Antibiotic functionalised polymers reduce bacterial biofilm and bioburden in a simulated infection of the cornea

Biomater Sci. 2018 Jul 24;6(8):2101-2109. doi: 10.1039/c8bm00201k.

Abstract

Microbial keratitis can arise from penetrating injuries to the cornea. Corneal trauma promotes bacterial attachment and biofilm growth, which decrease the effectiveness of antimicrobials against microbial keratitis. Improved therapeutic efficacy can be achieved by reducing microbial burden prior to antimicrobial therapy. This paper assesses a highly-branched poly(N-isopropyl acrylamide) with vancomycin end groups (HB-PNIPAM-van), for reducing bacterial attachment and biofilm formation. The polymer lacked antimicrobial activity against Staphylococcus aureus, but significantly inhibited biofilm formation (p = 0.0008) on plastic. Furthermore, pre-incubation of S. aureus cells with HB-PNIPAM-van reduced cell attachment by 50% and application of HB-PNIPAM-van to infected ex vivo rabbit corneas caused a 1-log reduction in bacterial recovery, compared to controls (p = 0.002). In conclusion, HB-PNIPAM-van may be a useful adjunct to antimicrobial therapy in the treatment of corneal infections.

MeSH terms

  • Acrylic Resins / chemistry
  • Acrylic Resins / pharmacology*
  • Anti-Bacterial Agents / chemical synthesis
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology*
  • Biofilms / drug effects*
  • Cell Survival / drug effects
  • Cornea / drug effects*
  • Cornea / metabolism
  • Lasers
  • Microbial Sensitivity Tests
  • Particle Size
  • Reactive Oxygen Species / analysis
  • Reactive Oxygen Species / metabolism
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / metabolism
  • Staphylococcus aureus / cytology
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / metabolism
  • Surface Properties
  • Vancomycin / chemistry
  • Vancomycin / pharmacology*

Substances

  • Acrylic Resins
  • Anti-Bacterial Agents
  • Reactive Oxygen Species
  • poly-N-isopropylacrylamide
  • Vancomycin