Evaluating Antibacterial And Anti-Biofilm Properties Of Copper And Zinc In Beta Tricalcium Phosphate Against Staphylococcus Epidermidis
Abstract
Staphylococcus epidermidis is a common pathogen responsible for peri-implantitis, an infection localized around dental implants. Its virulence is largely attributed to biofilm formation, which enhances resistance to antibiotics and immune defenses. The challenge of treating S. epidermidis is further compounded by its resistance to several antibiotics, including methicillin. This study aimed to evaluate the antibacterial and anti-biofilm properties of a copper-zinc (Cu-Zn) metal alloy and its efficacy when integrated with beta-tricalcium phosphate (β-TCP) as a graft medium against S. epidermidis using in vitro methods. This research employs Staphylococcus epidermidis ATCC 12228. Antibacterial activity was assessed using Direct contact test and viability count via Colony-Forming Unit (CFU) analysis, while biofilm formation was evaluated using the tube adherence method. Increasing copper and zinc concentrations enhanced antibacterial efficacy, with Cu-Zn-β-TCP suspensions showing significantly greater antibacterial activity (p = 0.01) and improved anti-biofilm properties compared to Cu-Zn suspensions without β-TCP. The incorporation of copper and zinc effectively inhibited bacterial growth and biofilm formation of S. epidermidis. Furthermore, the Cu-Zn alloy demonstrated higher efficacy when used in conjunction with β-TCP as a graft medium, suggesting its potential for managing peri-implantitis.
Keywords
Full Text:
PDFReferences
Bohner, M., Santoni, B. L. G., & Döbelin, N. (2020). β-tricalcium phosphate for bone substitution: Synthesis and properties. Acta Biomaterialia, 113, 23–41. https://doi.org/10.1016/j.actbio.2020.06.022
Carvalho, É. B. S., Romandini, M., Sadilina, S., Sant’Ana, A. C. P., & Sanz, M. (2023). Microbiota associated with peri-implantitis—A systematic review with meta-analyses. Clinical Oral Implants Research, 34(11), 1176–1187. https://doi.org/10.1111/clr.14153
Eladli, M. G., Alharbi, N. S., Khaled, J. M., Kadaikunnan, S., Alobaidi, A. S., & Alyahya, S. A. (2019). Antibiotic-resistant Staphylococcus epidermidis isolated from patients and healthy students comparing with antibiotic-resistant bacteria isolated from pasteurized milk. Saudi Journal of Biological Sciences, 26(6), 1285–1290. https://doi.org/10.1016/j.sjbs.2018.05.008
Ghezzi, D., Sassoni, E., Boi, M., Montesissa, M., Baldini, N., Graziani, G., & Cappelletti, M. (2023). Antibacterial and Antibiofilm Activity of Nanostructured Copper Films Prepared by Ionized Jet Deposition. Antibiotics, 12(1), Article 1. https://doi.org/10.3390/antibiotics12010055
Koch, J. A., Pust, T. M., Cappellini, A. J., Mandell, J. B., Ma, D., Shah, N. B., Brothers, K. M., & Urish, K. L. (2020). Staphylococcus epidermidis Biofilms Have a High Tolerance to Antibiotics in Periprosthetic Joint Infection. Life, 10(11), 253. https://doi.org/10.3390/life10110253
Lee, E., & Anjum, F. (2024). Staphylococcus epidermidis Infection. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK563240/
Li, J., Li, J., Yang, Y., He, X., Wei, X., Tan, Q., Wang, Y., Xu, S., Chang, S., & Liu, W. (2023). Biocompatibility and osteointegration capability of β-TCP manufactured by stereolithography 3D printing: In vitro study. Open Life Sciences, 18(1). https://doi.org/10.1515/biol-2022-0530
Mathews, S., Hans, M., Mücklich, F., & Solioz, M. (2013). Contact Killing of Bacteria on Copper Is Suppressed if Bacterial-Metal Contact Is Prevented and Is Induced on Iron by Copper Ions. Applied and Environmental Microbiology, 79(8), 2605–2611. https://doi.org/10.1128/AEM.03608-12
