La connaissance et la maîtrise de la présence d’un biofilm représentent aujourd’hui un challenge important. Dans le contexte d’étude des capacités de développement des biofilms, BioFilm Control fait figure de pionnier grâce à leur test nommé Biofilm Ring Test. Basé sur une sollicitation du biofilm via l’attraction, par un aimant, de microbilles magnétiques au centre du puits, le test évalue la présence de biofilm par l’absence de regroupement des billes au centre du puits à un instant donné. L’enjeu de ce travail est de décliner le BioFilm Ring Test® en un examen dynamique, non destructif et à l’échelle microscopique. Dans le biofilm, la matrice polymérique assure la cohésion entre cellules et confère une protection aux bactéries qui vivent au sein du biofilm. Les propriétés mécaniques de la matrice sont donc un indicateur de l’état local du biofilm. La recherche de ces paramètres permet de pouvoir prédire et contrôler la formation, l’accumulation et la dissémination de bactéries propageant les infections et/ou l’encrassement. Néanmoins, la détermination des propriétés mécaniques des biofilms nécessite des précautions et l’usage d’un vocabulaire homogénéisé et de méthodes unifiées au sein de la communauté. Pour cela, une première partie de ce travail de thèse consiste en la proposition d’un guide de bonnes pratiques quant à la caractérisation mécanique du matériau biofilm. Dans la deuxième partie de ce travail de thèse, une méthodologie pour le suivi de particules micrométriques au sein d’un matériau vivant est développée. Le recours à des techniques d’imagerie telle que la corrélation d’images numériques permet de remonter à la cinématique du mouvement de chacune des microbilles, qui servent de marqueurs au sein des images traitées, par une mesure sans contact. Cette méthode est ensuite appliquée à l’étude de la formation de biofilm. L’originalité de ce travail repose sur la caractérisation de l’évolution de la typologie du mouvement des microbilles métalliques lors de la formation des biofilms. Il s’agit là de discriminer des comportements de billes révélateurs de la genèse d’un biofilm. En tirant parti de l’observation du mouvement de microbilles inertes introduites dans le milieu bactérien, on détecte des changements de typologies de trajectoires qui semblent être reliés à l’activité de bactéries sessiles, adhésion ou formation de matériel extracellulaire. Les résultats montrent que les diverses étapes de la formation de biofilms sont caractérisées, ce qui permet notamment de discriminer la présence ou non d’antibiotiques mélangés avec les bactéries et d’apprécier leur efficacité. Dans une dernière partie, des recherches encore en phase de développement sont exposées. Elles s’intéressent au comportement du biofilm sous sollicitation volumique. Il s’agit dans ce cas d’observer le biofilm en champ lointain et de suivre le déplacement ou la déformation d’un marquage constitué d’un agglomérat de microbilles, plongées dans un champ magnétique. Ces premiers travaux pourront servir d’ébauche à des travaux futurs dans le but de caractériser quantitativement le matériau biofilm. / The control of biofilm formation constitutes an important challenge in many industrial and biomedical applications. In this context, BioFilm Control is a pioneer thanks to its test named BioFilm Ring Test. Based on the immobilisation of magnetic microbeads by adherent cells, the assay allows to detect the presence of biofilm at a given time. The aim of this phD project is to translate the BioFilm Ring Test® into a dynamic, non-destructive and microscopic examination of the biofilm state. Whithin the biofilm, the matrix provides a strong cohesion between cells and therefore increases their resistance against chemical or mechanical stress in comparison to their planktonic counterparts. The mechanical properties of the matrix are therefore an indicator of the local state of the biofilm. The search for these parameters makes it possible to predict and control the formation, accumulation and spread of bacteria that propagate infections and/or biofouling. Nevertheless, the determination of the mechanical properties of biofilms requires precautions and the use of an homogenized vocabulary and methods that are unified within the community. To this end, a first part of this thesis work consists in proposing a guide of good practices for the mechanical characterization of biofilm material. In the second part of this work, a methodology for tracking of micrometric particles within a living material is developed. The use of full field measurement method such as digital image correlation makes it possible to trace the kinematics of the motion of each particle, which is a probe of the local environment. This method is then applied to the study of the biofilm formation, by non-contact measurement. The originality of this work is based on the characterization of the change in the microbeads movement during the biofilm formation steps. The aim is to discriminate bead behaviours that reveal the genesis of a biofilm. By taking advantage of the observation of the movement of inert microbeads embedded into the bacterial environment, we detect changes of type of trajectories which seem to be correlated to the activity of sessiles bacteria, adhesion or formation of extracellular material. The results show that the various stages of the biofilm formation are characterized by a non-destructive test. Especially, It allows to appreciate the efficiency of an antibiotic. In the last part, research still in a development phase is presented. It concerns the behaviour of biofilm under mechanical solicitation. This involves observing the biofilm in the far field and following the displacement or deformation of a pattern consisting of an agglomerate of microbeads immersed in a magnetic field. This initial work can be used as a draft for future work to quantitatively characterize the biofilm material.

