Sidra
Kanwal
a,
Umer Bin Abdul
Aziz
a,
Elisa
Quaas
b,
Katharina
Achazi
b and
Daniel
Klinger
*a
aInstitute of Pharmacy, Freie Universität Berlin, 14195 Berlin, Germany. E-mail: daniel.klinger@fu-berlin.de
bInstitute of Chemistry and Biochemistry, Freie Universität Berlin, 14195 Berlin, Germany
First published on 13th January 2025
We are facing a shortage of new antibiotics to fight against increasingly resistant bacteria. As an alternative to conventional small molecule antibiotics, antimicrobial polymers (AMPs) have great potential. These polymers contain cationic and hydrophobic groups and disrupt bacterial cell membranes through a combination of electrostatic and hydrophobic interactions. While most examples focus on ammonium-based cations, sulfonium groups are recently emerging to broaden the scope of polymeric therapeutics. Here, main-chain sulfonium polymers exhibit good antimicrobial activity. In contrast, the potential of side-chain sulfonium polymers remains less explored with structure–activity relationships still being limited. To address this limitation, we thoroughly investigated key factors influencing antimicrobial activity in side-chain sulfonium-based AMPs. For this, we combined sulfonium cations with different hydrophobic (aliphatic/aromatic) and hydrophilic polyethylene glycol (PEG) groups to create a library of polymers with comparable chain lengths. For all compositions, we additionally examined the position of cationic and hydrophobic groups on the polymer backbone, i.e., we systematically compared same center and different center structures. Bactericidal tests against Gram-positive and Gram-negative bacteria suggest that same center polymers are more active than different center polymers of similar clogP. Ultimately, sulfonium-based AMPs show superior bactericidal activity and selectivity when compared to their quaternary ammonium cationic analogues.
Despite these advantages, combining cationic and hydrophobic features in a polymer or peptide can cause toxicity in human cells as well, e.g., through hemolysis.16 Thus, the development of new AMPs requires a careful balance between maximized bactericidal activity and minimized systemic toxicity. This key challenge is addressed through adjusting the type, ratio, and spatial arrangement of these groups in the polymer chain.13 Such adjustments are easily performed in synthetic polymers due to the advancement of controlled polymerization methods that give access to well-defined random copolymers with tunable structures and compositions. In contrast to sequence-defined peptides that face high manufacturing costs, low stability due to proteolysis, and poor bioavailability, the production of AMPs is more cost-effective, scalable, and customizable.17
In such polymers, early optimization attempts focused on binary systems, where the ratio of randomly distributed cationic and hydrophobic groups was examined.18 By including neutral (non-ionic) hydrophilic units, the parameter room was later expanded to tertiary systems, which enabled a reduction in toxicity.19,20 Regarding structural features, diverse polymer architectures have been described.21 First, the position of the cationic, hydrophobic, and hydrophilic units on the polymer backbone was varied.17 Here, it can be distinguished between main-chain22 and side-chain23 AMPs. Second, the position of the cationic and hydrophobic groups on the polymers’ repeating units can be varied. In same center structures,24 both groups are side groups of the same monomer unit. In different center structures,25 cationic and hydrophobic moieties are each part of individual monomer units.17 Third, diverse polymer backbones26 have been examined that range from non-degradable poly(meth)acrylates16 and poly(meth)acrylamides27 to degradable aliphatic polycarbonates,28–30 polyesters,31,32 polypept(o)ides,33,34 and polyoxazolines.35 Fourth, the influence of polymer molecular weight was examined by adjusting the degree of polymerization through controlled polymerization techniques.14,36 Ultimately, the types of functional groups (hydrophobic,37 hydrophilic,20 or cationic38) can be varied. For hydrophobic and hydrophilic groups, a broad range of chemical structures have been examined. In contrast, the chemical room for the examined cations is much smaller and still mainly focuses on ammonium-based residues. The majority of available AMPs include either primary amines, quaternary ammonium salts (QAS), guanidinium-, or imidazolium groups.23,39
While such groups can successfully mimic the cations in naturally occurring HDPs, bacteria have already started to develop corresponding resistance, i.e., against QAS-based AMPs.40 The specific mechanisms can vary and remain under discussion. An important suggested pathway is based on the partial substitution of anionic cell surface constituents with cationic molecules.40–44 This decreases the affinity of the cell wall to AMPs. To address this reduced affinity, it is proposed to introduce other cation types into AMPs, thereby increasing their interaction with the bacterial cell membrane. Thus, exploring new cationic structures is crucial for retaining and expanding the therapeutic option of AMPs.45 In this context, trivalent sulfonium cations (SCs) are known to improve the activity of common antibiotics, e.g., vancomycin,46 and can be used as cations in amphiphilic antiseptics that exceed the antimicrobial activity of their QAS-based analogues, e.g., benzalkonium chloride (BKC) and cetylpyridinium chloride (CC).47 Thus, incorporating sulfonium cations into polymers is currently emerging as a new strategy to develop new AMPs.48 In comparison with quaternary ammonium- and phosphonium-polymers, the tertiary sulfonium analogues are more effective against bacteria.45 It is assumed that this stems from a combination of steric and electronic effects: as tertiary cations, steric hindrance for interactions with the bacterial cell wall is lower than that for quaternary ammonium and phosphonium cations. As large polarizable cations, they are more hydrophobic than their ammonium-based counterparts, which also enhances interactions with bacterial cell walls.45 While these factors suggest great potential, effective sulfonium-based AMPs are mostly realized through main-chain SC-containing polymers.25,49–52 In contrast, side-chain sulfonium-based polymers are less examined even though they show promise as AMPs.23,38 Thus, exploring the full potential of side-chain sulfonium-based antimicrobial polymers now requires systematic studies to develop structure–property relationships.
