The authors would like to acknowledge the Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir for the financial support for this work through the 2017-231-001UCV and 2018-231-001UCV grants.

1. Sample Preparation
<ol>
	<li>Cut the material samples into 10 mm diameter disks with a 10 mm diameter cylindrical punch. 
	NOTE: Brittle materials can be softened in suitable sterile solvents for 1 h and then cut into disks. For example, hydrophilic materials such as zinc alginate were tested following this protocol and were moistened in autoclaved water before cutting them in order to avoid sample breaking. However, other hydrophobic materials such as poly(3-hydroxybutyrate-co-3-hydroxyvalerate) do not need any kind of previous swelling in order to be properly cut.</li>
	<li>Dry the sample material disks at 60 &#176;C in a vacuum oven (&#60;10-2 Torr) for 24 h. 
	NOTE: Some materials may need a high drying temperature. However, it is important not to reach a temperature that could thermally degrade the material.</li>
	<li>Measure the material film thicknesses with a digital caliper. 
	NOTE: This protocol recommends the utilization of material films with constant and similar thicknesses when comparing the antimicrobial activity of different materials.</li>
	<li>Sterilize each specimen&#160;by immersion in&#160;ethanol 70% for 10 min and subsequent ultraviolet (UV) radiation for 1 h per each side. 
	NOTE: UV radiation can be performed placing each specimen in a sterile Petri dish inside a&#160;laminar flow hood with a 12.0 W lamp of UV-C radiation. 
	CAUTION: Researchers should not expose themselves to UV radiation, because it is mutagenic.</li>
	<li>Perform steps 1.1, 1.2, 1.3 and 1.4. with the control material disks.&#160; 
	NOTE: Polyethylene terephthalate (PET) or alternative non-antimicrobial materials could be used as control disks in the diffusion and contact method. Furthermore, when characterizing nanocomposites or treated materials, the base material should be used as control material.</li>
</ol>
2. Recommended Microorganisms
NOTE: We recommend the use of 3 different microorganisms to study the antimicrobial capacity of the tested material against a wide range of microorganisms.
<ol>
	<li>Use pure cultures of 3 microorganisms: the Gram-positive bacteria Staphylococcus aureus, the Gram-negative bacteria Escherichia coli, and the yeast Candida albicans. 
	NOTE: Other microorganism species can also be tested with this protocol by modifying the incubation conditions if necessary. 
	CAUTION: The required biosafety measurements must be followed according to the type of microorganism employed in this protocol.</li>
	<li>Work with pre-sterile or autoclaved material and use a Bunsen burner during the whole process of the microbial manipulation or a biological safety cabinet (if necessary) to ensure aseptic conditions. 
	NOTE: Recommended autoclave conditions are 121 &#176;C during 15 min for culture mediums and 121 &#176;C during 20 min for the working material and biological residues.</li>
</ol>
3. Agar Disk Diffusion Test (Diffusion Method)
NOTE: When a liquid diffusion of antimicrobial compounds might be the main antimicrobial mechanism of advanced materials, the diffusion method can provide very useful information about the antimicrobial capacity of these materials. The material disk located at the center of the agar plate can form a transparent ring zone (halo) where a growth inhibition of microorganisms occurs after 24 h of culture (see Figure 1).
<ol>
	<li>Diffusion test procedure
	<ol>
		<li>Prepare and autoclave tryptic soy agar (TSA) following the manufacturer&#8217;s instructions.</li>
		<li>Pour the TSA into sterile Petri dishes under aseptic conditions using a Bunsen burner or a laminar flow hood. 
		NOTE: The TSA plates must be 4&#8211;6 mm thick.</li>
		<li>Culture the different microorganisms to be tested aerobically for 18&#8211;24 h in the Petri dishes with TSA in an incubator at 37 &#176;C.</li>
		<li>Prepare and autoclave tryptic soy broth (TSB) following the manufacturer&#8217;s instructions.</li>
		<li>Pour the TSB in a 50 mL pre-sterilized centrifuge tube with a pre-sterilized serological pipette under aseptic conditions using a Bunsen burner or a laminar flow hood.</li>
		<li>Resuspend a few colonies from step 3.1.3 in 25 mL of TSB contained in a sterile centrifuge tube using a sterile cotton swab and vortex them for 1 min to achieve a uniform mixing.</li>
		<li>Adjust the absorbance (at 540 nm) of the culture with a spectrophotometer to the suitable number of colony forming units (CFU) per mL: approximately 1.5 x 108 CFU/mL for bacteria and from 1 x 106 to 5 x 106 CFU/mL for yeast. 
		NOTE: The culture and cuvette volumes to measure the absorbance must be selected according to the type of spectrophotometer utilized.</li>
		<li>Vortex the microbial broth for 5 seconds to improve the microorganism dispersion and briefly submerge a sterile cotton swab in this microbial suspension. Remove the excess of liquid from the swab by pressing it against the tube wall containing the culture.</li>
		<li>Evenly streak the microbial broth suspension with the sterile cotton swab onto the surface of the TSA plates in 3 planes to cover their whole surface with the microorganism and let it dry for 5 min after the inoculation. 
		NOTE: To remove any moisture, the TSA plates must be placed open in an inverted position at 37 &#176;C for 10&#8211;15 min before the inoculation.</li>
		<li>Sterilize a pair of tweezers by immersing them in a beaker with ethanol 96% and then flaming them with a Bunsen burner or alcohol burner.</li>
		<li>Place the sample disks to be tested and control disk at the center of the TSA plates using the pair of sterile tweezers.</li>
		<li>Incubate aerobically the TSA plates in an inverted position at 37 &#176;C for 24 h. 
		NOTE: In order to avoid any contamination risk, it is recommended to incubate the TSA plates in an inverted position. However, if the sample disk detaches from the TSA plates, do not perform this step in an inverted position. In this case, it is recommended to dry the plates in the laminar flow hood.&#160;This antimicrobial test must be performed at least in quadriplicate on different days to ensure reproducibility.</li>
	</ol>
	</li>
	<li>Checking of microbial suspension concentration and purity 
	NOTE: The following steps are necessary in order to check that the microbial concentration determined with the spectrophotometer in step 3.1.7 is correct and ensure that there was no microbial environmental contamination. A microbial environmental contamination can be easily detected by the appearance of various types of microbial colonies after 24 h of culture. Furthermore, no microbial contamination of the TSB medium during its manipulation in the decimal serial dilutions must be ensured with a negative TSB control plate.
	<ol>
		<li>Dispense the sterile TSB (prepared in step 3.1.4) into sterile microcentrifuge tubes using a micropipette with suitable autoclaved tips in aseptic conditions. One of them will be utilized as a negative TSB control.</li>
		<li>Perform decimal serial dilutions with the microbial broth suspension utilized in step 3.1.9 in the sterile microcentrifuge tubes containing TSB.</li>
		<li>Spread 100 &#181;L of each dilution on TSA plates using a pre-sterilized Drigalski spatula or an alternative instrument. Also spread 100 &#956;L of TSB medium without microorganism (prepared in step 3.2.1) on a TSA plate as a negative TSB control plate.</li>
		<li>Incubate aerobically the TSA plates aerobically at 37 &#176;C for 24 h.</li>
		<li>Count the number of colonies to check that the CFU/mL are similar to that determined in step 3.1.7.</li>
		<li>Check that there is no microbial environmental contamination on the TSA plates with only one type of colonies.</li>
		<li>Check that there is no microbial contamination on the TSB negative control plate showing no colonies</li>
	</ol>
	</li>
</ol>
4. Measurement of Antimicrobial Activity on Material Surfaces (Contact Method)
 
