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Novello E, Scalzo G, D’Agata G, Raucci MG, Ambrosio L, Soriente A, Tomasello B, Restuccia C, Parafati L, Consoli GML, Ferreri L, Rescifina A, Zagni C, Zampino DC. Synthesis, Characterisation, and In Vitro Evaluation of Biocompatibility, Antibacterial and Antitumor Activity of Imidazolium Ionic Liquids. Pharmaceutics 2024; 16:642. [PMID: 38794304 PMCID: PMC11125126 DOI: 10.3390/pharmaceutics16050642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Revised: 04/30/2024] [Accepted: 05/06/2024] [Indexed: 05/26/2024] Open
Abstract
In recent decades, ionic liquids (ILs) have garnered research interest for their noteworthy properties, such as thermal stability, low or no flammability, and negligible vapour pressure. Moreover, their tunability offers limitless opportunities to design ILs with properties suitable for applications in many industrial fields. This study aims to synthetise two series of methylimidazolium ILs bearing long alkyl chain in their cations (C9, C10, C12, C14, C16, C18, C20) and with tetrafluoroborate (BF4) and the 1,3-dimethyl-5-sulfoisophthalate (DMSIP) as counter ions. The ILs were characterised using 1H-NMR and MALDI-TOF, and their thermal behaviour was investigated through DSC and TGA. Additionally, the antimicrobial, anticancer, and cytotoxic activities of the ILs were analysed. Moreover, the most promising ILs were incorporated at different concentrations (0.5, 1, 5 wt%) into polyvinyl chloride (PVC) by solvent casting to obtain antimicrobial blend films. The thermal properties and stability of the resulting PVC/IL films, along with their hydrophobicity/hydrophilicity, IL surface distribution, and release, were studied using DSC and TGA, contact angle (CA), SEM, and UV-vis spectrometry, respectively. Furthermore, the antimicrobial and cytotoxic properties of blends were analysed. The in vitro results demonstrated that the antimicrobial and antitumor activities of pure ILs against t Listeria monocytogenes, Escherichia coli, Pseudomonas fluorescens strains, and the breast cancer cell line (MCF7), respectively, were mainly dependent on their structure. These activities were higher in the series containing the BF4 anion and increased with the increase in the methylimidazolium cation alkyl chain length. However, the elongation of the alkyl chain beyond C16 induced a decrease in antimicrobial activity, indicating a cut-off effect. A similar trend was also observed in terms of in vitro biocompatibility. The loading of both the series of ILs into the PVC matrix did not affect the thermal stability of PVC blend films. However, their Tonset decreased with increased IL concentration and alkyl chain length. Similarly, both the series of PVC/IL films became more hydrophilic with increasing IL concentration and alkyl chain. The loading of ILs at 5% concentration led to considerable IL accumulation on the blend film surfaces (as observed in SEM images) and, subsequently, their higher release. The biocompatibility assessment with healthy human dermal fibroblast (HDF) cells and the investigation of antitumoral properties unveiled promising pharmacological characteristics. These findings provide strong support for the potential utilisation of ILs in biomedical applications, especially in the context of cancer therapy and as antibacterial agents to address the challenge of antibiotic resistance. Furthermore, the unique properties of the PVC/IL films make them versatile materials for advancing healthcare technologies, from drug delivery to tissue engineering and antimicrobial coatings to diagnostic devices.
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Affiliation(s)
- Elisabetta Novello
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy; (E.N.); (G.S.); (G.D.); (D.C.Z.)
| | - Giuseppina Scalzo
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy; (E.N.); (G.S.); (G.D.); (D.C.Z.)
| | - Giovanni D’Agata
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy; (E.N.); (G.S.); (G.D.); (D.C.Z.)
| | - Maria G. Raucci
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Napoli, Viale J.F. Kennedy n.54, Pad.20, 80125 Napoli, Italy; (L.A.); (A.S.)