For addressing this need, we have prepared a polymer library to expand the state-of-the-art38 and systematically examine structural key parameters that influence antimicrobial activity in side-chain sulfonium-based AMPs. To be able to translate these findings into accurate structure–property relationships, we used a synthetic platform approach for accessing polymethacrylamides with the same chain lengths but different chemical compositions and structures. This was achieved by using one master batch of poly(pentafluorophenyl methacrylate) (P(PFPMA)) for a two-step post-polymerization functionalization. Here, we introduced varying combinations of pendant sulfonium cations, hydrophobic (aliphatic or aromatic), and hydrophilic (PEG) side groups. For all compositions, we additionally varied the position of cationic and hydrophobic groups on the polymer backbone, i.e., we systematically compared same center and different center structures. To benchmark the sulfonium chloride-based AMPs against established cationic AMPs, quaternary ammonium chloride-based analogues were prepared for the same center and different center polymers.
The bactericidal activity of polymers was quantified via broth dilution assays against Bacillus subtilis, Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. Relating these results to the AMPs' hemolytic and cellular toxicity gave insights into their selectivity against bacteria over human cells. For all polymers, antimicrobial activity can be quantitatively linked to the copolymer hydrophobicity (as calculated by clogP). Here, comparing AMP structures of similar hydrophobicity suggests that same center SC-polymers are more active than different center polymers. In addition, sulfonium-based AMPs show superior bactericidal activity and selectivity when compared to their quaternary ammonium-based analogues. Ultimately, additional hydrophilic polyethylene glycol (PEG) groups can shift the amphiphilic balance of the AMPs towards higher selectivity while retaining their antimicrobial activity. As a result, our findings contribute to a deeper understanding of the structural parameters that govern antimicrobial activity and selectivity in sulfonium-based side-chain AMPs. Thus, we propose that these structure–property relationships can guide the design of new polymeric antimicrobials.
For the synthesis of sulfonium-based polymers, firstly, P(PFPMA) (7 g, 0.0278 mol of PFPMA units) was reacted with 2-(methylthio)ethylamine (12.65 g, 0.1388 mol, 5.0 mol eq. w.r.t. PFPMA units) in the presence of triethylamine (14.05 g, 0.1388 mol) at 50 °C in 200 mL anhydrous DMF for 5 days. After dialyzing the reaction mixture in DMF and Milli-Q water, and consequently lyophilizing, the thioether group containing polymer, i.e., poly[(N-(2-(methylthio)ethyl)methacrylamide)] P(MTEMAA), was obtained (see the ESI† for the detailed experimental procedure). In the second step, P(MTEMAA) was reacted with various hydrophobic and hydrophilic epoxide moieties to introduce sulfonium cations in the side chain to generate the library of same center cationic sulfonium polymers. In a representative reaction, P(MTEMAA) (200 mg, 1.25 × 10−3 mol, 1 mol eq.) was dissolved in DCM and 1,2-epoxyhexane (0.721 g, 7.5 × 10−3 mol, 6.0 mol eq. to thioether groups) and trifluoroacetic acid (0.86 g, 7.5 × 10−3 mol) was added and stirred at 35 °C for 5 days. During the reaction two phases formed and the DCM phase could be decanted off afterwards. The other phase was dissolved in MeOH and precipitated twice in Et2O. The product was obtained as a slightly yellow/brown solid (see the ESI† for further purification and characterization).