NOTE: When surface contact might be the main antimicrobial mechanism of some advanced materials, the contact method can provide very useful information about the antimicrobial capacity of these materials. In this method, the microorganisms are placed directly onto the material surface and their growth inhibition can be determined after a certain amount of time.
<ol>
	<li>Initial procedure
	<ol>
		<li>Prepare and autoclave TSB following the manufacturer&#8217;s instructions.</li>
		<li>Pour the TSB in a 50 mL pre-sterilized centrifuge tube with a pre-sterilized serological pipette under aseptic conditions using a Bunsen burner or a laminar flow hood.</li>
		<li>Culture the different microorganisms to be tested aerobically overnight in the tube with TSB in an orbital shaker (140 rpm) at 37 &#176;C.</li>
		<li>Dilute the overnight culture in 20 mL of TSB in a 50 mL pre-sterilized centrifuge tube to a concentration of approximately 106 CFU/mL (determined with a spectrophotometer at 540 nm). 
		NOTE: The culture and cuvette volumes to measure the absorbance must be selected according to the type of spectrophotometer utilized.</li>
		<li>Perform decimal serial dilutions of this culture in sterile microcentrifuge tubes containing TSB. Spread 100 &#181;L of the culture on TSA plates and incubate it aerobically at 37 &#176;C for 24 h.&#160;</li>
		<li>Count the number of colonies to ensure an initial cell concentration of approximately 1 x 106 CFU/mL</li>
		<li>Place 4 control disks for microbial counting after 24 h and 4 sample disks of each type of the tested materials for microbial counting after 24 h in separates wells of a sterile 48-well plate.</li>
		<li>Pipette 150 &#181;L of the microbial suspension onto each disk surface.</li>
	</ol>
	</li>
	<li>Microbial counting on the control and tested materials (after 24 h)
	<ol>
		<li>After step 4.1.6, aerobically incubate the 4 sample disks remaining in the 48-well plate at 37 &#176;C for 24 h. 
		NOTE: This 24 h incubation time can be modified in order to study the growth inhibition at shorter or longer times.</li>
		<li>After 24 h of incubation, pipette 850 &#181;L of sterile PBS onto the surface of the 4 sample disks and mix it with the 150 &#181;L of the microbial suspension.</li>
		<li>Collect the PBS/microbial suspension mixture and each disk from the 48-well plate and transfer them to a 10 mL pre-sterilized tube.</li>
		<li>Vortex the PBS/microbial suspension mixture and each disk&#160;for 1 min, sonicate it&#160;at 50 Hz for 5 min and vortex it&#160;again for 1 min to ensure that no viable microorganisms remain adhered to the material surface.</li>
		<li>Perform decimal serial dilutions of each&#160;sonicated culture in sterile microcentrifuge tubes containing TSB and spread 100 &#181;L of the culture on TSA plates and incubate it aerobically at 37 &#176;C for 24 h.</li>
		<li>Count the number of colonies, which are the number of viable microorganisms on each&#160;sample and control disk surface. Express this number of viable cells in (CFU/mL).</li>
		<li>Take a photograph of the final microbial culture for the sample and control disks.</li>
	</ol>
	</li>
</ol>
5. Antimicrobial Results Analysis
<img alt="Figure 1" class="xfigimg" src="/files/ftp_upload/57710/57710fig1.jpg" /> 
Figure 1: Measurements for the normalized width of the antimicrobial &#34;halo&#34;. This panel shows the diameter of the inhibition zone (diz) and the&#160;disk diameter (d). <a href="/files/ftp_upload/57710/57710fig1large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
<ol>
	<li>Diffusion method results analysis 
	<ol>
		<li>Measure the diameter of the inhibition zone (diz) and the&#160;disk diameter (d) (see Figure 1) with a digital caliper. 
		NOTE: The inhibition zone or antimicrobial &#8220;halo&#8221; is formed as a consequence of the microbial growth inhibition produced by the antimicrobial material disk (see Figure 1). It is possible to observe that there is a transparent ring zone close to the sample in comparison with the rest of the plate where the microorganisms have grown properly (opaque zone).</li>
		<li>Determine the normalized width of the antimicrobial &#8220;halo&#8221; (nwhalo) of each disk&#160;by applying equation (1). 
		(1)&#160;&#160;&#160;&#160;&#160;<img alt="Equation 1" src="/files/ftp_upload/57710/57710eq1.jpg" /></li>
		<li>Determine the mean and standard deviation of the normalized width of the antimicrobial &#8220;halo&#8221; with the 4&#160;determined nwhalo values of each sample.</li>
		<li>Take a photograph of the final microbial culture with the material&#160;disk. 
		Note: The diameter of the inhibition zone (diz) and the disk diameter (d) can also be measured from the photograph taken in step 5.1.4 by using a suitable image processing software.</li>
	</ol>
	</li>
	<li>Contact method results analysis
	<ol>
		<li>Determine the number of viable microorganisms recovered according to equation (2). 
		(2)&#160;&#160;&#160;&#160;&#160;<img alt="Equation 2" src="/files/ftp_upload/57710/57710eq2.jpg" /> 
		NOTE: Here, N is the number of viable microorganisms recovered per cm2 per test specimen; C is the plate count; D is the dilution factor; A is the surface area of the test specimen in cm2 determined with the sample disk diameter.</li>
		<li>Determine the loss of viability (LV) to reflect the inhibition of cell growth by applying equation (3). 
		(3)&#160;&#160;&#160;&#160;&#160;<img alt="Equation 3" src="/files/ftp_upload/57710/57710eq3v3.jpg" /> 
		NOTE: Here, C&#160;is the average number of viable microorganisms (N) in CFU/mL&#8226;cm2, recovered from the control specimens after 24 h; S&#160;is the number of viable microorganisms (N) in CFU/mL&#8226;cm2, recovered from the test specimens after 24 h.</li>
		<li>Determine the mean and standard deviation of the loss of viability with the 4 determined LV(%) values of each sample.</li>
	</ol>
	</li>
</ol>

