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Pereira AMG, da Silva BF, Araujo IMF, Aguiar FKC, Coelho PAT, Costa RA, Marinho MM, Marinho ES, Nunes JVS, Carneiro VA, dos Santos HS. Antibacterial and Antibiofilm Activities of Hydralazine, an Antihypertensive Drug: In Vitro and In Silico Approaches. Antibiotics (Basel) 2025; 14:286. [PMID: 40149097 PMCID: PMC11939636 DOI: 10.3390/antibiotics14030286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2025] [Revised: 02/28/2025] [Accepted: 03/05/2025] [Indexed: 03/29/2025] Open
Abstract
Background: The rise of multidrug-resistant (MDR) bacteria poses a significant challenge to global public health, contributing to increased morbidity and mortality rates. In this context, the repurposing of existing drugs has emerged as a promising strategy. In this study, hydralazine (HDZ), a vasodilator used as an antihypertensive since 1952, demonstrated antibacterial and antibiofilm activity against both Gram-positive and Gram-negative bacteria. Methods: In this study, the antibacterial activity of the antihypertensive hydralazine (HDZ) was evaluated against Gram-positive and Gram-negative strains through minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), growth curve with MIC and sub-MIC doses, combinatorial effect with gentamicin, scanning electron microscopy (SEM), molecular docking, and antibiofilm activity. Results: The MIC and MBC values ranged from 39.5 to 1.250 μg/mL, respectively. A change in the growth kinetics of the strains was observed when exposed to MIC and 1/2 MIC values, with a delay in the phases of up to 12 h. The combinatorial effect with gentamicin demonstrated an additive and indifferent potential when combined with HDZ. Conclusions: Furthermore, hydralazine showed antibiofilm activity against the tested strains, including MRSA. Electron microscopy analysis revealed significant changes in bacterial morphology when exposed to the MIC dose of HDZ for 4 h. The overall results of the study indicate hydralazine as a potential agent in the fight against bacterial infections.
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Affiliation(s)
- Antônio Mateus Gomes Pereira
- Graduate Program in Biotechnology, Northeast Network of Biotechnology (RENORBIO), State University of Ceará, Campus Itaperi, Fortaleza 60714-903, Brazil; (A.M.G.P.); (B.F.d.S.)
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Benise Ferreira da Silva
- Graduate Program in Biotechnology, Northeast Network of Biotechnology (RENORBIO), State University of Ceará, Campus Itaperi, Fortaleza 60714-903, Brazil; (A.M.G.P.); (B.F.d.S.)
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Ingrid Maria Frota Araujo
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Francisco Kauê Carvalho Aguiar
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Paulo Adenes Teixeira Coelho
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Renata Albuquerque Costa
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Marcia Machado Marinho
- Center for Exact Sciences and Technology, Vale do Acaraú University, Sobral 62040-370, Brazil;
| | - Emmanuel Silva Marinho
- Postgraduate Program in Natural Sciences, Ceará State University, Fortaleza 60714-903, Brazil;
| | - João Victor Serra Nunes
- Analytical Centre, Department of Physics, Federal University of Ceará, Fortaleza 60020-181, Brazil;
| | - Victor Alves Carneiro
- Center of Bioprospection and Experimentation Molecular Applied (NUBEM), University Center INTA–UNINTA, Sobral 62050-100, Brazil; (I.M.F.A.); (F.K.C.A.); (P.A.T.C.); (R.A.C.); (V.A.C.)
| | - Hélcio Silva dos Santos
- Graduate Program in Biotechnology, Northeast Network of Biotechnology (RENORBIO), State University of Ceará, Campus Itaperi, Fortaleza 60714-903, Brazil; (A.M.G.P.); (B.F.d.S.)
- Center for Exact Sciences and Technology, Vale do Acaraú University, Sobral 62040-370, Brazil;
- Postgraduate Program in Natural Sciences, Ceará State University, Fortaleza 60714-903, Brazil;
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Zhang L, Guo RB, Liu Y, Kong L, Zang J, Zhang ZX, Wang JH, Chen MH, Liu M, Yu Y, Li XT. Therapeutic effect of pH responsive Magainin II modified azithromycin plus curcumin micelles in different depth models of MRSA infection. Sci Rep 2025; 15:7383. [PMID: 40025264 PMCID: PMC11873114 DOI: 10.1038/s41598-025-92384-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2024] [Accepted: 02/27/2025] [Indexed: 03/04/2025] Open
Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen responsible for serious infections in humans. The overuse of antibiotics has led to the evolution of resistance genes in bacteria. This study aimed to develop a pH-responsive micelle, loaded with therapy drugs and modified with antimicrobial peptides, to treat drug-resistant bacterial infections at varying depths. pH-responsive micelles containing azithromycin and curcumin, modified with Magainin II, were prepared using the thin-film dispersion method. The physicochemical properties of the micelles were characterized, and their targeting properties and therapeutic effects on bacterial infections were investigated both in vivo and in vitro across various depths. The micelles demonstrated excellent targeting of bacterial infection sites and released drugs in response to degradation at the disease site. The combination of curcumin and azithromycin effectively mitigated bacterial resistance through multiple mechanisms, enhancing the antibacterial effect while reducing the required azithromycin dosage and associated toxicity. In infection models of varying depths-skin, muscle, and lungs-the micelles exhibited strong antibacterial, anti-biofilm, and anti-inflammatory effects with low toxicity. These findings provide a promising strategy for addressing drug-resistant bacterial infections.
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Affiliation(s)
- Lu Zhang
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Rui-Bo Guo
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Yang Liu
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Liang Kong
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Juan Zang
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Zi-Xu Zhang
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Jia-Hua Wang
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Mu-Han Chen
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Mo Liu
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China
| | - Yang Yu
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China.
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China.
- Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications, Shenyang, 110000, China.
| | - Xue-Tao Li
- School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Shengming 1 Road 77, Double D Port, Dalian, 116600, China.
- Shenyang Key Laboratory of Targeted Delivery of Chinese Medicine, Shenyang, 110000, China.
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Roshan M, Singh I, Vats A, Behera M, Singh DP, Gautam D, Rajput S, Tarak J, Packirisamy G, De S. Antimicrobial and antibiofilm effect of cannabinoids from Cannabis sativa against methicillin-resistant Staphylococcus aureus (MRSA) causing bovine mastitis. Int Microbiol 2024; 27:1839-1852. [PMID: 38568425 DOI: 10.1007/s10123-024-00505-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 03/04/2024] [Accepted: 03/08/2024] [Indexed: 12/05/2024]
Abstract
Antimicrobial resistance (AMR) poses a serious threat to human, animal, and plant health on a global scale. Search and elimination techniques should be used to effectively counter the spread of methicillin-resistant Staphylococcus aureus (MRSA) infections. With only a few novel drugs in clinical development, the quest for plant-based alternatives to prevent the spread of antibiotic resistance among bacteria has accelerated. Treatment of MRSA infections is challenging owing to rapidly emerging resistance mechanisms coupled with their protective biofilms. In the present research, we examined the antibacterial properties of ten plant-derived ethanolic leaf extracts. The most effective ethanolic leaf extract against MRSA in decreasing order of zone of inhibition, Cannabis sativa L. > Syzygium cumini > Murraya koenigii > Eucalyptus sp. > while Aloe barbadensis, Azadirachta indica, had very little impact. Mangifera indica, Curcuma longa, Tinospora cordifolia, and Carica papaya did not exhibit inhibitory effects against MRSA; hence, Cannabis was selected for further experimental study. The minimal inhibitory concentration (MIC) of Cannabis sativa L. extract was 0.25 mg ml-1 with 86% mortality. At a sub-MIC dosage of 0.125 mg ml-1, the biofilm formation was reduced by 71%. The two major cannabinoids detected were cannabidiol and delta-9-tetrahydrocannabinol (Δ9-THC), which were majorly attributed to substantial inhibitory action against MRSA. The time-kill kinetics demonstrated a bactericidal action at 4 MIC over an 8-20-h time window with a 90% reduction in growth rate. The results from SEM, and light microscopy Giemsa staining revealed a reduction in cells in the treated group with increased AKP activity, indicating bacterial cell membrane breakdown. These findings suggested cannabinoids may be a promising alternative to antibiotic therapy for bovine biofilm-associated MRSA.
