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ANTIBACTERIAL EFFECTIVENESS OF BIODEGRADABLE MEMBRANES CONTAINING TIGECYCLINE IN AN IN VIVO EXPERIMENT

https://doi.org/10.17802/2306-1278-2024-13-3S-110-119

Abstract

Highlights

Abdominal surgeries are complicated by an infectious process, the development of which significantly aggravates the underlying disease, lengthens the patient’s stay in the hospital, increases the cost of treatment, causes deaths and negatively affects the recovery time of operated patients. In order to prevent the formation of adhesions and the development of infection, it is promising to use anti-adhesion membranes that have their own antibacterial activity.

 

Aim. To study the antibacterial activity of biodegradable membranes containing tigecycline upon implantation into an infected wound in a laboratory animal model.

Methods. We used the following composition of biodegradable polymers for the manufacture of membranes: copolymer polylactide-co-glycolide (50:50) Mm 20-30 KDa and polylactide-co-glycolide (85:15). We dissolved the polymers were in 1,1,1,3,3,3-Hexafluoroisopropanol, and to impart antibacterial properties to the membrane, we added the antibiotic tigecycline to the membrane composition, and assessed the optimal concentration of the antibiotic. We prepared the membranes using electrospinning. To evaluate the antibacterial effectiveness of membranes when implanted into a wound infected with Staphylococcus aureus we used an animal model (rat).

Results. The prepared membranes containing tigecycline at a concentration of 0.5 mg/mL solution exerted maximum antibacterial effect. When implanted into an infected wound in laboratory animals, membranes containing tigecycline effectively suppressed the infectious process. By the 14th day of follow-up, we noted a complete healing of the wound, the absence of an inflammatory reaction, moreover we histologically confirmed an active infectious process.

Conclusion. Biodegradable polymer membranes containing tigecycline as an antibacterial component effectively suppress the infectious process in an animal experiment.

About the Authors

Yulia A. Kudryavtseva
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation

PhD, Leading Researcher, Department of Experimental Medicine, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation



Anastasia Yu. Kanonykina
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation

Junior Researcher, Laboratory of Molecular, Translational and Digital Medicine, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation



Natalia A. Efremova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation

Bacteriologist, Clinical Diagnostic Laboratory, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation



References

1. Weiser T.G., Haynes A. B., Molina G., Lipsitz S.R., Esquivel M.M., Uribe-Leitz T., Fu R., Azad T., Chao T.E., Berry W.R., Gawande A.A. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016; 94(3): 201–209F. doi: 10.2471/BLT.15.159293

2. Ten Broek R.P., Bakkum E.A., Laarhoven C.J., van Goor H. Epidemiology and prevention of postsurgical adhesions revisited. Ann Surg. 2016;263(1):12–19. doi: 10.1097/ SLA.0000000000001286

3. Markosyan S.A., Lysyakov N.M. Etiology, Pathogenesis and Prophylaxis of Adhesions in Abdominal Surgery, Novosti Khirurgii. 2018; 26 (6): 735-744. doi: 10.18484/2305-0047.2018.6.735 (In Russian)

4. Shishkova D.K., Nasonova M.V., Kudryavtseva Y.A. Etiology, pathogenesis and prevention of adhesive disease. Complex Issues of Cardiovascular Diseases. 2017;(3):143-149. doi:10.17802/2306-1278-2017-6-3-143-149 (In Russian)

5. Hassanabad A.F., Zarzycki A. N., Jeon K., Dundas J.A., Vasanthan V., Deniset J.F., Fedak P.W.M. Prevention of Post-Operative Adhesions: A Comprehensive Review of Present and Emerging Strategies. Biomolecules. 2021l; 11(7): 1027. doi: 10.3390/biom11071027

6. Mais V. Peritoneal adhesions after laparoscopic gastrointestinal surgery. World J Gastroenterol. 2014;20(17):4917-25. doi: 10.3748/wjg.v20.i17.4917

7. Andreev A.A., Ostroushko A.P., Sotnikovа E.S., Kiryanova D.V., Britikov V.N. Adhesive Disease of the Abdominal Cavity. Journal of experimental and clinical surgery 2017; 10: 4: 320-326. doi: 10.18499/2070-478X-2017-10-4-320-326. (In Russian)

8. Cannata A., Petrella D., Russo C.F., Bruschi G., Fratto P., Gambacorta M., Martinelli L. Postsurgical intrapericardial adhesions: mechanisms of formation and prevention. Ann Thorac Surg. 2013;95(5):1818-26. doi: 10.1016/j. athoracsur.2012.11.020.

9. Bockeria L.A., Sivtsev V.S. Postoperative pericardial adhesion: risk factors, pathogenesis and preventive methods Annaly khirurgii. 2014; 6: 7–15. (In Russian)

10. Popov D. A. Postoperative infectious complications in cardiac surgery. Annals of Surgery (Russia) 2013;5:15-21. (in Russian)

11. Cherniavskiĭ A.M., Tarkova A.R., Ruzmatov T.M., Morozov S.V., Grigor'ev I.A. Infections in cardiac surgery. Pirogov Russian Journal of Surgery. 2016;(5):64 68. doi:10.17116/hirurgia2016564-68 (In Russian)

12. Abakumov M.M. Diagnosis and treatment of suppurative mediastinitis — a special chapter in the history of surgery. Pirogov Russian Journal of Surgery. 2019;(3):105‑110. doi:10.17116/hirurgia2019031105 (In Russian)

