1. Bio-inspired crosslinking and matrix-drug interactions for advanced wound dressings with long-term antimicrobial activity
- Author
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Seeram Ramakrishna, Mayandi Venkatesh, Dinesh Kumar Srinivasan, Veluchami Amutha Barathi, Sriram Harini, Samiran Bairagi, Kenny Zhi Wei Low, Rajamani Lakshminarayanan, Eunice Goh Tze Leng, Navin Kumar Verma, Xian Jun Loh, Shouping Liu, Nandhakumar Muruganandham, Mobashar Hussain Urf Turabe Fazil, Roger W. Beuerman, Chetna Dhand, and Lee Kong Chian School of Medicine (LKCMedicine)
- Subjects
Drug ,Antifungal Agents ,Indoles ,Time Factors ,food.ingredient ,Materials science ,Polymers ,Swine ,medicine.drug_class ,media_common.quotation_subject ,Antibiotics ,Carbonates ,Nanofibers ,Biophysics ,Bioengineering ,Polyhydroxy antimicrobial ,02 engineering and technology ,Matrix (biology) ,010402 general chemistry ,01 natural sciences ,Gelatin ,Biomaterials ,food ,Anti-Infective Agents ,Polymer chemistry ,medicine ,Animals ,Humans ,media_common ,Wound Healing ,021001 nanoscience & nanotechnology ,Antimicrobial ,Bandages ,Electrospinning ,0104 chemical sciences ,Drug Liberation ,Cross-Linking Reagents ,Wound dressings ,Chemical engineering ,Mechanics of Materials ,Nanofiber ,Wound Infection ,Ceramics and Composites ,Female ,Burns ,0210 nano-technology ,Bandage - Abstract
There is a growing demand for durable advanced wound dressings for the management of persistent infections after deep burn injuries. Herein, we demonstrated the preparation of durable antimicrobial nanofiber mats, by taking advantage of strong interfacial interactions between polyhydroxy antibiotics (with varying number of single bondOH groups) and gelatin and their in-situ crosslinking with polydopamine (pDA) using ammonium carbonate diffusion method. Polydopamine crosslinking did not interfere with the antimicrobial efficacy of the loaded antibiotics. Interestingly, incorporation of antibiotics containing more number of alcoholic single bondOH groups (NOH ≥ 5) delayed the release kinetics with complete retention of antimicrobial activity for an extended period of time (20 days). The antimicrobials-loaded mats displayed superior mechanical and thermal properties than gelatin or pDA-crosslinked gelatin mats. Mats containing polyhydroxy antifungals showed enhanced aqueous stability and retained nanofibrous morphology under aqueous environment for more than 4 weeks. This approach can be expanded to produce mats with broad spectrum antimicrobial properties by incorporating the combination of antibacterial and antifungal drugs. Direct electrospinning of vancomycin-loaded electrospun nanofibers onto a bandage gauze and subsequent crosslinking produced non-adherent durable advanced wound dressings that could be easily applied to the injured sites and readily detached after treatment. In a partial thickness burn injury model in piglets, the drug-loaded mats displayed comparable wound closure to commercially available silver-based dressings. This prototype wound dressing designed for easy handling and with long-lasting antimicrobial properties represents an effective option for treating life-threatening microbial infections due to thermal injuries. NRF (Natl Research Foundation, S’pore) MOE (Min. of Education, S’pore) NMRC (Natl Medical Research Council, S’pore) MOH (Min. of Health, S’pore) Published version
- Published
- 2017