For the synthesis of ammonium-based polymers in the first step, poly[(N-(2-(dimethylamino)ethyl)methacrylamide)] P(DMAEMAA) was obtained by reacting P(PFPMA) (10 g, 0.0396 mol of PFPMA units) with N,N-dimethylethylendiamine (17.45 g, 0.198 mol, 5.0 mol eq. w.r.t. PFPMA units) in the presence of triethylamine (20.04 g, 0.198 mol) at 50 °C in 200 mL anhydrous DMF for 5 days. In the second step, P(DMAEMAA) was reacted with different 1-bromo-2-hydroxyalkanes. As an example, P(DMAEMAA) (112 mg, 1.0 eq. of amine groups, 7.18 × 10−4 mol of amine groups) was dissolved in DMF (10 mL) followed by the addition of 12 equivalents (w.r.t. amines) of 1-bromo-2-butanol (1.89 g, 8.62 × 10−3 mol) and the reaction mixture was stirred at 70 °C for 10 days. For purification, the reaction mixture was dialyzed against DMF for 3 days followed by extensive dialysis against water (see the ESI† for further purification and characterization).
In a representative reaction for the synthesis of PS+-prdc, [poly(PFPMA)] (0.5 g, 1.984 × 10−3 mol of PFPMA units) was reacted with propylamine (0.078 g, 1.32 × 10−3 mol), 2-(methylthio)ethylamine (0.12 g, 1.32 × 10−3 mol), and HPA (0.099 g, 1.32 × 10−3 mol) in 10 mL DMF at 50 °C for 3 days, which resulted in the synthesis of thioether-based copolymers, P[(MTEMAA)-co-n(propyl)MAA-co-HPMAA], which was methylated further by reacting with 10 eq. of CH3I in DMF to generate PS+-prdc (see the ESI† for further experimental details and for the synthesis of PN+-Xdc).
All polymers from same and different center libraries were dialyzed against NaCl to exchange the counter ion with chloride ions for all polymers. Finally, the dialyzed aqueous solutions of polymers were run through a Sephadex G-10 column to remove low molecular weight impurities. The purified samples were then freeze dried and characterized through 1H NMR spectroscopy and GPC (see the ESI† for details).
Each experiment was conducted in quadruplicate. Data are presented as HC50 which means that the concentration of the polymer at which 50% hemolysis occurred (see the ESI† for further experimental details).
Sulfonium-based same center AMPs (PS+-X) were synthesized by first substituting all reactive ester groups in PPFPAM with 2-methylthioethylamine to give the thioether-based homopolymer, i.e., P(MTEMAA). Quantitative functionalization was demonstrated via ATR-FTIR, where the complete disappearance of the ester band and the appearance of an amide band were observed (ESI, Fig. S1†). In addition, the disappearance of all fluorine signals in 19F-NMR supported this assumption (ESI, Fig. S2†). Finally, quantitative analysis of 1H-NMR spectra revealed complete conversion of the PFP-ester groups, thus suggesting the successful formation of the thioether-containing homopolymer (ESI, Fig. S3†). Overall, the first functionalization step gave access to well-defined homopolymers with a DP and molecular weight distribution that is determined by the precursor polymer (see ESI Fig. S4† for GPC traces of P(MTEMAA) in comparison with P(PFPMA)).
In the second step, the homopolymer P(MTEMAA) was reacted with various hydrophobic epoxide moieties to simultaneously generate the cationic moieties and install hydrophobic side groups. Here, the acid-catalyzed nucleophilic attack of the thioether to the epoxide led to the formation of the tertiary sulfonium cation by ring opening of the epoxide. To adjust AMP hydrophobicity and systematically investigate the effect of hydrophobic groups, we choose three different epoxides with varying aliphatic alkyl chains, i.e., methyl (me), propyl (pr), hexyl (he), and two aromatic functional groups, i.e., benzyl ether (be), and benzyl (bz). These hydrophobic groups were selected due to their reported antimicrobial activity4,6 and gave five hydrophobic homopolymers (PS+-me, PS+-pr, PS+-he, PS+-be, and PS+-bz) that covered a range of calculated clogP from −0.37 to 21.73 (Fig. 1b and ESI, Fig. S24, Table S3,† for details of calculations). By combining two different hydrophobic groups in a 50
:
50 molar ratio, binary hydrophobic copolymers could be prepared that show clog
P values between the respective homopolymers. Thus, by the formation of PS+-me-be and PS+-me-he, a set of SC-AMPs was generated that covered a wide range of different hydrophobicities (Fig. 1b). Ultimately, the combination of a hydrophobic group with a hydrophilic PEG group (70
:
30 molar ratio) led to the formation of binary amphiphilic copolymers (PS+-me-PEG, PS+-pr-PEG, PS+-he-PEG). Here, the introduction of the additional hydrophilic group aimed to balance the influence of hydrophobic groups, thus reducing potential toxic effects.
