NANOPHARMACHIP
Developing innovative anti-microbial nanotechnology and doing pharmacological evaluations of it using "airway-on-a-chip" microfluidic devices
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Developing innovative anti-microbial nanotechnology and doing pharmacological evaluations of it using "airway-on-a-chip" microfluidic devices
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Artículos científicos
Congreso
Antibiotic resistance is a serious global health problem that is particularly urgent for the treatment of bacterial infectious respiratory diseases. Its clinical significance increased during the COVID-19 pandemic due to the frequency of secondary bacterial infections in serious hospitalised cases that required mechanical ventilation or assisted breathing. Antibiotic resistance causes therapeutic failure in treating respiratory infections, which urgently calls for research and development for innovative and efficient antimicrobials that are alternatives to conventional antibiotics and that are less prone to the development of resistance. Developing those new antimicrobials needs, in turn, the development of model systems of the infectious pathology whose use as platforms for examining the effectiveness and toxicity is simple, fast and reproducible. Those systems replace the widespread use of animal experimentation and, because of their simplicity, make significant advances towards implementing personalised medicine possible. Because of that, it is key to develop microfluidic organ-on-a-chip systems that simulate the architecture, micro-environment and essential functional aspects of the breathing passages, as well as the infection mechanisms.
The primary bacteria that cause respiratory infection are on the World Health Organisation’s (WHO) priority pathogen list, among them is Haemophilus influenzae because of its resistance toβ-lactam antibiotics. Chronic H. influenzae infections in the lower respiratory tract of patients with chronic obstructive pulmonary disease (COPD), whose growth forming biofilm promotes chronic infection and antibiotic resistance, have special clinical significance. We currently have no effective anti-biofilm strategies for H influenzae. On the other hand, the presence of periodontal pathogens in the lower respiratory tracts of chronic patients suggests the existence of inter-specie relationships with respiratory pathogens, whose consequences in the therapeutic effectiveness of the antimicrobials are unknown.
With the basis of those needs and that evidence, NANOFARMACHIP developed three coordinated axes of technological action, in the framework of the health biotechnology strategic area, for the development and preclinical evaluation of a new generation of therapies for chronic bacterial respiratory infection.
As an outcome of doing the NANOFARMACHIP project we designed and developed different encapsulation systems for antibacterial medicines in polymeric matrices using encapsulation approaches and methods based on single and double emulsions at a laboratory scale. To do that we implemented methodologies of analysing the relevant antimicrobials using chromatographic techniques, in addition to a panel of experimental techniques for the physical-chemical characterisation of the nanoformulations. With all of that we optimised the encapsulation processes of different molecules to obtain functional systems with a diameter around 200 nm, low polydispersity and that are stable in an aqueous medium. These encapsulation systems make it possible to effectively vehiculise active ingredients that would otherwise be incompatible with an aqueous medium and, consequently, would not be able to interact with or effectively eradicate bacterial biofilms. In addition, we designed multiple encapsulation systems in which we encapsulated different molecules in a single system, which makes it possible to put forward therapeutic developments based on pharmacological synergy.
On the other hand, we developed, fabricated and fine-tuned an airway-on-a-chip microfluidic device that simulates the structure and approximates the functionality of the lower respiratory tract of human lungs. To do that, we used a microscopic sized system of channels and reservoirs that made it possible to recreate cell layers and flows that mimic lung structures. Those systems were fabricated using advanced microfabrication techniques with biocompatible materials and good optical properties, so the processes that occur inside can be observed. Starting with that device (design.0), we made a modification, design.1, in order to include a reserved area in it for the growth of bacteria as a biofilm. And it is joined to the rest of the device via a control valve that simulates the air ways. By actuating the valve, we can model bacterial infection situations by bacteria migration or flow from the biofilm to the reservoir that models the air ways. That advanced development made it possible to visualise and start to understand the dynamics of interaction between the bacteria that infects and the cells that make up the air ways.
In a parallel way, we developed and implemented all the methodology necessary for a systematic and multimodel evaluation of the effectiveness of the nanoformulations produced in comparison with biofilms created by the H. influenzae pathogen in both monoculture and co-culture with the fusobacterium nucleatum periodontal pathogen. The results show the antimicrobial potential of both cinnamaldehydes that, in turn, are improved through being encapsulated in polymeric nanoparticles in comparison with clinical H. influenzae isolated biofilms that are resistant to conventional antibiotics.
Lastly, using our knowledge and extensive experience with microscopy and biomedical image analysis, we developed, fine-tuned and used a series of microscopy protocols and automated image analysis tools to visualise bacterial infection processes in the airway-on-a-chip device. To do that, we produced a panel of tools using genetic engineering of microorganisms that make it possible for us to do specific and differential marking of the significant pathogens, that in turn could be used to visualise the respiratory infection processes on the airway-on-a-chip. As a whole, this respiratory infection model platform provides quantitative and comparative information about the infection dynamics of different kinds of bacteria with the ultimate goal of determining the antimicrobial effect of the nanoformulations.
In summary, NANOFARMACHIP tackled a major health problem by integrating innovative technological approaches with very significant challenges. After carrying out the project, we presented a new generation of antimicrobials that could later be clinically evaluated and produced industrially, in addition to an innovative respiratory infection model. The communications activities done during the project were geared especially towards end users.