Biofilm Microenvironment Activated Antibiotic Adjuvant for Implant-Associated Infections by Systematic Iron Metabolism Interference

© 2024 The Authors. Advanced Science published by Wiley-VCH GmbH..

Hematoma, a risk factor of implant-associated infections (IAIs), creates a Fe-rich environment following implantation, which proliferates the growth of pathogenic bacteria. Fe metabolism is a major vulnerability for pathogens and is crucial for several fundamental physiological processes. Herein, a deferiprone (DFP)-loaded layered double hydroxide (LDH)-based nanomedicine (DFPGa-LDH) that targets the Fe-rich environments of IAIs is reported. In response to acidic changes at the infection site, DFP@Ga-LDH systematically interferes with bacterial Fe metabolism via the substitution of Ga3+ and Fe scavenging by DFP. DFP@Ga-LDH effectively reverses the Fe/Ga ratio in Pseudomonas aeruginosa, causing comprehensive interference in various Fe-associated targets, including transcription and substance metabolism. In addition to its favorable antibacterial properties, DFP@Ga-LDH functions as a nano-adjuvant capable of delaying the emergence of antibiotic resistance. Accordingly, DFP@Ga-LDH is loaded with a siderophore antibiotic (cefiderocol, Cefi) to achieve the antibacterial nanodrug DFP@Ga-LDH-Cefi. Antimicrobial and biosafety efficacies of DFP@Ga-LDH-Cefi are validated using ex vivo human skin and mouse IAI models. The pivotal role of the hematoma-created Fe-rich environment of IAIs is highlighted, and a nanoplatform that efficiently interferes with bacterial Fe metabolism is developed. The findings of the study provide promising guidance for future research on the exploration of nano-adjuvants as antibacterial agents.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Advanced science (Weinheim, Baden-Wurttemberg, Germany) - (2024) vom: 26. Feb., Seite e2400862

Sprache:

Englisch

Beteiligte Personen:

Ding, Jianing [VerfasserIn]
Wang, Xin [VerfasserIn]
Liu, Wei [VerfasserIn]
Ding, Cheng [VerfasserIn]
Wu, Jianrong [VerfasserIn]
He, Renke [VerfasserIn]
Zhang, Xianlong [VerfasserIn]

Links:

Volltext

Themen:

Antibiotic adjuvant
Biofilm
Implant-associated infection
Iron metabolism interference
Journal Article

Anmerkungen:

Date Revised 26.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1002/advs.202400862

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368981053