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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mater.</journal-id>
<journal-title>Frontiers in Materials</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mater.</abbrev-journal-title>
<issn pub-type="epub">2296-8016</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">643428</article-id>
<article-id pub-id-type="doi">10.3389/fmats.2021.643428</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Materials</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Antibacterial Activity and Drug Loading of Moxifloxacin-Loaded Poly(Vinyl Alcohol)/Chitosan Electrospun Nanofibers</article-title>
<alt-title alt-title-type="left-running-head">Liu et al.</alt-title>
<alt-title alt-title-type="right-running-head">MH-Loaded PVA/CS 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>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ouyang</surname>
<given-names>Wen-Chong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhou</surname>
<given-names>Xiu-Hong</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jin</surname>
<given-names>Tao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="http://loop.frontiersin.org/people/1059022/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Zheng-Wei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="http://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>Anhui Academy of Medical Sciences, <addr-line>Hefei</addr-line>, <country>China</country>
</aff>
<author-notes>
<corresp id="c001">&#x2a;Correspondence: Zheng-wei Wu, <email>wuzw@ustc.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Polymeric and Composite Materials, a section of the journal Frontiers in Materials</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/861258">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/768392">Sanjay Mavinkere Rangappa</ext-link>, King Mongkut&#x2019;s University of Technology North Bangkok, Thailand</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/973046">Ratiram Gomaji Chaudhary</ext-link>, Seth Kesarimal Porwal College, India</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>8</volume>
<elocation-id>643428</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>12</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>01</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Liu, Ouyang, Zhou, Jin and Wu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Liu, Ouyang, Zhou, Jin 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 terms.</p>
</license>
</permissions>
<abstract>
<p>In this study, nanofibers with different ratios of poly(vinyl alcohol) and chitosan incorporated with <italic>moxifloxacin hydrochloride</italic> (MH/PVA/CS) were fabricated through the blending electrospinning, and the morphological features were tested using scanning electron microscopy (SEM). Further characterization of the new nanofiber was accomplished by Thermogravimetric analysis (TG), X-ray diffraction (XRD) and Fourier-transform infrared spectroscopy (FTIR). Antibacterial activity of the MH-loaded nanofibers at different drug loading were tested and compared with the blank group. Experimental results show that the MH/PVA/CS nanofibers exhibited the good antibacterial properties against <italic>Staphylococcus aureus</italic> and <italic>Pseudomonas aeruginosa</italic> due to the MH incorporation. Compared with blank nanofibers, MH/PVA/CS nanofibers have significantly better antibacterial properties, and different proportions of PVA and CS have a certain effect on the antibacterial activity of nanofibers. The conclusions in this paper show that MH/PVA/CS composite nanofibers may have great potential in antibacterial materials.</p>
</abstract>
<kwd-group>
<kwd>nanofiber</kwd>
<kwd>antibacterial</kwd>
<kwd>electrospinning</kwd>
<kwd>moxifloxacin</kwd>
<kwd>poly(vinyl alcohol)</kwd>
