Review on research of new materials for anti-infective vascular endograft_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Ruirui ^1,2 , CAO Youwen ^1,2 , LIANG Taiping ³ , MA Jiangtao ^1,2 , ZHOU Jian ³ ,  CHEN Jingquan ^1,2

1. Department of Vascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
2. School of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
3. Department of Vascular Surgery, Affiliated Changhai Hospital, Naval Medical University, Shanghai 200433, P. R. China;

Corresponding author：

CHEN Jingquan, Email: chenjingquan@nsmc.edu.cn

Keywords：

vascular endograft; anti-infection; antibacterial; surface modification

DOI：

10.7507/1007-9424.202308011

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To review the research status of anti-infective graft materials and analyze their application prospects, in order to provide inspiration for the development of anti-infective vascular endograft. Method The research on endovascular anti-infective grafts at home and abroad was reviewed. Results The anti-infective capability of endovascular graft could be achieved through main approaches like modification of the bulk material, surface modification, or a combination of both. In terms of bulk material modification, this paper delved into the creation of antibacterial composite materials by incorporating other materials into primary materials like metals (such as Mg, Zn), biologically derived materials (such as chitosan, silk fibroin, bacterial cellulose), and synthetic polymers (such as graphene and its derivatives, polyurethane, polylactic acid). Examples included Mg-Nd-Zn-Zr alloy, bacterial cellulose/chitosan nanocrystal composites, and chitosan/silk fibroin composites. For surface modifications, inorganic coatings (such as silver, copper, and nitrides) and organic coatings (such as antibiotics, antimicrobial peptides, and anti-infection polymers) had shown promising antibacterial effects in experiments. Conclusions The future research focus is how to synthesize the composite graft material with the mechanical properties of ordinary graft and the cell, blood compatibility and antibacterial properties through nano technology. At the same time, how to synthesize coatings with stable long-term anti-infection and anti-bacterial biofilm performance is also considered to be an important direction of future research.

Citation： YANG Ruirui, CAO Youwen, LIANG Taiping, MA Jiangtao, ZHOU Jian, CHEN Jingquan. Review on research of new materials for anti-infective vascular endograft. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(2): 243-249. doi: 10.7507/1007-9424.202308011 Copy

