An Infection-Responsive Approach To Reduce Bacterial Adhesion in Urinary Biomaterials

详细信息    查看全文

• 作者：Colin P. McCoy ; Nicola J. Irwin ; Christopher Brady ; David S. Jones ; Louise Carson ; Gavin P. Andrews ; Sean P. Gorman
• 刊名：Molecular Pharmaceutics
• 出版年：2016
• 出版时间：August 1, 2016
• 年：2016
• 卷：13
• 期：8
• 页码：2817-2822
• 全文大小：270K
• 年卷期：0
• ISSN：1543-8392

文摘

Infection is an inevitable consequence of chronic urinary catheterization with associated problems of recurrent catheter encrustation and blockage experienced by approximately 50% of all long-term catheterized patients. In this work, we have exploited, for the first time, the reported pathogen-induced elevation of urine pH as a trigger for “intelligent” antimicrobial release from novel hydrogel drug delivery systems of 2-hydroxyethyl methacrylate and vinyl-functionalized nalidixic acid derivatives, developed as candidate infection-resistant urinary catheter coatings. Demonstrating up to 20-fold faster rates of drug release at pH 10, representing infected urine pH, than at pH 7 and achieving reductions of up to 96.5% in in vitro bacterial adherence, our paradigm of pH-responsive drug delivery, which requires no external manipulation, therefore represents a promising development toward the prevention of catheter-associated urinary tract infections in vivo.