Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments

Diabetic wound infections caused by conventional antibiotic-resistant <i>Staphylococcus aureus</i> strains are fast emerging, leading to life-threatening situations (e.g., high costs, morbidity, and mortality) associated with delayed healing and chronic inflammation. Electrospinning is o...

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Main Authors: Anam Razzaq, Zaheer Ullah Khan, Aasim Saeed, Kiramat Ali Shah, Naveed Ullah Khan, Bouzid Menaa, Haroon Iqbal, Farid Menaa
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/13/3/349
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author Anam Razzaq
Zaheer Ullah Khan
Aasim Saeed
Kiramat Ali Shah
Naveed Ullah Khan
Bouzid Menaa
Haroon Iqbal
Farid Menaa
author_facet Anam Razzaq
Zaheer Ullah Khan
Aasim Saeed
Kiramat Ali Shah
Naveed Ullah Khan
Bouzid Menaa
Haroon Iqbal
Farid Menaa
author_sort Anam Razzaq
collection DOAJ
description Diabetic wound infections caused by conventional antibiotic-resistant <i>Staphylococcus aureus</i> strains are fast emerging, leading to life-threatening situations (e.g., high costs, morbidity, and mortality) associated with delayed healing and chronic inflammation. Electrospinning is one of the most widely used techniques for the fabrication of nanofibers (NFs), induced by a high voltage applied to a drug-loaded polymer solution. Particular attention is given to electrospun NFs for pharmaceutical applications (e.g., original drug delivery systems) and tissue regeneration (e.g., as tissue scaffolds). However, there is a paucity of reports related to their application in diabetic wound infections. Therefore, we prepared eco-friendly, biodegradable, low-immunogenic, and biocompatible gelatin (GEL)/polyvinyl alcohol (PVA) electrospun NFs (BNFs), in which we loaded the broad-spectrum antibiotic cephradine (Ceph). The resulting drug-loaded NFs (LNFs) were characterized physically using ultraviolet-visible (UV-Vis) spectrophotometry (for drug loading capacity (LC), drug encapsulation efficiency (EE), and drug release kinetics determination), thermogravimetric analysis (TGA) (for thermostability evaluation), scanning electron microscopy (SEM) (for surface morphology analysis), and Fourier-transform infrared spectroscopy (FTIR) (for functional group identification). LNFs were further characterized biologically by in-vitro assessment of their potency against <i>S. aureus</i> clinical strains (<i>N</i> = 16) using the Kirby–Bauer test and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, by <i>ex-vivo</i> assessment to evaluate their cytotoxicity against primary human epidermal keratinocytes using MTT assay, and by in-vivo assessment to estimate their diabetic chronic wound-healing efficiency using NcZ10 diabetic/obese mice (<i>N</i> = 18). Thin and uniform NFs with a smooth surface and standard size (<400 nm) were observed by SEM at the optimized 5:5 (GEL:PVA) volumetric ratio. FTIR analyses confirmed the drug loading into BNFs. Compared to free Ceph, LNFs were significantly more thermostable and exhibited sustained/controlled Ceph release. LNFs also exerted a significantly stronger antibacterial activity both in-vitro and in-vivo. LNFs were significantly safer and more efficient for bacterial clearance-induced faster chronic wound healing. LNF-based therapy could be employed as a valuable dressing material to heal <i>S. aureus</i>-induced chronic wounds in diabetic subjects.
