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International Journal of Bioprinting                        3DP hydrogels to combat antibiotic-resistant bacteria



               Rif acts by interacting with the b-subunit of the bacterial   TECHMATSTRATEG2/407770/2/NCBR/2020  entitled
            RNA polymerase encoded by the rpoB gene. Rif resistance   New  functional  MATerials  for  3D  printing  in  UROlogy
            is acquired through key amino acid substitutions in the   needs, acronym MATURO 3D.
            b-subunit leading to a reduced affinity to the antibiotic [50,51] .
            In our case, the rpoB gene from our S. aureus RN4220 Rif   Conflict of interest
            resistant isolates cultured from the Rif hydrogels had three   The authors declare no conflicts of interest.
            SNPs known to cause resistance to Rif . On the other
                                            [42]
            hand, S. aureus AMC 201 isolate exposed to GelMA-Rif-  Author contributions
            NPs hydrogel showed resistance to Rif but did not have
            any mutation in the rpoB gene region studied. To the best   Conceptualization:  David Martínez-Pérez, Clara Guarch-
            of  our  knowledge,  there  have  been  no  other  resistance   Pérez, Martijn Riool, Sebastian A. J. Zaat, Wojciech
            mechanisms to Rif reported for  S. aureus [52,53] . However,   Święszkowski
            referring to the mechanism of resistance development to   Funding acquisition: Sebastian A. J. Zaat, Wojciech
            other antibiotics such as ciprofloxacin, this could be due to   Święszkowski
            an increased expression of efflux pumps .          Investigation: David Martínez-Pérez, Clara Guarch-Pérez,
                                            [10]
                                                                  Muhammad Abiyyu Kenichi Purbayanto
            5. Conclusions                                     Project administration: David Martínez-Pérez, Clara
                                                                  Guarch-Pérez
            The double antibiotic-loaded GelMA hydrogels (GelMA-  Resources: Sebastian A. J. Zaat, Wojciech Święszkowski
            Rif-Van-NPs) show promising  in  vitro outcomes as an   Supervision: Emilia Choińska, Martijn Riool, Sebastian A.
            antimicrobial  drug  delivery  system  to  prevent  or  treat   J. Zaat, Wojciech Święszkowski
            implant-related infections. In this work, we showed that   Visualization: David Martínez-Pérez, Clara Guarch-Pérez
            3D-printed GelMA hydrogels containing antibiotic-loaded   Writing – original draft:  David Martínez-Pérez, Clara
            PLGA NPs allows for the design of a combined, controlled,   Guarch-Pérez
            and gradual release system for two antibiotics, which   Writing – review & editing: Martijn Riool, Sebastian A. J.
            can be used to prevent the development of antimicrobial   Zaat, Wojciech Święszkowski
            resistance. In the future, depending on the needs of the
            patient, this system may be modified to accommodate   All authors have read and agreed to the published version
            various implant types, geometries, and antibiotics.  of the manuscript.

            Acknowledgments                                    Ethics approval and consent to participate
                                                                Not applicable.
            We would like to thank Dr. Nehar Celikkin for her technical
            support in synthesizing gelatin methacrylate and the 3D   Consent for publication
            printing  process.  We  would  like  to  thank  Mariusz  Nyc
            for technical support in rheological analysis. We would   Not applicable.
            like to thank Stefany Alonso for her technical support in
            development of models in 3ds Max Autodesk. We would also   Availability of data
            like to thank Dr. Nicole van der Wel (Electron Microscopy   Data can be requested from David.perez@pw.edu.pl .
            Center Amsterdam [EMCA], Amsterdam UMC) for her
            technical assistance in collecting the SEM images. We would   Further disclosure
            like to thank the Core Genomic Facility of the Amsterdam
            UMC, Amsterdam, the Netherlands for their technical   Some preliminary results were presented at European
            support with sanger sequencing. Benchling Biology Software   Society for Biomaterials 2018 and Biofabrication 2018.
            (2022) was retrieved from https://benchling.com.
                                                               References
            Funding                                            1.   ter Boo G-JA, Grijpma DW, Moriarty TF,  et al., 2015,

            This work was funded by the research project PRINT-   Antimicrobial delivery systems for local infection
            AID within the EU Framework Programme for Research    prophylaxis in orthopedic- and trauma surgery. Biomaterials,
                                                                  52:113–125.
            and Innovation Horizon 2020 – Marie Skłodowska-
            Curie Innovative Training Networks under grant        https://doi.org/10.1016/j.biomaterials.2015.02.020
            agreement No. 722467 and by the National Centre    2.   Masters EA, Trombetta RP, de Mesy Bentley KL, et al., 2019,
            for  Research  and  Development  under  the  grant  no.   Evolving concepts in bone infection: Redefining “biofilm,”


            Volume 9 Issue 3 (2023)                         76                         https://doi.org/10.18063/ijb.683
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