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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2022.1088153</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Hydrogen sulfide-sensitive Chitosan-SS-Levofloxacin micelles with a high drug content: Facile synthesis and targeted <italic>Salmonella</italic> infection therapy</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lu</surname>
<given-names>Chunbo</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2057878/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lu</surname>
<given-names>Wenhui</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qin</surname>
<given-names>Xiantao</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Shuyi</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Niu</surname>
<given-names>Congmin</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guo</surname>
<given-names>Jiayi</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xu</surname>
<given-names>Yujie</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<xref rid="c002" ref-type="corresp"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Key Laboratory of Biology, School of Bioscience and Technology, Weifang Medical University</institution>, <addr-line>Weifang, Shandong</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Shaanxi Key Laboratory of Natural Products and Chemical Biology, College of Chemistry and Pharmacy, Northwest A&#x0026;F University</institution>, <addr-line>Yangling, Shaanxi</addr-line>, <country>China</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by"><p>Edited by: Nagendran Tharmalingam, Rhode Island Hospital, United States</p></fn>
<fn id="fn0002" fn-type="edited-by"><p>Reviewed by: Debasish Paul, National Institutes of Health (NIH), United States; Garima Arvikar, University of California, San Francisco, United States; Ritesh Pramodrao Thakare, University of Massachusetts Medical School, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Chunbo Lu, <email>lucb163@163.com</email></corresp>
<corresp id="c002">Yujie Xu, <email>286265978@qq.com</email></corresp>
<fn id="fn0003" fn-type="other"><p>This article was submitted to Antimicrobials, Resistance and Chemotherapy, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>1088153</elocation-id>
<history>
<date date-type="received">
<day>03</day>
<month>11</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>11</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2022 Lu, Lu, Qin, Liang, Niu, Guo and Xu.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Lu, Lu, Qin, Liang, Niu, Guo and Xu</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>The delivery system of antibiotics plays an important role in increasing the drug efficacy and reducing the risks of off-target toxicities and antibiotic resistance. The pathophysiology of bacterial infections is similar to that of tumor tissues, but only a few delivery systems have been able to target and release antibiotics on demand. Herein, we designed and developed a robust Chitosan-SS-Levofloxacin (CS-SS-LF) micelles for targeted antibiotic delivery, in which disulfide bond can be reduced by hydrogen sulfide (H<sub>2</sub>S), a typical product of <italic>Salmonella</italic>, and subsequently released antibiotic to eradicate <italic>Salmonella</italic> infection. CS-SS-LF micelles showed uniform size and sharp response to H<sub>2</sub>S. Compared with levofloxacin alone, these micelles possessed a better capacity in disrupting <italic>Salmonella</italic> biofilms and reducing bacterial burden in organs. The H2S-sensitive CS-SS-LF micelles might enable a new way to address bacterial infections.</p>
</abstract>
<kwd-group>
<kwd>antibiotic delivery systems</kwd>
<kwd>chitosan</kwd>
<kwd>hydrogen sulfide</kwd>
<kwd>micelles</kwd>
<kwd>targeted delivery</kwd>
</kwd-group>
<contract-num rid="cn1">ZR2021QC178</contract-num>
<contract-sponsor id="cn1">Natural Science Foundation of Shandong Province<named-content content-type="fundref-id">10.13039/501100007129</named-content>
</contract-sponsor>
<counts>
<fig-count count="10"/>
<table-count count="0"/>
<equation-count count="1"/>
<ref-count count="30"/>
<page-count count="10"/>
<word-count count="5089"/>
</counts>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p>Over the past few decades, the world has been plagued by microbial contamination. Humans are susceptible to many types of bacteria that can cause serious illness and even death (<xref ref-type="bibr" rid="ref8">Francolini et al., 2004</xref>; <xref ref-type="bibr" rid="ref7">El-Refaie et al., 2007</xref>). Among them, <italic>Salmonella enterica</italic> is one of the most prevalent bacterial pathogens. It is a Gram-negative facultative intracellular pathogen that crosses the intestinal barrier and is taken up by phagocytes, where it is able to reproduce and spread throughout the body (<xref ref-type="bibr" rid="ref21">Prost and Riemann, 1967</xref>; <xref ref-type="bibr" rid="ref2">Barton et al., 2011</xref>). <italic>Salmonella</italic> can cause serious infections, especially in children, and people with weakened immune systems (<xref ref-type="bibr" rid="ref5">Christopher et al., 2001</xref>). Therefore, it is particularly important to further strengthen the surveillance and control of <italic>Salmonella</italic>.</p>
