Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, United States.
Biomaterials. 2010 Mar;31(8):2348-57. doi: 10.1016/j.biomaterials.2009.11.082. Epub 2009 Dec 11.
Medical conditions are often exacerbated by the onset of infection caused by hospital dwelling bacteria such as Staphylococcus aureus. Antibiotics taken orally or intravenously can require large and frequent doses, further contributing to the sharp rise in resistant bacteria observed over the past several decades. These existing antibiotics are also often ineffective in preventing biofilm formation, a common cause of medical device failure. Local delivery of new therapeutic agents that do not allow bacterial resistance to occur, such as antimicrobial peptides, could alleviate many of the problems associated with current antibacterial treatments. By taking advantage of the versatility of layer-by-layer assembly of polymer thin films, ponericin G1, an antimicrobial peptide known to be highly active against S. aureus, was incorporated into a hydrolytically degradable polyelectrolyte multilayer film. Several film architectures were examined to obtain various drug loadings that ranged from 20 to 150 microg/cm2. Release was observed over approximately ten days, with varying release profiles, including burst as well as linear release. Results indicated that film-released peptide did not suffer any loss in activity against S. aureus and was able to inhibit bacteria attachment, a necessary step in preventing biofilm formation. Additionally, all films were found to be biocompatible with the relevant wound healing cells, NIH 3T3 fibroblasts and human umbilical vein endothelial cells. These films provide the level of control over drug loading and release kinetics required in medically relevant applications including coatings for implant materials and bandages, while eliminating susceptibility to bacterial resistance.
医疗条件往往会因医院栖居细菌(如金黄色葡萄球菌)引起的感染而恶化。口服或静脉内使用的抗生素可能需要大剂量和频繁的剂量,这进一步导致了过去几十年观察到的耐药细菌急剧上升。这些现有的抗生素通常也不能有效地预防生物膜的形成,这是医疗器械故障的常见原因。局部输送不易发生细菌耐药性的新型治疗剂,如抗菌肽,可以缓解当前抗菌治疗相关的许多问题。利用聚合物薄膜层层组装的多功能性,将对金黄色葡萄球菌具有高度活性的抗菌肽 poncericin G1 掺入到可水解的聚电解质多层薄膜中。研究了几种薄膜结构以获得从 20 到 150 μg/cm2 的各种药物负载。观察到大约十天的释放,释放曲线不同,包括突释和线性释放。结果表明,从薄膜中释放的肽对金黄色葡萄球菌没有任何活性损失,并且能够抑制细菌附着,这是防止生物膜形成的必要步骤。此外,所有的薄膜都被发现与相关的伤口愈合细胞,即 NIH 3T3 成纤维细胞和人脐静脉内皮细胞具有生物相容性。这些薄膜在包括植入材料和绷带的涂层在内的医学相关应用中提供了对药物负载和释放动力学的控制水平,同时消除了对细菌耐药性的敏感性。