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14 pages, 2030 KB  
Article
Bacteriostatic Mechanism of the Ethyl Acetate Extract from the Root of Schisandra propinqua (Wall.) Baill. var. sinensis Oliv (Xiao Xue Teng) Against Staphylococcus aureus
by Lingyun Gu, Huifang Zhou, Qunxin Wang, Weidong Sun, Fuxin Chen, Tuo Li and Chenghua He
Vet. Sci. 2026, 13(3), 285; https://doi.org/10.3390/vetsci13030285 - 18 Mar 2026
Viewed by 346
Abstract
Background: The root of Schisandra propinqua (Wall.) Baill. var. sinensis Oliv is a traditional ethnomedicine in China; it was widely used to treat abscesses, sores, carbuncles, rheumatism, and so on. The purpose of this study was to elucidate the bacteriostatic mechanism of the [...] Read more.
Background: The root of Schisandra propinqua (Wall.) Baill. var. sinensis Oliv is a traditional ethnomedicine in China; it was widely used to treat abscesses, sores, carbuncles, rheumatism, and so on. The purpose of this study was to elucidate the bacteriostatic mechanism of the ethyl acetate extract from the root of Schisandra propinqua (Wall.) Baill. var. Sinensis Oliv (Xiao Xue Teng) against Staphylococcus aureus ATCC 25923 (S. aureus ATCC 25923). Methods: Bioactive bacteriostatic constituents in Xiao Xue Teng were identified through Hybrid Quadrupole-TOF LC/MS/MS. The minimum inhibitory concentration (MIC) of Xiao Xue Teng against S. aureus ATCC 25923 was determined using the microbroth dilution method. A time–kill curve analysis was used to evaluate the bacteriostatic effects. SDS-PAGE coupled with nano-liquid NanoLC-ESI-MS/MS, real-time PCR, and scanning electron microscopy (SEM) was used to study the bacteriostatic mechanism of Xiao Xue Teng against S. aureus ATCC 25923. Results: The MIC of Xiao Xue Teng against S. aureus ATCC 25923 was determined to be 15.625 µg/mL. The translation initiation factor (IF-2) and elongation factor (EF-Tu) were significantly decreased in S. aureus ATCC 25923 after treatment with Xiao Xue Teng, while the proteins SodA and AhpC were obviously increased. The intracellular levels of total reactive oxygen species (ROS) and hydrogen peroxide (H2O2) were significantly increased (p < 0.01) after the treatment with Xiao Xue Teng. Concurrently, the activities of SOD, CAT and GSH-Px were significantly increased (p < 0.01). Moreover, cellular swelling and shrinkage were observed using SEM. Conclusions: The bacteriostatic mechanism of Xiao Xue Teng against S. aureus ATCC 25923 was related to eliciting oxidative stress, inhibiting protein synthesis and enhancing cytoplasmic membrane permeability. Full article
(This article belongs to the Special Issue Advancements in Livestock Staphylococcus sp.)
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17 pages, 4644 KB  
Article
Synergistic Efficiency of a Novel Temperate Phage YF1204 and Amikacin Against Carbapenem-Resistant Pseudomonas aeruginosa and Its Biofilms
by Yinfeng Yang, Noura M. Bin Yahia, Yafei Pan, Zhaoxia Ran, Jing Yang, Yanhui Yang and Gang Li
Microorganisms 2026, 14(3), 549; https://doi.org/10.3390/microorganisms14030549 - 27 Feb 2026
Viewed by 617
Abstract
Infections caused by carbapenem-resistant Pseudomonas aeruginosa (CRPA), especially chronic infections associated with biofilm formation, have become a major clinical challenge. Phage therapy has received much attention as an alternative strategy, but temperate phages have limited direct application due to their lysogenicity. The aim [...] Read more.
