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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">755777</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2021.755777</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Fabrication of Antimicrobial Multilayered Nanofibrous Scaffolds-Loaded Drug <italic>via</italic> Electrospinning for Biomedical Application</article-title>
<alt-title alt-title-type="left-running-head">Liu et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Fabrication of Antimicrobial Multilayered Nanofibers</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Qi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1515293/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Hengmin</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ouyang</surname>
<given-names>Wenchong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1395212/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mu</surname>
<given-names>Yan</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Zhengwei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/905884/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>School of Nuclear Science and Technology, University of Science and Technology of China, <addr-line>Hefei</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Department of Infection Control and Prevention, The First Affiliated Hospital of University of Science and Technology of China, <addr-line>Hefei</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>CAS Key Laboratory of Geospace Environment, University of Science and Technology of China, <addr-line>Hefei</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/861258/overview">Magdalena M. Stevanovi&#x107;</ext-link>, Institute of Technical Sciences (SASA), Serbia</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1243357/overview">Xin Jing</ext-link>, Hunan University of Technology, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/514576/overview">Nenad Filipovic</ext-link>, Serbian Academy of Sciences and Arts (SASA), Serbia</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Zhengwei Wu, <email>wuzw@ustc.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Biomaterials, a section of the journal Frontiers in Bioengineering and Biotechnology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>755777</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>08</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>09</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Liu, Jia, Ouyang, Mu and Wu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Liu, Jia, Ouyang, Mu and Wu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Nanofibers prepared by biobased materials are widely used in the field of biomedicine, owing to outstanding biocompatibility, biodegradable characters, and excellent mechanical behavior. Herein, we fabricated multilayered nanofibrous scaffolds in order to improve the performance of drug delivery. The composite layer-by-layer scaffolds were incorporated by hydrophobic poly(<sc>l</sc>-lactic acid) (PLA): polycaprolactone (PCL) and hydrophilic poly(vinyl alcohol) (PVA) nanofibers <italic>via</italic> multilayer electrospinning. Morphological and structural characteristics of the developed scaffolds measured by scanning electron microscopy (SEM), and transmission electron microscopy (TEM) confirmed smooth and uniform fibers ranging in nanometer scale. The differences in contact angles and Fourier transform infrared spectrum (FTIR) between single-layered PVA nanofibers and multilayered scaffolds verified the existence of PLA: PCL surface. <italic>In vitro</italic> biodegradable and drug release analysis depicted multilayered scaffolds had good biodegradability and potential for medical application. Due to the model drug incorporation, scaffolds exhibited good antibacterial activity against <italic>Escherichia coli</italic> and <italic>Staphylococcus aureus</italic> by the zone of inhibition test. These results revealed that the multilayered scaffolds were proved to be desirable antibacterial materials for biomedical application.</p>
</abstract>
<kwd-group>
<kwd>multilayered nanofibers</kwd>
<kwd>drug delivery</kwd>
<kwd>poly(vinyl alcohol)</kwd>
<kwd>antimicrobial</kwd>
<kwd>biodegradable</kwd>
</kwd-group>
<contract-num rid="cn001">201904a07020013</contract-num>
<contract-sponsor id="cn001">Anhui Provincial Key Research and Development Plan<named-content content-type="fundref-id">10.13039/501100017668</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The struggle between humans and bacteria has lasted for thousands of years. Millions of patients have been afflicted with health and life-threatening bacterial diseases per year. Bacterial infections take a long time to cure, and both chronic and acute bacterial infections have always been a main clinical problem (<xref ref-type="bibr" rid="B31">Kim et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B4">Alves et&#x20;al., 2016</xref>). Advanced materials with effective antimicrobial activity have great demand in the field of medical application (<xref ref-type="bibr" rid="B19">Hariu et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B33">Li et&#x20;al., 2020</xref>). Variety of materials release loaded antibacterial agents sustainably, thus affording antimicrobial activity while maintaining a healthy concentration for tissue rehabilitation. So far, several kinds of antibacterial materials have been developed including hydrogel, electrospun nanofibers, and metal oxide (<xref ref-type="bibr" rid="B53">Zhao et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B11">Ebrahimzadeh et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B14">Ghiasi et&#x20;al., 2021</xref>). Among these materials, electrospun nanofibers exhibit better porosity and mechanical properties to absorb tissue exudates and allow air to permeate, leading to wound recovery. Especially, electrospun nanofibers have excellent adaptability, such as <italic>in situ</italic> encapsulating drugs, tissue engineering, and cancer treatment (<xref ref-type="bibr" rid="B50">Wu et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B52">Yue et&#x20;al., 2021</xref>).</p>
