Strategies to Combat Antibiotic Resistance and Microbial Biofilms

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Novel Antimicrobial Agents".

Deadline for manuscript submissions: 1 May 2025 | Viewed by 3760

Special Issue Editor


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Guest Editor
1. Laboratory of Clinical Microbiology, Keizo Asami Institute (iLIKA), Federal University of Pernambuco (UFPE), Recife 50670-901, Brazil
2. Laboratory of Microbiology and Immunology, Academic Center of Vitória (CAV), Federal University of Pernambuco (UFPE), Recife 55608-680, Brazil
Interests: nanotechnology; antimicrobial resistance; drugs
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Special Issue Information

Dear Colleagues,

Infections caused by multidrug-resistant (MDR) microorganisms represent a growing threat to global public health and are one of the main problems faced worldwide, with a growing forecast for the coming decades. There are several MDR microorganisms listed as critical priorities for human health; thus, antimicrobial resistance is a pressing problem for the scientific community and the general population. Associated with the problem of multidrug resistance, bacteria and fungi may present virulence factors, such as biofilms, which consolidate an infection and hinder therapy. Biofilms are a collection of microbial cells adhered to surfaces encased in a self-produced complex matrix composed of extracellular polymeric substances, including exopolysaccharides, extracellular DNA (eDNA), and proteins. The treatment of infections caused by MDR microorganisms and biofilm producers becomes a challenge. Thus, the increasing inefficacy of current drugs for different infections is putting the achievements of modern medicine at risk. Due to the relevance and impact of these infections, researchers are constantly looking for new therapeutic approaches. Medicinal plants have been used for thousands of years in diverse traditional cultures around the world, and over the years have become increasingly popular in modern society. These plants play an important role in the prevention and treatment of human diseases, and are considered important sources for the development of new medicines. Synthetic products can also be used to prevent and treat diseases. They have well-defined structures, are manmade, and can be explored in medicinal chemistry programs for drug-planning methods based on the structure of the receptor and the structure of the ligand. There is also pharmaceutical nanotechnology, a science that proposes developing controlled drug delivery systems that can potentiate the biological activities of molecules, decrease toxicity, and maintain the plasma concentration of drugs within the therapeutic range, in addition to some drug delivery systems being biocompatible and biodegradable. Based on these findings, we invite researchers to contribute articles to this Special Issue, “Strategies to combat antibiotic resistance and microbial biofilms”.

Dr. Isabella Macário Ferro Cavalcanti
Guest Editor

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Keywords

  • antibiotic resistance
  • biofilms
  • nanotechnology
  • medicinal plants
  • synthetic

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Published Papers (3 papers)