All same center PS+-X polymers were purified by size exclusion chromatography (SEC) over a Sephadex column to remove any unreacted hydrophobic epoxides (see ESI Fig. S5†). Afterwards, the counterions of the sulfonium cations were exchanged. Since the acid-catalyzed functionalization reaction was performed with trifluoroacetic acid (TFA), the crude sulfonium polymers contained the respective TFA counterions. To ensure comparability to established AMPs with halogen counterions, we exchanged the TFA anions with chloride anions by extensive dialysis of the polymers against NaCl solution (see the ESI for details, Fig. S6†). The successful formation of all sulfonium-based homo- and copolymers was demonstrated by 1H-NMR spectroscopy. Here, quantitative peak analysis revealed a conversion of thioethers to sulfoniums that exceeded 95% for all polymers (ESI, Fig. S7–17, and Table S1†). As shown by GPC traces, the introduction of pendant hydrophobic and hydrophilic groups caused a slight increase in molecular weight from the thioether precursors to the final polymers (ESI, Fig. S18†). However, the dispersity remained similar to the precursors, thus suggesting the successful generation of well-defined sulfonium-based AMPs with different side chain compositions.
Quaternary ammonium-based polymers (PN+-X) were prepared as benchmark polymers. Thus, to ensure comparability to the sulfonium analogues, the synthesis of PN+-X started with the functionalization of the same master batch of P(PFPMA) precursor polymers. In the first step, this polymer was reacted with excess N,N-dimethylethylenediamine (DMEDA) to substitute all PFP ester groups. Hereby, the resulting amine-functionalized homopolymer P(DMAEMAA) exhibited a DP and dispersity similar to the PS+-X polymers. Quantitative functionalization was confirmed by a combination of ATR-FTIR, 19F-NMR, and 1H-NMR analyses (ESI, Fig. S1–S3†). This initial step yielded well-defined homopolymers with a molecular weight distribution determined by the precursor polymer (ESI, Fig. S19† for GPC traces of P(DMAEMAA) vs. P(PFPMA)).
In the second step, P(DMAEMAA) was further functionalized to generate the cations and introduce hydrophobic side groups in the same reaction. To ensure structural similarity to the sulfonium polymer, we attempted functionalization with the same epoxide moieties that were used for the generation of the PS+-X polymers. However, in comparison with the thioether moieties, the tertiary amines exhibit lower nucleophilicity and higher steric hindrance which hinders the opening of the epoxide ring. As a result, no quantitative conversion could be achieved even by examining various reaction conditions. As an alternative, 1-bromo-2-hydroxy alkanes were employed to functionalize P(DMAEMAA). These molecules were chosen to give quaternary ammonium polymers with functional groups that are analogous to those in the sulfonium polymers, i.e., a β-hydroxy group next to the cation (Fig. 1a). Using this strategy, we prepared two benchmark polymers that contain either a methyl (PN+-me) or propyl (PN+-pr) group attached to the β-carbon.
Purification of both QAS polymers was achieved via size exclusion chromatography over a Sephadex column (ESI, Fig. S20†). Afterwards, the bromide counterions were exchanged for chlorides via extensive dialysis against NaCl solution. Hereby, comparability to the PS+-X polymers was ensured. The successful synthesis of both quaternary ammonium control polymers is demonstrated by 1H-NMR which shows quantitative conversion of all tertiary amines (ESI, Fig. S21, S22, and Table S2†). GPC traces illustrate that sulfonium and ammonium polymers exhibit comparable molecular distributions (Fig. S23 and S24†). Here, DP and dispersity are determined by the P(PFPMA) precursor.
In the second step, the nucleophilic thioether groups of P[(MTEMAA)-co-n(alkyl)MAA-co-HPMAA] and the tertiary amine groups of P[(DMAEMAA)-co-n(alkyl)MAA-co-HPMAA] were methylated with methyl iodide to give the tertiary sulfonium and quaternary ammonium-based terpolymers, respectively (see ESI Fig. S30†). To ensure comparability to the same center polymers, the iodide counterions were exchanged for chlorides and the polymers were purified by SEC over a Sephadex column. The final AMPs were examined via1H-NMR, which demonstrated successful quantitative methylation (ESI, Fig. S31–S36†). In addition, GPC analysis revealed comparable molecular weight distributions to their same center analogues, thus demonstrating comparability (ESI, Fig. S24 and S37†).