| | - Luigi Ambrosio
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Napoli, Viale J.F. Kennedy n.54, Pad.20, 80125 Napoli, Italy; (L.A.); (A.S.)
| | - Alessandra Soriente
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Napoli, Viale J.F. Kennedy n.54, Pad.20, 80125 Napoli, Italy; (L.A.); (A.S.)
| | - Barbara Tomasello
- Department of Drug and Health Sciences, University of Catania, Viale A. Doria 6, 95125 Catania, Italy; (B.T.); (A.R.)
| | - Cristina Restuccia
- Department of Agriculture, Food and Environment, University of Catania, Via Santa Sofia 100, 95123 Catania, Italy; (C.R.); (L.P.)
| | - Lucia Parafati
- Department of Agriculture, Food and Environment, University of Catania, Via Santa Sofia 100, 95123 Catania, Italy; (C.R.); (L.P.)
| | - Grazia M. L. Consoli
- Institute of Biomolecular Chemistry (ICB)-CNR, via Paolo Gaifami 18, 95126 Catania, Italy; (G.M.L.C.); (L.F.)
| | - Loredana Ferreri
- Institute of Biomolecular Chemistry (ICB)-CNR, via Paolo Gaifami 18, 95126 Catania, Italy; (G.M.L.C.); (L.F.)
| | - Antonio Rescifina
- Department of Drug and Health Sciences, University of Catania, Viale A. Doria 6, 95125 Catania, Italy; (B.T.); (A.R.)
| | - Chiara Zagni
- Department of Drug and Health Sciences, University of Catania, Viale A. Doria 6, 95125 Catania, Italy; (B.T.); (A.R.)
| | - Daniela C. Zampino
- Institute of Polymers, Composites and Biomaterials (IPCB)—CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy; (E.N.); (G.S.); (G.D.); (D.C.Z.)
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Zampino DC, Clarizia G, Bernardo P. Temperature Responsive Copolymers Films of Polyether and Bio-Based Polyamide Loaded with Imidazolium Ionic Liquids for Smart Packaging Applications. Polymers (Basel) 2023; 15:polym15051147. [PMID: 36904387 PMCID: PMC10006900 DOI: 10.3390/polym15051147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/13/2023] [Accepted: 02/22/2023] [Indexed: 03/03/2023] Open
Abstract
Temperature-responsive materials are highly interesting for temperature-triggered applications such as drug delivery and smart packaging. Imidazolium Ionic Liquids (ILs), with a long side chain on the cation and a melting temperature of around 50 °C, were synthetized and loaded at moderate amounts (up to 20 wt%) within copolymers of polyether and a bio-based polyamide via solution casting. The resulting films were analyzed to assess their structural and thermal properties, and the gas permeation changes due to their temperature-responsive behavior. The splitting of FT-IR signals is evident, and, in the thermal analysis, a shift in the glass transition temperature (Tg) for the soft block in the host matrix towards higher values upon the addition of both ILs is also observed. The composite films show a temperature-dependent permeation with a step change corresponding to the solid-liquid phase change in the ILs. Thus, the prepared polymer gel/ILs composite membranes provide the possibility of modulating the transport properties of the polymer matrix simply by playing with temperature. The permeation of all the investigated gases obeys an Arrhenius-type law. A specific permeation behavior, depending on the heating-cooling cycle sequence, can be observed for carbon dioxide. The obtained results indicate the potential interest of the developed nanocomposites as CO2 valves for smart packaging applications.
