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Published on: May 16, 2019
Development and Characterization of Lactobacillus rhamnosus-Containing Bioprints for Application to
Anthony J Kyser1, Mohamed Y Mahmoud1,2, Nicholas T Johnson3
1Department of Bioengineering, University of Louisville Speed School of Engineering, Louisville, Kentucky 40202, United States.
Insights
Novel 3D-bioprinted silicone scaffolds loaded with Lactobacillus rhamnosus show promise for preventing catheter-associated urinary tract infections (CAUTI) by releasing antimicrobial compounds and inhibiting pathogen growth.
Area of Science:
- Biomaterials Science
- Microbiology
- Medical Engineering
Background:
- Catheter-associated urinary tract infections (CAUTI) represent a significant healthcare challenge, often stemming from pathogen colonization of urinary catheters.
- Current prevention strategies for CAUTI, including antibiotic coatings, have limitations.
- Lactobacilli probiotics offer a potential solution through bacterial interference and antimicrobial compound production.
Purpose of the Study:
- To formulate and characterize novel 3D-bioprinted silicone scaffolds containing Lactobacillus rhamnosus (L. rhamnosus).
- To evaluate the potential of these scaffolds for preventing and treating CAUTI.
- To assess the sustained release of probiotics and their antimicrobial activity.
Main Methods:
- Fabrication of 3D-bioprinted silicone scaffolds incorporating L. rhamnosus using a specific silicone/L. rhamnosus weight-to-weight ratio.
- In vitro analysis of scaffold mechanical integrity, bacterial recovery over 14 days, and antimicrobial compound production (lactic acid, hydrogen peroxide).
- Assessment of the antibacterial effect against uropathogenic Escherichia coli.
Main Results:
- The 3D-bioprinted scaffolds demonstrated sustained recovery of viable L. rhamnosus for up to 14 days.
- Sustained production of lactic acid and hydrogen peroxide by the embedded L. rhamnosus was confirmed.
- The L. rhamnosus-loaded scaffolds exhibited antibacterial effects against uropathogenic E. coli.
Conclusions:
- 3D bioprinting offers a viable method for incorporating probiotics into silicone-based urinary catheters.
- These novel scaffolds show potential as an alternative strategy for preventing and treating CAUTI.
- Further development could lead to innovative urinary catheters with built-in probiotic protection.
Abstract:
Catheter-associated urinary tract infections (CAUTI) are a significant healthcare burden affecting millions of patients annually. CAUTI are characterized by infection of the bladder and pathogen colonization of the catheter surface, making them especially difficult to treat. Various catheter modifications have been employed to reduce pathogen colonization, including infusion of antibiotics and antimicrobial compounds, altering the surface architecture of the catheter, or coating it with nonpathogenic bacteria. Lactobacilli probiotics offer promise for a "bacterial interference" approach because they not only compete for adhesion to the catheter surface but also produce and secrete antimicrobial compounds effective against uropathogens. Three-dimensional (3D) bioprinting has enabled fabrication of well-defined, cell-laden architectures with tailored release of active agents, thereby offering a novel means for sustained probiotic delivery. Silicone has shown to be a promising biomaterial for catheter applications due to mechanical strength, biocompatibility, and its ability to mitigate encrustation on the catheter. Additionally, silicone, as a bioink, provides an optimum matrix for bioprinting lactobacilli. This study formulates and characterizes novel 3D-bioprinted Lactobacillus rhamnosus (L. rhamnosus)-containing silicone scaffolds for future urinary tract catheterization applications. Weight-to-weight (w/w) ratio of silicone/L. rhamnosus was bioprinted and cured with relative catheter dimensions in diameter. Scaffolds were analyzed in vitro for mechanical integrity, recovery of L. rhamnosus, antimicrobial production, and antibacterial effect against uropathogenic Escherichia coli, the leading cause of CAUTI. The results show that L. rhamnosus-containing scaffolds are capable of sustained recovery of live bacteria over 14 days, with sustained production of lactic acid and hydrogen peroxide. Through the use of 3D bioprinting, this study presents a potential alternative strategy to incorporate probiotics into urinary catheters, with the ultimate goal of preventing and treating CAUTI.
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