Dialdehyde Nanocrystalline Cellulose as Antibiotic Substitutes against Multidrug-Resistant Bacteria

A review of bio-based dialdehyde polysaccharides as multifunctional building blocks for biomedical and food science applications

Food science and biomedical engineering are key disciplines related to human health, with the development of functional materials being an important research direction in both fields. In recent years, dialdehyde polysaccharides (DAPs), as green biopolymers, have become increasingly important in functional materials within food science and biomedical engineering. This work systematically summarizes the sources and properties of various DAPs, introduces their preparation methods and common DAP-based functional biomaterials, including hydrogels, scaffolds, films, coatings, nanoparticles, and nanofibers. Importantly, this work also reviews DAP applications in functional materials for food science and biomedical engineering, such as drug delivery, wound dressings, tissue engineering, food packaging films/edible coatings, food emulsions, antibacterial nanoparticles, and enzyme immobilization. Finally, the work briefly discusses the biosafety of DAPs. To conclude, this study provides a toolkit for developing functional materials in these fields and offers important reference value regarding the broad application of DAPs.

Dual-Functional Antimicrobial and Low-Fouling Cellulose Coatings

Surfaces contaminated with pathogens raise significant concerns due to their potential role in increasing the risk of disease transmission and subsequent infection. Existing surface coatings face several challenges that undermine their effectiveness and their broader applicability. These include the impact of surface topography on pathogen adhesion, which leads to biofouling, high production costs, scalability issues, as well as environmental concerns stemming from the utilization of toxic antifoulants and biocides. Here, we report dual-functional surface coatings with intrinsic antimicrobial and low fouling properties that are synergistic. The coatings are a porous reactive cellulose fibers network with dialdehyde functionality that demonstrates high antibacterial and antiviral performance against Staphylococcus aureus, methicillin-resistant Staphylococcus aureus, Escherichia coli, and influenza A/H1N1 virus. Furthermore, we showed that the wettability of the coating significantly reduces the adhesion and colony formation of bacteria and their dead debris after inactivation by dialdehyde groups. The reactive cellulose fibers did not demonstrate any acute toxicity on L929 cells, which can meet the safe use of coating on the contact surfaces. The cellulose fibers coating derived from agricultural waste is cost-effective, eco-friendly, and highly scalable and is promising for use in packaging, household products, public facilities, and medical settings surfaces.

Antibacterial activity and multi-target mechanism of harmane against Escherichia coli O157:H7 and its application on ready-to-eat leafy greens

Escherichia coli O157:H7 has caused many foodborne disease outbreaks and resulted in unimaginable economic losses. With the evolution of food consumption, people prefer natural preservatives. In this study, the natural agent harmane exhibited potential activity against E. coli O157:H7 (MIC = 64 μg/mL). It exhibited bacteriostatic mode at 1 X and 2 X MIC treatment, and bactericidal mode at 4 X MIC treatment. Moreover, it showed good in vitro stability in sheep plasma, low in vitro hemolysis and no in vivo acute toxicity with LD50 > 50 mg/kg. Moreover, harmane significantly decreased the colony number of E. coli O157:H7 in fresh-cut lettuce samples after 5 days of storage without affecting appearance. The mechanism study elucidated that harmane significantly decomposed the mature biofilm by reducing exopolysaccharide contents, and killed the viable bacterial cells in biofilm. The cell wall was damaged by harmane via interacting with peptidoglycan. Fluorescent staining and intracellular macromolecular leakage assays showed that irreversible destruction to membrane permeability and integrity. When entering the cell, harmane could defeat the redox balance, suppress metabolic activity and target to ribosome. These findings not only revealed the application potential of harmane as new natural preservative, but also preliminarily elucidated the multi-target mechanism, providing a new strategy for controlling E. coli O157:H7 in the food industry.

