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Next science伤口凝胶技术,一种可抑制革兰氏阳性和革兰氏阴性伤口病原体生物膜形成的新型制剂。

Next science wound gel technology, a novel agent that inhibits biofilm development by gram-positive and gram-negative wound pathogens.

作者信息

Miller Kyle G, Tran Phat L, Haley Cecily L, Kruzek Cassandra, Colmer-Hamood Jane A, Myntti Matt, Hamood Abdul N

机构信息

Department of Immunology and Molecular Microbiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

出版信息

Antimicrob Agents Chemother. 2014 Jun;58(6):3060-72. doi: 10.1128/AAC.00108-14. Epub 2014 Mar 17.

Abstract

Loss of the skin barrier facilitates the colonization of underlying tissues with various bacteria, where they form biofilms that protect them from antibiotics and host responses. Such wounds then become chronically infected. Topical antimicrobials are a major component of chronic wound therapy, yet currently available topical antimicrobials vary in their effectiveness on biofilm-forming pathogens. In this study, we evaluated the efficacy of Next Science wound gel technology (NxtSc), a novel topical agent designed to kill planktonic bacteria, penetrate biofilms, and kill the bacteria within. In vitro quantitative analysis, using strains isolated from wounds, showed that NxtSc inhibited biofilm development by Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae by inhibiting bacterial growth. The gel formulation NxtSc-G5, when applied to biofilms preformed by these pathogens, reduced the numbers of bacteria present by 7 to 8 log10 CFU/disc or CFU/g. In vivo, NxtSc-G5 prevented biofilm formation for 72 h when applied at the time of wounding and infection and eliminated biofilm infection when applied 24 h after wounding and infection. Storage of NxtSc-G5 at room temperature for 9 months did not diminish its efficacy. These results establish that NxtSc is efficacious in vitro and in vivo in preventing infection and biofilm development by different wound pathogens when applied immediately and in eliminating biofilm infection already established by these pathogens. This novel antimicrobial agent, which is nontoxic and has a usefully long shelf life, shows promise as an effective agent for the prevention and treatment of biofilm-related infections.

摘要

皮肤屏障的丧失会促使各种细菌在深层组织中定植,在那里它们形成生物膜,从而保护自身免受抗生素和宿主反应的影响。此类伤口随后会发生慢性感染。局部抗菌剂是慢性伤口治疗的主要组成部分,但目前可用的局部抗菌剂对形成生物膜的病原体的有效性各不相同。在本研究中,我们评估了Next Science伤口凝胶技术(NxtSc)的疗效,这是一种新型局部用药,旨在杀死浮游细菌、穿透生物膜并杀死其中的细菌。使用从伤口分离出的菌株进行的体外定量分析表明,NxtSc通过抑制细菌生长来抑制金黄色葡萄球菌、表皮葡萄球菌、铜绿假单胞菌、鲍曼不动杆菌和肺炎克雷伯菌的生物膜形成。凝胶制剂NxtSc-G5应用于这些病原体预先形成的生物膜时,可使存在的细菌数量减少7至8个对数10 CFU/圆盘或CFU/克。在体内,受伤和感染时应用NxtSc-G5可防止生物膜形成72小时,受伤和感染后24小时应用可消除生物膜感染。NxtSc-G5在室温下储存9个月后其疗效并未降低。这些结果表明,NxtSc在立即应用时,在体外和体内对不同伤口病原体预防感染和生物膜形成以及消除这些病原体已建立的生物膜感染均有效。这种新型抗菌剂无毒且保质期长,有望成为预防和治疗生物膜相关感染的有效药物。

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