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Keywords = antimicrobial mechanisms

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18 pages, 806 KB  
Review
Targeting Drug-Resistant Pseudomonas aeruginosa: Emerging Roles of Plant-Derived Bioactive Compounds
by Jing Feng, Dandan Liu, Wei Xiao, Peijie Fu, Juanli Cheng and Jinshui Lin
Bacteria 2026, 5(2), 35; https://doi.org/10.3390/bacteria5020035 (registering DOI) - 14 Jun 2026
Abstract
Pseudomonas aeruginosa, an opportunistic pathogen, is a major threat to hospital infection control and global public health due to its strong environmental adaptability, complex virulence systems, efficient biofilm formation capability, and widespread multidrug resistance. Traditional single-target antibiotics are often inadequate for clinical [...] Read more.
Pseudomonas aeruginosa, an opportunistic pathogen, is a major threat to hospital infection control and global public health due to its strong environmental adaptability, complex virulence systems, efficient biofilm formation capability, and widespread multidrug resistance. Traditional single-target antibiotics are often inadequate for clinical treatment. The research into Plant-Derived Bioactive Compounds for combating P. aeruginosa infections is reviewed, highlighting their advantages (many of which are extensively studied in Traditional Chinese Medicine) over conventional antibiotics. The antimicrobial mechanisms of these compounds include the inhibition of bacterial quorum sensing (QS) systems to suppress virulence factor expression rather than direct anti-bactericidal effects, delaying the development of resistance. The abundant natural medicinal plants and their diverse chemical structures provide ample material for active compound screening to identify unique chemical compositions with specific binding to pathogen targets. Plant-Derived Bioactive Compounds exhibit excellent safety profiles, targeting bacterial-specific pathways or host immune regulation, resulting in minimal off-target toxicity. Plant-Derived Bioactive Compounds exert anti-P. aeruginosa effects via inhibition of QS systems to reduce pathogenicity by disrupting intercellular signaling, suppressing biofilm formation/maturity to overcome biofilm-associated resistance, directly interacting with bacterial structure. Plant-Derived Bioactive Compounds are promising treatments for drug-resistant P. aeruginosa infections, providing lead compounds for novel anti-infective drug development. Full article
19 pages, 1891 KB  
Article
Genomic Insights and Inactivation Strategies for Lactiplantibacillus plantarum Postbiotics Production
by Mia Radović, Tomislava Grgić, Martina Banić, Katarina Butorac, Andreja Leboš Pavunc, Jagoda Šušković, Jasna Novak and Blaženka Kos
Foods 2026, 15(12), 2148; https://doi.org/10.3390/foods15122148 (registering DOI) - 14 Jun 2026
Abstract
Probiotic lactic acid bacteria are widely recognized for their health-promoting effects. However, the use of live microorganisms may pose safety concerns and stability limitations. Consequently, postbiotics, defined as inactivated microbial cells and/or their components, have emerged as a promising alternative. This study integrates [...] Read more.
Probiotic lactic acid bacteria are widely recognized for their health-promoting effects. However, the use of live microorganisms may pose safety concerns and stability limitations. Consequently, postbiotics, defined as inactivated microbial cells and/or their components, have emerged as a promising alternative. This study integrates genome-guided evaluation of probiotic potential, experimental validation of in silico predictions and process optimization for the production of inactivated Lactiplantibacillus plantarum DM1 and KK1 cells as postbiotics. Genome mining identified genes and gene clusters associated with metabolic versatility, antimicrobial activity, gastrointestinal stress tolerance, adhesion and prebiotic substrate utilization. Building on these findings, to generate postbiotics, the efficiency of thermal, enzymatic, mechanical and radiation-based inactivation methods was evaluated in bacterial suspensions prepared in three dairy by-product matrices: milk permeate, sweet whey and sour whey. Complete inactivation of both strain cells was achieved by thermal treatment (3 min pasteurization), γ-irradiation (3 kGy), and combined lysozyme–pasteurization treatment, whereas other treatments showed partial and matrix-dependent effects. Matrix composition significantly influenced treatment efficacy, suggesting a protective role of food components used. These findings highlight the importance of combining genome mining for potential probiotic strain characterization with robust, matrix-adapted inactivation strategies for the development of stable postbiotic formulations. Full article
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36 pages, 4054 KB  
Article
Multifunctional Curcumin-Inspired 3,5-Diarylidene-4-Piperidones: Design, Synthesis, Biological Evaluation and Computational Mechanistic Studies
by Angel K. Nkosi, Adel S. Girgis, Ahmed Samir, Mohamed A. Morsy, Amira M. Shaban, Walid Fayad, Ahmed A. F. Soliman, Christine T. Williams, Shogo Mori, Leena Khanna, Guido F. Verbeck and Siva S. Panda
Pharmaceuticals 2026, 19(6), 935; https://doi.org/10.3390/ph19060935 (registering DOI) - 13 Jun 2026
Abstract
Background/Objectives: Antimicrobial resistance and bacterial persistence underscore the need to develop new chemotypes with multifunctional antibacterial mechanisms. This study aimed to design, synthesize, and evaluate curcumin-inspired 3,5-diarylidene-4-piperidones as versatile small molecules exhibiting antibacterial, antibiofilm, anti-efflux, DNA gyrase-inhibitory, and antiproliferative properties. Methods: A targeted [...] Read more.