Les infections bactériennes lorsqu’elles se développent à partir d’implants sont très difficiles à traiter, l’issue courante étant un retrait pur et simple de l’implant incriminé. Dans ce cadre, les revêtements des biomatériaux ont un rôle important à jouer pour, d’une part, prévenir l’adhésion bactérienne et d’autre part, éliminer les bactéries présentes. Ces revêtements antibactériens doivent par ailleurs permettre une intégration tissulaire des biomatériaux aux cellules rencontrées sur le site de l’implantation. Dans ce travail une nouvelle famille de revêtements antibactériens a été développée. Ils contiennent et libèrent de manière contrôlée un agent bioactif. Ils sont constitués de multicouches de polymère plasma d'anhydride maléique déposées à la surface de fibres de polypropylène tressées et constituant le matériau à implanter. Entre chaque dépôt de polymère plasma (agissant comme couche barrière), des nanoparticules d'argent sont piégées formant ainsi des réservoirs d’agent antibactérien. En raison des différences de propriétés mécaniques entre les films minces plasma et le substrat massique élastique (i.e. tissu de fibre de polypropylène), la résistance à la traction génère des fissures dans les couches polymère plasma, qui sont utilisées comme canaux de diffusion pour les substances bioactives (dans notre cas les ions argent). Avant étirement, la libération spontanée des ions argent par simple diffusion aux travers des couches barrières peut être contrôlée en jouant sur le taux de réticulation des couches plasma. Au cours de l'étirement, le contrôle réversible de l'ouverture des fissures permet une libération maîtrisée des ions argent. Dans le domaine des textiles et d'autres biomatériaux souples, cette stratégie est prometteuse en raison des contraintes mécaniques qui se produisent naturellement sur le site de l'implantation.L'impact de différents types de procédures de stérilisation couramment utilisés (autoclave et irradiation par faisceau d’électrons) sur les propriétés du matériau développé a également été étudié. En particulier, l’incidence sur la chimie de surface, la dispersion des nanoparticules d'argent et la formation de fissures sous étirement a été regardée. La méthode de stérilisation par faisceau d’électrons permet de conserver les propriétés finales recherchées. Enfin, les propriétés antibactériennes du nouveau matériau ont été étudiées. L'effet du relargage des ions argent sur des bactéries Escherichia coli planctoniques, l'adhésion bactérienne et la formation de biofilm sur le système étiré et non-étiré a été évalué. L’intégrité membranaire des bactéries adhérées et des bactéries dans les biofilms a été suivie au cours de l'étude comme indicateur de l’état physiologique des bactéries. Les résultats ont suggéré que la sensibilité des bactéries aux concentrations faibles d'ions d'argent libérés aboutit à la formation de différents types de structures de biofilms sur les matériaux étudiés. L’ensemble des résultats obtenus donne une base solide pour le développement de matériaux intelligents capables de contrôler la libération du principe actif sur le site de l'infection. Nos résultats montrent qu’une faible dose d’argent peut suffire à contrôler l’infection en agissant sur la structure des biofilms formés. / Despite strict operative procedures to minimize microbial contaminations, bacterial infection of implants significantly raises postoperative complications of surgical procedures. One of the promising approaches is to adjust and control antimicrobial properties of the implant surface. New types of antibacterial coatings prepared via plasma polymer functionalization step have been developed. These coatings contain and release in a control way a bioactive agent. Controlled release was achieved by the fabrication of plasma polymer multilayer systems, which consist of two layers of Maleic Anhydride Plasma Polymer deposited on the surface of Polypropylene made surgical mesh. In between plasma polymer layers, silver nanoparticles are trapped as an antibacterial agent reservoir. Owing to differences between mechanical properties of the plasma-polymer thin films and the elastic bulk substrates, tensile strengths generate cracks within the plasma polymer, which might be used as diffusive channels for bioactive substances, here silver ions. The cracks can be controlled mechanically in a reversible way. The tailoring of the spontaneous release of bioactive agent is achieved by the modification of the second plasma polymer deposition conditions. In addition, during mechanical stimulation of the designed material, control over silver ion release is achieved through an elongation-dependent releasing process allowed by the reversible control of the cracks. In the field of textiles and other soft biomaterials, this strategy is promising due to the mechanical stresses that naturally occur at the implant location. In regard of possible application of the developed system as a future biomaterial, the impact of different types of commonly used sterilization procedures on the properties of developed material was studied. The effects of autoclaving and electron beam sterilization methods on the surface chemistry, the dispersion of embedded silver nanoparticles in the plasma polymer and the cracks formation of the developed material was verified. Results showed the compatibility of the developed system with electron beam sterilization method. The antibacterial properties of the new material have been evaluated. The effect of developed system on planktonic bacteria, bacterial adhesion and biofilm formation on stretched and unstretched system was studied. The membrane integrity of the adhered bacteria and bacteria in biofilms was followed during the study as an indicator of the physiologic state of bacteria. Results suggested that the sensitivity of bacteria to low concentrations of released silver ions resulted in the formation of different types of structures of the biofilms on the studied materials. The results give a strong base on the future of intelligent, silver containing materials that control the release at the site of infection. Our results show that low doses of silver may be sufficient to control infection by acting on the structure of bacterial biofilms.

