In Vitro Evaluation of Escherichia coli and Staphylococcus aureus Translocation in 3D Printed Material

Ashma Sharma1, Joshua Prince1, A-Andrew D Jones1,2,3,4

  • 1Department of Civil & Environmental Engineering, Pratt School of Engineering, Duke University, Durham, North Carolina, USA.

Insights

Vascular graft infections remain a threat despite antimicrobial coatings. New research shows bacterial diffusion into biomaterials, not just surface contamination, is key. Controlling interstitial growth may prevent future infections.

Area of Science:

  • Biomaterials Science
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Vascular graft infections are rare but serious complications occurring >30 days post-surgery.
  • Antimicrobial coatings and lack of bacterial penetration in synthetic grafts do not prevent infections.
  • Infections may arise from suture site contamination or slow-growing systemic bacteria within grafts.

Purpose of the Study:

  • To investigate bacterial diffusion and survival within novel vascular graft materials.
  • To compare bacterial penetration in alginate, GelMA, and decellularized porcine vascular tissue.
  • To identify potential targets for engineering infection resistance in vascular grafts.

Main Methods:

  • Confocal microscopy was used to image bacterial penetration depth over time.
  • Staphylococcus aureus and Escherichia coli were used as model bacteria.
  • Viable bacteria breakthrough was quantified across different biomaterial types.

Main Results:

  • Bacterial penetration depth over time was similar across alginate, GelMA, and decellularized tissue.
  • Escherichia coli showed significantly less breakthrough from decellularized tissue compared to engineered materials.
  • Staphylococcus aureus exhibited higher breakthrough in GelMA, with similar rates in other materials.

Conclusions:

  • Bacterial diffusion into the bulk of biomaterials, not just surface interactions, is critical for graft infections.
  • Decellularized vascular tissue demonstrates superior resistance to bacterial penetration compared to engineered materials.
  • Controlling interstitial bacterial growth, rather than solely surface coatings, is a promising strategy for infection-resistant vascular graft design.

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