Background/Objectives: Antimicrobial resistance and bacterial persistence underscore the need to develop new chemotypes with multifunctional antibacterial mechanisms. This study aimed to design, synthesize, and evaluate curcumin-inspired 3,5-diarylidene-4-piperidones as versatile small molecules exhibiting antibacterial, antibiofilm, anti-efflux, DNA gyrase-inhibitory, and antiproliferative properties. Methods: A targeted series of triazole-conjugated 3,5-diarylidene-4-piperidones was synthesized through copper-catalyzed azide-alkyne cycloaddition click chemistry and subsequently characterized using standard spectroscopic techniques. The compounds were assessed for antibacterial activity against Staphylococcus aureus, Enterococcus faecalis, and Escherichia coli. Selected active compounds underwent further evaluation for DNA gyrase inhibition, antibiofilm activity against multidrug-resistant S. aureus ATCC 33591, ethidium bromide accumulation, and antiproliferative effects on HCT116 and MCF7 cancer cells, with RPE1 cells serving as a control to evaluate cytotoxicity in normal cells. Additionally, computational studies, including QSAR analysis and molecular docking, were conducted to bolster structure–activity relationships and provide mechanistic insights. Results: Several derivatives demonstrated selective antibacterial activity against Gram-positive bacteria, particularly S. aureus, while exhibiting limited or no efficacy against E. coli. Compounds 7n and 7l emerged as the most potent against S. aureus, with minimum inhibitory concentrations (MICs) of 7.8 and 8.2 μM, respectively. Notably, compound 7l inhibited S. aureus DNA gyrase supercoiling, displaying an IC50 of 3.20 μM, comparable to ciprofloxacin. Compound 7e exhibited the strongest antibiofilm activity against multidrug-resistant S. aureus, whereas compound 7a resulted in the highest accumulation of ethidium bromide, indicating robust anti-efflux activity. Antiproliferative assays revealed that select halogenated derivatives were effective against HCT116 and MCF7 cells, while the most promising antibacterial compounds exhibited minimal cytotoxicity toward RPE1 cells. Quantitative structure–activity relationship (QSAR) and docking studies supported the observed structure–activity relationships and suggested potential interactions with the ATPase binding site of DNA gyrase B. Conclusions: Triazole-conjugated 3,5-diarylidene-4-piperidones are promising multifunctional scaffolds with selective anti-S. aureus activity, antibiofilm and anti-efflux properties, and, for compound 7l, potent DNA gyrase inhibition. These findings support further optimization of this chemotype as a platform for developing antibacterial agents with polymechanistic activity. Full article
(This article belongs to the Special Issue Antimicrobial and Anticancer Scaffolds in Medicinal Chemistry)
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19 pages, 2993 KB  
Review
Cyclotides from Plants Driving the Next Generation of Antibacterial Agents
by Elizabete de Souza Cândido, Liryel Silva Gasparetto, Mariana Rocha Maximiano, Thuanny Borba Rios and Octávio Luiz Franco
Antibiotics 2026, 15(6), 604; https://doi.org/10.3390/antibiotics15060604 (registering DOI) - 13 Jun 2026
Abstract
Background/Objectives: Cyclotides are plant-derived macrocyclic peptides distinguished by their head-to-tail cyclized backbone and cystine knot motif, which confer remarkable stability against thermal, enzymatic, and chemical degradation. These features, combined with a compact and rigid structure, position cyclotides as promising scaffolds for future [...] Read more.