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Affiliation(s)
- Mayank Roshan
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Ila Singh
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Ashutosh Vats
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Manisha Behera
- Department of Zoology, Hindu College, University of Delhi, Delhi, 110007, India
| | - Dravin Pratap Singh
- Nanobiotechnology Laboratory, Centre for Nanotechnology, Indian Institute of Technology Roorkee, Roorkee, 247667, Uttarakhand, India
| | - Devika Gautam
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Shiveeli Rajput
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Jitesh Tarak
- Dairy Microbiology Division, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India
| | - Gopinath Packirisamy
- Nanobiotechnology Laboratory, Centre for Nanotechnology, Indian Institute of Technology Roorkee, Roorkee, 247667, Uttarakhand, India
| | - Sachinandan De
- Animal Genomics Lab, Animal Biotechnology Centre, ICAR-National Dairy Research Institute (NDRI), Karnal, 132001, Haryana, India.
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Kashi M, Noei M, Chegini Z, Shariati A. Natural compounds in the fight against Staphylococcus aureus biofilms: a review of antibiofilm strategies. Front Pharmacol 2024; 15:1491363. [PMID: 39635434 PMCID: PMC11615405 DOI: 10.3389/fphar.2024.1491363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Accepted: 11/08/2024] [Indexed: 12/07/2024] Open
Abstract
Staphylococcus aureus is an important pathogen due to its ability to form strong biofilms and antibiotic resistance. Biofilms play an important role in bacterial survival against the host immune system and antibiotics. Natural compounds (NCs) have diverse bioactive properties with a low probability of resistance, making them promising candidates for biofilm control. NC such as curcumin, cinnamaldehyde, carvacrol, eugenol, thymol, citral, linalool, 1,8-cineole, pinene, cymene, terpineol, quercetin, and limonene have been widely utilized for the inhibition and destruction of S. aureus biofilms. NCs influence biofilm formation through several procedures. Some of the antibiofilm mechanisms of NCs are direct bactericidal effect, disrupting the quorum sensing system, preventing bacteria from aggregation and attachment to surfaces, reducing the microbial surface components recognizing adhesive matrix molecules (MSCRAMMs), interfering with sortase A enzyme, and altering the expression of biofilm-associated genes such as icaADBC, agr, and sarA. Furthermore, these compounds affect extracellular polymeric substances (EPS) and their components, such as polysaccharide intercellular adhesin (PIA) and eDNA. However, some disadvantages, such as low water solubility and bioavailability, limit their clinical usage. Therefore, scientists have considered using nanotechnology and drug platforms to improve NC's efficacy. Some NC, such as thymol and curcumin, can also enhance photodynamic therapy against S. aurous biofilm community. This article evaluates the anti-biofilm potential of NC, their mechanisms of action against S. aureus biofilms, and various aspects of their application.
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Affiliation(s)
- Milad Kashi
- Student Research Committee, Arak University of Medical Sciences, Arak, Iran
| | - Milad Noei
- Department of Genetics, Faculty of Advanced Science and Technology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Zahra Chegini
- Department of Microbiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Aref Shariati
- Infectious Diseases Research Center (IDRC), Arak University of Medical Sciences, Arak, Iran
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5
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Nguyen MH, Nguyen TYN, Le THN, Le TNT, Chau NTN, Le TMH, Huy Nguyen BQ. Medicinal plants as a potential resource for the discovery of novel structures towards cancer drug resistance treatment. Heliyon 2024; 10:e39229. [PMID: 39492898 PMCID: PMC11530815 DOI: 10.1016/j.heliyon.2024.e39229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 08/23/2024] [Accepted: 10/09/2024] [Indexed: 11/05/2024] Open
Abstract
Despite extensive research in chemotherapy, global cancer concerns persist, exacerbated by the challenge of drug resistance, which imposes economic and medical burdens. Natural compounds, particularly secondary metabolites from medicinal plants, present promising avenues for overcoming cancer drug resistance due to their diverse structures and essential pharmacological effects. This review provides a comprehensive exploration of cancer cell resistance mechanisms and target actions for reversing resistance and highlights the in vitro and in vivo efficacy of noteworthy alkaloids, flavonoids, and other compounds, emphasizing their potential as therapeutic agents. The molecular properties supporting ligand interactions are thoroughly examined, providing a robust theoretical foundation. The review concludes by discussing methods including quantitative structure-activity relationships and molecular docking, offering insights into screening potential candidates. Current trends in clinical treatment, contributing to a holistic understanding of the multifaceted approaches to address cancer drug resistance are also outlined.
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Affiliation(s)
- Minh Hien Nguyen
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
- Vietnam National University Ho Chi Minh City, Linh Trung Ward, Thu Duc City, Ho Chi Minh city, Viet Nam
| | - Thi Yen Nhi Nguyen
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
- Vietnam National University Ho Chi Minh City, Linh Trung Ward, Thu Duc City, Ho Chi Minh city, Viet Nam
- Faculty of Applied Science, Ho Chi Minh City University of Technology, Vietnam National University Ho Chi Minh City, 268 Ly Thuong Kiet Street Ward 14, District 10, Ho Chi Minh City, Viet Nam
| | - Thien Han Nguyen Le
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
| | - Thi Ngoc Tam Le
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
| | - Ngoc Trong Nghia Chau
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
| | - Tu Manh Huy Le
- University of Health Sciences, Vietnam National University Ho Chi Minh City, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province, Viet Nam
| | - Bui Quoc Huy Nguyen
- The University of Danang - VN-UK Institute for Research and Executive Education, 41 Le Duan Street, Hai Chau 1 Ward, Hai Chau District, Danang City, Viet Nam
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Salazar-Sesatty HA, Montoya-Hinojosa EI, Villarreal-Salazar V, Alvizo-Baez CA, Camacho-Ortiz A, Terrazas-Armendariz LD, Luna-Cruz IE, Alcocer-González JM, Villarreal-Treviño L, Flores-Treviño S. Biofilm Eradication and Inhibition of Methicillin-Resistant Staphylococcus Clinical Isolates by Curcumin-Chitosan Magnetic Nanoparticles. Jpn J Infect Dis 2024; 77:260-268. [PMID: 38825455 DOI: 10.7883/yoken.jjid.2024.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
Biofilm-producing methicillin-resistant Staphylococcus aureus (MRSA) and coagulase-negative staphylococci (MR-CoNS) pose clinical challenges in treating healthcare-associated infections. As alternative antimicrobial options are needed, in this study, we aimed to determine the effect of curcumin-chitosan magnetic nanoparticles (Cur-Chi-MNP) on the biofilms of staphylococcal clinical isolates. MRSA and CoNS clinical isolates were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Antimicrobial susceptibility testing was performed using the broth microdilutions. Nanoparticles were synthesized by the co-precipitation of magnetic nanoparticles (MNP) and encapsulated by the ionotropic gelation of curcumin (Cur) and chitosan (Chi). Biofilm inhibition and eradication by nanoparticles, with and without the addition of oxacillin (OXA), were assessed in Staphylococcus strains. Cur-Chi-MNP showed antimicrobial activity against planktonic cells of MRSA and MR-CoNS strains and inhibited MRSA biofilm. The addition of OXA to Cur-Chi-MNP increased the biofilm inhibition and eradication activity against all staphylococcal strains (P = 0.0007), and higher biofilm activity was observed in the early biofilm stages. Cur-Chi-MNP showed antimicrobial and biofilm inhibitory activities against S. aureus. Addition of OXA increased biofilm inhibition and eradication activity against all staphylococcal strains. A combination treatment of Cur-Chi-MNP and OXA could potentially be used to treat staphylococcal biofilm-associated infections in the early stages before the establishment of biofilm bacterial cells.
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Affiliation(s)
| | | | | | | | - Adrián Camacho-Ortiz
- Department of Infectious Diseases, University Hospital Dr. José Eleuterio González and School of Medicine, Autonomous University of Nuevo Leon, Mexico
| | | | | | | | - Licet Villarreal-Treviño
- Departament of Microbiology, School of Biological Sciences, Autonomous University of Nuevo Leon, Mexico
| | - Samantha Flores-Treviño
- Department of Infectious Diseases, University Hospital Dr. José Eleuterio González and School of Medicine, Autonomous University of Nuevo Leon, Mexico
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Carneiro Romão I, Costa Siqueira SM, Amâncio Ferreira MK, Wlisses da Silva A, Machado Marinho M, Ferreira Ribeiro WH, de Castro Gomes AF, Alencar de Menezes JES, Dos Santos HS. Effect of Cinnamaldehyde Chalcone on Behavior in Adult Zebrafish (Danio rerio): In Silico Approach. Chem Biodivers 2024; 21:e202400935. [PMID: 38818650 DOI: 10.1002/cbdv.202400935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Revised: 05/29/2024] [Accepted: 05/29/2024] [Indexed: 06/01/2024]
Abstract
The study focuses on the anxiolytic potential of chalcone (2E,4E)-1-(2-hydroxyphenyl)-5-phenylpenta-2,4-dien-1-one (CHALCNM) in adult zebrafish. Successfully synthesized in 58 % yield, CHALCNM demonstrated no toxicity after 96 h of exposure. In behavioral tests, CHALCNM (40 mg/kg) reduced locomotor activity and promoted less anxious behavior in zebrafish, confirmed by increased permanence in the light zone of the aquarium. Flumazenil reversed its anxiolytic effect, indicating interaction with GABAA receptors. Furthermore, CHALCNM (4 and 20 mg/kg) preserved zebrafish memory in inhibitory avoidance tests. Virtual screening and ADMET profile studies suggest high oral bioavailability, access to the CNS, favored by low topological polarity (TPSA≤75 Å2) and low incidence of hepatotoxicity, standing out as a promising pharmacological agent against the GABAergic system. In molecular coupling, CHALCNM demonstrated superior affinity to diazepam for the GABAA receptor. These results reinforce the therapeutic potential of CHALCNM in the treatment of anxiety, highlighting its possible future clinical application.