<kwd>chitosan</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>Medical treatment often faces the dilemma of bacterial infection, which delay the cure or even worsen the disease (<xref ref-type="bibr" rid="B10">Fisher et al., 2017</xref>). The development of antibacterial nanomaterials has effectively solved this problem, and related studies (<xref ref-type="bibr" rid="B33">Sonkusare et al., 2018</xref>; <xref ref-type="bibr" rid="B7">Chouke et al., 2019</xref>) have shown that it also has positive effects in inhibit bacterial reproduction, reduce inflammation, wound healing and disease treatment. The current nanomaterials are mainly nanotubes, nanowalls and nanofibers (<xref ref-type="bibr" rid="B43">Zhao et al., 2007</xref>; <xref ref-type="bibr" rid="B17">Kakunuri et al., 2017</xref>; <xref ref-type="bibr" rid="B14">Han et al., 2019</xref>). And the antibacterial nanofibers were widely used in various fields due to high porosity and small pore size (<xref ref-type="bibr" rid="B8">Dinis et al., 2015</xref>), especially in tissue engineering, drug delivery and wound dressings of biomedical applications (<xref ref-type="bibr" rid="B23">Lee et al., 2016</xref>; <xref ref-type="bibr" rid="B34">Sun et al., 2017</xref>).</p>
<p>Electrospinning is a simple and cost-effective method to fabricate nanofibers with diameters ranging from dozens of nanometers to several microns (<xref ref-type="bibr" rid="B25">Luo et al., 2012</xref>; <xref ref-type="bibr" rid="B29">Mishra et al., 2019</xref>). Chitosan (CS) is a product of natural polysaccharide chitin with acetyl groups removed, and it has a variety of physiological functions including the biodegradability, biocompatibility, non-toxicity and antibacterial ability (<xref ref-type="bibr" rid="B5">Berger et al., 2004</xref>; <xref ref-type="bibr" rid="B30">Qin et al., 2019</xref>; <xref ref-type="bibr" rid="B38">Wang et al., 2020</xref>). Therefore, electrospun nanofibers with chitosan have unique advantages in biomedical applications since they mimic the natural extracellular matrix (ECM) as a structure to support and regulate cell behavior (<xref ref-type="bibr" rid="B4">Balagangadharan et al., 2017</xref>; <xref ref-type="bibr" rid="B40">Xue et al., 2020</xref>). However, CS is a cationic polyelectrolyte that makes it positively charged when only dissolved in solution, which leads to poor electrospinning properties (<xref ref-type="bibr" rid="B2">Arkan et al., 2018</xref>). Repulsive interactions between like-charged groups destroy Taylor cone, thus making it difficult for the fiber to form when electrospinning (<xref ref-type="bibr" rid="B35">Sun et al., 2019</xref>). Researchers have used different methods to improve the electrospinability of CS. Schiffman et al. used trifluoroacetic acid (TFA) to dissolve chitosan for one-step electrospinning (<xref ref-type="bibr" rid="B31">Schiffman and Schauer, 2007</xref>). Anionic polyelectrolyte has been utilized to neutralize cations in chitosan solution, like hyaluronic acid (<xref ref-type="bibr" rid="B26">Ma et al., 2012</xref>; <xref ref-type="bibr" rid="B35">Sun et al., 2019</xref>). Some researchers also attempted to mixing CS with other polymers with good electrospinability, such as polyvinyl alcohol (PVA), polylactide co-glycolide (PLGA) (<xref ref-type="bibr" rid="B16">Huang et al., 2020</xref>), polyethylene oxide (PEO) (<xref ref-type="bibr" rid="B41">Yuan et al., 2016</xref>). However, utilization of toxic solvents is not optimal, especially in biomedical applications. As a non-toxic, hydrophilic and biocompatible synthetic polymer, PVA has been used in various biomedical fields (<xref ref-type="bibr" rid="B18">Kamoun et al., 2017</xref>). Related studies have reported some examples of nanofibers prepared by electrospinning with PVA and chitosan (<xref ref-type="bibr" rid="B9">Duru Kamaci and Peksel, 2020</xref>; <xref ref-type="bibr" rid="B28">Menazea and Ahmed, 2020</xref>), and the PVA aqueous solution also eliminates possible organic solvent residues and environmental hazards. Accordingly, the materials composed of PVA and CS is nontoxic, biocompatible and easy to adjust for antibacterial materials.</p>