<p>The antibacterial materials need to mimic the natural extracellular matrix (ECM) to obtain good biocompatibility since it is in direct contact with tissue. The multilayered electrospun nanofibrous scaffold is a promising multifunctional structure, which is fabricated by a layer-by-layer pattern. Therefore, some related research studies about the characterization of such multilayered nanofibrous scaffolds that could promote cell adhesion, proliferation, and migration have already been reported. Researchers have proposed strategies to promote tissue regeneration such as three-layered stable scaffolds (<xref ref-type="bibr" rid="B42">Pattanashetti et&#x20;al., 2020</xref>), 3D buckled scaffolds (<xref ref-type="bibr" rid="B39">Navaneethan et&#x20;al., 2021</xref>), and graded biomimetic nanofibrous scaffolds (<xref ref-type="bibr" rid="B20">Hejazi et&#x20;al., 2021</xref>). Multilayered scaffolds were also applied for the buccal drug delivery system (<xref ref-type="bibr" rid="B37">Nageeb El-Helaly et&#x20;al., 2021</xref>) and controlled drug release (<xref ref-type="bibr" rid="B7">Charpashlo et&#x20;al., 2021</xref>). Our study aimed to prepare a drug-loaded nanofibrous scaffold as a tool to enhance bioavailability and utilization with reduced potential hazards to the patient.</p>
<p>For biomedical applications, the choice of appropriate materials is critical. Polylactic acid (PLA) and polycaprolactone (PCL) is U.S. Food and Drug Administration (FDA)&#x2013;approved materials for biomedical procedures. Pagno et&#x20;al. assembled PBAT/PCL membranes to remove drug in environmental engineering (<xref ref-type="bibr" rid="B41">Pagno et&#x20;al., 2020</xref>). Rafiei et&#x20;al. fabricated 3D fibrous PCL scaffolds for protein delivery to mimic the characteristics of cartilage tissue (<xref ref-type="bibr" rid="B44">Rafiei et&#x20;al., 2020</xref>). However, the hydrophobicity and mechanical behavior limit the application for drug loading and release. Polyvinyl alcohol (PVA) was selected as a synthetic polymer to improve the performance of PLA and PCL. PVA has attracted wide attention owing to non-toxic, hydrophilicity, and biocompatibility. A series of previous studies have been reported on tissue engineering, drug delivery, food industry, and environmental application (<xref ref-type="bibr" rid="B25">Kadokawa 2016</xref>; <xref ref-type="bibr" rid="B27">Kang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B29">Kchaou et&#x20;al., 2021</xref>). Excellent hydrophilicity enables PVA to encapsulate and release drug, which is revealed by our previous research (<xref ref-type="bibr" rid="B35">Liu et&#x20;al., 2021</xref>). Accordingly, the purpose of this research meant to manufacture antibacterial materials with pretty stability and biodegradability by designing the multilayered nanofibrous structures of PLA, PCL, and&#x20;PVA.</p>
<p>In this article, we prepared diverse multilayered nanofibrous scaffold-loaded moxifloxacin hydrochloride (MH) and silver sulfadiazine (SSD) for the drug loading system. The influence of the composition of various components on the scaffold was analyzed. Moreover, different physicochemical properties such as morphology of nanofibrous scaffolds, FTIR, porosity, water contact, biodegradability, drug release, and tensile test were was carried out. Finally, two model drugs were loaded with samples to analyze the drug-loading performance. Evaluation of antibacterial activity was studied by the agar disc diffusion method with Gram-positive and Gram-negative bacteria.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Materials</title>
<p>PVA (polymerization degree &#x3d; 1700; alcoholysis degree &#x3d; 88%) and PCL (M<sub>w</sub> &#x223c; 80,000) were purchased from Qingdao Pansi Technology Co., Ltd. PLA (M<sub>w</sub> &#x223c; 160,000) was purchased from NatureWorks LLC (United&#x20;States). Organic solvents chloroform and dimethylformamide (DMF) were supplied by Sinopharm Chemical Reagent Co., Ltd. MH (the purity was 98%) and SSD (the purity was 98%) were purchased from Shanghai Macklin Biochemical Co., Ltd. The solvents of PVA are deionized water. All chemicals and solvents were used without further purification.</p>
</sec>
<sec id="s2-2">
<title>Precursor Solutions Preparation</title>
<p>The blend solution of PLA (0.96&#xa0;g) and PCL (0.24&#xa0;g) was dissolved in a 10&#xa0;ml solvent mixture of chloroform and DMF (8:2) under constant magnetic stirring at room temperature to obtain homogeneous PLA/PCL solution (12% w/v). The PVA solution was prepared by dissolving 12% w/v PVA in deionized water. To analyse the drug loading of the scaffold, the MH and SSD were added to the PVA solution with 50&#xa0;mg per 10&#xa0;ml. Each solution was prepared before electrospinning to ensure freshness.</p>
</sec>
<sec id="s2-3">
<title>Multilayer Electrospinning</title>
<p>All the prepared precursor solutions were poured into a 10-ml plastic syringe. The electrospinning setup consists of a syringe pump (TYD01-01, Lead Fluid Technology Co., Ltd., China), high voltage power supply (Qingdao Pansi Technology Co., Ltd.), and a collector wrapped with aluminum foil. The procedure of multilayer electrospinning was as follows. MH and SSD were used as a model drug to investigate drug delivery and release performance of the multilayered scaffolds. The blend of PLA:PCL was electrospun as a first layer, the drug-loaded PVA was set as a second layer, and a third layer of PLA: PCL was again electrospun over PLA: PCL/PVA designated as PLA:PCL/PVA/PLA: PCL scaffolds. The consumption volume of the precursor solution of each nanofiber layer is controlled at about 2&#xa0;ml. Finally, all the samples were dried in vacuum at 40&#xb0;C for 24&#xa0;h to remove residual solvents for further testing. Details of the electrospinning condition of all prepared samples were labeled, as shown in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Parameters of electrospinning condition of each sample.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Sample</th>
