2026-10-22 · 原文发表于 2026-09-19
小鼠感染创面研究:超声空化剂量与细菌负荷呈负相关
VanTreeck KE, Liu JD, Sherman K, Tabashsum Z, Angeles-Solano M, Lifschin ZJ, Dayton PA, Rowe SE, Papadopoulou V.. Ultrasound Cavitation From Low-Boiling Point Perfluorocarbon Phase Change Contrast Agents Correlates With Bacterial Burden Reduction in Antibiotic Treatment of Biofilm-Infected Murine Wounds. Ultrasound in medicine & biology. 2026;S0301-5629(26)00336-4. doi:10.1016/j.ultrasmedbio.2026.08.012. PMID:42763269.
查看原始文献(Europe PMC · 创面修复文献)↗研究问题
摘要指出,生物膜可妨碍抗生素发挥作用,并促进感染复发。超声联合相变造影剂在动物模型中显示出增强抗菌药物递送的潜力,但其在动物体内产生的空化活动仍缺少量化研究。本研究重点考察空化信号与抗菌结果之间的关系。
研究设计
主要发现
如何理解
局限与不确定性
一句话带走
这项动物研究支持进一步探索空化信号作为超声辅助抗菌处理的反馈指标。现有摘要提供的是空化与细菌负荷的关联证据,尚不足以确定最佳治疗参数或推断人体疗效。
术语小注
- 生物膜:
- 细菌聚集并被其产生的基质包裹形成的群体结构,可妨碍抗菌处理发挥作用。
- MRSA:
- 耐甲氧西林金黄色葡萄球菌,本研究用于建立小鼠创面感染模型的细菌。
- 相变造影剂(PCCA):
- 可在超声作用下由液滴转变为气泡的制剂,本研究使用八氟丙烷制剂。
- 空化剂量:
- 用于量化超声作用下气泡活动的指标;本研究根据记录到的谐波及宽带声发射计算,并非药物剂量。
- 细菌负荷:
- 用于描述创面内细菌数量的指标;本摘要未说明具体检测方法和计量单位。
- 决定系数(R²):
- 反映统计模型对数据变异的解释程度,不等同于细菌减少比例,也不能单独证明因果关系。
展开原文摘要
Objective Chronic wounds are often infected by bacteria, which aggregate into biofilms. Biofilms impede antibiotic efficacy, promote infection relapse, and are the leading cause of chronic wound treatment failure. Ultrasound combined with phase-change contrast agents (PCCA) has shown potential to enhance antimicrobial delivery in animal models, yet quantification of cavitation in animal models remains unexplored. Methods In a murine wound infection model with methicillin-resistant Staphylococcus aureus (MRSA), animals received topical gentamicin and palmitoleic acid twice daily from days 2-4 post infection. One daily treatment was followed by administration of octafluoropropane (OFP) PCCA and ultrasound (1.1 MHz, 9.09% duty cycle) at either 700 or 1700 kPa. Passive cavitation signals were recorded every 15 seconds during five one-minute exposures. Cavitation dose was quantified from harmonic and broadband emissions and bacterial burden was assessed on day 5. Results A strong inverse correlation was observed between cavitation dose and wound bacterial burden (R 2 = 0.88), indicating that increased cavitation was associated with greater reduction in bacterial burden. Cavitation was sustained throughout treatment with 1700 kPa and significantly higher than at 700 kPa (p = 0.0145), where signal declined over time. Limited wound coverage (∼40%) may have reduced overall efficacy. Conclusions This study provides the first in vivo evidence correlating cavitation dose to bacterial reduction in MRSA biofilm-infected wounds. These findings support cavitation monitoring as a valuable feedback tool for optimizing ultrasound-enhanced antimicrobial therapies.
本站中文摘要:这项小鼠创面感染模型研究评估了低沸点全氟化碳相变造影剂(PCCA)联合超声增强抗菌治疗时的空化剂量与细菌负荷之间的关系。甲氧西林耐药金黄色葡萄球菌(MRSA)感染小鼠接受庆大霉素和棕榈油酸局部处理,并在给予八氟丙烷(OFP)PCCA后接受1.1 MHz超声治疗;1700 kPa下空化信号在治疗期间保持稳定,且高于700 kPa(p=0.0145)。