Shu Chunxi, Zhang Wei, Zhang Yiwei, Li Yu, Xu Xinbo, Zhou Yanan, Zhang Yue, Zhong Qin, He Cong, Zhu Yin, Wang Xiaolei
Department of Gastroenterology, The First Affiliated Hospital, Jiangxi Medical College Nanchang University, Nanchang 330006, China.
Postdoctoral Innovation Practice Base, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
Research (Wash D C). 2024 May 22;7:0358. doi: 10.34133/research.0358. eCollection 2024.
colonizes over 50% of people worldwide. Biofilm formation through penetrating gastric mucus and resistance acquired by markedly reduces the efficacy of traditional antibiotics. The present triple therapy and bismuth-based quadruple therapy inevitably causes intestinal flora disturbance and fails to address the excessive -triggered inflammatory response. Herein, a mucus-permeable therapeutic platform (Cu-MOF@NF) that consists of copper-bearing metal-organic framework (Cu-MOF) loaded with nitrogen-doped carbon dots and naturally active polysaccharide fucoidan is developed. The experimental results demonstrate that Cu-MOF@NF can penetrate the mucus layer and hinder from adhering on gastric epithelial cells of the stomach. Notably, released Cu can degrade the polysaccharides in the biofilm and interfere with the cyclic growing mode of "bacterioplankton ↔ biofilm", thereby preventing recurrent and persistent infection. Compared with traditional triple therapy, the Cu-MOF@NF not only possesses impressive antibacterial effect (even include multidrug-resistant strains), but also improves the inflammatory microenvironment without disrupting the balance of intestinal flora, providing a more efficient, safe, and antibiotic-free new approach to eradicating .
在全球范围内,超过50%的人被其定植。通过穿透胃黏液形成生物膜以及获得的耐药性显著降低了传统抗生素的疗效。目前的三联疗法和基于铋的四联疗法不可避免地会导致肠道菌群紊乱,并且无法解决过度引发的炎症反应。在此,开发了一种可渗透黏液的治疗平台(Cu-MOF@NF),它由负载氮掺杂碳点的含铜金属有机框架(Cu-MOF)和天然活性多糖岩藻依聚糖组成。实验结果表明,Cu-MOF@NF可以穿透黏液层并阻碍其黏附在胃的胃上皮细胞上。值得注意的是,释放出的铜可以降解生物膜中的多糖,并干扰“浮游细菌↔生物膜”的循环生长模式,从而防止复发和持续感染。与传统三联疗法相比,Cu-MOF@NF不仅具有令人印象深刻的抗菌效果(甚至包括多重耐药菌株),而且在不破坏肠道菌群平衡的情况下改善了炎症微环境,为根除提供了一种更高效、安全且无抗生素的新方法。