Figures & data
Note: Adapted with permission from Lebeaux D, Ghigo JM. Management of biofilm-associated infections: what can we expect from recent research on biofilm lifestyles? Med Sci. 2012;28(8–9):727–739.Citation14
Notes: Both reversible passive and irreversible active mechanisms culminate in bacterial adherence to the surface of biomaterials biomedical devices. The active process is mediated by sticky matrix molecules interacting with fibronectin and collagen. Cna and FnBPs stand for collagen-binding adhesin and fibronectin-binding proteins, respectively. Adapted from Arciola CR, Campoccia D, Montanaro L. Implant infections: adhesion, biofilm formation and immune evasion. Nat Rev Microbiol. 2018;16(7):397–409, Copyright © 2018, with permission from Springer NatureCitation19 and created with BioRender.com.
Notes: Following adherence, bacterial species interact to create microcolonies, promoting bacterial clustering and biofilm formation. Massive bacterial clusters known as towers form as the biofilm’s polymeric framework matures. Additionally, polysaccharide intracellular, extracellular DNA and many more structurally distinct extracellular matrix compounds can make up a biofilm. Adapted from Arciola CR, Campoccia D, Montanaro L. Implant infections: adhesion, biofilm formation and immune evasion. Nat Rev Microbiol. 2018;16(7):397–409, Copyright © 2018, with permission from Springer NatureCitation19 and created with BioRender.com.
Notes: Adapted from J Hosp Infect, 98(2), Oliveira WF, Silva PMS, Silva RCS, et al, Staphylococcus aureus and Staphylococcus epidermidis infections on implants, 111–117, Copyright © 2018, with permission from ElsevierCitation45 and created with BioRender.com.
Notes: Depending on the surface characteristics of biomaterials and biomedical devices, protein adhesion unfolds. This may reveal receptor binding sites and enable cells to bind, resulting in a biological response dependent on the protein and cell types present in the immediate environment. Thrombosis and fibrosis are all examples of these responses. Adapted from Trends Biotechnol, 37(3), Mackie G, Gao L, Yau S, Leslie DC, Waterhouse A, Clinical Potential of Immobilized Liquid Interfaces: Perspectives on Biological Interactions, 268–280, Copyright © 2019, with permission from ElsevierCitation46 and created with BioRender.com.
Notes: Platelets release the PF4 protein, which binds to heparin to synthesize PF4/heparin complexes. This complex stimulates beta cells to produce the IgG antibody, which further binds to the PF4/heparin complex. This immunological complex binds to Fc receptors and stimulates platelets, causing them to produce microparticles that start the thrombotic process. Reprinted from J Nurse Pract, 14(5), Roberts MK, Chaney S, Heparin-induced Thrombocytopenia, 402–408, Copyright © 2018, with permission from Elsevier.Citation74
Notes: Adapted with permission from Zander ZK, Becker ML. Antimicrobial and Antifouling Strategies for Polymeric Medical Devices. ACS Macro Lett. 2017;7(1):16–25. Copyright © 2017 American Chemical SocietyCitation1 and created with BioRender.com.
Notes: Reprinted with permission from Wang J, Li J, Qian S et al. Antibacterial Surface Design of Titanium-Based Biomaterials for Enhanced Bacteria-Killing and Cell-Assisting Functions Against Periprosthetic Joint Infection. ACS Appl Mater Interfaces. 2016;8(17):11,162–11,178. Copyright © 2016 American Chemical Society.Citation113
Notes: #p < 0.05 vs SR. ^p < 0.05 vs Hep-SR. *p < 0.05 vs NO-SR. Negative (-) represents absence while positive (+) shows presence. Reprinted with permission from Devine R, Goudie MJ, Singha P et al. Mimicking the Endothelium: Dual Action Heparinized Nitric Oxide Releasing Surface. ACS Appl Mater Interfaces. 2020;12(18):20,158–20,171. Copyright © 2020 American Chemical Society.Citation70
Notes: Reprinted from Chem Eng J, 409, Xiang J, Zhu R, Lang S, Yan H, Liu G, Peng B, Mussel-inspired immobilization of zwitterionic silver nanoparticles toward antibacterial cotton gauze for promoting wound healing, 128,291, Copyright © 2021, with permission from Elsevier.Citation145
Notes: (A) Reprinted from Acta Biomater, 114, Shen J, Gao P, Han S, et al, A tailored positively-charged hydrophobic surface reduces the risk of implant associated infections, 421–430, Copyright © 2020, with permission from Elsevier.Citation166 (B-D) Reprinted with permission from Peng L, Chang L, Si M et al. Hydrogel-Coated Dental Device with Adhesion-Inhibiting and Colony-Suppressing Properties. ACS Appl Mater Interfaces. 2020;12(8):9718–9725. Copyright © 2020 American Chemical Society.Citation168
Notes: Here PDMS is polydimethylsiloxane, and CFU is colony-forming units. (A-H) Reprinted from Acta Biomater, 51, Gao Q, Yu M, Su Y, et al, Rationally designed dual functional block copolymers for bottlebrush-like coatings: In vitro and in vivo antimicrobial, antibiofilm, and antifouling properties, 112–124, Copyright 2017, with permission from Elsevier.Citation170 (I-L) Reprinted with permission from Zhang X-Y, Zhao Y-Q, Zhang Y et al. Antimicrobial Peptide-Conjugated Hierarchical Antifouling Polymer Brushes for Functionalized Catheter Surfaces. Biomacromolecules. 2019;20(11):4171–4179. Copyright © 2020 American Chemical Society.Citation172
Notes: (A-E) Reprinted with permission from Liu G, Li K, Wang H, Ma L, Yu L, Nie Y. Stable Fabrication of Zwitterionic Coating Based on Copper-Phenolic Networks on Contact Lens with Improved Surface Wettability and Broad-Spectrum Antimicrobial Activity. ACS Appl Mater Interfaces. 2020;12(14):16,125–16,136. Copyright © 2020 American Chemical Society.Citation173 (F) Reprinted from Acta Biomater, 114, Shen J, Gao P, Han S, et al, A tailored positively-charged hydrophobic surface reduces the risk of implant associated infections, 421–430, Copyright © 2020, with permission from Elsevier.Citation166