Nakipoglu Mustafa, Tezcaner Ayşen, Contag Christopher H, Annabi Nasim, Ashammakhi Nureddin
Department of Chemical and Biomolecular Engineering, University of California, Los Angeles, Los Angeles, CA, 90095, USA.
Department of Engineering Sciences, School of Natural and Applied Sciences, Middle East Technical University, Ankara, 06800, Turkey.
Adv Mater. 2023 Dec;35(49):e2300840. doi: 10.1002/adma.202300840. Epub 2023 Oct 10.
Bioadhesives with antimicrobial properties enable easier and safer treatment of wounds as compared to the traditional methods such as suturing and stapling. Composed of natural or synthetic polymers, these bioadhesives seal wounds and facilitate healing while preventing infections through the activity of locally released antimicrobial drugs, nanocomponents, or inherently antimicrobial polers. Although many different materials and strategies are employed to develop antimicrobial bioadhesives, the design of these biomaterials necessitates a prudent approach as achieving all the required properties including optimal adhesive and cohesive properties, biocompatibility, and antimicrobial activity can be challenging. Designing antimicrobial bioadhesives with tunable physical, chemical, and biological properties will shed light on the path for future advancement of bioadhesives with antimicrobial properties. In this review, the requirements and commonly used strategies for developing bioadhesives with antimicrobial properties are discussed. In particular, different methods for their synthesis and their experimental and clinical applications on a variety of organs are reviewed. Advances in the design of bioadhesives with antimicrobial properties will pave the way for a better management of wounds to increase positive clinical outcomes.
与缝合和钉合等传统方法相比,具有抗菌特性的生物粘合剂能使伤口治疗更简便、更安全。这些生物粘合剂由天然或合成聚合物组成,可封闭伤口并促进愈合,同时通过局部释放抗菌药物、纳米成分或具有固有抗菌性的聚合物的活性来预防感染。尽管开发抗菌生物粘合剂采用了许多不同的材料和策略,但这些生物材料的设计需要谨慎对待,因为要实现所有所需特性,包括最佳的粘合性和内聚性、生物相容性以及抗菌活性,可能具有挑战性。设计具有可调节物理、化学和生物学特性的抗菌生物粘合剂将为具有抗菌特性的生物粘合剂的未来发展指明方向。在本综述中,将讨论开发具有抗菌特性的生物粘合剂的要求和常用策略。特别是,将综述其不同的合成方法以及它们在各种器官上的实验和临床应用。具有抗菌特性的生物粘合剂设计方面的进展将为更好地处理伤口以提高积极的临床结果铺平道路。