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One stone with two birds: functional gold nanostar for targeted combination therapy of drug resistant Staphylococcus aureus infection Huajuan Wang, Zhiyong Song, Shuojun Li, Yang Wu, and Heyou Han ACS Appl. Mater. Interfaces, Just Accepted Manuscript • DOI: 10.1021/acsami.9b09824 • Publication Date (Web): 14 Aug 2019 Downloaded from pubs.acs.org on August 14, 2019
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ACS Applied Materials & Interfaces
One stone with two birds: functional gold nanostar for targeted
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combination therapy of drug resistant Staphylococcus aureus infection
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Huajuan Wang,a Zhiyong Song,b Shuojun Li, b Yang Wu c and Heyou Han * a,b,c
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a
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Technology, Huazhong Agricultural University, Wuhan, 430070, PR China.
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b
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Agricultural University, Wuhan, 430070, PR China.
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c
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Technology, Huazhong Agricultural University, Wuhan, 430070, PR China.
State Key Laboratory of Agricultural Microbiology, College of Food Science and
State Key Laboratory of Agricultural Microbiology, College of Science, Huazhong
State Key Laboratory of Agricultural Microbiology, College of Life Science and
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Corresponding author: Tel.: 86-27-87288505
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E-mail addresses:
[email protected] 15
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ABSTRACT
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The development of new antibacterial agents to deal with the emergence and spread of
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antibiotic resistance in Gram-positive bacterial pathogens has become an increasing
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problem. Here, a new strategy is developed for the effective targeting and killing of
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Gram-positive bacteria based on Vancomycin (Van) modified gold nanostars (AuNSs).
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Our work has demonstrated that Van-modified AuNSs (AuNSs@Van ) can not only
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selectively recognize MRSA, but also kill MRSA under NIR laser irradiation in vitro.
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Additionally, the AuNSs@Van shows satisfactory biocompatibility and antibacterial
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activity in treating bacterial infection in vivo. The attractive trait of AuNSs@Van is
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attributed to the physical effect of its antibacterial activity, with less potential for
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resistance development. The aforementioned advantages indicate the potential of
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AuNSs@Van as a photothermal antibacterial agent for effectively combating
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Gram-positive bacteria in the field of healthcare.
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KEYWORDS: Gold nanostars, Recognition, MRSA, Infections, Photothermal
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therapy
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1 INTRODUCTION
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Bacterial infections have posed a serious threat to public health.1-4 The most widely
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employed strategies to handle bacterial infections are therapies with conventional
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antibiotics.5 However, conventional antibiotics are becoming less efficient as a result
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of the development of drug-resistant (DR) or multi-drug-resistant (MDR) bacterial
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strains.6 Therefore, it is of great urgency to develop new antibiotics to relieve the
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serious situation. However, the sad news is that new antibiotics is far behind in the
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development rate than pathogens resistance.7 Actually, the discovery of new drugs has
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greatly decreased and even essentially stagnated in the past few years, which implies
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that we are now approaching a post-antibiotic era.8,9 The resistance of DR or MDR
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bacteria to drugs is mainly attributed to the structure transformation, the gene
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mutation of planktonic bacteria and the formation of biofilms.10-12 Therefore, the
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development of new approaches based on novel treatment programs and with less
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potential to induce resistance is becoming more and more urgent. To combat
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microbial drug resistance, nanoparticle (NP)-based antibiotics have been extensively
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investigated in recent years.13 For instance, Sabo-Attwood and co-workers discovered
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the use of functional gold nanorods for targeted photothermal lysis of the pathogenic
18
bacteria;14 Chen and co-workers developed multifunctional Fe3O4@Au nanoeggs as
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photothermal agents for selective killing of nosocomial and antibiotic-resistant
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bacteria;15 Rotello and co-workers demonstrated the use of functionalized Au NPs to
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combat MDR pathogenic bacteria, with the bacterial resistance not observed even
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after 20 generations.16 Overall, NPs with unique optical and magnetic properties can 3
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provide excellent platforms for the selective non-invasive photothermal therapeutic
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applications for MDR and other pathogens.17 One promising means, using a
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nanomaterial-based photothermal process for selective treatment of bacterial
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infections, is still in its infant stage.
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Photothermal therapy (PTT) has been widely developed, which including pulsed laser
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and plasmon absorption nanomaterials (grapheme oxide, gold nanoparticles) in the
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NIR region.18,19 near-infrared (NIR) light (700-1100 nm) has a relatively high
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transmission rate through biological tissue, which is very suitable for biological
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applications.20-23 Compared with other metal nanoparticles, gold nanoparticles have
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the properties of good photostability, low toxicity and easy to surface modification.24
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Moreover, gold nanoparticles can be tuned to strongly absorb NIR radiation
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depending on their shape,25 and can ultimately transfer this light energy into the
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surrounding environment as heat.26,27 If the nanoparticles are directly attached to
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bacterial surfaces, the local high temperature that occurs during NIR irradiation can
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lead to irreparable cellular damage.28,29 A variety of gold nanoconstructs, including
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gold naonrods,30 nanoshells,31 nanocages,32 nanocrossess33 and branched gold
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nanoparticles,34 have been demonstrated to display plasmon resonance in the NIR
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region and produce hyperthermia upon NIR laser irradiation. Branched or star-shaped
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Au nanostructures consisting of a core and protruding arms have attracted particular
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interest recently due to their unique morphology and optical properties.35 The
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presence of sharp tips and high surface to volume ratios make branched Au
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nanostructures more effective than those with smooth surfaces in photothermal 4
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conversion and drug loading.36 However, in many collaborative antibacterial studies
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that combined PTT with other therapeutic strategies, plasmon absorption
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nanomaterials were not specifically dispersed to the bacteria surface, thus the high
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temperature were not fully delivered to bacteria.37 If the nanomaterials are specifically
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bound to the cell surface, the high temperature will produced on the bacterial surface
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directly, thus a better antibacterial effect will be achieved.