<th colspan="3" align="center">Process parameters</th>
</tr>
<tr>
<th align="center">Flow rate (&#x3bc;l/min)</th>
<th align="center">Vol/kv</th>
<th align="center">Distance (cm)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PVA</td>
<td align="center">5</td>
<td align="center">12</td>
<td align="char" char=".">12</td>
</tr>
<tr>
<td align="left">PLA:PCL</td>
<td align="center">15</td>
<td align="center">11.5</td>
<td align="char" char=".">12</td>
</tr>
<tr>
<td align="left">ML-S</td>
<td align="center">15/5/15</td>
<td align="center">11.5/12/1.5</td>
<td align="char" char=".">12</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-4">
<title>Characterization</title>
<p>Morphological characterization of nanofibrous scaffolds was performed by field emission scanning electron microscopy (SU8220, Hitachi, Japan) and transmission electron microscopy (JEM-2100F, JEOL, Ltd.). The elemental compositions of samples were analyzed using energy-dispersive analysis of X-ray (EDAX), which was connected with TEM. ImageJ software was used to measure the diameter distribution of each sample. The Fourier transform infrared spectra of the nanofibrous scaffolds were tested on a Nicolet 8700 FTIR spectrometer (Thermo Nicolet Ltd., United&#x20;States) to study the functional groups in a range of 400&#x2013;4,000&#xa0;cm<sup>&#x2212;1</sup> at room temperature. Thermal gravimetric analysis was used by TG209F1 (NETZSCH-Ger&#xe4;tebau GmbH, Germany) to evaluate the thermal parameters from the produced scaffolds.</p>
</sec>
<sec id="s2-5">
<title>Porosity</title>
<p>The porosity of each scaffold was analyzed <italic>via</italic> the liquid intrusion technique (<xref ref-type="bibr" rid="B40">O&#x27;Connor et&#x20;al., 2021</xref>). The specific samples were measured and immersed in 100% ethanol for 24&#xa0;h under agitation to ensure complete wetting. Then the samples were taken out, and excess fluids were removed from the surface. The porosity was calculated by the following formulas:<disp-formula id="equ1">
<mml:math id="m1">
<mml:mrow>
<mml:msub>
<mml:mtext>V</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="italic">scaffolds</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mo>&#xa0;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">dry</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">scaffold</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ2">
<mml:math id="m2">
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">EtOH</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi mathvariant="italic">m</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">wet</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi mathvariant="italic">m</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">dry</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">EtOH</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ3">
<mml:math id="m3">
<mml:mrow>
<mml:mtext>Porosity</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">EtOH</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mtext>V</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="italic">scaffolds</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">EtOH</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>%</mml:mo>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>where <inline-formula id="inf1">
<mml:math id="m4">
<mml:mrow>
<mml:msub>
<mml:mtext>V</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="italic">scaffolds</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the volume of each scaffold and <inline-formula id="inf2">
<mml:math id="m5">
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">EtOH</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the volume of ethanol absorbed by the scaffolds.<inline-formula id="inf3">
<mml:math id="m6">
<mml:mrow>
<mml:mo>&#xa0;</mml:mo>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">dry</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf4">
<mml:math id="m7">
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mrow>
<mml:mi>w</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> refer to the dry and wet weights of scaffolds. <inline-formula id="inf5">
<mml:math id="m8">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>O</mml:mi>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.789&#xa0;g cm<sup>&#x2212;3</sup> and <inline-formula id="inf6">
<mml:math id="m9">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mrow>
<mml:mi mathvariant="italic">scaffold</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 1.20&#xa0;g cm<sup>&#x2212;3</sup>, calculated by the ratio 4:1 between the density of PLA (1.25&#xa0;g cm<sup>&#x2212;3</sup>) and PCL(1.02&#xa0;g cm<sup>&#x2212;3</sup>).</p>
</sec>
<sec id="s2-6">
<title>Mechanical Properties</title>
<p>Mechanical properties were measured by TMA Q400 (TA Instruments, United&#x20;States) on rectangular-shaped specimens with 7&#xa0;mm length and 6&#xa0;mm width. The representative stress&#x2013;strain curves were reported for each sample.</p>
</sec>
<sec id="s2-7">
<title>Biodegradation Analysis</title>
<p>The biodegradation analysis of nanofibrous scaffolds was performed in 10&#xa0;ml of phosphate-buffered saline (PBS, pH &#x3d; 7.4) at 37&#xb0;C for 7&#xa0;days. The weight of each sample was recorded before and after incubating in PBS solution at a specific time. The degradation of the scaffolds was calculated as follows: <disp-formula id="equ4">
<mml:math id="m10">
<mml:mrow>
<mml:mtext>Weight</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>loss</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mtext>%</mml:mtext>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>W</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>W</mml:mi>
<mml:mi>t</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>W</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>%</mml:mo>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>where W<sub>0</sub> and W<sub>t</sub> refer to the mass before and after incubation, respectively.</p>