<p>The application of PVA/CS in antibacterial materials has been studied by researchers (<xref ref-type="bibr" rid="B42">Zhang et al., 2017</xref>; <xref ref-type="bibr" rid="B9">Duru Kamaci and Peksel, 2020</xref>). However, the antibacterial effect of adding <italic>moxifloxacin</italic> to electrospun nanofibers prepared from PVA/CS has not been focused on. <italic>Moxifloxacin</italic> as an example of antibiotic with intrinsic antibacterial activity, have been widely used for respiratory infections, community-acquired pneumonia, skin and soft-tissue infections (<xref ref-type="bibr" rid="B11">Fu et al., 2016</xref>; <xref ref-type="bibr" rid="B37">Wan et al., 2020</xref>; <xref ref-type="bibr" rid="B44">Zheng et al., 2020</xref>). It is a broad-spectrum antibiotic and widely used in the research of composite materials(<xref ref-type="bibr" rid="B12">Gong et al., 2019</xref>; <xref ref-type="bibr" rid="B37">Wan et al., 2020</xref>; <xref ref-type="bibr" rid="B32">Silva et al., 2021</xref>), which has strong antibacterial properties and few adverse reactions (<xref ref-type="bibr" rid="B13">Hameed et al., 2020</xref>). Therefore, the drug loading and antibacterial activity of moxifloxacin in electrospun nanofibers with different PVA/CS ratios were analyzed in this paper.</p>
<p>In the present work, MH/chitosan/PVA fibers were prepared by hybrid electrospinning, and the properties of PVA and CS-based composite nanofibers in different ratios were investigated. The morphology of electrospun fibers were characterized by Scanning electron microscope (SEM). The solid-state characterization was analyzed by X-ray Diffraction (XRD), thermal gravimetric analysis (TG), and attenuated total reflectance infrared spectroscopy (ATR-FTIR). In addition, the mechanical properties of electrospun fibers were measured by tensile tests, and the encapsulation efficiency and <italic>in vitro</italic> antibacterial properties were evaluated. Finally, the application prospects of the new MH/chitosan/PVA fiber were discussed.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Material and Methods</title>
<sec id="s2-1">
<title>Materials</title>
<p>PVA(polymerization degree &#x3d; 1700, alcoholysis degree &#x3d; 88%) were purchased from Qingdao Pansi Technology Co., Ltd. Powdered chitosan(the deacetylation degree was 80%&#x2013;95%) and acetic acid (analysis reagent) was obtained from Sinopharm Chemical Reagent Co., Lrd. <italic>Moxifloxacin hydrochloride</italic> (the purity was 98%) were purchased from Shanghai Macklin Biochemical Co., Ltd. The solvents of all solutions are deionized water. All chemicals and solvents were used without further purification.</p>
</sec>
<sec id="s2-2">
<title>Electrospinning Preparation and Fabrication of the Composite Nanofibers</title>
<p>CS was dissolved in aqueous acetic acid (1% w/w) to obtain clear and homogenous solutions with a concentration of 2.0% w/w. The PVA solution was prepared by dissolving 10&#xa0;g of PVA in 90&#xa0;ml deionized water with a concentration of 10% w/w. Blending solutions containing different volume rations (9:1, 8:2, 7:3, 6:4) of 10% PVA and 2% CS were prepared. Then the MH was dissolved in the mixing solution with 36&#xa0;mg per 10&#xa0;ml. Each solution was stirred to complete dissolution to ensure all ingredients are dispersed completely.</p>
<p>All prepared solution was placed in a 10&#xa0;ml plastic syringe separately which were then fixed on a syringe pump (TYD01-01, Lead Fluid Technology Co., Ltd, China). The feeding rate was 0.3&#xa0;ml/h, and a voltage of 10&#xa0;kV was applied to the needle. The distance between the needle and the collector was 10&#xa0;cm. Nanofibers were collected on electrically grounded Al foil, which covered a roller collector placed 10&#xa0;cm away. The prepared nanofibers were dried in vacuum at 60&#xb0;C for 24&#xa0;h to remove the residual solvents.</p>
</sec>
<sec id="s2-3">
<title>Characterization of the Obtained Samples</title>
<p>The surface morphologies of the electrospun fibers were observed by field emission scanning electron microscopy (SU8220, Hitachi, Japan). The diameter distribution of electrospun nanofibers was collected by ImageJ software. The Fourier-transform infrared spectra of the electrospun nanofibers, PVA and chitosan powder were obtained on a Nicolet 8700 FTIR spectrometer (Thermo Nicolet ltd., United States) to analyze functional groups. Samples were analyzed at operating wavelengths in the range between 4,000 and 400&#xa0;cm<sup>&#x2212;1</sup>. An X&#x2019;Pert Pro diffractometer (PA Nalytical B.V., Netherlands) was used in the experiment to detect the formation of electrospun nanofibers with the testing condition: Cu-K&#x3b1; radiation, 40&#xa0;kV, 2&#x3b8; range of 5&#x2013;65&#xb0;. Thermal gravimetric analysis was collected by using TG 209F1 (NETZSCH-Ger&#xe4;tebau Gmbh, Germany). Electrospun nanofibers were heated from 30&#xb0;C to 600&#xb0;C with a heating rate of 10&#xb0;K/min. The whole process was under nitrogen atmosphere.</p>