<p>As one of the most effective types of drugs for treating <italic>Salmonella</italic> infection, antibiotics have decreased mortality and morbidity rates and saved lives in countless cases (<xref ref-type="bibr" rid="ref18">Nichterlein et al., 1998</xref>). In spite of this, antibiotics with low bioavailability lack specificity and because they are quickly metabolized and excreted by the circulatory system before reaching the infection site (<xref ref-type="bibr" rid="ref10">Ghosh et al., 2016</xref>). As a result of overuse of antibiotics, antibiotic resistance emerges, reducing the effectiveness of clinical antibacterial agents. This poses a serious risk to public health (<xref ref-type="bibr" rid="ref3">Chambers and Deleo, 2009</xref>; <xref ref-type="bibr" rid="ref23">Stryjewski and Corey, 2014</xref>; <xref ref-type="bibr" rid="ref22">Silva et al., 2016</xref>). New antibacterial solutions are urgently desired. The development of antibiotic delivery systems is a convenient way to reduce off-target toxicity and resistance to antibiotics while optimizing their efficacy and lifespan (<xref ref-type="bibr" rid="ref10">Ghosh et al., 2016</xref>; <xref ref-type="bibr" rid="ref19">Ning et al., 2018</xref>).</p>
<p>Drug release strategies utilizing individual microenvironments have gained widespread attention for treating a variety of diseases, including cancer (<xref ref-type="bibr" rid="ref19">Ning et al., 2018</xref>), diabetes (<xref ref-type="bibr" rid="ref26">Yannan et al., 2009</xref>), and bacterial infectious disease (<xref ref-type="bibr" rid="ref15">Meng-Hua et al., 2012a</xref>). Recently, nanoparticle-based drug delivery showed its potential to solve bacterial infections (<xref ref-type="bibr" rid="ref1">Alvarez-Lorenzo et al., 2016</xref>; <xref ref-type="bibr" rid="ref28">Zaidi et al., 2017</xref>; <xref ref-type="bibr" rid="ref9">Gao et al., 2018</xref>), which could enhance antibiotic targeting and eliminate premature drug release through controllable triggers that respond to the microenvironment, such as low pH (<xref ref-type="bibr" rid="ref4">Chen et al., 2018</xref>), bacterial secretions (<xref ref-type="bibr" rid="ref6">Dissaya et al., 2011</xref>), and enzyme overexpression (<xref ref-type="bibr" rid="ref16">Meng-Hua et al., 2012b</xref>). Among these delivery systems, redox-responsive materials seem to be an attractive strategy, as some bacteria, such as <italic>Salmonella</italic>, are known to produce hydrogen sulfide (H<sub>2</sub>S) at infection sites (<xref ref-type="bibr" rid="ref14">Lin et al., 2014</xref>).</p>
<p>A naturally occurring cationic polysaccharide, chitosan (CS) exhibits good biocompatibility, biodegradability, non-cytotoxicity, and low immunogenicity. As a kind of promising natural biomaterial, the research and application of CS in the field of biology and medicine arouse more and more emphasis (<xref ref-type="bibr" rid="ref12">Hudson, 2003</xref>; <xref ref-type="bibr" rid="ref24">Wang et al., 2019</xref>). Furthermore, as an antioxidant and antibacterial biopolymer, CS is effective against both Gram-negative and Gram-positive bacteria (<xref ref-type="bibr" rid="ref27">Younes et al., 2014</xref>; <xref ref-type="bibr" rid="ref11">Hajji et al., 2015</xref>).</p>
<p>Herein, we designed and developed a robust H<sub>2</sub>S-sensitive Chitosan-SS-Levofloxacin (CS-SS-LF) micelles for targeted and efficacious treatment of <italic>Salmonella</italic> infection (<xref rid="fig1" ref-type="fig">Figure 1</xref>). An antibiotic commonly used in the treatment of abdominal infections, levofloxacin (LF), was selected as the model antibiotic, as it is a broad-spectrum antibiotic that is active against both Gram-negative and Gram-positive bacteria. CS readily binds to negatively charged bacterial matrixes since it is a polycationic polysaccharide (<xref ref-type="bibr" rid="ref29">Zhang et al., 2013</xref>). Taking clues from the above, we hypothesized taking advantage of the disulfide linkage, CS-SS-LF micelles can be triggered to disassemble by H<sub>2</sub>S produced by <italic>Salmonella</italic>, and simultaneously release antibiotic for antibacterial therapy. We demonstrated a proof-of-concept for designing CS-SS-LF micelles that would allow target therapy of specific bacteria, which may be a more effective way to utilize antibiotics for treating bacterial infections (<xref ref-type="bibr" rid="ref20">Pal et al., 2016</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Diagram illustrating the antibacterial properties of CS-SS-LF micelles. Upon <italic>Salmonella</italic> infection, H<sub>2</sub>S actuates the cleavage of redox-sensitive triggers, resulting in the disintegration of micelle assemblies and release of intact antibacterial LF drug in active form.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g001.tif"/>