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Herein, we designed a strategy through covalent conjugation of AuNSs to Van for
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specific recognition and killing the Gram-positive pathogen, Methicillin-resistant
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Staphylococcus aureus (MRSA) (Scheme 1). Specifically, vancomycin-modified
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AuNSs can actively target Gram-positive bacteria by binding to the D-Ala-D-Ala
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moiety of the cell wall of Gram-positive bacteria and anchor on the surface of
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bacteria.38,39 Subsequently, the irradiation of NIR laser generate hyperthermia in situ,
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leading to bacterial death. In short, this antibacterial platform aimed at killing MRSA
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efficiently and precisely by photothermal effect and with less possibility to cause
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bacterial resistance.
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Scheme 1. Schematic illustration of the preparation and application of AuNSs@Van: (ⅰ)
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Preparation of AuNSs@Van; and (ⅰⅰ) AuNSs@Van for distinguishing and killing MRSA using
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808 nm light.
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2 EXPERIMENTAL SECTION
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2.1 Materials
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HAuCl4, N-hydroxysuccinimide (NHS), was obtained from Shanghai Reagent
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Chemical Co. (China). 3-(4, 5Dimethylthiazol- yl)-2, 5Dimethylthiazol-2-yl)-2,
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5diphenyltetrazolium
bromide
(MTT),
vancomycin
(Van),
and
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1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC) were purchased from
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Aladdin. 808 nm Laser (MDL-N-808nm-8W-14050284), was purchased from
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Changchun New Industries Optoelectronics Tech. Co., Ltd. PI (propidium iodide) and
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DAPI (4′-6-diamidino-2-phenylindole) were acquired from Beyotime Institute of
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Biotechology (Shanghai, China). Dulbecco’s modifed Eagle’s medium (DMEM), fetal 6
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bovine serum (FBS), were purchased from GIBCO Invitrogen Corp. SDS-PAGE Gel
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Parparation Kit (ZD304A-2) was provided by ZOMANBIO. Agarose B was
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purchased from BBI Life Sciences.
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2.2 Synthesis of AuNSs
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AuNSs were prepared according to previous literature.40 Briefly, the seed solution was
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fabricated by adding 15 mL of citrate solution into 100 mL of boiling HAuCl4
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solution, and after boiling for 15 min, the solution was cooled to room temperature
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and then kept at 4℃ for further use. Next, AuNSs were synthesized by mixing 0.5 mL
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of the above-prepared seed solution with 25 mL water, 260 µL HAuCl4 (2%) solution
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and 50 µL HCl (1 M) solution in a 50 flask under moderate stirring. Subsequently, 0.5
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mL AgNO3 solution (2 mM) and 0.25 mL ascorbic acid (100 mM) were added into
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the flask at the same time, followed by stirring the solution until the color changed
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from light red to blue or greenish black. Finally, the obtained solution was kept at 4
14
°C for further use.
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2.3 Synthesis of and Characterization of AuNSs@Van
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First, Van was activated by adding EDC (50 μL, 50 mg/mL) and NHS (50 μL, 25
17
mg/mL) into the Van solution (10 mg/mL, 1 mL), followed by gentle shaking for 1 h
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at 4 °C. Next, Van was thiolated by mixing the activated Van with NH2-PEG-SH
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(M.W.: 2000 Da) for 8 h with slowly shaking at room temperature. Subsequently, the
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modified Van solution was supplemented with AuNSs (75 mL) solution under stirring
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for 8 h to form Au-S bonds between Van and AuNSs. In order to purify the
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AuNSs@Van and remove the free Van, the obtained solution was transferred into 7
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dialysis bag (MWCO, 35 kDa) and then washed with phosphate buffered saline (PBS)
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several times under centrifugation at 6500 rpm for 6 min. The final solution was
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stored at 4 °C for further use. The concentration of Au in the solution was determined
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by atomic absorption spectroscopy (AAS, iCE 3500, Thermo Fisher Scientific,
5
Germany): the solution (30 µL) treated with aqua regia (volume ratio,
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HNO3/HCL=1:3) for 2 h. Then, the obtained solution was diluted with water to 3 mL
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before determining Au concentration by AAS. The size of the nanomaterial were
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determined by transmission electron microscopy (TEM, JEM-2010 TEM) and the
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software of Nano Measurer 1.2, respectively. Additionally, the dynamic light
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scattering (DLS, Malvern zetasizer Nano ZS90) was also used to measure the size and
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the dispersibility of the particles. The loading amount of Van on AuNSs could be
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calculated according to the calibration absorption curves of Van (the value of its
13
absorption at 280 nm).41 Besides, zeta potential and TEM elemental mappings were
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also measured to confirm the successful loading of Van on the particles of AuNSs.
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2.4 Bacterial Culture
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MRSA (011P6B5A), Gram-positive S. aureus (1213P46B) and ampicillin-resistant E.