Infections caused by carbapenem-resistant Pseudomonas aeruginosa (CRPA), especially chronic infections associated with biofilm formation, have become a major clinical challenge. Phage therapy has received much attention as an alternative strategy, but temperate phages have limited direct application due to their lysogenicity. The aim of this study was to explore the synergistic therapeutic effect of a novel temperate phage combined with antibiotics. A temperate Pseudomonas phage YF1204 was isolated from the patient’s bronchoalveolar lavage fluid and systematically characterized by whole-genome sequencing, transmission electron microscopy, and host range analysis. The synergistic antibacterial and anti-biofilm effects of phage with amikacin (AK) were evaluated by using the checkerboard test, a time-killing curve based on optical density (OD600) and crystal violet staining, and the cytocompatibility was analyzed by using the CCK-8 method. The results showed that phage YF1204 belonged to the Siphoviridae family and had typical temperate phage genome characteristics (containing integrase gene). It also showed lytic activity against 41.4% (87/210) of the clinical isolates, especially against carbapenem-resistant strains. When YF1204 was combined with AK, it reduced the minimum inhibitory concentration (MIC) of AK by 2- to 8-fold across all tested strains, respectively. Moreover, the inhibitory effect against CRPA was significantly enhanced (achieving suppression indexes about 80% ) and biofilm formation was inhibited with an inhibition ratio of 48.75%. Cell experiments showed that YF1204 had no significant toxicity to THP-1 cells. The combination of YF1204 and AK exhibited significant synergistic bactericidal and anti-biofilm activities, providing a novel therapeutic strategy with translational potential for CRPA-induced refractory infections. Full article
(This article belongs to the Special Issue Advanced Research on Antimicrobial Activity of Natural Products)
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16 pages, 607 KB  
Review
Investigating the Biological Effects of Plant Essential Oils on Plant-Decaying Pathogens
by Hazem S. Elshafie, Aniello Crescenzi and Ippolito Camele
Plants 2026, 15(4), 542; https://doi.org/10.3390/plants15040542 - 9 Feb 2026
Cited by 1 | Viewed by 830
Abstract
Essential oils (EOs), complex volatile compounds synthesized by plants, represent a vital class of natural products that are increasingly significant in scientific research due to their diverse biological properties and broad-spectrum medicinal applications. This study provides a comprehensive overview of EOs, commencing with [...] Read more.
Essential oils (EOs), complex volatile compounds synthesized by plants, represent a vital class of natural products that are increasingly significant in scientific research due to their diverse biological properties and broad-spectrum medicinal applications. This study provides a comprehensive overview of EOs, commencing with a historical perspective and detailing their applications. It systematically catalogs their primary botanical sources, with specific examples of the most common and important plant families, including Lamiaceae (e.g., sage, oregano, thyme), Verbenaceae (vervain), Magnoliaceae (magnolia), Rutaceae (lemon), Myrtaceae (eucalyptus) and Lauraceae (cinnamon). A key focus is their antifungal activity, including the bioactive constituents involved and their mechanisms of action, with particular emphasis on their defense against pathogenic postharvest fungi. This includes an analysis of the key bioactive constituents responsible for these bioeffects and an exploration of their possible mechanisms of action against phytopathogenic fungi, with particular emphasis on postharvest pathogens infecting several crops. The discussion further highlights the role of EOs as sustainable alternatives to synthetic fungicides for controlling plant diseases that avoid the negative ecological and public health impacts associated with conventional agrochemicals. The study addresses these objectives by describing methods for testing antimicrobial efficacy, including kill-time studies, LD50 determination, growth-curve analysis, the poisoned food technique, Spore-germination assays, and metabolic CO2 measurement. The current review also highlights some recent studies reviewing the in vitro and in vivo antifungal performance of specific EOs against postharvest diseases. Full article
(This article belongs to the Special Issue Plant Essential Oil with Biological Activity: 3nd Edition)
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16 pages, 833 KB  
Article
In Vitro Synergistic Effects of Antibiotic Combinations Against Multidrug-Resistant Streptococcus suis from Diseased Pigs
by Wiyada Chumpol, Kamonwan Lunha, Surasak Jiemsup and Suganya Yongkiettrakul
Antibiotics 2026, 15(2), 136; https://doi.org/10.3390/antibiotics15020136 - 29 Jan 2026
Viewed by 985
Abstract
Background/Objectives: Multidrug-resistant (MDR) strains of Streptococcus suis are increasingly prevalent and present significant challenges in clinical management. Given that the development of new antibiotics is a resource-intensive process and time-consuming, there is an urgent need for alternative therapeutic strategies to address resistance in [...] Read more.