</fig>
</sec>
<sec id="sec2">
<label>2.</label>
<title>Results and discussion</title>
<sec id="sec3">
<label>2.1.</label>
<title>Synthesis and characterization of Chitosan-SS-Levofloxacin</title>
<p>Following the synthetic route shown in <xref rid="fig2" ref-type="fig">Figure 2</xref>, CS-SS-LF was synthesized. <sup>1</sup>H NMR and FTIR confirmed the formation of the CS-SS-LF conjugate. As indicated in <xref rid="fig3" ref-type="fig">Figure 3</xref>, <sup>1</sup>H NMR of the newly synthesized compound was in full agreement with the proposed structure. The signals of the phenyl hydrogen group and the vinyl hydrogen of LF moiety were observed at 8.82&#x2009;ppm and 7.66&#x2009;ppm, respectively. The typical signals of the methylene hydrogen were detected around 3.23&#x2013;3.00&#x2009;ppm, which indicated the formation of ester moiety. Moreover, the construction of the acylamide moiety was confirmed by the signal around 5.59&#x2009;ppm, which corresponded to the hydrogen of the-CONH-group. The typical skeletal signals of CS were appeared around 4.12&#x2013;3.64&#x2009;ppm. The above appeared chemical shifts indicated the successful formation of the CS-SS-LF conjugate. The connection was also verified using FTIR analysis. As shown in <xref rid="fig4" ref-type="fig">Figure 4</xref>, as compared to those of CS, the new peaks of CS-SS-LF appeared at ~1294&#x2009;cm<sup>&#x2212;1</sup> and 1620&#x2009;cm<sup>&#x2212;1</sup>, which assigned to stretching of amines and aromatic C-C (<xref ref-type="bibr" rid="ref13">Jalvandi et al., 2017</xref>). As measured by UV&#x2013;vis at 295&#x2009;nm, the drug content of CS-SS-LF was 21.5&#x2009;wt%, indicating synthesis success.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>A synthetic route for CS-SS-LF conjugate.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g002.tif"/>
</fig>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p><sup>1</sup>H NMR spectra of LF-SS-OH, LF-SS-COOH and CS-SS-LF.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g003.tif"/>
</fig>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>FTIR spectra of CS-SS-LF and CS.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g004.tif"/>
</fig>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Characterization of Chitosan-SS-Levofloxacin micelles</title>
<p>The amphiphilic CS-SS-LF conjugates readily formed micelles by self-assembling in aqueous medium. The morphology and size distribution of CS-SS-LF micelles were studied using scanning electron microscopy (SEM) and dynamic light scattering (DLS). Based on DLS measurements, CS-SS-LF micelles had a diameter of approximately 130&#x2009;nm (<xref rid="fig5" ref-type="fig">Figure 5A</xref>) and a surface charge of 11.7 mv (<xref rid="fig5" ref-type="fig">Figure 5B</xref>), indicating that they contained cationic amine groups. As demonstrated by SEM in <xref rid="fig5" ref-type="fig">Figure 5C</xref>, the CS-SS-LF micelles displayed spherical morphology with approximately 120&#x2009;nm in diameter. The stability of colloids is one of the most important aspects of nanoscale drug delivery systems. DLS measurements showed that CS-SS-LF micelles remained unchanged in diameter and polydispersity index for 6&#x2009;days (<xref rid="fig5" ref-type="fig">Figure 5D</xref>). These results demonstrated that amphiphilic CS-SS-LF conjugates are excellent drug carriers since they can self-assemble into micelles.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Characterization of CS-SS-LF micelles. <bold>(A)</bold> CS-SS-LF micelles were analyzed by DLS for size distributions. <bold>(B)</bold> CS-SS-LF micelles were analyzed by DLS for zeta potential. <bold>(C)</bold> SEM image of CS-SS-LF micelles. <bold>(D)</bold> Changes of diameter and PDI of CS-SS-LF micelles for 6&#x2009;days at room temperature.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g005.tif"/>
</fig>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title><italic>In vitro</italic> drug release behavior</title>