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Affiliation(s)
- Ivana Carneiro Romão
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
| | - Sônia Maria Costa Siqueira
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
| | - Maria Kueirislene Amâncio Ferreira
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
| | - Antonio Wlisses da Silva
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
| | - Márcia Machado Marinho
- Grupo de Química Teórica e Eletroquímica -, GQTE, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
- Curso de Química, Centro de Ciências e Tecnologia, Universidade Estadual do Vale do Acaraú, 62.040-370, Sobral, Ceará, Brazil Curso de Química, Universidade Estadual Vale do Acaraú, Sobral, Ceará, Brazil
| | - Walber Henrique Ferreira Ribeiro
- Curso de Química, Centro de Ciências e Tecnologia, Universidade Estadual do Vale do Acaraú, 62.040-370, Sobral, Ceará, Brazil Curso de Química, Universidade Estadual Vale do Acaraú, Sobral, Ceará, Brazil
| | - Andreia Ferreira de Castro Gomes
- Centre of Molecular and Environmental Biology (CBMA) / Aquatic Research Network (ARNET) Associate Laboratory, Department of Biology, University of Minho, Campus de Gualtar, 4710-057, Braga, Portugal Centro de Biologia Molecular e Ambiental, Universidade do Minho, Escola de Ciências, Departamento de Biologia, Braga, Portugal
| | - Jane Eire Silva Alencar de Menezes
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
| | - Hélcio Silva Dos Santos
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual de Ceará, Campus do Itaperi, 60714-242, Fortaleza, Ceará, Brazil
- Curso de Química, Centro de Ciências e Tecnologia, Universidade Estadual do Vale do Acaraú, 62.040-370, Sobral, Ceará, Brazil Curso de Química, Universidade Estadual Vale do Acaraú, Sobral, Ceará, Brazil
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Ribeiro Liberato H, Bezerra Maciel J, Wlisses Da Silva A, Freitas da Silva AE, San De Oliveira Brito L, Silva J, Sydney Henrique da Silva F, Bezerra AS, Kuerislene Amâncio Ferreira M, Machado Marinho M, Silva Marinho G, Deusdênia Loiola Pessoa O, Goberlânio De Barros Silva P, Noronha Coelho-de-Souza A, Florindo Guedes I, Ferreira de Castro Gomes A, Eire Silva Alencar De Menezes J, Silva Santos H. Tropane Alkaloid Isolated from Erythroxylum bezerrae Exhibits Neuropharmacological Potential in an Adult Zebrafish (Danio rerio) Model. Chem Biodivers 2024; 21:e202400786. [PMID: 38777789 DOI: 10.1002/cbdv.202400786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 05/17/2024] [Accepted: 05/22/2024] [Indexed: 05/25/2024]
Abstract
This study carried out to investigate the anti-inflammatory and antinociceptive effect of tropane alkaloid (EB7) isolated from E. bezerrae. It evaluated the toxicity and possible involvement of ion channels in the antinociceptive effect of EB7, as well as its anti-inflammatory effect in adult zebrafish (Zfa). Docking studies with EB7 and COX-1 and 2 were also performed. The tested doses of EB7 (4, 20 and 40 mg/kg) did not show any toxic effect on Zfa during the 96h of analysis (LD50>40 mg/kg). They did not produce any alteration in the locomotor behavior of the animals. Furthermore, EB7 showed promising pharmacological effects as it prevented the nociceptive behavior induced by hypertonic saline, capsaicin, formalin and acid saline. EB7 had its analgesic effect blocked by amiloride involving the neuromodulation of ASICs in Zfa. In evaluating the anti-inflammatory activity, the edema induced by κ-carrageenan 3.5 % was reduced by the dose of 40 mg/kg of EB7 observed after the fourth hour of analysis, indicating an effect similar to that of ibuprofen. Molecular docking results indicated that EB7 exhibited better affinity energy when compared to ibuprofen control against the two evaluated targets binding at different sites in the cocrystallized COX-1 and 2 inhibitors.
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Affiliation(s)
| | - Jéssica Bezerra Maciel
- Programa de PósGraduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | | | - Luana San De Oliveira Brito
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, Campus do Pici s/n, Fortaleza, Ceará, Brazil
| | - Jacilene Silva
- Programa de PósGraduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | - Arnaldo S Bezerra
- Programa de PósGraduação em Ciências Fisiológicas, Universidade Estadual do Ceará
| | | | - Marcia Machado Marinho
- Universidade Estadual do Vale do Acaraú, Centro de Ciências Exatas e Tecnologia, Sobral, Ceará, Brasil
| | - Gabrielle Silva Marinho
- Programa de PósGraduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Otília Deusdênia Loiola Pessoa
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, Campus do Pici s/n, Fortaleza, Ceará, Brazil
| | | | | | | | | | | | - Hélcio Silva Santos
- Programa de PósGraduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
- Universidade Estadual do Vale do Acaraú, Centro de Ciências Exatas e Tecnologia, Sobral, Ceará, Brasil
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9
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Maciel JB, Liberato HR, da Silva AW, da Silva JPV, das Chagas L Pinto F, de Lima Rebouças E, da Silva FSH, Ferreira MKA, Marinho MM, Marinho ES, Pessoa ODL, de Barros Silva PG, Coelho-de-Souza AN, Guedes MIF, de Castro Gomes AF, de Menezes JESA, Dos Santos HS. Withanicandrin Isolated from Datura Ferox Promotes Antinociception by Modulating the Asics and TRPS Channels and Anti-Inflammation in Adult Zebrafish. Chem Biodivers 2024; 21:e202400538. [PMID: 38639566 DOI: 10.1002/cbdv.202400538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 04/12/2024] [Accepted: 04/19/2024] [Indexed: 04/20/2024]
Abstract
This is the first study to analyze the anti-inflammatory and antinociceptive effect of withanicandrin, isolated from Datura Ferox leaves, and the possible mechanism of action involved in adult zebrafish (ZFa). To this end, the animals were treated intraperitoneally (i. p.) with withanicandrin (4; 20 and 40 mg/kg; 20 μL) and subjected to locomotor activity and acute toxicity. Nociception tests were also carried out with chemical agents, in addition to tests to evaluate inflammatory processes induced by κ-Carrageenan 1.5 % and a Molecular Docking study. As a result, withanicandrin reduced nociceptive behavior by capsaicin at a dose of 40 mg/kg and by acid saline at doses of 4 and 40 mg/kg, through neuromodulation of TRPV1 channels and ASICs, identified through blocking the antinociceptive effect of withanicandrin by the antagonists capsazepine and naloxone. Furthermore, withanicandrin caused an anti-inflammatory effect through the reduction of abdominal edema, absence of leukocyte infiltrate in the liver tissue and reduction of ROS in thel liver tissue and presented better affinity energy compared to control morphine (TRPV1) and ibuprofen (COX-1 and COX-2).
