Research progress of ureteral stent-related urinary tract infection and antibacterial biomaterials
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摘要: 输尿管支架管是泌尿外科常用的临时植入物之一,然而由于细菌易黏附到留置的植入物表面上形成生物膜,使得相关尿路感染的机制变得更为复杂。生物膜一旦形成便很难去除,即便使用大剂量抗生素也不易治愈,并且易躲避免疫机制的杀伤,有可能发展为难治性感染,严重者甚至形成脓毒症。因此,了解其发病机制具有重要意义。本文就输尿管支架管导致尿路感染的相关机制以及新材料的运用进行综述,从而为输尿管支架管的改进以及输尿管支架应用于下尿路感染的预防和控制提供策略。Abstract: The ureteral stent is one of the temporary implants commonly used in urology. However, because bacteria adhere to the surface of indwelling implants and subsequently form a biofilm layer, the related urinary tract infection mechanism becomes more complicated. Once the biofilm is formed, it's difficult to remove. Even if a large doses of antibiotics is used, it's not easy to cure, and it's easy to avoid the killing of immune mechanisms. It may develop to refractory infections, and even sepsis in severe cases. Therefore, it is important to understand its pathogenesis. This article reviews the related mechanisms of ureteral stents leading to urinary tract infections and the application of new materials, so as to provide strategies for the improvement of ureteral stents and the prevention and control of lower urinary tract infections.
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Key words:
- ureteral stent /
- urinary tract infection /
- biofilm /
- antibacterial biomaterial
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[1] 张彩祥,王娟,肖荆,等.输尿管支架管置入后引起疼痛、排尿症状、一般健康问题的危险因素分析[J].临床泌尿外科杂志,2020,35(6):471-474,481.
[2] Chew BH,Lange D.Advances in ureteral stent development[J].Curr Opin Urol,2016,26(3):277-282.
[3] Sampogna G,Grasso A,Montanari E.Expandable metallic ureteral stent:indications and results[J].Minerva Urol Nefrol,2018,70(3):275-285.
[4] Chen Y,Zhao JY,Shan X,et al.A point-prevalence survey of healthcare-associated infection in fifty-two Chinese hospitals[J].J Hosp Infect,2017,95(1):105-111.
[5] Geerlings SE.Urinary tract infections:a common but fascinating infection,with still many research questions[J].Curr Opin Infect Dis,2015,28(1):86-87.
[6] Altunal N,Willke A,Hamzaoćlu O.Ureteral stent infections:a prospective study[J].Braz J Infect Dis,2017,21(3):361-364.
[7] Jamal M,Ahmad W,Andleeb S,et al.Bacterial Biofilm and Associated Infections[J].J Chin Med Assoc,2018,81(1):7-11.
[8] Pelling H,Nzakizwanayo J,Milo S,et al.Bacterial biofilm formation on indwelling urethral catheters[J].Lett Appl Microbiol,2019,68(4):277-293.
[9] Oliveira WF,Silva P,Silva R,et al.Staphylococcus aureus and Staphylococcus epidermidis infections on implants[J].J Hosp Infect,2018,98(2):111-117.
[10] Paharik A E,Horswill A R.The Staphylococcal Biofilm:Adhesins,Regulation,and Host Response[J/OL].Microbiol Spectr,2016,4(2):10.
[11] Scotland KB,Lo J,Grgic T,et al.Ureteral stent-associated infection and sepsis:pathogenesis and prevention:a review[J].Biofouling,2019,35(1):117-127.
[12] Skariyachan S,Sridhar VS,Packirisamy S,et al.Recent perspectives on the molecular basis of biofilm formation by Pseudomonas aeruginosa and approaches for treatment and biofilm dispersal[J].Folia Microbiol(Praha),2018,63(4):413-432.
[13] Kehinde Elijah O,Rotimi Vincent O,Al-Hunayan Adel,et al.Bacteriology of urinary tract infection associated with indwelling J ureteral stents.[J].J Endourol,2004,18(9):891-896.
[14] Mendez-Probst CE,Fernandez A,Denstedt JD.Current status of ureteral stent technologies:comfort and antimicrobial resistance[J].Curr Urol Rep,2010,11(2):67-73.
[15] Betschart P,Zumstein V,Buhmann MT,et al.Influence of biofilms on morbidity associated with short-term indwelling ureteral stents:a prospective observational study[J].World J Urol,2019,37(8):1703-1711.
[16] Aydin HR,Irkilata L,Aydin M,et al.Incidence of bacterial colonisation after indwelling of double-J ureteral stent[J].Arch Ital Urol Androl,2016,87(4):291-294.
[17] Shuman EK,Chenoweth CE.Urinary Catheter-Associated Infections[J].Infect Dis Clin North Am,2018,32(4):885-897.
[18] Arciola CR,Campoccia D,Montanaro L.Implant infections:adhesion,biofilm formation and immune evasion[J].Nat Rev Microbiol,2018,16(7):397-409.
[19] Figueiredo A,Ferreira FA,Beltrame CO,et al.The role of biofilms in persistent infections and factors involved in ica-independent biofilm development and gene regulation in Staphylococcus aureus[J].Crit Rev Microbiol,2017,43(5):602-620.
[20] Lora-Tamayo J,Murillo O,Ariza J.Clinical Use of Colistin in Biofilm-Associated Infections[M/OL]//Li J,Nation RL,Kaye KS,eds.Polymyxin Antibiotics:From Laboratory Bench to Bedside.Cham:Springer International Publishing,2019:181-195.
[21] Arciola CR,Campoccia D,Ehrlich GD,et al.Biofilm-Based Implant Infections in Orthopaedics[M/OL]// Donelli G.Biofilm-Based Healthcare-Associated Infections.Cham:Springer International Publishing,2015:29-46.
