Cross-linking of low-molecular weight and high-molecular weight polysaccharides, preparation of injectable monophase hydrogels, polysaccharides and hydrogels obtained
A process for the crosslinking of at least one polymer selected from polysaccharides and derivatives thereof, which is carried out in an aqueous solvent by the action of an effective and non-excessive amount of at least one crosslinking agent, characterized in that it is carried out on a mixture containing at least one low-molecular weight polymer and at least one high-molecular weight polymer. A process for the preparation of an injectable monophase hydrogel of at least one crosslinked polymer selected from polysaccharides and derivatives thereof. Crosslinked polymers and injectable monophase hydrogels respectively obtainable by each of said processes.
1. An injectable hydrogel useful as a filling material in plastic surgery, the hydrogel made by a process comprising the steps of:
1) forming a mixture of a first hyaluronic acid salt product having a first molecular weight and a second hyaluronic acid salt product having a second molecular weight greater than the first molecular weight, wherein the first hyaluronic acid salt product and the second hyaluronic acid salt product are two separate pre-existing products prior to the forming step, wherein the mixture contains about 90% by weight of the first hyaluronic acid salt product and about 10% by weight of the second hyaluronic acid salt product, wherein the first hyaluronic acid salt product is a sodium salt having a molecular weight of about 3×10 5 Da, and the second hyaluronic acid salt product is a sodium salt having a molecular weight of about 3×10 6 Da;
2) cross-linking the mixture of step 1) in an aqueous solvent in the presence of an effective and non-excessive amount of at least one cross-linking agent, such that the degree of cross-linking, defined by the ratio: 100×(total number of reactive groups in said cross-linking agent/total number of disaccharide units in the first hyaluronic acid salt and second hyaluronic acid salt), is theoretically between 0.5 and 70%; and
3) formulating the cross-linked mixture of step 2), into a solution buffered to a pH of between 6.5 and 7.5.
2. The hydrogel according to claim 1 , wherein said mixture has an intrinsic viscosity of less than 1900 ml/g.
3. The hydrogel according of claim 1 , wherein said cross-linking agent is selected from bifunctional crosslinking agents and mixtures thereof.
4. The hydrogel according to claim 1 , wherein the degree of cross-linking is theoretically between 4 and 50%.
5. The hydrogel according to claim 1 , wherein said cross-linking agent is selected from epichlorohydrin, divinyl sulfone, 1,4-bis(2,3-epoxypropoxy)butane, 1,2-bis(2,3-epoxypropoxy)ethylene, 1-(2,3-epoxypropyl)-2,3-epoxycyclohexane, aldehydes, and mixtures thereof.
6. The hydrogel according to claim 5 , wherein said aldehydes are selected from formaldehyde, glutaraldehyde, crotonaldehyde, and mixtures thereof.
7. The hydrogel according to claim 1 , wherein said cross-linking agent is 1,4-bis(2,3-epoxypropoxy)butane.
8. The hydrogel according to claim 1 , wherein the pH is between 7 and 7.4.
9. The hydrogel according to claim 1 , wherein the pH is between 7.1 and 7.3.