Vancomycin-Loaded, Nanohydroxyapatite-Based Scaffold for Osteomyelitis Treatment: In Vivo Rabbit Toxicological Tests and In Vivo Efficacy Tests in a Sheep Model

Data de publicação:

Autores da FMUP

  • Manuel António Pereira Gutierres

    Autor

Participantes de fora da FMUP

  • Alegrete, N
  • Sousa, SR
  • Padrao, T
  • Carvalho, A
  • Lucas, R
  • Canadas, RF
  • Lavrador, C
  • Alexandre, N
  • Gärtner, F
  • Monteiro, FJ

Unidades de investigação

Abstract

The treatment for osteomyelitis consists of surgical debridement, filling of the dead space, soft tissue coverage, and intravenous administration of antimicrobial (AM) agents for long periods. Biomaterials for local delivery of AM agents, while providing controllable antibiotic release rates and simultaneously acting as a bone scaffold, may be a valuable alternative; thus, avoiding systemic AM side effects. V-HEPHAPC is a heparinized nanohydroxyapatite (nHA)/collagen biocomposite loaded with vancomycin that has been previously studied and tested in vitro. It enables a vancomycin-releasing profile with an intense initial burst, followed by a sustained release with concentrations above the Minimum Inhibitory Concentration (MIC) for MRSA. In vitro results have also shown that cellular viability is not compromised, suggesting that V-HEPHAPC granules may be a promising alternative device for the treatment of osteomyelitis. In the present study, V-HEPHAPC (HEPHAPC with vancomycin) granules were used as a vancomycin carrier to treat MRSA osteomyelitis. First, in vivo Good Laboratory Practice (GLP) toxicological tests were performed in a rabbit model, assuring that HEPHAPC and V-HEPHAPC have no relevant side effects. Second, V-HEPHAPC proved to be an efficient drug carrier and bone substitute to control MRSA infection and simultaneously reconstruct the bone cavity in a sheep model.

Dados da publicação

ISSN/ISSNe:
2306-5354, 2306-5354

BIOENGINEERING-BASEL  MDPI AG

Tipo:
Article
Páginas:
206-
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 2

Citações Recebidas na Scopus: 7

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Métricas

Filiações mostrar / ocultar

Keywords

  • drug delivery; nanohydroxyapatite; osteomyelitis; vancomycin

Financiamento

Proyectos asociados

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