Adaptive antibacterial biomaterial surfaces and their applications

Bacterial infections on the implant surface may eventually lead to biofilm formation ​and thus threaten the use of implants in body. Despite efficient host immune system, the implant surface can be rapidly occupied by bacteria, resulting in infection persistence, implant failure, and even death of t...

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Main Authors: W. Ahmed, Z. Zhai, C. Gao
Format: Article
Language:English
Published: Elsevier 2019-03-01
Series:Materials Today Bio
Online Access:http://www.sciencedirect.com/science/article/pii/S2590006419300183
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author W. Ahmed
Z. Zhai
C. Gao
author_facet W. Ahmed
Z. Zhai
C. Gao
author_sort W. Ahmed
collection DOAJ
description Bacterial infections on the implant surface may eventually lead to biofilm formation ​and thus threaten the use of implants in body. Despite efficient host immune system, the implant surface can be rapidly occupied by bacteria, resulting in infection persistence, implant failure, and even death of the patients. It is difficult to cope with these problems because bacteria exhibit complex adhesion mechanisms to the implants that vary according to bacterial strains. Different biomaterial coatings have been produced to release antibiotics to kill bacteria. However, antibiotic resistance occurs very frequently. Stimuli-responsive biomaterials have gained much attention in recent years ​but are not effective enough in killing the pathogens because of the complex mechanisms in bacteria. This review is focused on the development of highly efficient and specifically targeted biomaterials that release the antimicrobial agents or respond to bacteria on demands in body. The mechanisms of bacterial adhesion, biofilm formation, and antibiotic resistance are discussed, and the released substances accounting for implant infection are described. Strategies that have been used in past for the eradication of bacterial infections are also discussed. Different types of stimuli can be triggered only upon the existence of bacteria, leading to the release of antibacterial molecules that in turn kill the bacteria. In particular, the toxin-triggered, pH-responsive, and dual stimulus-responsive adaptive antibacterial biomaterials are introduced. Finally, the state of the art in fabrication of dual responsive antibacterial biomaterials and tissue integration in medical implants is discussed. Keywords: Biofilm, Antibiotic resistance, Tissue engineering, Antibacterial, Anti-foulings
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spelling doaj.art-15e8b1b9c4424ad7a644b829bdcc002d2022-12-21T17:57:09ZengElsevierMaterials Today Bio2590-00642019-03-012Adaptive antibacterial biomaterial surfaces and their applicationsW. Ahmed0Z. Zhai1C. Gao2MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, ChinaMOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, ChinaCorresponding author.; MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, ChinaBacterial infections on the implant surface may eventually lead to biofilm formation ​and thus threaten the use of implants in body. Despite efficient host immune system, the implant surface can be rapidly occupied by bacteria, resulting in infection persistence, implant failure, and even death of the patients. It is difficult to cope with these problems because bacteria exhibit complex adhesion mechanisms to the implants that vary according to bacterial strains. Different biomaterial coatings have been produced to release antibiotics to kill bacteria. However, antibiotic resistance occurs very frequently. Stimuli-responsive biomaterials have gained much attention in recent years ​but are not effective enough in killing the pathogens because of the complex mechanisms in bacteria. This review is focused on the development of highly efficient and specifically targeted biomaterials that release the antimicrobial agents or respond to bacteria on demands in body. The mechanisms of bacterial adhesion, biofilm formation, and antibiotic resistance are discussed, and the released substances accounting for implant infection are described. Strategies that have been used in past for the eradication of bacterial infections are also discussed. Different types of stimuli can be triggered only upon the existence of bacteria, leading to the release of antibacterial molecules that in turn kill the bacteria. In particular, the toxin-triggered, pH-responsive, and dual stimulus-responsive adaptive antibacterial biomaterials are introduced. Finally, the state of the art in fabrication of dual responsive antibacterial biomaterials and tissue integration in medical implants is discussed. Keywords: Biofilm, Antibiotic resistance, Tissue engineering, Antibacterial, Anti-foulingshttp://www.sciencedirect.com/science/article/pii/S2590006419300183
spellingShingle W. Ahmed
Z. Zhai
C. Gao
Adaptive antibacterial biomaterial surfaces and their applications
Materials Today Bio
title Adaptive antibacterial biomaterial surfaces and their applications
title_full Adaptive antibacterial biomaterial surfaces and their applications
title_fullStr Adaptive antibacterial biomaterial surfaces and their applications
title_full_unstemmed Adaptive antibacterial biomaterial surfaces and their applications
title_short Adaptive antibacterial biomaterial surfaces and their applications
title_sort adaptive antibacterial biomaterial surfaces and their applications
url http://www.sciencedirect.com/science/article/pii/S2590006419300183
work_keys_str_mv AT wahmed adaptiveantibacterialbiomaterialsurfacesandtheirapplications
AT zzhai adaptiveantibacterialbiomaterialsurfacesandtheirapplications
AT cgao adaptiveantibacterialbiomaterialsurfacesandtheirapplications