This study investigated the impact of customary fluoride based mouthrinses on the ultrastructure and the functional properties of the in situ pellicle, considering the prevention of erosion (8 volunteers) and initial biofilm formation (12 volunteers). Bovine enamel slabs were carried intraorally. After 1 min of pellicle formation, the subjects rinsed with elmex Kariesschutz (A), Dontodent Med Care (B), meridol (C) or elmex Zahnschmelzschutz Professional (D) for 1 min. In situ pellicle formation was continued up to 30 min/8 h before processing the slabs in vitro. Erosion was simulated by incubating the specimens in HCl (pH 3.0, 2.3, 2.0) for 120 s, measuring the kinetics of calcium/phosphate release photometrically; representative samples were evaluated by TEM and EDX. Bacterial adhesion was visualized fluorescence microscopically (DAPI/BacLight). Native enamel slabs or physiological pellicle samples served as controls. All investigated mouthrinses enhanced the erosion preventive pellicle effect in dependence of the pH-value. A significant decrease of Ca/P release at all pH values was achieved after rinsing with D; TEM/EDX confirmed ultrastructural pellicle modifications. All mouthrinses tendentially reduced bacterial adherence, however not significantly. The mouthrinse containing NaF/AmF/SnCl2 (D) offers an effective oral hygiene supplement to prevent caries and erosion.

The issue of prosthetic infection leading to implant failure due to the formation of bacterial biofilms on biomaterial surfaces has been widely recognized as a major issue, often leading to revision surgery. The growing number of patients requiring synthetic biomaterials as implants is on the rise and so is the risk of infection arising from pre/peri-/post-operative surgical procedures. Traditional antibiotic treatment has led to the emergence of bacterial drug resistance. Therefore, the development of novel bactericidal methods to combat drug resistant microbial pathogens is the need of the hour. The first part of the thesis is an attempt to address prosthetic infection by the development of novel ultrasmall gold nanoparticles (AuNPs) which are cytocompatible and present a therapeutic dosage window for eliciting antimicrobial property. Towards this end, ultrasmall AuNPs with 0.8 nm and 1.4 nm gold core sizes, stabilized by monosulphonated triphenylphosphine ligand shells were synthesized. Such intricately designed AuNPs with ultrasmall gold cores and phosphine-based ligand chemistry were demonstrated to be highly potent bactericidal agents against staphylococci, the most common human pathogen causing biomaterial associated infection. The antibacterial efficacy of these AuNPs was significant even in mature staphylococcal biofilms. In another study, the application of high strength pulse magnetic fields (1-4 Tesla) was examined for bacterial growth inactivation in vitro. A magnetic field strength dependent decrease in bacterial viability with a concomitant increase in the production of reactive oxygen species (ROS) and longer doubling times were recorded. The mechanism of action was explained through an analytical model which involves ion-transport interference of essential ions like Ca2+ and Mg2+ and disruption of FeS clusters leading to inactivation of bacterial redox enzymes. On the contrary, such high magnetic fields did not pose any detrimental effects to eukaryotic cells under similar exposure. Additionally, the potency of low intensity direct current electric field (DC EF: 1V/cm) against biofilm formation by methicillin resistant Staphylococcus aureus (MRSA) was explored on antimicrobial surfaces of hydroxyapatite and Zinc oxide (HA-xZnO; x = 0, 5, 7.5 and 10 wt%). An EF exposure time dependent decline in the viability and stability of MRSA biofilms were noted. Further, EF treatment resulted in bacterial membrane depolarization and reduced biofilm formation on HA-ZnO composites, independent of the substrate composition. In summary, the above three studies were cases of the developmental methods to address prothetic infection. The second part of the thesis is focused on the development of magneto-responsive biomaterials as implants for orthopaedic applications. Under this category, the sintering/ hot pressing of hydroxyapatite-magnetite (HA-xFe3O4; x = 0, 5, 10, 20 and 40 wt%) powders in oxidizing and inert atmospheres was carried out and the resulting phases and microstructure were characterized. A