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coli (PCN033), were isolated from pigs with clinical symptoms. Gram-positive S.
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aureus (AB91093) and Gram-negative E. coli (AB 93154) were obtained from China
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Center for Type Culture Collection (CCTCC). The above strains were used as
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experimental models in the following experiments and were stored at -80 ℃. The
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strains were cultured in the Luria Bertani (LB) broth medium at 37 ℃. The
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concentration of bacterial cells was determined by measuring the absorbance of cell 8
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suspensions at 600 nm with a ultraviolet–visible (UV-vis) spectrometer (PerkinElmer,
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Lambda 25). The bacterial suspensions were adjusted to the desired concentrations
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with LB medium before use.
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2.5 Photothermal Effect
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The obtained AuNSs@Van (0.5 mL) with different concentrations (40, 80, 120, and
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150 µg/mL) in EP tubes were exposed to 808 nm light for 10 min (2.5 W/cm2) at
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room temperature, using PBS as the control. The temperature was measured by a
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thermometer.
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2.6 In vitro Antibacterial Test of AuNSs@Van irradiated by NIR light
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The activity of AuNSs@Van against MRSA was determined by the plate count
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method. Briefly, 200 µL bacterial cells (1×107 CFU/mL) was centrifuged (5000 r/min,
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3 min) at room temperature, followed by the addition of 200 µL AuNSs@Van at
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different concentrations (80, 100, and 120 µg/mL) and incubation for 1 h. Next, 808
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nm (2.5 W/cm2) light was used to illuminate the samples for 10 min, followed by
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spreading 20 µL diluted (1000 folds) bacterial suspensions onto the LB agar plates
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and incubation at 37 ℃ for 12 h. Besides, the bacteria treated with PBS as control.
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Finally, the colony-forming units (CFUs) grew on the plates were counted to calculate
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the antibacterial activity of AuNSs@Van. The antibacterial activity was presented in
19
two forms: the reduction in the CFU number per and survival rate. The survival rate
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was calculated according to the following formula:
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Survival rate (%) = CFU(experimental
× 100%, where CFU
2
(experimental group)
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with and without samples, respectively.
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In addition, the minimal inhibitory concentration (MIC) was carried out according to
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the microdilution method.42
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2.7 Live/Dead Staining Assay
and CFU(control group) were the numbers of colonies in the groups treated
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After NIR irradiation, the antibacterial activity of AuNSs@Van against bacteria was
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further determined via live/dead viability assay. Briefly, the bacterial suspension
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(200 µL) was centrifuged (5000 r/min, 3 min), then, treated with 200 µL
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AuNSs@Van with different concentrations (80, 100, and 120 μg/mL) for 1 h, after
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that, the suspension was illuminated by NIR light for 10 min, then, the suspension
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centrifuged (5000 r/min, 3 min) before dyed by PI (30 µL) and DAPI (30 µL) in
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dark for 30 min. Subsequently, the bacteria were washed with PBS (added 200
14
µL PBS to resuspend the bacteria and then centrifuged at 5000 r/min for 3 min).
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Finally, the solutions were dropped on the slides and observed by a fluorescence
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microscope (DM6000 B fluorescence microscope, Leica Microsystems,
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Germany). Besides, the permeability of cells treated with/without AuNSs@Van
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under 808 nm NIR light could also be observed by PI staining. Briefly, bacterial
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suspension (107 CFU/mL 200 µL) was centrifuged (5000 r/min, 3 min), then 200
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μL AuNSs@Van (80 μg/mL) was added and co-cultured for 1 h, after that, the
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bacterial suspension was illuminated with 808 nm light (2.5W/cm2) for 10 min.
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Then, the suspension was centrifuged before dyed with PI, finally, the 10
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suspension was washed with PBS before observed with a fluorescence
2
microscope. Additionally, bacteria treated with AuNSs@Van and PBS were as
3
control.
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2.8 Morphology Study of Bacterial Cells
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Morphological changes of bacterial cells treated with AuNSs@Van were observed by
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scanning electron microscopy (SEM, SIGMA-500) and TEM. Briefly, MRSA and
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E.coli suspension (107 CFU/mL, 200µL) centrifuged (5000 r/min, 3 min) before
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treated with AuNSs@Van (80 μg/mL, 200µL) for 1 h, and then irradiated with 808
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nm (2.5 W/cm2) NIR light for 10 min, after that, the suspension was washed with PBS
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before fixed with glutaraldehyde (2.5%, 4 h) at room temperature, then, the obtained
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bacteria were dehydrated with different concentrations of ethanol (30, 50, 70, 90, and
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100 %, each for 15 min). Finally, the bacterial suspension was dropped on copper
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grids and sputtered with gold for SEM; the bacterial suspension was dropped on
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copper grids for TEM.
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2.9 Cell Cytotoxicity assay
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MTT assay was carried out to determine the AuNSs@Van cytotoxicity. Briefly,
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COS7 cells (monkey kidney cells) (100 µL, 1.0 × 104 cells per well) were first seeded
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in 96-well plates and cultured for 24 h at 37 ℃ containing 5% CO2. Then, the culture
19
medium in each well was substituted by AuNSs@Van solution with different
20
concentrations (50, 80, 100, 120, and 150 µg/mL) or control DMEM (10% FBS) for
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12 h. Next, DMEM (100 µL, 10% FBS) was added replaced AuNSs@Van in each
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well and cultured for 8 h, then the solution was supplemented with 20 μL MTT 11
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reagent in each well and cultured for 4 h at 37 ℃, followed by discarding the medium
2
and adding DMSO (150 µL) to dissolve the formazan in each well. Finally, the
3
absorbance at 490 nm was measured on a microplate reader (Wallac 1420). The
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relative cell viability was calculated via the formular: cell viability (%) = OD(experimental
5
group)/OD(control group)
6
with AuNSs@Van and without AuNSs@Van, respectively.