</sec>
<sec id="s2-4">
<title>Tensile Test</title>
<p>Tensile test was carried out by using TMA Q400 (TA Instruments, United States). Before measurements, specimens of each nanofiber were chosen for the tensile test and cut into rectangular pieces with 9&#xa0;mm length and 8&#xa0;mm width. The tensile stress-strain curves of each samples were measured precisely.</p>
</sec>
<sec id="s2-5">
<title>Drug Content and Encapsulation Efficiency of Electrospun Nanofibers</title>
<p>The drug-loaded nanofiber samples (10&#xa0;mg) were immersed in 50&#xa0;ml aqueous acetic acid (1%) precisely to get clear solutions. The concentration with MH in the solution was characterized using a LC-20A high-performance liquid chromatography (SHIMADZU Co., Ltd Japan). Analyses were performed on a Shim-pack VP-ODS (5&#xb0;&#x3bc;m, 4.6 &#xd7; 250&#xa0;mm) at a temperature of 30&#xb0;C. Methanol/1% triethylamine (45:55, v/v; pH &#x3d; 3.0) was used as the mobile phase[8]. The effluent was quantified at 280&#xa0;nm using a UV-visible spectrophotometer. The encapsulation efficiency of MH loading was calculated by the following equations:<disp-formula id="equ1">
<mml:math id="mequ1">
<mml:mrow>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mi>E</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>
<italic>M</italic>
<sub>
<italic>E</italic>
</sub> &#x3d; encapsulation efficiency, <italic>M</italic>
<sub>
<italic>A</italic>
</sub> &#x3d; actual concentration of MH characterized by HPLC, and <italic>M</italic>
<sub>
<italic>T</italic>
</sub> &#x3d; theoretical concentration of MH calculated from drug/nanofiber ration.</p>
</sec>
<sec id="s2-6">
<title>Antibacterial Activity Test</title>
<p>The antibacterial activity of electrospun nanofibers was tested using <italic>Staphylococcus aureus</italic> and <italic>Pseudomonas aeruginosa</italic>. Cultures of <italic>S. aureus</italic> and <italic>P. aeruginosa</italic> with concentration of 106&#xa0;CFU/ml were prepared on nutrient agar plates. The samples for the test were prepared by chipping electrospun nanofibers with a mass of 0.001&#xa0;g to a diameter of 6&#xa0;mm. PVA/CS nanofiber (PVA:CS &#x3d; 9:1) was regarded as a control group. Various ratios of PVA/CS nanofibers with MH were kept in plates cultured <italic>S. aureus</italic> and <italic>P. aeruginosa</italic>, separately. All plates were incubated for 16&#xa0;h at 37&#xb0;C in an incubator. The diameters of the antibacterial zones were measured with a vernier caliper and recorded.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<p>In the preparation of MH-loaded electrospun nanofibers, PVA was blended with CS due to the rigid chemical nature and bad electrospinability of CS. In the process of nanofibers preparation, it is obvious that the addition of PVA enhances the electrospinning property. Besides, the previous study of Hang et al. indicated that the concentration and conductivity of the prepared solution before electrospinning are key factors which effect the morphological characteristics of electrospun nanofibers (<xref ref-type="bibr" rid="B15">Hang et al., 2010</xref>).</p>
<sec id="s3-1">
<title>Morphology of Nanofibers</title>
<p>
<xref ref-type="fig" rid="F1">Figure 1</xref> shows the effect of different ratios of PVA and CS on the morphology of nanofibers. It is obvious that the electrospun nanofibers were beadless, continuous and randomly distributed. By comparing <xref ref-type="fig" rid="F1">Figures 1A,B</xref>, it can be seen that the loading of antibiotics resulted in a significant increase in the average nanofiber diameter, morphological changes and an increased random of alignment, which is in good agreement with the conclusions of Karuppuswamy et al. (<xref ref-type="bibr" rid="B20">Karuppuswamy et al., 2015</xref>). Among drug loaded samples, the average diameter of nanofibers decreased with the increase of chitosan content. Similar conclusion has been found