Background/Objectives: Cyclotides are plant-derived macrocyclic peptides distinguished by their head-to-tail cyclized backbone and cystine knot motif, which confer remarkable stability against thermal, enzymatic, and chemical degradation. These features, combined with a compact and rigid structure, position cyclotides as promising scaffolds for future antibacterial agents in response to the escalating threat of multidrug-resistant (MDR) pathogens and the stagnation of conventional antibiotic discovery pipelines. This review summarizes the structural features, antibacterial mechanisms, bioengineering strategies, and translational potential of cyclotides against MDR infections. Methods: A narrative review of the literature was conducted using recent original research articles and reviews on cyclotide structure, antibacterial activity, bioengineering, computational modeling, and pharmaceutical applications. Results: Cyclotides exhibit potent antimicrobial activity, primarily through membrane disruption mediated by amphipathic surfaces and affinity for anionic bacterial membranes. Some variants also demonstrate anti-virulence and antibiofilm properties, broadening their therapeutic relevance for difficult-to-treat infections. Bioengineering approaches, including epitope grafting and rational design, have improved selectivity and potency while reducing cytotoxicity. Advances in computational modeling, molecular dynamics, and artificial intelligence have accelerated the prediction and optimization of antimicrobial activity, toxicity, and pharmacokinetic properties. Conclusions: Innovations in synthesis, including recombinant expression and enzymatic ligation, are helping overcome translational barriers related to cost and scalability. Although challenges remain in oral bioavailability and systemic delivery, strategies such as lipidation and scaffold modification support the development of cyclotide-based therapeutics as adaptable platforms for peptide drug discovery. Full article
(This article belongs to the Special Issue Feature Reviews in "Antimicrobial Peptides" 2026)
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27 pages, 9415 KB  
Article
A Protocol for ZnO Nanoparticle Incorporation into Wood via Waterborne Seeding and Microwave-Assisted Growth: Effects on the Physicochemical and Mechanical Properties
by Christina Sperantza, George Vekinis, Stamatios Boyatzis, Anastasia Pournou and Eleni Makarona
Coatings 2026, 16(6), 708; https://doi.org/10.3390/coatings16060708 (registering DOI) - 13 Jun 2026
Abstract
Zinc oxide (ZnO) nanoparticles have attracted increasing attention in wood science due to their multifunctional properties, including antimicrobial activity, UV absorption, and photocatalytic behavior. Water-based deposition protocols offer clear advantages yet typically struggle with nanoparticle aggregation and limited adhesion to lignocellulosic substrates. This [...] Read more.
Zinc oxide (ZnO) nanoparticles have attracted increasing attention in wood science due to their multifunctional properties, including antimicrobial activity, UV absorption, and photocatalytic behavior. Water-based deposition protocols offer clear advantages yet typically struggle with nanoparticle aggregation and limited adhesion to lignocellulosic substrates. This work introduces a rapid and scalable waterborne protocol combining catalyst-free aqueous seeding with microwave-assisted (MWA) growth under mild conditions. Pinus pinaster veneer samples were treated via dip-coating and spraying, with single and double seeding cycles, followed by MWA growth. Protocol efficiency was assessed through ZnO retention, SEM, and EDS analysis, while the impact of the substrate was assessed via mechanical testing, ATR-FTIR spectroscopy, and colorimetry. Dip-coating achieves significantly higher precursor uptake than spraying, while repeated seeding cycles further increase ZnO loading. Results suggest that incorporation may proceed through zinc–carboxylate bonds within the wood matrix, followed by localized ZnO nanostructures development. The effective integration did not weaken the mechanical properties, while color changes were significant for dip-coated samples and noticeable for sprayed ones. Overall, this methodology provides a fast, water-based, and minimally invasive route for ZnO incorporation into wood and a scalable pathway with retained mechanical and chemical properties and limited visual impact. Full article
(This article belongs to the Special Issue Innovations in Functional Coatings for Wood Processing)
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29 pages, 1924 KB  
Review
Decoding Bacillus spp.: Antimicrobial Diversity, Biocontrol Mechanisms, and Safe Deployment in Plant Disease Management
by Sajad Ali
Plants 2026, 15(12), 1834; https://doi.org/10.3390/plants15121834 (registering DOI) - 13 Jun 2026
Abstract
Chemical agents have long been used to control plant diseases, but their effects on the environment and lack of alignment with sustainable development goals are making them gradually unsuitable. One trend in green agriculture is the use of Bacillus species for the biocontrol [...] Read more.