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Affiliation(s)
- Jéssica Bezerra Maciel
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Hortência Ribeiro Liberato
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Antônio Wlisses da Silva
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - João Pedro Vieira da Silva
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Francisco das Chagas L Pinto
- Laboratório de Análise Fitoquímica de Plantas Medicinais II -, LAFIPLAM II Departamento de Química Orgânica e Inorgânica -, DQOI, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - Emanuela de Lima Rebouças
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Francisco Sydney Henrique da Silva
- Laboratório de Fisiologia Experimental -, LAFIEX, Programa de Pós-Graduação em Ciências Fisiológicas, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Maria Kueirislene Amâncio Ferreira
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | - Emmanuel Silva Marinho
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
- Grupo de Química Teórica e Eletroquímica -, GQTE, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Otília Deusdênia Loiola Pessoa
- Laboratório de Análise Fitoquímica de Plantas Medicinais II -, LAFIPLAM II Departamento de Química Orgânica e Inorgânica -, DQOI, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - Paulo Goberlânio de Barros Silva
- Laboratório de Patologia,Programa de Pós-Graduação em Odontologia, Ciências Odontológicas, Centro Universitário Unichristus, Fortaleza, Ceará, Brazil
| | - Andrelina Noronha Coelho-de-Souza
- Laboratório de Fisiologia Experimental -, LAFIEX, Programa de Pós-Graduação em Ciências Fisiológicas, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Maria Izabel Florindo Guedes
- Laboratório de Biotecnologia e Biologia Molecular -, LBBM, Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | - Jane Eire Silva Alencar de Menezes
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Hélcio Silva Dos Santos
- Laboratório de Bioensaios Químicos-Farmacológicos e Ambiental - LabQFAm, Programa de Pós-Graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
- Curso de Química, Universidade Estadual Vale do Acaraú, Sobral, Ceará, Brazil
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10
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Ribeiro Liberato H, Bezerra Maciel J, Wlisses Da Silva A, Eduarda Uchoa Bezerra M, San De Oliveira Brito L, Silva J, Kuerislene Amâncio Ferreira M, Machado Marinho M, Marinho GS, Deusdênia Loiola Pessoa O, Guedes MIF, Goberlânio De Barros Silva P, Ferreira de Castro Gomes A, Silva Alencar De Menezes JE, Silva Dos Santos H. Neuromodulation of Acid-Sensitive Ion Channels (ASICs) and Anti-Inflammatory Potential by Lichenxanthone in Adult Zebrafish (Danio rerio): Experimental and Docking Studies. Chem Biodivers 2024; 21:e202400063. [PMID: 38329295 DOI: 10.1002/cbdv.202400063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 02/07/2024] [Accepted: 02/08/2024] [Indexed: 02/09/2024]
Abstract
The xanthone lichenxanthone did not show toxic effects (LC50>1.0 mg/mL). lichenxanthone prevented nociceptive behavior induced by acidic saline, and its analgesic effect was blocked by amiloride, highlighting the involvement of neuromodulation of acid-sensitive ion channels (ASICs). In the analysis of anti-inflammatory activity, concentrations of 0.1 and 0.5 mg/mL of lichenxanthone reduced the edema induced by k-carrageenan 3.5 %, observed from the fourth hour of analysis. This effect was similar to that observed with ibuprofen (positive control). No leukocyte infiltrates were observed in lichenxanthone, suggesting that the compound acts in the acute inflammatory response. The results of the molecular docking study revealed that lichenxanthone exhibited better affinity energy when compared to the ibuprofen control against the two targets evaluated.
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Affiliation(s)
- Hortência Ribeiro Liberato
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Jéssica Bezerra Maciel
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | | | - Luana San De Oliveira Brito
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, Campus do Pici s/n, Fortaleza, Ceará, Brazil
| | - Jacilene Silva
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | - Marcia Machado Marinho
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Gabrielle S Marinho
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | - Otília Deusdênia Loiola Pessoa
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, Campus do Pici s/n, Fortaleza, Ceará, Brazil
| | - Maria Izabel F Guedes
- Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | | | | | - Hélcio Silva Dos Santos
- Programa de Pós-graduação em Ciências Naturais, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
- Universidade Estadual do Vale do Acaraú, Centro de Ciências Exatas e Tecnologia, Sobral, Ceará, Brasil
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11
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Wultańska D, Piotrowski M, Pituch H. Antimicrobial Effects of Some Natural Products on Adhesion and Biofilm Inhibition of Clostridioides difficile. Pharmaceutics 2024; 16:478. [PMID: 38675139 PMCID: PMC11054867 DOI: 10.3390/pharmaceutics16040478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 03/18/2024] [Accepted: 03/28/2024] [Indexed: 04/28/2024] Open
Abstract
Understanding the potential antimicrobial properties of natural compounds and their impacts on Clostridioides difficile virulence factors may aid in developing alternative strategies for preventing and treating C. difficile infections (CDI). In this study, we investigated the bactericidal effects of ginger oil (GO), peppermint oil (PO), curcumin (CU), cinnamon aldehyde (CI), and trans-cinnamaldehyde (TCI) on the adhesion and biofilm disruption of C. difficile. We used three reference and five clinical C. difficile strains of different ribotypes. The bactericidal activity was assessed using the broth microdilution method. The adhesion was evaluated using human epithelial cell lines, and biofilm formation was visualized by confocal laser scanning microscopy. All tested strains exhibited susceptibility to CU, with minimum inhibitory concentration (MIC) values ranging from 128 µg/mL to 2048 µg/mL. Similarly, all strains were susceptible to CI and TCI, with MIC values ranging from 6.25% (v/v) to 25% (v/v). Most of the tested substances reduced the adhesion of C. difficile strains, while two tested strains showed significantly higher adhesion when co-incubated with the tested substances. Similar observations were made for biofilm formation, with observed density and morphology varied depending on the strain. In conclusion, the tested products demonstrated bactericidal activity and reduced the adhesion of C. difficile strains. They may be considered for further studies as potential antimicrobial agents targeting biofilm-related infections.
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Affiliation(s)
- Dorota Wultańska
- Department of Medical Microbiology, Medical University of Warsaw, 02-004 Warsaw, Poland; (M.P.); (H.P.)
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12
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de Menezes JFS, Sá Pires Silva AM, Aparecida Faria de Almeida E, da Silva AF, Morais Bomfim De Lima J, da Silva AW, Ferreira MKA, de Menezes JESA, Dos Santos HS, Marinho ES, Marinho GS, Marques da Fonseca A. Synthesis and anxiolytic effect of europium metallic complex containing lapachol [Eu(DBM) 3. LAP] in adult zebrafish through serotonergic neurotransmission: in vivo and in silico approach. J Biomol Struct Dyn 2024; 42:1280-1292. [PMID: 37029769 DOI: 10.1080/07391102.2023.2199087] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 03/29/2023] [Indexed: 04/09/2023]
Abstract
Anxiety-related mental health problems are estimated at 3.6% globally, benzodiazepines (BZDs) are the class of drugs indicated for the treatment of anxiety, including lorazepam and diazepam. However, concerns have been raised about the short- and long-term risks associated with BZDs. Therefore, despite anxiolytic and antidepressant drugs, there is a need to develop more effective pharmacotherapies with fewer side effects than existing drugs. The present work reported the synthesis, anxiolytic activity, mechanism of action in Adult Zebrafish (Danio rerio) and in silico study of a europium metallic complex with Lapachol, [Eu(DBM)3. LAP]. Each animal (n = 6/group) was treated intraperitoneally (i.p.; 20 µL) with the synthesized complex (4, 20 and 40 mg/Kg) and with the vehicle (DMSO 3%; 20 µL), being submitted to the tests of locomotor activity and 96h acute toxicity. The light/dark test was also performed, and the serotonergic mechanism (5-HT) was evaluated through the antagonists of the 5-HTR1, 5-HTR2A/2C and 5-HTR3A/3B receptors. The complex was characterized using spectrometric techniques, and the anxiolytic effect of complex may be involved the neuromodulation of receptors 5-HT3A/3B, since the pre-treatment with pizotifen and cyproheptadine did not block the anxiolytic effect of [Eu(DBM)3. LAP], unlike fluoxetine had its anxiolytic effect reversed. In addition, molecular docking showed interaction between the [Eu(DBM)3. LAP] and 5HT3A receptor with binding energy -7.8 kcal/mol and the ADMET study showed that complex has low toxic risk. It is expected that the beginning of this study will allow the application of the new anxiolytic drugs, given the pharmacological potential of the lapachol complex.Communicated by Ramaswamy H. Sarma.