Hemoadhican Fiber Composite with Carbon Dots for Treating Severe Hemorrhage and Infected Wounds

Uncontrolled bleeding and infection following trauma continue to pose significant clinical challenges. This study employs hemoadhican (HD) polysaccharide, known for its superior hemostatic properties, as the foundational material to synthesize antibacterial carbon dots (H-CDs) through a hydrothermal method at various temperatures. The H-CDs exhibiting optimal antimicrobial properties were identified via in vitro antimicrobial characterization. The selected H-CDs possess nanoscale dimensions and a positive surface charge. They contain aldehyde groups and generate reactive oxygen species, which effectively eliminate bacteria. Subsequently, H-CDs were integrated into HD fibers (CDs-HD fibers) using a wet-spinning technique. The water vapor transmission rate, blood contact angle, and in vitro antimicrobial efficacy were evaluated. In a rat model of severe femoral artery hemorrhage and a noncompressible hepatic hemorrhage model, CDs-HD fibers demonstrated superior hemostatic performance compared to the commercially available QuikClot Combat Gauze. Furthermore, in a rat model of mixed bacterial wound infection, CDs-HD fibers significantly enhanced epithelial tissue remodeling and collagen deposition. In vivo studies confirmed the excellent biocompatibility of CDs-HD fibers. These findings suggest that CDs-HD fibers hold promise as a potential dressing for managing severe bleeding and preventing wound infections.

Eco-friendly and flexible polysaccharide-based packaging films for fruit preservation

Food safety and wastage caused by fruit deterioration is a serious global problem. Effective packaging systems for extending the freshness period of fruit play a key role in food safety. In this work, we constructed an eco-friendly and flexible polysaccharide-based packaging film based on hydroxypropyl guar (HPG), cellulose nanocrystals (CNCs), deep eutectic solvents (DES) and anthocyanin (Anth). DES could endow polysaccharide films with multiple hydrogen bond numbers and good stability. Hydroxypropyl guar/cellulose nanocrystals/anthocyanin with 0.2 g deep eutectic solvents (HCA-DES0.2) had good tensile properties, oxygen barrier properties (3.01 cm3/m2·day·Pa), water resistance (WCA 111.97°), antibacterial (CFU ˂ 103), and transparency (55.4 %). The preservation tests of grape and blueberry showed that the shelf life of these two fruits was 12-20 days, and the polysaccharide film had great application potential in fruit preservation.

Periodate oxidation-mediated nanocelluloses: Preparation, functionalization, structural design, and applications

In recent years, the remarkable progress in nanotechnology has ignited considerable interest in investigating nanocelluloses, an environmentally friendly and sustainable nanomaterial derived from cellulosic feedstocks. Current research primarily focuses on the preparation and applications of nanocelluloses. However, to enhance the efficiency of nanofibrillation, reduce energy consumption, and expand nanocellulose applications, chemical pre-treatments of cellulose fibers have attracted substantial interest and extensive exploration. Various chemical pre-treatment methods yield nanocelluloses with diverse functional groups. Among these methods, periodate oxidation has garnered significant attention recently, due to the formation of dialdehyde cellulose derived nanocellulose, which exhibits great promise for further modification with various functional groups. This review seeks to provide a comprehensive and in-depth examination of periodate oxidation-mediated nanocelluloses (PONCs), including their preparation, functionalization, hierarchical structural design, and applications. We believe that PONCs stand as highly promising candidates for the development of novel nano-cellulosic materials.

Dialdehyde carbohydrates - Advanced functional materials for biomedical applications

Dialdehyde carbohydrates (DCs) have found applications in a wide range of biomedical field due to their great versatility, biocompatibility/biodegradability, biological properties, and controllable chemical/physical characteristics. The presence of dialdehyde groups in carbohydrate structure allows cross-linking of DCs to form versatile architectures serving as interesting matrices for biomedical applications (e.g., drug delivery, tissue engineering, and regenerative medicine). Recently, DCs have noticeably contributed to the development of diverse physical forms of advanced functional biomaterials i.e., bulk architectures (hydrogels, films/coatings, or scaffolds) and nano/-micro formulations. We underline here the current scientific knowledge on DCs, and demonstrate their potential and newly developed biomedical applications. Specifically, an update on the synthesis approach and functional/bioactive attributes is provided, and the selected in vitro/in vivo studies are reviewed comprehensively as examples of the latest progress in the field. Moreover, safety concerns, challenges, and perspectives towards the application of DCs are deliberated.

