Medical implant-associated
infections resulting from biofilm formation
triggered by unspecific protein adsorption are the prevailing cause
of implant failure. However, implant surfaces rendered with multifunctional
bioactive nanocoatings offer a promising alternative to prevent the
initial attachment of bacteria and effectively interrupt biofilm formation.
The need to research and develop novel and stable bioactive nanocoatings
for medical implants and a comprehensive understanding of their properties
in contact with the complex biological environment are crucial. In
this study, we developed an aqueous stable and crosslinker-free polyelectrolyte–surfactant
complex (PESC) composed of a renewable cationic polysaccharide, chitosan,
a lysine-based anionic surfactant (77KS), and an amphoteric antibiotic,
amoxicillin, which is widely used to treat a number of infections
caused by bacteria. We successfully introduced the PESC as bioactive
functional nanolayers on the “model” and “real”
polydimethylsiloxane (PDMS) surfaces under dynamic and ambient conditions.
Besides their high stability and improved wettability, these uniformly
deposited nanolayers (thickness: 44–61 nm) with mixed charges
exhibited strong repulsion toward three model blood proteins (serum
albumin, fibrinogen, and γ-globulin) and their competitive interactions
in the mixture in real-time, as demonstrated using a quartz crystal
microbalance with dissipation (QCM-D). The functional nanolayers with
a maximum negative zeta potential (ζ: −19 to −30
mV at pH 7.4), water content (1628–1810 ng cm
–2
), and hydration (low viscosity and elastic shear modulus) correlated
with the mass, conformation, and interaction nature of proteins. In
vitro antimicrobial activity testing under dynamic conditions showed
that the charged nanolayers actively inhibited the growth of both
Gram-negative (
Escherichia coli
) and
Gram-positive (
Staphylococcus aureus
) bacteria compared to unmodified PDMS. Given the ease of fabrication
of multifunctional and charged biobased coatings with simultaneous
protein-repellent and antimicrobial activities, the limitations of
individual approaches could be overcome leading to a better and advanced
design of various medical devices (e.g., catheters, prosthetics, and
stents).