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Ribeiro DML, Carvalho Júnior AR, Vale de Macedo GHR, Chagas VL, Silva LDS, Cutrim BDS, Santos DM, Soares BLL, Zagmignan A, de Miranda RDCM, de Albuquerque PBS, Nascimento da Silva LC. Polysaccharide-Based Formulations for Healing of Skin-Related Wound Infections: Lessons from Animal Models and Clinical Trials. Biomolecules 2019; 10:E63. [PMID: 31905975 PMCID: PMC7022374 DOI: 10.3390/biom10010063] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 11/08/2019] [Accepted: 11/15/2019] [Indexed: 12/17/2022] Open
Abstract
Skin injuries constitute a gateway for pathogenic bacteria that can be either part of tissue microbiota or acquired from the environmental. These microorganisms (such as Acinetobacter baumannii, Enterococcus faecalis,Pseudomonas aeruginosa, and Staphylococcus aureus) produce virulence factors that impair tissue integrity and sustain the inflammatory phase leading for establishment of chronic wounds. The high levels of antimicrobial resistance have limited the therapeutic arsenal for combatting skin infections. Thus, the treatment of non-healing chronic wounds is a huge challenge for health services worldwide, imposing great socio-economic damage to the affected individuals. This scenario has encouraged the use of natural polymers, such as polysaccharide, in order to develop new formulations (membranes, nanoparticles, hydrogels, scaffolds) to be applied in the treatment of skin infections. In this non-exhaustive review, we discuss the applications of polysaccharide-based formulations in the healing of infected wounds in animal models and clinical trials. The formulations discussed in this review were prepared using alginate, cellulose, chitosan, and hyaluronic acid. In addition to have healing actions per se, these polysaccharide formulations can act as transdermal drug delivery systems, controlling the release of active ingredients (such as antimicrobial and healing agents). The papers show that these polysaccharides-based formulations are efficient in controlling infection and improve the healing, even in chronic infected wounds. These data should positively impact the design of new dressings to treat skin infections.
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Affiliation(s)
- Diogo Marcelo Lima Ribeiro
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Alexsander Rodrigues Carvalho Júnior
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Gustavo Henrique Rodrigues Vale de Macedo
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Vitor Lopes Chagas
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Lucas dos Santos Silva
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Brenda da Silva Cutrim
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Deivid Martins Santos
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Bruno Luis Lima Soares
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Adrielle Zagmignan
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | - Rita de Cássia Mendonça de Miranda
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
| | | | - Luís Cláudio Nascimento da Silva
- Programa de Pós-graduação, Universidade Ceuma, São Luís, Maranhão 65075–120, Brazil; (D.M.L.R.); (A.R.C.J.); (G.H.R.V.d.M.); (V.L.C.); (L.d.S.S.); (B.d.S.C.); (D.M.S.); (B.L.L.S.); (A.Z.); (R.d.C.M.d.M.)
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Yuan Z, Tao B, He Y, Mu C, Liu G, Zhang J, Liao Q, Liu P, Cai K. Remote eradication of biofilm on titanium implant via near-infrared light triggered photothermal/photodynamic therapy strategy. Biomaterials 2019; 223:119479. [DOI: 10.1016/j.biomaterials.2019.119479] [Citation(s) in RCA: 121] [Impact Index Per Article: 24.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2019] [Revised: 08/29/2019] [Accepted: 09/05/2019] [Indexed: 12/24/2022]
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Chen H, Yang J, Sun L, Zhang H, Guo Y, Qu J, Jiang W, Chen W, Ji J, Yang YW, Wang B. Synergistic Chemotherapy and Photodynamic Therapy of Endophthalmitis Mediated by Zeolitic Imidazolate Framework-Based Drug Delivery Systems. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2019; 15:e1903880. [PMID: 31588682 DOI: 10.1002/smll.201903880] [Citation(s) in RCA: 85] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 09/24/2019] [Indexed: 06/10/2023]
Abstract
Endophthalmitis, derived from the infections of pathogens, is a common complication during the use of ophthalmology-related biomaterials and after ophthalmic surgery. Herein, aiming at efficient photodynamic therapy (PDT) of bacterial infections and biofilm eradication of endophthalmitis, a pH-responsive zeolitic imidazolate framework-8-polyacrylic acid (ZIF-8-PAA) material is constructed for bacterial infection-targeted delivery of ammonium methylbenzene blue (MB), a broad-spectrum photosensitizer antibacterial agent. Polyacrylic acid (PAA) is incorporated into the system to achieve higher pH responsiveness and better drug loading capacity. MB-loaded ZIF-8-PAA nanoparticles are modified with AgNO3 /dopamine for in situ reduction of AgNO3 to silver nanoparticles (AgNPs), followed by a secondary modification with vancomycin/NH2 -polyethylene glycol (Van/NH2 -PEG), leading to the formation of a composite nanomaterial, ZIF-8-PAA-MB@AgNPs@Van-PEG. Dynamic light scattering, transmission electron microscopy, and UV-vis spectral analysis are used to explore the nanoparticles synthesis, drug loading and release, and related material properties. In terms of biological performance, in vitro antibacterial studies against three kinds of bacteria, i.e., Escherichia coli, Staphylococcus aureus, and methicillin-resistant S. aureus, suggest an obvious superiority of PDT/AgNPs to any single strategy. Both in vitro retinal pigment epithelium cellular biocompatibility experiments and in vivo mice endophthalmitis models verify the biocompatibility and antibacterial function of the composite nanomaterials.