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Affiliation(s)
- Daniela C. Zampino
- Institute of Polymers, Composites and Biomaterials (IPCB-CNR), Via P. Gaifami 18, 95126 Catania, Italy
| | - Gabriele Clarizia
- Institute on Membrane Technology (ITM-CNR), Via P. Bucci 17/C, 87036 Rende, Italy
- Correspondence:
| | - Paola Bernardo
- Institute on Membrane Technology (ITM-CNR), Via P. Bucci 17/C, 87036 Rende, Italy
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Zampino DC, Samperi F, Mancuso M, Ferreri T, Ferreri L, Dattilo S, Mirabella EF, Carbone DC, Recca G, Scamporrino AA, Novello E, Puglisi C. Polymer Blends Based on 1-Hexadecyl-3-methyl Imidazolium 1,3-Dimethyl 5-Sulfoisophthalate Ionic Liquid: Thermo-Mechanical, Surface Morphology and Antibacterial Properties. Polymers (Basel) 2023; 15:polym15040970. [PMID: 36850254 PMCID: PMC9965557 DOI: 10.3390/polym15040970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/12/2023] [Accepted: 02/13/2023] [Indexed: 02/18/2023] Open
Abstract
In this study, antibacterial polymer blends based on Polyvinyl Chloride (PVC) and Polystyrene-Ethylene-Butylene-Styrene (SEBS), loaded with the ionic liquid (IL) 1-hexadecyl-3-methyl imidazolium 1,3-dimethyl 5-sulfoisophthalate (HdmimDMSIP) at three different concentrations (1%, 5%, and 10%), were produced. The IL/blends were characterized by their thermo-mechanical properties, surface morphology, and wettability. IL release from the blends was also evaluated. The agar diffusion method was used to test the antibacterial activity of the blends against Staphylococcus epidermidis and Escherichia coli. Results from thermal analyses showed compatibility between the IL and the PVC matrix, while phase separation in the SEBS/IL blends was observed. These results were confirmed using PY-GC MS data. SEM analyses highlighted abundant IL deposition on PVC blend film surfaces containing the IL at 5-10% concentrations, whereas the SEBS blend film surfaces showed irregular structures similar to islands of different sizes. Data on water contact angle proved that the loading of the IL into both polymer matrices induced higher wettability of the blends' surfaces, mostly in the SEBS films. The mechanical analyses evidenced a lowering of Young's Modulus, Tensile Stress, and Strain at Break in the SEBS blends, according to IL concentration. The PVC/IL blends showed a similar trend, but with an increase in the Strain at Break as IL concentration in the blends increased. Both PVC/IL and SEBS/IL blends displayed the best performance against Staphylococcus epidermidis, being active at low concentration (1%), whereas the antimicrobial activity against Escherichia coli was lower than that of S. epidermidis. Release data highlighted an IL dose-dependent release. These results are promising for a versatile use of these antimicrobial polymers in a variety of fields.
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Affiliation(s)
- Daniela C. Zampino
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
- Correspondence: (D.C.Z.); (F.S.)
| | - Filippo Samperi
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
- Correspondence: (D.C.Z.); (F.S.)
| | - Monique Mancuso
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR, Section of Messina, Spianata San Raineri, 86, 98122 Messina, Italy
- Department of Integrative Marine Ecology, Stazione Zoologica “Anton Dohrn”, Sicily Marine Centre, Contrada Porticatello, 29, 98167 Messina, Italy
| | - Tiziana Ferreri
- Institute of Biomolecular Chemistry (ICB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Loredana Ferreri
- Institute of Biomolecular Chemistry (ICB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Sandro Dattilo
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Emanuele F. Mirabella
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Domenico C. Carbone
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Giuseppe Recca
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Andrea A. Scamporrino
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Elisabetta Novello
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
| | - Concetto Puglisi
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami, 18, 95126 Catania, Italy
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Clarizia G, Bernardo P. Polyether Block Amide as Host Matrix for Nanocomposite Membranes Applied to Different Sensitive Fields. MEMBRANES 2022; 12:membranes12111096. [PMID: 36363651 PMCID: PMC9693152 DOI: 10.3390/membranes12111096] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/26/2022] [Accepted: 10/27/2022] [Indexed: 05/31/2023]
Abstract
The cornerstones of sustainable development require the treatment of wastes or contaminated streams allowing the separation and recycling of useful substances by a more rational use of energy sources. Separation technologies play a prominent role, especially when conducted by inherently environmentally friendly systems such as membrane operations. However, high-performance materials are more and more needed to improve the separative performance of polymeric materials nanocomposites are ideally suited to develop advanced membranes by combining organic polymers with suitable fillers having superior properties. In this area, polyether block amide copolymers (Pebax) are increasingly adopted as host matrices due to their distinctive properties in terms of being lightweight and easy to process, having good resistance to most chemicals, flexibility and high strength. In this light, the present review seeks to provide a comprehensive examination of the progress in the development of Pebax-based nanocomposite films for their application in several sensitive fields, that are challenging and at the same time attractive, including olefin/paraffin separation, pervaporation, water treatment, flexible films for electronics, electromagnetic shielding, antimicrobial surfaces, wound dressing and self-venting packaging. It covers a wide range of materials used as fillers and analyzes the properties of the derived nanocomposites and their performance. The general principles from the choice of the material to the approaches for the heterogeneous phase compatibilization as well as for the performance improvement were also surveyed. From a detailed analysis of the current studies, the most effective strategies to overcome some intrinsic limitations of these nanocomposites are highlighted, providing guidelines for the correlated research.