[22] 赵旭,赵璐,严向明,等.细菌生物膜的形成与导管相关性尿路感染的关系[J].中华医院感染学杂志,2017,27(18):4154-4158.
[23] Grover N,Plaks JG,Summers SR,et al.Acylase-containing polyurethane coatings with anti-biofilm activity[J].Biotechnol Bioeng,2016,113(12):2535-2543.
[24] Büttner H,Mack D,Rohde H.Structural basis of Staphylococcus epidermidis biofilm formation:mechanisms and molecular interactions[J].Front Cell Infect Microbiol,2015,5:14.
[25] Lo J,Lange D,Chew BH.Ureteral Stents and Foley Catheters-Associated Urinary Tract Infections:The Role of Coatings and Materials in Infection Prevention[J].Antibiotics(Basel),2014,3(1):87-97.
[26] Montealegre MC,La Rosa SL,Roh JH,et al.The Enterococcus faecalis EbpA Pilus Protein:Attenuation of Expression,Biofilm Formation,and Adherence to Fibrinogen Start with the Rare Initiation Codon ATT[J].mBio,2015,6(3):e00467-15.
[27] Vazquez V,Liang X,Horndahl JK,et al.Fibrinogen is a ligand for the Staphylococcus aureus microbial surface components recognizing adhesive matrix molecules(MSCRAMM)bone sialoprotein-binding protein(Bbp)[J].J Biol Chem,2011,286(34):29797-29805.
[28] Chahales P,Thanassi DG.Structure,Function,and Assembly of Adhesive Organelles by Uropathogenic Bacteria[J].Microbiol Spectr,2015,3(5):10.
[29] Gupta K,Grigoryan L,Trautner B.Urinary Tract Infection[J].Ann Int Med,2017,167(7):ITC49-ITC64.
[30] Lister JL,Horswill AR.Staphylococcus aureus biofilms:recent developments in biofilm dispersal[J].Front Cell Infect Microbiol,2014,4:178.
[31] Junter GA,Thébault P,Lebrun L.Polysaccharide-based antibiofilm surfaces[J].Acta Biomater,2016,30:13-25.
[32] Neoh KG,Kang ET.Combating bacterial colonization on metals via polymer coatings:relevance to marine and medical applications[J].ACS Appl Mater Interfaces,2011,3(8):2808-2819.
[33] Campoccia D,Montanaro L,Speziale P,et al.Antibiotic-loaded biomaterials and the risks for the spread of antibiotic resistance following their prophylactic and therapeutic clinical use[J].Biomaterials,2010,31(25):6363-6377.
[34] Linnes JC,Mikhova K,Bryers JD.Adhesion of Staphylococcus epidermidis to biomaterials is inhibited by fibronectin and albumin[J].J Biomed Mater Res A,2012,100(8):1990-1997.
[35] Tan H,Peng Z,Li Q,et al.The use of quaternised chitosan-loaded PMMA to inhibit biofilm formation and downregulate the virulence-associated gene expression of antibiotic-resistant staphylococcus[J].Biomaterials,2012,33(2):365-377.
[36] Follmann HD,Martins AF,Gerola AP,et al.Antiadhesive and antibacterial multilayer films via layer-by-layer assembly of TMC/heparin complexes[J].Biomacromolecules,2012,13(11):3711-3722.
[37] Kang SJ,Kim DH,Mishig-Ochir T,et al.Antimicrobial peptides:their physicochemical properties and therapeutic application[J].Arch Pharm Res,2012,35(3):409-413.
[38] Gruenheid S,Moual H.Resistance to Antimicrobial Peptides in Gram-Negative Bacteria[J].FEMS Microbiol Lett,2012,330(2):81-89.
[39] Gao G,Lange D,Hilpert K,et al.The biocompatibility and biofilm resistance of implant coatings based on hydrophilic polymer brushes conjugated with antimicrobial peptides[J].Biomaterials,2011,32(16):3899-3909.
[40] Bagheri M,Beyermann M,Dathe M.Mode of action of cationic antimicrobial peptides defines the tethering position and the efficacy of biocidal surfaces[J].Bioconjug Chem,2012,23(1):66-74.
[41] Mahlapuu M,Håkansson J,Ringstad L,et al.Antimicrobial Peptides:An Emerging Category of Therapeutic Agents[J/OL].Front Cell Infect Microbiol,2016,6:194.
[42] Yu K,Lo JC,Yan M,et al.Anti-adhesive antimicrobial peptide coating prevents catheter associated infection in a mouse urinary infection model[J].Biomaterials,2017,116:69-81.
[43] 周雪健,许华,姜昊文.可降解输尿管支架的研究现状及临床前景[J].临床泌尿外科杂志,2017,32(12):979-984.
[44] Jaggessar A,Shahali H,Mathew A,et al.Bio-mimicking nano and micro-structured surface fabrication for antibacterial properties in medical implants[J].J Nanobiotechnology,2017,15(1):64.
[45] Wahid F,Wang HS,Lu YS,et al.Preparation,characterization and antibacterial applications of carboxymethyl chitosan/CuO nanocomposite hydrogels[J].Int J Biol Macromol,2017,101:690-695.
[46] 张展,刘春.纳米Ag-SiO_2导尿管对人体外尿道黏膜细胞的毒性[J].中国组织工程研究,2014,18(16):2550-2556.
[47] Ramasamy M,Lee J.Recent Nanotechnology Approaches for Prevention and Treatment of Biofilm-Associated Infections on Medical Devices[J].Biomed Res Int,2016,2016:1851242.
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