<p>The trigger effect of H<sub>2</sub>S was further investigated by incubating CS-SS-LF micelles with or without 10&#x2009;mM Na<sub>2</sub>S. As shown in <xref rid="fig6" ref-type="fig">Figure 6</xref>, about 55% drug was released in 2&#x2009;h and reached 85%in 10&#x2009;h with Na<sub>2</sub>S treatment. In contrast, less than 20% of the conjugated LF was released in PBS from CS-SS-LF micelles. As the disulfide bond being cleaved by H<sub>2</sub>S, rapid release occurs (<xref ref-type="bibr" rid="ref20">Pal et al., 2016</xref>). The sustained retention is advantageous in micelles delivery because it prevents leakage of the drug prior to reaching the target site and ensures its delivery in larger quantities to be released at the infection site. According to these results, CS-SS-LF micelles exhibited high stableness under physiological conditions and can be used for targeted release.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>The release behavior of drugs from CS-SS-LF micelles <italic>in vitro</italic>. The release studies were conducted at pH 7.4 and 37&#x00B0;C with or without Na<sub>2</sub>S, respectively.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g006.tif"/>
</fig>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Bactericidal effect of Chitosan-SS-Levofloxacin micelles on planktonic bacteria</title>
<p>To investigate the antimicrobial specificity of CS-SS-LF micelles, three strains (<italic>Salmonella</italic>, <italic>P</italic>. <italic>aeruginosa</italic>, and <italic>S</italic>. <italic>aureus</italic>) were selected as the model bacteria to qualitatively analyze the MIC of H<sub>2</sub>S-sensitive micelles, and the results were presented in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref>. It is apparent that the MIC of CS-SS-LF micelles against <italic>P</italic>. <italic>aeruginosa</italic> and <italic>S</italic>. <italic>aureus</italic> were significantly higher compared with that of free LF, marking that the nanodrug basically lost its antimicrobial activity against these two strains. However, the MIC of CS-SS-LF micelles against <italic>Salmonella</italic> was only slightly elevated (0.4&#x2009;&#x03BC;g/mL vs. 0.25&#x2009;&#x03BC;g/mL of net LF), revealing the high sensitivity and specificity of the modified micelles against <italic>Salmonella</italic>.</p>
<p>The bactericidal activity of CS-SS-LF micelles and LF were tested with <italic>Salmonella</italic> at different concentrations. As shown in <xref rid="fig7" ref-type="fig">Figure 7</xref>, cultured <italic>Salmonella</italic> bacteria in TSB containing CS-SS-LF micelles, equivalents of CS or LF, were analyzed for their growth curves. According to the results, CS-SS-LF micelles (80&#x2009;&#x03BC;g/mL) inhibited the growth of <italic>Salmonella</italic> cells effectively compared to the blank control. By contrast, CS treatment had a less effective effect on inhibiting bacterial growth. Meanwhile, 10&#x2009;&#x03BC;L samples (10<sup>6</sup> dilution) were cultured on Petri dishes for 10&#x2009;h and then the CFU were counted. Based on these results, CS-SS-LF micelles demonstrated ability in suppressing planktonic <italic>Salmonella</italic> growth.</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p><bold>(A)</bold> The growth curves of <italic>Salmonella</italic> were determined by culturing bacteria in TSB containing CS-SS-LF micelles (80&#x2009;&#x03BC;g/mL, [LF]&#x2009;=&#x2009;17.2&#x2009;&#x03BC;g/mL), CS (80&#x2009;&#x03BC;g/mL) or LF (18&#x2009;&#x03BC;g/mL). <bold>(B)</bold> CFU counts of <italic>Salmonella</italic> (10&#x2009;h) after 10<sup>6</sup>-fold dilutions.</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g007.tif"/>
</fig>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Antibiofilm activities of Chitosan-SS-Levofloxacin micelles</title>
<p>As an opportunistic human pathogen with Gram-negative status, <italic>Salmonella</italic> is commonly employed as a biofilm model. <italic>Salmonella</italic> biofilms from established cultures were treated with different concentrations of CS-SS-LF micelles (12.21, 24.42, 48.84, 97.and 68&#x2009;&#x03BC;g/mL) for 24&#x2009;h to evaluate CS-SS-LF micelles<sup>,</sup> disruption properties. It was determined that CS-SS-LF micelles were more effective at destroying live cells at all concentrations tested than LF alone (<xref rid="fig8" ref-type="fig">Figures 8A</xref>, <xref rid="fig8" ref-type="fig">B</xref>).</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Antibiofilm activity of CS-SS-LF micelles. Crystal violet assay <bold>(A)</bold> and MTT assay <bold>(B)</bold> of <italic>Salmonella</italic> biofilm with CS, LF, and CS-SS-LF. Biofilms treated with CS-SS-LF are shown in the black bar, while those treated with LF are depicted in the white bar. <bold>(C)</bold> Fluorescence images of <italic>Salmonella</italic> biofilm, scale bar represents 10&#x2009;&#x03BC;M. <bold>(D)</bold> SEM images of <italic>Salmonella</italic> biofilm, scale bar represents 5&#x2009;&#x03BC;M. (&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01; ns: not significant).</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g008.tif"/>
</fig>
<p>As shown in <xref rid="fig8" ref-type="fig">Figure 8C</xref>, <italic>Salmonella</italic> biofilms exposed to CS-SS-LF micelles for 24&#x2009;h exhibited fewer scattered cell aggregates than individual reagents, as evidenced by visualization of biofilms by fluorescence microscopy.</p>
