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Abdo AI, Kopecki Z. Comparing Redox and Intracellular Signalling Responses to Cold Plasma in Wound Healing and Cancer. Curr Issues Mol Biol 2024; 46:4885-4923. [PMID: 38785562 PMCID: PMC11120013 DOI: 10.3390/cimb46050294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 05/10/2024] [Accepted: 05/15/2024] [Indexed: 05/25/2024] Open
Abstract
Cold plasma (CP) is an ionised gas containing excited molecules and ions, radicals, and free electrons, and which emits electric fields and UV radiation. CP is potently antimicrobial, and can be applied safely to biological tissue, birthing the field of plasma medicine. Reactive oxygen and nitrogen species (RONS) produced by CP affect biological processes directly or indirectly via the modification of cellular lipids, proteins, DNA, and intracellular signalling pathways. CP can be applied at lower levels for oxidative eustress to activate cell proliferation, motility, migration, and antioxidant production in normal cells, mainly potentiated by the unfolded protein response, the nuclear factor-erythroid factor 2-related factor 2 (Nrf2)-activated antioxidant response element, and the phosphoinositide 3-kinase/protein kinase B (PI3K/Akt) pathway, which also activates nuclear factor-kappa B (NFκB). At higher CP exposures, inactivation, apoptosis, and autophagy of malignant cells can occur via the degradation of the PI3K/Akt and mitogen-activated protein kinase (MAPK)-dependent and -independent activation of the master tumour suppressor p53, leading to caspase-mediated cell death. These opposing responses validate a hormesis approach to plasma medicine. Clinical applications of CP are becoming increasingly realised in wound healing, while clinical effectiveness in tumours is currently coming to light. This review will outline advances in plasma medicine and compare the main redox and intracellular signalling responses to CP in wound healing and cancer.
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Affiliation(s)
- Adrian I. Abdo
- Richter Lab, Surgical Specialties, Adelaide Medical School, University of Adelaide, Adelaide, SA 5000, Australia
- Department of Surgery, The Basil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, Woodville, SA 5011, Australia
| | - Zlatko Kopecki
- Future Industries Institute, STEM Academic Unit, University of South Australia, Mawson Lakes, SA 5095, Australia
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Fischer M, Nonnenmacher L, Reichert JC, Bohnert JA, Idelevich EA, Doğan E, Becker K, Wassilew GI. Case Report: Hip arthroplasty after fracture-related joint infection caused by extensively drug-resistant Klebsiella pneumoniae. Front Surg 2024; 11:1363298. [PMID: 38476757 PMCID: PMC10927804 DOI: 10.3389/fsurg.2024.1363298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Accepted: 02/16/2024] [Indexed: 03/14/2024] Open
Abstract
This case-report focuses on a 23-year-old soldier suffering from a fracture-related hip joint infection (FRI) due to extensively drug-resistant Klebsiella pneumoniae and S. epidermidis. The patient underwent multiple septic revision surgeries including the removal of remaining shrapnel accompanied by last-resort antimicrobial therapy with cefiderocol and colistin. Additionally, the surgeries included repeated tissue sampling for microbiological and histopathological analysis. An antibiotic-loaded cemented filler containing cefiderocol was used to improve local antimicrobial therapy. The biopsies prior to and during hip replacement surgery confirmed successful microbe eradication. Hip arthroplasty restored hip joint function and significantly improved patient's quality of life. The utilization of a trabecular metal shell and a meta-diaphyseally anchored cementless hip stem ensured secure implant fixation and early patient mobilisation. An adjusted biofilm active oral antimicrobial therapy after arthroplasty intervention was continued to prevent early periprosthetic joint infection. This case emphasizes the difficulties of managing FRI and multidrug-resistant pathogens. It contributes valuable insight into navigating complex orthopedic cases while ensuring successful hip arthroplasty outcomes. In conclusion, early interdisciplinary collaboration, appropriate antimicrobial therapy along with tailored surgical interventions are crucial for managing such complex cases successfully.
