Quaternary ammonium-based biomedical materials: State-of-the-art, toxicological aspects and antimicrobial resistance

Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess antifungal, antiviral and anti-matrix metalloproteinase capabilities. Incorporation of quaternary ammonium moieties into polymers represents one of...

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Published inProgress in polymer science Vol. 71; pp. 53 - 90
Main Authors Jiao, Yang, Niu, Li-na, Ma, Sai, Li, Jing, Tay, Franklin R., Chen, Ji-hua
Format Journal Article
LanguageEnglish
Published England Elsevier B.V 01.08.2017
Elsevier
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Abstract Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess antifungal, antiviral and anti-matrix metalloproteinase capabilities. Incorporation of quaternary ammonium moieties into polymers represents one of the most promising strategies for preparation of antimicrobial biomaterials. Various polymerization techniques have been employed to prepare antimicrobial surfaces with quaternary ammonium functionalities; in particular, syntheses involving controlled radical polymerization techniques enable precise control over macromolecular structure, order and functionality. Although recent publications report exciting advances in the biomedical field, some of these technological developments have also been accompanied by potential toxicological and antimicrobial resistance challenges. Recent evidenced-based data on the biomedical applications of antimicrobial quaternary ammonium-containing biomaterials that are based on randomized human clinical trials, the golden standard in contemporary medicinal science, are included in the present review. This should help increase visibility, stimulate debates and spur conversations within a wider scientific community on the implications and plausibility for future developments of quaternary ammonium-based antimicrobial biomaterials.
AbstractList Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess antifungal, antiviral and anti-matrix metalloproteinase capabilities. Incorporation of quaternary ammonium moieties into polymers represents one of the most promising strategies for preparation of antimicrobial biomaterials. Various polymerization techniques have been employed to prepare antimicrobial surfaces with quaternary ammonium functionalities; in particular, syntheses involving controlled radical polymerization techniques enable precise control over macromolecular structure, order and functionality. Although recent publications report exciting advances in the biomedical field, some of these technological developments have also been accompanied by potential toxicological and antimicrobial resistance challenges. Recent evidenced-based data on the biomedical applications of antimicrobial quaternary ammonium-containing biomaterials that are based on randomized human clinical trials, the golden standard in contemporary medicinal science, are included in the present review. This should help increase visibility, stimulate debates and spur conversations within a wider scientific community on the implications and plausibility for future developments of quaternary ammonium-based antimicrobial biomaterials.
Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess antifungal, antiviral and anti-matrix metalloproteinase capabilities. Incorporation of quaternary ammonium moieties into polymers represents one of the most promising strategies for preparation of antimicrobial biomaterials. Various polymerization techniques have been employed to prepare antimicrobial surfaces with quaternary ammonium functionalities; in particular, syntheses involving controlled radical polymerization techniques enable precise control over macromolecular structure, order and functionality. Although recent publications report exciting advances in the biomedical field, some of these technological developments have also been accompanied by potential toxicological and antimicrobial resistance challenges. Recent evidenced-based data on the biomedical applications of antimicrobial quaternary ammonium-containing biomaterials that are based on randomized human clinical trials, the golden standard in contemporary medicinal science, are included in the present review. This should help increase visibility, stimulate debates and spur conversations within a wider scientific community on the implications and plausibility for future developments of quaternary ammonium-based antimicrobial biomaterials.Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess antifungal, antiviral and anti-matrix metalloproteinase capabilities. Incorporation of quaternary ammonium moieties into polymers represents one of the most promising strategies for preparation of antimicrobial biomaterials. Various polymerization techniques have been employed to prepare antimicrobial surfaces with quaternary ammonium functionalities; in particular, syntheses involving controlled radical polymerization techniques enable precise control over macromolecular structure, order and functionality. Although recent publications report exciting advances in the biomedical field, some of these technological developments have also been accompanied by potential toxicological and antimicrobial resistance challenges. Recent evidenced-based data on the biomedical applications of antimicrobial quaternary ammonium-containing biomaterials that are based on randomized human clinical trials, the golden standard in contemporary medicinal science, are included in the present review. This should help increase visibility, stimulate debates and spur conversations within a wider scientific community on the implications and plausibility for future developments of quaternary ammonium-based antimicrobial biomaterials.
Author Ma, Sai
Li, Jing
Niu, Li-na
Jiao, Yang
Tay, Franklin R.
Chen, Ji-hua
Author_xml – sequence: 1
  givenname: Yang
  surname: Jiao
  fullname: Jiao, Yang
  organization: State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, 710032, Xi’an, Shaanxi, China
– sequence: 2
  givenname: Li-na
  surname: Niu
  fullname: Niu, Li-na
  organization: State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, 710032, Xi’an, Shaanxi, China
– sequence: 3
  givenname: Sai
  surname: Ma
  fullname: Ma, Sai
  organization: State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, 710032, Xi’an, Shaanxi, China
– sequence: 4
  givenname: Jing
  surname: Li
  fullname: Li, Jing
  organization: Department of Orthopaedic Oncology, Xijing Hospital Affiliated to the Fourth Military Medical University, 710032, Xi’an, Shaanxi, China
– sequence: 5
  givenname: Franklin R.
  surname: Tay
  fullname: Tay, Franklin R.
  email: ftay@augusta.edu
  organization: Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, GA, 30912, USA
– sequence: 6
  givenname: Ji-hua
  surname: Chen
  fullname: Chen, Ji-hua
  email: jhchen@fmmu.edu.cn
  organization: State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, 710032, Xi’an, Shaanxi, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32287485$$D View this record in MEDLINE/PubMed
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Snippet Microbial infections affect humans worldwide. Many quaternary ammonium compounds have been synthesized that are not only antibacterial, but also possess...
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SubjectTerms Antimicrobial resistance
Antimicrobial surfaces
Quaternary ammonium compounds
Toxicological aspects
Title Quaternary ammonium-based biomedical materials: State-of-the-art, toxicological aspects and antimicrobial resistance
URI https://dx.doi.org/10.1016/j.progpolymsci.2017.03.001
https://www.ncbi.nlm.nih.gov/pubmed/32287485
https://www.proquest.com/docview/2390166182
https://pubmed.ncbi.nlm.nih.gov/PMC7111226
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