负载抗生素的胶束中pH响应性与缺氧响应性协同作用以根除成熟的感染性生物膜。
Synergy between pH- and hypoxia-responsiveness in antibiotic-loaded micelles for eradicating mature, infectious biofilms.
作者信息
Su Linzhu, Li Yuanfeng, Tian Shuang, Huang Fan, Ren Yijin, Yang Cuihong, van der Mei Henny C, Busscher Henk J, Shi Linqi
机构信息
Key Laboratory of Functional Polymer Materials of Ministry of Education, State Key Laboratory of Medicinal Chemical Biology and Institute of Polymer Chemistry, College of Chemistry, Nankai University, Tianjin 300071, PR China; University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV Groningen, the Netherlands; Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300192, PR China.
University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV Groningen, the Netherlands.
出版信息
Acta Biomater. 2022 Dec;154:559-571. doi: 10.1016/j.actbio.2022.10.020. Epub 2022 Oct 13.
Antibiotic-loaded PEG/PAE-based micelles are frequently considered for eradicating infectious biofilms. At physiological pH, PEG facilitates transport through blood. Near an acidic infection-site, PAE becomes protonated causing micellar targeting to a biofilm. However, micellar penetration and accumulation is confined to the surface region of a biofilm. Especially matured biofilms also possess hypoxic regions. We here designed dual-responsive PEG/PAE-b-P(Lys-NBCF) micelles, responding to both acidity and low oxygen-saturation level in matured biofilms. Dual, pH- and hypoxia-responsive micelles targeted and accumulated evenly over the depth of 7- to 14-days old biofilms. Delineation demonstrated that pH-responsiveness was responsible for targeting of the infection-site and accumulation of micelles in the surface region of the biofilm. Hypoxia-responsiveness caused deep penetration in the biofilm. Dual, pH- and hypoxia-responsive micelles loaded with ciprofloxacin yielded more effective, synergistic eradication of 10-days old, matured Staphylococcus aureus biofilms underneath an abdominal imaging-window in living mice than achieved by ciprofloxacin in solution or single, pH- or hypoxia responsive micelles loaded with ciprofloxacin. Also, wound-healing after removal of window and its frame proceeded fastest after tail-vein injection of ciprofloxacin-loaded, dual, pH- and hypoxia-responsive micelles. Concluding, pH- and hypoxia-responsiveness are both required for eradicating mature biofilms and advancing responsive antibiotic nanocarriers to clinical application. STATEMENT OF SIGNIFICANCE: pH-responsive antibiotic nanocarriers have emerged as a possible new strategy to prevent antimicrobial-resistant bacterial infections from becoming the leading cause of death. In this paper, we show that commonly studied, pH-responsive micellar nanocarriers merely allow self-targeting to an infectious biofilm, but do not penetrate deeply into the biofilm. The dual-responsive (acidic pH- and hypoxia) antibiotic-loaded micelles designed here not only self-target to an infectious biofilm, but also penetrate deeply. The in vitro and in vivo advantages of dual-responsive nanocarriers are most obvious when studied in infectious biofilms grown for 10 viz a viz the 2 days, usually applied in the literature. Significantly, clinical treatment of bacterial infection usually starts more than 2 days after appearance of the first symptoms.
负载抗生素的聚乙二醇/聚(β-氨基酯)基胶束常被用于根除感染性生物膜。在生理pH值下,聚乙二醇有助于其在血液中运输。在酸性感染部位附近,聚(β-氨基酯)质子化,使胶束靶向生物膜。然而,胶束的渗透和积累仅限于生物膜的表面区域。特别是成熟的生物膜还存在缺氧区域。我们在此设计了双响应性聚乙二醇/聚(β-氨基酯)-b-聚(赖氨酸-硝基苯甲醛)胶束,对成熟生物膜中的酸度和低氧饱和度均有响应。双响应性(pH值和缺氧)胶束在7至14天龄生物膜的深度上均匀靶向和积累。描述表明,pH响应性负责感染部位的靶向和胶束在生物膜表面区域的积累。缺氧响应性导致在生物膜中的深度渗透。负载环丙沙星的双响应性(pH值和缺氧)胶束,在活体小鼠腹部成像窗口下,对10天龄成熟金黄色葡萄球菌生物膜的根除效果比环丙沙星溶液或负载环丙沙星的单一pH或缺氧响应性胶束更有效、更具协同性。此外,在尾静脉注射负载环丙沙星的双响应性(pH值和缺氧)胶束后,去除窗口及其框架后的伤口愈合最快。总之,pH响应性和缺氧响应性对于根除成熟生物膜以及将响应性抗生素纳米载体推进到临床应用都是必需的。重要性声明:pH响应性抗生素纳米载体已成为一种可能的新策略,以防止抗菌耐药细菌感染成为主要死因。在本文中,我们表明,通常研究的pH响应性胶束纳米载体仅允许自我靶向感染性生物膜,但不能深入渗透到生物膜中。这里设计的双响应性(酸性pH值和缺氧)负载抗生素胶束不仅能自我靶向感染性生物膜,还能深入渗透。当在10天龄的感染性生物膜(相对于文献中通常使用的2天龄生物膜)中进行研究时,双响应性纳米载体的体外和体内优势最为明显。重要的是,细菌感染的临床治疗通常在首次出现症状后2天以上开始。