Mathews, S., Kumar, R., & Solioz, M. (2015). Copper Reduction and Contact Killing of Bacteria by Iron Surfaces. Applied and Environmental Microbiology, 81(18), 6399–6403. https://doi.org/10.1128/AEM.01725-15
Namvar, A. E., Bastarahang, S., Abbasi, N., Ghehi, G. S., Farhadbakhtiarian, S., Arezi, P., Hosseini, M., Baravati, S. Z., Jokar, Z., & Chermahin, S. G. (2014). Clinical characteristics of Staphylococcus epidermidis: A systematic review. GMS Hygiene and Infection Control, 9(3). https://doi.org/10.3205/dgkh000243
Niveditha, S., Pramodhini, S., Umadevi, S., Kumar, S., & Stephen, S. (2012). The Isolation and the Biofilm Formation of Uropathogens in the Patients with Catheter Associated Urinary Tract Infections (UTIs). Journal of Clinical and Diagnostic Research: JCDR, 6(9), 1478–1482. https://doi.org/10.7860/JCDR/2012/4367.2537
Noach, N., Lavy, E., Reifen, R., Friedman, M., Kirmayer, D., Zelinger, E., Ritter, A., Yaniv, D., & Reifen, E. (2023). Zinc chloride is effective as an antibiotic in biofilm prevention following septoplasty. Scientific Reports, 13. https://doi.org/10.1038/s41598-023-35069-9
O’Connor, A. M., McManus, B. A., Kinnevey, P. M., Brennan, G. I., Fleming, T. E., Cashin, P. J., O’Sullivan, M., Polyzois, I., & Coleman, D. C. (2018). Significant Enrichment and Diversity of the Staphylococcal Arginine Catabolic Mobile Element ACME in Staphylococcus epidermidis Isolates From Subgingival Peri-implantitis Sites and Periodontal Pockets. Frontiers in Microbiology, 9. https://doi.org/10.3389/fmicb.2018.01558
Otto, M. (2004). Quorum-sensing control in Staphylococci – a target for antimicrobial drug therapy? FEMS Microbiology Letters, 241(2), 135–141. https://doi.org/10.1016/j.femsle.2004.11.016
Padaga, S. G., Kothari, P. P., Kumar, M., & Biswas, S. (2024). Copper-zinc metal complex exhibiting bactericidal and antibiofilm activity by membrane damage and quorum sensing inhibition. Journal of Environmental Chemical Engineering, 12(3), 112889. https://doi.org/10.1016/j.jece.2024.112889
Periasamy, S., Chatterjee, S. S., Cheung, G. Y. C., & Otto, M. (2012). Phenol-soluble modulins in staphylococci. Communicative & Integrative Biology, 5(3), 275–277. https://doi.org/10.4161/cib.19420
Salah, I., Parkin, I. P., & Allan, E. (2021). Copper as an antimicrobial agent: Recent advances. RSC Advances, 11(30). https://doi.org/10.1039/d1ra02149d
Săndulescu, M., Sîrbu, V. D., & Popovici, I. A. (2023). Bacterial species associated with peri-implant disease – a literature review. Germs, 13(4), 352–361. https://doi.org/10.18683/germs.2023.1405
Siciliano, V., Passerotto, R. A., Chiuchiarelli, M., Leanza, G. M., & Ojetti, V. (2023). Difficult-to-Treat Pathogens: A Review on the Management of Multidrug-Resistant Staphylococcus epidermidis. Life, 13(5), Article 5. https://doi.org/10.3390/life13051126
Situmorang, E. M. H., Henniwuriyama, V., & Soegijono, B. (2019). Oligodynamic Cu-Zn composite fabricated by powder metallurgy method. Journal of Physics: Conference Series, 1191(1), 012044. https://doi.org/10.1088/1742-6596/1191/1/012044
Vibornijs, V., Liepins, J., Selga, T., Bankovskis, V., Cosemans, P., & Muter, O. (2021). Comparison of the antibacterial effect of a copper-coated surface on Staphylococcus epidermidis and Pseudomonas putida in different physiological states. 1186. Materials Science and Engineering Conference Series. https://doi.org/10.1088/1757-899X/1186/1/012004
DOI: https://doi.org/10.31983/jrk.v13i2.11701
Article Metrics
Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Jurnal Riset Kesehatan