Mei Jiawei, Liu Quan, Hu Xianli, Wang Wenzhi, Ma Ruixiang, Zhu Wanbo, Zhu Chen, Su Zheng
Department of Orthopedics, Centre for Leading Medicine and Advanced Technologies of IHM, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China.
Department of Orthopedics, Centre for Leading Medicine and Advanced Technologies of IHM, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China;
J Vis Exp. 2025 Jun 27(220). doi: 10.3791/68041.
Implant-associated infections represent a significant clinical challenge, as they arise when pathogenic microorganisms infiltrate the site of medical implants, such as joint replacements, catheters, or pacemakers. These infections can lead to severe complications, including implant failure, prolonged hospitalization, and the need for additional surgical interventions. To investigate these critical issues, murine models provide an invaluable platform for studying implant-associated infections and evaluating therapeutic strategies against bacterial biofilms, yielding insights that may ultimately improve clinical outcomes for patients afflicted by infected implants. The commonly employed materials in these studies include titanium, polyethylene, and stainless steel, which closely mimic those used in clinical practice. The experimental design generally involves a surgical procedure to implant the device, which is often performed subcutaneously to simulate joint or skin-related infections. Following implantation, a biofilm-forming bacterial strain, such as Staphylococcus aureus or Escherichia coli, is inoculated at the site to initiate infection, thereby establishing a model that mirrors the pathophysiology of human infections. Researchers have rigorously assessed the effectiveness of various antibiotic regimens against established biofilm infections, employing both systemic and localized delivery methods. Investigations have focused on novel antimicrobial agents, biofilm-disrupting compounds, and innovative therapeutic approaches aimed at augmenting the host immune response. Efficacy evaluation encompasses quantifying bacterial loads on the implant and surrounding tissue, alongside assessing reductions in biofilm thickness and density posttreatment. Clinical symptomatology, including changes in swelling and pain, serves as an additional indicator of therapeutic success. Furthermore, overall survival and morbidity rates among murine subjects provide critical insights into the safety and effectiveness of the evaluated treatments. It is imperative that all studies adhere to rigorous ethical guidelines and secure necessary institutional approvals, ensuring that findings can be reliably replicated across different laboratories. This methodological rigor is essential for validating results and advancing our understanding of effective treatments for implant-associated infections.
植入物相关感染是一项重大的临床挑战,因为当致病微生物侵入医疗植入物部位时就会引发此类感染,这些植入物包括关节置换物、导管或起搏器等。这些感染会导致严重的并发症,包括植入物失效、住院时间延长以及需要额外的手术干预。为了研究这些关键问题,小鼠模型为研究植入物相关感染和评估针对细菌生物膜的治疗策略提供了一个宝贵的平台,从而获得可能最终改善受感染植入物折磨患者临床结局的见解。这些研究中常用的材料包括钛、聚乙烯和不锈钢,它们与临床实践中使用的材料非常相似。实验设计通常包括一个植入装置的外科手术,该手术通常在皮下进行以模拟关节或皮肤相关感染。植入后,在该部位接种一种形成生物膜的细菌菌株,如金黄色葡萄球菌或大肠杆菌,以引发感染,从而建立一个反映人类感染病理生理学的模型。研究人员已经严格评估了各种抗生素方案对已形成的生物膜感染的有效性,采用了全身和局部给药方法。研究集中在新型抗菌剂、生物膜破坏化合物以及旨在增强宿主免疫反应的创新治疗方法上。疗效评估包括量化植入物和周围组织上的细菌载量,以及评估治疗后生物膜厚度和密度的降低情况。临床症状,包括肿胀和疼痛的变化,是治疗成功的另一个指标。此外,小鼠受试者的总体生存率和发病率为评估治疗的安全性和有效性提供了关键见解。所有研究都必须遵守严格的伦理准则并获得必要的机构批准,以确保研究结果能够在不同实验室可靠地重复。这种方法上的严谨性对于验证结果和推进我们对植入物相关感染有效治疗方法的理解至关重要。