To further examine the potential interaction between AMPs and proteins in solution, we determined the zeta potential (ζ) of all polymers. Here, a positive ζ-potential represents a net cationic charge of the polymer and thereby governs the interaction with the negatively charged bacteria.57 In DI water, all polymers exhibit positive ζ-potentials ranging from +11 to +50 mV (ESI, Fig. S39–S42†). This can be attributed to the free sulfonium and ammonium cationic groups. Notably, PEG-containing polymers possess reduced potentials when compared to their non-PEGylated counterparts. This reduction stems from the negative contribution of PEG, which can be attributed to the affinity of hydroxide ions (asymmetric adsorption of water ions).58 In comparison with these values from DI water, the ζ-potentials in the LB medium are reduced but still overall positive (Fig. S39–S42†). We suggest that this is the result of electrostatic interactions between the AMPs and negative charges of proteins in the medium. However, DLS did not reveal large aggregates in these samples. Thus, we suggest that the polymers in our library can interact with proteins but not to an extent that causes the formation of large aggregates which could hinder interactions with bacteria.
First, the antimicrobial activity of the polymer library was tested against Gram-positive and Gram-negative bacteria to determine the susceptibility of different bacterial cell walls. As representative strains for Gram-positive bacteria, we selected B. subtilis and S. aureus. As representative strains for Gram-negative bacteria, E. coli and P. aeruginosa were selected. All tested strains were non-resistant to avoid undefined and varying influences of different resistance mechanisms that can occur in resistant strains, especially in clinical isolates.59–61 Thus, focusing on non-resistant strains allows accurate comparisons that are needed to develop the required structure–property relationships. To quantitatively examine the inhibitory effect of the polymers, a standard broth micro-dilution method was conducted. Here, the optical density of the bacterial broth was measured with respect to its dependence on the polymer concentration at fixed time points. First, polymer concentrations in 2-fold dilution steps from 256 to 0.25 μg mL−1 were tested in triplicate to give a first estimate of the minimum inhibitory concentration, i.e., the lowest polymer concentration at which more than 90% bacterial growth was inhibited (MIC90). For same center polymers, additional tests were performed in smaller dilution steps in a narrower concentration range. With this, we aimed to get more detailed information about the MIC90 values (see the ESI† for experimental details).
Second, hemolytic activity of the polymers was tested against isolated fresh human erythrocytes. A standard hemoglobin release mediated assay was used to determine the influence of polymer concentration and gave access to the hemolytic concentration at which 50% hemolysis occurred (HC50) (see the ESI† for experimental details).
Finally, cell cytotoxicity of the polymers was tested on L929 and HaCat cell lines. The Cell Counting Kit-8 (CCK-8) assay was performed to test the influence of polymers on human cells and this gave access to the percentage cell viability of polymers at different concentrations (0.1–1 mg mL−1) tested (see the ESI† for experimental details).
Regarding the antimicrobial activity, we found that the same center sulfonium-based polymers were active against all tested strains. In all cases, a clear dependency on the clogP was observed. This means that MIC90 decreased with increasing polymer hydrophobicity until the best activity was reached for clog
P values between 8 and 10 (Fig. 3c–f). The most hydrophilic PS+-me showed the highest MIC90: around 24–32 μg mL−1 against B. subtilis and E. coli and around 70 μg mL−1 against S. aureus and P. aeruginosa. For all strains, the lowest MIC90 was observed for PS+-me-he polymers with a clog
P value of around 11. This corresponds to 12 μg mL−1 against B. subtilis, 20 μg mL−1 against E. Coli, 26 μg mL−1 against S. aureus and 26 μg mL−1 against P. aeruginosa. A further increase in hydrophobicity did not decrease the MIC90 value anymore. In contrast, with large hydrophobic groups, i.e., hexyl groups in PS+-he, the MIC90 increased again. In analogy to observations by other groups, we assume that this effect can be caused by the reduced aqueous solubility of the polymer. This can cause the assembly of hydrophobic groups, thus hindering their interaction with the bacterial cell membrane.21,62,63
While an increase in polymer hydrophobicity increased the antibacterial activity, it also increased the hemolytic activity. As shown in Fig. 3f, the HC50 value decreased with an increasing clogP value of the polymers. For clog
P ≥ 7, penetration of hydrophobic groups into the mammalian cell membranes causes severe hemolysis, i.e., an HC50 value below 30 μg mL−1. Thus, only same center sulfonium-based polymers with small hydrophobic side groups (me, me-be, and be) and a corresponding clog
P below 7 were suitable to prevent toxic side effects.