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2.10 Leakage of Intracellular Components
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For the purpose of further confirming the destruction of the bacterial cell membrane,
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related experiments were carried out on the leakage of protein and nucleic acid.
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Briefly, 600 µL (109 CFU/ mL) bacterial suspension was centrifuged (3000 r/min, 8
11
min) and then washed with PBS twice (added PBS to resuspended the bacteria, then
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centrifuged 3000 r/min for 8 min, repeated this step once) before treatment with 50
13
µL different concentrations of AuNSs@Van (80, 100, and 120 µg/mL,) under 808 nm
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light irradiation (2.5 W/cm2, 10 min). The bacterial suspension treated with PBS was
15
used as the control group. After treatment, the suspension was centrifuged at 3000
16
r/min for 10 min at 4 ℃ to obtain the supernatant. Finally, the supernatant was
17
denatured (95 ℃,3 min), followed by added 50 µL denatured supernatant into the
18
SDS-PAGE gel (10%) to do the denaturing polyacrylamide gel electrophoresis
19
(stacking gel, 120 V; separating gel, 180 V). After that, the gel was stained by
20
Coomassie Brilliant Blue G-250, and then used a mobile phone to take photos. In
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addition, Enhanced BCA Protein Assay Kit (Beyotime Biotechnology) was used to
22
quantitative the protein content. Besides, using the same method to obtain the
× 100%, where OD(experimental
group)
12
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supernatant. Then the supernatant was demonstrated the presence of the nucleic acid
2
by agarose gel (2%) electrophoresis and stained with Ethidium bromide (EB). Finally,
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the picture was taken by gel imaging system (GelDoc XR+, BIO-RAD).
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2.11 In vivo Animal Model Studies
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In order to investigate the antibacterial effect of AuNSs@Van in vivo, the animal
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infection model was established. Briefly, healthy female BALB/c mice (6-8 weeks)
7
were shaved on the back, followed by excising a round wound about 1 cm in diameter,
8
removing the skin, and injection of MRSA suspension (107 CFU/mL, 100 μL). After
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24 h infection, all the mice were randomly divided into 4 groups. Then, the 4 groups
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accepted 4 treatments (3 times, once a day): AuNSs@Van (808 nm, 2.5 W/cm2, 10
11
min), Dark treatment, Van, and PBS. Specifically, 20 µL AuNSs@Van (80 µg/mL)
12
was smeared over the surface of wounds, followed by 808 nm light irradiation. For
13
the other 3 groups, 20 µL AuNSs@Van (80 µg/mL), 20 µL Van solutions (1.1
14
µg/mL), and PBS were dropped on the wounds, respectively. During the irradiation
15
treatment, the mice were under anesthesia. Besides, on days 0, 1, 3, 5, and 7 of the
16
treatment, the mice were photographed and the bacteria were sampled from the
17
wounds, respectively. Additionally, after 7 days of treatment, the mice were sacrificed
18
to extract the wounded tissues for histology analysis by Hematoxylin and Eosin (H&E)
19
staining and Masson’s trichrome staining. In addition, major organs (liver, spleen,
20
kidney, heart and lung) were also collected for H&E staining to analyze the toxicity of
21
AuNSs@Van in vivo. The samples (collected tissues and organs) were tested in
22
Wuhan Google Biotechnology Co., Ltd. 13
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3 RESULTS AND DISCUSSION
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3.1 Characterization of AuNSs@Van
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In the work, the AuNSs@Van was synthesized as described in the Experimental
4
Section. As displayed by the TEM photograph in Figure 1A, the average diameter
5
(104.4 ± 13.3 nm) of AuNSs@Van was calculated
6
particles from the TEM images, which was in line with the DLS result (Figure 1B).
7
Further, the polydiseperse index (PDI) of AuNSs@Van nanoparticles were measured
8
by DLS, the results showed that the nanoparticles have a good dispersibility
9
(PDI=0.232). The Van have carboxyl groups (-COOH), which was able to be
10
covalently coupled with amino groups (-NH2) of NH2-PEG-SH by EDC and NHS,
11
then the Van was given sulfhydryl groups (-SH), when added the AuNSs solution,
12
Au-S bonds was formed between Van and AuNSs, thus AuNSs@Van was
13
synthesized.43 The loading amounts of Van on AuNSs (0.014 mg Van per milligram
14
of AuNSs) was calculated according to the calibration absorption curves of Van
15
(Figure S1). The successful loading of Van was verified by DLS, UV-vis spectra,
16
zeta potential, and TEM elemental mappings. As displayed in Figure 1B, the size of
17
AuNSs@Van was larger than that of AuNSs as a whole, for the Van was modified on
18
the AuNSs. Figure 1C exhibited the results of UV-vis spectra, it is known that
19
AuNSs had the surface plasmon resonance (SPR) peak near 800 nm and Van had a
20
peak at 280 nm, compared with AuNSs, AuNSs@Van not only possessed an SPR
21
absorption peak at 800 nm, but also had an absorption peak at 280 nm, which
22
indicated the successful loading of Van onto AuNSs. Figure 1D showed the zeta 14
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potential of AuNSs, Van, and AuNSs@Van, which was -39.3 ± 1.5 mV, -9.3 ± 1.3
2
mV and -3.1 ±0.4 mV, respectively, the changes of zeta potential suggested the Van
3
was loaded onto AuNSs. In addition, the TEM elemental mappings (Figure 1E)
4
showed the uniform distribution of Au, N, C, Cl and O elements in the same particle.
