Improving the Management and Treatment of Diabetic Foot Infection: Challenges and Research Opportunities.

Diabetic foot infection (DFI) management requires complex multidisciplinary care pathways with off-loading, debridement and targeted antibiotic treatment central to positive clinical outcomes. Local administration of topical treatments and advanced wound dressings are often used for more superficial infections, and in combination with systemic antibiotics for more advanced infections. In practice, the choice of such topical approaches, whether alone or as adjuncts, is rarely evidence-based, and there does not appear to be a single market leader. There are several reasons for this, including a lack of clear evidence-based guidelines on their efficacy and a paucity of robust clinical trials. Nonetheless, with a growing number of people living with diabetes, preventing the progression of chronic foot infections to amputation is critical. Topical agents may increasingly play a role, especially as they have potential to limit the use of systemic antibiotics in an environment of increasing antibiotic resistance. While a number of advanced dressings are currently marketed for DFI, here we review the literature describing promising future-focused approaches for topical treatment of DFI that may overcome some of the current hurdles. Specifically, we focus on antibiotic-impregnated biomaterials, novel antimicrobial peptides and photodynamic therapy.

Surface Anchoring and Active Sites of [Mo3S13]2- Clusters as Co-Catalysts for Photocatalytic Hydrogen Evolution.

Achieving light-driven splitting of water with high efficiency remains a challenging task on the way to solar fuel exploration. In this work, to combine the advantages of heterogeneous and homogeneous photosystems, we covalently anchor noble-metal- and carbon-free thiomolybdate [Mo3S13]2- clusters onto photoactive metal oxide supports to act as molecular co-catalysts for photocatalytic water splitting. We demonstrate that strong and surface-limited binding of the [Mo3S13]2- to the oxide surfaces takes place. The attachment involves the loss of the majority of the terminal S2 2- groups, upon which Mo-O-Ti bonds with the hydroxylated TiO2 surface are established. The heterogenized [Mo3S13]2- clusters are active and stable co-catalysts for the light-driven hydrogen evolution reaction (HER) with performance close to the level of the benchmark Pt. Optimal HER rates are achieved for 2 wt % cluster loadings, which we relate to the accessibility of the TiO2 surface required for efficient hole scavenging. We further elucidate the active HER sites by applying thermal post-treatments in air and N2. Our data demonstrate the importance of the trinuclear core of the [Mo3S13]2- cluster and suggest bridging S2 2- and vacant coordination sites at the Mo centers as likely HER active sites. This work provides a prime example for the successful heterogenization of an inorganic molecular cluster as a co-catalyst for light-driven HER and gives the incentive to explore other thio(oxo)metalates.

A Study in Red: The Overlooked Role of Azo-Moieties in Polymeric Carbon Nitride Photocatalysts with Strongly Extended Optical Absorption.

The unique optical and photoredox properties of heptazine-based polymeric carbon nitride (PCN) materials make them promising semiconductors for driving various productive photocatalytic conversions. However, their typical absorption onset at ca. 430-450 nm is still far from optimum for efficient sunlight harvesting. Despite many reports of successful attempts to extend the light absorption range of PCNs, the determination of the structural features responsible for the red shift of the light absorption edge beyond 450 nm has often been obstructed by the highly disordered structure of PCNs and/or low content of the moieties responsible for changes in optical and electronic properties. In this work, we implement a high-temperature (900 °C) treatment procedure for turning the conventional melamine-derived yellow PCN into a red carbon nitride. This approach preserves the typical PCN structure but incorporates a new functionality that promotes visible light absorption. A detailed characterization of the prepared material reveals that partial heptazine fragmentation accompanied by de-ammonification leads to the formation of azo-groups in the red PCN, a chromophore moiety whose role in shifting the optical absorption edge of PCNs has been overlooked so far. These azo moieties can be activated under visible-light (470 nm) for H2 evolution even without any additional co-catalyst, but are also responsible for enhanced charge-trapping and radiative recombination, as shown by spectroscopic studies.

Exploiting a Neutral BODIPY Copolymer as an Effective Agent for Photodynamic Antimicrobial Inactivation.

