Cu-doped bioactive glass with enhanced in vitro bioactivity and antibacterial properties

This work aimed to optimize, produce and characterize Cu-doped bioactive glasses which are antibacterial without the addition of antibiotics obtained via ion exchange in an aqueous solution. According to morphological, compositional and structural analyses, 0.001 M was selected as the most optimal concentration of the ion exchange solution. The doped glass was then compared to the undoped one to investigate the effect of Cu-doping on the glass surface composition and bioactivity. Cu-doping was found to enhance the bioactivity kinetics and the following hydroxyapatite formation, evidenced by X-ray diffraction, energy dispersive X-ray spectroscopy, and zeta potential measurements. Besides that, the zeta potential titration measurements confirmed that the Cudoping did not alter the surface chemical stability of the glass both in the inflammatory and physiological pH range. Moreover, the leaching ability of Cu2+-ions, both in physiological and inflammatory-mimicking conditions, was measured, followed by an in-depth study of the antibacterial properties, using two protocols to distinguish between the antiadhesive, antibacterial, and antibiofilm effects. For both protocols, a reduction of metabolic activity and Colony-Forming Unit after 24 h against Staphylococcus aureus Multi-Drug resistance strain was evidenced. These results showed that Cu-doped glass could show potential as a bioactive and antibacterial surface for bone surgery applications.