<ol>
	<li>Sydnor, E. R. M., Perl, T. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hospital+epidemiology+and+infection+control+in+acute-care+settings.">Hospital epidemiology and infection control in acute-care settings.</a> Clin Microbiol Rev. 24 (1), 141-173 (2011).</li><li>Chessa, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Staphylococcus+aureus+and+Staphylococcus+epidermidis+Virulence+Strains+as+Causative+Agents+of+Persistent+Infections+in+Breast+Implants.">Staphylococcus aureus and Staphylococcus epidermidis Virulence Strains as Causative Agents of Persistent Infections in Breast Implants.</a> PLoS One. 11 (1), e0146668 (2016).</li><li>Pandey, H., Parashar, V., Parashar, R., Prakash, R., Ramteke, P. W., Pandey, A. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Controlled+drug+release+characteristics+and+enhanced+antibacterial+effect+of+graphene+nanosheets+containing+gentamicin+sulfate.">Controlled drug release characteristics and enhanced antibacterial effect of graphene nanosheets containing gentamicin sulfate.</a> Nanoscale. 3 (10), 4104 (2011).</li><li>Jia, Z., Shen, D., Xu, W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Synthesis+and+antibacterial+activities+of+quaternary+ammonium+salt+of+chitosan.">Synthesis and antibacterial activities of quaternary ammonium salt of chitosan.</a> Carbohydr Res. 333 (1), 1-6 (2001).</li><li>Liu, Y., Wang, X., Yang, F., Yang, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Excellent+antimicrobial+properties+of+mesoporous+anatase+TiO2+and+Ag/TiO2+composite+films.">Excellent antimicrobial properties of mesoporous anatase TiO2 and Ag/TiO2 composite films.</a> Microporous Mesoporous Mater. 114 (1-3), 431-439 (2008).</li><li>Wang, L., Chen, J., Shi, L., Shi, Z., Ren, L., Wang, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+promotion+of+antimicrobial+activity+on+silicon+substrates+using+a+&amp;#34;click&amp;#34;+immobilized+short+peptide.">The promotion of antimicrobial activity on silicon substrates using a &amp;#34;click&amp;#34; immobilized short peptide.</a> Chem Commun (Camb). 50 (8), 975-977 (2014).</li><li>K&#252;mmerer, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Resistance+in+the+environment.">Resistance in the environment.</a> J Antimicrob Chemother. 54 (2), 311-320 (2004).</li><li>Ng, V. W. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Antimicrobial+hydrogels:+A+new+weapon+in+the+arsenal+against+multidrug-resistant+infections.">Antimicrobial hydrogels: A new weapon in the arsenal against multidrug-resistant infections.</a> Adv Drug Deliv Rev. 78, 46-62 (2014).</li><li>Hegstad, K., Langsrud, S., Lunestad, B. T., Scheie, A. A., Sunde, M., Yazdankhah, S. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Does+the+Wide+Use+of+Quaternary+Ammonium+Compounds+Enhance+the+Selection+and+Spread+of+Antimicrobial+Resistance+and+Thus+Threaten+Our+Health?.">Does the Wide Use of Quaternary Ammonium Compounds Enhance the Selection and Spread of Antimicrobial Resistance and Thus Threaten Our Health?.</a> Microb Drug Resist. 16 (2), 91-104 (2010).</li><li>Rana, D., Matsuura, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Surface+modifications+for+antifouling+membranes.">Surface modifications for antifouling membranes.</a> Chem Rev. 110 (4), 2448-2471 (2010).</li><li>Lok, C. N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Proteomic+analysis+of+the+mode+of+antibacterial+action+of+silver+nanoparticles.">Proteomic analysis of the mode of antibacterial action of silver nanoparticles.</a> J Proteome Res. 5 (4), 916-924 (2006).</li><li>Chen, X., Schluesener, H. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Nanosilver:+A+nanoproduct+in+medical+application.">Nanosilver: A nanoproduct in medical application.</a> Toxicol Lett. 176 (1), 1-12 (2008).</li><li>Ahamed, M., AlSalhi, M. S., Siddiqui, M. K. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Silver+nanoparticle+applications+and+human+health.">Silver nanoparticle applications and human health.</a> Clin Chim Acta. 411 (23-24), 1841-1848 (2010).</li><li>Yeaman, M. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanisms+of+Antimicrobial+Peptide+Action+and+Resistance.">Mechanisms of Antimicrobial Peptide Action and Resistance.</a> Pharmacol Rev. 55 (1), 27-55 (2003).</li><li>McLean, D. T. F., Lundy, F. T., Timson, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=IQ-motif+peptides+as+novel+anti-microbial+agents.">IQ-motif peptides as novel anti-microbial agents.</a> Biochimie. 95 (4), 875-880 (2013).</li><li>Brogden, K. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Antimicrobial+peptides:+Pore+formers+or+metabolic+inhibitors+in+bacteria?.">Antimicrobial peptides: Pore formers or metabolic inhibitors in bacteria?.</a> Nat Rev Microbiol. 3 (3), 238-250 (2005).</li><li>Ghosh, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Small+molecular+antibacterial+peptoid+mimics:+The+simpler+the+better!.">Small molecular antibacterial peptoid mimics: The simpler the better!.</a> J Med Chem. 57 (4), 1428-1436 (2014).</li><li>Chongsiriwatana, N. P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Peptoids+that+mimic+the+structure,+function,+and+mechanism+of+helical+antimicrobial+peptides.">Peptoids that mimic the structure, function, and mechanism of helical antimicrobial peptides.</a> Proc Natl Acad Sci. 105 (8), 2794-2799 (2008).</li><li>Chen, Y., Mant, C. T., Farmer, S. W., Hancock, R. E. W., Vasil, M. L., Hodges, R. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Rational+design+of+alpha-helical+antimicrobial+peptides+with+enhanced+activities+and+specificity/therapeutic+index.">Rational design of alpha-helical antimicrobial peptides with enhanced activities and specificity/therapeutic index.</a> J Biol Chem. 280 (13), 12316-12329 (2005).</li><li>Porter, E. A., Wang, X., Lee, H. S., Weisblum, B., Gellman, S. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Non-haemolytic+beta-aminoacid+oligomers.">Non-haemolytic beta-aminoacid oligomers.</a> Nature. 404 (6778), 565 (2000).</li><li>Gao, Q., Li, P., Zhao, H., Chen, Y., Jiang, L., Ma, P. X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Methacrylate-ended+Polypeptides+and+Polypeptoids+for+Antimicrobial+and+Antifouling+Coatings.">Methacrylate-ended Polypeptides and Polypeptoids for Antimicrobial and Antifouling Coatings.</a> Polym Chem. 8 (41), 6386-6397 (2017).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., G&#243;mez-Ribelles, J. L., Monle&#243;n-Pradas, M., Vidaurre-Garayo, A., Suay-Ant&#243;n, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Characterisation+of+macroporous+poly(methyl+methacrylate)+coated+with+plasma-polymerised+poly(2-hydroxyethyl+acrylate).">Characterisation of macroporous poly(methyl methacrylate) coated with plasma-polymerised poly(2-hydroxyethyl acrylate).</a> Eur Polym J. 43 (10), 4552-4564 (2007).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Plasma-induced+polymerisation+of+hydrophilic+coatings+onto+macroporous+hydrophobic+scaffolds.">Plasma-induced polymerisation of hydrophilic coatings onto macroporous hydrophobic scaffolds.</a> Polymer (Guildf). 48 (7), 2071-2078 (2007).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L., Rault, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Thermal+analysis+of+water+in+reinforced+plasma-polymerised+poly(2-hydroxyethyl+acrylate)+hydrogels.">Thermal analysis of water in reinforced plasma-polymerised poly(2-hydroxyethyl acrylate) hydrogels.</a> Eur Polym J. 72, 523-534 (2015).</li><li>Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L., Serrano-Aroca, &. #. 1. 9. 3. ;., Gallego-Ferrer, G., SuayAnt&#243;n, J., Pissis, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Interaction+between+water+and+polymer+chains+in+poly(hydroxyethyl+acrylate)+hydrogels.">Interaction between water and polymer chains in poly(hydroxyethyl acrylate) hydrogels.</a> Colloid Polym Sci. 279 (4), 323-330 (2001).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+crosslinking+on+porous+poly(methyl+methacrylate)+produced+by+phase+separation.">Effect of crosslinking on porous poly(methyl methacrylate) produced by phase separation.</a> Colloid Polym Sci. 286 (2), 209-216 (2008).</li><li>Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L., Serrano-Aroca, &. #. 1. 9. 3. ;., Gallego Ferrer, G., Suay Ant&#243;n, J., Pissis, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Porous+poly+(2-hydroxyethyl+acrylate)+hydrogels.">Porous poly (2-hydroxyethyl acrylate) hydrogels.</a> Polymer (Guildf). 42 (10), 4667-4674 (2001).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Monle&#243;n-Pradas, M., G&#243;mez-Ribelles, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Macroporous+poly(methyl+methacrylate)+produced+by+phase+separation+during+polymerisation+in+solution.">Macroporous poly(methyl methacrylate) produced by phase separation during polymerisation in solution.</a> Colloid Polym Sci. 285 (7), 753-760 (2007).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Llorens-G&#225;mez, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dynamic+mechanical+analysis+and+water+vapour+sorption+of+highly+porous+poly(methyl+methacrylate).">Dynamic mechanical analysis and water vapour sorption of highly porous poly(methyl methacrylate).</a> Polymer (Guildf). 125, 58-65 (2017).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Campillo-Fern&#225;ndez, A. J., G&#243;mez-Ribelles, J. L., Monle&#243;n-Pradas, M., Gallego-Ferrer, G., Pissis, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Porous+poly(2-hydroxyethyl+acrylate)+hydrogels+prepared+by+radical+polymerisation+with+methanol+as+diluent.">Porous poly(2-hydroxyethyl acrylate) hydrogels prepared by radical polymerisation with methanol as diluent.</a> Polymer (Guildf). 45 (26), 8949-8955 (2004).</li><li>Rodr&#237;guez-Hern&#225;ndez, J. C., Serrano-Aroca, &. #. 1. 9. 3. ;., G&#243;mez-Ribelles, J. L., Monle&#243;n-Pradas, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Three-dimensional+nanocomposite+scaffolds+with+ordered+cylindrical+orthogonal+pores.">Three-dimensional nanocomposite scaffolds with ordered cylindrical orthogonal pores.</a> J Biomed Mater Res - Part B: Appl Biomater. 84 (2), 541-549 (2008).</li><li>Br&#237;gido-Diego, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Acrylic+scaffolds+with+interconnected+spherical+pores+and+controlled+hydrophilicity+for+tissue+engineering.">Acrylic scaffolds with interconnected spherical pores and controlled hydrophilicity for tissue engineering.</a> J Mater Sci Mater Med. 40 (18), 4881-4887 (2005).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Ruiz-Pividal, J. F., Llorens-G&#225;mez, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Enhancement+of+water+diffusion+and+compression+performance+of+crosslinked+alginate+with+a+minuscule+amount+of+graphene+oxide.">Enhancement of water diffusion and compression performance of crosslinked alginate with a minuscule amount of graphene oxide.</a> Sci Rep. 7, 11684 (2017).</li><li>Serrano-Aroca, &. #. 1. 9. 3. ;., Deb, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Synthesis+of+irregular+graphene+oxide+tubes+using+green+chemistry+and+their+potential+use+as+reinforcement+materials+for+biomedical+applications.">Synthesis of irregular graphene oxide tubes using green chemistry and their potential use as reinforcement materials for biomedical applications.</a> PLoS One. 12 (9), e0185235 (2017).</li><li>S&#225;nchez-Correa, F., Vidaurre-Agut, C., Serrano-Aroca, A., Campillo-Fern&#225;ndez, A. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Poly(2-hydroxyethyl+acrylate)+hydrogels+reinforced+with+graphene+oxide:+Remarkable+improvement+of+water+diffusion+and+mechanical+properties.">Poly(2-hydroxyethyl acrylate) hydrogels reinforced with graphene oxide: Remarkable improvement of water diffusion and mechanical properties.</a> J Appl Polym Sci. , (2018).</li><li>Serrano-Aroc, &. #. 1. 9. 3. ;., Iskandar, L., Deb, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Green+synthetic+routes+to+alginate-graphene+oxide+composite+hydrogels+with+enhanced+physical+properties+for+bioengineering+applications.">Green synthetic routes to alginate-graphene oxide composite hydrogels with enhanced physical properties for bioengineering applications.</a> Eur Polym J. 103, 198-206 (2018).</li><li>Llorens-G&#225;mez, M., Serrano-Aroca, &. #. 1. 9. 3. ;. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Low-Cost+Advanced+Hydrogels+of+Calcium+Alginate/Carbon+Nanofibers+with+Enhanced+Water+Diffusion+and+Compression+Properties.">Low-Cost Advanced Hydrogels of Calcium Alginate/Carbon Nanofibers with Enhanced Water Diffusion and Compression Properties.</a> Polymers (Basel). 10 (4), 405 (2018).</li><li>Bauer, A. W., Kirby, W. M. M., Sherris, J. C., Turck, A. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Antibiotic+susceptibility+testing+by+a+standardized+single+disk+method.">Antibiotic susceptibility testing by a standardized single disk method.</a> A J Clin Pathol. 45, 493-496 (1966).</li><li>. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> ISO Specification 22196: measurement of antibacterial activity on plastics surfaces. , 584 (2007).</li><li>Taubes, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+bacteria+fight+back.">The bacteria fight back.</a> Science. 321 (5887), 356-361 (2008).</li><li>Boucher, H. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=10+x+'20+progress--development+of+new+drugs+active+against+Gram-negative+bacilli:+an+update+from+the+infectious+diseases+society+of+America.">10 x '20 progress--development of new drugs active against Gram-negative bacilli: an update from the infectious diseases society of America.</a> Clinical Infectious Diseases. 56 (12), 1685-1694 (2013).</li></ol>