Regarding cell viability, only the most hydrophilic PS+-me showed 100% cell viability up to a concentration of 100 μg mL−1 (Fig. S44b†). For the other polymers, cell viability decreased with an increase in hydrophobicity (PS+-me-be, PS+-be, PS+-pr, PS+-bz, PS+-me-he, and PS+-he). However, for all polymers, cell viability was not significantly reduced in the concentration range that is needed for antimicrobial activity <100 μg mL−1. Only for PS+-he, viability was reduced to 50–60% even at 10 μg mL−1 (see Fig. S44a and b†). This trend was observed in both HaCat and L929 cell lines (see the ESI for further details, Fig. S44†).
The antibacterial activity of these polymers followed a similar trend to that for the same center polymers and the MIC90 value decreased with increasing polymer hydrophobicity. For the Gram-negative strains, a change in polymer hydrophobicity from clogP = 1.05 (PS+-prdc) to clog
P = 5.03 (PS+-hedc) decreased the MIC90 value from >256 μg mL−1 to 32 μg mL−1 against E. coli (Fig. 4e). In the case of P. aeruginosa, it decreased from >256 μg mL−1 to 64 μg mL−1 (Fig. 4f). For the Gram-positive strains, all polymers showed good activity against B. subtilis (MIC90 = 32–8 μg mL−1, see Fig. 4c), whereas none of the polymers was active against S. aureus (Fig. 4d).
Overall, the different center polymers' antimicrobial properties deviate from those of the same center polymers. To give a rough estimate of the influence of the polymer structure, we compared the MIC90 values of same center and different center polymers with similar hydrophobicity.
Here, PS+-me-be and PS+-budc both show similar hydrophobicity with a clogP value of around 2 (1.88 and 2.38, respectively). In this direct comparison, the different center polymers show less antimicrobial activity, i.e., a higher MIC90, against all tested strains. However, the reduction of polymer structure to clog
P as a descriptor can only give a rough estimate of the structural effect since it omits the specific influence of polymer–membrane interactions. Here, we assume that the longer hexyl side groups in PS+-me-he can show a stronger interaction with the hydrophobic lipids in the bilayer membranes, thus reducing the MIC90.37,64 In addition, we suggest that electronic effects also need to be taken into consideration. In the same center polymers, the sulfonium cations are accompanied by β-hydroxy groups. These substituents are known to enhance the stability of sulfonium cations.25 As a result, interactions between the same center sulfoniums and the anionic bacterial cell membrane might be enhanced in comparison with the different center polymers without β-hydroxy substituents.
The hemolytic activity of the different center polymers also increased with increasing polymer hydrophobicity. PS+-prdc and PS+-budc showed good compatibility with red blood cells with HC50 = 5000 and 4000 μg mL−1, respectively. However, for PS+-hedc, the hemolytic activity increased drastically, which corresponds to an HC50 value of 70 μg mL−1. Overall, these results show that for clogP values below 5, the different center polymers show better compatibility with red blood cells than the same center polymers of comparable hydrophobicity.
Similarly, the viability of HaCat and L929 cells decreased with increasing polymer hydrophobicity, i.e., increasing alkyl chain length (pr > bu > he). Overall, PS+-prdc showed the best compatibility e.g., 100% viability for HaCat cells, even at 1000 μg mL−1 (Fig. S46b†). For the other polymers PS+-budc and PS+-hedc, cell viability was reduced at high concentrations. However, cytotoxic effects were negligible in the concentration range that is needed for antimicrobial activity <100 μg mL−1 (Fig. S46a and b†). In comparison with the same center sulfonium polymers, the different center analogues showed a reduced cytotoxic effect (see the ESI for further details, Fig. S44 and S46†).
Thus, estimating a therapeutic potential requires weighing both effects against each other. For this, a selectivity index (SI) was used to represent the ratio of HC50 to MIC90.65 In the case of maximum values like MIC90 > 256 μg mL−1 and HC50 > 5000 μg mL−1, 256 and 5000 μg mL−1 were used for calculations, respectively. While this interpretation can introduce deviations from real values, we used the highest concentration tested as a published standard protocol,38 thus reducing these deviations to a systematic effect. In Fig. 4, we plotted the SI for the examined polymers against their clogP values. For clog
P values below 7, it can be seen that same center polymers were more selective than different center polymers of comparable hydrophobicity. In this hydrophobicity range, the higher antimicrobial activity of the same center structures can compensate for their slightly higher hemolytic activity. Above clog
P values of 7, the hemolytic toxicity dominates, and selectivity is lost.
In general, selectivity is based on differences in the composition and structure of outer membranes from bacterial and mammalian cells: While bacterial membranes have a strong negative charge due to anionic phospholipids, mammalian cell membranes are mostly made of zwitterionic phospholipids, which result in a significantly reduced net charge.17,66 Thus, cationic polymers are more prone to interacting with bacterial cells than mammalian cells. However, to exhibit antimicrobial activity, hydrophobic groups are also required to disrupt the membrane. These interactions are not selective. Thus, optimizing the SI requires balancing the cation-based selectivity with antimicrobial activity and hemolytic toxicity.
