Literature DB >> 32891882

Sonochemical coating of Prussian Blue for the production of smart bacterial-sensing hospital textiles.

Amparo Ferrer-Vilanova1, Yasmine Alonso2, Jiri Dietvorst3, Marta Pérez-Montero4, Rosalía Rodríguez-Rodríguez5, Kristina Ivanova6, Tzanko Tzanov7, Núria Vigués8, Jordi Mas9, Gonzalo Guirado10, Xavier Muñoz-Berbel11.   

Abstract

In healthcare facilities, environmental microbes are responsible for numerous infections leading to patient's health complications and even death. The detection of the pathogens present on contaminated surfaces is crucial, although not always possible with current microbial detection technologies requiring sample collection and transfer to the laboratory. Based on a simple sonochemical coating process, smart hospital fabrics with the capacity to detect live bacteria by a simple change of colour are presented here. Prussian Blue nanoparticles (PB-NPs) are sonochemically coated on polyester-cotton textiles in a single-step requiring 15 min. The presence of PB-NPs confers the textile with an intensive blue colour and with bacterial-sensing capacity. Live bacteria in the textile metabolize PB-NPs and reduce them to colourless Prussian White (PW), enabling in situ detection of bacterial presence in less than 6 h with the bare eye (complete colour change requires 40 h). The smart textile is sensitive to both Gram-positive and Gram-negative bacteria, responsible for most nosocomial infections. The redox reaction is completely reversible and the textile recovers its initial blue colour by re-oxidation with environmental oxygen, enabling its re-use. Due to its simplicity and versatility, the current technology can be employed in different types of materials for control and prevention of microbial infections in hospitals, industries, schools and at home.
Copyright © 2020 Elsevier B.V. All rights reserved.

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Keywords:  Bacterial detection; Hospital acquired infections; Metabolic indicators; Prussian Blue; Smart textiles; Sonochemical coating

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Year:  2020        PMID: 32891882      PMCID: PMC7786536          DOI: 10.1016/j.ultsonch.2020.105317

Source DB:  PubMed          Journal:  Ultrason Sonochem        ISSN: 1350-4177            Impact factor:   7.491