Background/Objectives: Multidrug-resistant (MDR) strains of Streptococcus suis are increasingly prevalent and present significant challenges in clinical management. Given that the development of new antibiotics is a resource-intensive process and time-consuming, there is an urgent need for alternative therapeutic strategies to address resistance in the short term. One promising approach is the use of combination therapy, which involves pairing potent antibiotics with agents that may be less effective on their own, to enhance therapeutic efficacy and potentially overcome resistance mechanisms. This study aimed to investigate the in vitro antibacterial activity of combining two classes of antibiotics with distinct mechanisms of action—cell wall synthesis inhibitors and protein synthesis inhibitors—against MDR S. suis strains isolated from diseased pigs. Methods: A total of 36 MDR S. suis strains were tested using a microbroth dilution checkerboard assay to determine the minimum inhibitory concentration (MIC) of four cell wall synthesis inhibitors —amoxicillin/clavulanic acid (AMC), ampicillin (AMP), penicillin G (PEN), and vancomycin (VAN)— in combination with four protein synthesis inhibitors —gentamicin (GEN), neomycin (NEO), tilmicosin (TMS), and tylosin (TYL). Time–kill curve assays were conducted to evaluate the in vitro bactericidal activity of synergistic antibiotic combinations (PEN–GEN and AMP–NEO) against Beta-lactam-resistant and Beta-lactam-susceptible MDR S. suis strains. Results: Checkerboard analysis revealed that penicillin-gentamicin combination exhibited the most effective synergistic activity against the MDR S. suis strains (10/19, 52.6%), with ∑FIC values of 0.25–1.06 and MIC reductions from resistant to susceptible levels. Time-kill assays further confirmed the synergistic bactericidal effect of the combination, demonstrating complete bacterial clearance within 6–9 h, markedly rapid bacterial killing compared to monotherapy. Conclusions: This study demonstrates that antibiotic combinations, particularly Beta-lactams combined with aminoglycosides, show synergistic activity against pig-isolated S. suis MDR strains. The PEN-GEN combination exhibited strong synergistic and bactericidal effects, supporting combination therapy as a potential strategy to address antimicrobial resistance. Further evaluation in diverse strain backgrounds and prudent antibiotic use are essential to confirm efficacy and limit the emergence of antibiotic resistance. Full article
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36 pages, 3646 KB  
Review
Broth Optical Density-Based Assessment for Phage Therapy: Turbidity Reduction, Antibacterial Virulence, and Time-Kill
by Stephen T. Abedon
Viruses 2026, 18(1), 97; https://doi.org/10.3390/v18010097 - 10 Jan 2026
Cited by 2 | Viewed by 1404
Abstract
Phage therapy is the use of bacterial viruses, or bacteriophages, as antibacterial agents. It has been in use for over 100 years and is becoming increasingly common clinically. The first steps of phage therapy include identification of bacteria to be targeted and then [...] Read more.
Phage therapy is the use of bacterial viruses, or bacteriophages, as antibacterial agents. It has been in use for over 100 years and is becoming increasingly common clinically. The first steps of phage therapy include identification of bacteria to be targeted and then obtaining phages with appropriate host ranges. This is followed by various approaches to in vitro phage characterization. Increasingly common for phage phenotypic characterization is the use of kinetic microtiter plate readers. They can both decrease workloads and increase throughput, especially relative to analyses that require plating on agar-based media. These colorimetric/turbidimetric/optical density approaches primarily assess phage-induced culture-wide bacterial lysis, in the shorter term, or instead the phage potential to suppress phage-resistance evolution over longer time frames. Considered here are methods relevant to phage characterization especially for phage-therapy purposes. Discussed are turbidity-reduction assays, determinations of phage antibacterial virulence, and related time-kill curve analysis. All are or can be optical density-based approaches to assessing phage-based bacterial reduction. Emphasis is placed on consideration of the utilities, limitations, and intersections of these similar methods. Emphasized is that the start of “Deviation”—where phage-treated culture turbidity diverges from phage-free controls—may represent a superior endpoint for such optical density-based bacterial-reduction protocols. Full article
(This article belongs to the Collection Phage Therapy)
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22 pages, 2764 KB  
Article
Silver Nanoparticle-Infused Pullulan Films for the Inhibition of Foodborne Bacteria
by Karolina Kraśniewska and Małgorzata Gniewosz
Appl. Sci. 2025, 15(20), 11297; https://doi.org/10.3390/app152011297 - 21 Oct 2025
Viewed by 1156
Abstract
The aim of this research was to examine the antibacterial activity of commercially available silver nanoparticles against foodborne bacteria and to evaluate the properties of pullulan films incorporating these nanoparticles, including their antibacterial activity and selected physical properties. First, the antibacterial activity of [...] Read more.
