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Updated: Apr 1, 2026

High-throughput Identification of Bacteria Repellent Polymers for Medical Devices
Published on: November 5, 2016
Amide side chain amphiphilic polymers disrupt surface established bacterial bio-films and protect mice from chronic
Divakara S S M Uppu1, Sandip Samaddar1, Chandradhish Ghosh1
1Chemical Biology & Medicinal Chemistry Laboratory, New Chemistry Unit, Jawaharlal Nehru Centre for Advanced Scientific Research (JNCASR), Jakkur, Bangalore 560064, India.
Abstract:
Bacterial biofilms represent the root-cause of chronic or persistent infections in humans. Gram-negative bacterial infections due to nosocomial and opportunistic pathogens such as Acinetobacter baumannii are more difficult to treat because of their inherent and rapidly acquiring resistance to antibiotics. Due to biofilm formation, A. baumannii has been noted for its apparent ability to survive on artificial surfaces for an extended period of time, therefore allowing it to persist in the hospital environment. Here we report, maleic anhydride based novel cationic polymers appended with amide side chains that disrupt surface established multi-drug resistant A. baumannii biofilms. More importantly, these polymers significantly (p < 0.0001) decrease the bacterial burden in mice with chronic A. baumannii burn wound infection. The polymers also show potent antibacterial efficacy against methicillin resistant Staphylococcus aureus (MRSA), vancomycin resistant Enterococci (VRE) and multi-drug resistant clinical isolates of A. baumannii with minimal toxicity to mammalian cells. We observe that optimal hydrophobicity dependent on the side chain chemical structure of these polymers dictate the selective toxicity to bacteria. Polymers interact with the bacterial cell membranes by causing membrane depolarization, permeabilization and energy depletion. Bacteria develop rapid resistance to erythromycin and colistin whereas no detectable development of resistance occurs against these polymers even after several passages. These results suggest the potential use of these polymeric biomaterials in disinfecting biomedical device surfaces after the infection has become established and also for the topical treatment of chronic bacterial infections.
Insights
Novel cationic polymers effectively disrupt drug-resistant bacterial biofilms, including Acinetobacter baumannii, and reduce infection burden in mice. These polymers show broad-spectrum efficacy with low toxicity and prevent resistance development, offering potential for medical device disinfection and infection treatment.
Area of Science:
- Polymer chemistry
- Microbiology
- Infectious diseases
Background:
- Bacterial biofilms are a primary cause of persistent human infections.
- Gram-negative bacteria like Acinetobacter baumannii are challenging to treat due to antibiotic resistance and biofilm formation.
- A. baumannii persists in healthcare settings by forming biofilms on surfaces.
Purpose of the Study:
- To develop novel cationic polymers capable of disrupting established multi-drug resistant A. baumannii biofilms.
- To evaluate the efficacy of these polymers in reducing bacterial burden in a mouse infection model.
- To assess the polymers' antibacterial spectrum, toxicity, and potential for resistance development.
Main Methods:
- Synthesis of maleic anhydride-based cationic polymers with amide side chains.
- Testing biofilm disruption and antibacterial activity against A. baumannii, MRSA, VRE, and clinical isolates.
- Evaluating polymer toxicity in mammalian cells.
- Assessing bacterial resistance development to the polymers in vitro.
- Investigating the mechanism of action, including bacterial membrane interaction.
Main Results:
- Polymers significantly disrupted multi-drug resistant A. baumannii biofilms.
- A significant reduction in bacterial burden was observed in mice with chronic A. baumannii burn wound infections (p < 0.0001).
- Polymers demonstrated potent antibacterial activity against MRSA, VRE, and MDR A. baumannii with minimal mammalian cell toxicity.
- Selective toxicity was linked to polymer hydrophobicity.
- Mechanism involves bacterial membrane depolarization, permeabilization, and energy depletion.
- No detectable resistance developed against the polymers after multiple passages, unlike rapid resistance to conventional antibiotics.
Conclusions:
- Novel cationic polymers effectively target and disrupt established bacterial biofilms, including those formed by antibiotic-resistant pathogens.
- These polymers show promise for treating chronic wound infections and disinfecting medical devices.
- The polymers offer a new therapeutic strategy with a low risk of resistance development.
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