Introduction

“Nosocomial” or “hospital-acquired infections” (HAI) are infections that the patient acquires in the hospital or healthcare facility from microbes present in the environment. The main means of transmission include the direct physical contact of the patient with a contaminated surface or element, either the skin (of the healthcare personnel or the own patient), aerosols, shared instruments, furniture or hospital fabrics. Recently, pathogenic bacteria have been identified in hospital textiles [1], [2], but, in practice, there is no way of knowing if a textile in use is contaminated or not. Therefore, to minimize the impact of nosocomial infections in hospitalized patients it is crucial to detect the presence of microbes on contaminated surfaces in situ and within a reasonable period of time. Microbial detection is currently possible in the laboratory with a number of dedicated techniques and instruments, the most common being cell culture imaging [3], [4], or sequencing [5], [6], polymerase chain reaction (PCR) [7] and enzyme-linked immunosorbent assay (ELISA) [8]. With these techniques, samples are collected, transported to the laboratory and analysed using tedious and long protocols, impossible to be implemented as a routing warning system. As a step forwards, a number of biosensors have been developed based on the previous systems where bacteria are identified through selective DNA strains (DNA-sensors) [9] or antigens/antibodies (immune-sensors) [10]. Portable systems have been developed based on the latter [11], [12], although they still requiring sample collection and sometimes concentration/amplification before analysis. Hence, these technologies are still difficult to implement in situ. This is partially tackled by the use of metabolic indicators. Metabolic indicators are molecules that change their properties when metabolized by microorganisms. The sensing strategy varies depending on the indicator but they are mostly based on changes of pH (bacterial metabolism reduces pH) [13] or conductivity (bacterial metabolism tends to increase medium conductivity) [14], ATP production [15] or reduction of redox molecules by proteins and/or mediators from the metabolic electron transport chain [16], [17]. Although in most cases they are used as laboratory reagents, many kits containing these compounds for in situ identification of contaminated surfaces have been developed [18]. The solution with the indicator is sprayed on the potentially contaminated surface and an optical change is produced, which can be associated to the presence of living bacteria. This optical change is normally a colour appearance/disappearance (for pH, conductivity or redox state) or fluorescence production (in the case of ATP). Contaminated surfaces are thus identified using a simple and fast protocol, with the main limitation of requiring dedicated personnel and equipment to analyse the huge number of potentially risky surfaces and elements present in a hospital. In the current work, an equipment-free alternative for in situ determination of bacterial contamination is presented based on the incorporation of the sensing metabolic indicators in the surface of interest, in this case hospital fabrics, through a single-step sonochemical coating process. Sonochemical coating of hospital textiles has been widely explored by some groups in the recent years. Gedanken’s and Tzanov’s groups have successfully implemented metal nanoparticles (NPs), metal oxide-NPs and/or enzymes on textiles for the production of antibacterial hospital fabrics [19], [20], [21], [22]. Also metal-oxides and dyes could be co-deposited in a single sonochemical coating process [23]. In the present study, sonochemical coating is employed to incorporate iron-based complexes in the textile for the production of smart bacterial-sensing hospital fabrics. Ferric hexacyanoferrate NPs, also known as Prussian Blue (PB), has been selected since, apart from being a well-known textile dye [24], it presented ideal properties, such as: (i) a sufficiently high redox potential, able to react with proteins and mediators from the bacterial electron transport chain [25]; (ii) high extinction molar coefficients and an evident colour change after reduction, even visible to the naked eye [26], [27]; (iii) biocompatibility [28], [29], [30]; and (iv) existing preliminary results supporting its use as metabolic indicator by bacterial reduction [31]. The possibility of using the metabolic conversion from PB to its reduced form, Prussian White (PW) as early warning system for contaminated surface identification is evaluated in this paper. The sonochemical implementation of PB-NPs is studied and optimized to obtain sensitive smart bacterial-sensing fabrics with a homogeneous colour distribution and through a simple protocol. The sensing capacity of the final smart fabric is tested using Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) samples, used as model for Gram-negative and Gram-positive bacteria, respectively.

Materials and methods

Reagents

Potassium ferricyanide (K3[Fe(CN)6]), iron(II) chloride (FeCl2), hydrogen chloride (HCl 37%), 2-(N-morpholino)ethane-sulfonic acid hydrate (MES hydrate), 2-hydroxyethyl cellulose with an average molecular mass of 380 kDa and Dulbecco’s Modified Eagle’s Medium (DMEM, supplemented with 10% fetal bovine serum, 1% penicillin/streptomycin solution) were purchased from Sigma-Aldrich (Spain). Iron (III) chloride anhydrous (FeCl3) was obtained from Fischer Scientific. Glucose, sodium borohydride (NaBH4), potassium phosphate dibasic trihydrate (K2HPO4·3H2O) and potassium dihydrogen phosphate (KH2PO4) were from Panreac (Spain). Potassium chloride (KCl) and oxalic acid were purchased from Probus. All chemicals were used as received. Aqueous solutions were prepared using de-ionized water.

Synthesis of PB-NPs

Depending on the counter-ion used for charge compensation, two forms of PB can be synthetized: the “soluble” PB (PBSol), which incorporates potassium as counter-ion, and the “insoluble” PB (PBIns) containing iron ions as counter ions. Both PB forms present important structural and functional differences, e.g. in the deposition kinetics. That is, while PBSol-NPs present slow deposition kinetics by the small size of the particles, PBIns-NPs, containing aggregations of NPs, precipitate quickly [28], [32], [33]. PB-NPs were synthetized by a chemical reaction of ferric and hexacyanoferrate ions in aqueous solution (i.e. water) until a dark blue colloid is formed [33], [34]. For PBSol synthesis, equimolar solutions (30 mM) of FeCl2 and K3[Fe(CN)6] were used. Concretely, 25 mL of the ferricyanide solution were added dropwise to 25 mL of iron dichloride resulting in a dark blue solution corresponding to PBSol. On the other hand, PBIns was synthesized by mixing 50 mL of 15 mM with an excess of FeCl2 (30 mL of a 0.1 M solution). In this case, however, it was the iron dichloride solution which was added dropwise to the ferricyanide producing the formation of the dark blue precipitate corresponding to the PBIns formation. The precipitate was left to deposit and cleaned twice with distilled water. As previously demonstrated, light can affect PB-NPs stability [35], hence synthetized nanoparticles were stored protected from light until used.