5
Because Cl is a typical element of Van, hence, the elemental mappings further
6
demonstrated the existence of Van in the nanoparticles.
7 8
Figure 1. Characterization of AuNSs@Van. (A) TEM images of AuNSs@Van. (B) Size
9
distribution of AuNSs and AuNSs@Van measured by DLS. (C) UV-vis absorption spectra AuNSs,
10
Van, and AuNSs@Van. (D) Zeta potential of AuNSs, Van, and AuNSs@Van. (E) elemental
11
mapping of a typical nanoparticle of AuNSs@Van.
12
All the aforementioned results indicated that the AuNSs@Van was successfully
13
synthesized. 15
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3.2 Photothermal conversion efficiency of AuNSs@Van
2
Figure 2 displayed the photothermal conversion efficiency of AuNSs@Van. It could
3
be seen that the temperature of a series of concentrations of AuNSs@Van (40, 80, 120
4
and 150 µg/mL) increased from 29 to 69.8 ℃ under the same power of 808 nm light
5
(2.5 W/cm2). Figure 2B exhibited the temperature of AuNSs@Van at same
6
concentration (120 µg/mL) increased obviously (from 42.4 to 66.2 ℃) under the
7
excitation of a different NIR light power (1.5-2.5 W/cm2) for 10 min. In Figure 2C,
8
AuNSs@Van was shown to have highly stable photothermal conversion capability
9
during the three test cycles. All the results implied that AuNSs@Van possessed
10
superior photothermal conversion efficiency.
11 12
Figure 2. The photothermal property of AuNSs@Van. (A) Photothermal curves of AuNSs@Van
13
with different concentrations under 808 light (2.5 W/cm2) for 10 min. (B) Photothermal curves of
14
AuNSs@Van (120 µg/mL) under 808 nm light (different power) irradiation for 10 min. (C)
15
Temperature rising and cooling profiles of AuNSs@Van (120 µg/mL) with irradiation on/off
16
under 808 nm light (2.5 W/cm2).
17
3.3 Selective recognition of Gram-positive bacteria
18
For the purpose of verifying the recognition of AuNSs@Van to Gram-positive
19
bacteria in vitro, some related experiments were performed. The recognition of
20
AuNSs@Van to Gram-positive bacteria was demonstrated by SEM data. As exhibited 16
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in Figure 3, the surface of MRSA in the control group (Figure 3a,a1) was smooth.
2
When MRSA treated with AuNSs, it could be found that there were a few particles
3
(AuNSs) on the surface of MRSA (Figure 3b,b1). However, when MRSA treated
4
with AuNSs@Van under the same conditions, a lot of nanoparticles (AuNSs@Van)
5
existed on the surface of bacteria (Figure 3c,c1). This difference was mainly due to
6
the modified by the Van which could targeted binding to the cell wall of MRSA, so
7
that the nanoparticles were better enriched on the surface of the bacteria. Besides,
8
TEM data was also presented to demonstrate AuNSs@Van possessed the capability of
9
identification Gram-positive bacteria. In our experiment, Gram-positive and
10
Gram-negative strains were used as the model to evaluate the targeted recognition
11
ability of nanoparticles. Figure 3a2,a3 displayed the results of two Gram-positive
12
strains S.aureus (1213P46B) and S.aureus (AB91093) treated with AuNSs, separately.
13
It could be observed that a few nanoparticles (AuNSs) existed the surface of bacteria,
14
however, lots of nanoparticles (AuNSs@Van) were appeared around bacteria treated
15
with AuNSs@Van (Figure 3b2,b3), these results were in line with the SEM results.
16
Moreover, When the E.coli (AB 93154, PCN033) were incubated with AuNSs@Van,
17
the results showed that almost no nanoparticles could be observed around the surface
18
of the bacteria (Figure 3c2,c3). When the mixed bacterial suspensions of MRSA and
19
E.coli (PCN033) were treated with AuNSs@Van, the results (Figure 3d2,d3) showed
20
that only MRSA cells were surrounded with nanoparticles, and almost no nanoparticle
21
was found to around the E.coli cells. The above results fully demonstrated that
22
AuNSs@Van had a good ability to recognize Gram-positive bacteria, which was 17
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mainly due to the modification of vancomycin. Previous studies have shown that
2
vancomycin can be anchored to the surface of the Gram-positive bacterial cell wall by
3
binding to the D-Ala-D-Ala molecule, thereby achieving targeted recognition of
4
Gram-positive bacteria.44
5 6
Figure 3.
7
treated with PBS as control (a, a1), treated with AuNSs (b, b1), and treated with AuNSs@Van (c,
8
c1). Typical TEM images of S.aureus (1213P46B, AB91093) treated with AuNSs (a2, a3). (b2,b3)
9
TEM images (down layer) of S.aureus (1213P46B, AB91093) treated with AuNSs@Van. (c2,c3)
10
TEM images of E.coli (AB 93154, PCN033) treated with AuNSs@Van for 1 h. (d2,d3) MRSA
11
and E.coli (PCN033) treated with AuNSs@Van for 1 h. AuNSs: 80 µg/mL, AuNSs@Van: 80
12
µg/mL.