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Affiliation(s)
- Jorge Fernando Silva de Menezes
- Center for Teacher Training, Federal University of Recôncavo da Bahia, Amargosa, Bahia, Brazil
- INCT - Energia e Meio Ambiente, UFBA, Rua Barão de Jeremoabo, Salvador, Bahia, Brazil
| | | | | | - Ananias Freire da Silva
- Postgraduate Program in Energy and Environment - PGEA, Institute of Engineering and Sustainable Development, University of International Integration of Afro-Brazilian Lusofonia, Acarape, Ceará, Brazil
| | | | | | | | | | - Hélcio Silva Dos Santos
- State University of Ceará, Graduate Program in Natural Sciences, Fortaleza, Ceará, Brazil
- State University of Vale do Acaraú, Chemistry Course, Sobral, Ceará, Brazil
| | - Emmanuel Silva Marinho
- State University of Ceará, Graduate Program in Natural Sciences, Fortaleza, Ceará, Brazil
- Degree Course in Computer Science, Ceará State University, Fortaleza, Ceará, Brazil
| | | | - Aluísio Marques da Fonseca
- Postgraduate Program in Energy and Environment - PGEA, Institute of Engineering and Sustainable Development, University of International Integration of Afro-Brazilian Lusofonia, Acarape, Ceará, Brazil
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13
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Rodrigues DS, Cabral VP, Barbosa AD, Valente Sá LG, Silva CR, Moreira LE, Neto JB, Silva J, Santos HS, Marinho ES, Cavalcanti BC, Moraes MO, Nobre Júnior HV. Sertraline has fungicidal activity against Candida spp. and acts by inhibiting membrane and cell wall biosynthesis. Future Microbiol 2023; 18:1025-1039. [PMID: 37540066 DOI: 10.2217/fmb-2022-0254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023] Open
Abstract
Aim: Our study evaluated the activity of sertraline (SER) alone and associated with antifungal drugs in planktonic Candida spp. strains, and investigated its mechanism of action. Materials & methods: Broth microdilution method and minimum fungicidal concentration/MIC ratio were used to assess SER anticandidal activity, and the interaction with antifungals was determined by fractional inhibitory concentration index. The mechanism of action was investigated by flow cytometry and in silico tests. Results: SER inhibited Candida spp. strains at low concentrations by the fungicidal effect and showed no loss of effectiveness when combined. Its action seemed to be related to the membrane and cell wall biosynthesis inhibition. Conclusion: SER has activity against Candida spp. isolated and associated with antifungals, and acts by causing cell wall and membrane damage.
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Affiliation(s)
- Daniel S Rodrigues
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Vitória Pf Cabral
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Amanda D Barbosa
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Lívia Ga Valente Sá
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
- Christus University Center (UNICHRISTUS), Fortaleza, CE, Brazil
| | - Cecília R Silva
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Lara Ea Moreira
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Joao Ba Neto
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
- Christus University Center (UNICHRISTUS), Fortaleza, CE, Brazil
| | - Jacilene Silva
- Department of Chemistry, Group of Theoretical Chemistry and Electrochemistry (GQTE), State University of Ceará, Limoeiro do Norte, Ceará, 930-000, Brazil
| | - Hélcio S Santos
- Science and Technology Center, Chemistry Course, Vale do Acaraú State University, CE, 040-370, Sobral
| | - Emmanuel S Marinho
- Department of Chemistry, Group of Theoretical Chemistry and Electrochemistry (GQTE), State University of Ceará, Limoeiro do Norte, Ceará, 930-000, Brazil
| | - Bruno C Cavalcanti
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Manoel O Moraes
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
| | - Hélio V Nobre Júnior
- School of Pharmacy, Laboratory of Bioprospection in Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, 430-372, Brazil
- Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 430-275, Brazil
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14
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Ambade SS, Gupta VK, Bhole RP, Khedekar PB, Chikhale RV. A Review on Five and Six-Membered Heterocyclic Compounds Targeting the Penicillin-Binding Protein 2 (PBP2A) of Methicillin-Resistant Staphylococcus aureus (MRSA). Molecules 2023; 28:7008. [PMID: 37894491 PMCID: PMC10609489 DOI: 10.3390/molecules28207008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/05/2023] [Accepted: 10/05/2023] [Indexed: 10/29/2023] Open
Abstract
Staphylococcus aureus is a common human pathogen. Methicillin-resistant Staphylococcus aureus (MRSA) infections pose significant and challenging therapeutic difficulties. MRSA often acquires the non-native gene PBP2a, which results in reduced susceptibility to β-lactam antibiotics, thus conferring resistance. PBP2a has a lower affinity for methicillin, allowing bacteria to maintain peptidoglycan biosynthesis, a core component of the bacterial cell wall. Consequently, even in the presence of methicillin or other antibiotics, bacteria can develop resistance. Due to genes responsible for resistance, S. aureus becomes MRSA. The fundamental premise of this resistance mechanism is well-understood. Given the therapeutic concerns posed by resistant microorganisms, there is a legitimate demand for novel antibiotics. This review primarily focuses on PBP2a scaffolds and the various screening approaches used to identify PBP2a inhibitors. The following classes of compounds and their biological activities are discussed: Penicillin, Cephalosporins, Pyrazole-Benzimidazole-based derivatives, Oxadiazole-containing derivatives, non-β-lactam allosteric inhibitors, 4-(3H)-Quinazolinones, Pyrrolylated chalcone, Bis-2-Oxoazetidinyl macrocycles (β-lactam antibiotics with 1,3-Bridges), Macrocycle-embedded β-lactams as novel inhibitors, Pyridine-Coupled Pyrimidinones, novel Naphthalimide corbelled aminothiazoximes, non-covalent inhibitors, Investigational-β-lactam antibiotics, Carbapenem, novel Benzoxazole derivatives, Pyrazolylpyridine analogues, and other miscellaneous classes of scaffolds for PBP2a. Additionally, we discuss the penicillin-binding protein, a crucial target in the MRSA cell wall. Various aspects of PBP2a, bacterial cell walls, peptidoglycans, different crystal structures of PBP2a, synthetic routes for PBP2a inhibitors, and future perspectives on MRSA inhibitors are also explored.
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Affiliation(s)
- Shraddha S. Ambade
- Department of Pharmaceutical Sciences, Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur 440033, MH, India (P.B.K.)
| | - Vivek Kumar Gupta
- Department of Biochemistry, National JALMA Institute for Leprosy & Other Mycobacterial Diseases (ICMR), Agra 282004, UP, India
| | - Ritesh P. Bhole
- Dr. D. Y. Patil Institute of Pharmaceutical Sciences and Research, Pimpri, Pune 411018, MH, India
- Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune 411018, MH, India
| | - Pramod B. Khedekar
- Department of Pharmaceutical Sciences, Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur 440033, MH, India (P.B.K.)
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15
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Leitão AC, Ferreira TL, Gurgel do Amaral Valente Sá L, Rodrigues DS, de Souza BO, Barbosa AD, Moreira LEA, de Andrade Neto JB, Cabral VPDF, Rios MEF, Cavalcanti BC, Silva J, Marinho ES, Dos Santos HS, de Moraes MO, Júnior HVN, da Silva CR. Antibacterial activity of menadione alone and in combination with oxacillin against methicillin-resistant Staphylococcus aureus and its impact on biofilms. J Med Microbiol 2023; 72. [PMID: 37707372 DOI: 10.1099/jmm.0.001751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2023] Open
Abstract
Introduction. Antibiotic resistance is a major threat to public health, particularly with methicillin-resistant Staphylococcus aureus (MRSA) being a leading cause of antimicrobial resistance. To combat this problem, drug repurposing offers a promising solution for the discovery of new antibacterial agents.Hypothesis. Menadione exhibits antibacterial activity against methicillin-sensitive and methicillin-resistant S. aureus strains, both alone and in combination with oxacillin. Its primary mechanism of action involves inducing oxidative stress.Methodology. Sensitivity assays were performed using broth microdilution. The interaction between menadione, oxacillin, and antioxidants was assessed using checkerboard technique. Mechanism of action was evaluated using flow cytometry, fluorescence microscopy, and in silico analysis.Aim. The aim of this study was to evaluate the in vitro antibacterial potential of menadione against planktonic and biofilm forms of methicillin-sensitive and resistant S. aureus strains. It also examined its role as a modulator of oxacillin activity and investigated the mechanism of action involved in its activity.Results. Menadione showed antibacterial activity against planktonic cells at concentrations ranging from 2 to 32 µg ml-1, with bacteriostatic action. When combined with oxacillin, it exhibited an additive and synergistic effect against the tested strains. Menadione also demonstrated antibiofilm activity at subinhibitory concentrations and effectively combated biofilms with reduced sensitivity to oxacillin alone. Its mechanism of action involves the production of reactive oxygen species (ROS) and DNA damage. It also showed interactions with important targets, such as DNA gyrase and dehydroesqualene synthase. The presence of ascorbic acid reversed its effects.Conclusion. Menadione exhibited antibacterial and antibiofilm activity against MRSA strains, suggesting its potential as an adjunct in the treatment of S. aureus infections. The main mechanism of action involves the production of ROS, which subsequently leads to DNA damage. Additionally, the activity of menadione can be complemented by its interaction with important virulence targets.