Sonochemical coating of polyester-cotton textiles with PB-NPs

Polyester-cotton fabrics (KLOPMAN, Italy) from industrial production of hospital pyjamas were used as model hospital textiles. The sonochemical coating process was performed employing an ultrasonic transducer (Ti-horn, 20 kHz, 750 W, Sonics and Materials CV334, USA), as illustrated in Fig. 1a. The power (21.5 W) and intensity (0.43 W/cm3) were determined calorimetrically by measuring the temperature increase in the ultrasonic vessel as detailed in [36]. Polyester-cotton fragments (3 × 3 cm; approx. 0.18 g) were immersed in the ultrasonic pot already containing 50 mL of the PB-NPs aqueous suspension. In the optimization of the sonochemical coating process, PB at concentrations from 0.03 to 0.3 mM and sonication times of 5, 15 and 30 min were evaluated at a temperature of 20 °C and the amplitude was kept at 35%. This amplitude was high enough to provide textiles with a homogeneous distribution of NPs, resulting in colour homogeneity, but without compromising the integrity of the textile. Higher amplitudes were observed to produce textile damage.
Fig. 1

Sonochemical coating process and characterization of PB-modified textiles. (a) Scheme of the sonochemical coating process and resulting textiles obtained after incorporation of PBSol or PBIns. (b) SEM image of the samples modified with PBIns 0.08 mM. (c) PB-modified textile reduced to PW after addition of NaBH4 0.5 M as reducing agent. (d) Colour stability of polyester-cotton textiles modified with PBIns 0.08 mM after 96 h submerged in (i) water, (ii) LB, 0.1 M phosphate buffered saline (PBS) at (iii) pH 6.2 and (iv) pH 7.2, and (v) 0.1 M MES buffer (pH 6.2), all supplemented with 0.1% glucose. Lost colour was expressed as percentage versus unmodified textiles colour (n = 3).

Sonochemical coating process and characterization of PB-modified textiles. (a) Scheme of the sonochemical coating process and resulting textiles obtained after incorporation of PBSol or PBIns. (b) SEM image of the samples modified with PBIns 0.08 mM. (c) PB-modified textile reduced to PW after addition of NaBH4 0.5 M as reducing agent. (d) Colour stability of polyester-cotton textiles modified with PBIns 0.08 mM after 96 h submerged in (i) water, (ii) LB, 0.1 M phosphate buffered saline (PBS) at (iii) pH 6.2 and (iv) pH 7.2, and (v) 0.1 M MES buffer (pH 6.2), all supplemented with 0.1% glucose. Lost colour was expressed as percentage versus unmodified textiles colour (n = 3).

Spectroelectrochemical analysis of the smart textiles

The electrochromic behaviour of PB-NPs was studied after their deposition on polyester-cotton fabrics. Spectroelectrochemical analysis was performed using a sandwich configuration spectroelectrochemical cell. Platinum electrodes were located in front of the PB-coated textiles, with a solid hydrogel electrolyte layer in between, which allowed the study of solid materials without the need of solvents. In this case, 2-hydroxyethyl cellulose was used as solid electrolyte. Cellulose-based electrolytes were prepared by dissolving 2-hydroxyethyl cellulose (380 kDa) in 1 M KCl to a final concentration of 6.5% (w/v). Reagents were mixed under magnetic stirring, increasing the temperature until boiling. The solution was then left to dry at room temperature. Electrochemical measurements were performed with a potentiostat PAR biologic, SA, VSP100 (BAS Inc. Tokyo) controlled by the EC-Lab V9.51 sofware (BAS Inc., Tokyo). Simultaneous optical records were acquired with a Hamamatsu L10290 spectrophotometer (Hamamatsu, Japan) controlled by the Bio-Kine 32 V4.46 software (BAS Inc. Tokyo).