</sec>
<sec id="s2-8">
<title>Drug Loading Efficiency and Release Studies of Multilayered Nanofibrous Scaffolds</title>
<p>For drug loading efficiency, the drug-loaded PVA nanofiber samples were immersed in 50&#xa0;ml deionized water precisely to get clear solutions. The drug loading efficiency was calculated by the following equation:<disp-formula id="equ5">
<mml:math id="m11">
<mml:mrow>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mi>L</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mi>A</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mi>T</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>%</mml:mo>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
<p>M<sub>L</sub> is the loading efficiency, M<sub>A</sub> is the actual concentration of drug measured by UV&#x2013;visible spectrophotometer (UV2600, SHIMADZU, Japan), and M<sub>T</sub> is the theoretical concentration of drug calculated from drug/nanofiber ration. The characteristic absorption peak at 294 and 254&#xa0;nm was monitored for MH and SSD, respectively.</p>
<p>To analyze the release behavior of drug from the multilayered scaffolds, the initial weight of the samples was measured. Then, all samples were incubated in 10&#xa0;ml PBS solution at 37&#xb0;C. After the specific time, 1&#xa0;ml of solution was taken out from the vials, and an equal volume of fresh PBS solution was replenished. The release curves were evaluated by using a UV-vis spectrophotometer.</p>
</sec>
<sec id="s2-9">
<title>Contact Angle</title>
<p>The water contact angle of nanofibrous scaffolds was evaluated by a video contact angle instrument. A drop of distilled water was cast on the surface of nanofibrous scaffolds. A tangent line of the intersection of the droplet and the surface was drawn to measure the contact angle values. For each test, three estimations were performed in a different&#x20;area.</p>
</sec>
<sec id="s2-10">
<title>Antibacterial Activity Tests</title>
<p>The antibacterial activity of antibiotic-loaded nanofibrous scaffolds against <italic>Staphylococcus aureus</italic> and <italic>Escherichia coli</italic> was determined by a disc diffusion assay. In brief, <italic>S. aureus</italic> and <italic>E.&#x20;coli</italic> suspension with a concentration of 10<sup>6</sup>&#xa0;CFU/ml was spread with a swab onto nutrient agar plates, respectively. The scaffolds were cut into 6-mm-diameter discs with a mass of 1&#x2013;3&#xa0;mg and deposited in each plate. Samples were incubated at 37&#xb0;C, and the inhibition zones were observed and measured precisely after 18&#xa0;h.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<sec id="s3-1">
<title>Surface Morphology and EDAX Analysis of Composite Nanofibrous Scaffolds</title>
<p>By changing the applied voltage, the concentration of the solution, and other parameters during the electrospinning process, nanofibers with different morphologies can be manufactured. In the preliminary experiment, we explored and selected the proper parameters. <xref ref-type="fig" rid="F1">Figure&#x20;1</xref> shows the SEM images of PLA: PCL nanofibers, PVA nanofibers and multilayered nanofibrous scaffolds (ML-S), and drug loading nanofibers. It can be seen that the surface of multilayered scaffolds is covered with PLA:PCL nanofibers. The consistency between A and C shows that the properties of nanofibers have not changed in multilayered electrospinning. The average diameter of PVA nanofibers is smaller than that of PLA:PCL nanofibers. The reason is the greater viscosity and lower conductivity of the PLA:PCL solution, compared with the PVA solution (<xref ref-type="bibr" rid="B51">Xue et&#x20;al., 2019</xref>). The high viscosity of the solution limits the stretching of the jet during spinning, which is conducive to the formation of larger diameter. On the contrary, the high conductivity of the solution has also been proven to promote diameter reduction (<xref ref-type="bibr" rid="B10">Deshawar et&#x20;al., 2020</xref>). The design of different diameters is to ensure that the outer layer has a good encapsulation effect and a high surface area ratio of drug loading layer, in order to facilitate the delivery and release of the&#x20;drug.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>SEM images and diameter distribution of PLA: PCL <bold>(A)</bold>, PVA <bold>(B)</bold>, ML-S <bold>(C)</bold>, PVA:MH <bold>(D)</bold>, and PVA:SSD <bold>(E)</bold>.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g001.tif"/>
</fig>
<p>For drug loading layer, MH and SSD were selected as model drugs. The scaffolds were manufactured by blending and suspension electrospinning and evaluated for performance respectively. It can be seen from <xref ref-type="fig" rid="F1">Figures 1D, E</xref> that the morphology of drug loading nanofibers has not changed significantly. The diameter of PVA/MH nanofiber increased to 263&#x20;&#xb1; 54&#xa0;nm compared with blank PVA nanofiber, which is consistent with previous studies (<xref ref-type="bibr" rid="B15">Giram et&#x20;al., 2018</xref>). There are some clumps&#x2014;probably insoluble drugs&#x2014;on the surface of the nanofiber produced by suspension electrospinning (<xref ref-type="bibr" rid="B9">Coimbra et&#x20;al., 2019</xref>). The diameter was roughly the same as the PVA nanofiber, with only a little increase.</p>