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Affiliation(s)
- Maximilian Fischer
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Lars Nonnenmacher
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Johannes C. Reichert
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Jürgen A. Bohnert
- Friedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany
| | - Evgeny A. Idelevich
- Friedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany
- Institute of Medical Microbiology, University Hospital Münster, Münster, Germany
| | - Eyüp Doğan
- Friedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany
| | - Karsten Becker
- Friedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany
| | - Georgi I. Wassilew
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
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Konchekov EM, Gudkova VV, Burmistrov DE, Konkova AS, Zimina MA, Khatueva MD, Polyakova VA, Stepanenko AA, Pavlik TI, Borzosekov VD, Malakhov DV, Kolik LV, Gusein-zade N, Gudkov SV. Bacterial Decontamination of Water-Containing Objects Using Piezoelectric Direct Discharge Plasma and Plasma Jet. Biomolecules 2024; 14:181. [PMID: 38397418 PMCID: PMC10886754 DOI: 10.3390/biom14020181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 01/25/2024] [Accepted: 01/31/2024] [Indexed: 02/25/2024] Open
Abstract
Cold atmospheric plasma has become a widespread tool in bacterial decontamination, harnessing reactive oxygen and nitrogen species to neutralize bacteria on surfaces and in the air. This technology is often employed in healthcare, food processing, water treatment, etc. One of the most energy-efficient and universal methods for creating cold atmospheric plasma is the initiation of a piezoelectric direct discharge. The article presents a study of the bactericidal effect of piezoelectric direct discharge plasma generated using the multifunctional source "CAPKO". This device allows for the modification of the method of plasma generation "on the fly" by replacing a unit (cap) on the working device. The results of the generation of reactive oxygen and nitrogen species in a buffer solution in the modes of direct discharge in air and a plasma jet with an argon flow are presented. The bactericidal effect of these types of plasma against the bacteria E. coli BL21 (DE3) was studied. The issues of scaling the treatment technique are considered.
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Affiliation(s)
- Evgeny M. Konchekov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Victoria V. Gudkova
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
- Institute of Physical Research and Technology, Peoples’ Friendship University of Russia (RUDN University), 117198 Moscow, Russia
| | - Dmitriy E. Burmistrov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Aleksandra S. Konkova
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Maria A. Zimina
- Institute of Physical Research and Technology, Peoples’ Friendship University of Russia (RUDN University), 117198 Moscow, Russia
| | - Mariam D. Khatueva
- Institute of Physical Research and Technology, Peoples’ Friendship University of Russia (RUDN University), 117198 Moscow, Russia
| | - Vlada A. Polyakova
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Alexandra A. Stepanenko
- Center for Precision Genome Editing and Genetic Technologies for Biomedicine, Institute of Gene Biology, Russian Academy of Sciences, 119334 Moscow, Russia
| | - Tatyana I. Pavlik
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Valentin D. Borzosekov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
- Institute of Physical Research and Technology, Peoples’ Friendship University of Russia (RUDN University), 117198 Moscow, Russia
| | - Dmitry V. Malakhov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Leonid V. Kolik
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Namik Gusein-zade
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
| | - Sergey V. Gudkov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (V.V.G.); (D.E.B.); (N.G.-z.); (S.V.G.)
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Aggarwal Y, Vaid A, Visani A, Rane R, Joseph A, Mukherjee S, Tripathi M, Chandra PS, Doddamani R, Dixit AB, Banerjee J. Cold atmospheric plasma (CAP) treatment increased reactive oxygen and nitrogen species (RONS) levels in tumor samples obtained from patients with low-grade glioma. Biomed Phys Eng Express 2024; 10:025018. [PMID: 38241730 DOI: 10.1088/2057-1976/ad20a9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 01/19/2024] [Indexed: 01/21/2024]
Abstract
Low-grade gliomas (LGGs) are a heterogeneous group of tumors with an average 10-year survival rate of 40%-55%. Current treatment options include chemotherapy, radiotherapy, and gross total resection (GTR) of the tumor. The extent of resection (EOR) plays an important role in improving surgical outcomes. However, the major obstacle in treating low-grade gliomas is their diffused nature and the presence of residual cancer cells at the tumor margins post resection. Cold Atmospheric Plasma (CAP) has shown to be effective in targeted killing of tumor cells in various glioma cell lines without affecting non-tumor cells through Reactive Oxygen and Nitrogen Species (RONS). However, no study on the effectiveness of CAP has been carried out in LGG tissues till date. In this study, we applied helium-based CAP on tumor tissues resected from LGG patients. Our results show that CAP is effective in promoting RONS accumulation in LGG tissues when CAP jet parameters are set at 4 kV voltage, 5 min treatment time and 3 lpm gas flow rate. We also observed that CAP jet is more effective in thinner slice preparations of tumor as compared to thick tumor samples. Our results indicate that CAP could prove to be an effective adjunct therapy in glioma surgery to target residual cancer cells to improve surgical outcome of patients with low-grade glioma.