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Fang Z, Zheng X, Li L, Qi J, Wu W, Lu Y. Ionic Liquids: Emerging Antimicrobial Agents. Pharm Res 2022; 39:2391-2404. [PMID: 35879499 DOI: 10.1007/s11095-022-03336-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 07/05/2022] [Indexed: 11/24/2022]
Abstract
Antimicrobial resistance has become a serious threat to global health. New antimicrobials are thus urgently needed. Ionic liquids (ILs), salts consisting of organic cations and anions with melting points less than 100°C, have been recently found to be promising in antimicrobial field as they may disrupt the bacterial wall and membrane and consequently lead to cell leakage and death. Different types of antimicrobial ILs are introduced in the review, including cationic, polymeric, and anionic ILs. Being the main type of the antimicrobial ILs, the review focuses on the structure and the antimicrobial mechanisms of cationic ILs. The quantitative structure-activity relationship (QSAR) models of the cationic ILs are also included. Increase in alkyl chain length and lipophilicity is beneficial to increase the antimicrobial effects of cationic ILs. Polymeric ILs are homopolymers of monomer ILs or copolymers of ILs and other monomers. They have great potential in the field of antibiotics as they provide stronger antimicrobial effects than the sum of the monomer ILs. Anionic ILs are composed of existing anionic antibiotics and organic cations, being capable to enhance the solubility and bioavailability of the original form. Nonetheless, the medical application of antimicrobial ILs is limited by the toxicity. The structural optimization aided by QSAR model and combination with existing antibiotics may provide a solution to this problem and expand the application range of ILs in antimicrobial field.
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Affiliation(s)
- Zhezheng Fang
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China
| | - Xianzi Zheng
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China
| | - Lu Li
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China
| | - Jianping Qi
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China
| | - Wei Wu
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China
| | - Yi Lu
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai, 201203, China.
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Gonçalves AR, Paredes X, Cristino AF, Santos FJ, Queirós CS. Ionic Liquids-A Review of Their Toxicity to Living Organisms. Int J Mol Sci 2021; 22:5612. [PMID: 34070636 PMCID: PMC8198260 DOI: 10.3390/ijms22115612] [Citation(s) in RCA: 63] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/21/2021] [Accepted: 05/21/2021] [Indexed: 12/19/2022] Open
Abstract
Ionic liquids (ILs) were initially hailed as a green alternative to traditional solvents because of their almost non-existent vapor pressure as ecological replacement of most common volatile solvents in industrial processes for their damaging effects on the environment. It is common knowledge that they are not as green as desired, and more thought must be put into the biological consequences of their industrial use. Still, compared to the amount of research studying their physicochemical properties and potential applications in different areas, there is a scarcity of scientific papers regarding how these substances interact with different organisms. The intent of this review was to compile the information published in this area since 2015 to allow the reader to better understand how, for example, bacteria, plants, fish, etc., react to the presence of this family of liquids. In general, lipophilicity is one of the main drivers of toxicity and thus the type of cation. The anion tends to play a minor (but not negligible) role, but more research is needed since, owing to the very nature of ILs, except for the most common ones (imidazolium and ammonium-based), many of them are subject to only one or two articles.