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spelling doaj-art-f32b275992a146f09ca6efd497a080752025-01-30T15:27:46ZengMDPI AGPharmaceutics1999-49232021-03-0113334910.3390/pharmaceutics13030349Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo AssessmentsAnam Razzaq0Zaheer Ullah Khan1Aasim Saeed2Kiramat Ali Shah3Naveed Ullah Khan4Bouzid Menaa5Haroon Iqbal6Farid Menaa7College of Pharmaceutical Sciences, Soochow University, Suzhou 215123, ChinaDepartment of Pharmacy, COMSATS Institute of Information and Technology, Abbottabad 22060, PakistanCollaborative Innovation Center of Advanced Microstructures, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210023, ChinaCollege of Pharmaceutical Sciences, Soochow University, Suzhou 215123, ChinaCollege of Pharmaceutical Sciences, Soochow University, Suzhou 215123, ChinaDepartment of Nanomedicine and Advanced Technologies, California Innovations Corporation, San Diego, CA 92037, USACollege of Pharmaceutical Sciences, Soochow University, Suzhou 215123, ChinaDepartment of Nanomedicine and Advanced Technologies, California Innovations Corporation, San Diego, CA 92037, USADiabetic wound infections caused by conventional antibiotic-resistant <i>Staphylococcus aureus</i> strains are fast emerging, leading to life-threatening situations (e.g., high costs, morbidity, and mortality) associated with delayed healing and chronic inflammation. Electrospinning is one of the most widely used techniques for the fabrication of nanofibers (NFs), induced by a high voltage applied to a drug-loaded polymer solution. Particular attention is given to electrospun NFs for pharmaceutical applications (e.g., original drug delivery systems) and tissue regeneration (e.g., as tissue scaffolds). However, there is a paucity of reports related to their application in diabetic wound infections. Therefore, we prepared eco-friendly, biodegradable, low-immunogenic, and biocompatible gelatin (GEL)/polyvinyl alcohol (PVA) electrospun NFs (BNFs), in which we loaded the broad-spectrum antibiotic cephradine (Ceph). The resulting drug-loaded NFs (LNFs) were characterized physically using ultraviolet-visible (UV-Vis) spectrophotometry (for drug loading capacity (LC), drug encapsulation efficiency (EE), and drug release kinetics determination), thermogravimetric analysis (TGA) (for thermostability evaluation), scanning electron microscopy (SEM) (for surface morphology analysis), and Fourier-transform infrared spectroscopy (FTIR) (for functional group identification). LNFs were further characterized biologically by in-vitro assessment of their potency against <i>S. aureus</i> clinical strains (<i>N</i> = 16) using the Kirby–Bauer test and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, by <i>ex-vivo</i> assessment to evaluate their cytotoxicity against primary human epidermal keratinocytes using MTT assay, and by in-vivo assessment to estimate their diabetic chronic wound-healing efficiency using NcZ10 diabetic/obese mice (<i>N</i> = 18). Thin and uniform NFs with a smooth surface and standard size (<400 nm) were observed by SEM at the optimized 5:5 (GEL:PVA) volumetric ratio. FTIR analyses confirmed the drug loading into BNFs. Compared to free Ceph, LNFs were significantly more thermostable and exhibited sustained/controlled Ceph release. LNFs also exerted a significantly stronger antibacterial activity both in-vitro and in-vivo. LNFs were significantly safer and more efficient for bacterial clearance-induced faster chronic wound healing. LNF-based therapy could be employed as a valuable dressing material to heal <i>S. aureus</i>-induced chronic wounds in diabetic subjects.https://www.mdpi.com/1999-4923/13/3/349gelatin/polyvinyl alcoholcephradinediabetic wound<i>Staphylococcus aureus</i>electrospun nanofiberstranslational medicine
spellingShingle Anam Razzaq
Zaheer Ullah Khan
Aasim Saeed
Kiramat Ali Shah
Naveed Ullah Khan
Bouzid Menaa
Haroon Iqbal
Farid Menaa
Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
Pharmaceutics
gelatin/polyvinyl alcohol
cephradine
diabetic wound
<i>Staphylococcus aureus</i>
electrospun nanofibers
translational medicine
title Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
title_full Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
title_fullStr Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
title_full_unstemmed Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
title_short Development of Cephradine-Loaded Gelatin/Polyvinyl Alcohol Electrospun Nanofibers for Effective Diabetic Wound Healing: In-Vitro and In-Vivo Assessments
title_sort development of cephradine loaded gelatin polyvinyl alcohol electrospun nanofibers for effective diabetic wound healing in vitro and in vivo assessments
topic gelatin/polyvinyl alcohol
cephradine
diabetic wound
<i>Staphylococcus aureus</i>
electrospun nanofibers
translational medicine
url https://www.mdpi.com/1999-4923/13/3/349
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