<p>The presence of MH and SSD loaded in PVA nanofibers was further confirmed by the TEM and EDAX elemental mapping images, as shown in <xref ref-type="fig" rid="F2">Figure&#x20;2</xref>. The mapping images indicate the existence of specific element contained in MH (N, Cl, F) and SSD (N, S, Ag), which is not a constituent element of PVA. A cross-section image <xref ref-type="fig" rid="F3">(Figure&#x20;3</xref>) of ML-S demonstrated that the multilayered structure is composed of two outer layers of PLA:PCL nanofibers and an inner layer of PVA nanofibers. The different layered regions have been marked in <xref ref-type="fig" rid="F3">Figure&#x20;3</xref> using arrows. The thickness of PVA is about 7&#xa0;times (230:30&#xa0;&#xb5;m) that of one-sided PLA:PCL. The dimensions of different layers can be adjusted by modifying the electrospinning parameters, which also affect the release performance and degradation of the multilayered scaffolds.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>TEM images and the elemental mapping images of PVA: MH and PVA:SSD.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Cross-section image of ML-S; the enlarged part is the interface details.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g003.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Characterization of Each Sample</title>
<p>In order to confirm that the surface of ML-S prepared by blending electrospinning method forming a homogeneous chemical structure, ATR-FTIR spectra were carried out for each sample and showed their typical functional group, as listed in <xref ref-type="fig" rid="F4">Figure&#x20;4</xref>. For a pure PLA nanofiber, the typical peaks at 2,945&#x2013;2999,1454, 1,265, and 1,045&#xa0;cm<sup>&#x2212;1</sup> were attributed to &#x2013;CH- stretch, -CH<sub>3</sub> bend, -C-O- stretch, and -OH bend (<xref ref-type="bibr" rid="B36">Mohandesnezhad et&#x20;al., 2020</xref>). The peaks at 2,952, 2,871, and 1,065&#xa0;cm<sup>&#x2212;1</sup> showed an asymmetrical stretch of &#x2013;CH2 and symmetrical elongation of &#x2013;CH2 and -C-O of pure PCL nanofiber. Furthermore, carbonyl stretch of &#x2013;C&#x3d;O was observed at 1752&#xa0;cm<sup>&#x2212;1</sup> and 1724&#xa0;cm<sup>&#x2212;1</sup> of PLA and PCL, respectively (<xref ref-type="bibr" rid="B46">Scaffaro et&#x20;al., 2017</xref>). The same characteristic peaks also appear in PLA:PCL and ML-S samples, indicating that the uniform hybrid was formed during the blending electrospinning process. The broad peak at 3,318&#xa0;cm<sup>&#x2212;1</sup> was associated with -OH stretching of a PVA nanofiber, owing to the strong interaction of the hydrogen bond. The abundant hydrogen bonds of PVA lead to excellent drug loading performance and encapsulation efficiency (<xref ref-type="bibr" rid="B2">Ahmadi Majd et&#x20;al., 2016</xref>). The peaks at 2,910, 1734, and 1,092&#xa0;cm<sup>&#x2212;1</sup> showed &#x2013;CH<sub>2</sub> stretch, -C&#x3d;O, and -C-O-C- groups of PVA nanofiber (<xref ref-type="bibr" rid="B22">Hulupi and Haryadi 2019</xref>). The detailed characteristic peak analysis is listed in <xref ref-type="table" rid="T2">Table&#x20;2</xref> (<xref ref-type="bibr" rid="B42">Pattanashetti, Achari, Torvi, Doddamani, and Kariduraganavar 2020</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>FTIR spectra of PLA, PCL, PLA: PCL, ML-S, PVA, MH, SSD, PVA: MH, and PVA:SSD.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g004.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Main infrared bands in the FTIR (ATR) in the region from 4,000&#xa0;cm<sup>&#x2212;1</sup> to 700&#xa0;cm<sup>&#x2212;1</sup>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Polymer</th>
<th align="center">Wavenumber (cm<sup>&#x2212;1</sup>)</th>
<th align="center">Assignment</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PLA</td>
<td align="center">2,999 (asymmetric); 2,945 (symmetric)</td>
<td align="left">-CH- stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,752</td>
<td align="left">-C&#x3d;O carbonyl stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,454</td>
<td align="left">-CH<sub>3</sub> bend</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,382 (asymmetric); 1,362 (symmetric)</td>
<td align="left">-CH- deformation</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,265</td>
<td align="left">-C-O- stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,208</td>
<td align="left">-C&#x3d;O bend</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,181; 1,129; 1,086</td>
<td align="left">-C-O- stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,045</td>
<td align="left">-OH bend</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">955</td>
<td align="left">-CH<sub>3</sub> rocking mode</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">868</td>
<td align="center">-C-C- stretch crystalline phase</td>
</tr>
<tr>
<td align="left">PCL</td>
<td align="center">2,952</td>
<td align="left">-CH<sub>2</sub> stretch, asymmetrical</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">2,871</td>
<td align="center">-CH<sub>2</sub>, elongation, symmetrical</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,724</td>
<td align="left">-C&#x3d;O carbonyl stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,065</td>
<td align="left">-C-O</td>
</tr>
<tr>
<td align="left">PVA</td>
<td align="center">3,318</td>
<td align="left">-OH stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">2,910</td>
<td align="left">-CH<sub>2</sub> stretch</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,734</td>
<td align="left">-C&#x3d;O</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,374</td>
<td align="left">-CH<sub>2</sub>
</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,326</td>
<td align="left">-C-H and &#x2013;OH bending</td>
</tr>
<tr>
<td align="left">&#x2014;</td>
<td align="center">1,092</td>
<td align="left">-C-O-C-</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>For MH-loaded nanofibers, the C-F group was represented by the peaks at 1,350&#xa0;cm<sup>&#x2212;1</sup> and 1,326&#xa0;cm<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B13">Fu et&#x20;al., 2016</xref>), which were witnessed in the spectrum of MH and PVA:MH. The&#x20;characteristic peaks of SSD also appear in PVA:SSD nanofiber, for example, vibrational stretching of its phenyl structure conjugated to the NH<sub>2</sub> group at 1,580&#xa0;cm<sup>&#x2212;1</sup> and the phenyl group at 1,549&#xa0;cm<sup>&#x2212;1</sup>, confirming the presence of SSD loaded in the PVA nanofibers (<xref ref-type="bibr" rid="B34">Li et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B47">Semnani et&#x20;al., 2018</xref>). The reason why some characteristic peaks are not obvious is due to the low content of SSD (<xref ref-type="bibr" rid="B3">Alipour et&#x20;al., 2019</xref>), such as the band at 1,356&#xa0;cm<sup>&#x2212;1</sup> (asymmetrical stretching of the S&#x3d;O bonding). In brief, the analysis of FTIR showed that antibiotics were successfully loaded on the nanofiber through electrospinning.</p>