The aim of this research was to examine the antibacterial activity of commercially available silver nanoparticles against foodborne bacteria and to evaluate the properties of pullulan films incorporating these nanoparticles, including their antibacterial activity and selected physical properties. First, the antibacterial activity of silver nanoparticles against foodborne bacteria was investigated. The following parameters were assessed to evaluate the antibacterial activity of silver nanoparticles: minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), percentage antibacterial activity, bacterial survival based on time–kill curves, leakage of DNA and intracellular proteins using spectrophotometric measurements, and changes in bacterial cell morphology using scanning and transmission electron microscopy (SEM and TEM). Pullulan films with silver nanoparticle content ranging from 2 to 32 µg/cm2 were obtained. The films were evaluated for antibacterial activity and physical properties, including macroscopic and microstructural (SEM) observations, thickness, light barrier, and color. Silver nanoparticles at a concentration of 25 µg/mL achieved 100% inhibition of the test bacteria, with destruction of bacterial cells after 3 or 6 h of incubation, depending on the silver nanoparticle concentration. Incorporation of silver nanoparticles into pullulan films, even in lower amounts, resulted in an antibacterial effect. All films had a compact and uniform microstructure and were shiny and flexible. Analysis of variance showed a significant (p < 0.05) effect of the addition of silver nanoparticles on the thickness, transparency, and color of the films. The obtained pullulan films containing silver nanoparticles were characterized by strong inhibitory activity against foodborne bacteria, had a brown color of varying intensity, a uniform microstructure, a smooth surface, and were barriers to UV radiation and visible light. Full article
(This article belongs to the Special Issue Advances in Food Safety and Microbial Control)
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13 pages, 2060 KB  
Article
Effect of Meropenem, Sulbactam, and Colistin Combinations on Resistance Gene Expression in Multidrug-Resistant A. baumannii Clinical Isolates from Panama
by José Emigdio Moreno, Jordi Querol-Audi, Ariel Magallón Tejada, Juan R. Medina-Sánchez and Armando Durant Archibold
Antibiotics 2025, 14(10), 999; https://doi.org/10.3390/antibiotics14100999 - 7 Oct 2025
Viewed by 1767
Abstract
Background: Given the increasing problem of antibiotic resistance in A. baumannii, this study examines in vitro how combinations of colistin, meropenem, and sulbactam influence the expression of genes associated with multiresistance in this pathogen. Methods: Three multidrug-resistant strains, isolated from clinical infections [...] Read more.
Background: Given the increasing problem of antibiotic resistance in A. baumannii, this study examines in vitro how combinations of colistin, meropenem, and sulbactam influence the expression of genes associated with multiresistance in this pathogen. Methods: Three multidrug-resistant strains, isolated from clinical infections in Panama (2022–2023), were identified using Vitek 2 compact. Susceptibility by broth microdilution, qualitative synergy, time-kill curves, and gene expression analysis by quantitative PCR were performed. Results: Synergistic effects were observed for the colistin–meropenem combination in all three strains, while the sulbactam–colistin combination exhibit synergy only in one of the A. baumannii isolates. Time-kill assays revealed bactericidal effects for the colistin–meropenem and sulbactam–colistin combinations. qPCR analyses indicated that colistin, meropenem, and sulbactam modified the expression of the genes under study. Colistin–meropenem and meropenem–sulbactam combinations decreased the expression of blaADC and blaOXA-51, while sulbactam–colistin did not have a significant effect. carO expression levels were not reduced with any antibiotic combination, while adeB expression was reduced with all the combinations tested. omp33–36 expression varied depending on the antibiotic and strain. Conclusions: Therefore, this study offers a new perspective on how rational combinations of clinically used antibiotics have the potential to modulate gene expression and contribute to the control of MDR strains, indicating that high-dose combination therapy with sulbactam and colistin could offer improved efficacy in treating multidrug resistant Acinetobacter baumannii infections. Full article
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16 pages, 2027 KB  
Article
Unveiling the Antibacterial Efficacy and Mechanistic Insights of MnO2 Nanoparticles for Advanced Therapeutic Applications
by Istikhori Fitriannisa, Hanny Tika Draviana, Cheng-Pei Hsieh, Muhammad Saukani, Kai-Yi Tzou and Tsung-Rong Kuo
Int. J. Mol. Sci. 2025, 26(18), 9104; https://doi.org/10.3390/ijms26189104 - 18 Sep 2025
Cited by 3 | Viewed by 1667
Abstract
Pathogenic bacterial infections pose serious health risks, underscoring the need for timely treatments. Manganese dioxide (MnO2) nanoparticles (NPs) have attracted considerable attention owing to their outstanding chemical stability, favorable biocompatibility, high reactivity, and catalytic ability to decompose hydrogen peroxide, making them [...] Read more.
