A novel biocompatible PDA/IR820/DAP coating for antibiotic/photodynamic/photothermal triple therapy to inhibit and eliminate Staphylococcus aureus biofilm

[Display omitted] •Easy-to-perform and cost-effective fabrication of PDA-IR820-DAP coating.•Triple therapy for Staphylococcus aureus biofilm.•Outstanding antibacterial and osseointegration-promoting performances. Surgical site infection (SSI) with instrumentation is an undesired and troublesome comp...

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Published in:Chemical engineering journal (Lausanne, Switzerland : 1996) Vol. 394; p. 125017
Main Authors: Zeng, Junkai, Wang, Yitong, Sun, Zhenyu, Chang, Haishuang, Cao, Mi, Zhao, Jie, Lin, Kaili, Xie, Youzhuan
Format: Journal Article
Language:English
Published: Elsevier B.V 15.08.2020
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ISSN:1385-8947, 1873-3212
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Abstract [Display omitted] •Easy-to-perform and cost-effective fabrication of PDA-IR820-DAP coating.•Triple therapy for Staphylococcus aureus biofilm.•Outstanding antibacterial and osseointegration-promoting performances. Surgical site infection (SSI) with instrumentation is an undesired and troublesome complication in orthopaedics. Surgical debridement is currently the main treatment option. However, the poor prognosis remains the major problem and over 40% of patients needed additional surgery to remove the implant. To eliminate SSI, antibacterial and biocompatible implants are urgently needed. Herein, a novel biocompatible polydopamine (PDA)-IR820-Daptomycin (DAP) coating with triple therapy functions was successfully fabricated to enhance the anti-infection ability and osteogenic property of titanium implants. In which, PDA served as a biocompatible binder to immobilize IR820 and DAP, and possessed photothermal and osteogenic properties. The releasing of DAP inhibited the growth of Staphylococcus aureus and damaged the bacterial membrane. Meanwhile, after 808 nm laser irradiation, the combination of hyperthermia generated by PDA and singlet oxygen (1O2) produced by IR820 eradicated the biofilm noninvasively. Furthermore, this coating successfully accelerated glutathione (GSH) oxidation and destroyed the bacterial membrane, reaching an anti-bacterial efficiency of 97.2% in vitro. Additionally, the coating significantly stimulated the proliferation and osteogenic differentiation of rat bone marrow stem cells (rBMSCs). In vivo, Ti-PDA-IR820-DAP reached an anti-bacterial efficiency of 97.9% in a S. aureus biofilm-infected rat model with 15 min of irradiation at 50 °C and drastically promoted the bone-implant osseointegration in a rat femur condyle defect model. The present study demonstrates that combining antibiotics and phototherapy represents a feasible way to treat bone-implant-associated infections.
AbstractList [Display omitted] •Easy-to-perform and cost-effective fabrication of PDA-IR820-DAP coating.•Triple therapy for Staphylococcus aureus biofilm.•Outstanding antibacterial and osseointegration-promoting performances. Surgical site infection (SSI) with instrumentation is an undesired and troublesome complication in orthopaedics. Surgical debridement is currently the main treatment option. However, the poor prognosis remains the major problem and over 40% of patients needed additional surgery to remove the implant. To eliminate SSI, antibacterial and biocompatible implants are urgently needed. Herein, a novel biocompatible polydopamine (PDA)-IR820-Daptomycin (DAP) coating with triple therapy functions was successfully fabricated to enhance the anti-infection ability and osteogenic property of titanium implants. In which, PDA served as a biocompatible binder to immobilize IR820 and DAP, and possessed photothermal and osteogenic properties. The releasing of DAP inhibited the growth of Staphylococcus aureus and damaged the bacterial membrane. Meanwhile, after 808 nm laser irradiation, the combination of hyperthermia generated by PDA and singlet oxygen (1O2) produced by IR820 eradicated the biofilm noninvasively. Furthermore, this coating successfully accelerated glutathione (GSH) oxidation and destroyed the bacterial membrane, reaching an anti-bacterial efficiency of 97.2% in vitro. Additionally, the coating significantly stimulated the proliferation and osteogenic differentiation of rat bone marrow stem cells (rBMSCs). In vivo, Ti-PDA-IR820-DAP reached an anti-bacterial efficiency of 97.9% in a S. aureus biofilm-infected rat model with 15 min of irradiation at 50 °C and drastically promoted the bone-implant osseointegration in a rat femur condyle defect model. The present study demonstrates that combining antibiotics and phototherapy represents a feasible way to treat bone-implant-associated infections.
ArticleNumber 125017
Author Zeng, Junkai
Sun, Zhenyu
Lin, Kaili
Xie, Youzhuan
Chang, Haishuang
Cao, Mi
Wang, Yitong
Zhao, Jie
Author_xml – sequence: 1
  givenname: Junkai
  surname: Zeng
  fullname: Zeng, Junkai
  organization: Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
– sequence: 2
  givenname: Yitong
  surname: Wang
  fullname: Wang, Yitong
  organization: Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiaotong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China
– sequence: 3
  givenname: Zhenyu
  surname: Sun
  fullname: Sun, Zhenyu
  organization: Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
– sequence: 4
  givenname: Haishuang
  surname: Chang
  fullname: Chang, Haishuang
  organization: Shanghai Institute of Precision Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
– sequence: 5
  givenname: Mi
  surname: Cao
  fullname: Cao, Mi
  organization: Shanghai Institute of Precision Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
– sequence: 6
  givenname: Jie
  surname: Zhao
  fullname: Zhao, Jie
  email: profzhaojie@126.com
  organization: Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
– sequence: 7
  givenname: Kaili
  surname: Lin
  fullname: Lin, Kaili
  email: lklecnu@aliyun.com
  organization: Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiaotong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China
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  givenname: Youzhuan
  surname: Xie
  fullname: Xie, Youzhuan
  email: Drxie_miss@163.com
  organization: Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
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Keywords Polydopamine
Osseointegration
Antibacterial
Daptomycin
Phototherapy
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Snippet [Display omitted] •Easy-to-perform and cost-effective fabrication of PDA-IR820-DAP coating.•Triple therapy for Staphylococcus aureus biofilm.•Outstanding...
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StartPage 125017
SubjectTerms Antibacterial
Daptomycin
Osseointegration
Phototherapy
Polydopamine
Title A novel biocompatible PDA/IR820/DAP coating for antibiotic/photodynamic/photothermal triple therapy to inhibit and eliminate Staphylococcus aureus biofilm
URI https://dx.doi.org/10.1016/j.cej.2020.125017
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