<p>Thermal gravimetric analysis of the sample was tested by heating from room temperature to 600&#xb0;C degrees under nitrogen atmosphere, and the TG curves were displayed in <xref ref-type="fig" rid="F5">Figure&#x20;5</xref>. For PLA:PCL, the weight loss stage takes place over&#x20;200&#xb0;C, and the whole mass loss is about 97%. All samples present two successive weight loss stages during the heating process. The presence of two distinct degradation temperatures in TG curves of PLA:PCL is reflected in the presence of thermodynamic immiscibility between two phases (PLA and PCL) in the blends (<xref ref-type="bibr" rid="B21">Herrero-Herrero et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B48">Sharma and Satapathy 2019</xref>). The first stage of PVA is in&#x20;the temperature of 202&#x2013;402&#xb0;C, with loss of 79.4%, which is attributed to the breakage of the side chain of PVA (<xref ref-type="bibr" rid="B18">Hang et&#x20;al., 2010</xref>). The weight loss of the second stage less than 505&#xb0;C is&#x20;about 21.8%, which is due to the thermal breaking of weak bonds in the polymeric structure (<xref ref-type="bibr" rid="B50">Wu, Ooi, Song, Wang, Liu, Lin, Chiu and Chang 2021</xref>). Two distinct peaks in DTG curves&#x20;represent the temperatures where there is a noticeable change in weight loss rate during the decomposition. By comparison to TG curves, it is believed that the properties of each layer were not affected in ML-S through multilayered electrospinning.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>TG and DTG profiles of PLA:PCL, PVA, and ML-S.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g005.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Hydrophilicity and Porosity of Scaffolds</title>
<p>The hydrophilicity of all samples was evaluated by the contact angle of the water drop deposited on the surface of the nanofibers. The results are listed in <xref ref-type="fig" rid="F6">Figure&#x20;6</xref>. PVA nanofibers are more hydrophilic than the other samples, owing to abundant hydroxyl groups in the structure (<xref ref-type="bibr" rid="B1">Abdal-Hay et&#x20;al., 2016</xref>). PLA:PCL nanofiber and ML-S showed obvious hydrophobic properties with <italic>&#x3b8;</italic> &#x2248; 91&#xb0;, which is the same as previous studies (<xref ref-type="bibr" rid="B48">Sharma and Satapathy 2019</xref>). The hydrophilicity of PVA means quick degradation after contact with water. Thus, the resulting abrupt release of drug loaded is not suitable for long-term treatment in certain medical situations. The presence of hydrophobic surfaces allows the multilayered scaffold to continuously release drugs for a long time and induce self-cleaning properties for potential application (<xref ref-type="bibr" rid="B24">Jamaluddin et&#x20;al., 2021</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Water contact angle of PLA:PCL, PVA, and ML-S.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g006.tif"/>
</fig>
<p>One of the advantages of electrospinning is the high specific surface area ratio and porosity. For the drug delivery system, the specific surface area affects the encapsulation rate and release rate of the drug (<xref ref-type="bibr" rid="B26">Kalantari et&#x20;al., 2019</xref>). Past studies have shown that the porosity of the scaffold is higher than 77%, which is suitable for the infiltration and proliferation of fibroblasts (<xref ref-type="bibr" rid="B8">Chong et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B43">Pedram Rad et&#x20;al., 2019</xref>). The estimated porosities of all the samples are presented in <xref ref-type="table" rid="T3">Table&#x20;3</xref>. All formulations showed high porous, which is the same as the typical values reported in literature (<xref ref-type="bibr" rid="B44">Rafiei, Jooybar, Abdekhodaie and Alvi 2020</xref>; <xref ref-type="bibr" rid="B40">O&#x27;Connor, Cahill and McGuinness 2021</xref>). PVA nanofiber has higher porosity (92.8%) due to smaller diameter, compared to PLA:PCL sample (76.9%). As a superposition of PLA:PCL and PVA, the porosity of ML-S is between the two samples. In the case of acute injury, the wound needs to be treated quickly to prevent bacterial infections associated with the wound. Nanofibers with high specific surface area and porosity can absorb biological fluids&#x20;and prevent microorganisms from penetrating deep wounds.</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Characterization of each sample.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Sample</th>
<th align="center">Porosity (%)</th>
<th align="center">Contact angle (&#x25e6;)</th>
<th align="center">Young&#x2019;s modulus (MPa)</th>
<th align="center">Tensile strength (MPa)</th>
<th align="center">Strain at break (%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PVA</td>
<td align="char" char=".">92.8</td>
<td align="char" char=".">17.78</td>
<td align="char" char="plusmn .">74.5&#x20;&#xb1; 0.22</td>
<td align="char" char=".">7.62</td>
<td align="char" char=".">103.2</td>
</tr>
<tr>
<td align="left">PLA:PCL</td>
<td align="char" char=".">76.9</td>
<td align="char" char=".">90.96</td>
<td align="char" char="plusmn .">22.3&#x20;&#xb1; 0.10</td>
<td align="char" char=".">2.03</td>
<td align="char" char=".">241.3</td>
</tr>
<tr>
<td align="left">ML-S</td>
<td align="char" char=".">89.6</td>
<td align="char" char=".">90.61</td>
<td align="char" char="plusmn .">27.1&#x20;&#xb1; 0.19</td>
<td align="char" char=".">2.53</td>
<td align="char" char=".">176.4</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4">
<title>Mechanical Properties</title>
