1. Medical titanium surface-modified coatings with antibacterial and anti-adhesive properties for the prevention of implant-associated infections.
- Author
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Huo, Dongliang, Wang, Fengqian, Yang, Fengjuan, Lin, Tongyao, Zhong, Qing, Deng, Sui-Ping, Zhang, Jingxian, Tan, Shaozao, and Huang, Langhuan
- Subjects
SURFACE coatings ,ADHESION ,INFECTION prevention ,METHICILLIN-resistant staphylococcus aureus ,COMPOSITE coating ,BACTERIAL adhesion ,TITANIUM - Abstract
• A nanocatalyst@superhydrophilic composite coating (CMP-Ti) was constructed on the medical titanium surface. • Nanocatalysts (CM NRs) on the CMP-Ti surface can induce ferroptosis-like death in drug-resistant bacteria. • CMP-Ti resists the initial adhesion of bacteria, thus preventing biofilm formation. • CMP-Ti can prevent multimodal implant-associated infections caused by drug-resistant bacteria. Implant-associated infections (IAIs) caused by drug-resistant bacteria remain a critical factor in the failure of implant procedures. Therefore, it is urgent to develop an effective anti-infection coating for implant surface modification to prevent IAIs. Herein, an antibacterial and anti-adhesive coating (CMP-Ti) constructed on the surface of titanium implants is reported, formed by the nanomaterial CeO 2 @Mn 3 O 4 NRs (CM NRs) with antibacterial activity and the superhydrophilic polymer polyethylene glycol (PEG). The nanocatalyst CM NRs on the surface of CMP-Ti induce ferroptosis-like death of bacteria by catalyzing the production of hydroxyl radical (•OH) and singlet oxygen (
1 O 2) and the consumption of glutathione (GSH). The superhydrophilic coating of CMP-Ti can effectively prevent adherence of drug-resistant bacteria and avoid biofilm formation. By combining the "active offense" antibacterial mechanism with the "passive defense" anti-adhesion mechanism, CMP-Ti can kill bacteria and inhibit biofilm formation. The results of in vivo studies showed that CMP-Ti effectively prevented implant-associated infections caused by Methicillin-resistant Staphylococcus aureus (MRSA), thus promoting tissue repair and osseointegration. Therefore, this multifunctional coating combining "active offense" and "passive defense" provides a promising way to prevent IAIs caused by drug-resistant bacteria and to promote tissue repair in the future. An antibacterial and anti-adhesive coating was prepared on the surface of a medical titanium implant. The composite coating can induce the ferroptosis-like death of drug-resistant bacteria and prevent biofilm formation, thus effectively preventing implant-associated infections caused by drugresistant bacteria. [Display omitted] [ABSTRACT FROM AUTHOR]- Published
- 2024
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