Biomedical Applications of Silver Nanoparticles

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Biomedical Applications of Silver Nanoparticles ( biomedical-applications-silver-nanoparticles )

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Nanomaterials 2018, 8, 681 5 of 25 adjustable drug loading and releasing profiles, but should also enable [70] maximal therapeutic efficiency at concentrations below that of the sole biosubstance with side-effect minimization [91,92]. Thanks to their intrinsic anticancer activity [93], AgNPs attracted special attention for this particular domain, and were successfully evaluated as effective anti-tumor drug-delivery systems [94], acting either as passive [95,96] or active [97,98] nanocarriers for anticancer drugs. For the preparation of biocompatible AgNPs, different strategies were used, such as organic-water two-phase synthesis [99–101], micro-emulsion [102–104], radiolysis [105,106], and most commonly, reduction in aqueous solution [94,107,108]. Impressive attention, scientific knowledge, and financial support were lately oriented toward the formulation of AgNP-based drug-delivery platforms, thanks to the intrinsic features of nanosilver, including its capacity to bind a wide range of organic molecules, its tunable and strong absorption properties, and its low toxicity [109]. Recent studies evidenced the potential use of AgNPs as vaccine and drug carriers for specific and selective cell or tissue targeting [109]. In addition to the great optical properties of AgNPs (governed by specific surface plasmon resonance and localized surface plasmon resonance) [110–112], the recent improvements in AgNP biocompatibility and stability via surface modification strongly recommend nanostructured systems based on silver as specific, selective, and versatile candidates for drug-delivery applications [113]. 4. Silver Nanoparticles for Catheter Modification Central venous catheters (CVC) were firstly described by Niederhuber in 1982; since then, these devices became important therapeutic tools for diverse clinical conditions requiring malnutrition and replacement therapy (e.g., renal disease and cancer) [114]. CVCs are normally used to provide access for intravenous fluid administration, hemodynamics monitoring, drug-delivery pathways [115], and nutritional support in critically ill patients. Still, these medical devices are also a considerable source of hospital-acquired infections [116], and are considered a specific high-risk category of devices susceptible to microbial contamination and colonization phenomena [117]. A recent study showed that various Staphhylococcus aureus strains are responsible for catheter-related infections, and 82% of them are methicillin-resistant strains possessing many genes expressed in biofilm development and bacterial dispersion processes [118]. In order to induce antibacterial effects to clinically relevant materials and devices, AgNPs were extensively explored for the modification of one-dimensional and two-dimensional surfaces [119], such as cotton fabrics [120,121], natural and artificial fibers [122–124], thin polymer films [125,126], and wound pads [127,128]. Even if silver (a half-noble metal) is susceptible to quick oxidation processes, the impressive surface-to-volume atomic ratio related to AgNPs accounts for the sustained local supply of Ag+ ions at the coating/tissue interface [129]. In recent studies, the role of AgNP-modified catheters as non-toxic devices capable of sustained release of bactericidal silver, exhibiting preventive effects against infection-related complications, was presented [116,130,131]. Given the fact that one of the major groups of organisms that causes device-related infections is represented by coagulase-negative staphylococci (CoNS), the effects exhibited by AgNPs and AgNP-coated catheters against these organisms were intimately studied [38]. Significant inhibitory effects against both Gram-positive and Gram-negative bacterial biofilm development were exhibited by CVCs coated with AgNPs [115,132–134]. Because the binding capacity of silver nanoparticles to bacterial cells is influenced by the surface area available for interaction, the bactericidal effects are expected to be size-dependent [135]. Catheters treated with silver ions represent a feasible strategy for reducing dialysis-related infections in patients undergoing peritoneal catheters; however, the antimicrobial efficiency and obtaining methods of Ag+ are different [136]. Silver/copper-coated catheters were assessed as a promising solution for preventing methicillin-resistant Staphylococcus aureus (MRSA) infections, since their antibacterial activity might be improved by limiting non-specific plasma protein adsorption [137].

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