Pathogenic bacterial infections pose serious health risks, underscoring the need for timely treatments. Manganese dioxide (MnO2) nanoparticles (NPs) have attracted considerable attention owing to their outstanding chemical stability, favorable biocompatibility, high reactivity, and catalytic ability to decompose hydrogen peroxide, making them promising antibacterial agents. A clear understanding of their antibacterial mechanisms is essential for evaluating their therapeutic potential in clinical settings. In this study, MnO2 NPs were synthesized by reacting potassium permanganate (KMnO4) with poly(allylamine hydrochloride) (PAH), ensuring complete conversion to MnO2 NPs. The resulting NPs were characterized for their physicochemical properties, and their antibacterial activity against E. coli and S. aureus was evaluated using growth curve assays and reactive oxygen species (ROS) quantification. Results indicated the killing efficiency of MnO2 NPs increased with exposure time and concentration, reflecting high susceptibility of both bacterial strains. Scanning electron microscopy (SEM) analysis revealed that the interaction between MnO2 NPs and bacterial cells caused significant disruption of cell wall integrity. This study provides a valuable platform for evaluating MnO2 nanoparticles as antibacterial agents and for exploring their mechanisms in medical applications. Full article
(This article belongs to the Special Issue Antibacterial Nanomaterials for Medicinal Applications)
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24 pages, 6482 KB  
Article
The C1473G Mutation in the Mouse Tph2 Gene: From Molecular Mechanism to Biological Consequences
by Nikita V. Khotskin, Polina D. Komleva, Alla B. Arefieva, Vitalii S. Moskaliuk, Anna Khotskina, Ghofran Alhalabi, Arseniy E. Izyurov, Nadezhda A. Sinyakova, Daniil Sherbakov, Elizabeth A. Kulikova, Daria V. Bazovkina and Alexander V. Kulikov
Biomolecules 2025, 15(4), 461; https://doi.org/10.3390/biom15040461 - 21 Mar 2025
Cited by 4 | Viewed by 1524
Abstract
Tryptophan hydroxylase 2 (TPH2) hydroxylates L-tryptophan to L-5-hydroxy tryptophan—the key step of 5-HT synthesis in the mammalian brain. Some mutations in the human hTPH2 gene are associated with psychopathologies and resistance to antidepressant therapy. The C1473G polymorphism in the mouse Tph2 gene decreases [...] Read more.
Tryptophan hydroxylase 2 (TPH2) hydroxylates L-tryptophan to L-5-hydroxy tryptophan—the key step of 5-HT synthesis in the mammalian brain. Some mutations in the human hTPH2 gene are associated with psychopathologies and resistance to antidepressant therapy. The C1473G polymorphism in the mouse Tph2 gene decreases the TPH2 activity in the mouse brain. In the present paper, B6-1473C and B6-1473G congenic mice that were different only in the C > G substitution were used. The molecular mechanism of decrease in the mutant enzyme activity and some physiological and behavioral traits affected by this mutation were revealed for the first time. Analysis of thermal denaturation curves in vitro revealed that the C > G substitution reduces the free energy of denaturation, stability and lifetime of mutant TPH2. Later, we evaluated the effect of the 1473G allele on the hierarchical state, competition for a sexual partner in adult mice, mouse embryos, hind legs dystonia and the response to LPS treatment in young mice. No effect of this mutation on the hierarchical state and competition for a female was observed in adult males. The C > G substitution does not affect survival, body mass or the TPH activity in the brain of 19-day-old mouse embryos. At the same time, we found that the 1473G allele causes hind legs dystonia in juvenile (3 weeks old) mice, which can affect their escape capability in threatening situations. Moreover, a significant increase in the vulnerability to LPS in juvenile B6-1473G males was shown: a single ip LPS administration killed about 40% of young mutant mice, but not wild-type ones. The body mass of mutant males was lower compared to wild-type ones, which also can indirectly decrease their concurrent and reproductive success. Full article
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22 pages, 15770 KB  
Article
Enhancement of Fluoride’s Antibacterial and Antibiofilm Effects against Oral Staphylococcus aureus by the Urea Derivative BPU
by Jia Liu, Qingqing Weng, Dongxin Da, Shuran Yao, Ying Zhang and Yang Wu
Antibiotics 2024, 13(10), 930; https://doi.org/10.3390/antibiotics13100930 - 30 Sep 2024
Cited by 11 | Viewed by 4106
Abstract
Background: The oral cavity is an important but often overlooked reservoir for Staphylococcus aureus. The effective control and prevention of S. aureus colonization and infection in the oral and maxillofacial regions are crucial for public health. Fluoride is widely used in dental [...] Read more.