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1. Chaufour X, Gaudric J, Goueffic Y, et al. A multicenter experience with infected abdominal aortic endograft explantation. J Vasc Surg, 2017, 65(2): 372-380.
2. Ducasse E, Calisti A, Speziale F, et al. Aortoiliac stent graft infection: current problems and management. Ann Vasc Surg, 2004, 18(5): 521-526.
3. Sorber R, Osgood MJ, Abularrage CJ, et al. Treatment of aortic graft infection in the endovascular era. Curr Infect Dis Rep, 2017, 19(11): 40. doi: 10.1007/s11908-017-0598-1.
4. Goodman SB, Gallo J. Periprosthetic osteolysis: mechanisms, prevention and treatment. J Clin Med, 2019, 8(12): 2091. doi: 10.3390/jcm8122091.
5. 李芳, 吴可通, 赵珺, 等. 血管支架及其在动脉瘤治疗中的发展趋势. 中国组织工程研究, 2021, 25(34): 5561-5569.
6. Bangalore S, Kumar S, Fusaro M, et al. Short- and long-term outcomes with drug-eluting and bare-metal coronary stents: a mixed-treatment comparison analysis of 117 762 patient-years of follow-up from randomized trials. Circulation, 2012, 125(23): 2873-2891.
7. Fu J, Su Y, Qin YX, et al. Evolution of metallic cardiovascular stent materials: a comparative study among stainless steel, magnesium and zinc. Biomaterials, 2020, 230: 119641. doi: 10.1016/j.biomaterials.2019.119641.
8. Liang Q, Ge S, Liu C, et al. The effect of composite PHB coating on the biological properties of a magnesium based alloy. J Biomater Appl, 2021, 35(10): 1264-1274.
9. Wlodarczak A, Montorsi P, Torzewski J, et al. One- and two-year clinical outcomes of treatment with resorbable magnesium scaffolds for coronary artery disease: the prospective, international, multicentre BIOSOLVE-Ⅳ registry. EuroIntervention, 2023, 19(3): 232-239.
10. Zhu J, Zhang X, Niu J, et al. Biosafety and efficacy evaluation of a biodegradable magnesium-based drug-eluting stent in porcine coronary artery. Sci Rep, 2021, 11(1): 7330. doi: 10.1038/s41598-021-86803-0.
11. Su Y, Cockerill I, Wang Y, et al. Zinc-based biomaterials for regeneration and therapy. Trends Biotechnol, 2019, 37(4): 428-441.
12. Xiang Y, Mao C, Liu X, et al. Rapid and superior bacteria killing of carbon quantum dots/ZnO decorated injectable folic acid-conjugated PDA hydrogel through dual-light triggered ROS and membrane permeability. Small, 2019, 15(22): e1900322. doi: 10.1002/smll.201900322.
13. Abdelkader DH, Negm WA, Elekhnawy E, et al. Zinc oxide nanoparticles as potential delivery carrier: green synthesis by aspergillus niger endophytic fungus, characterization, and in vitro/ in vivo antibacterial activity. Pharmaceuticals (Basel), 2022, 15(9): 1057. doi: 10.3390/ph15091057.
14. Shearier ER, Bowen PK, He W, et al. In vitro cytotoxicity, adhesion, and proliferation of human vascular cells exposed to zinc. ACS Biomater Sci Eng, 2016, 2(4): 634-642.
15. Owhal A, Choudhary M, Pingale AD, et al. Non-cytotoxic zinc/f-graphene nanocomposite for tunable degradation and superior tribo-mechanical properties: synthesized via modified electro co-deposition route. Mater Today Commun, 2023, 34: 105112.
16. Reddy MSB, Ponnamma D, Choudhary R, et al. A comparative review of natural and synthetic biopolymer composite scaffolds. Polymers (Basel), 2021, 13(7): 1105. doi: 10.3390/polym13071105.
17. Wahba MI. Enhancement of the mechanical properties of chitosan. J Biomater Sci Polym Ed, 2020, 31(3): 350-375.
18. Severino R, Vu KD, Donsì F, et al. Antibacterial and physical effects of modified chitosan based-coating containing nanoemulsion of mandarin essential oil and three non-thermal treatments against Listeria innocua in green beans. Int J Food Microbiol, 2014, 191: 82-88.
19. Sun W, Zhang Y, Gregory DA, et al. Patterning the neuronal cells via inkjet printing of self-assembled peptides on silk scaffolds. Prog Nat Sci-Mater, 2020, 30(5): 686-696.
20. Song W, Muthana M, Mukherjee J, et al. Magnetic-silk core-shell nanoparticles as potential carriers for targeted delivery of curcumin into human breast cancer cells. ACS Biomater Sci Eng, 2017, 3(6): 1027-1038.
21. Zhang C, Zhang Y, Shao H, et al. Hybrid silk fibers dry-spun from regenerated silk fibroin/graphene oxide aqueous solutions. ACS Appl Mater Interfaces, 2016, 8(5): 3349-3358.
22. Melke J, Midha S, Ghosh S, et al. Silk fibroin as biomaterial for bone tissue engineering. Acta Biomater, 2016, 31: 1-16.
23. Zhao C, Deng B, Chen G, et al. Large-area chemical vapor deposition-grown monolayer graphene-wrapped silver nanowires for broad-spectrum and robust antimicrobial coating. Nano Research, 2016, 9(4): 963-973.
24. Tsugawa T, Hatakeyama K, Matsuda J, et al. Synthesis of oxygen functional group-controlled monolayer graphene oxide. Bulletin of the Chemical Society of Japan, 2021, 94(9): 2195-2201.
25. Hu W, Peng C, Luo W, et al. Graphene-based antibacterial paper. ACS Nano, 2010, 4(7): 4317-4323.
26. Misra SK, Ostadhossein F, Babu R, et al. 3D-printed multidrug-eluting stent from graphene-nanoplatelet-doped biodegradable polymer composite. Adv Healthc Mater, 2017, 6(11). doi: 10.1002/adhm.201700008.
27. Pan C, Zhao Y, Yang Y, et al. Immobilization of bioactive complex on the surface of magnesium alloy stent material to simultaneously improve anticorrosion, hemocompatibility and antibacterial activities. Colloids Surf B Biointerfaces, 2021, 199: 111541. doi: 10.1016/j.colsurfb.2020.111541.
28. Yang MC, Tsou HM, Hsiao YS, et al. Electrochemical polymerization of PEDOT-graphene oxide-heparin composite coating for anti-fouling and anti-clotting of cardiovascular stents. Polymers (Basel), 2019, 11(9): 1520. doi: 10.3390/polym11091520.
29. ElSawy AM, Attia NF, Mohamed HI, et al. Innovative coating based on graphene and their decorated nanoparticles for medical stent applications. Mater Sci Eng C Mater Biol Appl, 2019, 96: 708-715.
30. Wang Y, Zhang W, Zhang J, et al. Fabrication of a novel polymer-free nanostructured drug-eluting coating for cardiovascular stents. ACS Appl Mater Interfaces, 2013, 5(20): 10337-10345.
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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Review on research of new materials for anti-infective vascular endograft

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