Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis

Bacterial keratitis caused by microbial invasion represents a significant cause of visual impairment characterized by corneal perforation, epithelial defect, intense pain, and conjunctival congestion. The widespread misuse of antibiotic eye drops in clinical treatment has accelerated the global rise...

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Main Authors: Tingting Hu, Dandan Chu, Haohao Cui, Shibo Wang, Mengke Wang, Ruizheng Liang, Jingguo Li, Zhanrong Li
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S259000642500568X
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author Tingting Hu
Dandan Chu
Haohao Cui
Shibo Wang
Mengke Wang
Ruizheng Liang
Jingguo Li
Zhanrong Li
author_facet Tingting Hu
Dandan Chu
Haohao Cui
Shibo Wang
Mengke Wang
Ruizheng Liang
Jingguo Li
Zhanrong Li
author_sort Tingting Hu
collection DOAJ
description Bacterial keratitis caused by microbial invasion represents a significant cause of visual impairment characterized by corneal perforation, epithelial defect, intense pain, and conjunctival congestion. The widespread misuse of antibiotic eye drops in clinical treatment has accelerated the global rise of antibiotic-resistant infections, dimming the prospects for antibiotic therapy. In response, inorganic nanomaterial-based antibacterial eye drops have been developed for bacterial keratitis leveraging their structural controllability, composition diversity and ease of functionalization, However, they typically exert antibacterial effects with the assistance of laser, ultrasound, or X-ray irradiation that may cause irritation or damage to the human eye, or involve intricate structural modifications for antibacterial activation. Herein, we propose zwitterionic chitosan-modified defective amorphous ZnCuAl-layered double hydroxide nanosheets (ZC@a-LDH) as an antibacterial agent for bacterial keratitis treatment. ZC@a-LDH nanosheets demonstrate significantly enhanced antimicrobial efficacy compared with their defect-free counterparts, effectively suppressing bacterial proliferation at a minimum inhibitory concentration of 12 μg mL−1 without relying on external stimuli. The enhanced antimicrobial performance may be attributed to the combined action of electrostatic interactions, antibacterial ions (Zn2+/Cu2+) and enhanced charge transport facilitated by structural defects. Notably, ZC@a-LDH antibacterial eye drops demonstrate effective intervention in bacterial keratitis in mice, outperforming the conventional tobramycin in therapeutic efficacy.
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issn 2590-0064
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spelling doaj-art-c059777b8b584fa7be940c2d2f91992b2025-08-20T03:21:55ZengElsevierMaterials Today Bio2590-00642025-08-013310199810.1016/j.mtbio.2025.101998Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitisTingting Hu0Dandan Chu1Haohao Cui2Shibo Wang3Mengke Wang4Ruizheng Liang5Jingguo Li6Zhanrong Li7Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR ChinaHenan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR ChinaHenan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR ChinaState Key Laboratory of Chemical Resource Engineering, Beijing Advanced Innovation Center for Soft Matter Science and Engineering, Beijing University of Chemical Technology, Beijing, 100029, PR ChinaHenan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR ChinaState Key Laboratory of Chemical Resource Engineering, Beijing Advanced Innovation Center for Soft Matter Science and Engineering, Beijing University of Chemical Technology, Beijing, 100029, PR China; Quzhou Institute for Innovation in Resource Chemical Engineering, Quzhou, 324000, PR China; Corresponding author. Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR China.Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR China; Corresponding author.Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, 450003, PR China; Corresponding author.Bacterial keratitis caused by microbial invasion represents a significant cause of visual impairment characterized by corneal perforation, epithelial defect, intense pain, and conjunctival congestion. The widespread misuse of antibiotic eye drops in clinical treatment has accelerated the global rise of antibiotic-resistant infections, dimming the prospects for antibiotic therapy. In response, inorganic nanomaterial-based antibacterial eye drops have been developed for bacterial keratitis leveraging their structural controllability, composition diversity and ease of functionalization, However, they typically exert antibacterial effects with the assistance of laser, ultrasound, or X-ray irradiation that may cause irritation or damage to the human eye, or involve intricate structural modifications for antibacterial activation. Herein, we propose zwitterionic chitosan-modified defective amorphous ZnCuAl-layered double hydroxide nanosheets (ZC@a-LDH) as an antibacterial agent for bacterial keratitis treatment. ZC@a-LDH nanosheets demonstrate significantly enhanced antimicrobial efficacy compared with their defect-free counterparts, effectively suppressing bacterial proliferation at a minimum inhibitory concentration of 12 μg mL−1 without relying on external stimuli. The enhanced antimicrobial performance may be attributed to the combined action of electrostatic interactions, antibacterial ions (Zn2+/Cu2+) and enhanced charge transport facilitated by structural defects. Notably, ZC@a-LDH antibacterial eye drops demonstrate effective intervention in bacterial keratitis in mice, outperforming the conventional tobramycin in therapeutic efficacy.http://www.sciencedirect.com/science/article/pii/S259000642500568XBacterial keratitisLayered double hydroxidesDefect engineeringAntibacterial ions
spellingShingle Tingting Hu
Dandan Chu
Haohao Cui
Shibo Wang
Mengke Wang
Ruizheng Liang
Jingguo Li
Zhanrong Li
Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
Materials Today Bio
Bacterial keratitis
Layered double hydroxides
Defect engineering
Antibacterial ions
title Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
title_full Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
title_fullStr Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
title_full_unstemmed Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
title_short Zwitterionic chitosan-modified amorphous ZnCuAl-LDH eye drops for efficient treatment of bacterial keratitis
title_sort zwitterionic chitosan modified amorphous zncual ldh eye drops for efficient treatment of bacterial keratitis
topic Bacterial keratitis
Layered double hydroxides
Defect engineering
Antibacterial ions
url http://www.sciencedirect.com/science/article/pii/S259000642500568X
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