<p><italic>Salmonella</italic> biofilms were treated with different samples and their apparent morphologies were assessed using SEM. As indicated in <xref rid="fig8" ref-type="fig">Figure 8D</xref>, biofilms that were treated with TSB have clearly intact bacteria cells with well-defined shapes and well-organized architectures. While some bacteria on the surface of the biofilms were destroyed by the CS treatment, intact cells and obvious aggregates were still visible. Surface roughness, cellular deformation, and cytoplasm leakage of bacteria were observed in LF and CS-SS-LF micelles groups. Noun broken bacterial cells were found in treated biofilms containing CS-SS-LF micelles.</p>
<p>Taken together, these results demonstrated that polycationic properties enabled CS-SS-LF micelles to be more effective in eliminating <italic>Salmonella</italic> biofilms than single drug.</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title><italic>In vitro</italic> cytotoxicity studies</title>
<p>For the MTT assay (<xref rid="fig9" ref-type="fig">Figure 9A</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1</xref>), cells were incubated with various concentrations of CS-SS-LF micelles for 24&#x2009;h. We found that over 85% of the incubated cells remained viable after 24&#x2009;h incubation even under the highest concentration of CS-SS-LF micelles at 250&#x2009;&#x03BC;g/mL. In addition, the blood compatibility of CS-SS-LF micelles was estimated <italic>via</italic> a red blood cell hemolysis assay <italic>in vitro</italic>. As shown in <xref rid="fig9" ref-type="fig">Figure 9B</xref>, 250&#x2009;&#x03BC;g/mL concentration in CS-SS-LF micelles group display no obvious in hemolysis of RBCs. The biocompatibility of these micelles further supported their potential as effective targeting vehicle for drug delivery.</p>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p><bold>(A)</bold> Relative viabilities of RAW 264.7 cells after being exposed to CS-SS-LF micelles with different concentrations for 24&#x2009;h. <bold>(B)</bold> The evaluation of the blood compatibility of CS-SS-LF micelles. (&#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001).</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g009.tif"/>
</fig>
</sec>
<sec id="sec9">
<label>2.7.</label>
<title>Chitosan-SS-Levofloxacin micelles promoted bacteria clearance <italic>in vivo</italic></title>
<p>Test mice were infected with <italic>Salmonella</italic> (10<sup>6</sup>&#x2009;CFU/mouse) and given therapy 24&#x2009;h after infection. As indicated in <xref rid="fig10" ref-type="fig">Figure 10</xref>, liver, spleen, and kidney viable counts decreased when CS-SS-LF micelles (10&#x2009;mg/Kg) and LF were treated by intraperitoneal injection. In addition, compared with LF, the CS-SS-LF micelles displayed better bacteria clearance in spleen and kidney. Study results showed that mice treated with CS-SS-LF micelles experienced decreased <italic>Salmonella</italic> infection in the intraperitoneal cavity. The strategy could serve as a useful tool in developing new therapies for <italic>Salmonella</italic>-associated infections.</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p><bold>(A)</bold> An illustration of the <italic>in vivo</italic> experimental design based on a model of acute infection. <bold>(B)</bold> A statistical chart of the number of bacteria in the spleen, liver and kidney under CS-SS-LF treatment and control group treatment. (&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001).</p>
</caption>
<graphic xlink:href="fmicb-13-1088153-g010.tif"/>
</fig>
</sec>
</sec>
<sec id="sec10" sec-type="materials|methods">
<label>3.</label>
<title>Materials and methods</title>
<sec id="sec11">
<label>3.1.</label>
<title>Materials</title>
<p>Chitosan (~10&#x2009;kDa), MTT 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide, Succinic anhydride, 4-(dimethylamino) pyridine (DMAP), 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC), Levofloxacin (LF), Dichloromethane (DCM) 2-Hydroxyethyl disulfide, N-hydroxysuccinimide (NHS) were obtained from Sigma Co. (St. Louis, MO, United States). Gibco Ltd. (Grand Island, NY, United States) provided the Roswell Park Memorial Institute (RPMI) 1,640 medium, while Hyclone (Logan, UT, United States) provided the fetal bovine serum (FBS).</p>
<p>Prof. Wang (College of Life Sciences, Northwest A&#x0026;F University) generously donated <italic>Salmonella typhimurium</italic> (SL1344) and Macrophages (RAW264.7). We obtained Kunming mice from Pengyue Experimental Animal Breeding (Jinan, China).</p>
</sec>
<sec id="sec12">
<label>3.2.</label>
<title>Preparation of Chitosan-SS-Levofloxacin</title>
<sec id="sec13">
<label>3.2.1.</label>
<title>Synthesis of LF-SS-OH</title>