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Affiliation(s)
- Yogesh Aggarwal
- Department of Biophysics, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - Akshay Vaid
- Institute of Plasma Research, Gandhinagar, Gujarat, India
| | - Anand Visani
- Institute of Plasma Research, Gandhinagar, Gujarat, India
| | | | | | | | - Manjari Tripathi
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - P Sarat Chandra
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - Ramesh Doddamani
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, 110029, India
| | | | - Jyotirmoy Banerjee
- Department of Biophysics, All India Institute of Medical Sciences, New Delhi, 110029, India
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Fischer M, Bortel E, Schoon J, Behnke E, Hesse B, Weitkamp T, Bekeschus S, Pichler M, Wassilew GI, Schulze F. Cold physical plasma treatment optimization for improved bone allograft processing. Front Bioeng Biotechnol 2023; 11:1264409. [PMID: 38026873 PMCID: PMC10661279 DOI: 10.3389/fbioe.2023.1264409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 10/24/2023] [Indexed: 12/01/2023] Open
Abstract
In musculoskeletal surgery, the treatment of large bone defects is challenging and can require the use of bone graft substitutes to restore mechanical stability and promote host-mediated regeneration. The use of bone allografts is well-established in many bone regenerative procedures, but is associated with low rates of ingrowth due to pre-therapeutic graft processing. Cold physical plasma (CPP), a partially ionized gas that simultaneously generates reactive oxygen (O2) and nitrogen (N2) species, is suggested to be advantageous in biomedical implant processing. CPP is a promising tool in allograft processing for improving surface characteristics of bone allografts towards enhanced cellularization and osteoconduction. However, a preclinical assessment regarding the feasibility of pre-therapeutic processing of allogeneic bone grafts with CPP has not yet been performed. Thus, this pilot study aimed to analyze the bone morphology of CPP processed allografts using synchrotron radiation-based microcomputed tomography (SR-µCT) and to analyze the effects of CPP processing on human bone cell viability and function. The analyzes, including co-registration of pre- and post-treatment SR-µCT scans, revealed that the main bone morphological properties (total volume, mineralized volume, surface area, and porosity) remained unaffected by CPP treatment if compared to allografts not treated with CPP. Varying effects on cellular metabolic activity and alkaline phosphatase activity were found in response to different gas mixtures and treatment durations employed for CPP application. It was found that 3 min CPP treatment using a He + 0.1% N2 gas mixture led to the most favourable outcome regarding a significant increase in bone cell viability and alkaline phosphatase activity. This study highlights the promising potential of pre-therapeuthic bone allograft processing by CPP prior to intraoperative application and emphasizes the need for gas source and treatment time optimization for specific applications.
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Affiliation(s)
- Maximilian Fischer
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | | | - Janosch Schoon
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Einar Behnke
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Bernhard Hesse
- Xploraytion GmbH, Berlin, Germany
- ESRF: European Synchrotron Radiation Facility, Grenoble, France
| | | | - Sander Bekeschus
- ZIK Plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Greifswald, Germany
| | - Monika Pichler
- Cells + Tissuebank Austria Gemeinnützige GmbH, Krems an der Donau, Austria
| | - Georgi I. Wassilew
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Frank Schulze
- Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany
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Konchekov EM, Gusein-zade N, Burmistrov DE, Kolik LV, Dorokhov AS, Izmailov AY, Shokri B, Gudkov SV. Advancements in Plasma Agriculture: A Review of Recent Studies. Int J Mol Sci 2023; 24:15093. [PMID: 37894773 PMCID: PMC10606361 DOI: 10.3390/ijms242015093] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/07/2023] [Accepted: 10/09/2023] [Indexed: 10/29/2023] Open
Abstract
This review is devoted to a topic of high interest in recent times-the use of plasma technologies in agriculture. The increased attention to these studies is primarily due to the demand for the intensification of food production and, at the same time, the request to reduce the use of pesticides. We analyzed publications, focusing on research conducted in the last 3 years, to identify the main achievements of plasma agrotechnologies and key obstacles to their widespread implementation in practice. We considered the main types of plasma sources used in this area, their advantages and limitations, which determine the areas of application. We also considered the use of plasma-activated liquids and the efficiency of their production by various types of plasma sources.
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Affiliation(s)
- Evgeny M. Konchekov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (N.G.-z.); (D.E.B.); (L.V.K.); (S.V.G.)
| | - Namik Gusein-zade
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (N.G.-z.); (D.E.B.); (L.V.K.); (S.V.G.)
| | - Dmitriy E. Burmistrov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (N.G.-z.); (D.E.B.); (L.V.K.); (S.V.G.)
| | - Leonid V. Kolik
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (N.G.-z.); (D.E.B.); (L.V.K.); (S.V.G.)
| | - Alexey S. Dorokhov
- Federal Scientific Agroengineering Center VIM, 109428 Moscow, Russia; (A.S.D.)
| | - Andrey Yu. Izmailov
- Federal Scientific Agroengineering Center VIM, 109428 Moscow, Russia; (A.S.D.)
| | - Babak Shokri
- Physics Department, Shahid Beheshti University, Tehran 1983969411, Iran
| | - Sergey V. Gudkov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (N.G.-z.); (D.E.B.); (L.V.K.); (S.V.G.)
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