Nanocrystalline Cellulose Modulates Dysregulated Intestinal Barriers in Ulcerative Colitis

Ulcerative colitis (UC) is a recurrent chronic inflammation of the colon with increasing incidence and prevalence, which could increase the risk of colorectal cancer. It is urgent to find an effective method with few side effects. Nanocrystalline cellulose (NCC), which is from plant fibers, has a good biocompatibility and high biosafety. Herein, we used NCC to treat UC and evaluated its treatment effect by the disease activity index, intestinal pathology, inflammatory cytokines, tight junction proteins, and mucins. We studied the impact of NCC on mucin expression and gut microbiota to discuss the therapeutic mechanism. NCC can effectively treat UC by regulating the MAPK pathway of mucin 2 and the relative abundance of Akkermansia and Odoribacter, which could not cause the body damage. NCC could not cause body damage compared to the medications, while it had a better effect on the regulation of MUC2 compared to the present drug substitutes. NCC is a practical alternative for the treatment of UC.

Current advances of nanocellulose application in biomedical field

Nanocellulose (NC) is a natural fiber that can be extracted in fibrils or crystals form from different natural sources, including plants, bacteria, and algae. In recent years, nanocellulose has emerged as a sustainable biomaterial for various medicinal applications including drug delivery systems, wound healing, tissue engineering, and antimicrobial treatment due to its biocompatibility, low cytotoxicity, and exceptional water holding capacity for cell immobilization. Many antimicrobial products can be produced due to the chemical functionality of nanocellulose, such disposable antibacterial smart masks for healthcare use. This article discusses comprehensively three types of nanocellulose: cellulose nanocrystals (CNC), cellulose nanofibrils (CNF), and bacterial nanocellulose (BNC) in view of their structural and functional properties, extraction methods, and the distinctive biomedical applications based on the recently published work. On top of that, the biosafety profile and the future perspectives of nanocellulose-based biomaterials have been further discussed in this review.

New Weapons to Fight against Staphylococcus aureus Skin Infections

The treatment of Staphylococcus aureus skin and soft tissue infections faces several challenges, such as the increased incidence of antibiotic-resistant strains and the fact that the antibiotics available to treat methicillin-resistant S. aureus present low bioavailability, are not easily metabolized, and cause severe secondary effects. Moreover, besides the susceptibility pattern of the S. aureus isolates detected in vitro, during patient treatment, the antibiotics may never encounter the bacteria because S. aureus hides within biofilms or inside eukaryotic cells. In addition, vascular compromise as well as other comorbidities of the patient may impede proper arrival to the skin when the antibiotic is given parenterally. In this manuscript, we revise some of the more promising strategies to improve antibiotic sensitivity, bioavailability, and delivery, including the combination of antibiotics with bactericidal nanomaterials, chemical inhibitors, antisense oligonucleotides, and lytic enzymes, among others. In addition, alternative non-antibiotic-based experimental therapies, including the delivery of antimicrobial peptides, bioactive glass nanoparticles or nanocrystalline cellulose, phototherapies, and hyperthermia, are also reviewed.

Antimicrobial activity of nanocellulose composite hydrogel isolated from an agricultural waste

Infectious diseases and antimicrobial resistance have become one of the extreme health threats of this century. Overuse of antibiotics leads to pollution. To overcome this threat, the current strategy is to develop a substitute for these antibiotics that are extracted from natural sources. In this study, nanocellulose (NC) was isolated from an agricultural waste (wheat straw) and then oxidized with the help of sodium periodate to obtain dialdehyde nanocellulose (DA-NC). Then, chitosan (Ch) and DA-NC are both crosslinked with each other in different weight ratios, to obtain NC/Ch composite hydrogels. The resulted hydrogel is also characterized to confirm its structure, morphology and composition. The hydrogel was also tested for antimicrobial activities against bacteria, algae as well as fungal species to check its applicability for biomedical applications. The six microbes used for the ananlysis are Pseudomonas aeruginosa, Escherichia coli, Bacillus subtilis, Candida albicans, Aspergillus niger and Fusarium solani. The antimicrobial assessment of the hydrogel is evaluated via inhibition zone and optical density analysis. The resulted nanocellulose/chitosan (NC/Ch) hydrogel shows the uniform distribution of nanocellulose in the composite and the synergistic effect of their properties. Hydrogel serves excellent antimicrobial results which makes it a promising candidate for various biomedical applications.