SEM measurements

The surface topology of the PB-modified textiles was studied by scanning electron microscopy (SEM) using an AURIGA® series en04 SEM (CarlZeiss).

Bacterial cultures preparation

Escherichia coli (ATCC 25922) (E. coli) and Staphylococcus aureus (ATCC 29213) (S. aureus) were used as model Gram-negative and Gram-positive bacteria, respectively. Both bacteria were incubated aerobically in a Luria-Bertani (LB) broth overnight (18 h) at 37 °C with shaking. After centrifugation (Eppendorf centrifuge AG R134A) at 2700xg for 10 min, the pellet was collected and re-suspended in 0.1 M MES (pH 6.2) adjusting bacterial concentration through optical density measurements in a spectrophotometer (Smartspec™ Plus spectrophotometer, Bio-rad, California, US). An optical density of 0.1 A.U. was considered equivalent to 108 colony forming units per mL (CFU mL−1). Suitable aliquots were cultured in agar plates and counted after incubation for adjustment of bacterial concentration.

Evaluation of bacterial-sensing activity of smart textiles incorporating PB-NPs

To study the bacterial-sensing capacity of the PB-modified textiles, polyester-cotton fabrics (1 × 1 cm, approx. 0.02 g) modified with 0.08 mM PBIns were incubated in bacterial suspensions (from 105 to 109 CFU mL−1) in (i) water, (ii) LB, 0.1 M phosphate buffered saline (PBS) at (iii) pH 6.2 and (iv) pH 7.2, and (v) 0.1 M MES buffer (pH 6.2), all of them supplemented with 0.1% glucose. Samples were always analysed during the first 15 days of preparation to ensure repeatability of the results. Colour changes were monitored in real time with a digital microscope camera DigiMicro 2.0 Scale for five days. Selected images were analysed using the freeware ImageJ. The three RGB channels were separated choosing the red one for quantification since it was the most sensitive. The percentage of colour lost was calculated by comparing it with the initial colour of the unmodified polyester-cotton textile.

Cytotoxicity evaluation

PB cytotoxicity was determined in the human fibroblast cell line MRC-5 (ATCC Line Bank, Virginia, USA) by using the colorimetric MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. The protocol was based on a previous publication [37]. Briefly, MRC-5 cells were cultured in complete Dulbecco’s Modified Eagle’s Medium (DMEM, supplemented with 10% foetal bovine serum, 1% penicillin/streptomycin solution). When confluent, cells were exposed to different concentrations of PBSol and PBIns. After 24 h of incubation, wells were washed with PBS, and the MTT solution (5 mg mL−1) was added and incubated for 1 h (37 °C, 5% CO2). After washing with PBS, the purple formazan generated by MTT metabolism of viable cells was solubilized with DMSO. The optical density of each well was determined at 570 nm in a spectrophotometer reader (BioTek® Synergy HT, Vermont, USA). Cell viability was expressed as percentage in relation to non-treated cells.