Background: The oral cavity is an important but often overlooked reservoir for Staphylococcus aureus. The effective control and prevention of S. aureus colonization and infection in the oral and maxillofacial regions are crucial for public health. Fluoride is widely used in dental care for its remineralization and antibacterial properties. However, its effectiveness against S. aureus has not been thoroughly investigated. Objectives: This study aimed to evaluate the potential of combining sodium fluoride (NaF) with compounds to enhance its antibacterial and antibiofilm effects against S. aureus. Method: We found that a urea derivative significantly enhances the efficacy of fluoride by promoting the retention of fluoride ions within the cells. The synergistic antibacterial and antibiofilm effects of BPU with NaF were confirmed through various assays, including checkerboard assays, time-kill assays, and growth curve analysis. These findings were further supported by additional methods, including transmission electron microscopy (TEM), in silico simulations, and gene overexpression studies. Results: These findings suggest that targeting fluoride ion membrane exporters could enhance antibacterial efficacy. When combined with fluoride, 1,3-Bis [3,5-bis(trifluoromethyl)phenyl]urea (BPU) showed increased effectiveness in inhibiting S. aureus growth and reducing established biofilms. Conclusions: This novel combination represents a promising therapeutic strategy for treating biofilm-associated S. aureus infections, offering a new strategy in oral healthcare. To fully evaluate the clinical potential of this synergistic therapy, further in vivo studies are essential. Full article
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15 pages, 1062 KB  
Review
New Delhi Metallo-Beta-Lactamase Inhibitors: A Systematic Scoping Review
by Lutfun Nahar, Hideharu Hagiya, Kazuyoshi Gotoh, Md Asaduzzaman and Fumio Otsuka
J. Clin. Med. 2024, 13(14), 4199; https://doi.org/10.3390/jcm13144199 - 18 Jul 2024
Cited by 14 | Viewed by 6556
Abstract
Background/Objectives: Among various carbapenemases, New Delhi metallo-beta-lactamases (NDMs) are recognized as the most powerful type capable of hydrolyzing all beta-lactam antibiotics, often conferring multi-drug resistance to the microorganism. The objective of this review is to synthesize current scientific data on NDM inhibitors [...] Read more.
Background/Objectives: Among various carbapenemases, New Delhi metallo-beta-lactamases (NDMs) are recognized as the most powerful type capable of hydrolyzing all beta-lactam antibiotics, often conferring multi-drug resistance to the microorganism. The objective of this review is to synthesize current scientific data on NDM inhibitors to facilitate the development of future therapeutics for challenging-to-treat pathogens. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews, we conducted a MEDLINE search for articles with relevant keywords from the beginning of 2009 to December 2022. We employed various generic terms to encompass all the literature ever published on potential NDM inhibitors. Results: Out of the 1760 articles identified through the database search, 91 met the eligibility criteria and were included in our analysis. The fractional inhibitory concentration index was assessed using the checkerboard assay for 47 compounds in 37 articles, which included 8 compounds already approved by the Food and Drug Administration (FDA) of the United States. Time-killing curve assays (14 studies, 25%), kinetic assays (15 studies, 40.5%), molecular investigations (25 studies, 67.6%), in vivo studies (14 studies, 37.8%), and toxicity assays (13 studies, 35.1%) were also conducted to strengthen the laboratory-level evidence of the potential inhibitors. None of them appeared to have been applied to human infections. Conclusions: Ongoing research efforts have identified several potential NDM inhibitors; however, there are currently no clinically applicable drugs. To address this, we must foster interdisciplinary and multifaceted collaborations by broadening our own horizons. Full article
(This article belongs to the Section Infectious Diseases)
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16 pages, 6829 KB  
Article
Synergistic Bactericidal Effects of Quaternary Ammonium Compounds with Essential Oil Constituents
by Adrián Pedreira, Susana Fernandes, Manuel Simões, Míriam R. García and José Antonio Vázquez
Foods 2024, 13(12), 1831; https://doi.org/10.3390/foods13121831 - 11 Jun 2024
Cited by 13 | Viewed by 4768
Abstract
Antimicrobial tolerance is a significant concern in the food industry, as it poses risks to food safety and public health. To overcome this challenge, synergistic combinations of antimicrobials have emerged as a potential solution. In this study, the combinations of two essential oil [...] Read more.
