The research problem was addressed comprehensively in the paper; in the first stage, the thesis that proteolytic enzyme inhibitors attach to the proteolytic enzyme molecule and modify its active center was checked and confirmed using ATR-FTIR spectroscopy. Following the tests, two types of vascular prostheses were used and the covalent immobilization of selected inhibitors on their surface was carried out to confirm the attachment also in the context of changes in the structure of polymeric materials.
2.1. ATR-FTIR analysis of biomolecular mechanisms of inhibitor binding to the proteolytic enzyme
The first stage of the research involved an analysis of the native enzyme-inhibitor interaction using ATR-FTIR spectroscopy. It was checked whether the addition of the inhibitor changes the structure of the enzyme molecule, and the functional groups involved in the binding between two molecules were analyzed using the ATR-FTIR method (
Figure 1).
In the TRYP solution, the amide was an essential protein group marker. All the spectra shown above fit a typical infrared protein profile. In the 1800-1300 cm
-1 region, amide I and amide II bands appeared as the most prominent features (
Table 1). These bands corresponded to the collective vibrations of the peptide-chain backbone [
12]. The most intense absorption band in the protein was observed due to the presence of the amide I group in the region of 1680-1631 cm
-1, which is primarily governed by the stretching vibrations of C=O (70-85%) and C-N bonds (10-20%) [
13]. In addition, the amide I group resulted from the collective C=O stretching vibrations of the protein chain with a small contribution of the in-plane δNH bending mode [
12]. The amide I section of spectra was also reported to include region 1648-1657 cm
-1 assigned to the α-helix and region 1610-1640 cm
-1 assigned to the β-helix. The amide II group (1580-1480 cm
-1) (C-N stretching bond coupled with N-H bending modes) [
14] corresponded to a combination of the in-plane δNH bending mode with the stretching of the C-N peptide bond [
15]. The peak in the wavenumber range of 1472-1239 cm
-1 corresponded to the N-H bending bond and the C-N stretching vibrations in the amide III group; it was usually another combination of the N-H and C-N vibrations and was a less intense group of amide I and amide II. As can be seen after mixing TRYP and PUR, the absorbance of the amide I group decreased and was shifted towards lower frequencies by 1 cm
-1, compared to TRYP (
Figure 1A, line a). Surprisingly, the amide II region was shifted towards higher frequencies by 5 cm
-1 after the addition of PUR (
Figure 1A, line b). This effect was related to the interactions of the N-H bond originating from the amide II group, which may mean that PUR induced changes in the secondary structure of TRYP leading to enzyme inactivation. In addition, the ratio of the amide I to amide II group in the mixture of the TRYP and PUR spectrum was also changed.
An additional band (at 1656 cm
-1) from the vibrations of the aromatic group in the PUR molecule appeared in addition to the shifts observed in the amide bands. It was described earlier that the phenomenon of amide band shifts also occurs when ordinary deionized water is added to the TRYP molecule [
16]. Therefore, it is worthwhile to determine whether the phenomenon of shifts is indeed due to the interactions between the compounds or whether it is merely a meaningless change caused by the appearance of moisture in the studied material. Since deionized water caused significant shifts in the maximum absorption of the amide I group and the shift observed in our study was insignificant, amounting to only 1 cm
-1, it can be assumed that it appeared only due to the interactions occurring between the enzyme and the inhibitor molecule.
A slightly different situation was observed in the case of the mixture of TRYP and AEBSF.
Figure 1 B shows spectra of TRYP alone (line a), the mixture of TRYP+AEBSF (line b), and AEBSF (line c). As can be seen, no spectral shift of the band related to the amide I region and no change in the shape of this spectrum were observed. The changes in the region related to the amide II group may be due to the overlapping of the band from AEBSF (green line) to the amide band.
Therefore, it may be concluded that the nature of the interactions between TRYP and AEBSF is not obvious and they do not induce changes in the secondary structure of the enzyme as much as in the case of PUR.
Despite the lack of a conclusive answer confirming that AEBSF significantly alters the structure of the active site of trypsin, it is worth noting that the observed 1 cm
-1 shift of the amide II band towards lower frequencies may contribute to the elucidation of the interaction between these two molecules. Furthermore, the addition of the AEBSF inhibitor resulted in the appearance of a new band at 1599 cm
-1, further supporting our hypothesis. The specific serine protease inhibitor AEBSF inhibited penetration of the basement membrane by porcine pseudorabies virus by 88.1% [
17] and displayed a bacteriostatic and bactericidal effect on
P. aeruginosa, E. coli, and
S. aureus [
11].
2.2. ATR-FTIR analysis of structural changes after immobilization of tested inhibitors on the ePTFE prosthesis
Figure 2 presents the ATR-FTIR spectra of the control ePTFE prosthesis (washed with phosphate buffer) (black line), the ePTFE prosthesis functionalized with GLA (5%) only (green line), the ePTFE prosthesis functionalized with GLA (5%) and AEBSF (0.6 mg/mL) (red line), and the spectra of AEBSF alone (0.6 mg/mL) (blue line).
Figure 3 shows the ATR-FTIR spectra of the control ePTFE prosthesis (washed with phosphate buffer) (black line), the ePTFE prosthesis functionalized with GLA (5%) only (green line), the ePTFE prosthesis functionalized with GLA (5%) and PUR (0.04 mg/mL) (red line), and the spectra of PUR alone (0.04 mg/mL) (blue line). Strictly defined concentrations of the inhibitors (PUR and AEBSF) having the highest activity after the immobilization on the ePTFE prosthesis were selected for this analysis. To enhance the spectral differences, inverted second derivatives of the aforementioned spectra were calculated (
Figure 2a-c,
Figure 3a-c). Based on the inverted second derivatives, spectral assignments were performed, as presented in
Table 2.
The absorption band shifts and intensity differences associated with the GLA, AEBSF, and PUR immobilization on the ePTFE prosthesis were analyzed and compared with the control ePTFE prosthesis based on the total peak areas calculated for the inverted second derivatives of the ATR-FTIR spectra.
In the spectrum of the ePTFE control prosthesis, we observed the stretching vibrations of the -CH group at 2956 cm
-1, the symmetric vibrations of the aliphatic -CH
2 group at 2914 cm
-1, and the stretching vibrations in the -CH
2 group at 2846 cm
-1 [
18]. The ePTFE prosthesis was gelatin-coated; therefore, in the spectrum, we observed an amide I group (1624 cm
-1) as a band from the β-sheet with cleavage to the α-helix (1654 cm
-1) and an amide II group (1546 cm
-1). The absorption band at 1447 cm
-1 was related to the deformation vibrations of the -CH
2 group of polytetrafluoroethylene. The band at 1397 cm
-1 was related to the deformation vibrations of the -CH
3 group. The maximum absorption at 1234 cm
-1 originated from the fluoride group -CF building the ePTFE prosthesis structure [
19]. In addition, the absorption maxima at 1198 cm
-1 and 1145 cm
-1 were characteristic of the asymmetric and symmetric stretching vibrations, respectively, of the -CF
2 group present in the ePTFE prosthesis [
20,
21]. Upon the immobilization of 5% GLA on the surface of the ePTFE prosthesis (
Figure 2), a decrease in the intensity of the amide I and II groups and a spectral shift of both bands corresponding to the α-helix (by 4 cm
-1) and the β-helix (by 3 cm
-1) towards higher frequencies were observed. The absorption band maximum coming from the deformation vibrations of the -CH
2 group was shifted towards higher frequencies (by 7 cm
-1) in comparison to the control ePTFE prosthesis. The absorption band derived from the vibrations of the -CH
3 group was characterized by a 6 cm
-1 shift towards higher frequencies. No change in the absorption maximum was observed for the vibrations of the -CF group, compared to the control ePTFE prosthesis. The absorption bands coming from the symmetric stretching vibrations of the -CF
2 group were characterized by an 8 cm
-1 shift in the absorption maxima towards higher frequencies. It is also worth noting that there were changes in the absorption bands of the stretching vibrations of the -CH group with the band intensity at 2956 cm
-1. Additionally, the ratio of the bands at 2956 cm
-1 and 2921 cm
-1 in the case of ePTFE+GLA also was changed in comparison to the control ePTFE prosthesis. The results described above demonstrate the interaction of the -COOH group derived from GLA with the -NH bond (from the amide II group) of gelatin coating the prosthesis (
Figure 2).
The AEBSF immobilization on the ePTFE prosthesis also induced changes in the structure of this biomaterial. The inhibitor addition caused 3 cm-1 spectral shifts in the absorption maximum of the band originating from the vibrations of the -CH group towards higher frequencies (in comparison to the control prosthesis). The ratio of the bands at 2959 cm-1 and 2921 cm-1 was also changed. After the AEBSF immobilization, a greater ratio difference between 2959 cm-1 and 2921 cm-1 was observed. The addition of the AEBSF inhibitor resulted in a 3 cm-1 shift in the amide II group towards higher frequencies, compared to the spectrum of the GLA-modified ePTFE prosthesis. In addition, a 4 cm-1 shift in the absorption maxima for the vibrations of the -CF group towards lower values was observed. The absorption spectra from the asymmetric stretching vibrations of the -CF2 group were characterized by a shift of the absorption maxima towards higher frequencies (by 2 cm-1) and a 4 cm-1 shift for symmetric vibrations, compared to the spectrum of the GLA-modified prosthesis. The shifts in the absorption bands described above are indicative of the attachment of the -NH2 group of AEBSF to the free end of the GLA molecule (-CHO group) and in part the attachment of -NH group of the gelatin to the ePTFE prosthesis itself.
The process of PUR immobilization on the ePTFE prosthesis was confirmed after the analysis of absorption band shifts and their intensity differences (
Figure 3). After the immobilization of PUR, a 2 cm
-1 shift of the absorption maxima of the band originating from the stretching vibrations of the -CH group towards lower frequencies (relative to the ePTFE control) was observed. Here, slight differences in the ratio of the 2954 cm
-1 and 2921 cm
-1 bands were observed in comparison to the control sample. The addition of PUR also shifted the amide I group (by 5 cm
-1) and the amide II group (by 7 cm
-1) towards lower frequencies relative to the spectrum of the GLA-modified ePTFE prosthesis. In addition, the cleavage of the amide I group disappeared. The absorption band originating from the asymmetric stretching vibrations of the -CF
2 group was characterized by a shift of the absorption maxima towards higher values (by 3 cm
-1); similarly, the band for the symmetric stretching vibrations of the -CF
2 group was shifted towards higher values by 8 cm
-1. The observed shifts of the absorption bands are indicative of the attachment of the -NH
2 group of the PUR molecule to the free end of the GLA molecule (to the -CHO group) and in part the attachment of the -NH group of the gelatin to the ePTFE prosthesis itself (
Figure 3).
The ePTFE (polytetrafluoroethylene) graft is a fluorinated polyethylene with the formula (CF
2-CF
2)
n [
22]. It is coated with gelatin, which causes amide bands from this protein to be observed in FTIR spectral analyses. Similar studies were performed by another research team using caffeic acid to immobilize gelatin on another support, i.e. bioactive glass. The resulting amide bands were observed using infrared FTIR spectroscopy [
23]. It is likely that, in the immobilization process (through binding to the -CHO group) carried out using GLA as a linker molecule, amide groups are primarily involved in the attachment of the crosslinking compound. The second -CHO group of GLA binds the inhibitor molecule by attaching to its -NH
2 group, while the -CO group of PUR also partially binds to the amide group of gelatin. The numerous shifts in the absorption maxima of the vibrations of the -CH, -CH
2, and -CH
2CH
3 groups, the amide groups, and the -CF and -CF
2 groups indicate a correct process of inhibitor immobilization by the crosslinker on the ePTFE vascular prosthesis.
2.3. ATR-FTIR analysis of structural changes after immobilization of tested inhibitors on the HEM prosthesis
Figure 4 presents the ATR-FTIR spectra of the control HEM prosthesis (washed with phosphate buffer) (black line), the HEM prosthesis functionalized with GLA (5%) only (green line), the HEM prosthesis functionalized with GLA (5%) and AEBSF (0.6 mg/mL) (red line), and the spectra of AEBSF alone (0.6 mg/mL) (blue line).
Figure 5 presents the ATR-FTIR spectra of the control HEM prosthesis (washed with phosphate buffer) (black line), the HEM prosthesis functionalized with GLA (5%) only (green line), the HEM prosthesis functionalized with GLA (5%) and PUR (0.04 mg/mL) (red line), and the spectra of PUR alone (0.04 mg/mL). These concentrations of AEBSF and PUR were used because they caused the highest inhibitory activity after their immobilization on the HEM prosthesis. To enhance the spectral differences, inverted second derivatives of the aforementioned spectra were calculated and presented in
Figure 4a-c and
Figure 5a-c. Based on the inverted second derivatives, the spectral assignments were performed, as presented in
Table 3.
The absorption band shifts and intensity differences associated with the GLA, AEBSF, and PUR immobilization on the HEM prosthesis were analyzed and compared with the control HEM prosthesis based on the total peak areas calculated for the inverted second derivatives of the ATR-FTIR spectra.
In the spectrum of the HEM control prosthesis, the stretching vibrations of the -CH group at 2958 cm
-1 [
24], the symmetric vibrations of the aliphatic -CH
2 group at 2921 cm
-1, and the stretching vibrations of the -CH
2 group at 2849 cm
-1 were observed. The HEM prosthesis was coated with collagen; hence, the spectrum showed the amide I group split into α-helix (1656 cm
-1) and β-sheet (1627 cm
-1) and the amide II group (1549 cm
-1) [
25]. The absorption band at 1452 cm
-1 originated from the deformation vibrations of the -CH group of the polyester. In addition, the band at 1404 cm
-1 originated from the -OH group of the carboxyl moiety of polyester. The absorption bands with maxima at 1238 cm
-1, 1198 cm
-1, 1161 cm
-1, and 1082 cm
-1 came from the carbonyl group -CO building up the structure of the polyester skeleton of the HEM prosthesis [
20]. During the GLA immobilization on the HEM prosthesis (
Figure 4, green line), there was a significant reduction in the intensity of the amide I and amide II groups and a shift towards higher frequencies in the group of amide I corresponding to the α-helix (by 7 cm
-1) and amide I corresponding to the β-sheet (by 5 cm
-1) relative to the control sample. The absorption maximum of the band originating from the vibrations of the amide II group and the vibrations of the -OH and -CH groups did not change after the GLA immobilization. However, changes were observed (9 cm
-1 shift towards higher frequencies) in the maximum absorption of the carbonyl group -CO vibrations originating from the backbone of the polyester chain in comparison to the control. The absorption maximum of the vibrations of the -CH group also changed and exhibited a 2 cm
-1 shift towards higher frequencies, in comparison to the control. The above-described results demonstrate the attachment of the -CHO group of GLA to the N-H bond (amide II) of the collagen layer of the HEM prosthesis.
The AEBSF immobilization on the HEM prosthesis also significantly affected changes in the biomaterial's structure. The addition of this inhibitor caused a 3 cm-1 shift in the absorption maxima of the band originating from the stretching vibrations of the -CH group and a significant increase in the intensity of this band relative to the control. In addition, the change in the band originating from the vibrations of the -CH2 group consisted in a 3 cm-1 shift in the absorption maxima towards higher values relative to the control HEM prosthesis. The addition of the AEBSF inhibitor also shifted the band of amide I and altered the absorption maxima originating from the α-helix and β-sheet (7 cm-1 and 5 cm-1 shift, respectively) towards lower frequencies in comparison to the spectrum of the GLA-modified HEM prosthesis. In addition, the band originating from the deformation vibrations of the -CH group also changed, as there was a 4 cm-1 shift of the absorption maximum towards lower values. The vibrations of the -OH group were also shifted by 4 cm-1 towards higher values in comparison to the control HEM prosthesis. Changes were also observed in the vibrations of the -CO group (absorption band at 1165 cm-1), whose absorption maxima were shifted by 5 cm-1 towards lower values in comparison to the spectrum of the GLA-modified HEM prosthesis.
The process of PUR immobilization on the HEM prosthesis was confirmed after the analysis of the shifts of the absorption bands originating from the vibrations of the different functional groups present in the biomaterial. After the immobilization of PUR, a 7 cm-1 shift of the absorption maxima of the band originating from the symmetric vibrations of the -CH2 group towards higher frequencies in comparison to the absorption band originating from the spectrum of the GLA-modified HEM prosthesis was observed. This maximum at 2922 cm-1 related to the symmetric vibrations of the -CH2 group almost returned to the value observed in the control. The amide I group did not change, while a 3 cm-1 shift in the absorption maxima of the amide II group towards higher frequencies was observed. The addition of the inhibitor also caused a 2 cm-1 shift of the absorption maxima of the band originating from the vibrations of the -OH group towards higher frequencies relative to the control. Changes were also observed in the band originating from the vibrations of the -CO group (absorption band at 1163 cm-1), with a 7 cm-1 shift of the absorption maximum of the band towards lower values to the absorption spectrum of the GLA-modified HEM prosthesis.
The HEM prosthesis is a commercially available collagen-coated vascular polyester prosthesis; it can also be supplied in a version with additionally immobilized heparin, as described in [
26]. Collagen-derived amide bonds involved in the binding of the GLA during the immobilization process were observed in the case of this prosthesis. In contrast, the inhibitor molecules (PUR and AEFBS) bind both to the -CHO group of GLA and to the -C=O group of the polyester backbone. After the immobilization of AEBSF or complete "capture" of the carbonyl group by the PUR molecule, the difference in the ratio of the absorption maxima of the carbonyl group bond vibrations was observed, compared to the amide I group.
2.4. CLSM analysis of PUR and AEFBS antimicrobial activity (live/dead analysis)
Staphylococcus aureus is one of the most common and dangerous pathogens responsible for infections in public health [
27,
28]. Implant infections caused by this bacterium carry a high risk especially to older patients and those with various metabolic burdens [
29]. Due to the widespread phenomenon of antibiotic resistance among pathogenic microorganisms, increasing emphasis is placed on the search for alternative substances with equally high bactericidal and bacteriostatic potential, e.g. copper-silver alloys [
30], derivatives of diindolylomethane [
31], microbial proteolytic enzymes [
32], PLGA/xylitol nanoparticles [
33], unsaturated C18 fatty acids [
34], or small molecule inhibitors like savarin [
35]. Moreover, research conducted on bactericidal and antibiofilm activity requires the use of appropriate measurement methods. The most popular and cheapest are tests based on the use of uncoated polystyrene plates with coloured substances (including crystal violet) coupled with absorbance measurements on microplate readers [
36]. Techniques based on light microscopy and scanning electron microscopy (SEM) [
31] are also often used to assess the effectiveness of the antimicrobial and antibiofilm effect. However, one of the most common methods providing plenty of valuable data is confocal laser scanning microscopy (CLSM) [
37]. CLSM allows full imaging of the 3D structure of the bacterial biofilm, observation of the localization of individual biofilm components (proteins, polysaccharide matrix, bacteria cells), and studying the process of biofilm formation during a specified time even in flow systems [
38,
39,
40].
In this work, the antimicrobial activity of the tested inhibitors (PUR and AEBSF) against the model strain of
Staphylococcus aureus was tested using CLSM analysis. For this purpose, the bacterial biofilm formed on the surface of the HEM prosthesis was exposed to various concentrations of PUR and AEBSF (the concentrations were selected based on the analyses of their activity after the immobilization on the prosthesis [
11] for 3 hours); next, CLSM with live/dead staining was used. The LIVE/DEAD analysis was performed to observe the effect of the native inhibitor concentrations (PUR and AEBSF) on the bactericidal properties of biomaterials functionalized with 5% GLA. Crystal violet, which readily penetrates the cell wall and cytoplasmic membrane of gram-negative and gram-positive bacteria, can also be used to perform such tests [
36].
Differences were observed in the fluorescence intensity of dead
S. aureus cells after the exposure to the selected concentrations of PUR and AEBSF, compared to the controls (
Figure 6). The use of PUR at a concentration of 0.02 mg/mL caused death of only some of the bacterial cells (red fluorescence), and its rate increased with the use of a higher antibiotic dose. As observed in the confocal microscope images, PUR at a dose of 0.06 mg/mL caused the death of a large number of cells, but a relatively large number of live cells were still observed. In the case of AEBSF, the effect was much more pronounced, and the use of the lowest dose (0.2 mg/mL) already contributed to a higher cell death rate than when PUR was added at a concentration of 0.02 mg/mL. Furthermore, the use of AEBSF at a concentration of 1 mg/mL resulted in the death of a significant number of cells immobilized on the prosthesis. It was demonstrated that the relatively higher concentrations of both inhibitors caused the death of a greater number of
Staphylococcus aureus cells, thus confirming their antibacterial properties.