Results and discussion

Sonochemical coating and characterization of the smart textiles

PB was selected as bacterial-sensing probe in the development of the smart textiles, based on previously reported results demonstrating its potential as metabolic bacterial indicator [31]. In the sonochemical coating of PB-NPs, high-intensity ultrasound is applied to the NPs suspension. High-intensity ultrasound is a simple, fast, efficient and environmentally friendly approach for surface functionalization. Under ultrasound high-speed microjets are generated upon the implosive collapse of bubbles formed in the liquid, the so-called cavitation phenomenon. These microjets project the NPs found in the vicinity of the collapsing bubbles towards the textiles forming stable and homogeneous coatings [22], [36], [38], [39]. In this work, polyester-cotton samples (3 × 3 cm) were immersed in aqueous suspensions of PB-NPs and sonochemically coated varying the sonication time (from 5 to 30 min), PB type (PBSol or PBIns) and concentration (from 0.03 to 30 mM) (Fig. S1). From the two forms of PB, only PBIns was stably incorporated in the textile, while PBSol was almost completely removed after a soft cleaning process by rinsing with buffer (Fig. 1a). Also, the ageing of the PBIns suspension influenced the sonochemical coating. Freshly prepared samples presented more homogeneity and colour intensity than their 4-days old counterparts (Fig. S2). Homogeneous and highly-coloured samples were obtained after coating with freshly-prepared PB suspensions containing 0.08 mM PB for at least 15 min of sonication. No relevant changes were observed when longer sonication times were applied. SEM image of this sample revealed homogeneously distributed, although sometimes aggregated, NPs on the textile fibers (Fig. 1b). Accordingly, the single-step sonochemical coating of freshly-prepared PB samples containing 0.08 mM for 15 min was chosen as optimal coating conditions and used in further experiments. The oxidative capacity of the coated textile was evaluated using NaBH4 as reducing agent. When in contact with 0.5 M NaBH4, textiles immediately lost the blue colour by the formation of PW (Fig. 1c), which confirmed the redox activity of the smart textile, recovering the initial colour when in contact with hydrogen peroxide. In dried conditions, coated samples were stable for more than four months with minimal decolouration. The stability was lower in solution and depended on the medium (Fig. 1d). First, the stability of PB-NPs in the textile was deeply influenced by the pH. It was clearly evidenced when comparing the samples incubated in the physiologic PBS buffer at pH 7.2, which showed an important decrease in colour intensity, with those incubated in PBS at pH 6.2, which maintained more than 70% of the initial colour for 4 days. This was in agreement with previous results concluding that hydrolysed ferric ions in the coordination sphere of PB could only be substituted at a pH lower than 6.4 [28], [33], [40], [41], [42]. Apart from the pH, the medium composition also had a role in the stability of PB-NPs. Coated samples were more stable in MES than in PBS, even when both buffers had the same pH (pH 6.2). The reason for that may be in the monovalent ions content, e.g. sodium and potassium, which is much higher in PBS than in MES. The presence of such ions, which may substitute iron as counterions in the PB structure, might reduce the stability of NPs incorporated in the textile. In fact, overnight incubation of the textiles with KCl, LiCl or NaNO3 led to the dissociation of the PB and colour disappearance (Fig. S3). LB medium, slightly acidic and with monovalent ions in its composition, maintained around 70% of the initial colour similarly to PBS at pH 6.2. On the other hand, distilled water, acidic on its own but without important concentration of monovalent counter ions, presented low colour losses comparable to MES. Therefore, both ionic composition and pH influenced the stability of PB-NPs incorporated in the textile, but pH-mediated PB decomposition presented faster dissolution kinetics. The reversibility of PB-NPs incorporated in the textile was studied spectroelectrochemically to evaluate structural/compositional changes along reduction/oxidation cycles. A sandwich configuration with a solid electrolyte, i.e. 2-hydroxyethyl cellulose was used to study the activity of the smart textiles without solvents (Fig. 2a). CVs (between 0.4 to −0.3 V) at different scan rates (1, 5, 10 and 20 mV s−1) clearly reported two peaks, corresponding to the reduction from PB to PW (at 0 V) and the subsequent re-oxidation of PW to PB at 0.13 V (Fig. 2b). Peak intensities increased directly with the scan rate and the relationship between intensity of the anodic and cathodic peaks was approximately 1, which corresponded to the behaviour of a thin film system [43]. These samples were also very stable to electrolysis. After applying −0.5 V potential for 15 min, the sample only lost 20% of the initial colour. Much more significant colour loss was observed in the case of samples prepared with old PB suspension, which lost more than 90% of colour due to their low stability (Fig. 2c). It confirmed that freshly prepared PB-NPs in textiles were stable and reversible in solid state when monovalent cations were not present in the medium.
Fig. 2

