Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline

Abstract Background Non-leaching antibacterial bone cement can generate long-term antibacterial activity, it cannot treat serious infections that have occurred like antibiotic-loaded bone cement. Currently, the antibacterial activity and biocompatibility of non-leaching cement when loaded with antib...

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Main Authors: Zhe Gao, Yang Xu, Yuchen Kan, Hailong Li, Rui Guo, Luyang Han, Wenhan Bu, Jianjun Chu
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04055-2
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author Zhe Gao
Yang Xu
Yuchen Kan
Hailong Li
Rui Guo
Luyang Han
Wenhan Bu
Jianjun Chu
author_facet Zhe Gao
Yang Xu
Yuchen Kan
Hailong Li
Rui Guo
Luyang Han
Wenhan Bu
Jianjun Chu
author_sort Zhe Gao
collection DOAJ
description Abstract Background Non-leaching antibacterial bone cement can generate long-term antibacterial activity, it cannot treat serious infections that have occurred like antibiotic-loaded bone cement. Currently, the antibacterial activity and biocompatibility of non-leaching cement when loaded with antibiotics have yet to be determined. Methods Non-leaching antibacterial nitrofuran bone cement (NFBC) specimens were prepared with low-dose and high-dose antibiotics. The antibacterial activity and biocompatibility of NFBC loaded with vancomycin, gentamicin, and tigecycline were compared. The agar diffusion method was employed to observe the inhibition zone of the samples against two bacterial strains from day one to day seven. The CCK-8 assay and acute liver and kidney toxicity test were conducted to assess the effects of the samples on mouse embryo osteoblast precursor cells and C57 mice, respectively. Results Gentamicin-loaded cement exhibited the most potent antibacterial activity, effectively inhibiting both bacterial strains at a low dose. Tigecycline-loaded cement demonstrated superior biocompatibility, showing no acute liver and kidney toxicity in mice and minimal cytotoxicity to osteoblasts. Conclusions NFBC loaded with gentamicin, vancomycin, and tigecycline not only maintains sustained antibacterial activity but also exhibits excellent biocompatibility.
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spelling doaj.art-8a7b5682d4cf4d31ae115e4c665b40ba2023-11-26T13:48:16ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811810.1186/s13018-023-04055-2Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecyclineZhe Gao0Yang Xu1Yuchen Kan2Hailong Li3Rui Guo4Luyang Han5Wenhan Bu6Jianjun Chu7Department of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of FuyangDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityDepartment of Orthopedics, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical UniversityAbstract Background Non-leaching antibacterial bone cement can generate long-term antibacterial activity, it cannot treat serious infections that have occurred like antibiotic-loaded bone cement. Currently, the antibacterial activity and biocompatibility of non-leaching cement when loaded with antibiotics have yet to be determined. Methods Non-leaching antibacterial nitrofuran bone cement (NFBC) specimens were prepared with low-dose and high-dose antibiotics. The antibacterial activity and biocompatibility of NFBC loaded with vancomycin, gentamicin, and tigecycline were compared. The agar diffusion method was employed to observe the inhibition zone of the samples against two bacterial strains from day one to day seven. The CCK-8 assay and acute liver and kidney toxicity test were conducted to assess the effects of the samples on mouse embryo osteoblast precursor cells and C57 mice, respectively. Results Gentamicin-loaded cement exhibited the most potent antibacterial activity, effectively inhibiting both bacterial strains at a low dose. Tigecycline-loaded cement demonstrated superior biocompatibility, showing no acute liver and kidney toxicity in mice and minimal cytotoxicity to osteoblasts. Conclusions NFBC loaded with gentamicin, vancomycin, and tigecycline not only maintains sustained antibacterial activity but also exhibits excellent biocompatibility.https://doi.org/10.1186/s13018-023-04055-2Non-leaching antibacterial bone cementAntibiotic-loaded bone cementVancomycinGentamicinTigecycline
spellingShingle Zhe Gao
Yang Xu
Yuchen Kan
Hailong Li
Rui Guo
Luyang Han
Wenhan Bu
Jianjun Chu
Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
Journal of Orthopaedic Surgery and Research
Non-leaching antibacterial bone cement
Antibiotic-loaded bone cement
Vancomycin
Gentamicin
Tigecycline
title Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
title_full Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
title_fullStr Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
title_full_unstemmed Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
title_short Comparison of antibacterial activity and biocompatibility of non-leaching nitrofuran bone cement loaded with vancomycin, gentamicin, and tigecycline
title_sort comparison of antibacterial activity and biocompatibility of non leaching nitrofuran bone cement loaded with vancomycin gentamicin and tigecycline
topic Non-leaching antibacterial bone cement
Antibiotic-loaded bone cement
Vancomycin
Gentamicin
Tigecycline
url https://doi.org/10.1186/s13018-023-04055-2
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