The authors have nothing to disclose.

The antimicrobial activity of new advanced materials can be analyzed by this easy-to-follow protocol consisting of 2 complementary procedures based on 2 existing methods: the agar disk diffusion test38&#160;and the antimicrobial activity measured on material surfaces according to the ISO 22196:2007 norm39.
In this research field, many of the antimicrobial tests reported in the literature are highly assay-dependent. Therefore, it is very important to have detailed and consistent protocols in place across laboratories. This article is a step in that direction. Furthermore, it could be very helpful for many researchers who are less experienced in this field and require in-depth, step-by-step procedures to follow for accurate results.
This protocol can be used with many types of materials cut into disk shapes of 10-mm diameter. Brittle materials can be swollen in a suitable solvent for 1 h to render the cutting process easier. Thus, hydrophilic materials such as alginates can be hydrated in autoclaved distilled water. Other solvents, such as ethanol, ketone, and dichloromethane, can be employed to swell hydrophobic materials for 1 h before cutting them. However, some materials such as poly(3-hydroxybutyrate-co-3-hydroxyvalerate) do not need to be swollen and they can be cut directly. After that, it is very important to dry the sample material disks in a vacuum oven and sterilize each specimen with ethanol and UV radiation for 1 h to avoid any contamination risk.
This protocol recommends TSA and TSB as culture media and the use of pure cultures of 3 microorganisms to reach a broad range of microorganisms: the Gram-positive bacteria Staphylococcus aureus, the Gram-negative bacteria Escherichia coli, and the yeast Candida albicans. However, alternative culture media and other microorganisms in need of different incubation conditions could also be used with this protocol. Sometimes, only 1 microorganism is tested to have an initial idea of the antimicrobial activity of a new material.
The materials showing strong antimicrobial activity against the recommended 3 different types of microorganisms should also be tested against antibiotic-resistant pathogens such as methicillin-resistant Staphylococcus epidermidis (MRSE), which have been successfully utilized with this protocol. Other important drug-resistant microorganisms which are causing much concern are the Gram-positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE), and the Gram-negative Pseudomonas aeruginosa40,41.
Biofilm inhibition and the antimicrobial activity of materials against other types of microorganisms such as viruses and parasites cannot be tested with this protocol. However, this protocol provides a very useful starting point for an antimicrobial study of a new advanced material.
In the antimicrobial agar disk diffusion test, a critical step occurs when the sample disk has to be placed in the center of the plate because some materials fold as soon as they get in contact with the agar media. In this case, it is recommended to use a sterile pair of tweezers to carefully unfold the sample. On the other hand, in the contact method, it is critical to wash the control and sample disks very well with PBS by pipetting them four times followed by a vigorous vortexing and sonication in order to ensure that no viable microorganisms remain adhered to the material surface.
This video protocol can be utilized in many bioengineering applications, such as bioprocess engineering, tissue engineering, controlled drug delivery, packaging materials, wastewater treatment, and agriculture, which use biomaterials with a highly desirable antimicrobial capacity.
The results obtained with this protocol are qualitative (the images) and quantitative (the normalized width of the antibacterial &#34;halo&#34; and the loss of viability) with a good analysis of its reproducibility (mean &#177; standard deviation). When comparing different materials, these mean values obtained with the diffusion and contact method results analysis must be analyzed by one-way ANOVA, followed by Turkey&#39;s post hoc analysis, in order to study if they are, statistically, significantly different (p &#60;0.01).

Implant failure is often a consequence of microbial infections that occur in spite of antimicrobial prophylaxis and aseptic working conditions. This problem is causing very high healthcare costs and is distressing among patients1. Important bacteria such as Staphylococcus aureus are currently considered to be very dangerous pathogens in nosocomial infections associated with catheters and other medical implants and are the main contaminants of medical instruments2. Therefore, the development of novel antimicrobial strategies is urgently needed for both daily and medical uses.
Antimicrobial agents include antibiotics3, quaternary ammonium compounds4, metal ions/oxides5, and antimicrobial peptides (AMPs)6. Antibiotics are gradually becoming less efficient due to bacterial resistance7, which is on the rise due to antibiotic overuse8. Quaternary ammonium compounds are only very efficient for a short-term use because of microbial resistance9. Metal ions/oxides have long been utilized as very effective antimicrobial agents and are used in many common commercial products including bandages, water filters, paints, etc.10,11,12. However, it has been demonstrated that these types of compounds can be toxic to some types of mammalian cells13.
AMPs show excellent antimicrobial and immunomodulatory properties14,15, and bacteria seem to find it very difficult to develop a resistance against them16. However, the process to produce pure AMPs is expensive; therefore, a large-scale production is not viable. Thus, strategies to counter the problems in producing AMPs have been developed (e.g., small molecular antibacterial peptoid mimics17, peptoids18, &#945;-peptides19 and &#946;-peptides20). Methacrylate-ended polypeptides and polypeptoids have been synthesized for antimicrobial and antifouling coatings21.
The development of new antimicrobial agents such as advanced materials in pure or hybrid form, able to prevent and treat multidrug-resistant infections, is increasingly necessary. A broad range of new advanced materials for many bioengineering fields such as tissue and bioprocess engineering have been developed with improved chemical and physical properties in the last decades through several methods: plasma-polymerization grafting onto a hydrophobic substrate22,23,24, tailoring of crosslinking density25,26, polymerization in solution27,28,29,30, porogen dissolution31,32, and by the incorporation of nanomaterials such as graphene oxide (GO)33,34,35,36&#160;and carbon nanofibers (CNFs)37.
The study of the antimicrobial capacity of these new materials could exponentially increase their potential bioengineering applicability and has, therefore, become essential. We present an easy-to-follow protocol to quantify the antimicrobial activity of such new advanced materials. Here, after the sample preparation, two complementary methods are followed: the first is based on the agar disk diffusion test38&#160;(diffusion method) and the second is based on the ISO 22196:2007 norm39&#160;to measure the antimicrobial activity on material surfaces (contact method).