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Affiliation(s)
- Amanda Cavalcante Leitão
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Thais Lima Ferreira
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Lívia Gurgel do Amaral Valente Sá
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
- Christus University Center, Fortaleza, CE, Brazil
| | - Daniel Sampaio Rodrigues
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Beatriz Oliveira de Souza
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Amanda Dias Barbosa
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Lara Elloyse Almeida Moreira
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | | | - Vitória Pessoa de Farias Cabral
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | | | | | - Jacilene Silva
- Department of Chemistry, Theoretical Chemistry and Electrochemistry Group (GQTE), State University of Ceará, Limoeiro do Norte, CE, Brazil
| | - Emmanuel Silva Marinho
- Department of Chemistry, Theoretical Chemistry and Electrochemistry Group (GQTE), State University of Ceará, Limoeiro do Norte, CE, Brazil
| | - Hélcio Silva Dos Santos
- Center for Exact Sciences and Technology, Acaraú Valley State University, Sobral, CE, Brazil
| | | | - Hélio Vitoriano Nobre Júnior
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
| | - Cecília Rocha da Silva
- Department of Clinical & Toxicological Analysis, School of Pharmacy, Laboratory for Bioprospection of Antimicrobial Molecules (LABIMAN), Federal University of Ceará, Fortaleza, CE, Brazil
- Drug Research & Development Center, Federal University of Ceará, Fortaleza, CE, Brazil
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de Sousa HM, da Silva AB, Ferreira MKA, da Silva AW, de Menezes JESA, Marinho ES, Marinho MM, Dos Santos HS, Pessoa ODL. Indole Alkaloids of Rauvolfia ligustrina and Their Anxiolytic Effects in Adult Zebrafish. PLANTA MEDICA 2023; 89:979-989. [PMID: 36940928 DOI: 10.1055/a-2058-3710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Rauvolfia species are well known as producers of bioactive monoterpene indole alkaloids, which exhibit a broad spectrum of biological activities. A new vobasine-sarpagan-type bisindole alkaloid (1: ) along with six known monomeric indoles (2, 3/4, 5: , and 6/7: ) were isolated from the ethanol extract of the roots of Rauvolfia ligustrina. The structure of the new compound was elucidated by interpretation of their spectroscopic data (1D and 2D NMR and HRESIMS) and comparison with published data for analog compounds. The cytotoxicity of the isolated compounds was screened in a zebrafish (Danio rerio) model. The possible GABAergic (diazepam as the positive control) and serotoninergic (fluoxetine as the positive control) mechanisms of action in adult zebrafish were also evaluated. No compounds were cytotoxic. Compound 2: and the epimers 3: /4: and 6: /7: showed a mechanism action by GABAA, while compound 1: showed a mechanism action by a serotonin receptor (anxiolytic activity). Molecular docking studies showed that compounds 2: and 5: have a greater affinity by the GABAA receptor when compared with diazepam, whereas 1: showed the best affinity for the 5HT2AR channel when compared to risperidone.
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Affiliation(s)
| | - Alison Batista da Silva
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, Fortaleza-CE, Brazil
| | | | | | | | - Emmanuel Silva Marinho
- Programa de Graduação em Ciências Naturais, Universidade Estadual de Ceará, Fortaleza-CE, Brazil
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17
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Othman AS, Shamekh IM, Abdalla M, Eltayb WA, Ahmed NA. Molecular modeling study of micro and nanocurcumin with in vitro and in vivo antibacterial validation. Sci Rep 2023; 13:12224. [PMID: 37507459 PMCID: PMC10382483 DOI: 10.1038/s41598-023-38652-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
Repurposing natural compounds as inhibitory targets to combat bacterial virulence is an important potential strategy to overcome resistance to traditional antibiotics, in the present study, the antibacterial activity of micro-curcumin and nano-sized curcumin was investigated against four predominant bacterial pathogens, namely, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, and Bacillus subtilis. Curcumin bactericidal susceptibility could be summarized as the order, P. aeruginosa > B. subtilis > S. aureus > E. coli. Molecular docking analysis was conducted to confirm the impact of curcumin on the most vital and positively identified quorum-sensing pathway signaling proteins SecA-SecY, LsrR, PqsR (MvfR), AgrA which act as key players in the bacterial communication systems. The in silico physicochemical properties revealed that curcumin as a nutraceutical can be classified as a drug-like compound. An in vivo infected wound model was employed in four groups of albino rats. Topical application of nano-curcumin lotion showed a marked reduction in wound area (98.8%) as well as nearly 100% reduction in total bacterial viable count compared to the control group, on the fifteenth day post-treatment post-injury. The obtained data suggested that curcumin nanoparticles exhibited superior antibacterial activity and may possess clinical utility as a novel topical antimicrobial and wound healing agent.
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Affiliation(s)
- Amal S Othman
- Department of Microbiology, Faculty of Applied Medical Sciences, October 6 University, P.O. Box 12585, El-Giza, Egypt
| | - Israa M Shamekh
- Chemo and Bioinformatics Lab, Bio Search Research Institution, BSRI, Giza, Egypt
| | - Mohnad Abdalla
- Pediatric Research Institute, Children Hospital, Shandong University, Jinan, 250022, Shandong, China
| | - Wafa A Eltayb
- Biotechnology Department, Faculty of Science and Technology, Shendi University, Shendi, Nher Anile, Sudan
| | - Nashwa A Ahmed
- Department of Microbiology, Faculty of Applied Medical Sciences, October 6 University, P.O. Box 12585, El-Giza, Egypt.
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Shakiba M, Sheikhi M, Pahnavar Z, Tajiki A, Bigham A, Foroozandeh A, Darvishan S, Pourmadadi M, Emadi H, Rezatabar J, Abdouss H, Abdouss M. Development of an antibacterial and antioxidative nanofibrous membrane using curcumin-loaded halloysite nanotubes for smart wound healing: In vitro and in vivo studies. Int J Pharm 2023; 642:123207. [PMID: 37419431 DOI: 10.1016/j.ijpharm.2023.123207] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/02/2023] [Accepted: 07/04/2023] [Indexed: 07/09/2023]
Abstract
Endowing wound dressings with drug delivery capability is a suitable strategy to transfer medicinal compounds locally to damaged skin layers. These dressings are especially useful for accelerating the healing rate in the cases of long-term treatment, and adding more functionalities to the platform. In this study, a wound dressing composed of polyamide 6, hyaluronic acid, and curcumin-loaded halloysite nanotubes (PA6/HA/HNT@Cur) was designed and fabricated for wound healing applications. The physicochemical properties of this platform were investigated through Fourier-transform infrared spectroscopy and field-emission scanning electron microscopy. Moreover, wettability, tensile strength, swelling, and in vitro degradation were assessed. The HNT@Cur was incorporated in the fibers in three concentrations and 1 wt% was found as the optimum concentration yielding desirable structural and mechanical properties. The loading efficiency of Cur on HNT was calculated to be 43 ± 1.8%, and the release profiles and kinetics of nanocomposite were investigated at physiological and acidic pH. In vitro antibacterial and antioxidation studies showed that the PA6/HA/HNT@Cur mat had strong antibacterial and antioxidation activities against gram-positive and -negative pathogens and reactive oxygen species, respectively. Desirable cell compatibility of the mat was found through MTT assay against L292 cells up to 72 h. Finally, the efficacy of the designed wound dressing was evaluated in vivo; after 14 days, the results indicated that the wound size treated with the nanocomposite mat significantly decreased compared to the control sample. This study proposed a swift and straightforward method for developing materials that might be utilized as wound dressings in clinical settings.
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Affiliation(s)
| | - Mehdi Sheikhi
- Polymer Chemistry Research Laboratory, Department of Chemistry, University of Isfahan, Isfahan, Iran
| | - Zohreh Pahnavar
- Department of Chemistry, University of Mazandaran, Babolsar, Iran
| | - Alireza Tajiki
- Department of Chemistry, Amirkabir University of Technology, Tehran, Iran
| | - Ashkan Bigham
- Institute of Polymers, Composites and Biomaterials, National Research Council of Italy (IPCB-CNR), Viale John Fitzgerald Kennedy 54, Mostra d'Oltremare Padiglione 20, 80125 Naples, Italy; Department of Chemical, Materials and Production Engineering, University of Naples Federico II, Piazzale V. Tecchio 80, 80125 Naples, Italy.
| | - Amin Foroozandeh
- Department of Chemistry, Amirkabir University of Technology, Tehran, Iran
| | - Sepehr Darvishan
- Department of Chemistry, Amirkabir University of Technology, Tehran, Iran
| | - Mehrab Pourmadadi
- School of Chemical Engineering, College of Engineering, University of Tehran, Tehran, Iran
| | - Hamid Emadi
- Department of Chemistry, University of Mazandaran, Babolsar, Iran
| | - Javad Rezatabar
- Department of Pathology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Hamidreza Abdouss
- School of Chemical Engineering, College of Engineering, University of Tehran, Tehran, Iran
| | - Majid Abdouss
- Department of Chemistry, Amirkabir University of Technology, Tehran, Iran.
