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International Journal of Bioprinting                            Characterization of BITC antibacterial hydrogel



            Table 3. BITC hydrogel for S. aureus and E. coli     Pigskin has a wide range of mechanical properties
            bacteriostatic zone diameter                       and tissue similar to human skin tissue and is often used
                                                               as a biomechanical model of body skin tissue substitute
            Strain              Diameter of bacteriostatic zone/cm  to simulate human skin . To evaluate the efficacy of
                                                                                   [49]
                             0% (control)  0.4%  0.6%  0.8%    the  antibacterial  properties  of  the  BITC  hydrogel  for
            E. coli MG1655       0        1.5   3.2    6       the treatment of bacterial infections on burned skin, we
                                                               used pigskin as a model to simulate human skin burn by
            S. aureus ATCC25923  0        2.0   3.8    5.8     burning pigskin over flame. The standard S. aureus strains
            E. coli: Escherichia coli, S. aureus: Staphylococcus aureus, BITC: Benzyl   ATCC25923 and MRSA were used, then BITC-XLKC-Gel
            isothiocyanate
                                                               of different concentration was applied to the surface of
            inhibitory region, the better the antibacterial property of   burned skin, and the bacteriostatic effect was observed
            the BITC-XLKC-Gel. Therefore, the results showed that   after incubation at 37°C for 24 h. As shown in Figure 7, after
            BITC-XLKC-Gel with BITC had a good antibacterial effect   24 h of application of the hydrogel, the moisture content of
            on both S. aureus and E. coli.                     skin tissue at the burn site of the pigskin increased, which
                                                               can be explained by the good water retention ability of the
              Bacterial biofilms are a unique form of bacterial   hydrogel. The colony growth of S. aureus ATCC25923 and
            survival, compared to a single dispersed planktonic cell .   MRSA after application of the BITC hydrogel is shown
                                                        [42]
            Bacterial  biofilms  refer  to  the  capsular  biota  composed   in Figure 7. When the BITC concentration was 0.2%, the
            of polysaccharides, proteins, and nucleic acids secreted   survival  rate  of  S. aureus  ATCC25923  and  MRSA  was
            by bacteria on the surface of mucosa or biomaterials and   lower than 0.1%. When the BITC concentration was 0.4%,
            the formation of biofilm is the main cause of chronic   0.6%, or 0.8%, the survival rate of S. aureus ATCC25923
            infection . According to statistics, about 65% of human   and MRSA was lower than 0.01%, and the BITC
                   [43]
            bacterial infections are caused by bacterial biofilms .   hydrogel exerted a better antibacterial effect on S. aureus
                                                        [44]
            Therefore, to better evaluate the antibacterial performance   ATCC25923 than on MRSA. The results showed that the
            of BITC hydrogel, we studied the effect of BITC-XLKC-Gel   BITC hydrogel exerted good antibacterial activity against
            on the formation of biofilm of  S. aureus and  E. coli   S.  aureus and MRSA. Therefore, the BITC hydrogel has
            (Figure 6B and C). BITC-XLKC-Gel induced the lysis of   great potential for use as a dressing for the treatment of
            S. aureus ATCC25923 and E. coli MG1655 cells, prevented
            the formation of biofilm, and reduced the established biofilm   bacterial infections on burned skin.
            of  S. aureus  and  E. coli.  Quantitative  analysis  of  crystal   4. Conclusion
            violet showed that when the addition of BITC was 0.2%
            and 0.4%, the treatment significantly reduced the ability of   In this study, a 3D printable BITC-XLKC-Gel was prepared
            E. coli and S. aureus to form biofilms, while 0.6% and 0.8%   with XG/LBG/KG/CA as substrate, and its therapeutic effect
            BITC almost completely eliminated the ability of S. aureus   on skin burn was studied. The printed product was found to
            to form  biofilms  (Figure  6B  and  C). This  is consistent   be safe, convenient, and effective for skin burn dressing. The
            with the results of the bacteriostatic circles (Figure 6A).   manufacturing process was simple, and the materials were
            In summary, 0.4% BITC added BITC-XLKC-Gel showed   safe for use. The BITC-XLKC-Gel was shown to have good
            good antibacterial activity against E. coli and S. aureus.  mechanical properties, rheological properties, and water
                                                               retention properties and showed great overall potential in
            3.7. Experiments of infection on pig skin burn     the treatment of wound healing. The strain rate of BITC
            Burns are one of the most destructive and common   hydrogel is 76.5%, which is superior to human skin and has
            types of injuries. Severe thermal injury can result in an   good adhesion and extensibility. In addition, inhibition zone
            immunosuppressive state that predisposes burn patients to   analysis showed that the BITC-XLKC-Gel added with 0.6%
            infectious complications . Infection is the most common   BITC exerted strong antibacterial activity against S. aureus
                               [45]
            cause of death among burn patients. The longer the burn   and the BITC-XLKC-Gel added with 0.4% BITC exerted
            patient is treated, the higher the risk of infection caused   strong antibacterial activity against E. coli. In the experiment
            by multidrug-resistant bacterial pathogens. In the first   that simulated burns and infections, BITC hydrogels
            few days after a burn, the burn patient is more susceptible   showed excellent antibacterial properties against MRSA. In
            to infection by Gram-positive bacteria; therefore, active   this study, we only investigated the antibacterial properties
            infection control methods are essential . S. aureus is the   of the BITC hydrogel, while the active molecules involved in
                                           [46]
            main causative agent of infection in critically ill patients ,   the healing process remain to be explored. In this study, we
                                                        [47]
            with MRSA being the most infectious Gram-positive   developed an edible, 3D-printed BITC hydrogel with strong
            bacteria among burn patients .                     plasticity, which has a good application prospect.
                                   [48]
            Volume 9 Issue 2 (2023)                        340                      https://doi.org/10.18063/ijb.v9i2.671
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