Spectroelectrochemical measurements on the modified textiles. (a) Set-up scheme used for the spectroelectrochemical measurements on the textiles. (b) CVs of PB-modified textiles developed between 0.4 and −0.3 V at different scan rates (1, 5, 10 and 20 mV s−1) and representation of current peak values obtained vs scan rate. (c) Comparative spectra obtained from textiles coated with PBIns freshly prepared and PBIns prepared 4 days before the coating process and corresponding spectra after apply −0.5 V during 15 min to each one of them.

Spectroelectrochemical measurements on the modified textiles. (a) Set-up scheme used for the spectroelectrochemical measurements on the textiles. (b) CVs of PB-modified textiles developed between 0.4 and −0.3 V at different scan rates (1, 5, 10 and 20 mV s−1) and representation of current peak values obtained vs scan rate. (c) Comparative spectra obtained from textiles coated with PBIns freshly prepared and PBIns prepared 4 days before the coating process and corresponding spectra after apply −0.5 V during 15 min to each one of them.

Bacterial-sensing activity of smart textiles

As an already demonstrated metabolic bacterial indicator [31], PB in the textile should confer it with bacterial-sensing activity through the mechanism illustrated in Fig. 3. Once the sonochemical coating of PB-NPs provides the fabrics with an intense blue colour, the attachment of live bacteria would change the smart fabric colour by the metabolic reduction of PB to PW by proteins (e.g. cytochrome) and mediators (e.g. ubiquinone) from the bacterial electron transport chain [44]. Since the reaction is metabolic, dead bacteria would not be able to produce this change. If live bacteria died, for example by an antibacterial treatment, the atmospheric oxygen would re-oxidize PW to PB [45], and the smart textile would recover its initial blue colour.
Fig. 3

Scheme of the smart textile behaviour when in contact with live and dead bacteria. Living bacteria are represented in green colour and the dead one in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)

Scheme of the smart textile behaviour when in contact with live and dead bacteria. Living bacteria are represented in green colour and the dead one in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Bacterial-sensing capacity of PB-coated textiles was evaluated spectroscopically (as % colour change) in distilled H2O, LB, PBS (at pH 6.2 and 7.2) and MES buffer (pH 6.2) containing between 108 and 109 CFU mL−1 E. coli (Fig. 4a). Since bacterial proliferation depends on the medium composition, the evolution of this parameter over time was determined in each medium through plating (Fig. 4b) and optical density measurements at 600 nm (Fig. 4c).
Fig. 4

Relation between bacterial-sensing capacity of the textiles and bacterial proliferation. Different parameters obtained after PB-NPs modified textiles were incubated with E. coli for 72 h, such as (a) textile loss of colour percentage; (b) E. coli concentration by cell counting and (c) absorbance values at 600 nm throughout the experiment. E. coli concentrations above 109 CFU mL−1 in 900 µL were incubated in different media (H2O, LB, 0.1 M PBS (at pH 6.2 and 7.2) and 0.1 M MES (pH 6.2)) and 0.1% of glucose was used (n = 3). A common legend for all the graphs is on top.