in previous studies about PVA/CS electrospinning (<xref ref-type="bibr" rid="B15">Hang et al., 2010</xref>; <xref ref-type="bibr" rid="B22">Koosha and Mirzadeh, 2015</xref>). The presence of CS in the solution increases the surface charge concentration of the jet. More surface charge causes more repulsion on the surface, resulting in the size reduction of electrospun nanofibers. With the addition of CS, the nanofiber diameters were changed from 352 &#xb1; 40&#xa0;nm to 122 &#xb1; 49&#xa0;nm. Different content of chitosan affected the diameter of nanofiber, which indirectly led to the different drug content of the nanofibers. the specific effect was discussed in the Section <italic>Drug content and encapsulation efficiency</italic>. In addition, it can be seen that the distribution of pore size is uniform, and there is no obvious change among the groups from the results of SEM. The pore size of the nanofibers was observed more than 50&#xa0;nm, so the nature of the sample is macroporous according to IUPAC nomenclature.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>FE-SEM micrographs, average diameter and diameter distribution of PVA/CS 9/1 nanofiber <bold>(A)</bold>, MH/PVA/CS nanofiber with different PVA to CS rations: <bold>(B)</bold> 9/1, <bold>(C)</bold> 8/2, <bold>(D)</bold> 7/3, <bold>(E)</bold> 6/4.</p>
</caption>
<graphic xlink:href="fmats-08-643428-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Fourier Transform Infrared Spectroscopy</title>
<p>The FTIR spectra of the MH, PVA, CS, PVA/CS fibers and MH/PVA/CS fibers are showed in <xref ref-type="fig" rid="F2">Figure 2</xref>. The characteristic peaks of MH were assigned as follows: 3,524&#xa0;cm<sup>&#x2212;1</sup> (stretching vibration of O-H groups) (<xref ref-type="bibr" rid="B36">Tanna et al., 2016</xref>), 3,435&#xa0;cm<sup>&#x2212;1</sup> (stretching vibration of N-H groups), 1,709&#xa0;cm<sup>&#x2212;1</sup> (stretching vibration of C-O groups), 1,623&#xa0;cm<sup>&#x2212;1</sup> (skeleton vibration of C-O groups), 1,455&#xa0;cm<sup>&#x2212;1</sup> (skeleton vibration of C-C groups), 1,354 and 1,323&#xa0;cm<sup>&#x2212;1</sup> (stretching vibration of C-F groups). Most of peaks disappeared in the electrospun nanofibers indicates interaction between MH and carrier materials (<xref ref-type="bibr" rid="B11">Fu et al., 2016</xref>). The absorption peak of 1,620&#xa0;cm<sup>&#x2212;1</sup> was visible in the drug loaded fiber but not in the blank fiber, suggesting the successful incorporation of MH. The similarity of the pure PVA, CS and electrospun nanofibers spectra demonstrated that the process of electrospinning didn&#x2019;t change the chemical structure of PVA and CS (<xref ref-type="bibr" rid="B24">Li et al., 2020</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>FTIR analysis of PVA, CS, MH and different electrospun nanofibers.</p>
</caption>
<graphic xlink:href="fmats-08-643428-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>X-Ray Diffraction</title>
<p>To analysis the crystallinities of pure PVA, CS, MH and electrospun nanofibers, XRD was carried out and exhibited in <xref ref-type="fig" rid="F3">Figure 3</xref>. From the spectra of the PVA before electrospinning, crystalline peaks were seen at 2&#x3b8; of 11.41&#xb0;, 19.26&#xb0;. A strong absorption peak at 2&#x3b8; &#x3d; 20.32&#xb0; of CS was characterized [JCPDS File No. 35-1974] (<xref ref-type="bibr" rid="B19">Karthikeyan et al., 2019</xref>), indicating a typical semi-crystalline polymer. The spectrum of MH powder featured crystalline peaks at 14.41&#xb0;, 15.57&#xb0;, 16.95&#xb0;, 17.37&#xb0;, 19.06&#xb0;, 19.63&#xb0;, 20.37&#xb0;, 23.61&#xb0;, 24.07&#xb0;, 24.47&#xb0;, 26.71&#xb0;, 27.49&#xb0;, 29.17&#xb0;, 31.61&#xb0;, 35.13&#xb0;, 38.67&#xb0; (<xref ref-type="bibr" rid="B13">Hameed et al., 2020</xref>). However, the absorption peaks of PVA and CS diminished in spectra of PVA/CS electrospun nanofiber, demonstrating that the inter and intramolecular hydrogen bonding between PVA and CS were formed during electrospinning (<xref ref-type="bibr" rid="B42">Zhang et al., 2017</xref>). The spectra of drug loaded electrospun nanofiber didn&#x2019;t show any characteristic peaks similarly, indicating the MH had been wrapped up. The results suggested that the electrospinning process leads the materials to become amorphous.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>XRD patterns of PVA, CS, MH and different electrospun nanofibers.</p>