detailed analysis of the phase assemblage by Rietveld refinement of the X-ray diffraction (XRD) data and Mössbauer spectroscopy revealed the major retention of Fe3O4 along with wustite (FeO) formation under reducing conditions while hematite (α-Fe2O3) was the oxidized product of conventional sintering in ambient atmosphere. A good correlation between the unit cell volume increases in HA observed from Rietveld refinements and Fe incorporation into the apatite lattice from Mössbauer spectral parameters was evident. Further, the Mössbauer data analysis indicated a preferential occupancy of Fe at the Ca(1) site under oxidizing conditions and Ca(2) site in inert atmosphere. The above phase analyses were further confirmed by X-ray photoelectron spectroscopy (XPS), Infrared spectroscopy (FT-IR) and CHN analysis. The microstructure of the hot-pressed samples observed under transmission electron microscope (TEM) divulged similar phases as deduced from XRD as well as the formation of translational Moire fringe patterns due to inference of overlapping crystal planes of HA and Fe3O4 in the HA-40 wt% composite. Such translational Moire fringes suggest a preferred arrangement and orientation of the crystallites resulting from hot-pressing, which correlated well with the room temperature magnetic measurements made with the help of a vibrating sample magnetometer (VSM). The compositional similarity of Fe doping in HA to that of the tooth enamel and bone presents these HA-Fe3O4 composites as potent dental/ orthopaedic implant materials. In the conclusive study, the hot-pressed HA-xFe3O4 composites were tested for their efficacy in supporting the osteogenesis of human mesenchymal stem cells (hMSCs) assisted by intermittent static magnetic field exposure. The magneto-responsive substrates were applied as platforms for the culture of hMSCs and the effect of static magnetic field (SMF) exposure on the viability, proliferation and differentiation of hMSCs were elucidated. With a mild compromise in viability, SMF triggered the osteogenic differentiation of hMSCs mediated by proliferative arrest in the G0/G1 phase and elevated intracellular calcium levels. The early bone marker genes - Runx2, Col IA and ALP were significantly up regulated upon SMF exposure on pure HA and HA-Fe3O4 composites. Further, the late osteogenic markers – OCN and OPN were detected exclusively in the HA-xFe3O4 (x = 10 and 40 wt%) composites. Matrix mineralization was enhanced and CaP nodules were detected on similar SMF treated HA-Fe3O4 composites. A substrate magnetization and time dependent modulation of gene expression was recorded which corroborated well with the temporal trending of osteogenic genes during bone development. In conclusion, substrate magnetization can be applied as a tool to modulate the behavior of stem cells and direct them towards osteogenic lineage. Such a pertinent combination of substrate magnetization and external magnetic field stimulation can be applied synergistically for stem cell based bone tissue engineering applications.

This study investigated the impact of customary fluoride based mouthrinses on the ultrastructure and the functional properties of the in situ pellicle, considering the prevention of erosion (8 volunteers) and initial biofilm formation (12 volunteers). Bovine enamel slabs were carried intraorally. After 1 min of pellicle formation, the subjects rinsed with elmex Kariesschutz (A), Dontodent Med Care (B), meridol (C) or elmex Zahnschmelzschutz Professional (D) for 1 min. In situ pellicle formation was continued up to 30 min/8 h before processing the slabs in vitro. Erosion was simulated by incubating the specimens in HCl (pH 3.0, 2.3, 2.0) for 120 s, measuring the kinetics of calcium/phosphate release photometrically; representative samples were evaluated by TEM and EDX. Bacterial adhesion was visualized fluorescence microscopically (DAPI/BacLight). Native enamel slabs or physiological pellicle samples served as controls. All investigated mouthrinses enhanced the erosion preventive pellicle effect in dependence of the pH-value. A significant decrease of Ca/P release at all pH values was achieved after rinsing with D; TEM/EDX confirmed ultrastructural pellicle modifications. All mouthrinses tendentially reduced bacterial adherence, however not significantly. The mouthrinse containing NaF/AmF/SnCl2 (D) offers an effective oral hygiene supplement to prevent caries and erosion.