018-09-11 2023-07-12 Cellphire Inc. Blood plasma-containing compositions
US20200206143A1 (en) * 2018-11-30 2020-07-02 Cellphire, Inc. Platelets loaded with anti-cancer agents
US11767511B2 (en) 2018-11-30 2023-09-26 Cellphire, Inc. Platelets as delivery agents
WO2020139689A1 (en) 2018-12-26 2020-07-02 Kim Katherine Echo Compositions and methods for treating burns, wounds, and skin disorders
US11752468B2 (en) 2019-05-03 2023-09-12 Cellphire, Inc. Materials and methods for producing blood products
US11813572B2 (en) 2019-05-03 2023-11-14 Cellphire, Inc. Materials and methods for producing blood products
US11529587B2 (en) 2019-05-03 2022-12-20 Cellphire, Inc. Materials and methods for producing blood products
US11633521B2 (en) 2019-05-30 2023-04-25 Lifecell Corporation Biologic breast implant
US11701388B2 (en) 2019-08-16 2023-07-18 Cellphire, Inc. Thrombosomes as an antiplatelet agent reversal agent
US11903971B2 (en) 2020-02-04 2024-02-20 Cellphire, Inc. Treatment of von Willebrand disease
CN111537326A (en) * 2020-05-07 2020-08-14 天津德祥生物技术有限公司 Method for preparing freeze-dried blood platelet and application thereof

Also Published As

Publication number Publication date
US20170136064A1 (en) 2017-05-18
CA2623666C (en) 2017-10-24
US20190175655A1 (en) 2019-06-13
JP2009509976A (en) 2009-03-12
EP1929289A2 (en) 2008-06-11
JP5478884B2 (en) 2014-04-23
US10179150B2 (en) 2019-01-15
ES2668551T3 (en) 2018-05-18
WO2007038629A2 (en) 2007-04-05
EP1929289B1 (en) 2018-02-21
CA2623666A1 (en) 2007-04-05
EP1929289A4 (en) 2009-09-16
AU2006294654B2 (en) 2012-05-24
AU2006294654A1 (en) 2007-04-05
WO2007038629A3 (en) 2007-10-18

Similar Documents

Publication Publication Date Title
US10179150B2 (en) Dry platelet composition
US5993804A (en) Pharmaceutically acceptable fixed-dried human blood platelets
US7811558B2 (en) Use of stabilized platelets as hemostatic agent
US20040175374A1 (en) Therapeutic platelets and methods
US11344583B2 (en) Compositions containing amniotic components and methods for preparation and use thereof
HRP20050065A2 (en) Use of erythropoietin
JP2009509976A5 (en)
TR201816125T4 (en) Composition and method for protecting, transporting and storing living biological materials.
JP2006527229A (en) Method and apparatus for preservation of endothelial tissue in isolated luminal organs and biological vessels
RU2727643C2 (en) Injectable preservative medium for preserving placental blood cells, bone marrow and peripheral blood
Miller et al. Cryopreserved venous allografts: effects of immunosuppression and antiplatelet therapy on patency and function
Owens et al. Cryopreserved platelets have decreased adhesive capacity
US10828338B2 (en) Methods for improving cognition and slowing cognitive impairment using nonviable lyophilized pluripotent stem cells
Steen Preservation of the endothelium in cardiovascular surgery–some practical suggestions–a review
Kitahara et al. Preservation of skin free-flap using trehalose
EP4082613A1 (en) Cell group and method for acquiring same
TWI300806B (en) Medium and method for preserving platelets, red blood cells, and other non-nulceus cells and platelets-containing composition
Srouji et al. Journal of Cell Science & Therapy
Starzl The saga of liver transplantation
Alfred for Resuscitation

Legal Events

Date Code Title Description
AS Assignment

Owner name: LIFECELL CORPORATION, NEW JERSEY

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:WAGNER, CHRISTOPHER T.;HARPER, JOHN R.;CONNOR, JEROME;REEL/FRAME:020914/0243