</caption>
<graphic xlink:href="fmats-08-643428-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Thermal Gravimetric Analysis (TG)</title>
<p>The TG curves of different P/C electrospun nanofibers were exhibited in <xref ref-type="fig" rid="F4">Figure 4</xref>. Two regions of weight loss were showed. The weight loss around 300&#xb0;C reflected to the breakage of side chain of PVA. Up to 400&#xb0;C, the mass changes were &#x2212;76.44%, &#x2212;72.07%, &#x2212;70.47% and &#x2212;68.11% from P/C 9/1 to P/C 6/4, respectively. With the increase of chitosan content, the mass left increased after the thermal decomposition. The weight loss process of samples is mainly due to the thermal degradation of PVA and CS. According to previous studies (<xref ref-type="bibr" rid="B11">Fu et al., 2016</xref>; <xref ref-type="bibr" rid="B6">Chaudhary et al., 2019</xref>; <xref ref-type="bibr" rid="B13">Hameed et al., 2020</xref>), the degradation temperature of PVA and CS was similar before 370&#xb0;C, and the quality loss after 370&#xb0;C is mainly caused by CS. TG results indicated that the thermal stability of electrospun nanofibers was improved by the addition of the CS.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>TG for drug loaded nanofibers with different PVA to CS ratios.</p>
</caption>
<graphic xlink:href="fmats-08-643428-g004.tif"/>
</fig>
<p>The temperatures at the peaks of DTG curves corresponding to the maximum weight loss rate were 313.74&#xb0;C, 322.07&#xb0;C, 321.52&#xb0;C, 324.80&#xb0;C for P/C 9/1, P/C 8/2, P/C 7/3, P/C 6/4 electrospun nanofiber, separately. The increase of temperature resulted in the linkages between PVA chains and CS chains.</p>
</sec>
<sec id="s3-5">
<title>Tensile Properties</title>
<p>The tensile strength is the resistance to the maximum uniform deformation of the material. The deformation of the sample is uniform before the maximum tensile stress, but the necking phenomenon of the material begins to appear after exceeding the maximum tensile stress. Young&#x2019;s modulus is the ratio of stress to strain within the elastic limit of the material, which is used to characterize mechanical property. The mechanical properties of the electrospun nanofibers were investigated by the tensile stress-strain testing method and showed by <xref ref-type="fig" rid="F5">Figure 5</xref>. CS is a kind of linear polysaccharide with positive charge. Due to strong hydrogen bond between the molecules, CS is brittle and rigid. In the electrospinning process of PVA, the hydrogen bond association formed by hydroxyl side groups between chains can form winding structure. Therefore, increasing the PVA content and decreasing the CS ratio of electrospun nanofiber were expected to increase the flexibility but decrease the strength of the blended electrospun nanofiber.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Stress-strain curves of drug loaded nanofibers with different PVA to CS rations.</p>
</caption>
<graphic xlink:href="fmats-08-643428-g005.tif"/>
</fig>
<p>The Young&#x2019;s modulus was increased by incorporation of CS. Maximum Young&#x2019;s modulus reached 189.6 &#xb1; 1.3&#xa0;MPa, which is shown in PVA/CS 7/3 nanofiber. Excessive addition of CS could not produce further enhancement. As shown in <xref ref-type="table" rid="T1">Table 1</xref>, Young&#x2019;s modulus start falling down with the ratio of PVA and CS from 7/3 to 6/4. The respective tensile strength of the electrospun nanofiber increased from 5.07 to 5.67&#xa0;MPa with increasing PVA concentrations. PVA/CS 9/1 nanofiber had a higher tensile strength and strain at break compared to samples with higher proportion of CS.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Tensile properties of drug loaded nanofibers with different PVA to CS rations.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">PVA/CS</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">9/1</td>
<td align="char" char="plusmn">151.5 &#xb1; 0.17</td>
<td align="char" char=".">5.67</td>
<td align="char" char=".">111.2</td>