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Research

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14 pages, 1892 KiB  
Article
In Vivo Antimicrobial Activity of Nisin Z Against S. aureus and Polyurea Pharmadendrimer PUREG4OEI48 Against P. aeruginosa from Diabetic Foot Infections
by Isa Serrano, Dalila Mil-Homens, Rita F. Pires, Vasco D. B. Bonifácio, Joana F. Guerreiro, Eva Cunha, Sofia S. Costa, Luís Tavares and Manuela Oliveira
Antibiotics 2025, 14(5), 444; https://doi.org/10.3390/antibiotics14050444 - 28 Apr 2025
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Abstract
Background/Objectives: Diabetic foot infections (DFIs) are commonly associated with frequent hospitalizations, limb amputations, and premature death due to the profile of the bacteria infecting foot ulcers. DFIs are generally colonized by a polymicrobial net of bacteria that grows in biofilms, developing an increased [...] Read more.
Background/Objectives: Diabetic foot infections (DFIs) are commonly associated with frequent hospitalizations, limb amputations, and premature death due to the profile of the bacteria infecting foot ulcers. DFIs are generally colonized by a polymicrobial net of bacteria that grows in biofilms, developing an increased antimicrobial resistance to multiple antibiotics. DFI treatment is a hurdle, and the need to develop new therapies that do not promote resistance is urgent. Therefore, the antibacterial efficacy of Nisin Z (antimicrobial peptide), a core–shell polycationic polyurea pharmadendrimer (PUREG4OEI48) (antimicrobial polymer), and amlodipine (antihypertensive drug) was evaluated against S. aureus and P. aeruginosa isolated from a DFI and previously characterized. Methods: The antibacterial activity was analyzed in vitro by determining the minimal inhibitory concentration (MIC) and in vivo in a Galleria mellonella model by assessing the larvae survival and health index. Results: The results indicate that Nisin Z exhibited antibacterial activity against S. aureus in vivo, allowing larvae full survival, and no antibacterial activity against P. aeruginosa. Nisin Z may have reduced the antibacterial effectiveness of both PUREG4OEI48 and amlodipine. PUREG4OEI48 significantly increased the survival of the larvae infected with P. aeruginosa, while amlodipine showed no activity against both bacteria in vivo. Conclusions: These findings suggest that both Nisin Z and PUREG4OEI48 could potentially be used individually as adjunct treatments for mild DFIs. However, further studies are needed to confirm these findings and assess the potential toxicity and efficacy of PUREG4OEI48 in more complex models. Full article
(This article belongs to the Special Issue Strategies to Combat Antibiotic Resistance and Microbial Biofilms)
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17 pages, 3647 KiB  
Article
Effectiveness of a Novel Liposomal Methylglyoxal–Tobramycin Formulation in Reducing Biofilm Formation and Bacterial Adhesion
by Wed Alluhaim, Manal M. Alkhulaifi, Raghad R. Alzahrani, Bahauddeen M. Alrfaei, Alaa Eldeen B. Yassin, Majed F. Alghoribi, Ahlam M. Alsaadi, Ahmed I. Al-Asmari, Ahmed J. Al-Fahad, Rizwan Ali, Naif M. Alhawiti and Majed A. Halwani
Antibiotics 2025, 14(1), 3; https://doi.org/10.3390/antibiotics14010003 - 24 Dec 2024
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Abstract
Background: The emergence of multidrug-resistant bacteria presents a significant global health threat. Liposomal antibiotics have shown a potential to improve antibiotic delivery and efficacy. This study aimed to develop liposomes encapsulating tobramycin (TOB) and methylglyoxal (MGO) to enhance TOB activity while reducing bacterial [...] Read more.
Background: The emergence of multidrug-resistant bacteria presents a significant global health threat. Liposomal antibiotics have shown a potential to improve antibiotic delivery and efficacy. This study aimed to develop liposomes encapsulating tobramycin (TOB) and methylglyoxal (MGO) to enhance TOB activity while reducing bacterial adhesion and biofilm formation. Methods: Clinical isolates of Pseudomonas aeruginosa and Klebsiella pneumoniae were characterized using whole-genome sequencing. Liposomes (Lip-MGO-TOB) were formulated using Manuka honey as a surfactant and loaded with MGO and TOB. Antibacterial activity, biofilm formation, and bacterial cell adhesion assays were performed to compare the efficacy of Lip-MGO-TOB against free TOB. Liposome characterization included analyses of morphology, zeta potential, TOB encapsulation efficiency, and stability under various biological conditions. Results: The Lip-MGO-TOB formulation, at a minimum inhibitory concentration (MIC) of 32 µg/mL, reduced the biofilm formation of the P. aeruginosa isolate (PA85) by 68%. Conversely, free TOB, at a MIC of 64 µg/mL, achieved only a 21% reduction. For the K. pneumoniae isolate (KP57), Lip-MGO-TOB inhibited bacterial adhesion to A549 cells at a lower concentration (256 µg/mL) compared to free TOB (512 µg/mL). Lip-MGO-TOB demonstrated sustained drug release over 24 h under tested conditions and retained over 99% of TOB. Conclusions: The Lip-MGO-TOB formulation significantly enhanced TOB activity against resistant bacteria compared to free TOB. Additionally, it provided a stable drug delivery system with controlled drug release. Liposomal TOB represents a promising advancement in combating antibiotic resistance by improving the efficacy and delivery of conventional antibiotics. Full article
(This article belongs to the Special Issue Strategies to Combat Antibiotic Resistance and Microbial Biofilms)
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Review

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20 pages, 1105 KiB  
Review
Nanostructures for Delivery of Flavonoids with Antibacterial Potential against Klebsiella pneumoniae
by Hanne Lazla Rafael de Queiroz Macêdo, Lara Limeira de Oliveira, David Nattan de Oliveira, Karitas Farias Alves Lima, Isabella Macário Ferro Cavalcanti and Luís André de Almeida Campos
Antibiotics 2024, 13(9), 844; https://doi.org/10.3390/antibiotics13090844 - 5 Sep 2024
Cited by 3 | Viewed by 2122
Abstract
Flavonoids are secondary metabolites that exhibit remarkable biological activities, including antimicrobial properties against Klebsiella pneumoniae, a pathogen responsible for several serious nosocomial infections. However, oral administration of these compounds faces considerable challenges, such as low bioavailability and chemical instability. Thus, the encapsulation [...] Read more.
Flavonoids are secondary metabolites that exhibit remarkable biological activities, including antimicrobial properties against Klebsiella pneumoniae, a pathogen responsible for several serious nosocomial infections. However, oral administration of these compounds faces considerable challenges, such as low bioavailability and chemical instability. Thus, the encapsulation of flavonoids in nanosystems emerges as a promising strategy to mitigate these limitations, offering protection against degradation; greater solubility; and, in some cases, controlled and targeted release. Different types of nanocarriers, such as polymeric nanoparticles, liposomes, and polymeric micelles, among others, have shown potential to increase the antimicrobial efficacy of flavonoids by reducing the therapeutic dose required and minimizing side effects. In addition, advances in nanotechnology enable co-encapsulation with other therapeutic agents and the development of systems responsive to more specific stimuli, optimizing treatment. In this context, the present article provides an updated review of the literature on flavonoids and the main nanocarriers used for delivering flavonoids with antibacterial properties against Klebsiella pneumoniae. Full article
(This article belongs to the Special Issue Strategies to Combat Antibiotic Resistance and Microbial Biofilms)
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