Lysostaphin and BMP-2 co-delivery reduces S. aureus infection and regenerates critical-sized segmental bone defects

Sci Adv. 2019 May 17;5(5):eaaw1228. doi: 10.1126/sciadv.aaw1228. eCollection 2019 May.

Abstract

Staphylococcus aureus is the most common pathogen associated with bacterial infections in orthopedic procedures. Infections often lead to implant failure and subsequent removal, motivating the development of bifunctional materials that both promote repair and prevent failure due to infection. Lysostaphin is an anti-staphylococcal enzyme resulting in bacterial lysis and biofilm reduction. Lysostaphin use is limited by the lack of effective delivery methods to provide sustained, high doses of enzyme to infection sites. We engineered a BMP-2-loaded lysostaphin-delivering hydrogel that simultaneously prevents S. aureus infection and repairs nonhealing segmental bone defects in the murine radius. Lysostaphin-delivering hydrogels eradicated S. aureus infection and resulted in mechanically competent bone. Cytokine and immune cell profiling demonstrated that lysostaphin-delivering hydrogels restored the local inflammatory environment to that of a sterile injury. These results show that BMP-2-loaded lysostaphin-delivering hydrogel therapy effectively eliminates S. aureus infection while simultaneously regenerating functional bone resulting in defect healing.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / therapeutic use*
  • Bone Morphogenetic Protein 2 / chemistry
  • Bone Morphogenetic Protein 2 / therapeutic use*
  • Bone Regeneration / drug effects*
  • Drug Delivery Systems
  • Hydrogels / chemistry
  • Inflammation / immunology
  • Inflammation / microbiology
  • Lysostaphin / chemistry
  • Lysostaphin / therapeutic use*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Orthopedic Procedures / adverse effects*
  • Prostheses and Implants
  • Recombinant Proteins / chemistry
  • Recombinant Proteins / therapeutic use
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / drug effects*
  • Transforming Growth Factor beta / chemistry
  • Transforming Growth Factor beta / therapeutic use*

Substances

  • Anti-Bacterial Agents
  • Bone Morphogenetic Protein 2
  • Hydrogels
  • Recombinant Proteins
  • Transforming Growth Factor beta
  • recombinant human bone morphogenetic protein-2
  • Lysostaphin