13
3.4 The Antimicrobial Activity of AuNSs@Van in vitro
Selectivity of AuNSs@Van to MRSA. Typical SEM images (upper layer) of MRSA
18
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The antimicrobial activity of AuNSs@Van against Gram-positive bacteria in vitro
2
was evaluated by plate count method. Figure 4 presented the antibacterial activity of
3
AuNSs@Van against the two Gram-positive strains (MRSA: a~d, and S.aureus:
4
a1~d1) through the agar plates, which directly exhibited the antibacterial effect of
5
AuNSs@Van. Specifically, when compared with the control groups (a, a1), only a
6
few or even no colonies presented on the agar plates (b~d, b1~d1) after treatment with
7
AuNSs@Van (80, 100, and 120 µg/mL) under the irradiation of 808 nm light. Figure
8
4e, e1 showed the corresponding statistics of the antibacterial effect. It displayed that
9
AuNSs@Van with different concentrations (80, 100, and 120 µg/mL) exhibited a
10
almost 2-log reduction in the CFU number per against the two strains with 808 nm
11
NIR light irradiation, which indicated that AuNSs@Van plus NIR light irradiation
12
could effectively inhibit the growth of bacteria. Notably, in terms of survival rate,
13
nearly 99% antibacterial efficiency was observed with 80 µg/mL of AuNSs@Van
14
against both the strains under 808 nm NIR light illumination, and the antibacterial
15
efficiency was over 99.9% when the treatment concentration increased to 120 µg/mL.
16
Of course, the antibacterial efficiency could be further improved through increasing
17
the laser power, extending the illumination time, and increasing the concentration of
18
nanomaterial. Whether Van in the nanomaterials played a bactericidal role during the
19
experiment was tested by some related experiments. In Figure S2b, it could be
20
observed that no significant reduction in the number of colonies on the agar plate of
21
the free Van (1.1 µg/mL, the concentration is comparable to the amount of
22
vancomycin contained in 80 µg/mL AuNSs@Van.) treated group versus the control 19
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group (Figure S2a), and the bacterial survival rate decreased to 81% (Figure S2c).
2
However, there were only a few colonies on the agar plate of the AuNSs@Van
3
(80µg/mL) plus NIR light group under the same conditions, and the bacterial survival
4
rate was below 1%. These observations indicated that it was the high temperature
5
generated by AuNSs@Van after absorbing 808 nm light that made a major
6
contribution to the antibacterial effect of AuNSs@Van.
7 8
Figure 4. In vitro antibacterial activity test. Photographs of the agar plates of MRSA (a~d) and
9
S.aureus (a1~d1) treated with AuNSs@Van (80, 100, and 120 µg/mL) under 808 nm light
10
irradiation (808 nm: 2.5 W/cm2, 10 min.). (a, a1) Treatment with PBS was set up as control. Effect
11
of AuNSs@Van on bacterial counts of MRSA (e) and S.aureus (e1). The error bars indicate means
12
± SD (n = 3).
13
The antibacterial activity of AuNSs@Van was further verified by the live/dead
14
viability assay using PI and DAPI staining. The dye of PI can enter the damaged cells,
15
stain the nucleus, and emit red fluorescence, while the dye of DAPI can pass through 20
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bacterial cells with intact membrane, combine with DNA and emit blue fluorescence.
2
Hence, the above two dyes can be used to indicate the state of the bacteria, dead (red
3
fluorescence) or alive (blue fluorescence).45-47 In this study, MRSA (b~d) and
4
S.aureus (b1~d1) were treated with different concentrations (80, 100, and 120 µg/mL)
5
of AuNSs@Van under 808 nm NIR light irradiation (2.5 W/cm2) for 10 min. In
6
Figure 5, obvious red fluorescence (dead bacteria) could be observed in (b~d) and
7
(b1~d1), especially at the treatment concentration of 100 and 120 µg/mL (c~d, c1~d1),
8
which showed almost no blue fluorescence (live bacteria). In contrast, the control
9
group (a, a1) displayed a large area of blue fluorescence, with almost no detectable
10
red fluorescence. The above results implied that AuNSs@Van plus 808 nm light
11
irradiation did result in the death of bacteria. In addition, the corresponding
12
quantitatibve flourescence data were measured by image pro plus software, and the
13
results were displayed in Figure 5e, e1, which were consistent with the bacterial
14
survival rates shown in Figure 4.
15
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Figure 5. Fluorescence microscope images of MRSA (a~d) and S.aureus (a1~d1) with PI and
2
DAPI staining after treatment with different concentrations of AuNSs@Van under 808 nm light
3
(2.5 W/cm2, 10 min). (a, a1) Treatment with PBS was set up as control, (b, b1) 80 g/mL, (c, c1)
4
100 µg/mL, and (d, d1) 120 µg/mL. The corresponding measurement of live/dead fluorescence of
5
MRSA (e) and S.aureus (e1). The error bars indicate means ± SD (n = 3).
