細菌存在時のみ抗生物質を放出するスマート創傷ドレッシングを開発(Smart wound dressing delivers antibiotics on-demand, accelerating healing and reducing resistance)

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2026-03-20 ブラウン大学

ブラウン大学の研究チームは、創傷の状態をリアルタイムで監視し治療を最適化する「スマート創傷ドレッシング」を開発した。このドレッシングはセンサーを内蔵し、温度やpH、炎症などの指標を継続的に測定し、創傷の感染や治癒状況を評価する。さらに必要に応じて薬剤を放出する機能も備え、個々の患者に応じた治療を可能にする。これにより、従来の受動的な創傷管理から、能動的かつ精密な治療へと転換が期待される。本技術は慢性創傷や感染症管理の改善に寄与し、医療の質向上と負担軽減につながる可能性がある。

<関連情報>

細菌酵素応答性ハイドロゲルを用いた、感染創への抗生物質の送達制御 Bacterial enzyme-responsive hydrogels for triggered delivery of antibiotics to infected wounds

Akram Abbasi, Alec McCall, Zhaowei Jiang, Brian W. LeBlanc, and Anita Shukla
Science Advances  Published:20 Mar 2026
DOI:https://doi.org/10.1126/sciadv.adz0786

細菌存在時のみ抗生物質を放出するスマート創傷ドレッシングを開発(Smart wound dressing delivers antibiotics on-demand, accelerating healing and reducing resistance)

Abstract

Wound infections are becoming increasingly difficult to treat due to rising antibiotic-resistant bacteria. β-Lactamase–producing bacteria are among the most common pathogens implicated in these infections. Here, we report a bacterial enzyme-responsive hydrogel formulated with a cephalosporin-derived, β-lactamase–cleavable crosslinker that undergoes selective degradation in the presence of bacterial β-lactamases. This degradation triggers the on-demand release of encapsulated ciprofloxacin-loaded liposomes, ensuring that antibiotic delivery occurs only at the site of infection. This selective degradation and release was demonstrated in both ex vivo and in vivo models of Pseudomonas aeruginosa wound infections. In a murine skin abrasion infection model, a single application of the hydrogel led to complete bacterial eradication and enhanced wound healing, outperforming a commercial silver-based hydrogel wound dressing. These responsive hydrogels did not induce ciprofloxacin resistance in non–β-lactamase–producing bacteria. These findings demonstrate that β-lactamase–responsive hydrogels provide a precise, infection-triggered antibiotic delivery platform that can improve the treatment of wound infections and mitigate antimicrobial resistance.

医療・健康
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