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Preclinical assessment of an antibiotic-free cationic surfactant-based cellulose hydrogel for sexually and perinatally transmitted infections

dc.contributor.authorCalado, Rita D.A.
dc.contributor.authorMendes, Bárbara B.
dc.contributor.authorConniot, João
dc.contributor.authorRavasco, João M.J.M.
dc.contributor.authorSobral, Daniel
dc.contributor.authorFerreira, Carolina
dc.contributor.authorFerreira, Rita
dc.contributor.authorRodrigues, João Carlos
dc.contributor.authorSantos, Daniela
dc.contributor.authorDuarte, Sílvia
dc.contributor.authorVieira, Luís
dc.contributor.authorInácio, Ângela S.
dc.contributor.authorCarrêlo, Henrique
dc.contributor.authorVaz, Winchil L.C.
dc.contributor.authorGomes, João Paulo
dc.contributor.authorNunes, Alexandra
dc.contributor.authorConde, João
dc.contributor.authorVieira, Otilia V.
dc.date.accessioned2025-02-24T15:47:21Z
dc.date.available2025-02-24T15:47:21Z
dc.date.issued2024-06-05
dc.description.abstractSexually transmitted infections and urogenital-perinatal infections are significant health challenges owing to their asymptomatic nature, multidrug-resistant pathogens, and lack of effective vaccines. Surfactants are under investigation as potential antimicrobial agents and alternatives to traditional antibiotics. Here, we discovered that N-dodecylpyridinium bromide (C12PB), a cationic quaternary ammonium surfactant, has very low potential to induce antimicrobial resistance with no antibiotic cross-resistance or inflammation in vitro. Therefore, we developed a preclinical antibiotic-free cationic surfactant-based cellulose hydrogel for treating sexually transmitted infections. The C12PB-hydrogels provided sustained surfactant release, enhancing their biocompatibility and antibacterial activity without inflammation or epithelial disruption of the vaginal tract. In a preclinical model of Neisseria gonorrhoeae infection, a single application of the C12PB-hydrogel showed a 2- to 3-fold reduction in infection. This lays the foundation for the future development of C12PB-hydrogels for sexually transmitted infections, demonstrating potent antibacterial activity and minimal risk of antimicrobial resistance or inflammation.eng
dc.description.abstractHighlights: - The C12PB-hydrogel reduces the risk of sexually transmitted infections; - Low antimicrobial resistance potential was demonstrated; - Inflammation or epithelial disruption was not observed; - Potent against Neisseria gonorrhoeae with no vaginal microbiome alterations.por
dc.description.abstractProgress and potential: Our study reveals an antibiotic-free cationic surfactant-based cellulose hydrogel, the C12PB-hydrogel, demonstrating potent antibacterial activity and minimal risk of antimicrobial resistance or inflammation for treating sexually and perinatally transmitted infections. Our preclinical model showed a significant reduction in Neisseria gonorrhoeae infection with no effect on the native vaginal microbiome, representing a promising alternative treatment strategy in the face of rising antibiotic resistance and the urgent need for effective, safe antimicrobials. Our findings not only lead to safer sexual health interventions but also highlight the importance of materials science combined with biology and preclinical testing in addressing global health challenges and aligning with sustainable healthcare goals.por
dc.description.sponsorshipThis work was financially supported by the Foundation for Science and Technology of the Portuguese Ministry of Science and Higher Education (PTDC/BIA-MIC/31561/2017) through national funds and co-funded by FEDER under the PT2020 Partnership to A.N. and O.V.V. B.B.M., J. Conniot, and J. Conde acknowledge the European Research Council’s Starting Grant (ERC-StG-2019-848325). R.D.A.C. was supported by the FCT project PTDC/BIA-MIC/31561/2017. O.V.V. was supported by CEEC INST ref.
dc.identifier.citationMatter. 2024 Jun 5;7(6):2205-35. doi:10.1016/j.matt.2024.04.037
dc.identifier.doi10.1016/j.matt.2024.04.002
dc.identifier.issn2590-2385
dc.identifier.urihttp://hdl.handle.net/10400.18/10380
dc.language.isoeng
dc.peerreviewedyes
dc.publisherCell Press
dc.relationPTDC/BIA-MIC/31561/2017
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/abs/pii/S2590238524001577?via%3Dihub
dc.relation.ispartofMatter
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectSexually Transmitted Infections
dc.subjectPerinatal Transmitted Infections
dc.subjectAntimicrobial Resistance
dc.subjectNeisseria gonorrhoeae
dc.subjectStreptococcus agalactiae
dc.subjectHydrogel
dc.subjectSurfactant
dc.subjectAntibiotic-free
dc.subjectInfecções Sexualmente Transmissíveis
dc.titlePreclinical assessment of an antibiotic-free cationic surfactant-based cellulose hydrogel for sexually and perinatally transmitted infections
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2235
oaire.citation.issue6
oaire.citation.startPage2205
oaire.citation.titleMatter
oaire.citation.volume7
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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