Chemical agents have long been used to control plant diseases, but their effects on the environment and lack of alignment with sustainable development goals are making them gradually unsuitable. One trend in green agriculture is the use of Bacillus species for the biocontrol of plant diseases. Due to their vast metabolic and genetic diversity, Bacillus spp. can contribute significantly to the soil ecosystem, while also enhancing plant resilience to biotic and abiotic stresses. Bacillus spp. are widely used in the agrobiotech industry due to their multi-functional versatility and are well-known for protecting plants from numerous plant diseases. In this review, we discussed the diversity and functions of antimicrobial compounds (AMCs) produced by Bacillus spp., along with their roles in plant growth promotion (PGP), and immunity. Furthermore, we highlighted the potential of Bacillus spp. as biopesticides in host plants, ways to enhance their biocontrol efficacy, and also addressed their possibility to cause disease in host plants. Considering the beneficial impacts of Bacillus spp. on PGP and pathogen biocontrol and their disease-causing capability, we discussed the possible solutions for a safe development of Bacillus-based biocontrol agent (BCA). Collectively, these insights can guide the selection of Bacillus strains with broad-spectrum or target-specific activity against pathogens, ensuring minimal adverse effects on the host. Full article
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15 pages, 5434 KB  
Article
Characterization and Antimicrobial Activity of PLA-Laminated PBAT/TPS Films Incorporated with Silver Nanocomposites
by Khwanchat Promhuad, Muenfun Papoompruk, Phatthranit Klinmalai and Nathdanai Harnkarnsujarit
Foods 2026, 15(12), 2132; https://doi.org/10.3390/foods15122132 (registering DOI) - 13 Jun 2026
Viewed by 57
Abstract
Multilayer packaging—engineered by integrating complementary materials such as plastics, paper, and aluminum—has become a cornerstone technology for enhancing shelf life, minimizing spoilage, and reinforcing the mechanical integrity of packaging formats including films, pouches, and bottles. In this study, a laminate was developed by [...] Read more.
Multilayer packaging—engineered by integrating complementary materials such as plastics, paper, and aluminum—has become a cornerstone technology for enhancing shelf life, minimizing spoilage, and reinforcing the mechanical integrity of packaging formats including films, pouches, and bottles. In this study, a laminate was developed by thermally bonding polylactic acid (PLA) with a poly(butylene adipate-co-terephthalate) (PBAT)/thermoplastic starch (TPS) matrix embedded with silver nanoparticles (Ag-NPs) at 0–3 wt.%. The resulting structures were systematically evaluated for their barrier performance, physicochemical characteristics, and antimicrobial functionality. Fourier-transform infrared (FTIR) spectroscopy confirmed the absence of chemical interactions between Ag-NPs and the polymer matrix, indicating physical dispersion rather than chemical bonding. However, at higher loading (3 wt.%), scanning electron microscopy with energy-dispersive X-ray spectroscopy (SEM-EDX) revealed notable nanoparticle aggregation. Functionally, the multilayer films demonstrated markedly improved water vapor barrier properties compared to single-layer PBAT/TPS films. Migration studies showed that silver release increased with nanoparticle concentration and was significantly enhanced under acidic conditions relative to distilled water. Importantly, Ag-NP-incorporated laminates exhibited pronounced antibacterial activity against Staphylococcus aureus. Collectively, these findings highlight the potential of Ag-NP-enriched, starch-based multilayer laminates as next-generation active packaging systems that combine with effective microbial control. Full article
(This article belongs to the Section Food Packaging and Preservation)
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32 pages, 2918 KB  
Review
Plant-Derived Peptide–Polymer Therapeutics for Cutaneous Infections and Inflammation: Mechanistic Basis, Delivery Design and Translational Considerations
by Adnan Amin, Mozaniel Santana de Oliveira, Touseef Nawaz and Oberdan Oliveira Ferreira
Pharmaceutics 2026, 18(6), 729; https://doi.org/10.3390/pharmaceutics18060729 (registering DOI) - 12 Jun 2026
Viewed by 240
Abstract
Cutaneous infections and chronic inflammatory wounds remain difficult to treat because antimicrobial resistance, polymicrobial biofilms, excessive protease activity, oxidative stress, and impaired barrier repair collectively reduce the effectiveness of conventional topical therapies. Plant-derived antimicrobial peptides (AMPs) and peptide-associated bioactives offer antimicrobial, antibiofilm, immunomodulatory, [...] Read more.