Antimicrobial tolerance is a significant concern in the food industry, as it poses risks to food safety and public health. To overcome this challenge, synergistic combinations of antimicrobials have emerged as a potential solution. In this study, the combinations of two essential oil constituents (EOCs), namely carvacrol (CAR) and eugenol (EUG), with the quaternary ammonium compounds (QACs) benzalkonium chloride (BAC) and didecyldimethylammonium chloride (DDAC) were evaluated for their antimicrobial effects against Escherichia coli and Bacillus cereus, two common foodborne bacteria. The checkerboard assay was employed to determine the fractional inhibitory concentration index (FICI) and the fractional bactericidal concentration index (FBCI), indicating the presence of bactericidal, but not bacteriostatic, synergy in all QAC–EOC combinations. Bactericidal synergism was clearly supported by Bliss independence analysis. The bactericidal activity of the promising synergistic combinations was further validated by time–kill curves, achieving a >4-log10 reduction of initial bacterial load, which is significant compared to typical industry standards. The combinations containing DDAC showed the highest efficiency, resulting in the eradication of bacterial population in less than 2–4 h. These findings emphasize the importance of considering both bacteriostatic and bactericidal effects when evaluating antimicrobial combinations and the potential of EOC–QAC combinations for sanitization and disinfection in the food industry. Full article
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20 pages, 4615 KB  
Article
Synergistic Activity and Mechanism of Sanguinarine with Polymyxin B against Gram-Negative Bacterial Infections
by Luyao Qiao, Yu Zhang, Ying Chen, Xiangyin Chi, Jinwen Ding, Hongjuan Zhang, Yanxing Han, Bo Zhang, Jiandong Jiang and Yuan Lin
Pharmaceutics 2024, 16(1), 70; https://doi.org/10.3390/pharmaceutics16010070 - 3 Jan 2024
Cited by 5 | Viewed by 3519
Abstract
Compounds that potentiate the activity of clinically available antibiotics provide a complementary solution, except for developing novel antibiotics for the rapid emergence of multidrug-resistant Gram-negative bacteria (GNB). We sought to identify compounds potentiating polymyxin B (PMB), a traditional drug that has been revived [...] Read more.
Compounds that potentiate the activity of clinically available antibiotics provide a complementary solution, except for developing novel antibiotics for the rapid emergence of multidrug-resistant Gram-negative bacteria (GNB). We sought to identify compounds potentiating polymyxin B (PMB), a traditional drug that has been revived as the last line for treating life-threatening GNB infections, thus reducing its nephrotoxicity and heterogeneous resistance in clinical use. In this study, we found a natural product, sanguinarine (SA), which potentiated the efficacy of PMB against GNB infections. The synergistic effect of SA with PMB was evaluated using a checkerboard assay and time–kill curves in vivo and the murine peritonitis model induced by Escherichia coli in female CD-1 mice in vivo. SA assisted PMB in accelerating the reduction in bacterial loads both in vitro and in vivo, improving the inflammatory responses and survival rate of infected animals. The subsequent detection of the intracellular ATP levels, membrane potential, and membrane integrity indicated that SA enhanced the bacterial-membrane-breaking capacity of PMB. A metabolomic analysis showed that the inhibition of energy metabolism, interference with nucleic acid biosynthesis, and the blocking of L-Ara4N-related PMB resistance may also contribute to the synergistic effect. This study is the first to reveal the synergistic activity and mechanism of SA with PMB, which highlights further insights into anti-GNB drug development. Full article
(This article belongs to the Special Issue Novel Drugs, Targets and Therapies Against Infectious Diseases)
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22 pages, 2038 KB  
Review
In Vitro Susceptibility Tests in the Context of Antifungal Resistance: Beyond Minimum Inhibitory Concentration in Candida spp.
by Iacopo Franconi and Antonella Lupetti
J. Fungi 2023, 9(12), 1188; https://doi.org/10.3390/jof9121188 - 12 Dec 2023
Cited by 22 | Viewed by 10795
Abstract
Antimicrobial resistance is a matter of rising concern, especially in fungal diseases. Multiple reports all over the world are highlighting a worrisome increase in azole- and echinocandin-resistance among fungal pathogens, especially in Candida species, as reported in the recently published fungal pathogens priority [...] Read more.