<p>LF-SS-OH was synthesized by esterification reaction in the presence of EDC and DMAP. Briefly, LF (723&#x2009;mg, 2&#x2009;mmol), EDC (422&#x2009;mg, 2.2&#x2009;mmol), DMAP (25&#x2009;mg, 0.2&#x2009;mmol) and 2-Hydroxyethyl disulfide (340&#x2009;mg, 2.2&#x2009;mmol) were taken in 40&#x2009;mL anhydrous DCM in N2 atmosphere. At room temperature, the reaction mixture had been stirred for 48&#x2009;h. After washing with sodium carbonate solution, the organic phase was dried with anhydrous sodium sulfate. A silica gel column chromatogram was conducted to obtain pure LF-SS-OH. LF-SS-OH was collected as a white powder with yield of 71.5%. <sup>1</sup>H NMR (CDCl3-d1, 500&#x2009;MHz): &#x03B4;/ppm&#x2009;=&#x2009;8.31 (s, 1H), 7.55 (d, J&#x2009;=&#x2009;12.5&#x2009;Hz, 1H), 5.29 (s, 1H), 4.62&#x2013;4.56 (m, 2H), 4.44&#x2013;4.33 (m, 3H), 3.88 (t, J&#x2009;=&#x2009;6.0&#x2009;Hz, 2H), 3.37&#x2013;3.29 (m, 4H), 3.09 (t, J&#x2009;=&#x2009;6.5&#x2009;Hz, 2H), 2.97 (t, J&#x2009;=&#x2009;6.0&#x2009;Hz, 2H), 2.55&#x2013;2.52 (m, 4H), 2.35 (s, 3H), 1.55 (d, J&#x2009;=&#x2009;6.5&#x2009;Hz, 3H).</p>
</sec>
<sec id="sec14">
<label>3.2.2.</label>
<title>Synthesis of LF-SS-COOH</title>
<p>Succinic anhydride (150&#x2009;mg, 1.5&#x2009;mmol) and DMAP (15&#x2009;mg, 0.12&#x2009;mmol) were added to LF-SS-OH (598&#x2009;mg, 1.2&#x2009;mmol) solution in 30&#x2009;mL anhydrous DCM. Stirring at room temperature under nitrogen for 12&#x2009;h was performed on the mixture. Water was used to wash the reaction mixture, and the organic part was evaporated. A silica gel column chromatogram was conducted to obtain pure LF-SS-COOH. LF-SS-COOH was collected as a white power with yield of 81.9%. <sup>1</sup>H NMR (CDCl3-d1, 500&#x2009;MHz): &#x03B4;/ppm&#x2009;=&#x2009;8.61 (s, 1H), 7.41 (d, J&#x2009;=&#x2009;12.5&#x2009;Hz, 1H), 4.71&#x2013;4.69 (m, 1H), 4.49 (d, J&#x2009;=&#x2009;6.5&#x2009;Hz, 1H), 4.41 (t, J&#x2009;=&#x2009;6.5&#x2009;Hz, 2H), 4.33 (d, J&#x2009;=&#x2009;6.5&#x2009;Hz, 1H), 4.26 (t, J&#x2009;=&#x2009;6.0&#x2009;Hz, 2H), 3.27&#x2013;3.21 (m, 4H), 3.17 (s, 3H), 3.07 (t, J&#x2009;=&#x2009;6.0&#x2009;Hz, 2H), 3.00 (t, J&#x2009;=&#x2009;6.0&#x2009;Hz, 2H), 2.46&#x2013;2.44 (m, 6H), 2.23 (s, 3H), 1.41 (d, J&#x2009;=&#x2009;6.5&#x2009;Hz, 3H).</p>
</sec>
<sec id="sec15">
<label>3.2.3.</label>
<title>Synthesis of Chitosan-SS-Levofloxacin</title>
<p>LF-SS-COOH (120&#x2009;mg, 0.2&#x2009;mmol), EDC (58&#x2009;mg, 0.3&#x2009;mmol) and NHS (35&#x2009;mg, 0.3&#x2009;mmol) were dissolved in 10&#x2009;mL of anhydrous DMSO and stirred for 12&#x2009;h. Chitosan (CS, 100&#x2009;mg) was dissolved in 30&#x2009;mL deionized water and stirred in room temperature. In the above reaction solution, the solution was added dropwise, and the mixture was stirred overnight. The resultant solution was dialyzed (MWCO 3.5&#x2009;kDa) against aqueous NaCl solution (0.1 M) for 48&#x2009;h and then against deionized water for another 48&#x2009;h, followed by lyophilization (<xref ref-type="bibr" rid="ref25">Yang et al., 2018</xref>). The synthesis of CS-SS-LF conjugate was depicted in <xref rid="fig10" ref-type="fig">Figure 10</xref>.</p>
<p>Fourier transform infrared spectroscopy (FTIR) and <sup>1</sup>H NMR (D<sub>2</sub>O/DMSO-d<sub>6</sub>) spectrometry were used to determine the chemical structure of CS-SS-LF.</p>
<p>A UV&#x2013;vis measurement was used to determine the LF content of micelles. The following formula was used to calculate the LF content:</p>
<p>LF content (wt. %)&#x2009;=&#x2009;(weight of LF/weight of CS-SS-LF)&#x2009;&#x00D7;&#x2009;100.</p>
</sec>
</sec>
<sec id="sec16">
<label>3.3.</label>
<title>Preparation and characterization of Chitosan-SS-Levofloxacin micelles</title>
<p>A total of 10&#x2009;mg CS-SS-LF conjugation was dispersed in 10&#x2009;mL DMSO. Stirring the solution for 5&#x2009;h and dialyzing it against deionized water (MWCO 3.5&#x2009;kDa) followed. After that, micelles solution was filtered through a microporous membrane with a pore size of 0.45&#x2009;&#x03BC;M.</p>
<p>A Dynamic Light Scattering (DLS) method (Malvern Zatasizer NANOZS90, Malvern, United Kingdom) was used to determine the average particle size and zeta potential of CS-SS-LF micelles. The morphology of the CS-SS-LF micelles was studied using a field emission scanning electron microscope 163 with an accelerating voltage of 10&#x2009;kV by Hitachi.</p>
</sec>
<sec id="sec17">
<label>3.4.</label>
<title>Physical stability of Chitosan-SS-Levofloxacin micelles</title>
<p>DLS was used to measure the diameter and PDI changes of CS-SS-LF micelles after incubation in PBS (pH 7.4) for 6&#x2009;days.</p>
</sec>
<sec id="sec18">
<label>3.5.</label>
<title>Reduction-triggered release of levofloxacin <italic>in vitro</italic></title>