Cutaneous infections and chronic inflammatory wounds remain difficult to treat because antimicrobial resistance, polymicrobial biofilms, excessive protease activity, oxidative stress, and impaired barrier repair collectively reduce the effectiveness of conventional topical therapies. Plant-derived antimicrobial peptides (AMPs) and peptide-associated bioactives offer antimicrobial, antibiofilm, immunomodulatory, and tissue reparative potential; however, their clinical translation is limited by proteolytic instability, poor stratum corneum penetration, short cutaneous residence time, formulation variability, cytotoxicity risks and limited human evidence. The key research gap is the lack of an integrated translational framework linking plant-derived peptide bioactivity with polymer engineering, advanced delivery systems, skin microenvironment biology, manufacturability, and regulatory feasibility. This review aims to critically evaluate the design principles, therapeutic mechanisms, delivery platforms, and translational barriers of plant-based peptide–polymer therapeutics for cutaneous infection and inflammation. We summarize major classes of plant-derived antimicrobial peptides, including defensins, cyclotides, thionins, hevein-like peptides, snakins, lipid transfer proteins, and knottin-type scaffolds, and examine engineering strategies such as self-assembly, aromatic N-capping, PEGylation, lipidation, dendritic architectures, and stimuli-responsive conjugation. We further discuss topical matrices, nanocarriers, liposomes, electrospun fibers, and surface-tethered biomaterials as delivery platforms for improving peptide stability, local retention, and controlled release. Finally, we identify key translational bottlenecks, including selectivity, toxicity, scalability, batch reproducibility, regulatory classification, and insufficient clinical validation. Mechanism-driven peptide optimization, quality-by-design manufacturing, standardized preclinical models, and controlled clinical trials will be essential for advancing these systems toward safe and effective dermatological therapies. Full article
(This article belongs to the Section Drug Delivery and Controlled Release)
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24 pages, 3895 KB  
Review
Enamel Remineralizing Agents: State of the Art
by Elizabeta Gjorgievska, Marija Stevanovic, Aleksandar Dimkov and John W. Nicholson
Materials 2026, 19(12), 2550; https://doi.org/10.3390/ma19122550 (registering DOI) - 12 Jun 2026
Viewed by 198
Abstract
Dental caries remains the most prevalent chronic disease worldwide, yet early enamel lesions are reversible if managed with appropriate remineralizing agents. This narrative review synthesizes current evidence on remineralizing agents, their mechanisms of action, and clinical applications, with a focus on dental materials [...] Read more.
Dental caries remains the most prevalent chronic disease worldwide, yet early enamel lesions are reversible if managed with appropriate remineralizing agents. This narrative review synthesizes current evidence on remineralizing agents, their mechanisms of action, and clinical applications, with a focus on dental materials used in preventive and minimally invasive dentistry. Traditional fluoride-based approaches enhance remineralization through fluorapatite formation; however, their effectiveness is limited when calcium and phosphate bioavailability is insufficient. Biomimetic agents, including casein phosphopeptide–amorphous calcium phosphate (CPP-ACP), bioactive glasses, tricalcium phosphate, and nano-hydroxyapatite, provide these bioavailable ions and demonstrate superior performance under challenging clinical conditions. Emerging therapies such as probiotics, photodynamic therapy, and laser-assisted mineralization show promise but require further clinical validation. Based on the primary mechanism of action, an original classification of remineralizing agents is proposed, grouping them into fluoride-based agents, calcium-phosphate systems, nanotechnology-based systems, biofilm modifiers, biomimetic and emerging systems, and adjunctive antimicrobial therapies. The review concludes that bioavailable calcium represents a critical limiting factor in remineralization under certain conditions, and that combination protocols incorporating multiple remineralizing agents, tailored to individual patient risk profiles, achieve superior outcomes compared to single-agent approaches. Clinicians are encouraged to adopt minimally invasive, patient-tailored remineralization strategies that arrest lesions before cavitation, preserving natural tooth structure and reducing the lifelong restorative burden. Full article
(This article belongs to the Special Issue Recent Research in Restorative Dental Materials (2nd Edition))
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19 pages, 2427 KB  
Article
Stenotrophomonas maltophilia Complex: Genomic Characterization, Antimicrobial Resistance and First Report of S. muris from Oman
by Amira ElBaradei, Atika Al-Bimani, Suad A. H. Al-Ubaidani, Amal Al-Hinai, Zainab J. Al-Lawati and Hafidha Al-Hattali
Antibiotics 2026, 15(6), 600; https://doi.org/10.3390/antibiotics15060600 - 12 Jun 2026
Viewed by 163
Abstract
Introduction: Stenotrophomonas maltophilia (S. maltophilia) has emerged as an important opportunistic pathogen. It is resistant to most available antibiotics due to its intrinsic resistance, leaving only some antibacterial agents as possible therapeutic options, which is further complicated by acquired mechanisms [...] Read more.
