Pathogenic
biofilms formed on the surfaces of implantable medical
devices and materials pose an urgent global healthcare problem. Although
conventional antibacterial surfaces based on bacteria-repelling or
bacteria-killing strategies can delay biofilm formation to some extent,
they usually fail in long-term applications, and it remains challenging
to eradicate recalcitrant biofilms once they are established and mature.
From the viewpoint of microbiology, a promising strategy may be to
target the middle stage of biofilm formation including the main biological
processes involved in biofilm development. In this work, a dual-functional
antibiofilm surface is developed based on copolymer brushes of 2-hydroxyethyl
methacrylate (HEMA) and 3-(acrylamido)phenylboronic acid (APBA), with
quercetin (Qe, a natural antibiofilm molecule) incorporated via acid-responsive
boronate ester bonds. Due to the antifouling properties of the hydrophilic
poly(HEMA) component, the resulting surface is able to suppress bacterial
adhesion and aggregation in the early stages of contact. A few bacteria
are eventually able to break through the protection of the anti-adhesion
layer leading to bacterial colonization. In response to the resulting
decrease in the pH of the microenvironment, the surface could then
release Qe to interfere with the microbiological processes related
to biofilm formation. Compared to bactericidal and anti-adhesive surfaces,
this dual-functional surface showed significantly improved antibiofilm
performance to prevent biofilm formation involving both Gram-negative Pseudomonas aeruginosa and Gram-positive Staphylococcus aureus for up to 3 days. In addition,
both the copolymer and Qe are negligibly cytotoxic, thereby avoiding
possible harmful effects on adjacent normal cells and the risk of
bacterial resistance. This dual-functional design approach addresses
the different stages of biofilm formation, and (in accordance with
the growth process of the biofilm) allows sequential activation of
the functions without compromising the viability of adjacent normal
cells. A simple and reliable solution may thus be provided to the
problems associated with biofilms on surfaces in various biomedical
applications.