Effective date: 20080424

AS Assignment

Owner name: BANK OF AMERICA, N.A., ILLINOIS

Free format text: SECURITY AGREEMENT;ASSIGNOR:LIFECELL CORPORATION;REEL/FRAME:021006/0830

Effective date: 20080519

AS Assignment

Owner name: LIFECELL CORPORATION, TEXAS

Free format text: PATENT RELEASE;ASSIGNOR:BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT;REEL/FRAME:027181/0404

Effective date: 20111104

AS Assignment

Owner name: BANK OF AMERICA, N.A., AS COLLATERAL AGENT, NORTH

Free format text: SECURITY AGREEMENT;ASSIGNORS:KCI LICENSING, INC.;LIFECELL CORPORATION;TECHNIMOTION, LLC;REEL/FRAME:027185/0174

Effective date: 20111104

AS Assignment

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATE

Free format text: SECURITY AGREEMENT;ASSIGNORS:KCI LICENSING, INC.;LIFECELL CORPORATION;TECHNIMOTION, LLC;REEL/FRAME:027194/0447

Effective date: 20111104

AS Assignment

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, MINNESOTA

Free format text: SECURITY INTEREST;ASSIGNORS:KINETIC CONCEPTS, INC.;KCI USA, INC.;ACELITY L.P. INC.;AND OTHERS;REEL/FRAME:037845/0497

Effective date: 20160209

AS Assignment

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT, MINNESOTA

Free format text: SECOND LIEN SECURITY AGREEMENT;ASSIGNORS:KCI USA, INC.;LIFECELL CORPORATION;KCI LICENSING, INC.;REEL/FRAME:040098/0268

Effective date: 20160920

Owner name: KINETIC CONCEPTS, INC., TEXAS

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:040098/0200

Effective date: 20160920

Owner name: TECHNIMOTION, LLC, TEXAS

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:040098/0200

Effective date: 20160920

Owner name: KCI LICENSING, INC., TEXAS

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:040098/0200

Effective date: 20160920

Owner name: LIFECELL CORPORATION, TEXAS

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:040098/0200

Effective date: 20160920

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATE

Free format text: SECOND LIEN SECURITY AGREEMENT;ASSIGNORS:KCI USA, INC.;LIFECELL CORPORATION;KCI LICENSING, INC.;REEL/FRAME:040098/0268

Effective date: 20160920

AS Assignment

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATERAL AGENT, MINNESOTA

Free format text: LIMITED THIRD LIEN INTELLECTUAL PROPERTY SECURITY AGREEMENT;ASSIGNORS:KCI USA, INC.;LIFECELL CORPORATION;KCI LICENSING, INC.;REEL/FRAME:040291/0237

Effective date: 20161006

Owner name: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS COLLATE

Free format text: LIMITED THIRD LIEN INTELLECTUAL PROPERTY SECURITY AGREEMENT;ASSIGNORS:KCI USA, INC.;LIFECELL CORPORATION;KCI LICENSING, INC.;REEL/FRAME:040291/0237

Effective date: 20161006

AS Assignment

Owner name: LIFECELL CORPORATION, TEXAS

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:BANK OF AMERICA, N.A.;REEL/FRAME:041143/0361

Effective date: 20170131

AS Assignment

Owner name: LIFECELL CORPORATION, NEW JERSEY

Free format text: RELEASE OF SECURITY INTEREST 040098/0268;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:041608/0554

Effective date: 20170131

Owner name: LIFECELL CORPORATION, NEW JERSEY

Free format text: RELEASE OF SECURITY INTEREST 037845/0497;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:041608/0603

Effective date: 20170131

Owner name: LIFECELL CORPORATION, NEW JERSEY

Free format text: RELEASE OF SECURITY INTEREST 040291/0237;ASSIGNOR:WILMINGTON TRUST;REEL/FRAME:041608/0702

Effective date: 20170131

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION