Nanodarts, nanoblades, and nanospikes: Mechano-bactericidal nanostructures and where to find them.

Over the past ten years, a next-generation approach to combat bacterial contamination has emerged: one which employs nanostructure geometry to deliver lethal mechanical forces causing bacterial cell death. In this review, we first discuss advances in both colloidal and topographical nanostructures shown to exhibit such "mechano-bactericidal" mechanisms of action. Next, we highlight work from pioneering research groups in this area of antibacterials. Finally, we provide suggestions for unexplored research topics that would benefit the field of mechano-bactericidal nanostructures. Traditionally, antibacterial materials are loaded with antibacterial agents with the expectation that these agents will be released in a timely fashion to reach their intended bacterial metabolic target at a sufficient concentration. Such antibacterial approaches, generally categorized as chemical-based, face design drawbacks as compounds diffuse in all directions, leach into the environment, and require replenishing. In contrast, due to their mechanisms of action, mechano-bactericidal nanostructures can benefit from sustainable opportunities. Namely, mechano-bactericidal efficacy needs not replenishing since they are not consumed metabolically, nor are they designed to release or leach compounds. For this same reason, however, their action is limited to the bacterial cells that have made direct contact with mechano-bactericidal nanostructures. As suspended colloids, mechano-bactericidal nanostructures such as carbon nanotubes and graphene nanosheets can pierce or slice bacterial membranes. Alternatively, surface topography such as mechano-bactericidal nanopillars and nanospikes can inflict critical membrane damage to microorganisms perched upon them, leading to subsequent cell lysis and death. Despite the infancy of this area of research, materials constructed from these nanostructures show remarkable antibacterial potential worthy of further investigation.