<p>Assaying drug release from LF micelles (CS-SS-LF) in the presence or absence of a 10&#x2009;mM Na<sub>2</sub>S was conducted in a dialysis tube (MWCO 3.5&#x2009;kDa) under 100&#x2009;rpm shaking at 37&#x00B0;C in PBS (10&#x2009;mM, pH 7.4) containing 10% FBS. The release of drugs was measured using 1.0&#x2009;mL of CS-SS-LF micelles (1&#x2009;mg/mL) dispersion dialysis against 30&#x2009;mL of a corresponding medium. For every desired time interval, 2.0&#x2009;mL of the release medium was removed and replaced with equal quantities of fresh medium. UV&#x2013;vis absorption spectrum was used to determine the drug concentration. The data are presented as mean&#x2009;&#x00B1;&#x2009;SD (<italic>n</italic>&#x2009;=&#x2009;3).</p>
</sec>
<sec id="sec19">
<label>3.6.</label>
<title>Antibacterial activity</title>
<p>To investigate the antibacterial activity of this micelles <italic>in vitro</italic>, a two-fold dilution method was employed to determine the minimum inhibitory concentration (MIC) of CS-SS-LF micelles against <italic>Salmonella</italic>, <italic>P</italic>. <italic>aeruginosa</italic>, and <italic>S</italic>. <italic>aureus</italic>. To obtain working cultures, 50&#x2009;&#x03BC;L of TSB medium was added in a 96-well plate, then 50&#x2009;&#x03BC;L of bacterial suspensions (<italic>Salmonella</italic>, <italic>P</italic>. <italic>aeruginosa</italic>, and <italic>S</italic>. <italic>aureus</italic>, respectively) was inoculated in each well to adjust the final cell density to approximately 1.0 &#x00D7; 10<sup>5</sup>&#x2009;CFU/mL. The bacteriostatic agents (CS-SS-LF micelles and LF) was diluted successively and then added to the prepared bacterial suspensions. The concentration of bacteriostatic agent corresponding to wells without bacterial precipitation was the MIC.</p>
<p>Similarly, with the addition of different concentrations of CS-S-S-LF micelles, the bacteria samples (0.4 OD<sub>600</sub>, 0.1&#x2009;mL) were well mixed with 3.9&#x2009;mL tryptone soya broth (TSB). At intervals, the OD<sub>600</sub> was monitored after shaking the mixtures at 37&#x00B0;C.</p>
</sec>
<sec id="sec20">
<label>3.7.</label>
<title>Antibiofilm activity</title>
<p>For the formation of biofilms, 100&#x2009;&#x03BC;L of bacterial TSB solutions (~10<sup>8</sup>&#x2009;CFU/mL) were cultivated in 96-well plates for 24&#x2009;h at 37&#x00B0;C. After removing non-adhered bacteria, the plate was washed with PBS three times. Afterward, 100&#x2009;&#x03BC;L TSB containing CS-SS-LF micelles, LF and CS were incubated at 37&#x00B0;C with the existing biofilm. The biofilms were incubated with TSB only as blank control. Each treatment was divided into six parallel wells. As previously reported (<xref ref-type="bibr" rid="ref29">Zhang et al., 2013</xref>), biofilm mass (Crystal violet staining assay) and viable cells (MTT assay) were evaluated.</p>
<p>As previously described (<xref ref-type="bibr" rid="ref17">Mu et al., 2016</xref>), <italic>Salmonella</italic> biofilms were grown on glass coverslips placed at the bottom of 12-well plates. The coverslips were washed, and the residual biofilms treated as before.</p>
<p>In order to prepare the SEM sample, <italic>Salmonella</italic> strains were pre-incubated with TSB, CS, LF and CS-SS-LF micelles, followed by removal of the medium, followed by fixing with 4% glutaraldehyde in PBS for 2&#x2009;h. After that, 40, 50, 70, 90, and 100% ethanol was used to dehydrate the samples. Supercritical CO<sub>2</sub> drying was then used to dry the bacterial biofilms. SEM analysis was performed on the dried samples after they were plated with platinum.</p>
</sec>
<sec id="sec21">
<label>3.8.</label>
<title>Cytotoxic activity of Chitosan-SS-Levofloxacin micelles</title>
<p>MTT assays were used to assess the cytotoxicity of CS-SS-LF micelles. RPMI 1640 medium containing 10% FBS was used to culture RAW 264.7 and buffalo rat liver 3A (BRL-3A) cells (6&#x2009;&#x00D7;&#x2009;10<sup>3</sup> cells/well), which were incubated at 37&#x00B0;C with 5% CO<sub>2</sub> for 24&#x2009;h. Following that, CS-SS-LF micelles were added to the cells for 24&#x2009;h in different concentrations. Afterwards, cells were further incubated for 4&#x2009;h with 20&#x2009;&#x03BC;L MTT solution. Blue violet crystal formazan was dissolved in 100&#x2009;&#x03BC;L DMSO. The absorbance was measured at 570&#x2009;nm using a microplate reader with PBS as a blank control.</p>
<p>The hemolysis assay was performed with CS-SS-LF micelles to check its compatibility with blood. Briefly, red blood cells (RBC) solution (2% w/w) of 0.1&#x2009;mL was added to 1.9&#x2009;ml of the solution of CS-SS-LF micelles (250&#x2009;&#x03BC;g/ml). Deionized water was used as positive controls (PC), while PBS was used as negative controls (NC). After 3&#x2009;h incubation at 37&#x00B0;C, the samples were centrifuged at 6500&#x2009;rpm for 10&#x2009;min, and then 200&#x2009;&#x03BC;L supernatant was removed carefully and the optical density was measured at 545&#x2009;nm by a microplate reader. The hemolytic ratio (%) was calculated based on the formula:</p>