Relation between bacterial-sensing capacity of the textiles and bacterial proliferation. Different parameters obtained after PB-NPs modified textiles were incubated with E. coli for 72 h, such as (a) textile loss of colour percentage; (b) E. coli concentration by cell counting and (c) absorbance values at 600 nm throughout the experiment. E. coli concentrations above 109 CFU mL−1 in 900 µL were incubated in different media (H2O, LB, 0.1 M PBS (at pH 6.2 and 7.2) and 0.1 M MES (pH 6.2)) and 0.1% of glucose was used (n = 3). A common legend for all the graphs is on top. All modified textiles presented important colour changes over time, stronger than those observed in the stability studies. Three different behaviours were observed depending on the media. First, in LB, bacteria almost doubled the initial concentration in the sample during the experiment, enabling a fast metabolic reduction of PB resulting in a 60% colour loss after 72 h, the largest reported. Second, in buffer, either PBS or MES, bacterial concentration slightly decreased over time, which resulted in weaker colour changes of 40–45%. The higher colour change observed in the PBS sample at pH 7.2 was again attributed to the pH-mediated decomposition of PB. In fact, when set at the same pH, PBS and MES presented very similar colour change kinetics, as well as analogous bacterial concentrations and bacterial proliferation rates. Finally, textiles incubated in distilled water presented an initial colour loss of 30%, followed by a fast colour recovery by oxygen re-oxidation when the bacteria died (which was confirmed by cell counting). Regarding the latter, smart textile reported the presence/absence of living bacteria on real time thanks to its reversibility. To confirm that PB-NPs detected bacterial activity without affecting microbial structure and/or function, the antibacterial activity of the smart textiles was evaluated. Antibacterial activity was determined by incubation of the samples in E. coli suspensions in MES (pH 6.2) supplemented with 0.1% glucose. Modified textiles, non-modified textiles (without PB-NPs) and control samples (bacterial suspension without textile) were studied. The number of viable bacteria was represented as a survival percentage from the initial concentration (Fig. 5a). No significant differences were observed between control, non-modified and modified textiles, confirming the low or null antibacterial activity of the PB-NPs in the textile.
Fig. 5

Antibacterial activity of PB-modified textiles and cytotoxicity. (a) Survival percentage of E. coli measured at different incubation times for polyester-cotton textiles with and without PB in MES 0.1 M medium at pH 6.2 and with 0.1% of glucose. As control, an inoculated solution in the same medium without textile sample was used (n = 3). (b) MTT cytotoxicity assay for PBSol (red circles) and PBIns (black squares) solutions at different concentrations. Concentrations are represented in a logarithmic scale and the one used in the textiles (0.08 mM PB) is highlighted in the graph with blue cross lines. Cell viability was determined after 24 h of incubation with both solutions (n = 3) and viability was expressed as percentage versus non-treated control samples. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)

Antibacterial activity of PB-modified textiles and cytotoxicity. (a) Survival percentage of E. coli measured at different incubation times for polyester-cotton textiles with and without PB in MES 0.1 M medium at pH 6.2 and with 0.1% of glucose. As control, an inoculated solution in the same medium without textile sample was used (n = 3). (b) MTT cytotoxicity assay for PBSol (red circles) and PBIns (black squares) solutions at different concentrations. Concentrations are represented in a logarithmic scale and the one used in the textiles (0.08 mM PB) is highlighted in the graph with blue cross lines. Cell viability was determined after 24 h of incubation with both solutions (n = 3) and viability was expressed as percentage versus non-treated control samples. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) On the other hand, because of the direct physical contact with skin, cytotoxicity assays of PB-NPs were performed to evaluate its potential risk for human health. Fig. 5b shows that both soluble and insoluble PB-NPs were cytotoxic when in high concentrations, with a decrease of the cell viability near to 50%. However, the concentration implemented in the textiles was not cytotoxic and should not represent a risk. Finally, the capacity to detect different bacterial types was evaluated by comparing the response of the smart textile to the Gram-negative E. coli with the Gram-positive S. aureus bacteria. Experiments were performed in MES (pH 6.2) with 0.1% of glucose at bacterial concentrations of 107, 108 or 109 CFU mL−1. Results are summarized in Fig. 6. In both cases, no detectable changes were observed in the control sample (without bacteria) or after 5 days of incubation in bacterial suspension with a concentration below 107 CFU mL−1. Textiles incubated with 108 CFU mL−1 presented a small colour change that was quickly reversed until it recovered the initial colour. More pronounced and sustained changes were observed after incubation with 109 CFU mL−1, which was even detectable with the bare eye after 6 h of incubation. The complete colour loss required 48 h. In the case of S. aureus, the peptidoglycan layer typical in Gram-positive bacteria slows down the extracellular electron transfer to the PB-NPs [46], showing slower kinetics. After 90 h, when most of bacteria in the sample were already dead as result of nutrients depletion, the textiles started to recover their initial blue colour through oxygen re-oxidation. The complete colour recovery required a reaction with an oxidizing agent, i.e. hydrogen peroxide, as shown in the images, confirming the stability of PB-NPs in the textiles.
Fig. 6

