3D-printed wound dressings containing a fosmidomycin-derivative prevent Acinetobacter baumannii biofilm formation

Frits van Charante1, David Martínez-Pérez2, Clara Guarch-Pérez3

  • 1Laboratory of Pharmaceutical Microbiology, Ghent University, 9000 Ghent, Belgium.

Iscience
|September 8, 2023
PubMed

Insights

CC366, a fosmidomycin prodrug, effectively combats multidrug-resistant Acinetobacter baumannii wound infections. This novel treatment, delivered via 3D-printed dressings, inhibits biofilm formation and reduces bacterial load in vivo.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Drug Development

Background:

  • Acinetobacter baumannii is a significant cause of healthcare-associated infections, particularly wound infections.
  • Multidrug resistance in A. baumannii necessitates the development of novel therapeutic strategies.
  • Fosmidomycin derivatives, including CC366, show promise against A. baumannii by targeting the non-mevalonate pathway.

Purpose of the Study:

  • To evaluate the antimicrobial and anti-biofilm activity of CC366 against Acinetobacter baumannii.
  • To assess the efficacy of CC366 in a 3D-printed wound dressing for A. baumannii infections.
  • To determine the in vitro and in vivo performance of CC366-loaded wound dressings.

Main Methods:

  • Antimicrobial activity testing (MIC determination) against A. baumannii strains.
  • In vitro biofilm inhibition and eradication assays.
  • Development and elution studies of CC366 from 3D-printed wound dressings using melt electrowriting.
  • In vivo efficacy evaluation in a murine wound infection model.

Main Results:

  • CC366 demonstrated minimal inhibitory concentrations (MICs) ranging from 1 to 64 μg/mL against A. baumannii.
  • CC366 exhibited significant in vitro biofilm inhibitory and moderate biofilm eradicating activity.
  • 3D-printed dressings successfully eluted CC366, prevented A. baumannii biofilm formation in vitro, and reduced infection in vivo.

Conclusions:

  • CC366 is a potent antimicrobial agent against Acinetobacter baumannii, with notable anti-biofilm properties.
  • 3D-printed wound dressings incorporating CC366 offer a promising approach for treating A. baumannii wound infections.
  • This study highlights the potential of repurposed drugs and advanced drug delivery systems in combating multidrug-resistant bacterial infections.