Abstract

The ability of bacteria to adhere to and form biofilms on implant surfaces is the primary cause of implant failure. Implant-associated infections are difficult to treat, as the biofilm mode of growth protects microorganisms from the host’s immune response and antibiotics. Therefore, modifications of implant surfaces that can prevent or delay bacterial adhesion and biofilm formation are highly desired. In addition, the attachment and spreading of bone cells are required for successful tissue integration in orthopedic and dental applications. We propose that polyanionic DNA with a negatively charged phosphate backbone could provide a dual function to repel bacterial adhesion and support host tissue cell attachment. To this end, we developed polyelectrolyte multilayer coatings using chitosan (CS) and DNA on biomaterial surfaces via a layer-by-layer technique. The assembly of these coatings was characterized. Further, we evaluated staphylococcal adhesion and biofilm growth on the coatings as well as cytotoxicity for osteoblast-like cells (SaOS-2 cells), and we correlated these to the layer structure. The CS-DNA multilayer coatings impaired the biofilm formation of Staphylococcus by ~90% on both PMMA and titanium surfaces. The presence of cationic CS as the top layer did not hinder the bacteria-repelling property of the DNA in the coating. The CS-DNA multilayer coatings demonstrated no cytotoxic effect on SaOS-2 cells. Thus, DNA polyelectrolyte multilayer coatings could reduce infection risk while promoting host tissue cell attachment on medical implants.

Highlights

  • Implant surgeries have grown in the past decades

  • Multilayer coatings on Poly(methyl methacrylate) (PMMA) or Ti surfaces were fabricated by the alternate adsorption of polycations (PEI or CS) and polyanions (PSS or DNA) through electrostatic interaction via the LbL technique

  • To confirm if the antifouling effect is solely from DNA or from CS, we investigated biofilm growth of S. aureus on PMMA surface coated with three bilayers of poly(ethylene imine) (PEI)-poly(styrene sulfonate) (PSS) and followed by CS as the top layer

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Summary

Introduction

Implant surgeries have grown in the past decades. Studies show a dramatic increase in the need for hip and knee primary or revision surgeries [1]. Almost 20% of implant failures are caused by IAI [2]. Biofilm formation involves different steps: the formation of the conditioning layer, the adherence of the bacteria, the secretion of extracellular polymeric substances, and three-dimensional matrix development followed by maturation and dispersion [4]. Aseptic loosening represents 18% of implant failures, which is caused by gaps at the prosthesis–bone interface, poor bone in-growth, or bone deposition on implant surfaces [2,5]. It is essential for orthopedic and dental implants to establish a robust implant–bone interface. Spread, proliferate, and differentiate for successful tissue integration [6,7]

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