Antibacterial Activity and Mechanism of Oxidized Bacterial Nanocellulose with Different Carboxyl Content

Oxidized bacterial nanocellulose (OBC) is reported to prevent microbial growth, but its antibacterial characteristics and mechanism are still unclear. Here, the antibacterial mechanism of OBC is explored by detecting and assessing the interaction of OBC with different carboxyl content on Staphylococcus aureus and Escherichia coli. The results show that OBC has strong antibacterial activity and antibiofilm activity against S. aureus and E. coli, which is positively correlated with the carboxyl content of OBC. After OBC treatment, the bacteria adhesion is inhibited and the cell membrane is destroyed leading to increased permeability. Further investigation reveals that the concentration of cyclic diguanosine monophosphate (c-di-GMP) that induced biofilm formation is significantly decreased to 1.81 pmol mg^-1 after OBC treatment. In addition, OBC inactivates mature biofilms, with inactivation rates up to 79.3%. This study suggests that OBC has excellent antibacterial and antiadhesion properties, which can increase the cell membrane permeability and inhibit c-di-GMP formation. In addition, OBC also has a strong inactivation effect on mature biofilm, which can be used as an effective antibiofilm agent.

Biomass-derived ultrafast cross-linked hydrogels with double dynamic bonds for hemostasis and wound healing

Developing novel hemostatic materials with accelerating wound healing functions has raised widespread attention recently. To adapt to irregular and incompressible wounds, we fabricated a series of biomass-derived ultrafast cross-linked adhesive hydrogels with adjustable gelation time and injectable properties through Schiff-base and ionic coordinate bonds among catechol-conjugated gelatin (GelDA), dialdehyde cellulose nanocrystals (DACNCs), calcium ions (Ca²⁺) and ferric iron (Fe³⁺). The fast-gelling hydrogels possess adjustable gelation time and mechanical properties by altering the contents of DACNCs and Fe³⁺. With double-dynamic-bond crosslinking, the hydrogels are endowed with the desired self-healing and injectable performance compared to gelatin-based hydrogels without DACNCs. Additionally, the hydrogels present enhanced adhesiveness, NIR responsiveness and antibacterial activity with the introduction of catechol groups and the formation of catechol-Fe complexes. Both in vitro and in vivo hemostatic assays and degradation experiments confirm that the hydrogels achieve rapid hemostasis and display fantastic biodegradability. As demonstrated by a rat full-thickness skin defect model, the hydrogels with multifunctionality remarkably accelerate the regeneration of wound tissues. Thus, the ultrafast cross-linked hydrogels are potentially valuable as hemostatic materials for wound healing applications in the biomedical field.

Mechanistic insights into nanoparticle surface-bacterial membrane interactions in overcoming antibiotic resistance

Antimicrobial Resistance (AMR) raises a serious concern as it contributes to the global mortality by 5 million deaths per year. The overall impact pertaining to significant membrane changes, through broad spectrum drugs have rendered the bacteria resistant over the years. The economic expenditure due to increasing drug resistance poses a global burden on healthcare community and must be dealt with immediate effect. Nanoparticles (NP) have demonstrated inherent therapeutic potential or can serve as nanocarriers of antibiotics against multidrug resistant (MDR) pathogens. These carriers can mask the antibiotics and help evade the resistance mechanism of the bacteria. The targeted delivery can be fine-tuned through surface functionalization of Nanocarriers using aptamers, antibodies etc. This review covers various molecular mechanisms acquired by resistant bacteria towards membrane modification. Mechanistic insight on 'NP surface-bacterial membrane' interactions are crucial in deciding the role of NP as therapeutic. Finally, we highlight the potential accessible membrane targets for designing smart surface-functionalized nanocarriers which can act as bacteria-targeted robots over the existing clinically available antibiotics. As the bacterial strains around us continue to evolve into resistant versions, nanomedicine can offer promising and alternative tools in overcoming AMR.

