Bacterial/fungal biofilm-mediated
persistent endodontic infections
(PEIs) are one of the most frequent clinical lesions in the oral cavity,
resulting in apical periodontitis and tooth damage caused by loss
of minerals. The conventional root canal disinfectants are poorly
bio-safe and harmful to teeth and tissues, making them ineffective
in treating PEIs. The development of nanomaterials is emerging as
a promising strategy to eradicate disease-related bacteria/fungi.
Herein, glucose oxidase (GOx)-modified magnetic nanoparticles (MNPs)
were synthesized via a facile and versatile route
for investigating their effects on removing PEI-related bacterial/fungal
biofilms. It is found that GOx was successfully immobilized on the
MNPs by detecting the changes in the diameter, chemical functional
group, charge, and magnetic response. Further, we demonstrate that
GOx-modified MNPs (GMNPs) exhibit highly effective antibacterial activity
against Enterococcus faecalis and Candida albicans. Moreover, the antibacterial/fungal
activity of GMNPs is greatly dependent on their concentrations. Importantly,
when placed in contact with bacterial/fungal biofilms, the dense biofilm
matrix is destructed due to the movement of GMNPs induced by the magnetic
field, the formation of reactive oxygen species, and nutrient starvation
induced by GOx. Also, the in vitro experiment shows
that the as-prepared GMNPs have excellent cytocompatibility and blood
compatibility. Thus, GMNPs offer a novel strategy to treat bacteria/fungi-associated
PEIs for potential clinical applications.