Stimulus-responsive biomaterials for Helicobacter pylori eradication

Background: Helicobacter pylori (H. pylori), the only bacterium classified as a type I (definite) carcinogen, is strongly associated with the development of gastric inflammation and adenocarcinoma. It infects the stomach of approximately half of the global population, equivalent to nearly 4.4 billio...

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Main Authors: Tiantian Shan, Xi Chen, Xinxuan Zhou, Nanxi Wang, Biao Ren, Lei Cheng
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Advanced Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S209012322300406X
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author Tiantian Shan
Xi Chen
Xinxuan Zhou
Nanxi Wang
Biao Ren
Lei Cheng
author_facet Tiantian Shan
Xi Chen
Xinxuan Zhou
Nanxi Wang
Biao Ren
Lei Cheng
author_sort Tiantian Shan
collection DOAJ
description Background: Helicobacter pylori (H. pylori), the only bacterium classified as a type I (definite) carcinogen, is strongly associated with the development of gastric inflammation and adenocarcinoma. It infects the stomach of approximately half of the global population, equivalent to nearly 4.4 billion people. However, due to physiological barriers in the stomach, microbial barriers and increased antibiotic resistance, the therapeutic efficiency of standard antibiotic therapy is limited and cannot meet the clinical needs in some areas. Combining stimulus-responsive biomaterials with certain stimuli is an emerging antibacterial strategy. Stimulus-responsive biomaterials can respond to chemical, biological or physical cues in the environment with corresponding changes in their own properties and functions, highlighting a more intelligent, targeting and efficient aspect for H. pylori therapy.Aim of Review: This review describes the critical obstacles in the current treatment of H. pylori, summarizes the recent advances in stimulus-responsive biomaterials against H. pylori by elucidating their working mechanisms and antibacterial performances under different types of stimuli (pH, enzymes, light, magnetic and ultrasound irradiations), and attempts to analyze the future prospects of such smart biomaterial for H. pylori eradication.Key Scientific Concepts of Review: Any characteristic property or change in the biomilieu at the H. pylori infected site (endogenous stimuli) or specific iatrogenic conditions in vitro (exogenous stimuli) can act as cues to activate or potentiate the antibacterial activity of responsive biomaterials. The responsiveness of these materials to endogenous stimuli enhances antimicrobial targeting, and makes physiological barriers that would otherwise hinder conventional H. pylori therapies a key factor in facilitating antibacterial effects. The responsiveness to exogenous stimuli greatly prolongs the action time of antimicrobial materials and pinpoints the site of infection, thereby reducing toxic side effects. These findings pave the way for the development of more precise and effective anti-H. pylori treatment.
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spelling doaj-art-e9f2549b830a479492a31c33fd3297b82024-12-07T08:26:03ZengElsevierJournal of Advanced Research2090-12322024-12-0166209222Stimulus-responsive biomaterials for Helicobacter pylori eradicationTiantian Shan0Xi Chen1Xinxuan Zhou2Nanxi Wang3Biao Ren4Lei Cheng5State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, ChinaState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, ChinaState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, ChinaState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, ChinaState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Corresponding authors at: State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China (B. Ren). Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China (L. Cheng).State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Corresponding authors at: State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China (B. Ren). Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China (L. Cheng).Background: Helicobacter pylori (H. pylori), the only bacterium classified as a type I (definite) carcinogen, is strongly associated with the development of gastric inflammation and adenocarcinoma. It infects the stomach of approximately half of the global population, equivalent to nearly 4.4 billion people. However, due to physiological barriers in the stomach, microbial barriers and increased antibiotic resistance, the therapeutic efficiency of standard antibiotic therapy is limited and cannot meet the clinical needs in some areas. Combining stimulus-responsive biomaterials with certain stimuli is an emerging antibacterial strategy. Stimulus-responsive biomaterials can respond to chemical, biological or physical cues in the environment with corresponding changes in their own properties and functions, highlighting a more intelligent, targeting and efficient aspect for H. pylori therapy.Aim of Review: This review describes the critical obstacles in the current treatment of H. pylori, summarizes the recent advances in stimulus-responsive biomaterials against H. pylori by elucidating their working mechanisms and antibacterial performances under different types of stimuli (pH, enzymes, light, magnetic and ultrasound irradiations), and attempts to analyze the future prospects of such smart biomaterial for H. pylori eradication.Key Scientific Concepts of Review: Any characteristic property or change in the biomilieu at the H. pylori infected site (endogenous stimuli) or specific iatrogenic conditions in vitro (exogenous stimuli) can act as cues to activate or potentiate the antibacterial activity of responsive biomaterials. The responsiveness of these materials to endogenous stimuli enhances antimicrobial targeting, and makes physiological barriers that would otherwise hinder conventional H. pylori therapies a key factor in facilitating antibacterial effects. The responsiveness to exogenous stimuli greatly prolongs the action time of antimicrobial materials and pinpoints the site of infection, thereby reducing toxic side effects. These findings pave the way for the development of more precise and effective anti-H. pylori treatment.http://www.sciencedirect.com/science/article/pii/S209012322300406XHelicobacter pyloriAntibacterialStimulus-responsivepH-responsiveTargeting
spellingShingle Tiantian Shan
Xi Chen
Xinxuan Zhou
Nanxi Wang
Biao Ren
Lei Cheng
Stimulus-responsive biomaterials for Helicobacter pylori eradication
Journal of Advanced Research
Helicobacter pylori
Antibacterial
Stimulus-responsive
pH-responsive
Targeting
title Stimulus-responsive biomaterials for Helicobacter pylori eradication
title_full Stimulus-responsive biomaterials for Helicobacter pylori eradication
title_fullStr Stimulus-responsive biomaterials for Helicobacter pylori eradication
title_full_unstemmed Stimulus-responsive biomaterials for Helicobacter pylori eradication
title_short Stimulus-responsive biomaterials for Helicobacter pylori eradication
title_sort stimulus responsive biomaterials for helicobacter pylori eradication
topic Helicobacter pylori
Antibacterial
Stimulus-responsive
pH-responsive
Targeting
url http://www.sciencedirect.com/science/article/pii/S209012322300406X
work_keys_str_mv AT tiantianshan stimulusresponsivebiomaterialsforhelicobacterpylorieradication
AT xichen stimulusresponsivebiomaterialsforhelicobacterpylorieradication
AT xinxuanzhou stimulusresponsivebiomaterialsforhelicobacterpylorieradication
AT nanxiwang stimulusresponsivebiomaterialsforhelicobacterpylorieradication
AT biaoren stimulusresponsivebiomaterialsforhelicobacterpylorieradication
AT leicheng stimulusresponsivebiomaterialsforhelicobacterpylorieradication