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Affiliation(s)
| | | | | | | | - Carla S.G.P. Queirós
- Centro de Química Estrutural, Faculdade de Ciências, Universidade de Lisboa, 1749-016 Lisbon, Portugal; (A.R.P.G.); (X.P.); (A.F.C.); (F.J.V.S.)
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Zampino D, Mancuso M, Zaccone R, Ferreri T, Borzacchiello A, Zeppetelli S, Dattilo S, Ussia M, Ferreri L, Carbone DC, Recca G, Puglisi C. Thermo-mechanical, antimicrobial and biocompatible properties of PVC blends based on imidazolium ionic liquids. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2021; 122:111920. [PMID: 33641913 DOI: 10.1016/j.msec.2021.111920] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 01/21/2021] [Accepted: 01/26/2021] [Indexed: 10/22/2022]
Abstract
The aim of this study was the development of antimicrobial polyvinylchloride (PVC) blends loaded with 0.1-10% (w/w) of the ILs 1-hexadecyl-3-methylimidazolium 1,3-dimethyl 5-sulfoisophthalate (HdmimDMSIP) and 1-octyloximethyl-3-methylimidazolium hexafluorophosphate (OOMmimPF6). The synthetized ILs were characterized by 1HNMR, MALDI-TOF, DSC and TGA. PVC/ILs films were obtained by solvent casting.Thermal and mechanical properties (tensile stress TS and elongation at break EB), morphology by SEM, surface wettability, antimicrobial activity, cytotoxicity and ILs release in sterile water from PVC/ILs film blends were determined. Results demonstrated that the presence of both ILs in PVC formulation slightly affected thermal and mechanical properties of blends. The loading of both ILs into PVC matrix made PVC/ILs films hydrophilic, especially at the highest concentration of HdmimDMSIP. The PVC/ILs blends displayed antibacterial activity up to ILs lowest concentrations (0.1-0.5%). The inhibition of Escherichia coli growth was lower than that showed toward Staphylococcus epidermidis. The addition of 10% ILs concentration resulted excessive as demonstrated by accumulation of ILs on film surfaces (SEM) and ILs high release from PVC/ILs blends during the first day of water immersion. Biocompatibility studies highlighted that the addition of low amounts of both ILs into PVC matrix is not cytotoxic for mouse fibroblast cells (L929), supporting their potential use for biomedical porposes.
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Affiliation(s)
- Daniela Zampino
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy.
| | - Monique Mancuso
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR, Section of Messina, Spianata San Raineri 86, 98122 Messina, Italy
| | - Renata Zaccone
- Institute of Polar Science (IPS)-CNR, Section of Messina, Spianata San Raineri 86, 98122 Messina, Italy
| | - Tiziana Ferreri
- Institute of Biomolecular Chemistry (ICB)-CNR, Section of Catania, via Paolo Gaifami 18, 95126 Catania, Italy
| | - Assunta Borzacchiello
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Viale Kennedy 54, Pad.20, 80125 Napoli, Italy
| | - Stefania Zeppetelli
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Viale Kennedy 54, Pad.20, 80125 Napoli, Italy
| | - Sandro Dattilo
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy
| | - Martina Ussia
- Institute for Microelectronics and Microsystems (IMM)-CNR, Via Santa Sofia 64, 95123 Catania, Italy
| | - Loredana Ferreri
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy
| | - Domenico C Carbone
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy
| | - Giuseppe Recca
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy
| | - Concetto Puglisi
- Institute of Polymers, Composites and Biomaterials (IPCB)-CNR, Section of Catania, Via Paolo Gaifami 18, 95126 Catania, Italy
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