Novel electrospun fibers with incorporated commensal bacteria for potential preventive treatment of the diabetic foot

Nanomedicine (Lond). 2018 Jul;13(13):1583-1594. doi: 10.2217/nnm-2018-0014.

Abstract

Aim: A novel electrospun biocompatible nanofibrous material loaded with commensal bacteria for potential preventive treatment of the diabetic foot was developed.

Materials & methods: Two biocompatible polymers (carboxymethylcellulose and polyethylene oxide) were combined with a bacterium isolate from the skin located between the toes of a healthy adult (identified using a matrix-assisted laser desorption/ionization mass spectrometry-based method as a strain of Staphylococcus epidermidis). Higher bacteria loads in the material were assured through their encapsulation in polyethylenimine. The nanofibrous material was characterized using scanning electron microscopy, zeta-potential measurements and through evaluation of cell growth and viability.

Results & discussion: nanometer formation was confirmed using scanning electron microscopy, while the zeta-potential measurements revealed successful bacteria encapsulation. Viable and sufficiently growing cells were confirmed prior and after their incorporation.

Conclusion: The prepared materials were proven suitable to deliver viable commensal bacteria in a comparable share to the Staphylococcaceae in the foot microbiome making this approach promising for preventive diabetic foot treatment.

Keywords: cell electrospinning; commensal bacteria; controlled release; diabetic foot; prophylactic/preventive treatment; release kinetics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biocompatible Materials / administration & dosage
  • Biocompatible Materials / chemistry
  • Carboxymethylcellulose Sodium / administration & dosage
  • Carboxymethylcellulose Sodium / chemistry
  • Diabetic Foot / drug therapy*
  • Diabetic Foot / microbiology
  • Diabetic Foot / pathology
  • Humans
  • Microbiota / drug effects
  • Microscopy, Electron, Scanning
  • Nanofibers / administration & dosage*
  • Nanofibers / chemistry
  • Nanofibers / microbiology
  • Polyethylene Glycols / chemistry
  • Polyethylene Glycols / pharmacology
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
  • Staphylococcus epidermidis / chemistry
  • Staphylococcus epidermidis / growth & development*
  • Staphylococcus epidermidis / ultrastructure
  • Symbiosis*

Substances

  • Biocompatible Materials
  • Polyethylene Glycols
  • Carboxymethylcellulose Sodium