Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention

Abstract At present, cardiovascular infection such as infective endocarditis (IE) has become a major disease with a high mortality rate. The essence of IE is actually the infection associated with biofilm formation, which can occur not only on native heart valves, but also on prosthetic heart valves...

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Main Authors: Qi Tong, Qiyue Xu, Jie Cai, Yiren Sun, Zhengjie Wang, Yongjun Qian
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:MedComm – Biomaterials and Applications
Subjects:
Online Access:https://doi.org/10.1002/mba2.70003
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author Qi Tong
Qiyue Xu
Jie Cai
Yiren Sun
Zhengjie Wang
Yongjun Qian
author_facet Qi Tong
Qiyue Xu
Jie Cai
Yiren Sun
Zhengjie Wang
Yongjun Qian
author_sort Qi Tong
collection DOAJ
description Abstract At present, cardiovascular infection such as infective endocarditis (IE) has become a major disease with a high mortality rate. The essence of IE is actually the infection associated with biofilm formation, which can occur not only on native heart valves, but also on prosthetic heart valves and cardiovascular implants such as left heart assist devices, vascular grafts, and pacemakers. Biofilms are bacterial aggregates that are composed of a self‐produced extracellular polymeric substance (EPS), which is difficult and challenging for the treatment of cardiovascular infections. Therefore, it is important to explore and develop effective anti‐biofilm methods for the treatment of biofilm‐associated cardiovascular infection. This review provides comprehension of strategies for degrading EPS in biofilm, the application of nanodrug delivery systems for biofilm‐related infections, the strategy for targeting drug resistance genes through gene editing technology and strategy for targeting quorum sensing in biofilm. Furthermore, this review also provides some strategies to optimize the antibacterial properties of cardiovascular implants to prevent biofilm formation. The applications of these strategies will provide novel preventive and therapeutic ways for biofilm‐associated cardiovascular infections.
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issn 2769-643X
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publisher Wiley
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series MedComm – Biomaterials and Applications
spelling doaj-art-da26c80d892d49b7af91afa990b754a52025-08-20T02:41:10ZengWileyMedComm – Biomaterials and Applications2769-643X2025-03-0141n/an/a10.1002/mba2.70003Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and preventionQi Tong0Qiyue Xu1Jie Cai2Yiren Sun3Zhengjie Wang4Yongjun Qian5Department of Cardiovascular Surgery, West China Hospital, Med‐X Center for Materials Sichuan University Chengdu Sichuan ChinaFirst School of Clinical Medicine Mudanjiang Medical University Mudanjiang Heilongjiang ChinaDepartment of Cardiovascular Surgery, West China Hospital, Med‐X Center for Materials Sichuan University Chengdu Sichuan ChinaDepartment of Cardiovascular Surgery, West China Hospital, Med‐X Center for Materials Sichuan University Chengdu Sichuan ChinaDepartment of Cardiovascular Surgery, West China Hospital, Med‐X Center for Materials Sichuan University Chengdu Sichuan ChinaDepartment of Cardiovascular Surgery, West China Hospital, Med‐X Center for Materials Sichuan University Chengdu Sichuan ChinaAbstract At present, cardiovascular infection such as infective endocarditis (IE) has become a major disease with a high mortality rate. The essence of IE is actually the infection associated with biofilm formation, which can occur not only on native heart valves, but also on prosthetic heart valves and cardiovascular implants such as left heart assist devices, vascular grafts, and pacemakers. Biofilms are bacterial aggregates that are composed of a self‐produced extracellular polymeric substance (EPS), which is difficult and challenging for the treatment of cardiovascular infections. Therefore, it is important to explore and develop effective anti‐biofilm methods for the treatment of biofilm‐associated cardiovascular infection. This review provides comprehension of strategies for degrading EPS in biofilm, the application of nanodrug delivery systems for biofilm‐related infections, the strategy for targeting drug resistance genes through gene editing technology and strategy for targeting quorum sensing in biofilm. Furthermore, this review also provides some strategies to optimize the antibacterial properties of cardiovascular implants to prevent biofilm formation. The applications of these strategies will provide novel preventive and therapeutic ways for biofilm‐associated cardiovascular infections.https://doi.org/10.1002/mba2.70003antibacterial modificationbiofilmcardiovascular infectioninfective endocarditisstimuli‐responsive nanodrug delivery systems
spellingShingle Qi Tong
Qiyue Xu
Jie Cai
Yiren Sun
Zhengjie Wang
Yongjun Qian
Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
MedComm – Biomaterials and Applications
antibacterial modification
biofilm
cardiovascular infection
infective endocarditis
stimuli‐responsive nanodrug delivery systems
title Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
title_full Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
title_fullStr Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
title_full_unstemmed Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
title_short Biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
title_sort biofilm formation in cardiovascular infection and bioengineering approaches for treatment and prevention
topic antibacterial modification
biofilm
cardiovascular infection
infective endocarditis
stimuli‐responsive nanodrug delivery systems
url https://doi.org/10.1002/mba2.70003
work_keys_str_mv AT qitong biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention
AT qiyuexu biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention
AT jiecai biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention
AT yirensun biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention
AT zhengjiewang biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention
AT yongjunqian biofilmformationincardiovascularinfectionandbioengineeringapproachesfortreatmentandprevention