用于导尿管的控释涂层,具有增强的释放特性,可提供持续的抗菌保护。

Control Release Coating for Urinary Catheters with Enhanced Released Profile for Sustained Antimicrobial Protection.

机构信息

Institute of Materials Research and Engineering, Agency for Science, Technology and Research, 2 Fusionopolis Way, 138634 Singapore.

Singapore Institute of Food and Biotechnology Innovation, Agency for Science, Technology and Research, 31 Biopolis Way, #01-02 Nanos, 138669 Singapore.

出版信息

ACS Appl Mater Interfaces. 2021 Dec 15;13(49):59263-59274. doi: 10.1021/acsami.1c17697. Epub 2021 Nov 30.

Abstract

Catheter-associated urinary tract infections (CAUTIs) are common and pose significant costs to healthcare systems. To date, this problem is largely unsolved as commercially available antimicrobial catheters are still lacking in functionality and performance. A prior study by Lim et al. ( 2018, 115 (8), 2000-2012) reported the development of a novel anhydrous polycaprolactone (PCL) polymer formulation with controlled-release functionality for antimicrobial peptides. In this follow-up study, we developed an improved antimicrobial peptide (AMP)-impregnated poly(ethylene glycol) (PEG)-polycaprolactone (PCL) anhydrous polymer coating for enhanced sustained controlled-release functionality to provide catheters with effective antimicrobial properties. Varying the ratio of PEG and PEG-PCL copolymers resulted in polymers with different morphologies, consequently affecting the AMP release profiles. The optimal coating, formulated with 10% (w/w) PEG-PCL in PCL, achieved a controlled AMP release rate of 31.65 ± 6.85 μg/mL daily for up to 19 days, with a moderate initial burst release. Such profile is desired for antimicrobial coating as the initial burst release acts as a sterilizer to kill the bacteria present in the urinary tract upon insertion, and the subsequent linear release functions as a prophylaxis to deter opportunistic microbial infections. As a proof-of-concept application, our optimized coating was then applied to a commercial silicone catheter for further antibacterial tests. Preliminary results revealed that our coated catheters outperformed commercial silver-based antimicrobial catheters in terms of antimicrobial performance and sustainability, lasting for 4 days. Application of the controlled-release coating also aids in retarding biofilm formation, showing a lower extent of biofilm formation at the end of seven inoculation cycles.

摘要

导管相关尿路感染(CAUTIs)很常见,给医疗系统造成了巨大的经济负担。迄今为止,这个问题在很大程度上尚未得到解决,因为商业上可用的抗菌导管在功能和性能上仍然存在不足。Lim 等人之前的一项研究(2018 年,115(8),2000-2012)报道了一种具有控释功能的新型无水聚己内酯(PCL)聚合物制剂的开发,用于抗菌肽。在这项后续研究中,我们开发了一种改进的抗菌肽(AMP)浸渍的聚乙二醇(PEG)-聚己内酯(PCL)无水聚合物涂层,以增强持续控释功能,为导管提供有效的抗菌性能。改变 PEG 和 PEG-PCL 共聚物的比例会导致聚合物具有不同的形态,从而影响 AMP 释放曲线。最佳的涂层由 10%(w/w)PEG-PCL 在 PCL 中组成,实现了 31.65 ± 6.85 μg/mL 的 AMP 控释速率,每天持续 19 天,具有适度的初始突释。这种形态对于抗菌涂层是理想的,因为初始突释作用类似于杀菌剂,可在插入时杀死泌尿道中的细菌,随后的线性释放则起到预防作用,防止机会性微生物感染。作为概念验证应用,我们的优化涂层随后应用于商业硅胶导管进行进一步的抗菌测试。初步结果表明,与商业银基抗菌导管相比,我们的涂层导管在抗菌性能和可持续性方面表现更好,持续时间为 4 天。控释涂层的应用还有助于抑制生物膜的形成,在七个接种循环结束时显示出较低的生物膜形成程度。

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