</tr>
<tr>
<td align="left">8/2</td>
<td align="char" char="plusmn">176.4 &#xb1; 0.41</td>
<td align="char" char=".">5.33</td>
<td align="char" char=".">91.1</td>
</tr>
<tr>
<td align="left">7/3</td>
<td align="char" char="plusmn">189.6 &#xb1; 1.3</td>
<td align="char" char=".">5.40</td>
<td align="char" char=".">105.5</td>
</tr>
<tr>
<td align="left">6/4</td>
<td align="char" char="plusmn">175.3 &#xb1; 0.66</td>
<td align="char" char=".">5.07</td>
<td align="char" char=".">39.58</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-6">
<title>Drug Content and Encapsulation Efficiency</title>
<p>The encapsulation efficiency of MH from the electrospun nanofibers was studied (<xref ref-type="table" rid="T2">Table 2</xref>). With the increase of CS content, the encapsulation efficiency of different groups was 83.02%, 95.38%, 87.40% and 93.04%, respectively. The high encapsulation efficiency is due to the high solubility of MH in solution. The MH were directly mixed into the electrospinning solution, the solubility and ionization state of the drug led to the increase of drug loading and release. The initial burst release is required in some specific cases (<xref ref-type="bibr" rid="B1">Amiri et al., 2020</xref>). The result of SEM showed that no drug was found on the surface of the electrospun nanofiber. It can be inferred that the drug was completely encapsulated in PVA/CS nanofiber.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Drug content and encapsulation efficiency of different drug loaded nanofibers.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">PVA/CS</th>
<th align="center">Drug content (mg/g)</th>
<th align="center">Encapsulation efficiency (%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">9/1</td>
<td align="char" char=".">31.34</td>
<td align="char" char=".">83.02</td>
</tr>
<tr>
<td align="left">8/2</td>
<td align="char" char=".">39.24</td>
<td align="char" char=".">95.38</td>
</tr>
<tr>
<td align="left">7/3</td>
<td align="char" char=".">38.09</td>
<td align="char" char=".">87.40</td>
</tr>
<tr>
<td align="left">6/4</td>
<td align="char" char=".">46.90</td>
<td align="char" char=".">93.04</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-7">
<title>Antibacterial Activity</title>
<p>MH is a broad-spectrum antibiotic that includes Gram-positive and Gram-negative bacteria. In this work, <italic>S. aureus</italic> and <italic>P. aeruginosa</italic> were employed to investigate the antibacterial activity of electrospun nanofibers. <xref ref-type="table" rid="T3">Table 3</xref> listed every size of zone of inhibition. Chitosan has some antibacterial effect, which can accelerate wound healing. Researchers have found that positively charged chitosan molecules can bind to negatively charged microbial cell membranes (<xref ref-type="bibr" rid="B27">Mahmoudi et al., 2011</xref>). Cell membrane is destroyed to achieve antibacterial effect. Besides, it provides anti-inflammatory, antioxidant and hemostatic effects (<xref ref-type="bibr" rid="B21">Kim, 2018</xref>). Therefore, the blank PVA/CS nanofiber were characterized for antibacterial activity. However, zone of inhibition didn&#x2019;t show in the blank PVA/CS nanofiber by <xref ref-type="fig" rid="F6">Figure 6A</xref>. The reason is that CS could not diffuse in agar diffusion method, which is similar with a previous research (<xref ref-type="bibr" rid="B1">Amiri et al., 2020</xref>). In other related research, the antibacterial property of chitosan was tested by vibration method (<xref ref-type="bibr" rid="B13">Hameed et al., 2020</xref>).</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Antibacterial properties of different nanofibers.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Materials</th>
<th align="center">Inhibition zone diameter for <italic>S. aureus</italic> (mm)</th>
<th align="center">Inhibition zone diameter for <italic>P. aeruginosa</italic> (mm)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PVA/CS 9/1</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
</tr>
<tr>
<td align="left">MH/PVA/CS 9/1</td>
<td align="center">42</td>
<td align="center">29</td>
</tr>
<tr>
<td align="left">MH/PVA/CS 8/2</td>
<td align="center">42</td>
<td align="center">31</td>