Antibacterial and degradation properties of dialdehyded and aminohexamethylated nanocelluloses

Dialdehyde cellulose nanofibrils (CNF) and nanocrystals (CNC) were prepared via periodate oxidation (CNF/CNC-ox) and subsequently functionalized with hexamethylenediamine (HMDA) via a Schiff-base reaction, resulting in partially crosslinked micro-sized (0.5-10 μm) particles (CNF/CNC-ox-HMDA) with an aggregation and sedimentation tendency in an aqueous media, as assessed by Dynamic Light Scattering and Scanning Electron Microscopy. The antibacterial efficacy, aquatic in vivo (to Daphnia magna) and human in vitro (to A594 lung cells) toxicities, and degradation profiles in composting soil of all forms of CNF/CNC were assessed to define their safety profile. CNF/CNC-ox-HMDA exhibited higher antibacterial activity than CNF/CNC-ox and higher against Gram-positive S. aureus than Gram-negative E. coli, yielding a bacteria reduction of >90 % after 24 h of exposure at the minimum (≤2 mg/mL), but potentially moderately/aquatic and low/human toxic concentrations (≥50 mg/L). The presence of anionic, un/protonated amino-hydrophobized groups in addition to unconjugated aldehydes of hydrodynamically smaller (<1 μm) CNC-ox-HMDA increased the reduction of both bacteria to log 9 at ≥4 mg/mL and their bactericidal activity. While only CNF/CNC-ox can be considered as biosafe and up to >80 % biodegradable within 24 weeks, this process was inhibited for the CNF/CNC-ox-HMDA. This indicated their different stability, application and disposal after use (composting vs. recycling).

Emodin Combined with Multiple-Low-Frequency, Low-Intensity Ultrasound To Relieve Osteomyelitis through Sonoantimicrobial Chemotherapy

Treatment of osteomyelitis is still challenging, as conventional antibiotic therapy is limited by the emergence of resistant strains and the formation of biofilms. Sonoantimicrobial chemotherapy (SACT) is a novel therapy of low-frequency and low-intensity ultrasound (LFLIU) combined with a sonosensitizer. Therefore, in our study, a sonosensitizer named emodin (EM) was proposed to be combined with LFLIU to relieve acute osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA) through antibacterial and antibiofilm effects. The efficiencies of different intensities of ultrasound, including single (S-LFLIU, 15 min) and multiple ultrasound (M-LFLIU, 3 times for 5 min at 4-h intervals), against bacteria and biofilms were compared, contributing to developing the best treatment regimen. Our results demonstrated that EM plus S-LFLIU or M-LFLIU (EM+S-LFLIU or EM+M-LFLIU) had significant combined bactericidal and antibiofilm effects, with EM+M-LFLIU in particular exhibiting superior antibiofilm performance. Furthermore, it was suggested that EM+M-LFLIU could produce a large amount of reactive oxygen species (ROS), destroy the integrity of the bacterial membrane and cell wall, and downregulate the expression of genes involved in oxidative stress, membrane wall synthesis, and bacterial virulence, as well as that of other related genes (agrB, pbp3, sgtB, gmk, zwf, and msrA). In vivo studies, micro-computed tomography (micro-CT), hematoxylin and eosin (H&E) staining, enzyme-linked immunosorbent assay (ELISA), and bacterial quantification of bone tissue indicated that EM+M-LFLIU could also relieve osteomyelitis due to MRSA infection. Our work proffers an original approach to bacterial osteomyelitis treatment that weakens drug-resistant bacteria and suppresses and degrades biofilm formation through SACT, which may provide new prospects for clinical treatment. IMPORTANCE Antibiotic therapy is the first choice for clinical treatment of osteomyelitis, but the formation of bacterial biofilms and the emergence of many drug-resistant strains also create an urgent need to find an alternative treatment to effectively eliminate the infection. Recently, LFLIU has come to be considered a safe and promising method of debridement and antibacterial therapy. In this study, we found that ultrasound and EM have a significant combined antibacterial effect in vivo and in vitro, which may play an antibacterial role by stimulating the production of ROS, destroying the bacterial cell wall, and inhibiting the expression of related genes. Our study expands the body of knowledge on the antibacterial effect of drugs-specifically emodin (EM)-through combined physiotherapy. If successfully integrated into clinical practice, these methods may reduce the burden of high concentrations of drugs needed to treat bacterial biofilms and avoid the growing resistance of bacteria to antibiotics.