Antimicrobial resistance is a matter of rising concern, especially in fungal diseases. Multiple reports all over the world are highlighting a worrisome increase in azole- and echinocandin-resistance among fungal pathogens, especially in Candida species, as reported in the recently published fungal pathogens priority list made by WHO. Despite continuous efforts and advances in infection control, development of new antifungal molecules, and research on molecular mechanisms of antifungal resistance made by the scientific community, trends in invasive fungal diseases and associated antifungal resistance are on the rise, hindering therapeutic options and clinical cures. In this context, in vitro susceptibility testing aimed at evaluating minimum inhibitory concentrations, is still a milestone in the management of fungal diseases. However, such testing is not the only type at a microbiologist’s disposal. There are other adjunctive in vitro tests aimed at evaluating fungicidal activity of antifungal molecules and also exploring tolerance to antifungals. This plethora of in vitro tests are still left behind and performed only for research purposes, but their role in the context of invasive fungal diseases associated with antifungal resistance might add resourceful information to the clinical management of patients. The aim of this review was therefore to revise and explore all other in vitro tests that could be potentially implemented in current clinical practice in resistant and difficult-to-treat cases. Full article
(This article belongs to the Special Issue Advances in Antifungal Drugs)
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22 pages, 36285 KB  
Article
A Novel Aging-Related Prognostic lncRNA Signature Correlated with Immune Cell Infiltration and Response to Immunotherapy in Breast Cancer
by Zhixin Liu, Chongkang Ren, Jinyi Cai, Baohui Yin, Jingjie Yuan, Rongjuan Ding, Wenzhuo Ming, Yunxiao Sun and Youjie Li
Molecules 2023, 28(8), 3283; https://doi.org/10.3390/molecules28083283 - 7 Apr 2023
Cited by 8 | Viewed by 4439
Abstract
Breast cancer (BC) is among the most universal malignant tumors in women worldwide. Aging is a complex phenomenon, caused by a variety of factors, that plays a significant role in tumor development. Consequently, it is crucial to screen for prognostic aging-related long non-coding [...] Read more.
Breast cancer (BC) is among the most universal malignant tumors in women worldwide. Aging is a complex phenomenon, caused by a variety of factors, that plays a significant role in tumor development. Consequently, it is crucial to screen for prognostic aging-related long non-coding RNAs (lncRNAs) in BC. The BC samples from the breast-invasive carcinoma cohort were downloaded from The Cancer Genome Atlas (TCGA) database. The differential expression of aging-related lncRNAs (DEarlncRNAs) was screened by Pearson correlation analysis. Univariate Cox regression, LASSO–Cox analysis, and multivariate Cox analysis were performed to construct an aging-related lncRNA signature. The signature was validated in the GSE20685 dataset from the Gene Expression Omnibus (GEO) database. Subsequently, a nomogram was constructed to predict survival in BC patients. The accuracy of prediction performance was assessed through the time-dependent receiver operating characteristic (ROC) curves, Kaplan–Meier analysis, principal component analyses, decision curve analysis, calibration curve, and concordance index. Finally, differences in tumor mutational burden, tumor-infiltrating immune cells, and patients’ response to chemotherapy and immunotherapy between the high- and low-risk score groups were explored. Analysis of the TCGA cohort revealed a six aging-related lncRNA signature consisting of MCF2L-AS1, USP30-AS1, OTUD6B-AS1, MAPT-AS1, PRR34-AS1, and DLGAP1-AS1. The time-dependent ROC curve proved the optimal predictability for prognosis in BC patients with areas under curves (AUCs) of 0.753, 0.772, and 0.722 in 1, 3, and 5 years, respectively. Patients in the low-risk group had better overall survival and significantly lower total tumor mutational burden. Meanwhile, the high-risk group had a lower proportion of tumor-killing immune cells. The low-risk group could benefit more from immunotherapy and some chemotherapeutics than the high-risk group. The aging-related lncRNA signature can provide new perspectives and methods for early BC diagnosis and therapeutic targets, especially tumor immunotherapy. Full article
(This article belongs to the Special Issue Molecular Toxicology and Cancer Prevention)
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