</tr>
<tr>
<td align="left">MH/PVA/CS 7/3</td>
<td align="center">42</td>
<td align="center">31</td>
</tr>
<tr>
<td align="left">MH/PVA/CS 6/4</td>
<td align="center">41</td>
<td align="center">28</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Inhibition zones of different nanofibers against <italic>S. aureus</italic> and <italic>P. aeruginosa</italic>. PVA/CS 9/1 nanofiber <bold>(A)</bold>, MH/PVA/CS nanofiber with different PVA to CS rations: <bold>(B)</bold> 9/1, <bold>(C)</bold> 8/2, <bold>(D)</bold> 7/3, <bold>(E)</bold> 6/4</p>
</caption>
<graphic xlink:href="fmats-08-643428-g006.tif"/>
</fig>
<p>The activity of antibiotic after incorporation is significant factor for antibacterial materials. Due to the higher surface area to volume ratio of nanofibers, the affinity for bacteria is increased and leads to greater antibacterial activity (<xref ref-type="bibr" rid="B1">Amiri et al., 2020</xref>). <xref ref-type="fig" rid="F6">Figures 6B&#x2013;E</xref> shows the antibacterial activity studies of the drug loaded PVA/CS nanofibers against <italic>S. aureus</italic> and <italic>P. aeruginosa</italic>. Compared to blank PVA/CS nanofiber, drug loaded nanofibers exhibited obvious zone of inhibition, which showed good performance of MH. There is no significant difference among each sample, which was related to the release of MH and diffusion in the agar. According to the text of drug content, different nanofibers contained different amount of MH. Different diameters of each samples might affect the amount of MH in contact with bacteria. The results showed that the addition of MH enhanced the antibacterial activity of the PVA/CS electrospun nanofiber, and the change of proportion had no obvious effect on the antibacterial activity.</p>
<p>The mechanism of antibacterial activity can be explained as follows. The MH released from the nanofibers induces production of reactive oxygen species (ROS) (<xref ref-type="bibr" rid="B37">Wan et al., 2020</xref>). ROS are strong oxidants with strong oxidative ability, which destroys antioxidant defense and leads to protein and lipid damage (<xref ref-type="bibr" rid="B3">Bagade et al., 2019</xref>; <xref ref-type="bibr" rid="B39">Wu et al., 2020</xref>). Rupture of membrane results in cell injury or death. These results indicated that <italic>moxifloxacin</italic> loaded nanofibers could be a great carrier for antibiotic delivery especially to the wound dressing. In the next work, we will focus on the model of drug release from MH/PVA/CS nanofibers and the performance in animal experiments.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>Composite MH-loaded nanofibers of different formulation consisting of PVA/CS and MH/PVA/CS were successfully fabricated by the blending electrospinning method. PVA had good electrospinnability and was dissolved with CS, which cannot be electrospun alone. The incorporation of MH and crystallinity were investigated via XRD, FTIR and TG. The results indicated the MH was loaded on the nanofibers and formed hydrogen bonding with PVA and CS. And the CS in the PVA/CS nanofibers resulted in a reduction in the diameter and an increase in the Young&#x2019;s Modulus, the encapsulation efficiency reached 95.38% with the nanofiber of PVA/CS 8/2. Furthermore, the antibacterial experiment indicated that the MH/PVA/CS nanofibers had good antibacterial activity against strains of <italic>S. aureus</italic> and <italic>P. aeruginosa</italic>.</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, W-CO, TJ and Z-WW.; methodology, QL, W-CO, TJ and Z-WW.; software, QL; validation, QL and X-HZ and Z-WW; formal analysis, QL and X-HZ.; investigation QL; resources, QL, W-CO, TJ, X-HZ and Z-WW; data curation, QL, W-CO and XZ; writing&#x2014;original draft preparation, QL, W-CO, TJ; writing&#x2014;review and editing, QL, W-CO and Z-WW; visualization, QL, W-CO, and Z-WW; supervision, Z-WW; project administration, Z-WW.; funding acquisition, Z-WW. 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>
<ack>
<p>The authors would like to thank the anonymous reviewers and editors for their valuable comments and suggestions to improve the quality of this paper.</p>
</ack>
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