For all tested bacterial strains, the sulfonium polymers (PS+-me, PS+-pr) showed higher antimicrobial activity than their ammonium analogues (PN+-me, PN+-pr) (Fig. 6a). Importantly, the ammonium-based polymers only showed activity against B. subtilis.
Regarding the hemolytic activity of both cation types, PS+-me was less hemolytic than its ammonium counterpart, PN+-me (Fig. 6a). In contrast, PS+-he showed high hemolytic activity with an HC50 value of 50 μg mL−1. Here, its counterpart PN+-pr caused comparably low hemolytic effects even up to a concentration of 2000 μg mL−1 (Fig. 6b).
Cell viability tests showed that the ammonium polymers are generally less cytotoxic than their sulfonium counterparts (Fig. S45a and b†). Here, PN+-me was found to be the least cytotoxic polymer with 70–80% cell viability even at 1000 μg mL−1. While this demonstrates good cellular compatibility of ammonium-based polymers, their antimicrobial activity is also drastically reduced (see Fig. 6b).
In summary, these results demonstrate that the methyl-functionalized same center polymers showed a good balance between antimicrobial activity, low hemolytic toxicity, and high cell compatibility. Here, PS+-me was more selective against all tested strains in comparison with its ammonium analogue PN+-me (Fig. 6c).
In general, sulfonium polymers PS+-budc and PS+-hedc were more active against the tested strains than their corresponding ammonium analogues (PN+-budc, PN+-hedc) (Fig. 7a). Here, it is noteworthy that the ammonium polymers were active only against B. subtilis and that all different center polymers showed very low antimicrobial activity against S. aureus.
Regarding the hemolytic activity, the ammonium polymers did not show significant hemolytic activity (only 1% hemolysis is observed at 5000 μg mL−1). In particular, for the hexyl-functionalized polymers, this is in direct contrast to their sulfonium counterparts where PS+-hedc showed 50% hemolysis at a concentration of 400 μg mL−1 (Fig. 7b).
Cell viability of different center sulfonium and ammonium-based polymers decreased with increasing hydrophobicity of hydrophobic side groups (pr, bu, he). This trend was observed equally in both sulfonium and ammonium-based polymers for the first two hydrophobic side groups (pr, bu) (Fig. S46a and b†). However, for the hexyl group, PN+-hedc showed better cell compatibility up to 100 μg mL−1 in comparison with its sulfonium analogue PS+-hedc, which is cytotoxic at this particular concentration (see the ESI for further details, Fig. S46a and b†).
Overall, these results suggest that for different center polymers, the cation type has a pronounced effect on biological activity. Here, the ammonium polymers did not show any significant activity which also translates to limited selectivity. In contrast, the sulfonium polymers are still active but show less activity and selectivity than their same center counterparts.
For this, we prepared random same center copolymers where half of the sulfonium groups were functionalized with a hydrophobic alkyl chain and the other half of the sulfonium groups contained PEG oligomers (Mn = 400 g mol−1, n = 8) (see Fig. 1). These copolymers are denoted as PS+-me-PEG, PS+-pr-PEG, and PS+-he-PEG. Moreover, a control polymer (PS+-PEG) containing only PEG side chains was also prepared. All polymers were examined with respect to their antimicrobial activity and their hemolytic toxicity. To determine the influence of the neutral hydrophilic side chains, the results were compared to the respective homopolymers that contained the same hydrophobic groups but no PEG, i.e., PS+-me, PS+-pr, and PS+-he. As illustrated in Fig. 8, PEGylation increased the MIC90 against all strains. In particular, for the methyl-functionalized polymers, this led to a loss of antimicrobial activity. Here, the PEG groups outweighed the short methyl groups, thus resulting in activity that resembles the fully PEGylated control polymer, PS+-PEG, without any hydrophobic groups (see ESI Fig. S43†). However, for the propyl- and hexyl-functionalized polymers, the increase in MIC90 was less pronounced. In particular, for the propyl-containing polymers the antimicrobial activity of the PEGylated copolymers PS+-pr-PEG closely resembled the activity of the non-PEGylated homopolymer PS+-pr.
Regarding the hemolytic activity, PEGylation can lead to good cell compatibility, i.e., the PS+-PEG control without any hydrophobic groups showed only 1% hemolysis at a concentration of 7000 μg mL−1 (ESI, Fig. S43†). For all amphiphilic copolymers PS+-X-PEG, PEGylation increased the HC50 value in comparison with their homopolymer counterparts PS+-X.
