In vitro and in vivo evaluation of implantable bacterial-killing coatings based on host defense pept

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Contact-killing antimicrobial coatings based on host defense peptides (HDPs) and their synthetic mimics have shown potential as powerful tools to combat implant-associated infections.Covalent modification of the antimicrobial surface has been utilized to prevent early-stage microbial infections owing to the less drug-leaching possibility that is beneficial to human health and the natural environment.Although con-siderable progress has been achieved in preparing contact-killing antimicrobial surfaces,discussions fo-cusing on the in vitro and in vivo evaluations of these surfaces are limited.In this review,we summarized the established in vitro methods to simulate the practical interaction of microbes with the surrounding biological environment and the reported in vivo studies at different implant sites.We suggested that the in vivo specific site infection model is essential to gain a comprehensive understanding of these an-timicrobial coatings in the preclinical stage,which can be established based on investigations performed using various in vitro assays and conventional non-specific site infection models.Overall,these precedent studies focusing on bacterial contact-killing coatings modified with HDPs and HDP mimics can be con-sidered as critical to assess the surface antibacterial ability and to guide the future developments and applications of antimicrobial surfaces.
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