Plastun Valentina O, Prikhozhdenko Ekaterina S, Gusliakova Olga I, Raikova Svetlana V, Douglas Timothy E L, Sindeeva Olga A, Mayorova Oksana A
Science Medical Center, Saratov State University, 83 Astrakhanskaya Str., 410012 Saratov, Russia.
Department of Microbiology, Virology and Immunology, Saratov State Medical University Named after V. I. Razumovsky, 112 Bolshaya Kazachia St., 410012 Saratov, Russia.
Pharmaceutics. 2022 Jun 4;14(6):1199. doi: 10.3390/pharmaceutics14061199.
Infectious sequelae caused by surgery are a significant problem in modern medicine due to their reduction of therapeutic effectiveness and the patients' quality of life.Recently, new methods of local antimicrobial prophylaxis of postoperative sequelae have been actively developed. They allow high local concentrations of drugs to be achieved, increasing the antibiotic therapy's effectiveness while reducing its side effects. We have developed and characterized antimicrobial hydrogels based on an inexpensive and biocompatible natural substance from the dairy industry-whey protein isolate-as matrices for drug delivery. The release of cefazolin from the pores of hydrogel structures directly depends on the amount of the loaded drug and occurs in a prolonged manner for three days. Simultaneously with the antibiotic release, hydrogel swelling and partial degradation occurs. The WPI hydrogels absorb solvent, doubling in size in three days and retaining cefazolin throughout the duration of the experiment. The antimicrobial activity of cefazolin-loaded WPI hydrogels against growth is prolonged in comparison to that of the free cefazolin. The overall cytotoxic effect of cefazolin-containing WPI hydrogels is lower than that of free antibiotics. Thus, our work shows that antimicrobial WPI hydrogels are suitable candidates for local antibiotic therapy of infectious surgical sequelae.
手术引起的感染后遗症是现代医学中的一个重大问题,因为它们会降低治疗效果和患者的生活质量。最近,针对术后后遗症的局部抗菌预防新方法得到了积极开发。这些方法能够实现高局部药物浓度,提高抗生素治疗的有效性,同时减少其副作用。我们基于乳制品行业一种廉价且生物相容的天然物质——乳清分离蛋白,开发并表征了抗菌水凝胶,将其作为药物递送的基质。头孢唑林从水凝胶结构的孔隙中释放直接取决于负载药物的量,并以延长的方式持续三天。在抗生素释放的同时,水凝胶发生溶胀和部分降解。乳清分离蛋白水凝胶吸收溶剂,三天内尺寸翻倍,并在整个实验过程中保留头孢唑林。与游离头孢唑林相比,负载头孢唑林的乳清分离蛋白水凝胶对生长的抗菌活性持续时间更长。含头孢唑林的乳清分离蛋白水凝胶的总体细胞毒性作用低于游离抗生素。因此,我们的工作表明,抗菌乳清分离蛋白水凝胶是感染性手术后遗症局部抗生素治疗的合适候选物。