Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

A Review on the Promising Antibacterial Agents in Bone Cement-from Past to Current Insights

Version 1 : Received: 20 February 2024 / Approved: 20 February 2024 / Online: 20 February 2024 (13:32:33 CET)

How to cite: Lin, H.; Gao, Z.; Asilebieke, A.; Guo, R.; Kan, Y.; Wang, Z.; Han, L.; Bo, W.; Han, L.; Qi, Y.; Xu, Y.; He, F.; Chu, J. A Review on the Promising Antibacterial Agents in Bone Cement-from Past to Current Insights. Preprints 2024, 2024021148. https://doi.org/10.20944/preprints202402.1148.v1 Lin, H.; Gao, Z.; Asilebieke, A.; Guo, R.; Kan, Y.; Wang, Z.; Han, L.; Bo, W.; Han, L.; Qi, Y.; Xu, Y.; He, F.; Chu, J. A Review on the Promising Antibacterial Agents in Bone Cement-from Past to Current Insights. Preprints 2024, 2024021148. https://doi.org/10.20944/preprints202402.1148.v1

Abstract

Antibacterial bone cements (ABCs), such as antibiotic-loaded bone cements (ALBCs), have been widely utilized in clinical treatments. Currently, bone cements loaded with vancomycin, gentamicin, tobramycin, or clindamycin are approved by the US Food and Drug Administration. However, traditional ALBCs exhibit drawbacks like burst release and bacterial resistance. Therefore, there is a demand for the development of antibacterial bone cements containing novel agents. In this review, we summarize the latest advancements in ABCs. More importantly, we provide an overview and outlook on novel antibacterial agent-loaded bone cements, including metallic antibacterial agents, pH-switchable antibacterial agents, cationic polymers, N-halamines, non-leaching acrylic monomers, antimicrobial peptides, etc. Offering novel perspectives for designing ABCs and treating bone infections.

Keywords

bone cement; antibiotic; antibacterial agent; antimicrobial peptide; N-halamine; antimicrobial enzyme

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

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