Antifungal Dermal Templates for Wound Healing

NIH RePORTER · NIH · R43 · $300,000 · view on reporter.nih.gov ↗

Abstract

The goal of this Phase I SBIR is to investigate the antifungal properties of G4Derm against the complex problem of interkingdom polymicrobial infections in non-healing wounds, utilizing a step-wise approach. Problem to be solved and its magnitude. Non-healing wounds pose a great threat to the public health and burden to the economy. In the United States alone, chronic wounds affect 6-8 million patients and result in an excess of >$25 billion annual health care expenses 1,2. The majority of these costs are related to the treatment of infected DFUs 1. The complexity of the polymicrobial wound bioburden, often harboring multi-drug resistant organisms (MDROs), including pathogenic fungi, further contributes to the chronicity of the wounds and recalcitrance to treatment 3–5. Therefore, there is an urgent need for new antimicrobial approaches that present broad-spectrum activity against both bacteria and fungi to effectively treat chronic wounds. Gap in knowledge the technology will fill. In patients with infected chronic wounds, such as DFUs, effective management of wound bioburden is crucial to prevent severe complications including amputation. Fungal infection is a neglected aspect of chronic wound management, and emerging studies have begun to highlight the need to eliminate both bacterial and fungal pathogens 4. Standard of care does not include antifungal treatment, and pathogens are increasingly developing resistance to conventional antifungals, especially in diabetic patients 6–9. Moreover, solely targeting bacteria in mixed communities results in increased fungal diversity and expansion 10. Additionally, while many antimicrobials are available as wound dressing materials targeting bacteria, they can be toxic to tissue regeneration . For example, antimicrobial hydrogels can clear several strains of bacteria but lack the ability to facilitate host cell proliferation . On the contrary, 20–22 23,24,25 bioengineered skin substitutes promote better tissue regeneration but have numerous challenges such as high costs, limited shelf life, difficult administration, uncontrolled degradation in protease-rich wound environments, and most importantly, device failure due to pathogenic colonization 26,27 because several bacterial and fungal pathogens have an affinity for, and bind to collagen 28–30,31 , thus reserving these expensive products until wound sterility is achieved. Therefore, there is an unmet clinical need for an early, safe, and effective treatment of infected chronic wounds (namely DFUs) that eliminates interkingdom polymicrobial infection and, at the same time, induces wound closure and tissue regeneration. Solution: We propose here a novel self-assembling tissue scaffolding matrix, G4Derm, to (i) prevent/eliminate colonization of infectious pathogens through a unique mechanism of action that is broad spectrum antibacterial and antifungal, and (ii) promote wound closure and tissue regeneration by providing cell attachment sites within the scaf...

Key facts

NIH application ID
10081001
Project number
1R43AI155199-01
Recipient
GEL4MED, INC.
Principal Investigator
Manav Mehta
Activity code
R43
Funding institute
NIH
Fiscal year
2020
Award amount
$300,000
Award type
1
Project period
2020-08-14 → 2023-07-31