Thermosensitive vancomycin@PLGA-PEG-PLGA/HA hydrogel as an all-in-one treatment for osteomyelitis

ElsevierVolume 627, 5 November 2022, 122225International Journal of PharmaceuticsHighlights•

PLGA-PEG-PLGA/HA is a thermosensitive hydrogel with wide gelation temperature window.

[email protected]/HA has perfect biocompatibility and biodegradability.

[email protected]/HA can effectively release drugs slowly for a long time.

[email protected]/HA has both osteogenic and anti-infection effects.

Abstract

Osteomyelitis is a difficult-to-treat infectious disease. Treatment, which includes controlling the infection and removing necrotic tissues, is challenging. Considering the side effects and drug resistance of systemic antibiotics, local drug delivery systems are being explored. Antibiotic-loaded bone cement is the main treatment strategy; however, it has several disadvantages. Thus, based on its thermosensitive gelation properties, poly(D, L-lactide-co-glycolide)–poly(ethylene glycol)–poly(D, L-lactide-co-glycolide) (PLGA-PEG-PLGA) copolymer was used as a sustained-release drug carrier by calibrating its synthesis parameters. We prepared and characterized [email protected]/hydroxyapatite (HA) thermosensitive hydrogel with an LA/GA ratio of 15:1. The rheological characteristics, sol–gel phase-transition properties, and critical micelle concentration value of the PLGA-PEG-PLGA/HA complex confirmed that it undergoes a temperature-sensitive sol–gel phase transition. Furthermore, the HA in the composite increased the storage modulus of the system. FT-IR, XRD, and TEM findings showed that HA could be dispersed uniformly in the PLGA-PEG-PLGA polymer. Moreover, HA neutralized acidity during polymer degradation, improving in vitro cytocompatibility. In vitro and in vivo antibacterial experiments showed that the composite sustained-release system exhibited good bone repair characteristics owing to its efficacy in infection treatment. Therefore, [email protected]/HA allows sustained release of antibiotics and promotes bone tissue repair, showing potential for wide clinical applicability.

Keywords

Sustained-release drug carrier

Thermosensitive hydrogel

PLGA-PEG-PLGA/HA

Vancomycin

Osteomyelitis

AbbreviationsPLGA-PEG-PLGA

poly(D, L-lactide-co-glycolide)–poly(ethylene glycol)–poly(D, L-lactide-co-glycolide)

FT-IR

Fourier transform infrared spectroscopy

TEM

Transmission electron microscopy

CMC

Critical micellar concentration

GPC

gel permeation chromatography

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