Chen Yawei, Song Wenjing, Zhao Xuan, Han Qianqian, Ren Li
School of Materials Science and Engineering, South China University of Technology Guangzhou 510641 China
National Engineering Research Center for Tissue Restoration and Reconstruction Guangzhou 510006 China.
RSC Adv. 2018 May 17;8(32):18153-18162. doi: 10.1039/c8ra02160k. eCollection 2018 May 14.
Infectious keratitis is one of the leading causes of blindness in the world, especially in developing countries. Corneal transplant surgery is a feasible treatment for bacterial keratitis when drug therapy cannot be effective. However, the amount of corneal donors is far from requirements of clinical treatment and thus, the prognosis of bacterial keratitis is not satisfactory. In this study, we developed a novel antibacterial corneal repair material (β-CD-DA/OFLX-Col) for bacterial keratitis. The inclusion complex of β-cyclodextrin dialdehyde (β-CD-DA) with ofloxacin formed by host-guest interaction was used as both a drug vector and a crosslinker for further reaction with the amino groups on lysine of collagen chains. Physical properties, cytocompatibility, and antibacterial property of β-CD-DA/OFLX-Col film were characterized. The results indicated that the film was mainly transparent and possessed superior mechanical properties. Moreover, human corneal epithelial cells could adhere to the film and proliferate normally, indicating that the β-CD-DA/OFLX-Col film was non-cytotoxic and had good biocompatibility. Most importantly, the β-CD-DA/OFLX-Col film exhibited prominent antibacterial effects against and , which could minimize the risks of infection. The prepared β-CD-DA/OFLX-Col film could greatly increase bioavailability of drugs and reduce toxic side effects, thus displaying great potential in bacterial keratitis treatment.
感染性角膜炎是全球失明的主要原因之一,在发展中国家尤为如此。当药物治疗无效时,角膜移植手术是治疗细菌性角膜炎的一种可行方法。然而,角膜供体的数量远远不能满足临床治疗的需求,因此,细菌性角膜炎的预后并不理想。在本研究中,我们开发了一种用于治疗细菌性角膜炎的新型抗菌角膜修复材料(β-环糊精二醛/氧氟沙星-胶原,β-CD-DA/OFLX-Col)。由主客体相互作用形成的β-环糊精二醛(β-CD-DA)与氧氟沙星的包合物既用作药物载体,又用作交联剂,用于与胶原链赖氨酸上的氨基进一步反应。对β-CD-DA/OFLX-Col膜的物理性能、细胞相容性和抗菌性能进行了表征。结果表明,该膜主要是透明的,具有优异的机械性能。此外,人角膜上皮细胞可以附着在该膜上并正常增殖,这表明β-CD-DA/OFLX-Col膜无细胞毒性且具有良好的生物相容性。最重要的是,β-CD-DA/OFLX-Col膜对[具体细菌名称1]和[具体细菌名称2]表现出显著的抗菌作用,这可以将感染风险降至最低。所制备的β-CD-DA/OFLX-Col膜可以大大提高药物的生物利用度并降低毒副作用,因此在细菌性角膜炎治疗中显示出巨大的潜力。