Introduction: Stenotrophomonas maltophilia (S. maltophilia) has emerged as an important opportunistic pathogen. It is resistant to most available antibiotics due to its intrinsic resistance, leaving only some antibacterial agents as possible therapeutic options, which is further complicated by acquired mechanisms of antimicrobial resistance. This study aimed to provide a comprehensive genomic characterization of clinical S. maltophilia complex (Smc) isolates, focusing on molecular characterization of its resistance and virulence, since studies tackling this are scarce in Oman. Methods: This study is a prospective cross-sectional study, in which a total of 21 clinical isolates of Smc were collected from different clinical samples and further characterized using Whole Genome Sequencing. Results: Besides S. maltophilia, the isolates included S. hibiscicola, S. pavanii, and S. muris for the first time in Oman. All isolates were found to be susceptible to cefiderocol, levofloxacin, and minocycline. Sequence types (STs) were diverse among the isolates, with more than half of the isolates showing new STs with novel alleles. Additionally, blaOXA-2, sul1, and the recently described aac(6′)-Iap and aph(9)-Ic were detected among the isolates. Moreover, virulence-associated genes (smf-1, pilT, pilQ, gpmA, rmlA, spgM, stmPr1, plcN, clpP, and katE) were highly conserved across all isolates. Mobile genetic elements were detected in most of the isolates (76.20%). Conclusions: The collected isolates showed high ST diversity and showed no specific pattern in terms of antibiotic susceptibility and resistance genes. More studies are needed to establish relationships between the different members of the Smc and the different molecular resistome and virulome. Full article
(This article belongs to the Special Issue Genomic Surveillance of Antimicrobial Resistance (AMR))
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21 pages, 963 KB  
Review
Scenario-Driven Rapid Testing for Top Pathogens in Pediatric Respiratory Infections: Clinical and Economic Value from Emergency Triage to Precision Anti-Infective Management in the PICU
by Jiahui Chen, Huaying Wang, Ying Li, Yuyi Xiao, Yi Yan, Yifei Zhang and Xiaoxia Lu
Pathogens 2026, 15(6), 628; https://doi.org/10.3390/pathogens15060628 - 12 Jun 2026
Viewed by 151
Abstract
Pediatric respiratory infections remain among the leading causes of emergency department visits, hospitalization and pediatric intensive care unit (PICU) admission. Although most acute respiratory infections in children are viral, clinical manifestations overlap substantially among viral, bacterial and atypical pathogens, creating diagnostic uncertainty and [...] Read more.