6
3.5 Cell Integrity Damage of MRSA Induced by AuNSs@Van
7
The integrity of MRSA membrane under different treatments was analyzed by SEM
8
techniques. From the SEM image in Figure 6Aa (the control group), it could be
9
clearly observed the integrity membrane/wall of MRSA. In Figure 6Ab, when MRSA
10
was treated with AuNSs@Van but without 808 nm light, a number of AuNSs@Van
11
particles on the surface of MRSA were found, and the MRSA also possessed
12
complete cell membrane/wall. In Figure 6Ac, it was shown that after treating MRSA
13
with AuNSs@Van plus 808 nm light irradiation (2.5 W/cm2, 10 min), the bacterial
14
membrane became collapsed, which indicated the bacterial structure was destroyed.
15
The disruption of bacterial membrane treated with AuNSs@Van was further verified
16
by using PI staining.42 In Figure 6B, it could be observed that only a few MRSA cells
17
were stained with PI in the control and treated with AuNSs@Van (without NIR light
18
irradiation). In contrast, a large number of MRSA cells showed red fluorescence when
19
treated with AuNSs@Van under NIR laser, which implied that the cell
20
membranes/walls were destroyed and lost integrity. Furthermore, the leakage of
21
cytoplasmatic content, including nucleic acid and protein, was detected. Figure S3
22
presented the results of released nucleic acid and protein of MRSA treated with
23
different concentrations of AuNSs@Van under NIR light irradiation. In Figure S3A, 22
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it could be seen that after treatment with different concentrations of AuNSs@Van (80,
2
100, and 120 µg/mL) under NIR light irradiation, the protein strips appeared, besides,
3
the corresponding data shown in Figure S3B. In Figure S3C, it illustrated that
4
treatment with AuNSs@Van plus NIR light irradiation led to the occurrence of
5
nucleic acid strips. The above results indicated that AuNSs@Van plus NIR light
6
treatment caused the destruction of bacterial cell membranes, thereby releasing
7
bacterial contents and ultimately leading to bacterial death.
8 9
Figure 6. (A) SEM images of MRSA treated with AuNSs@Van with or without NIR light
10
irradiation. (a) The untreated group is used as the control. (b) A representative SEM image of
11
MRSA treated with AuNSs@Van but without 808 nm light, on the surface of MRSA. (c) A
12
typical SEM image of MRSA treated with AuNSs@Van (80 µg/mL) plus 808 nm light irradiation
13
(2.5 W/cm2, 10 min), indicating the destroyed bacterial structure. (B) Fluorescent and bright field
14
images of MRSA stained by PI following various treatments, bar=20 µm. 23
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The superior bacteria capturing ability of AuNSs@Van synergistically improved its
2
photothermal efficiency, and the antibacterial rate was close to 99% after the NIR
3
light irradiation for 10 min at 80 µg/mL. A possible explanation for this as follows:
4
the capturing ablity of Van toward the wall of MRSA cells and the photothermal
5
effects of AuNSs after absorption of 808 nm light (the release of the energy as heat in
6
situ),
7
moderate temperature (for instance, 37 ℃) is suitable for the growth of bacteria;
8
however, if the temperature increased to ~ 50℃ or > 50 ℃, the growth of bacteria
9
would be affected, even leading to their death. The heat generated by AuNSs@Van
10
under 808 nm light irradiation was able to increase the solution temperature to ~60 ℃.
11
At this high temperature, the enzymes necessary for bacterial metabolism were
12
denatured, which hindered intracellular reactions, destroyed the cell membrane,
13
prevented the bacteria from performing normal life activities, and finally resulted in
14
bacterial death.50
15
3.6 In Vivo antibacterial activity of AuNSs@Van irradiated by NIR light
16
The biocompatibility of AuNSs@Van was examined by MTT cytotoxicity assay.51 In
17
Figure S4, the viability of Hela cells was observed to be >90% even at 150 µg/mL of
18
AuNSs@Van, which indicated AuNSs@Van had good biocompatibility. Considering
19
the antibacterial activity in vitro and the MTT results, 80 µg/mL (AuNSs@Van) was
20
selected for the experiment in vivo. In order to demonstrate the potential clinical
21
application of the obtained antibacterial nanoparticles in vivo, MRSA-infected mice
22
models were established. Figure 7A showed the process of wound repair.
48,49
besides, the Van also showed a weak antibacterial effect. Generally, a
24
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Specifically, the AuNSs@Van solutions (80 µg/mL) were applied to the infected
2
wound, followed by irradiation of 808 nm NIR light; Van (a conventional antibiotic,
3
1.1 µg/mL) was used as a control. The circular wounds of mice were generated by
4
knife injury and infected with 100 µL MRSA (107 CFU/ mL), followed by different
5
treatments: AuNSs@Van (808 nm, 2.5 W/cm2, 10 min), Dark treatment, Van, and
6
PBS.52 Figure 7B displayed the healing process of wounds, including the wound
7
shape at 0, 1, 3, 5, and 7 d of treatment. After 7 days, compared with the control
8
groups (PBS, Van or Dark treatment), the wound area in the group of AuNSs@Van
9
obviously reduced (11.98 %) in contrast to over 45% in the other groups (Figure 7C).