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr >
			<td >Cylindrical punch&#160;</td>
			<td ></td>
			<td ></td>
			<td >10 mm diameter</td>
		</tr>
		<tr >
			<td >Petri dishes</td>
			<td >soria genlab</td>
			<td >P101</td>
			<td>90 mm diameter, sterile</td>
		</tr>
		<tr >
			<td >Tryptic soy agar (TSA)</td>
			<td >Liofilchem</td>
			<td >610052</td>
			<td>Dehydrated medium 500 g (powder)</td>
		</tr>
		<tr >
			<td >Tryptic soy broth (TSB)</td>
			<td >Liofilchem</td>
			<td >610053</td>
			<td>Dehydrated medium 500 g (powder)</td>
		</tr>
		<tr >
			<td >Sterile cotton swab</td>
			<td >EUTOTUBO</td>
			<td >300200</td>
			<td></td>
		</tr>
		<tr >
			<td >Centrifuge tubes</td>
			<td >VIDRA FOC, SA</td>
			<td >429900</td>
			<td>50 mL, sterile</td>
		</tr>
		<tr >
			<td >Ethanol</td>
			<td >VWR</td>
			<td >83813360</td>
			<td>Absolute ethanol</td>
		</tr>
		<tr >
			<td >Sterile 48-wells plate</td>
			<td >COSTAR</td>
			<td >3548</td>
			<td>Flat bottom with lid, tissue culture treated, non-pyrogenic, polystyrene</td>
		</tr>
		<tr >
			<td >A pair of tweezers</td>
			<td >BRAUN</td>
			<td >24612036</td>
			<td>Toothless</td>
		</tr>
		<tr >
			<td >Sterile phosphate buffered saline (PBS).</td>
			<td >VWR</td>
			<td >E404-100TAPBS</td>
			<td></td>
		</tr>
		<tr >
			<td >Vaccum oven with a connected vacuum pump</td>
			<td >JP Selecta, SA</td>
			<td >5900620</td>
			<td></td>
		</tr>
		<tr >
			<td >Laminar flow hood</td>
			<td >TELSTAR Technologies, SL</td>
			<td >TELSTAR AH-100</td>
			<td>12.0 W lamp of UV-C radiation</td>
		</tr>
		<tr >
			<td >Class II Biological safety cabinet</td>
			<td >LABOGENE</td>
			<td >MARS 1200</td>
			<td></td>
		</tr>
		<tr >
			<td >Incubator</td>
			<td >ASTEC CO, LTD</td>
			<td >SCA-165DR</td>
			<td></td>
		</tr>
		<tr >
			<td >Vortex mixer</td>
			<td >Biosan</td>
			<td >V-1 Plus</td>
			<td></td>
		</tr>
		<tr >
			<td >Spectrophotometer</td>
			<td >Macherey-Nagel, Germany</td>
			<td >Nanocolor UV/VIS II</td>
			<td></td>
		</tr>
		<tr >
			<td >Bunsen burner</td>
			<td >JP Selecta, SA</td>
			<td >7001539</td>
			<td></td>
		</tr>
		<tr >
			<td >Alcohol burner</td>
			<td >VIDRA FOC, SA</td>
			<td >1658/20</td>
			<td>In case sterilisation is necessary to be performed inside class II biological safety cabinet</td>
		</tr>
		<tr >
			<td >Orbital shaker</td>
			<td >sartorius stedim</td>
			<td >8864845</td>
			<td></td>
		</tr>
		<tr >
			<td >Sonicator</td>
			<td >SELECTA</td>
			<td >3000617</td>
			<td>50/60 Hz</td>
		</tr>
		<tr >
			<td >Digital calliper</td>
			<td >ACHA</td>
			<td >17-260</td>
			<td>0-150 mm</td>
		</tr>
		<tr >
			<td >Serological pipette</td>
			<td >Fisherbrand</td>
			<td >13-678-11</td>
			<td>25 mL, sterile</td>
		</tr>
		<tr >
			<td >Serological pipette</td>
			<td >VWR</td>
			<td >612-4950</td>
			<td>5 mL, sterile</td>
		</tr>
		<tr >
			<td >Serological pipette</td>
			<td >VWR</td>
			<td >612-5541</td>
			<td>10 mL, sterile</td>
		</tr>
		<tr >
			<td >Micropipette</td>
			<td >GILSON</td>
			<td >FA10005P</td>
			<td>Pipetman L P200L, plastic 20-200 &#181;L</td>
		</tr>
		<tr >
			<td >Micropipette</td>
			<td >GILSON</td>
			<td >F123602</td>
			<td>Pipetman P1000, 200-1000 &#181;L</td>
		</tr>
		<tr >
			<td >Micropipette&#160;</td>
			<td >GILSON</td>
			<td >FA10016</td>
			<td>Pipetman L P12X300L, 20-300 &#181;L</td>
		</tr>
		<tr >
			<td >Micropipette tips</td>
			<td >LABBOX</td>
			<td >TIBP-200-960</td>
			<td>2-200 &#181;L</td>
		</tr>
		<tr >
			<td >Micropipette tips</td>
			<td >LABBOX</td>
			<td >TIBP-1K0-480</td>
			<td>100-1000 &#181;L</td>
		</tr>
		<tr >
			<td >Pre-sterilized tube&#160;</td>
			<td >INSULAB</td>
			<td >301402</td>
			<td>10 mL&#160;</td>
		</tr>
		<tr >
			<td >Photo camera</td>
			<td >Canon EOS 5D</td>
			<td ></td>
			<td>Any camera with high resolution can also be utilized</td>
		</tr>
		<tr >
			<td >Gram-positive bacteria Staphylococcus aureus</td>
			<td ></td>
			<td >&#160;strain V329</td>
			<td>Cucarella et al. J Bacteriol 183 (9),&#160; 2888&#8211;2896 (2001)</td>
		</tr>
		<tr >
			<td >Gram-negative bacteria Escherichia coli</td>
			<td >Colecci&#243;n Espa&#241;ola de Cultivos Tipo CECT</td>
			<td >CECT 101</td>
			<td></td>
		</tr>
		<tr >
			<td >Yeast Candida albicans</td>
			<td >Colecci&#243;n Espa&#241;ola de Cultivos Tipo CECT</td>
			<td >CECT 1394</td>
			<td></td>
		</tr>
		<tr >
			<td >Microcentrifuge tubes&#160;</td>
			<td >DASLAB</td>
			<td >175508</td>
			<td>1,5 mL</td>
		</tr>
		<tr >
			<td >Autoclave</td>
			<td >JP Selecta, SA</td>
			<td >4002136</td>
			<td></td>
		</tr>
		<tr >
			<td >Spectrophotometer-cuvettes</td>
			<td >UVAT Bio CB</td>
			<td >F-0902-02</td>
			<td>4,5 mL</td>
		</tr>
		<tr >
			<td >Drigalski spatula</td>
			<td >LABBOX</td>
			<td >SPRP-L05-1K0</td>
			<td>Sterile, disposable&#160;</td>
		</tr>
		<tr >
			<td >glass balls (2 mm diameter)</td>
			<td >Hecht Karl</td>
			<td >1401/2</td>
			<td>Autoclavable, alternative device to the Drigalski spatula</td>
		</tr>
		<tr >
			<td >Autoclave bags</td>
			<td >DELTALAB</td>
			<td >200318</td>
			<td>To sterilize microbiological residues or contaminated material</td>
		</tr>
		<tr >
			<td >Electronic pipette filling device</td>
			<td >JetPip</td>
			<td >JET BIOFIL</td>
			<td></td>
		</tr>
		<tr >
			<td >Laboratory bottle with ISO thread, graduated, borosilicate 3.3</td>
			<td >LABBOX</td>
			<td >SBG3-100-010</td>
			<td>100 mL, for autoclaving culture media</td>
		</tr>
		<tr >
			<td >Laboratory bottle with ISO thread, graduated, borosilicate 3.3</td>
			<td >LABBOX</td>
			<td >SBG3-250-010</td>
			<td>250 mL, for autoclaving culture media</td>
		</tr>
		<tr >
			<td >Laboratory bottle with ISO thread, graduated, borosilicate 3.3</td>
			<td >LABBOX</td>
			<td >SBG3-500-010</td>
			<td>500 mL, for autoclaving culture media</td>
		</tr>
		<tr >
			<td >Laboratory bottle with ISO thread, graduated, borosilicate 3.3</td>
			<td >LABBOX</td>
			<td >SBG3-1K0-010</td>
			<td>1000 mL, for autoclaving culture media</td>
		</tr>
		<tr >
			<td >Latex gloves</td>
			<td >DENIA</td>
			<td >2278000000</td>
			<td></td>
		</tr>
		<tr >
			<td >Indicator tape for sterilization</td>
			<td >LABBOX</td>
			<td >STAP-A55-001</td>
			<td>Self-adhesive tape with impregnated paper turning to colour when exposed to sterilization process.</td>
		</tr>
		<tr >
			<td >Universal test tube rack</td>
			<td >LABBOX</td>
			<td >MTSP-001-001</td>
			<td>To hold centrifuge tubes</td>
		</tr>
		<tr >
			<td >Microcentrifuge tube rack</td>
			<td >VWR</td>
			<td >211-0210</td>
			<td>To hold microcentrifuge tubes</td>
		</tr>
		<tr >
			<td >Sterile loop</td>
			<td >ACEFE S.A.</td>
			<td >100140055</td>
			<td >10 &#181;L of capacity for microbial culture&#160;</td>
		</tr>
		<tr >
			<td >Material M1</td>
			<td >Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir (UCV)</td>
			<td ></td>
			<td >Material type 1&#160;</td>
		</tr>
		<tr >
			<td >Material M2</td>
			<td >Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir (UCV)</td>
			<td ></td>
			<td >Material type 2&#160;</td>
		</tr>
		<tr >
			<td >Material M3</td>
			<td >Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir (UCV)</td>
			<td ></td>
			<td >Material type3</td>
		</tr>
		<tr >
			<td >Material M4</td>
			<td >Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir (UCV)</td>
			<td ></td>
			<td >Material type 4&#160;</td>
		</tr>
		<tr >
			<td >Material C</td>
			<td >Universidad Cat&#243;lica de Valencia San Vicente M&#225;rtir (UCV)</td>
			<td ></td>
			<td >Control material</td>
		</tr>
	</tbody>
</table>