Bacterial-sensing activity of PB-modified textiles. Quantification of PB-modified textiles colour loss after incubation with E. coli and S. aureus in MES medium (pH 6.2) and 0.1% of glucose. Bacteria concentrations are shown in a common legend. As control, PB-modified textiles were submerged in MES solution, without bacteria. Colour loss was expressed as percentage versus unmodified-textiles colour (n = 3). In the schematic table, representative images from the textiles can be seen at different times of the experiment with E. coli inoculation, when they were in contact with air and after adding an oxidizing agent.

Bacterial-sensing activity of PB-modified textiles. Quantification of PB-modified textiles colour loss after incubation with E. coli and S. aureus in MES medium (pH 6.2) and 0.1% of glucose. Bacteria concentrations are shown in a common legend. As control, PB-modified textiles were submerged in MES solution, without bacteria. Colour loss was expressed as percentage versus unmodified-textiles colour (n = 3). In the schematic table, representative images from the textiles can be seen at different times of the experiment with E. coli inoculation, when they were in contact with air and after adding an oxidizing agent.

Conclusions

To prevent HAI contamination, a smart hospital fabric able to detect the presence of living bacteria by changing its own colour is developed here based on the incorporation of sensing NPs by sonochemical coating. PB-NPs are chosen as the most suitable metabolic indicator for being able to identify living bacteria by producing an intense and reversible colour change when it is reduced by bacterial metabolism to PW. From the two forms of PB, only freshly-prepared PBIns-NPs can be sonochemically incorporated in textile with sufficient concentration and homogeneity. Optimal conditions require sonication of 0.08 mM PB-NPs for 15 min in a single-step ultrasonic process. PB-NPs in the textile are not antibacterial or cytotoxic, and maintain the bacterial-sensing capacity reported in solution both for Gram-positive and Gram-negative bacteria. In the latter case, a detectable colour change is observed after 5–6 h of incubation in high bacterial concentrations (109 CFU mL−1), with a total colour change after 40 h. The textile recovers the colour when bacteria die by re-oxidation mediated by environmental oxygen. Thus, these smart textiles allow the detection of live bacteria in situ, which are even detectable by the naked eye. Future efforts are focused on the improvement of the response time and the sensitivity of the technology, either by chemical modification of the probe or by integration of transduction mechanisms. Also, the implementation of the current sonochemical coating protocol in real production lines is now being explored. We envision the current strategy of potential interest in the control of infections in hospitals, industries, schools or at home.

CRediT authorship contribution statement

Amparo Ferrer-Vilanova: Conceptualization, Formal analysis, Investigation, Visualization, Writing - original draft. Yasmine Alonso: Validation, Investigation. Jiri Dietvorst: Investigation, Writing - review & editing. Marta Pérez-Montero: Investigation, Resources. Rosalía Rodríguez-Rodríguez: Investigation, Resources, Writing - review & editing. Kristina Ivanova: Validation, Investigation, Resources, Writing - review & editing. Tzanko Tzanov: Conceptualization, Validation, Project administration. Núria Vigués: Investigation, Resources. Jordi Mas: Validation, Resources. Gonzalo Guirado: Conceptualization, Methodology, Writing - review & editing. Xavier Muñoz-Berbel: Conceptualization, Methodology, Writing - original draft, Writing - review & editing, Supervision, Funding acquisition.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
  28 in total

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