Injectable self-healing hydrogel fabricated from antibacterial carbon dots and ɛ-polylysine for promoting bacteria-infected wound healing

Developing highly efficient pharmaceuticals to eradicate pathogens and facilitate wound healing is of great concern. Despite some cationic carbon dots (CDs) have been used for sterilization, hardly any anionic CDs with antimicrobial activity have appeared. In the present work, we engineered a string of anionic CDs (especially CD31) as valid broad-spectrum bactericides to kill bacteria. Furthermore, CD31 conjugated with ɛ-polylysine (Plys) to construct injectable, and self-healing hydrogel (CD-Plys) that possess the advantages of remarkable broad spectrum antibacterial activity, excellent wound healing ability and satisfied biocompatibility. CD-Plys could dramatically accelerate wound healing with epithelization and enhanced angiogenesis. Taken together, this work provides a two-pronged strategy to explore CDs-based antimicrobial agents for disease therapy and tissue engineering.

Advances in Nanostructures for Antimicrobial Therapy

Microbial infections caused by a variety of drug-resistant microorganisms are more common, but there are fewer and fewer approved new antimicrobial chemotherapeutics for systemic administration capable of acting against these resistant infectious pathogens. Formulation innovations of existing drugs are gaining prominence, while the application of nanotechnologies is a useful alternative for improving/increasing the effect of existing antimicrobial drugs. Nanomaterials represent one of the possible strategies to address this unfortunate situation. This review aims to summarize the most current results of nanoformulations of antibiotics and antibacterial active nanomaterials. Nanoformulations of antimicrobial peptides, synergistic combinations of antimicrobial-active agents with nitric oxide donors or combinations of small organic molecules or polymers with metals, metal oxides or metalloids are discussed as well. The mechanisms of actions of selected nanoformulations, including systems with magnetic, photothermal or photodynamic effects, are briefly described.

Development of antimicrobial oxidized cellulose film for active food packaging

Foodborne diseases caused by bacteria have aroused ongoing concerns for food safety. Most existing packaging plastics bring pollution and potential toxicity. Here antimicrobial dialdehyde cellophane (DACP) was developed by periodate oxidation. The structure, mechanical properties, optical properties, and barrier properties of DACP were characterized. The antimicrobial activity of DACP against four Gram-positive bacteria was studied. The packaging effect of DACP for food with high water content was evaluated, including strawberry and tofu. The antimicrobial activity of DACP improved with increased aldehyde content. Compared with the polyethylene film and cellophane, our DACP exhibited excellent antimicrobial effect and extended the shelf life of food significantly, which shows promising prospects in food packaging.

Sustainable Chitosan-Dialdehyde Cellulose Nanocrystal Film

In this study, we incorporated 2,3-dialdehyde nanocrystalline cellulose (DANC) into chitosan as a reinforcing agent and manufactured biodegradable films with enhanced gas barrier properties. DANC generated via periodate oxidation of cellulose nanocrystal (CNC) was blended at various concentrations with chitosan, and bionanocomposite films were prepared via casting and characterized systematically. The results showed that DANC developed Schiff based bond with chitosan that improved its properties significantly. The addition of DANC dramatically improved the gas barrier performance of the composite film, with water vapor permeability (WVP) value decreasing from 62.94 g·mm·m-2·atm-1·day-1 to 27.97 g·mm·m-2·atm-1·day-1 and oxygen permeability (OP) value decreasing from 0.14 cm3·mm·m-2·day-1·atm-1 to 0.026 cm3·mm·m-2·day-1·atm-1. Meanwhile, the maximum decomposition temperature (Tdmax) of the film increased from 286 °C to 354 °C, and the tensile strength of the film was increased from 23.60 MPa to 41.12 MPa when incorporating 25 wt.% of DANC. In addition, the chitosan/DANC (75/25, wt/wt) films exhibited superior thermal stability, gas barrier, and mechanical strength compared to the chitosan/CNC (75/25, wt/wt) film. These results confirm that the DANC and chitosan induced films with improved gas barrier, mechanical, and thermal properties for possible use in film packaging.