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19
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Cabral VP, Rodrigues DS, Barbosa AD, Moreira LE, Sá LG, Silva CR, Neto JB, Silva J, Marinho ES, Santos HS, Cavalcanti BC, Moraes MO, Júnior HV. Antibacterial activity of paroxetine against Staphylococcus aureus and possible mechanisms of action. Future Microbiol 2023; 18:415-426. [PMID: 37213136 DOI: 10.2217/fmb-2022-0232] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 03/09/2023] [Indexed: 05/23/2023] Open
Abstract
Aim: To evaluate the antibacterial activity of paroxetine alone and associated with oxacillin against isolates of methicillin-sensitive and -resistant Staphylococcus aureus. Materials & methods: The broth microdilution and checkerboard techniques were used, with investigation of possible mechanisms of action through flow cytometry, fluorescence microscopy and molecular docking, in addition to scanning electron microscopy for morphological analysis. Results: Paroxetine showed a MIC of 64 μg/ml and bactericidal activity, mostly additive interactions in combination with oxacillin, evidence of action on genetic material and membrane, morphological changes in microbial cells and influence on virulence factors. Conclusion: Paroxetine has antibacterial potential from the perspective of drug repositioning.
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Affiliation(s)
- Vitória Pf Cabral
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Daniel S Rodrigues
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Amanda D Barbosa
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Lara Ea Moreira
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Lívia Gav Sá
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
- Centro Universitário Christus (UNICHRISTUS), Fortaleza, CE, Brasil
| | - Cecília R Silva
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - João Ba Neto
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
- Centro Universitário Christus (UNICHRISTUS), Fortaleza, CE, Brasil
| | - Jacilene Silva
- Departamento de Química, Grupo de Química Teórica e Eletroquímica (GQTE), Universidade Estadual do Ceará, Limoeiro do Norte, Ceará, CEP: 62.930-000, Brasil
| | - Emmanuel S Marinho
- Departamento de Química, Grupo de Química Teórica e Eletroquímica (GQTE), Universidade Estadual do Ceará, Limoeiro do Norte, Ceará, CEP: 62.930-000, Brasil
| | - Hélcio S Santos
- Centro de Ciência e Tecnologia, Curso de Química, Universidade Estadual Vale do Acaraú, Sobral, CE, CEP: 62.040-370, Brasil
| | - Bruno C Cavalcanti
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Manoel O Moraes
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
| | - Hélio Vn Júnior
- Faculdade de Farmácia, Laboratório de Bioprospecção em Moléculas Antimicrobianas (LABIMAN), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-372, Brasil
- Centro de Pesquisa e Desenvolvimento de Fármacos (NPDM), Universidade Federal do Ceará, Fortaleza, CE, CEP: 60.430-275, Brasil
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Mendes FRS, da Silva AW, Ferreira MKA, Rebouças EDL, Moura Barbosa I, da Rocha MN, Henrique Ferreira Ribeiro W, Menezes RRPPBD, Magalhães EP, Marinho EM, Marinho MM, Bandeira PN, de Menezes JESA, Marinho ES, Dos Santos HS. GABA A and serotonergic receptors participation in anxiolytic effect of chalcones in adult zebrafish. J Biomol Struct Dyn 2023; 41:12426-12444. [PMID: 36644862 DOI: 10.1080/07391102.2023.2167116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 01/03/2023] [Indexed: 01/17/2023]
Abstract
The prevalence of anxiety is a significant public health problem, being the 24th leading cause of disability in individuals affected by this disorder. In this context, chalcones, a flavonoid subclass obtained from natural or synthetic sources, interact with central nervous system (CNS) receptors at the same binding site as benzodiazepines, the primary drugs used in the treatment of anxiety. Thus, our study investigates the anxiolytic effect of synthetic chalcones derived from the natural product 2-hydroxy-3,4,6-trimethoxyacetophenone isolated from Croton anisodontus Müll.Arg. in modulating anxiolytic activity via GABAergic and serotoninergic neurotransmission in an adult zebrafish model. Chalcones 1 and 2 were non-toxic to adult zebrafish and showed anxiolytic activity via GABAA receptors. Chalcone 2 also had its anxiolytic action reversed by the antagonist granisetron, indicating the participation of serotonergic receptors 5HTR3A/3B in the anxiolytic effect. In addition, molecular docking results showed that chalcones have a higher affinity for the GABAA receptor than DZP and binding in the same region of the DZP binding site, indicating a similar effect to the drug. Furthermore, the interaction of chalcones with GABAA and 5-HT3A receptors demonstrates the anxiolytic effect potential of these molecules.Communicated by Ramaswamy H. Sarma.
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Affiliation(s)
| | | | | | | | - Italo Moura Barbosa
- Graduate Program in Natural Sciences, State University of Ceara, Fortaleza, Ceará, Brazil
| | - Matheus Nunes da Rocha
- Department of Chemistry, Limoeiro do Norte, State University of Ceara, Limoeiro do Norte, Ceará, Brazil
| | | | | | - Emanuel Paula Magalhães
- Department of Clinical and Toxicological Analysis, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Emanuelle Machado Marinho
- Department of Analytical and Physical Chemistry, Federal University of Ceara, Fortaleza, Ceará, Brazil
| | | | | | | | - Emmanuel Silva Marinho
- Graduate Program in Natural Sciences, State University of Ceara, Fortaleza, Ceará, Brazil
- Department of Chemistry, Limoeiro do Norte, State University of Ceara, Limoeiro do Norte, Ceará, Brazil
| | - Hélcio Silva Dos Santos
- Department of Biological Chemistry, Regional University of Cariri, Crato, Ceará, Brazil
- Graduate Program of Biotechnology, State University of Ceara, Fortaleza, Ceará, Brazil
- Graduate Program in Natural Sciences, State University of Ceara, Fortaleza, Ceará, Brazil
- Chemistry Course, State University of Vale do Acaraú, Sobral, Ceará, Brazil
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21
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Trigo-Gutierrez JK, Calori IR, de Oliveira Bárbara G, Pavarina AC, Gonçalves RS, Caetano W, Tedesco AC, Mima EGDO. Photo-responsive polymeric micelles for the light-triggered release of curcumin targeting antimicrobial activity. Front Microbiol 2023; 14:1132781. [PMID: 37152758 PMCID: PMC10157243 DOI: 10.3389/fmicb.2023.1132781] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 04/03/2023] [Indexed: 05/09/2023] Open
Abstract
Nanocarriers have been successfully used to solubilize, deliver, and increase the bioavailability of curcumin (CUR), but slow CUR release rates hinder its use as a topical photosensitizer in antimicrobial photodynamic therapy. A photo-responsive polymer (PRP) was designed for the light-triggered release of CUR with an effective light activation-dependent antimicrobial response. The characterization of the PRP was compared with non-responsive micelles comprising Pluronics™ P123 and F127. According to the findings, the PRP formed photo-responsive micelles in the nanometric scale (< 100 nm) with a lower critical micelle concentration (3.74 × 10-4 M-1, 5.8 × 10-4 M-1, and 7.2 × 10-6 M-1 for PRP, F127, P123, respectively, at 25°C) and higher entrapment efficiency of CUR (88.7, 77.2, and 72.3% for PRP, F127, and P123 micelles, respectively) than the pluronics evaluated. The PRP provided enhanced protection of CUR compared to P123 micelles, as demonstrated in fluorescence quenching studies. The light-triggered release of CUR from PRP occurred with UV light irradiation (at 355 nm and 25 mW cm-2) and a cumulative release of 88.34% of CUR within 1 h compared to 80% from pluronics after 36 h. In vitro studies showed that CUR-loaded PRP was non-toxic to mammal cell, showed inactivation of the pathogenic microorganisms Candida albicans, Pseudomonas aeruginosa, and methicillin-resistant Staphylococcus aureus, and decreased biofilm biomass when associated with blue light (455 nm, 33.84 J/cm2). The findings show that the CUR-loaded PRP micelle is a viable option for antimicrobial activity.