13. Kolasiński W. Surgical site infections - review of current knowledge, methods of prevention. Pol Przegl Chir. 2018;91(4):41-47. doi: 10.5604/01.3001.0012.7253

14. Stepin AV. Etiology of the surgical site infection after open-heart surgery:single-center ten-year follow-up. RMJ. 2022;7:2-6. (in Russian)

15. Abdominal'naya khirurgicheskaya infektsiya: Rossiyskie natsional'nye rekomendatsii / BR Gel'fanda, AI Kirienko, NN Khachatryan, editors. 2nd ed. Мoscow: Meditsinskoe informatsionnoe agentstvo, 2018. (in Russian)

16. Aga E., Keinan-Boker L., Eithan A., Mais T., Rabinovich A., Nassar F. Surgical site infections after abdominal surgery: incidence and risk factors. A prospective cohort study. Infect Dis (Lond). 2015;47(11):761-767. doi:10.3109/23744235.2015.1055587

17. Khromova V.N. Postgospital'nye posleoperatsionnye oslozhneniya v abdominal'noy khirurgii. Izvestiya vysshikh uchebnykh zavedeniy.Povolzhskiy region. Meditsinskie nauki. 2011;2(18):128-135. (in Russian)

18. Rybakov K.D., Sednev G.S., Morozov A.M., Ryzhova T.S., Minakova Yu.Ye. Prevention of the formation of adhesions in the abdominal cavity (literature review).Journal of New Medical Technologies. 2022;1:22-28. doi: 10.24412/1609- 2163-2022-1-22-28. (In Russian)

19. Brochhausen C., Schmitt V.H., Planck C.N., Rajab T.K., Hollemann D., Tapprich C., Krämer B., Wallwiener C., Hierlemann H., Zehbe R., Planck H., Kirkpatrick C.J. Current strategies and future perspectives for intraperitoneal adhesion prevention. J Gastrointest Surg 2012; 16(6): 1256–1274. doi: 10.1007/s11605-011-1819-9

20. Head W.T., Paladugu N., Kwon J.H., Gerry B., Hill M.A., Brennan E.A., Kavarana M.N., Rajab T.K. Adhesion barriers in cardiac surgery: A systematic review of efficacy. J Card Surg. 2022;37(1):176-185. doi: 10.1111/jocs.16062.

21. Kuznetsova M.V., Kuznetsova M.P., Afanasyevskaya E.V., Samartsev V.A. Experimental Grounds for Using Collagen-Based Anti-Adhesion Barrier Coated with Biocides for Prevention of Abdominal Surgical Infection. Sovremennye tehnologii v medicine 2018; 10(2): 66-75. doi:10.17691/ stm2018.10.2.07 (In Russian)

22. Fujita M., Policastro G.M., Burdick A., Lam H.T., Ungerleider J.L., Braden R.L., Huang D., Osborn K.G., Omens J.H., Madani M.M., Christman K.L. Preventing postsurgical cardiac adhesions with a catechol-functionalized oxime hydrogel. Nat Commun. 2021;12(1):3764. doi: 10.1038/ s41467-021-24104-w.

23. Samartsev VA, Kuznetsova MV, Gavrilov VA, Kuznetsova MP, Parshakov AA. Anticommissural barriers in abdominal surgery: up-todate state of problem. Perm medical journal. 2017;ХХХIV(2):87-93.(in Russian)

24. Kudryavtseva Yu.A., Kanonykina A.Yu., Shishkova D.K., Efremova N.A., Onishchenko P.S., Barbarash L.S. Biodegradable anti-adhesive membranes with antibacterial properties for use in surgery. Complex Issues of Cardiovascular Diseases. 2023;12(4S): 80-89. doi: 10.17802/2306-1278-2023-12-4S-80-89 (In Ruassian)

25. Profilaktika infekcij oblasti hirurgicheskogo vmeshatel'stva. Klinicheskie rekomendacii. NizhnyNovgorod: Izd-vo «Remedium Privolzh'e»;2018. (In Russian)

26. Кudryavtseva Yu.A., Kanonykina A.Yu., Efremova N.A., Koshelev V.A. Biocompatibility and features of degradation of polymer anti-adjection membranes with antibacterial activity. Fundamental and Clinical Medicine. (In Russ.). 2023;8(4): 54-64. doi:10.23946/2500-0764-2023-8-4-54-64 (In Russian)

27. Gumenyuk S.E., Gaivoronskaya T.V., Gumenyuk A.S., Ushmarov D.I., Isyanova D.R. Simulation of wound process in experimental surgery. Kuban Scientific Medical Bulletin. 2019;26(2):18-25. doi:10.25207/1608-6228-2019-26-2-18-25 (In Russian)

28. Smolentsev D.V., Lukina Yu.S., Bionyshev-Abramov L.L., Serezhnikova N.B., Vasiliev M.G., Senyagin A.N., Pkhakadze T.Ya. Models for purulent septic inflammation of the tibia in rats to assess the effect of bioresorbable materials with antimicrobial drugs. Genij Ortopedii. 2023;29(2):190-203. doi:10.18019/1028-4427-2023-29-2-190-203. (In Russian)


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Review

For citations:


Kudryavtseva Yu.A., Kanonykina A.Yu., Efremova N.A. ANTIBACTERIAL EFFECTIVENESS OF BIODEGRADABLE MEMBRANES CONTAINING TIGECYCLINE IN AN IN VIVO EXPERIMENT. Complex Issues of Cardiovascular Diseases. 2024;13(3S):110-119. (In Russ.) https://doi.org/10.17802/2306-1278-2024-13-3S-110-119

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