<p>The tensile properties of various samples under uniaxial tension were treated using the stress versus strain profile shown in <xref ref-type="fig" rid="F7">Figure&#x20;7</xref> and <xref ref-type="table" rid="T3">Table&#x20;3</xref>. The mechanical properties of the samples are affected by the different formulas of the polymer solution. Biomedical materials must have a certain degree of mechanical strength to deal with deformation, damage, tearing, etc. in different environments (<xref ref-type="bibr" rid="B49">Vilchez et&#x20;al., 2020</xref>). Since the tensile strength of skin was reported as 1&#x2013;40&#xa0;MPa, all samples were suitable for wound dressing (<xref ref-type="bibr" rid="B45">Sander et&#x20;al., 2014</xref>). Combined with the results of SEM, the decrease in average nanofiber diameter led to an increase in tensile strength owing to the aligned structure instead of bulk properties (<xref ref-type="bibr" rid="B12">Eren Boncu and Ozdemir 2021</xref>). The reason why diameters affect mechanical properties was that fibrous structure and high molecular orientation become denser with the diameter being decreased (<xref ref-type="bibr" rid="B5">Castkova et&#x20;al., 2020</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Stress&#x2013;strain curves of PLA:PCL, PVA, and ML-S.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g007.tif"/>
</fig>
<p>With the addition of PVA, Young&#x2019;s modulus and tensile strength of ML-S increased, but the toughness was relatively poor. The uniform dispersion of PVA nanofiber to ML-S through multilayer electrospinning leads to the increase of mechanical performance, which is also explained by the differences between PLA:PCL and PVA. Briefly, the mechanical properties of ML-S are moderate among all the samples.</p>
</sec>
<sec id="s3-5">
<title>
<italic>In Vitro</italic> Biodegradation Studies</title>
<p>The biodegradation studies of the different samples were carried out by incubating samples in PBS of pH &#x3d; 7.2 for a week. The rate of degradation was calculated in terms of mass loss percent and the results are illustrated in <xref ref-type="fig" rid="F8">Figure&#x20;8</xref>. From day 1 to day 7, it was observed that the rate of degradation roughly decreased. The mass of PLA:PCL is relatively stable; only a less than 10% reduction has been shown, whereas ML-S exhibited a higher degradation rate due to the existence of a hydrophilic PVA nanofiber layer. The curve dropped sharply in the first 3&#xa0;days and then became flat. Seven days later, the mass loss of ML-S reached about&#x20;37%.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Biodegradation study of PLA:PCL and ML-S.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g008.tif"/>
</fig>
<p>The results showed that the degradation of all samples is fast in the early stage and slow in the later stage. Related research has demonstrated the degradation rate of PCL is slower, compared to&#x20;PLA (<xref ref-type="bibr" rid="B42">Pattanashetti, Achari, Torvi, Doddamani, and Kariduraganavar 2020</xref>). Considering good biocompatibility and biodegradability, we selected the mixture of PLA and PCL as the outer layer of the drug delivery system, instead of pure PCL. The lower rate of degradation for PLA:PCL nanofibers is attributed to the compact structure and hydrophobicity. During the preparation process of ML-S, the mass ratio of PLA: PCL to PVA is controlled at about 2:1. According to the mass ratio of each component, we inferred that the most mass loss of ML-S came from the degradation of PVA, which is beneficial to drug release.</p>
</sec>
<sec id="s3-6">
<title>Drug Loading Efficiency and Release Studies</title>
<p>The drug loading efficiency of MH and SSD in the optimized PVA nanofibers was 93.3 and 70.7%, respectively. The higher MH loading efficiency might be ascribed to its hydrophilicity, compared to SSD (<xref ref-type="bibr" rid="B38">Nalbandi and Amiri 2018</xref>; <xref ref-type="bibr" rid="B17">Hameed et&#x20;al., 2020</xref>). The clearness suggested that MH and PVA were homogeneously dissolved in the precursor solution. However, poor water solubility caused SSD to be present as a nonuniform dispersion of nanoparticles on the nanofiber surface, which was observed by SEM (<xref ref-type="bibr" rid="B3">Alipour, Khorshidi, Shojaei, Mashayekhi and Moghaddam 2019</xref>; <xref ref-type="bibr" rid="B9">Coimbra, Freitas, Goncalves, Gil and Figueiredo 2019</xref>).</p>
<p>The drug release performance of a drug delivery system affects its efficacy for various biomedical applications. The suffering of patients could be reduced by the control of the drug release over a period since frequent dressing changes can be eliminated. The drug release curves are shown in <xref ref-type="fig" rid="F9">Figure&#x20;9</xref>. For PVA nanofibers, a burst release of 80&#x2013;90% of the drug was observed for both PVA:MH and PVA:SSD, and the remaining drug is completely released within 24&#xa0;h. The reason is the rapid degradation of PVA nanofibers without cross-linking treatment during the entire preparation. On the other hand, the multilayered nanofibers scaffolds exhibited excellent continuous drug release performance. After 1&#xa0;day, approximately 47.5 of MH and 50.6% of SSD were released from ML-S:MH and ML-S:SSD. The entire drug release process is maintained within 7&#xa0;days. The rate of drug release from the ML-S was slower, which could be attributed to the fact that the drug was loaded in the inner layer and protected by the outer. There is no significant difference in the release performance between the two drugs for the same drug delivery system. The slightly lower content of SSD may be due to hydrophobicity, which also affects its antibacterial properties. In addition to the diffusion of the antibiotic component from the nanofibers into the surrounding solutions, polymer degradation (mainly PVA) also contributes to the drug release, which is consistent with the results of degradation studies (<xref ref-type="bibr" rid="B16">Gong et&#x20;al., 