Lim Kaiyang, Chua Ray Rong Yuan, Bow Ho, Tambyah Paul Anantharajah, Hadinoto Kunn, Leong Susanna Su Jan
School of Chemical and Biomedical Engineering, Nanyang Technological University, 62 Nanyang Drive, 637459 Singapore, Singapore.
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, 119228 Singapore, Singapore.
Acta Biomater. 2015 Mar;15:127-38. doi: 10.1016/j.actbio.2014.12.015. Epub 2014 Dec 23.
Catheter-associated urinary tract infections (CAUTIs) are the most common hospital-acquired infections worldwide, aggravating the problem of antimicrobial resistance and patient morbidity. There is a need for a potent and robust antimicrobial coating for catheters to prevent these infections. An ideal coating agent should possess high antimicrobial efficacy and be easily and economically conjugated to the catheter surface. In this study, we report a simple yet effective immobilization strategy to tether a potent synthetic antimicrobial peptide, CWR11, onto catheter-relevant surfaces. Polydopamine (PD) was deposited as a thin adherent film onto a polydimethylsiloxane (PDMS) surface to facilitate attachment of CWR11 onto the PD-functionalized polymer. Surface characterization of the CWR11-tethered surfaces confirmed the successful immobilization of peptides onto the PD-coated PDMS. The CWR11-immobilized PDMS slides displayed excellent antimicrobial (significant inhibition of 5×10(4) colony-forming units of CAUTI-relevant microbes) and antibiofilm (∼92% enhanced antibacterial adherence) properties. To assess its clinical relevance, the PD-based immobilization platform was translated onto commercial silicone-coated Foley catheters. The CWR11-impregnated catheter displayed potent bactericidal properties against both Gram-positive and Gram-negative bacteria, and retained its antimicrobial functionality for at least 21days, showing negligible cytotoxicity against human erythrocyte and uroepithelial cells. The outcome of this study demonstrates the proof-of-concept potential of a polydopamine-CWR11-functionalized catheter to combat CAUTIs.
导尿管相关尿路感染(CAUTIs)是全球最常见的医院获得性感染,加剧了抗菌药物耐药性问题和患者发病率。需要一种强效且耐用的导尿管抗菌涂层来预防这些感染。理想的涂层剂应具有高抗菌效力,并能轻松且经济地与导尿管表面结合。在本研究中,我们报告了一种简单而有效的固定策略,将一种强效合成抗菌肽CWR11连接到与导尿管相关的表面上。聚多巴胺(PD)以薄粘附膜的形式沉积在聚二甲基硅氧烷(PDMS)表面,以促进CWR11附着到PD功能化聚合物上。对连接CWR11的表面进行的表面表征证实了肽成功固定在PD涂层的PDMS上。固定有CWR11的PDMS载玻片显示出优异的抗菌性能(对与CAUTIs相关的微生物的5×10⁴菌落形成单位有显著抑制作用)和抗生物膜性能(抗菌粘附增强约92%)。为了评估其临床相关性,基于PD的固定平台被应用于商用硅胶涂层的Foley导尿管。浸渍有CWR11的导尿管对革兰氏阳性菌和革兰氏阴性菌均显示出强效杀菌性能,并保持其抗菌功能至少21天,对人红细胞和尿上皮细胞的细胞毒性可忽略不计。本研究结果证明了聚多巴胺-CWR11功能化导尿管对抗CAUTIs的概念验证潜力。
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