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Affiliation(s)
- Hao Chen
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
- Wenzhou Institute of Biomaterials and Engineering, Chinese Academy of Sciences, Wenzhou, 32500, China
| | - Jie Yang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, International Joint Research Laboratory of Nano-Micro Architecture Chemistry (NMAC), College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun, 130012, China
| | - Lin Sun
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
| | - Hengrui Zhang
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
- Wenzhou Institute of Biomaterials and Engineering, Chinese Academy of Sciences, Wenzhou, 32500, China
| | - Yishun Guo
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
| | - Jia Qu
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
| | - Wenya Jiang
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
| | - Wei Chen
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
- Wenzhou Institute of Biomaterials and Engineering, Chinese Academy of Sciences, Wenzhou, 32500, China
| | - Jian Ji
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
- MOE Key Laboratory of Macromolecule Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, China
| | - Ying-Wei Yang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, International Joint Research Laboratory of Nano-Micro Architecture Chemistry (NMAC), College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun, 130012, China
| | - Bailiang Wang
- School of Ophthalmology & Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China
- Wenzhou Institute of Biomaterials and Engineering, Chinese Academy of Sciences, Wenzhou, 32500, China
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Zhao Y, Yu C, Yu Y, Wei X, Duan X, Dai X, Zhang X. Bioinspired Heteromultivalent Ligand-Decorated Nanotherapeutic for Enhanced Photothermal and Photodynamic Therapy of Antibiotic-Resistant Bacterial Pneumonia. ACS APPLIED MATERIALS & INTERFACES 2019; 11:39648-39661. [PMID: 31591880 DOI: 10.1021/acsami.9b15118] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Pseudomonas aeruginosa can cause a multitude of inflammations in humans. Due to its ability to form biofilm, the bacteria show durable resistance to drugs. Herein, we developed a heteromultivalent ligand-decorated nanotherapeutic inspired by living system for inhibition of antibiotic-resistant bacterial pneumonia. The nanotherapeutic with a heteromultivalent glycomimetic shell can specifically recognize P. aeruginosa to inhibit its biofilm formation and protect native cells from bacterial infection; the rate of biofilm inhibition was up to 85%. The nanotherapeutic with a bioresponsive hydrophobic core can protonate and control drug release in the microenvironment of bacterial infections. By utilizing these properties, the nanotherapeutics can effectively penetrate the internal structure of biofilms to release the drug, dispersing the biofilm by over 80% under laser irradiation. In vivo bioinspired nanotherapeutics have the potential to efficiently inhibit antibiotic-resistant P. aeruginosa-induced pneumonia. Collectively, we expect biomimicking systems to be the next generation of prevention and treatment as integrated antibacterial agents against P. aeruginosa.
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Affiliation(s)
- Yu Zhao
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Cong Yu
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Yunjian Yu
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Xiaosong Wei
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Xiaozhuang Duan
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Xijuan Dai
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
| | - Xinge Zhang
- Key Laboratory of Functional Polymer Materials of Ministry Education, Institute of Polymer Chemistry, College of Chemistry , Nankai University , Tianjin 300071 , China
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Calixto GMF, de Annunzio SR, Victorelli FD, Frade ML, Ferreira PS, Chorilli M, Fontana CR. Chitosan-Based Drug Delivery Systems for Optimization of Photodynamic Therapy: a Review. AAPS PharmSciTech 2019; 20:253. [PMID: 31309346 DOI: 10.1208/s12249-019-1407-y] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 04/26/2019] [Indexed: 02/08/2023] Open
Abstract
Drug delivery systems (DDS) can be designed to enrich the pharmacological and therapeutic properties of several drugs. Many of the initial obstacles that impeded the clinical applications of conventional DDS have been overcome with nanotechnology-based DDS, especially those formed by chitosan (CS). CS is a linear polysaccharide obtained by the deacetylation of chitin, which has potential properties such as biocompatibility, hydrophilicity, biodegradability, non-toxicity, high bioavailability, simplicity of modification, aqueous solubility, and excellent chemical resistance. Furthermore, CS can prepare several DDS as films, gels, nanoparticles, and microparticles to improve delivery of drugs, such as photosensitizers (PS). Thus, CS-based DDS are broadly investigated for photodynamic therapy (PDT) of cancer and fungal and bacterial diseases. In PDT, a PS is activated by light of a specific wavelength, which provokes selective damage to the target tissue and its surrounding vasculature, but most PS have low water solubility and cutaneous photosensitivity impairing the clinical use of PDT. Based on this, the application of nanotechnology using chitosan-based DDS in PDT may offer great possibilities in the treatment of diseases. Therefore, this review presents numerous applications of chitosan-based DDS in order to improve the PDT for cancer and fungal and bacterial diseases.
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Hao J, Lu ZS, Li CM, Xu LQ. A maltoheptaose-decorated BODIPY photosensitizer for photodynamic inactivation of Gram-positive bacteria. NEW J CHEM 2019. [DOI: 10.1039/c9nj02987g] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A maltoheptaose-decorated BODIPY with high singlet oxygen generation efficacy was synthesized for photodynamic inactivation of Gram-positive bacteria in planktonic forms and biofilms.
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Affiliation(s)
- Jie Hao
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry (Southwest University)
- Ministry of Education
- School of Materials and Energy
- Southwest University
- Chongqing
| | - Zhi Song Lu
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry (Southwest University)
- Ministry of Education
- School of Materials and Energy
- Southwest University
- Chongqing
| | - Chang Ming Li
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry (Southwest University)
- Ministry of Education
- School of Materials and Energy
- Southwest University
- Chongqing
| | - Li Qun Xu
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry (Southwest University)
- Ministry of Education
- School of Materials and Energy
- Southwest University
- Chongqing
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