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万古霉素从交联明胶中的控释。

Controlled release of vancomycin from cross-linked gelatine.

作者信息

Tigani Domenico, Zolezzi Carola, Trentani Federico, Ragaini Alessandro, Iafisco Michele, Manara Silvia, Palazzo Barbara, Roveri Norberto

机构信息

Department of Orthopaedic Surgery, Istituto Ortopedico Rizzoli, Bologna, Italy.

出版信息

J Mater Sci Mater Med. 2008 Mar;19(3):1325-34. doi: 10.1007/s10856-007-3258-4. Epub 2007 Oct 4.

Abstract

This paper explores the possibility of using biodegradable cross-linked gelatines as antibiotic devices for a long-term elution (80 days). Capillary electrophoresis (CE) has been utilized to evaluate the mass percentage of vancomycin and gelatine contemporary released from differently cross-linked vancomycin loaded gelatine samples in an elution time ranging from 24 to 1920 h. While the solubilization kinetic of gelatine samples differently cross-linked can be very close described by the simplified Higuchi model, the vancomycin release kinetic is contemporary governed by both the Fickian diffusion process trough the gelatine matrix network and the dissolution process of the matrix due to its degradation. Comparing the antibiotic eluting kinetics from gelatine at diverse cross-linking degree we observed that the degradation of the proteic matrix appears to have a minor influence in the drug release control. Vancomycin released from all the gelatine partially cross-linked samples results active against Staphylococcus aureus and Streptococcus faecalis which represent the most pathogens commonly isolated in orthopaedic infections. Vancomycin overcomes the minimum inhibitory concentration for both the bacteria in the whole range of elution time. Cross-linked gelatine devices appear to represent a useful biodegradable delivery system for local anti-infective therapy in arthoplasty.

摘要

本文探讨了使用可生物降解的交联明胶作为抗生素载体进行长期洗脱(80天)的可能性。采用毛细管电泳(CE)来评估在24至1920小时的洗脱时间内,从不同交联的载万古霉素明胶样品中同时释放的万古霉素和明胶的质量百分比。虽然不同交联的明胶样品的溶解动力学可以用简化的Higuchi模型非常近似地描述,但万古霉素的释放动力学同时受通过明胶基质网络的菲克扩散过程和由于基质降解导致的溶解过程的控制。比较不同交联度明胶的抗生素洗脱动力学,我们观察到蛋白质基质的降解对药物释放控制的影响较小。从所有部分交联的明胶样品中释放的万古霉素对金黄色葡萄球菌和粪肠球菌具有活性,这两种菌是骨科感染中最常见的分离病原体。在整个洗脱时间范围内,万古霉素均超过了两种细菌的最低抑菌浓度。交联明胶装置似乎是关节成形术中局部抗感染治疗的一种有用的可生物降解给药系统。

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