Pediatric respiratory infections remain among the leading causes of emergency department visits, hospitalization and pediatric intensive care unit (PICU) admission. Although most acute respiratory infections in children are viral, clinical manifestations overlap substantially among viral, bacterial and atypical pathogens, creating diagnostic uncertainty and promoting empirical antimicrobial use. Rapid antigen tests, nucleic acid amplification tests, multiplex respiratory panels and metagenomic sequencing have expanded the ability to detect pathogens within clinically actionable timeframes. However, evidence from pediatric emergency trials indicates that rapid pathogen detection alone does not necessarily reduce antibiotic prescribing or healthcare costs. These findings suggest that the value of rapid diagnostics depends less on analytical breadth than on whether testing is applied to the right child, in the right clinical scenario and within a predefined decision pathway. This narrative review reorganizes the evidence around a scenario-driven top-pathogen framework. Top pathogens are defined as organisms that, in a specific age group, syndrome, season or care setting, have high prevalence, severe disease potential, transmissibility, treatment implications, antimicrobial resistance relevance or infection-control value. We discuss how top-pathogen testing should differ across emergency triage, inpatient ward management, severe pneumonia, PICU care, hospital-acquired pneumonia, ventilator-associated pneumonia and outbreak settings. We further examine the economic mechanisms through which rapid testing may generate value, including reduced unnecessary antibiotics, timely antiviral therapy, optimized isolation, shorter length of stay, reduced repeated testing and prevention of healthcare-associated transmission. Finally, we propose implementation principles centered on diagnostic stewardship, antimicrobial stewardship, local epidemiology and real-world cost-effectiveness evaluation. A scenario-driven top-pathogen strategy may provide a practical bridge between broad syndromic testing and precision infectious disease management in children. Full article
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19 pages, 1218 KB  
Review
Natural Photosensitizers for Light-Driven Microbial Control: Mechanistic Insights and Applications in Food Systems
by Edith Dube and Grace Emily Okuthe
Hygiene 2026, 6(2), 36; https://doi.org/10.3390/hygiene6020036 - 12 Jun 2026
Viewed by 157
Abstract
The increasing demand for safe, minimally processed, and sustainable food preservation strategies has intensified interest in light-activated antimicrobial systems derived from natural sources. This review examines the application of plant-derived photoactive compounds as functional agents that generate reactive species upon illumination, thereby facilitating [...] Read more.
The increasing demand for safe, minimally processed, and sustainable food preservation strategies has intensified interest in light-activated antimicrobial systems derived from natural sources. This review examines the application of plant-derived photoactive compounds as functional agents that generate reactive species upon illumination, thereby facilitating effective microbial inactivation. Emphasis is placed on the diversity of phytochemicals exhibiting light-responsive properties, their mechanisms of action, and the factors influencing their efficacy, including physicochemical characteristics, environmental conditions, and formulation strategies. The review further discusses the role of delivery systems in improving the stability, solubility, and bioavailability of these photoactive compounds, as well as the influence of food matrix complexity on treatment performance. Applications across a range of food systems, including fresh produce, animal-derived products, and food packaging materials, are evaluated to demonstrate their practical relevance in food preservation. In addition, current challenges are critically highlighted, including variability in plant extract composition, limited understanding of photosensitiser behaviour within complex food matrices, restricted light penetration, and challenges associated with standardisation and scalability. This work provides an overview of emerging natural photoactive systems and their potential to advance safer and environmentally sustainable food preservation technologies. Full article
(This article belongs to the Section Food Hygiene and Safety)
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40 pages, 2688 KB  
Review
Toxin-Derived Peptides as Potentials Weapons Against Cancer
by Bárbara Pinto, Joaquim Teixeira de Avelar Júnior, Edleusa Marques Lima, Lívia Ramos Santiago, Rosy Iara Maciel de Azambuja Ribeiro, Renata Toscano Simões, Cristina Moraes Junta, Rachel Carolina S. Fagundes, Ana Clara Costa Velozo, Hassan Bousbaa, Miriam Teresa Paz Lopes, Juliana Carvalho-Tavares, Elaine Maria de Souza-Fagundes and Maria Elena de Lima
Pharmaceutics 2026, 18(6), 722; https://doi.org/10.3390/pharmaceutics18060722 (registering DOI) - 11 Jun 2026
Viewed by 262
Abstract
Cancer, a longstanding global challenge, remains a leading cause of death, prompting an urgent search for effective treatments. Conventional therapies, while prevalent, often cause adverse effects due to their lack of specificity. This review explores an innovative approach, focusing on animal toxins as [...] Read more.