antimicrobial characterization of advanced materials for bioengineering applications

The development of new advanced materials with enhanced properties is becoming more and more important in a wide range of bioengineering applications. Thus, many novel biomaterials are being designed to mimic specific environments required for biomedical applications such as tissue engineering and controlled drug delivery. The development of materials with improved properties for the immobilization of cells or enzymes is also a current research topic in bioprocess engineering. However, one of the most desirable properties of a material in these applications is the antimicrobial capacity to avoid any undesirable infections. For this, we present easy-to-follow protocols for the antimicrobial characterization of materials based on (i) the agar disk diffusion test (diffusion method) and (ii) the ISO 22196:2007 norm to measure the antimicrobial activity on material surfaces (contact method). This protocol must be performed using Gram-positive and Gram-negative bacteria and yeast to cover a broad range of microorganisms. As an example, 4 materials with different chemical natures are tested following this protocol against Staphylococcus aureus, Escherichia coli, and Candida albicans.The results of these tests exhibit non-antimicrobial activity for the first material and increasing antibacterial activity against Gram-positive and Gram-negative bacteria for the other 3 materials. However, none of the 4 materials are able to inhibit the growth of Candida albicans.

This protocol was employed, as an example, to test the antimicrobial capacity of 4 materials with different chemical natures against the 3 recommended microorganisms: Staphylococcus aureus, Escherichia coli, and Candida albicans.The results of the agar disk diffusion tests (diffusion method) exhibited non-antimicrobial activity for the first material (M1) as it occured in the control disk (C, image not shown) and increasing antibacterial activity against Gram-positive and Gram-negative bacteria for the other 3 materials M2, M3 and M4&#160;(see Figure 2).
<img alt="Figure 2" class="xfigimg" src="/files/ftp_upload/57710/57710fig2.jpg" /> 
Figure 2: Antimicrobial diffusion method results. This panel shows the antimicrobial diffusion method for the 4 material (M1, M2, M3, and M4) disks (10 mm diameter x 1 mm thickness) against S. aureus and E. coli after 24 h of incubation. <a href="/files/ftp_upload/57710/57710fig2large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
Figure 3 shows the different normalized widths of the antimicrobial &#34;halo&#34; (nwhalo) for the different example materials M1, M2, M3, and M4 against Gram-positive and Gram-negative bacteria calculated with equation (1). However, none of the 4 materials were able to inhibit the growth of the yeast Candida albicans (images not shown).
<img alt="Figure 3" class="xfigimg" src="/files/ftp_upload/57710/57710fig3v2.jpg" /> 
Figure 3: Antimicrobial diffusion &#34;halo&#34; results. This panel shows the normalized &#34;halo&#34; (nwhalo) for each material (M1, M2, M3, and M4) disk (10 mm diameter x 1 mm thickness) against S. aureus and E. coli after 24 h of incubation. The differences are statistically significant (p &#60;0.01). However, sample M1 exhibited no antimicrobial activity. <a href="/files/ftp_upload/57710/57710fig3v2large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
The results of the contact method also exhibited non-antimicrobial activity for the first material (M1) as it occurred in the control disk (C) and increasing antibacterial activity against Grampositive and Gram-negative bacteria for the other 3 materials (see Figure 4).
<img alt="Figure 4" class="xfigimg" src="/files/ftp_upload/57710/57710fig4v3.jpg" /> 
Figure 4: Antimicrobial contact method results. This panel shows the respective 90 mm plates of the 4 material (M1, M2, M3, and M4) surface antimicrobial activity assay according to the ISO 22196:2007 after 24 h of incubation for S. aureus and E. coli (dilution factor of 10-4). C&#160;is the viable bacteria recovered from the control disk after 24 h of incubation. <a href="/files/ftp_upload/57710/57710fig4v3large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
The loss of viability (%) was determined by equation (2) and (3) as indicated in this protocol (see Figure 5).
<img alt="Figure 5" class="xfigimg" src="/files/ftp_upload/57710/57710fig5v2.jpg" /> 
Figure 5: Loss of viability by contact method. This panel shows the loss of viability (%) for M1, M2, M3, and M4 against S. aureus and E. coli on the material surfaces. Sample M1 exhibited no antimicrobial activity. <a href="/files/ftp_upload/57710/57710fig5v2large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
However, none of the 4 materials were able to inhibit the growth of the yeast Candida albicans by the contact method either (images not shown). Therefore, 3 of these 4 advanced materials showed positive antimicrobial results against Gram-positive and Gram-negative bacteria and thus could be very useful for many bioengineering applications with high antibacterial activity requirements. However, none of the 4 materials were able to inhibit the yeast growth.

Watch this Scientific Journal Video about Antimicrobial Characterization of Advanced Materials for Bioengineering Applications at JoVE.com

Antimicrobial Characterization of Advanced Materials for Bioengineering Applications

We present a protocol for the antimicrobial characterization of advanced materials. Here, the antimicrobial activity on material surfaces is measured by two methods that complement each other: one is based on the agar disk diffusion test, and the other is a standard procedure based on the ISO 22196:2007 norm.

The development of new advanced materials with enhanced properties is becoming more and more important in a wide range of bioengineering applications. ...

antimicrobial-characterization-advanced-materials-for-bioengineering

Nanyang Technological University

Research

JoVE Journal

Bioengineering

21.9K Views.  Universidad Católica de Valencia San Vicente Mártir. We present a protocol for the antimicrobial characterization of advanced materials. Here, the antimicrobial activity on material surfaces is measured by two methods that complement each other: one is based on the agar disk diffusion test, and the other is a standard procedure based on the ISO 22196:2007 norm.