<disp-formula id="E1"><mml:math id="M1"><mml:mrow><mml:mi>H</mml:mi><mml:mi>e</mml:mi><mml:mi>m</mml:mi><mml:mi>o</mml:mi><mml:mi>l</mml:mi><mml:mi>y</mml:mi><mml:mi>s</mml:mi><mml:mi>i</mml:mi><mml:mi>s</mml:mi><mml:mspace width="0.25em"/><mml:mi>r</mml:mi><mml:mi>a</mml:mi><mml:mi>t</mml:mi><mml:mi>i</mml:mi><mml:mi>o</mml:mi><mml:mi mathvariant="normal"></mml:mi><mml:mfenced><mml:mi>&#x0025;</mml:mi></mml:mfenced><mml:mo>=</mml:mo><mml:mfenced><mml:mrow><mml:mi>O</mml:mi><mml:msub><mml:mi>D</mml:mi><mml:mrow><mml:mi>s</mml:mi><mml:mi>a</mml:mi><mml:mi>m</mml:mi><mml:mi>p</mml:mi><mml:mi>l</mml:mi><mml:mi>e</mml:mi></mml:mrow></mml:msub><mml:mo>-</mml:mo><mml:mi>O</mml:mi><mml:msub><mml:mi>D</mml:mi><mml:mrow><mml:mi>N</mml:mi><mml:mi>C</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfenced><mml:mo>/</mml:mo><mml:mfenced><mml:mrow><mml:mi>O</mml:mi><mml:msub><mml:mi>D</mml:mi><mml:mrow><mml:mi>P</mml:mi><mml:mi>C</mml:mi></mml:mrow></mml:msub><mml:mo>-</mml:mo><mml:mi>O</mml:mi><mml:msub><mml:mi>D</mml:mi><mml:mrow><mml:mi>N</mml:mi><mml:mi>C</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfenced><mml:mo>&#x00D7;</mml:mo><mml:mn>100</mml:mn></mml:mrow></mml:math></disp-formula>
</sec>
<sec id="sec22">
<label>3.9.</label>
<title><italic>In vivo</italic> activity evaluation</title>
<p>The experiment was conducted using female Kunming mice (6&#x2009;weeks old). <italic>Salmonella</italic> was injected intraperitoneally into mice at a dose of about 1&#x2009;&#x00D7;&#x2009;10<sup>6</sup>&#x2009;CFU per animal (<xref ref-type="bibr" rid="ref30">Zhi et al., 2016</xref>). Three times a day for 3 days, mice received subcutaneous injections of CS-SS-LF micelles, LF, CS, or PBS (10&#x2009;mg/kg of CS-SS-LF micelles, n&#x2009;=&#x2009;5). An aseptic procedure was used to remove the liver, spleen, and kidneys from the mice, which were homogenized with sterile saline solution in a final volume of 1&#x2009;mL. By plating serial dilutions of the cultures onto TSB agar, CFUs were counted.</p>
</sec>
<sec id="sec23">
<label>3.10.</label>
<title>Statistical analysis</title>
<p>Plots and statistical analyses were carried out using the software GraphPad Prism 7.01. Experimental data were expressed as mean&#x2009;&#x00B1;&#x2009;standard deviation (SD).</p>
</sec>
</sec>
<sec id="sec24" sec-type="conclusions">
<label>4.</label>
<title>Conclusion</title>
<p>In this study, a H<sub>2</sub>S-responsive amphiphilic chitosan and levofloxacin conjugate (CS-SS-LF), which can self-assemble to micelles was successfully developed. The desirable H<sub>2</sub>S-sensitivity of CS-SS-LF micelles were verified <italic>via in vitro</italic> drug release study in the presence of Na<sub>2</sub>S. Furthermore, the CS-SS-LF micelles showed stronger capacity of biofilm eradication and decreased organ bacterial counts in mice. As an novel antibiotic delivery vehicles, CS-SS-LF micelles are a viable approach for targeting bacteria and releasing antibiotics upon exposure to the infection microenvironment, thus triggering the release of antibiotics. Accordingly, our presented H<sub>2</sub>S-responsive strategy not only provides a robust way to solve the contradiction of simultaneous transport and premature catabolism of the traditional drug system but also offers an opportunity for utilizing infection microenvironment as a trigger to develop on-demand antibacterial agents.</p>
</sec>
<sec id="sec25" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="sec30">Supplementary material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="sec26">
<title>Ethics statement</title>
<p>This study was performed with the approval of the Experimental Animal Manage Committee (EAMC) of Weifang Medical University. Animals were treated as the guidelines of EAMC.</p>
</sec>
<sec id="sec27">
<title>Author contributions</title>
<p>CL and YX conceived the experiments and wrote and revised the manuscript. CL, WL, XQ, SL, CN, and JG carried out the experiments and performed data analysis. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec28" sec-type="funding-information">
<title>Funding</title>
<p>This research was funded by the Natural Science Foundation of Shandong Province (Grant No. ZR2021QC178).</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<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 id="sec100" sec-type="disclaimer">
<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>
</body>
<back>
<ack>
<p>We are very grateful to Natural Science Foundation of Shandong Province for supported this study.</p>
</ack>
<sec id="sec30" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2022.1088153/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmicb.2022.1088153/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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