用于耐甲氧西林金黄色葡萄球菌感染伤口愈合的合成聚合物抗菌水凝胶:纳米抗菌自组装,无药物和细胞因子策略。
Synthetic Polymeric Antibacterial Hydrogel for Methicillin-Resistant Infected Wound Healing: Nanoantimicrobial Self-Assembly, Drug- and Cytokine-Free Strategy.
机构信息
Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300192, China.
Structural Heart Disease Center, National Center for Cardiovascular Disease, China and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
出版信息
ACS Nano. 2020 Oct 27;14(10):12905-12917. doi: 10.1021/acsnano.0c03855. Epub 2020 Sep 25.
Antibacterial hydrogels are attracting extensive attention in soft tissue repair and regeneration, including bacteria-infected-wound healing. The abuse of antibiotics leads to drug resistance. Recent developments have demonstrated that the delivery of inorganic bactericidal agents in hydrogels can drive the wound healing process; however, this approach is complicated by external light stimuli, cytotoxicity, nondegradability, and sophisticated fabrication. Herein, an inherent antibacterial, bioresorbable hydrogel was developed by the spontaneous self-aggregation of amphiphilic, oxadiazole-group-decorated quaternary ammonium salts (QAS)-conjugated poly(ε-caprolactone)-poly(ethylene glycol)-poly(ε-caprolactone) (PCEC-QAS) micellar nanoantimicrobials for methicillin-resistant (MRSA)-infected cutaneous wound healing. The PCEC-QAS hydrogel showed a stable gel state within the temperature range of 5-50 °C and antibacterial efficacy against both Gram-negative and -positive bacteria and . Additionally, the PCEC-QAS hydrogel facilitated the cell spreading, proliferation, and migration without cytotoxicity. An degradation and skin defect healing study suggested the PCEC-QAS hydrogel was totally absorbed without local or systemic toxicity and could promote wound repair in the absence of drugs, cytokines, or cells. Significantly, this hydrogel accelerated the regeneration of a MRSA-infected full-thickness impaired skin wound by successfully reconstructing an intact and thick epidermis similar to normal mouse skin. Collectively, a self-assembling PCEC-QAS antibacterial hydrogel is a promising dressing material to promote skin regeneration and prevent bacterial infection without additional drugs, cells, light irradiation, or delivery systems, providing a simple but effective strategy for treating dermal wounds.
抗菌水凝胶在软组织修复和再生领域引起了广泛关注,包括细菌感染伤口的愈合。抗生素的滥用导致了耐药性的出现。最近的研究表明,将无机杀菌剂递送到水凝胶中可以促进伤口愈合过程;然而,这种方法受到外部光刺激、细胞毒性、不可降解性和复杂的制造工艺的限制。在此,通过两亲性、恶二唑基团修饰的季铵盐(QAS)-接枝聚(ε-己内酯)-聚乙二醇-聚(ε-己内酯)(PCEC-QAS)胶束纳米抗菌剂的自发自组装,开发了一种固有抗菌、可生物降解的水凝胶,用于治疗耐甲氧西林金黄色葡萄球菌(MRSA)感染的皮肤伤口。PCEC-QAS 水凝胶在 5-50°C 的温度范围内表现出稳定的凝胶状态,对革兰氏阴性和阳性细菌均具有抗菌效果。此外,PCEC-QAS 水凝胶促进了细胞的扩展、增殖和迁移,且没有细胞毒性。降解和皮肤缺损愈合研究表明,PCEC-QAS 水凝胶完全被吸收,没有局部或全身毒性,可以在没有药物、细胞因子或细胞的情况下促进伤口修复。值得注意的是,这种水凝胶通过成功构建类似于正常小鼠皮肤的完整和厚表皮,加速了 MRSA 感染的全层受损皮肤伤口的再生。总的来说,自组装的 PCEC-QAS 抗菌水凝胶是一种有前途的敷料材料,可以促进皮肤再生,防止细菌感染,而无需额外的药物、细胞、光照射或输送系统,为治疗皮肤伤口提供了一种简单而有效的策略。