Video: Antimicrobial Characterization of Advanced Materials for Bioengineering Applications

Designing a Bio-responsive Robot from DNA Origami

Nucleic acids are astonishingly versatile. In addition to their natural role as storage medium for biological information1, they can be utilized in parallel computing2,3 , recognize and bind molecular or cellular targets4,5 , catalyze chemical reactions6,7 , and generate calculated responses in a biological system8,9. Importantly, nucleic acids can be programmed to self-assemble into 2D and 3D structures10-12, enabling the integration of all these remarkable features in a single robot linking the sensing of biological cues to a preset response in order to exert a desired effect.
Creating shapes from nucleic acids was first proposed by Seeman13, and several variations on this theme have since been realized using various techniques11,12,14,15 . However, the most significant is perhaps the one proposed by Rothemund, termed scaffolded DNA origami16. In this technique, the folding of a long (&gt;7,000 bases) single-stranded DNA 'scaffold' is directed to a desired shape by hundreds of short complementary strands termed 'staples'. Folding is carried out by temperature annealing ramp. This technique was successfully demonstrated in the creation of a diverse array of 2D shapes with remarkable precision and robustness. DNA origami was later extended to 3D as well17,18 .
 
The current paper will focus on the caDNAno 2.0 software19 developed by Douglas and colleagues. caDNAno is a robust, user-friendly CAD tool enabling the design of 2D and 3D DNA origami shapes with versatile features. The design process relies on a systematic and accurate abstraction scheme for DNA structures, making it relatively straightforward and efficient.
In this paper we demonstrate the design of a DNA origami nanorobot that has been recently described20. This robot is 'robotic' in the sense that it links sensing to actuation, in order to perform a task. We explain how various sensing schemes can be integrated into the structure, and how this can be relayed to a desired effect. Finally we use Cando21 to simulate the mechanical properties of the designed shape. The concept we discuss can be adapted to multiple tasks and settings.

DNA origami is a powerful method for fabricating precise nanoscale objects by programming the self-assembly of DNA molecules. Here, we describe how DNA origami can be utilized to design a robotic robot capable of sensing biological cues and responding by shape shifting, subsequently relayed to a desired effect.

Nucleic acids are astonishingly versatile. In addition to their natural role as storage medium for biological information1, they can be utilized in ...

Designing Silk-silk Protein Alloy Materials for Biomedical Applications

Fibrous proteins display different sequences and structures that have been used for various applications in biomedical fields such as biosensors, nanomedicine, tissue regeneration, and drug delivery. Designing materials based on the molecular-scale interactions between these proteins will help generate new multifunctional protein alloy biomaterials with tunable properties. Such alloy material systems also provide advantages in comparison to traditional synthetic polymers due to the materials biodegradability, biocompatibility, and tenability in the body. This article used the protein blends of wild tussah silk (Antheraea pernyi) and domestic mulberry silk (Bombyx mori) as an example to provide useful protocols regarding these topics, including how to predict protein-protein interactions by computational methods, how to produce protein alloy solutions, how to verify alloy systems by thermal analysis, and how to fabricate variable alloy materials including optical materials with diffraction gratings, electric materials with circuits coatings, and pharmaceutical materials for drug release and delivery. These methods can provide important information for designing the next generation multifunctional biomaterials based on different protein alloys.

Blending is an efficient approach to generate biomaterials with a broad range of properties and combined features. By predicting the molecular interactions between different natural silk proteins, new silk-silk protein alloy platforms with tunable mechanical resiliency, electrical response, optical transparency, chemical processability, biodegradability, or thermal stability can be designed.

Fibrous proteins display different sequences and structures that have been used for various applications in biomedical fields such as biosensors, ...

Fabricating Superhydrophobic Polymeric Materials for Biomedical Applications

Superhydrophobic materials, with surfaces possessing permanent or metastable non-wetted states, are of interest for a number of biomedical and industrial applications. Here we describe how electrospinning or electrospraying a polymer mixture containing a biodegradable, biocompatible aliphatic polyester (e.g., polycaprolactone and poly(lactide-co-glycolide)), as the major component, doped with a hydrophobic copolymer composed of the polyester and a stearate-modified poly(glycerol carbonate) affords a superhydrophobic biomaterial. The fabrication techniques of electrospinning or electrospraying provide the enhanced surface roughness and porosity on and within the fibers or the particles, respectively. The use of a low surface energy copolymer dopant that blends with the polyester and can be stably electrospun or electrosprayed affords these superhydrophobic materials. Important parameters such as fiber size, copolymer dopant composition and/or concentration, and their effects on wettability are discussed. This combination of polymer chemistry and process engineering affords a versatile approach to develop application-specific materials using scalable techniques, which are likely generalizable to a wider class of polymers for a variety of applications.

Two- and three-dimensional superhydrophobic polymeric materials are prepared by electrospinning or electrospraying biodegradable polymers blended with a lower surface energy polymer of similar composition.

Superhydrophobic materials, with surfaces possessing permanent or metastable non-wetted states, are of interest for a number of biomedical and industrial ...

Fabrication of Mechanically Tunable and Bioactive Metal Scaffolds for Biomedical Applications

Biometal systems have been widely used for biomedical applications, in particular, as load-bearing materials. However, major challenges are high stiffness and low bioactivity of metals. In this study, we have developed a new method towards fabricating a new type of bioactive and mechanically reliable porous metal scaffolds-densified porous Ti scaffolds. The method consists of two fabrication processes, 1) the fabrication of porous Ti scaffolds by dynamic freeze casting, and 2) coating and densification of the porous scaffolds. The dynamic freeze casting method to fabricate porous Ti scaffolds allowed the densification of porous scaffolds by minimizing the chemical contamination and structural defects. The densification process is distinctive for three reasons. First, the densification process is simple, because it requires a control of only one parameter (degree of densification). Second, it is effective, as it achieves mechanical enhancement and sustainable release of biomolecules from porous scaffolds. Third, it has broad applications, as it is also applicable to the fabrication of functionally graded porous scaffolds by spatially varied strain during densification.

Bioactive and mechanically reliable metal scaffolds have been fabricated through a method which consists of two processes, dynamic freeze casting for the fabrication of porous Ti, and coating and densification of the Ti scaffolds. The densification process is simple, effective and applicable to the fabrication of functionally graded scaffolds.

Biometal systems have been widely used for biomedical applications, in particular, as load-bearing materials. However, major challenges are high stiffness ...

The Synthesis of RGD-functionalized Hydrogels as a Tool for Therapeutic Applications

The use of polymers as biomaterials has provided significant advantages in therapeutic applications. In particular, the possibility to modify and functionalize polymer chains with compounds that are able to improve biocompatibility, mechanical properties, or cell viability allows the design of novel materials to meet new challenges in the biomedical field. With the polymer functionalization strategies, click chemistry is a powerful tool to improve cell-compatibility and drug delivery properties of polymeric devices. Similarly, the fundamental need of biomedicine to use sterile tools to avoid potential adverse-side effects, such as toxicity or contamination of the biological environment, gives rise to increasing interest in the microwave-assisted strategy.
The combination of click chemistry and the microwave-assisted method is suitable to produce biocompatible hydrogels with desired functionalities and improved performances in biomedical applications. This work aims to synthesize RGD-functionalized hydrogels. RGD (arginylglycylaspartic acid) is a tripeptide that can mimic cell adhesion proteins and bind to cell-surface receptors, creating a hospitable microenvironment for cells within the 3D polymeric network of the hydrogels. RGD functionalization occurs through Huisgen 1,3-dipolar cycloaddition. Some PAA carboxyl groups are modified with an alkyne moiety, whereas RGD is functionalized with azido acid as the terminal residue of the peptide sequence. Finally, both products are used in a copper catalyzed click reaction to permanently link the peptide to PAA. This modified polymer is used with carbomer, agarose and polyethylene glycol (PEG) to synthesize a hydrogel matrix. The 3D structure is formed due to an esterification reaction involving carboxyl groups from PAA and carbomer and hydroxyl groups from agarose and PEG through microwave-assisted polycondensation. The efficiency of the gelation mechanism ensures a high degree of RGD functionalization. In addition, the procedure to load therapeutic compounds or biological tools within this functionalized network is very simple and reproducible.

We present a protocol for the synthesis of RGD-functionalized hydrogels as devices for cell and drug delivery. The procedure involves copper catalyzed alkyne-azide cycloaddition (CuAAC) between alkyne-modified polyacrylic acid (PAA) and a RGD-azide derivative. The hydrogels are formed using microwave-assisted polycondensation and their physicochemical properties are investigated.

The use of polymers as biomaterials has provided significant advantages in therapeutic applications. In particular, the possibility to modify and ...

