Collagen is one of the natural polymers most frequently used in the development of medical devises with a variety of applications, including wound healing, tissue engineering, coatings, medical membranes, and others. The improved protection of most medical devices against infections is a significant current challenge. One of the easiest and most effective ways among the large variety of known approaches to add to the antimicrobial activity of biomaterials is the development of composites including antimicrobial agents. With the idea of exploring the biological activity of some newly synthetized chemical compounds, plant extracts, and their combinations for development of novel antimicrobial collagen biomaterials, a serial investigation was initiated, starting with the preparation and biological activity study of collagen/ZnTiO
3 nano-composites (
1).
This serial investigation was continued with preparation and biological activity study of new collagen-based composites, in which reduced graphene oxide (RGO) sheets were included as an antimicrobial agent.
During the past few years, different carbon materials, such as graphene, graphene oxide (GO) and reduced graphene oxide (RGO) were intensively studied as potential antimicrobial agents in tissue engineering biomaterials with minimal toxicity to mammalian cells. Their biocompatibility, high surface area, high mechanical strength, as well as ability to induce sustained stem cell growth and differentiation to various lineages are additional advantages (
2).
Nano-sheets of both GO and RGO were reported to effectively inhibit the growth of
E. coli showing simultaneously minimal cytotoxicity to mammalian cells. The toxicity to bacteria was suggested to be due to a membrane damage caused by rupture in contact with the particulate edges, which was confirmed by scanning electron microscopy (SEM) (
3).
The first study of bacterial interaction with graphene-like surface was undertaken by Akhavan and Chaderi in 2010 (
4). Gram-negative (
Escherichia coli) and Gram-positive (
Staphylococcus aureus) bacteria as well as a single and few layers GO and RGO, deposited onto stainless steel substrate, with predominant particle edges exposure, were used in this investigation. A loss of viability for both
E. coli and
S. aureus was observed, which was more significant for the Gram-positive bacteria. Measurement of efflux of the cytoplasmic materials showed that membrane damage in contact with GO and RGO particles occurred, which supports the observed greater toxicity toward Gram-positive bacteria. The RGO surface had a greater ability to inhibit attachment and to kill bacteria, presumably due to its sharper edges than the GO counterparts (
4).
Further investigation (
5) was focused on the potential of
E. coli “wrapping” with graphene nano-sheets in order to reduce its bioactivity. No significant inactivation of these Gram-negative bacteria was observed in presence of GO or RGO in suspension. However, the addition of melatonin (reducer) resulted in a functionalization of the graphene particles and aggregation of bacterial cells. Bacteria enclosed in GO or RGO particles, observed by Atomic Force Microscopy (AFM), were supposed to be the reason for the decrease in the amount of active cells in this case.
To better understand the antimicrobial mechanism, the antibacterial activity of 4 types graphene-based materials, graphite, graphite oxide, graphene oxide (GO), and reduced graphene oxide (RGO), toward
Escherichia coli was compared. Based on the results of this investigation, a 3 step antimicrobial mechanism was proposed: i) initial cell deposition on the graphene-based materials, ii) membrane stress caused by the direct contact with the sharp nanosheets, and iii) ensuing superoxide anion-independent oxidation. Physicochemical properties such as density of functional groups, particles size of the carbon materials, and conductivity influenced their antibacterial activity (
6).
Oxidative stress-mediated antibacterial activity of GO and RGO in
Pseudomonas aeruginosa was also reported (
7). The GO and RGO showed dose-dependent antibacterial activity against
P. aeruginosa cells through the generation of reactive oxygen species, leading to cell death, which was confirmed through a resulting nuclear fragmentation.
Interactions of RGO particles in suspensions were a subject of many studies with comparable results to those involving substrates produced from these particles (
6,
8).
The antibacterial efficiency of GO and RGO nano-sheets was studied against both Gram-positive (
Enterococcus faecalis and
Bacillus subtilis) and Gram-negative (
E. coli and
Salmonella typhimurium) bacteria by evaluation of the Minimum Inhibitory Concentration (MIC) of the particles (
9). The MIC of the RGO was significantly lower for Gram-negative bacteria, hypothesized to be due to the much thinner peptidoglycan layer of these types of bacteria. This is in contrast to other studies, which suggest that the presence of a secondary cell membrane of Gram-negative bacteria provides a better resistance to membrane-induced damage in presence of RGO particles. It has also been reported that enhanced lipid peroxidation occurred in the suspensions containing RGO.
Thrombogenicity, biocompatibility, and cytotoxicity studies of RGO-modified acellular pulmonary valve tissue were reported to be connected with the current strategies of tissue engineering. No significant effect for RGO modified surfaces on the thrombogenicity and biocompatibility was observed as compared to the non-modified surface. Cytotoxicity indicated that the RGO can damage cells in direct contact, yet, it had no effect on the viability of fibroblasts in indirect contact (
10).
A comparative
in vitro and
in vivo study (
11) on the bioactivity of GO and RGO films, as well as of collagen scaffolds coated with GO and RGO, clearly demonstrated the higher biological activity of RGO- and RGO-coated collagen scaffolds, as detected by AFM and SEM observations, calcium absorption test, compression test and MC3T3-E1 cell seeding. Calcium absorption and alkaline phosphatase activity were strongly enhanced by RGO, suggesting that RGO is effective for osteogenic differentiation. The SEM showed that RGO-coated collagen scaffolds had rough and irregular surfaces. The compressive strengths of GO- and RGO-coated scaffolds were approximately 1.7-fold and 2.7-fold greater, respectively, when compared with the non-coated scaffold. All results suggested that the RGO-coated scaffolds are more bioactive than GO-coated scaffolds.
It was found that RGO-coated Hydroxyapatite (HAp) and other substrates stimulate spontaneous estrogenic differentiation of human mesenchyme stem cells that is of great interest for bone tissue engineering and regeneration (
12,
13).
Among the carbon materials, RGO was most often used in composites and coating applications because its surface has a greater ability to inhibit attachment and to kill bacteria presumably due to its sharper edges than the other carbon material.
With their anti-bacterial activity, combined with unique physicochemical properties, biocompatibility as well as low both thrombogenicity and cytotoxicity to mammalian cells, RGO containing biomaterials hold significant potential for use in next-generation antimicrobial biomaterials and medical devices.
There is no consensus regarding RGO inherent anti-bacterial nature, yet, it is already known that it depends on some physical parameters like RGO sheets size and layer number both being determined by the preparation method and operation conditions. In the studies of bacterial interactions, bacteria with simple geometries were used such as spheres and rods, whereas other complex geometries were more common (
14).
It is of major interest to expand knowledge on the great importance of clinical applications of microbes.
In addition, controversial results were reported about RGO antimicrobial activity toward Gram negative and Gram positive bacteria (
5,
9).
So far, no study on collagen/RGO anti-fungal activity has been presented in the literature.
No reports were found about collagen/RGO composites and their biological activity against prokaryotic and eukaryotic cells.
Therefore, this study aimed at preparing new collagen composites with expected antimicrobial activity using self-prepared and characterized RGO sheets, and evaluating their biological activity against a variety of microbial cells with specific morphology and variety of eukaryotic cells.