2018</xref>). By the results of release curves, we inferred that the time interval expected during which scaffolds provide antibacterial activity is about a week. Past studies have shown that most of the release curves have a burst release in the initial stage and then become moderate gradually. The release interval of multilayer scaffolds is mostly distributed in 4&#xa0;h to 1&#xa0;week, which is affected by the preparation process and materials (<xref ref-type="bibr" rid="B6">Cerqueira et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B32">Laha et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B43">Pedram Rad et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B7">Charpashlo, Ghorani and Mohebbi 2021</xref>). The initial burst release is sometimes necessary especially for the fast effectiveness of the formulations in the case of infection. The subsequent recovery stage needs sufficient drug concentration for antibacterial effect. Therefore, it is reasonable to believe that ML-S has a gradual and controlled release behavior and provides a desirable repair effect for wound treatment.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Drug release curves of PVA:MH, PVA:SSD, ML-S:MH, and ML-S:SSD.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g009.tif"/>
</fig>
</sec>
<sec id="s3-7">
<title>
<italic>In vitro</italic> Antibacterial Activity</title>
<p>The antibacterial assay was assessed by incubating prepared samples in an agar disc. MH and SSD were used as model drugs and loaded with ML-S through the blending and suspension electrospinning method. Those nanofibers or scaffolds were exposed to the area filled with a specific amount of microbial (Gram-positive and Gram-negative, respectively). After 18-h incubation, the zone of inhibition was shown on the plates (<xref ref-type="fig" rid="F10">Figure&#x20;10</xref>). Neither PLA:PCL nor PVA nanofibers exhibited antibacterial activity. An obvious zone of inhibition was observed at the plate of both ML-S:MH and ML-S:SSD, which confirmed that antimicrobial performance is not affect by different electrospinning methods. Coimbra et&#x20;al. reported assembling antibiotics with nanofibers by suspension spinning (<xref ref-type="bibr" rid="B9">Coimbra, Freitas, Goncalves, Gil and Figueiredo 2019</xref>). However, the increase in the MH inhibition zone is due to the more significant antibacterial properties and hydrophilicity, with SSD (<xref ref-type="bibr" rid="B30">Keating and Scott 2004</xref>; <xref ref-type="bibr" rid="B34">Li, Wu, Li, Zhao and Qu 2016</xref>). As shown in the earlier SEM results, part of the undissolved SSD formed clumps on the nanofiber surface. The uneven dispersion may affect the release of the drug, which could be a target for future research.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>Antimicrobial activity of PLA:PCL, PVA, ML-S, ML-S:MH, and ML-S: SSD.</p>
</caption>
<graphic xlink:href="fbioe-09-755777-g010.tif"/>
</fig>
<p>Bacterial infections are associated with many medical situations, resulting in slower wound recovery, fever, and other complications (<xref ref-type="bibr" rid="B23">Ibrahim et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B28">Karmakar 2021</xref>). Therefore, antibacterial activity is necessary for biomaterials. The results indicated that the scaffold-loaded drug displayed good antibacterial activity aim at both Gram-positive and Gram-negative bacteria.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>Multilayered nanofibrous scaffolds containing PLA and PCL were fabricated using electrospinning, and the morphological, thermal, mechanical, hydrophilic, biodegradable, and release properties were analyzed. SEM results showed that beadless and uniform nonwoven nanofiber were produced on the surface with a range from 500 to 900&#xa0;nm. TEM and element analysis exhibited the existence of antibiotics in nanofibers. The scaffolds are thermally and mechanically stable for medical application. Hydrophobic surface and hydrophilic inner layer ensure satisfactory drug delivery performance, as well as good biodegradation, and the mass loss for degradation reached 37% in 7&#xa0;days. The current drug release interval is about 1&#xa0;week, which may be extended by cross-linking treatment for the inner PVA nanofibers. The antibacterial application proves that the compatibility of the drug and the carrier needs to be considered in order to achieve good performance of the drug delivery system. The nanofibrous scaffolds with loaded MH exhibited excellent antimicrobial performance against both of the gram-positive <italic>S. aureus</italic> and gram-negative <italic>E.&#x20;coli</italic> bacteria. Therefore, multilayered nanofibrous scaffolds present an appropriate method for drug delivery system with preservation of biological activity of the loaded substance. These drug-loaded scaffolds may serve as a promising engineered system for wounding dressings, tissue engineering, or other biomedical applications.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material; further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>Conceptualization, QL, WO, and ZW; methodology, QL, WO, HJ, and ZW; software, QL; validation, QL, HJ, YM, and ZW; formal analysis, QL and HJ; investigation, QL; resources, QL, WO, HJ, YM, and ZW; data curation, QL, WO, and YM; writing&#x2014;original draft preparation, QL and WO; writing&#x2014;review and editing, QL, WO, and ZW; visualization, QL, WO, and ZW; supervision, ZW; project administration, ZW; funding acquisition, ZW. All authors have read and agreed to the published version of the manuscript.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported in part by the Key Research and Development Plan of Anhui Province under Grant 201904a07020013.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>The authors would like to thank the reviewers and editors for their valuable comments and suggestions to improve the quality of this&#x20;paper.</p>
</ack>
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