Bioactivity of Nisin-Loaded Pluronic Microspheres Challenged by Blood Proteins Julie Auxier Dr. Joseph McGuire - Bioengineering Oregon State University HHMI Summer 2008 Infected Hospitals MRSA Infections in 2005 • Infections are the 4th largest killer in US • In the US in 2005 there were: ▫ 94,360 invasive MRSA infections ▫ 18,650 associated deaths • Costs millions annually Community-Associated Healthcare-Associated Source: ABCs Population-based surveillance System, Klevens et al. JAMA 2007 Infected Hospitals • Problems from implanted devices: ▫ Clotting ▫ Bacterial adhesion ▫ Proliferation • Treat with heparin and other anticoagulants ▫ Risk of platelet depletion, excessive bleeding Blood Proteins • Albumin, globulin, fibrinogen • Fibrinogen key in coagulation Common Pathway Factor X Factor VII Tissue Factor Complex Factor X Activator Complex Prothrombinase Clotting Factor VII Clotting Factors VIII, IX Thrombin Prothrombin Ca2+ Ca2+ Fibrin Tissue Factor III Extrinsic Pathway Tissue Damage Fibrinogen Platelet Factor PF-3 Activated Proenzymes, usually Factor XIII Intrinsic Pathway Prevention with Pluronic F108 HYDROPHOBIC SURFACE PEO PEO ® PPO HYDROPHILIC HYDROPHOBIC Irradiating F108 Surfaces • Hydrophobic association not permanent • Irradiation creates a covalent bond between the F108 and the silanized silica • Fluid flow will not wash away F108 How Brush Layer Functions HYDROPHOBIC Nisin - Lantibiotic • Bacteriocin: peptide produced by bacteria to inactivate other like bacteria • Naturally made from bacteria Lactococcus lactis • Used in food products: preservative, making cheese Hydrophobic Surface How Nisin Kills Bacteria Purpose Challenge Nisin-loaded F108 silica microspheres with blood proteins to quantify protein adsorption to the brush layer. Predictions Microspheres treated with irradiated F-108 will deflect protein adsorption throughout the entire trial; however, the efficacy of nisin treated samples will decline with time. Efficacy Test: Silanize bare silica microspheres (~1μm in diameter) Covalently bond F108 by γ irradiation Add nisin Challenge with blood proteins Plate samples with diluted Pediococcus pentosaceus Quantify with colony counting Silanized Silica Microspheres Horse Plasma γ F108 Nisin Horse Plasma No Nisin Horse Plasma Nisin Horse Plasma M MN MF MFN MS MNS MFS MFNS Effect of Nisin on Pediococcus PED MFN MN MFNS MNS Results Sample Categories Normalized to Pediococcus Pentosaceus Colonies of Sample/Colonies of Pediococcus 1.6 1.4 1.2 1 Blank Untreated Pediococcus 0.8 MFN Treated MF Treated 0.6 MN Treated M treated 0.4 0.2 0 0 1 2 3 4 Trial 5 6 7 8 Results Normalized Pediococcus vs. MFN, MN Colonies of Sample/Colonies of Pediococcus 1.6 1.4 1.2 1 Untreated Pediococcus 0.8 MFN Treated MN Treated 0.6 0.4 0.2 0 0 1 2 3 4 Trial 5 6 7 8 Results Sample Supernatants Normalized to Pediococcus Colonies of Sample/Colonies of Pediococcus 1.8 1.6 1.4 1.2 3-Aug-08 1 10-Aug-08 14-Aug-08 0.8 17-Aug-08 21-Aug-08 0.6 24-Aug-08 0.4 28-Aug-08 0.2 0 Untreated Pediococcus MFNS Treated MFS Treated Sample Category MNS Treated MS Treated Future Research • Further work on behavior of protein adsorption • Test platelet adhesion by challenging the same surfaces with platelet rich plasma • Apply the coating to devices in vivo Acknowledgements Dr. Joseph McGuire Matthew Ryder McGuire Lab Group Dr. Skip Rochefort Dr. Kevin Ahern Howard Hughes Medical Institute Johnson Internship Program