S -Nitroso- N -acetylpenicillamine (SNAP) Impregnated Silicone Foley Catheters: A Potential Biomaterial/Device To Prevent Catheter-Associated Urinary Tract Infections

Colletta, Alessandro; Wu, Jianfeng; Wo, Yaqi; Kappler, Michael; Chen, Hao; Xi, Chuanwu; Meyerhoff, Mark E.

doi:10.1021/acsbiomaterials.5b00032

Cited by 89Urinary Tract Infections ManagementAntimicrobial agents and applicationsBacterial biofilms and quorum sensing

S -Nitroso- N -acetylpenicillamine (SNAP) Impregnated Silicone Foley Catheters: A Potential Biomaterial/Device To Prevent Catheter-Associated Urinary Tract Infections

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Colletta, Alessandro, Wu, Jianfeng, Wo, Yaqi, Kappler, Michael, Chen, Hao, Xi, Chuanwu, Meyerhoff, Mark E.·2015·ACS Biomaterials Science & Engineering

DOI 10.1021/acsbiomaterials.5b00032PMC PMC4593359

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Abstract

Urinary Foley catheters are utilized for management of hospitalized patients and are associated with high rates of urinary tract infections (UTIs). Nitric oxide (NO) potently inhibits microbial biofilm formation, which is the primary cause of catheter associated UTIs (CAUTIs). Herein, commercial silicone Foley catheters are impregnated via a solvent swelling method with S-nitroso-N-acetyl-D-penicillamine (SNAP), a synthetic NO donor that exhibits long-term NO release and stability when incorporated into low water-uptake polymers. The proposed catheters generate NO surface-fluxes >0.7 × 10–10 mol min–1 cm–2 for over one month under physiological conditions, with minimal SNAP leaching. These biomedical devices are demonstrated to significantly decrease formation of biofilm on the surface of the catheter tubings over 3, 7, and 14 day periods by microbial species (Staphylococcus epidermidis and Proteus mirabilis) commonly causing CAUTIs. Toxicity assessment demonstrates that the SNAP-impregnated catheters are fully biocompatible, as extracts of the catheter tubings score 0 on a 3-point grading scale using an accepted mouse fibroblast cell-line toxicity model. Consequently, SNAP-impregnated silicone Foley catheters can likely provide an efficient strategy to greatly reduce the occurrence of nosocomial CAUTIs.

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EPS can promote antibiotic-resistant bacterial gene mutations.
“Further, the EPS can possibly foster antibiotic-resistant bacterial gene mutations.19”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [19]
Colletta et al. developed a solvent impregnation method to load SNAP into commercially available silicone Foley urinary tract catheters at room temperature.
“In order to apply NO release to any pre-made or off the shelf biomedical devices, Colletta et al.19 developed a simple solvent impregnation method to load SNAP into commercially available silicone Foley urinary tract catheters at room temperature.”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [19]
This SNAP loading enabled the catheters to achieve stable NO release above physiological levels for more than 4 weeks.
“This level of SNAP loading enabled the catheters to achieve stable NO release above physiological levels for > 4 weeks.19”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [19]
NO releasing or generating polymers can have strong bactericidal effects, even for bacteria able to metabolize and deactivate NO, such as P. aeruginosa with NO reductase.
“It has been clearly demonstrated that NO releasing/generating polymers can have strong bactericidal effects,19,146,147,162,201,227,283,284 even for bacteria that are able to metabolize and deactivate NO, such as P. aeruginosa, that possesses NO reductase enzyme that converts NO to nitrous oxide (N2O) and ultimately nitrogen (N2).86,201,219”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [19]
Colletta et al. and Ketchum et al. loaded silicone tubing with NO donors (SNAP and lipophilic SNAP derivatives) and demonstrated antibacterial effects toward several microorganisms, including S. epidermis, P. mirabilis, and S. aureus.
“In subsequent studies, Colletta et al.19 and Ketchum et al.189 used the solvent impregnation method previously described above (see section Physical Encapsulation-based NO Releasing Polymers) to load silicone-based tubing with NO donors (SNAP and lipophilic SNAP derivatives, respectively) and demonstrated that they have antibacterial effects toward several microorganisms (e.g., Staphylococcus epid”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [19]

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Authors: Colletta, A., Wu, J., Wo, Y., Kappler, M., Chen, H., Xi, C., & Meyerhoff, M. E.
Affiliations: University of Michigan (US)
Biocrede (United States) (US)
Corresponding author: Xi, Chuanwu
Meyerhoff, Mark E.
ORCID: Colletta, Alessandro
Wu, Jianfeng
Xi, Chuanwu
Meyerhoff, Mark E.
Venue: ACS Biomaterials Science & Engineering
Publisher: American Chemical Society (ACS)
Published: 2015-04-27
Volume: 1
Issue: 6
Pages: 416-424
ISSN: 2373-9878 (ISSN-L)
DOI: 10.1021/acsbiomaterials.5b00032
PMC: PMC4593359
OpenAlex: W2332677081
Cited by: 89
References: 59
Citations by year: 2026: 2 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 15 · 2021: 13 · 2020: 10 · 2019: 9 · 2018: 10 · 2017: 10 · 2016: 7 · 2015: 2
FWCI: 7.58
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
pubs.acs.org/page/policy/authorchoice_termsofuse.html (vor, 366 d)
Locations: ACS Biomaterials Science & Engineering (publishedVersion, other-oa)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (NIH-R42-DK100161-02)
Topics: Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
Physical Sciences › Chemistry › Organic Chemistry › Antimicrobial agents and applications
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
Keywords: S-nitroso-N-acetylpenicillamine, nitric oxide donors, catheter-associated urinary tract infection, biofilm inhibition, Staphylococcus epidermidis, Proteus mirabilis, biocompatibility, nosocomial infections, antimicrobial-coated catheters

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S -Nitroso- N -acetylpenicillamine (SNAP) Impregnated Silicone Foley Catheters: A Potential Biomaterial/Device To Prevent Catheter-Associated Urinary Tract Infections

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