Cancer, a longstanding global challenge, remains a leading cause of death, prompting an urgent search for effective treatments. Conventional therapies, while prevalent, often cause adverse effects due to their lack of specificity. This review explores an innovative approach, focusing on animal toxins as a rich source of bioactive compounds which have demonstrated efficacy against cancer cells. Peptides from various species, including scorpions, snakes, bees, spiders, and frogs, show promising antiproliferative and cytotoxic effects. Emphasizing the most prevalent types of cancer, this review outlines the discovery and development stages of potential anticancer drugs derived from toxin peptides. The comprehensive overview includes in vitro and in vivo assessments of their anticancer activity and toxicity. This pioneering exploration extends to different tumors, offering valuable insights into mechanisms of action and potential therapeutic applications. The findings highlight a paradigm shift in cancer research, showcasing the potential of toxin-derived compounds for developing targeted and efficient cancer therapies with reduced side effects. Full article
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30 pages, 1609 KB  
Review
Sambucus ebulus L. Fruits: Phytochemistry, Molecular Mechanisms, and Biological Activities in Inflammation, Infection, and Cancer
by Momchil Barbolov, Stoyan Stoyanov, Mladena Radeva, Petyo Boshnakov, Galina Yaneva, Diana Ivanova and Oskan Tasinov
Foods 2026, 15(12), 2106; https://doi.org/10.3390/foods15122106 - 11 Jun 2026
Viewed by 429
Abstract
Sambucus ebulus L. (dwarf elder) is a polyphenol-rich medicinal plant with a long history of ethnopharmacological use whose biological potential remains substantially underexplored. This narrative review examines the anti-inflammatory, antimicrobial, and anti-proliferative properties of S. ebulus fruit preparations and their molecular mechanisms. Literature [...] Read more.
Sambucus ebulus L. (dwarf elder) is a polyphenol-rich medicinal plant with a long history of ethnopharmacological use whose biological potential remains substantially underexplored. This narrative review examines the anti-inflammatory, antimicrobial, and anti-proliferative properties of S. ebulus fruit preparations and their molecular mechanisms. Literature was retrieved from PubMed, Scopus, and Web of Science (no lower date limit; upper limit May 2026) using “Sambucus ebulus” and related terms combined with relevant biological and pathway keywords; studies restricted to non-fruit tissues or lacking phytochemical characterization were excluded or flagged. The fruits contain anthocyanins, flavonols, phenolic acids, proanthocyanidins, and stilbenes that collectively modulate NF-κB, MAPK, JAK/STAT, PI3K/Akt, and Nrf2 signaling. Available evidence is predominantly in vitro, with limited in vivo data, and two human intervention studies. Data support anti-inflammatory, antimicrobial, and anti-proliferative activities that appear to arise from the combined action of multiple phytochemicals. Critical limitations of available research include the absence of clinical trials, limited pharmacokinetic data, lack of standardized preparations, and insufficient formal safety characterization, all of which must be addressed before translational application can be considered. Full article
(This article belongs to the Special Issue Bioactive Compounds in Food: Sources, Health Benefits and Mechanisms)
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44 pages, 12641 KB  
Review
Ozone as a Next-Generation Sterilization Process in Tissue Engineering and Regenerative Medicine: Critically Bridging Product Stability, Safety and Clinical Translation
by Chris Manglaris, Niki Karipidou, Eleni Manolakaki, Eirini Koummati, Theodora Choli-Papadopoulou, Petros T. Koidis, Amalia Aggeli and Nikolaos Michailidis
Molecules 2026, 31(12), 2045; https://doi.org/10.3390/molecules31122045 - 11 Jun 2026
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Abstract
Tissue engineering and regenerative medicine (TERM) rely on advanced biomaterials and scaffolds that require strict sterilization without sacrificing their structural and functional properties. Conventional sterilization methods, including steam, ethylene oxide, and gamma irradiation, often compromise scaffold integrity, alter surface chemistry and/or leave toxic [...] Read more.
Tissue engineering and regenerative medicine (TERM) rely on advanced biomaterials and scaffolds that require strict sterilization without sacrificing their structural and functional properties. Conventional sterilization methods, including steam, ethylene oxide, and gamma irradiation, often compromise scaffold integrity, alter surface chemistry and/or leave toxic residues. Ozone (O3) has emerged as a promising alternative sterilant because of its strong oxidizing potential, broad-spectrum antimicrobial activity, and residue-free decomposition. Importantly, ozone sterilization can preserve—and in some cases enhance—scaffold bioactivity by maintaining cytocompatibility and favorable surface chemistries that support cell adhesion and differentiation. This review critically evaluates the role of ozone sterilization in the context of TERM applications, focusing on its physicochemical properties, disinfection kinetics, material compatibility and regulatory perspectives. Evidence from studies on polymethyl methacrylate (PMMA) scaffolds, bone implants, and hydrogel-based systems suggests that, under optimized conditions, ozone can achieve high sterilization efficacy without significant degradation of mechanical or chemical properties. However, challenges related to process validation, health and safety considerations, and scalability remain. The review highlights opportunities for integrating ozone into automated biomanufacturing workflows and identifies key research gaps to support the broader adoption of ozone sterilization in TERM applications. Full article
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