Moreover, PEGylation led to an increase in cell viability too; for instance, the PS+-PEG control showed 100% cell viability even at a concentration of 1000 μg mL−1 (the highest tested concentration, ESI, Fig. S47a and b†). For all amphiphilic copolymers PS+-X-PEG, PEGylation increased the cell viability in comparison with their homopolymer counterparts PS+-X. All PS+-X-PEG polymers showed no pronounced cytotoxic effects up to 100 μg mL−1 (ESI, Fig. S47a and b†), whereas non-PEGylated counter polymers, particularly PS+-pr and PS+-he, showed clear toxicity at this concentration (see ESI Fig. S44†).
As a result, PEGylation of the propyl-functionalized polymers showed an optimal balance of retained antimicrobial activity but reduced hemolytic toxicity, i.e., an HC50 value of 1500 μg mL−1. Thus, PS+-pr-PEG combined good selectivity with reasonable MIC90 values against each tested strain. This demonstrates the successful balance between the structure of alkyl side chains and the addition of neutral hydrophilic groups.
First, we examined the influence of the polymer structure. For this, cationic sulfonium polymers with same center and different center structures were compared. For both polymer structures, different hydrophobic side groups were used to change the overall hydrophobicity of the polymers. Independent of the polymer structure (same center or different center), antimicrobial activity increased with polymer hydrophobicity, i.e., clogP. However, cytotoxicity against human cells also increased with clog
P, thus drastically reducing selectivity for polymers with clog
P > 7. For more hydrophilic polymers (clog
P < 7), a direct comparison of polymers with similar clog
P values showed that the same center polymers were more active than their different center analogues.
Second, the influence of the cation type was investigated by comparing two polymers from the same and different center libraries (PS+-me and PS+-pr) with their comparable QAC analogues (PN+-me and PN+-pr). Our findings demonstrate that sulfonium polymers show superior antimicrobial activity compared to the ammonium ones. Nevertheless, the ammonium-based polymers show slightly reduced toxicity.
Based on these tests, we established two key structure–property relationships for sulfonium-based side chain polymers: (i) same center polymers show higher selectivity than their different center analogues and (ii) sulfonium-based polymers show higher antimicrobial activity than their ammonium-based analogues but show a slightly increased hemolytic activity.
Thus, to reduce the cellular toxicity of same center sulfonium-based polymers, we introduced additional neutral hydrophilic PEG side groups into the most active polymers. We then compared the biological activity of PS+-me-PEG, PS+-pr-PEG, and PS+-he-PEG with their corresponding non-PEGylated counterparts PS+-me, PS+-pr, and PS+-he. These tests revealed that PEG moieties reduced the toxic effects of PS+-pr while retaining its antimicrobial activity. As a result, this systematic optimization based on structure–property relationships gave access to a promising candidate, i.e., PS+-pr-PEG, which showed good selectivity against all tested bacterial strains.
Overall, the development of sulfonium polymers as potential new therapeutics is still in its infancy. At this point, it was crucial to determine the general potential of these side chain sulfonium polymers as antimicrobial agents. For this, it was important to thoroughly understand the impact of structural and chemical variations on their activity, toxicity, and selectivity. Thus, in this work, we developed structure–property relationships that complement existing studies on main-chain sulfonium polymers. The resulting more fundamental understanding of this AMP class can guide the development of promising candidates for future tests and applications.
Translating these polymers to clinical applications is envisioned to be versatile. Potential applications range from parenteral administration, over topical administration in wounds, to polymer brushes or films as coatings for implants. The actual field of application depends on future studies. These would start with testing the most promising sulfonium polymers (PS+-me and PS+-pr-PEG) against resistant strains and examining the potential formation of resistance against these polymers. Here, sulfonium polymers are suggested to reduce the potential of resistance formation due to the unique properties of the sulfonium cations. Then, next steps would include testing these polymers in in vitro and in vivo infection models. In such examinations, the AMPs should then be tested against relevant antibiotic/antimicrobial benchmarks.
Footnote |
† Electronic supplementary information (ESI) available: FTIR spectra of the precursor polymer and its functionalization to thio and tert-amine containing polymers. GPC traces for the first and second functionalizations of poly(PFPMA) to synthesize cationic polymers in same center and different center libraries. 1H NMR spectra of precursor polymers and cationic polymers after functionalization. 19F NMR spectra confirming the transformation of poly(PFPMA) to thio and tert-amine containing precursor polymers. 1H NMR spectra of individual cationic polymers from each library with integration. clog![]() |
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