We report the synthesis and photophysical properties of a neutral BODIPY photosensitizing copolymer (poly-8-(4-hydroxymethylphenyl)-4,4-difluoro-2,6-diethynyl-4-bora-3a,4a-diaza-s-indacene) containing ethynylbenzene links between the BODIPY units. The copolymer absorbs further towards the red in the UV-vis spectrum compared to the BODIPY precursor. Photolysis of the polymer produces a singlet excited state which crosses to the triplet surface in less than 300 ps. This triplet state was used to form singlet oxygen with a quantum yield of 0.34. The steps leading to population of the triplet state were studied using time-resolved spectroscopic techniques spanning the pico- to nanosecond timescales. The ability of the BODIPY polymer to generate a biocidal species for bactericidal activity in both solution- and coating-based studies was assessed. When the BODIPY copolymer was dropcast onto a surface, 4 log and 6 log reductions in colony forming units/ml representative of Gram-positive and Gram-negative bacteria, respectively, under illumination at 525 nm were observed. The potent broad-spectrum antimicrobial activity of a neutral metal-free copolymer when exposed to visible light conditions may have potential clinical applications in infection management.

1,7,9,10-Tetrasubstituted PMIs Accessible through Decarboxylative Bromination: Synthesis, Characterization, Photophysical Studies, and Hydrogen Evolution Catalysis.

In this work, we present a new synthetic strategy for fourfold-substituted perylene monoimides via tetrabrominated perylene monoanhydrides. X-ray diffraction analysis unveiled the intramolecular stacking orientation between the substituents and semicircular packing behavior. We observed the remarkable influence of the substituent on the longevity and nature of the excited state upon visible light excitation. In the presence of poly(dehydroalanine)-graft-poly(ethylene glycol) graft copolymers as solubilizing template, the chromophores are capable of sensitizing [Mo3 S13 ]2- clusters in aqueous solution for stable visible light driven hydrogen evolution over three days.

Photo-activated CO-release in the amino tungsten Fischer carbene complex, [(CO)5WC(NC4H8)Me], picosecond time resolved infrared spectroscopy, time-dependent density functional theory, and an antimicrobial study.

Picosecond time-resolved infrared spectroscopy was used to probe the photo-induced early state dynamics preceding CO loss in the Fischer carbene complex, [(CO)5WC(NC4H8)CH3]. Time-dependent density functional theory calculations were employed to help in understanding the photochemical and photophysical processes leading to CO-loss. Electrochemical initiated CO release was quantified using gas chromatography. The potential of [(CO)5WC(NC4H8)CH3], as an antimicrobial agent under irradiation conditions was studied using a Staphylococcus aureus strain.

Photochemical and electrochemical hydrogen evolution reactivity of lanthanide-functionalized polyoxotungstates.

The first example of hydrogen evolution reactivity (HER) of lanthanide-functionalized Keggin-based polyoxotungstates under photochemical and electrochemical conditions is reported. The HER activity under homogeneous, visible light-driven conditions and under heterogeneous, electrochemical conditions depends on the type of lanthanide functionalization, so that a new class of model HER catalysts for systematic reactivity studies is now accessible.

N-Benzoylbenzamidinate complexes of aluminium: highly efficient initiators for the ring-opening polymerization of ε-caprolactone.

A series of aluminium complexes supported by amidinate-based N,O-chelate ligands are synthesized and characterized. While complexes [L(Dipp)AlMe2] () and [L(Ph)AlMe2] () are prepared by treating N-benzoyl-N'-2,6-diisopropylphenylbenzamidine (L(Dipp)H) and N-benzoyl-N'-phenylbenzamidine (L(Ph)H) with a slight excess of 1 equiv. of AlMe3, complexes [(L(Dipp))2AlMe] () and [(L(Ph))3Al] () can be obtained using the ligands and AlMe3 in 2 : 1 and 3 : 1 molar ratios respectively. Complexes have been characterized by (1)H/(13)C NMR spectroscopy and elemental analysis. The molecular structures of complexes , and have also been determined by single crystal X-ray diffraction technique. , and are highly active initiators for the ring opening polymerization (ROP) of ε-caprolactone and produce polycaprolactone with very high molecular weight and narrow molecular weight distribution. These complexes are also active toward the ROP of cyclohexene oxide.