10
This proved that the treatment of AuNSs@Van promoted the healing of wound. The
11
antibacterial effect was assessed by collecting the bacteria at the wounds and the
12
results were shown in Figure 7D. It could be seen that, in the AuNSs@Van group, the
13
number of colonies grew on the agar plates became less and less with time increased,
14
in contrast to no significant decline in the number of colonies in the other groups. The
15
relative bacterial survival rate was quantified and shown in Figure 7E, with the rate
16
(54.5%, 28.94%, and 5.26%) in the group of AuNSs@Van being obviously lower
17
than that in the control groups at 3, 5, and 7 d of treatment. Overall, AuNSs@Van
18
plus NIR light expressed satisfactory antibacterial effect in vivo. Moreover,
19
histological analysis of the infected area was conducted during the treatment to
20
evaluate the healing ability of mice in infected wound. Optical micrographs were
21
taken after H&E staining and Massosn trichrome staining of histological sections,
22
respectively. Infected tissues are prone to generate neutrophils, which can be stained 25
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in blue.53 As exhibited in Figure 7F, after 7-day, there were still some blue spots in
2
the wounds in the control groups (PBS, Van, and Dark treatment). In contrast, the
3
blue area was obviously reduced in the wound treated with AuNSs@Van under NIR
4
light irradiation. Hence, the treatment with AuNSs@Van plus NIR light alleviated the
5
inflammation of infected area. In addition, Masson’s trichrome staining was employed
6
to evaluate the formation of collagen fiber (blue) during the wound healing process.
7
As displayed in Figure 7F, it could be observed that there were many blue spots
8
(established collagen fbers) presented in the group of AuNSs@Van, but very few blue
9
spots could be found in the control groups (PBS, Van, and Dark treatment). As blue
10
represents collagen fibers, the results suggested that the group treated with
11
AuNSs@Van formed more connective tissues than the other three control groups,
12
which was very beneficial to the healing of the wounds. Furthermore, the main organs
13
collected from AuNSs@Van-treated (80 mg/mL) mice (after 7-day treatment),
14
including the heart, liver, spleen, lungs, and kidneys, were stained with H&E to
15
evaluate the toxicity of AuNSs@Van in vivo.
16
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Figure 7. In vivo therapeutic effect of AuNSs@Van against MRSA-infected mouse model. (A)
3
Schematic illustration for the construction of mouse model and the treating process. (B)
4
Photographs of wounds and (C) corresponding wound area from the four groups with different
5
treatments after 0, 1, 3, 5, and 7 d. (D) LB-agar plate images of surviving bacteria and bacterial
6
inhibition rate (E) of wounds from the four groups at different times during the therapeutic process.
7
(F) Histologic analysis of wound tissue samples obtained from the MRSA-infected mice by H&E
8
and Masson’s trichrome staining after 7 days of treatment. (Ⅰ-1~Ⅰ-4) H&E staining, (Ⅱ-1~Ⅱ-4)
9
Masson’s trichrome staining, (1) Control, (2) Dark, (3) Van, and (4) AuNSs@Van. Error bars are 27
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taken from three mice per group.
2
As exhibited in Figure 8, no obvious inflammatory lesions and damages were
3
observed in them, which implied that very weak toxicity of AuNSs@Van in vivo. The
4
overall results indicated that AuNSs@Van could serve as a good antibacterial agent to
5
inhibit the growth of bacteria with minimal toxicity.
6 7
Figure 8. In vivo toxicity of AuNSs@Van. H&E staining images of the major organs, including
8
heart, liver, spleen, lung, and kidney of MRSA-infected mice obtained by slicing for H&E staining
9
at 7 d of experiment.
10
4. CONCLUSIONS
11
In summary, we had successfully synthesized a nanocomposite: vancomycin-modified
12
gold nanostars (AuNSs@Van). This work had demonstrated that AuNSs@Van with
13
absorption ability in the NIR region could be employed as a photothermal agent,
14
which was able to recognize MRSA (Gram-positive bacteria) and further effectively 28
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1
inhibit the growth of MRSA under NIR light irradiation. Additionally, the low
2
concentration (less than MIC: 2 µg/mL) of Van (1.1 µg/mL) in AuNSs@Van (80
3
µg/mL) not only had the capacity of targeting MRSA, but also presented antibacterial
4
effect to some extent. Our strategy of designing an antibacterial agent with high
5
selectivity and low cytotoxicity made AuNSs@Van a promising agent for combating
6
MRSA infection, and with less potential to induce bacterial resistance. But,
7
AuNSs@Van also have some limitations, such as, AuNSs@Van may be less effective
8
against
9
modification is made to AuNSs@Van, more widely application would be available
vancomycin-resistant
Gram-positive
bacteria,
hence,
if
appropriate
10
for AuNSs@Van in antibacterial field.
11
Supporting Information
12
The Supporting Information is available free of charge on the ACS Publications
13
website at DOI: 10.1021/acsami.XXXXXXX
14
Quantification of vancomycin, antibacterial effects of free Van, the leakage of
15
intracellular substance, cell viability.
16
Corresponding Author
17
* Corresponding Author E-mail:
[email protected] 18
Notes
19
The authors declare no competing financial interest.
20
ACKNOWLEDGMENTS
21
The authors are grateful to the financial support by the National Natural Science
22
Foundation of China (21807036, 21778020), Sci-tech Innovation Foundation of 29
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1
Huazhong Agriculture University (2662017PY042, 2662018PY024), Science and
2
Technology Major Project of Guangxi (Gui Ke AA18118046). We are also thankful
3
to Prof. Hanchang Zhu for editing of the language.
4
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Table of Contents One stone with two birds: functional gold nanostar for targeted combination therapy of drug resistant Staphylococcus aureus infection Huajuan Wang,a Zhiyong Song,b Shuojun Li, b Yang Wu c and Heyou Han * a,b,c
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