Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections

Soft tissue infections in open fractures or burns are major cause for high morbidity in trauma patients. Sustained, long-term and localized delivery of antimicrobial agents is needed for early eradication of these infections. Traditional (topical or systemic) antibiotic delivery methods are associat...

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Main Authors: Ashwini Rahul Akkineni, Janina Spangenberg, Michael Geissler, Saskia Reichelt, Hubert Buechner, Anja Lode, Michael Gelinsky
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/12/2151
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author Ashwini Rahul Akkineni
Janina Spangenberg
Michael Geissler
Saskia Reichelt
Hubert Buechner
Anja Lode
Michael Gelinsky
author_facet Ashwini Rahul Akkineni
Janina Spangenberg
Michael Geissler
Saskia Reichelt
Hubert Buechner
Anja Lode
Michael Gelinsky
author_sort Ashwini Rahul Akkineni
collection DOAJ
description Soft tissue infections in open fractures or burns are major cause for high morbidity in trauma patients. Sustained, long-term and localized delivery of antimicrobial agents is needed for early eradication of these infections. Traditional (topical or systemic) antibiotic delivery methods are associated with a variety of problems, including their long-term unavailability and possible low local concentration. Novel approaches for antibiotic delivery via wound coverage/healing scaffolds are constantly being developed. Many of these approaches are associated with burst release and thus seldom maintain long-term inhibitory concentrations. Using 3D core/shell extrusion printing, scaffolds consisting of antibiotic depot (in the core composed of low concentrated biomaterial ink 3% alginate) surrounded by a denser biomaterial ink (shell) were fabricated. Denser biomaterial ink (composed of alginate and methylcellulose or alginate, methylcellulose and Laponite) retained scaffold shape and modulated antibiotic release kinetics. Release of antibiotics was observed over seven days, indicating sustained release characteristics and maintenance of potency. Inclusion of Laponite in shell, significantly reduced burst release of antibiotics. Additionally, the effect of shell thickness on release kinetics was demonstrated. Amalgamation of such a modular delivery system with other biofabrication methods could potentially open new strategies to simultaneously treat soft tissue infections and aid wound regeneration.
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spelling doaj.art-85582ec800ee49ce91e5d22fbdce6cd82023-11-23T10:06:35ZengMDPI AGPharmaceutics1999-49232021-12-011312215110.3390/pharmaceutics13122151Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue InfectionsAshwini Rahul Akkineni0Janina Spangenberg1Michael Geissler2Saskia Reichelt3Hubert Buechner4Anja Lode5Michael Gelinsky6Centre for Translational Bone, Joint and Soft Tissue Research, University Hospital Carl Gustav Carus, Faculty of Medicine of Technische Universität Dresden, 01307 Dresden, GermanyCentre for Translational Bone, Joint and Soft Tissue Research, University Hospital Carl Gustav Carus, Faculty of Medicine of Technische Universität Dresden, 01307 Dresden, GermanyCentre for Translational Bone, Joint and Soft Tissue Research, University Hospital Carl Gustav Carus, Faculty of Medicine of Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Natural Materials Technology, Technische Universität Dresden, 01069 Dresden, GermanyHeraeus Medical GmbH, 61273 Wehrheim, GermanyCentre for Translational Bone, Joint and Soft Tissue Research, University Hospital Carl Gustav Carus, Faculty of Medicine of Technische Universität Dresden, 01307 Dresden, GermanyCentre for Translational Bone, Joint and Soft Tissue Research, University Hospital Carl Gustav Carus, Faculty of Medicine of Technische Universität Dresden, 01307 Dresden, GermanySoft tissue infections in open fractures or burns are major cause for high morbidity in trauma patients. Sustained, long-term and localized delivery of antimicrobial agents is needed for early eradication of these infections. Traditional (topical or systemic) antibiotic delivery methods are associated with a variety of problems, including their long-term unavailability and possible low local concentration. Novel approaches for antibiotic delivery via wound coverage/healing scaffolds are constantly being developed. Many of these approaches are associated with burst release and thus seldom maintain long-term inhibitory concentrations. Using 3D core/shell extrusion printing, scaffolds consisting of antibiotic depot (in the core composed of low concentrated biomaterial ink 3% alginate) surrounded by a denser biomaterial ink (shell) were fabricated. Denser biomaterial ink (composed of alginate and methylcellulose or alginate, methylcellulose and Laponite) retained scaffold shape and modulated antibiotic release kinetics. Release of antibiotics was observed over seven days, indicating sustained release characteristics and maintenance of potency. Inclusion of Laponite in shell, significantly reduced burst release of antibiotics. Additionally, the effect of shell thickness on release kinetics was demonstrated. Amalgamation of such a modular delivery system with other biofabrication methods could potentially open new strategies to simultaneously treat soft tissue infections and aid wound regeneration.https://www.mdpi.com/1999-4923/13/12/21513D core/shell printingdrug deliveryantibioticshydrogelssoft tissue infection
spellingShingle Ashwini Rahul Akkineni
Janina Spangenberg
Michael Geissler
Saskia Reichelt
Hubert Buechner
Anja Lode
Michael Gelinsky
Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
Pharmaceutics
3D core/shell printing
drug delivery
antibiotics
hydrogels
soft tissue infection
title Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
title_full Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
title_fullStr Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
title_full_unstemmed Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
title_short Controlled and Local Delivery of Antibiotics by 3D Core/Shell Printed Hydrogel Scaffolds to Treat Soft Tissue Infections
title_sort controlled and local delivery of antibiotics by 3d core shell printed hydrogel scaffolds to treat soft tissue infections
topic 3D core/shell printing
drug delivery
antibiotics
hydrogels
soft tissue infection
url https://www.mdpi.com/1999-4923/13/12/2151
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