Light-mediated Formation and Patterning of Hydrogels for Cell Culture Applications

Click chemistries have been investigated for use in numerous biomaterials applications, including drug delivery, tissue engineering, and cell culture. In particular, light-mediated click reactions, such as photoinitiated thiol&#8722;ene and thiol&#8722;yne reactions, afford spatiotemporal control over material properties and allow the design of systems with a high degree of user-directed property control. Fabrication and modification of hydrogel-based biomaterials using the precision afforded by light and the versatility offered by these thiol&#8722;X photoclick chemistries are of growing interest, particularly for the culture of cells within well-defined, biomimetic microenvironments. Here, we describe methods for the photoencapsulation of cells and subsequent photopatterning of biochemical cues within hydrogel matrices using versatile and modular building blocks polymerized by a thiol&#8722;ene photoclick reaction. Specifically, an approach is presented for constructing hydrogels from allyloxycarbonyl (Alloc)-functionalized peptide crosslinks and pendant peptide moieties and thiol-functionalized poly(ethylene glycol) (PEG) that rapidly polymerize in the presence of lithium acylphosphinate photoinitiator and cytocompatible doses of long wavelength ultraviolet (UV) light. Facile techniques to visualize photopatterning and quantify the concentration of peptides added are described. Additionally, methods are established for encapsulating cells, specifically human mesenchymal stem cells, and determining their viability and activity. While the formation and initial patterning of thiol-alloc hydrogels are shown here, these techniques broadly may be applied to a number of other light and radical-initiated material systems (e.g., thiol-norbornene, thiol-acrylate) to generate patterned substrates.

We describe a sequential process for light-mediated formation and subsequent biochemical patterning of synthetic hydrogel matrices for three-dimensional cell culture applications. The construction and modification of hydrogels with cytocompatible photoclick chemistry is demonstrated. Additionally, facile techniques to quantify and observe patterns and determine cell viability within these hydrogels are presented.

Click chemistries have been investigated for use in numerous biomaterials applications, including drug delivery, tissue engineering, and cell culture. In ...

Extraction of Plant-based Capsules for Microencapsulation Applications

Microcapsules derived from plant-based spores or pollen provide a robust platform for a diverse range of microencapsulation applications. Sporopollenin exine capsules (SECs) are obtained when spores or pollen are processed so as to remove the internal sporoplasmic contents. The resulting hollow microcapsules exhibit a high degree of micromeritic uniformity and retain intricate microstructural features related to the particular plant species. Herein, we demonstrate a streamlined process for the production of SECs from Lycopodium clavatum spores and for the loading of hydrophilic compounds into these SECs. The current SEC isolation procedure has been recently optimized to significantly reduce the processing requirements which are conventionally used in SEC isolation, and to ensure the production of intact microcapsules. Natural L. clavatum spores are defatted with acetone, treated with phosphoric acid, and extensively washed to remove sporoplasmic contents. After acetone defatting, a single processing step using 85% phosphoric acid has been shown to remove all sporoplasmic contents. By limiting the acid processing time to 30 hr, it is possible to isolate clean SECs and avoid SEC fracturing, which has been shown to occur with prolonged processing time. Extensive washing with water, dilute acids, dilute bases, and solvents ensures that all sporoplasmic material and chemical residues are adequately removed. The vacuum loading technique is utilized to load a model protein (Bovine Serum Albumin) as a representative hydrophilic compound. Vacuum loading provides a simple technique to load various compounds without the need for harsh solvents or undesirable chemicals which are often required in other microencapsulation protocols. Based on these isolation and loading protocols, SECs provide a promising material for use in a diverse range of microencapsulation applications, such as, therapeutics, foods, cosmetics, and personal care products.

This protocol/manuscript describes a streamlined process for the production of sporopollenin exine capsules (SECs) from Lycopodium clavatum spores and for the loading of hydrophilic compounds into these SECs.

Microcapsules derived from plant-based spores or pollen provide a robust platform for a diverse range of microencapsulation applications. Sporopollenin ...

Melt Electrospinning Writing of Three-dimensional Poly(&#949;-caprolactone) Scaffolds with Controllable Morphologies for Tissue Engineering Applications

This tutorial reflects on the fundamental principles and guidelines for electrospinning writing with polymer melts, an additive manufacturing technology with great potential for biomedical applications. The technique facilitates the direct deposition of biocompatible polymer fibers to fabricate well-ordered scaffolds in the sub-micron to micro scale range. The establishment of a stable, viscoelastic, polymer jet between a spinneret and a collector is achieved using an applied voltage and can be direct-written. A significant benefit of a typical porous scaffold is a high surface-to-volume ratio which provides increased effective adhesion sites for cell attachment and growth. Controlling the printing process by fine-tuning the system parameters enables high reproducibility in the quality of the printed scaffolds. It also provides a flexible manufacturing platform for users to tailor the morphological structures of the scaffolds to their specific requirements. For this purpose, we present a protocol to obtain different fiber diameters using melt electrospinning writing (MEW) with a guided amendment of the parameters, including flow rate, voltage and collection speed. Furthermore, we demonstrate how to optimize the jet, discuss often experienced technical challenges, explain troubleshooting techniques and showcase a wide range of printable scaffold architectures.

This protocol serves as a comprehensive guideline to fabricate scaffolds via electrospinning with polymer melts in a direct writing mode. We systematically outline the process and define the appropriate parameter settings for achieving targeted scaffold architectures.

This tutorial reflects on the fundamental principles and guidelines for electrospinning writing with polymer melts, an additive manufacturing technology ...

Three-dimensional Printing of Thermoplastic Materials to Create Automated Syringe Pumps with Feedback Control for Microfluidic Applications

Microfluidics has become a critical tool in research across the biological, chemical, and physical sciences. One important component of microfluidic experimentation is a stable fluid handling system capable of accurately providing an inlet flow rate or inlet pressure. Here, we have developed a syringe pump system capable of controlling and regulating the inlet fluid pressure delivered to a microfluidic device. This system was designed using low-cost materials and additive manufacturing principles, leveraging three-dimensional (3D) printing of thermoplastic materials and off-the-shelf components whenever possible. This system is composed of three main components: a syringe pump, a pressure transducer, and a programmable microcontroller. Within this paper, we detail a set of protocols for fabricating, assembling, and programming this syringe pump system. Furthermore, we have included representative results that demonstrate high-fidelity, feedback control of inlet pressure using this system. We expect this protocol will allow researchers to fabricate low-cost syringe pump systems, lowering the entry barrier for the use of microfluidics in biomedical, chemical, and materials research.

Here we present a protocol to construct a pressure-controlled syringe pump to be used in microfluidic applications. This syringe pump is made from an&#160;additively manufactured body, off-the-shelf hardware, and open-source electronics. The resulting system is low-cost, straightforward to build, and delivers well-regulated fluid flow to enable rapid microfluidic research.

Microfluidics has become a critical tool in research across the biological, chemical, and physical sciences. One important component of microfluidic ...

Magnetic-, Acoustic-, and Optical-Triple-Responsive Microbubbles for Magnetic Hyperthermia and Pothotothermal Combination Cancer Therapy

The precision delivery of anti-cancer agents which aim for targeted and deep-penetrated delivery as well as a controlled release at the tumor site has been challenged. Here, we fabricate iron oxide nanoparticle shelled microbubbles (NSMs) through self-assembly, synergizing magnetic, acoustic, and optical responsiveness in one nanotherapeutic platform. Iron oxide nanoparticles serve as both magnetic and photothermal agents. Once intravenously injected, NSMs can be magnetically guided to the tumor site. Ultrasound triggers the release of iron oxide nanoparticles, facilitating the penetration of nanoparticles deep into the tumor due to the cavitation effect of microbubbles. Thereafter, magnetic hyperthermia and photothermal therapy can be performed on the tumor for combinational cancer therapy, a solution for cancer resistance due to the tumor heterogeneity. In this protocol, the synthesis and characterization of NSMs including structural, chemical, magnetic and acoustic properties were performed. In addition, the anti-cancer efficacy by thermal therapy was investigated using in vitro cell cultures. The proposed delivery strategy and combination therapy holds great promise in cancer treatment to improve both delivery and anticancer efficacies.

Presented here is a protocol for the fabrication of iron oxide nanoparticle-shelled microbubbles (NSMs) through self-assembly, synergizing magnetic, acoustic, and optical responsiveness in one nanotherapeutic platform for magnetic hyperthermia and photothermal combination cancer therapy.

The precision delivery of anti-cancer agents which aim for targeted and deep-penetrated delivery as well as a controlled release at the tumor site has ...