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Affiliation(s)
- Jeffersson Krishan Trigo-Gutierrez
- Laboratory of Applied Microbiology, Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - Italo Rodrigo Calori
- Department of Chemistry, Center of Nanotechnology and Tissue Engineering, Photobiology and Photomedicine Research Group, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Geovana de Oliveira Bárbara
- Laboratory of Applied Microbiology, Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - Ana Claudia Pavarina
- Laboratory of Applied Microbiology, Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - Renato Sonchini Gonçalves
- Department of Chemistry, Research Nucleus of Photodynamic Therapy, State University of Maringá, Maringá, Paraná, Brazil
| | - Wilker Caetano
- Department of Chemistry, Research Nucleus of Photodynamic Therapy, State University of Maringá, Maringá, Paraná, Brazil
| | - Antonio Claudio Tedesco
- Department of Chemistry, Center of Nanotechnology and Tissue Engineering, Photobiology and Photomedicine Research Group, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Ewerton Garcia de Oliveira Mima
- Laboratory of Applied Microbiology, Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
- *Correspondence: Ewerton Garcia de Oliveira Mima,
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Pamukçu A, Erdoğan N, Şen Karaman D. Polyethylenimine-grafted mesoporous silica nanocarriers markedly enhance the bactericidal effect of curcumin against Staphylococcus aureus biofilm. J Biomed Mater Res B Appl Biomater 2022; 110:2506-2520. [PMID: 35735075 PMCID: PMC9541607 DOI: 10.1002/jbm.b.35108] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 04/16/2022] [Accepted: 05/31/2022] [Indexed: 11/12/2022]
Abstract
The recalcitrant nature of biofilms makes biofilm-associated infections difficult to treat in modern medicine. Biofilms have a high vulnerability to antibiotics and a limited repertoire of antibiotics could act on matured biofilms. This issue has resulted in a gradual paradigm shift in drug discovery and therapy, with anti-biofilm compounds being sought alongside new drug carriers. A potential solution to biofilm-associated infections is to employ antibiofilm treatments, which can attack biofilms from many fronts. Nanocarriers are promising in this regard because they can be entrapped within biofilm matrix, target biofilm matrix, and provide local drug delivery to inhibit biofilm formation. In this study, curcumin as an herbal extract was loaded onto hyperbranched polyethylenimine-grafted mesoporous silica nanoparticles (F-MSN-PEI/Cur) and antibiofilm investigations were performed. The F-MSN-PEI/Cur design has the potential to repurpose curcumin as an antibiofilm agent by increasing its solubility and lowering the required doses for the destruction of matured biofilms as well as suppressing biofilm development. Using imaging and spectroscopic techniques, we assessed the interaction of F-MSN-PEI/Cur with Staphylococcus aureus bacterial cells and determined the impact of F-MSN-PEI/Cur on eradicating matured biofilms and suppressing biofilm development. The F-MSN-PEI/Cur design is highly cytocompatible, as observed by the cytotoxicity screening investigations on L929 mouse fibroblast cell line. Our findings show that F-MSN-PEI/Cur design reduces the bacterial cell viability, inhibits biofilm formation, and induces biofilm eradication, which is attributed to F-MSN-PEI/Cur design having the potential to repurpose the antibiofilm activity of curcumin-herbal extract.
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Affiliation(s)
- Ayşenur Pamukçu
- Department of Biomedical Technologies, Graduate School of Natural and Applied SciencesIzmir Katip Çelebi UniversityIzmirTurkey
| | - Nursu Erdoğan
- Department of Biomedical Technologies, Graduate School of Natural and Applied SciencesIzmir Katip Çelebi UniversityIzmirTurkey
| | - Didem Şen Karaman
- Department of Biomedical Engineering, Faculty of Engineering and ArchitectureIzmir Katip Çelebi UniversityIzmirTurkey
- Pharmaceutical Sciences Laboratory, Faculty of Science and EngineeringÅbo Akademi UniversityFinland
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Influence of the Hydrophobicity of Pluronic Micelles Encapsulating Curcumin on the Membrane Permeability and Enhancement of Photoinduced Antibacterial Activity. Pharmaceutics 2022; 14:pharmaceutics14102137. [PMID: 36297572 PMCID: PMC9608470 DOI: 10.3390/pharmaceutics14102137] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 09/30/2022] [Accepted: 10/04/2022] [Indexed: 11/05/2022] Open
Abstract
Apart from its well-known activity as an antimicrobial agent, Curcumin (CURC) has recently started to arouse interest as a photosensitizer in the photodynamic therapy of bacterial infections. The aim of the present study was to evidence the influence of the encapsulation of Curcumin into polymeric micelles on the efficiency of photoinduced microbial inhibition. The influence of the hydrophobicity of the selected Pluronics (P84, P123, and F127) on the encapsulation, stability, and antimicrobial efficiency of CURC-loaded micelles was investigated. In addition, the size, morphology, and drug-loading capacity of the micellar drug delivery systems have been characterized. The influence of the presence of micellar aggregates and unassociated molecules of various Pluronics on the membrane permeability was investigated on both normal and resistant microbial strains of E. coli, S. aureus, and C. albicans. The antimicrobial efficiency on the common pathogens was assessed for CURC-loaded polymeric micelles in dark conditions and activated by blue laser light (470 nm). Significant results in the reduction of the microorganism’s growth were found in cultures of C. albicans, even at very low concentrations of surfactants and Curcumin. Unlike the membrane permeabilization effect of the monomeric solution of Pluronics, reported in the case of tumoral cells, a limited permeabilization effect was found on the studied microorganisms. Encapsulation of the Curcumin in Pluronic P84 and P123 at very low, nontoxic concentrations for photosensitizer and drug-carrier, produced CURC-loaded micelles that prove to be effective in the light-activated inhibition of resistant species of Gram-positive bacteria and fungi.
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Insight into the Progress on Natural Dyes: Sources, Structural Features, Health Effects, Challenges, and Potential. Molecules 2022; 27:molecules27103291. [PMID: 35630767 PMCID: PMC9144664 DOI: 10.3390/molecules27103291] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 02/07/2023] Open
Abstract
(1) Background: Dyes play an important role in food, medicine, textile, and other industries, which make human life more colorful. With the increasing demand for food safety, the development of natural dyes becomes more and more attractive. (2) Methods: The literature was searched using the electronic databases PubMed, Web of Science, and SciFinder and this scoping review was carried out following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). (3) Results: 248 articles were included in this review. This review summarizes the research progress on natural dyes in the last ten years. According to structural features, natural dyes mainly include carotenoids, polyphenols, porphyrins, and alkaloids, and some of the newest dyes are summarized. Some pharmacological activities of carotenoids, anthocyanin, curcumin, and betalains in the last 10 years are summarized, and the biological effects of dyes regarding illumination conditions. The disadvantages of natural dyes, including sources, cost, stability, and poor bioavailability, limit their application. Here, some feasible strategies (potential resources, biotechnology, new extraction and separation strategies, strategies for improving stability) are described, which will contribute to the development and utilization of natural dyes. (4) Conclusion: Natural dyes show health benefits and potential in food additives. However, it is necessary for natural dyes to pass toxicity tests and quality tests and receive many regulatory approvals before their final entry into the market as food colorants or as drugs.
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Dai C, Lin J, Li H, Shen Z, Wang Y, Velkov T, Shen J. The Natural Product Curcumin as an Antibacterial Agent: Current Achievements and Problems. Antioxidants (Basel) 2022; 11:459. [PMID: 35326110 PMCID: PMC8944601 DOI: 10.3390/antiox11030459] [Citation(s) in RCA: 99] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 02/21/2022] [Accepted: 02/22/2022] [Indexed: 02/04/2023] Open
Abstract
The rapid spread of antibiotic resistance and lack of effective drugs for treating infections caused by multi-drug resistant bacteria in animal and human medicine have forced us to find new antibacterial strategies. Natural products have served as powerful therapeutics against bacterial infection and are still an important source for the discovery of novel antibacterial drugs. Curcumin, an important constituent of turmeric, is considered safe for oral consumption to treat bacterial infections. Many studies showed that curcumin exhibited antibacterial activities against Gram-negative and Gram-positive bacteria. The antibacterial action of curcumin involves the disruption of the bacterial membrane, inhibition of the production of bacterial virulence factors and biofilm formation, and the induction of oxidative stress. These characteristics also contribute to explain how curcumin acts a broad-spectrum antibacterial adjuvant, which was evidenced by the markedly additive or synergistical effects with various types of conventional antibiotics or non-antibiotic compounds. In this review, we summarize the antibacterial properties, underlying molecular mechanism of curcumin, and discuss its combination use, nano-formulations, safety, and current challenges towards development as an antibacterial agent. We hope that this review provides valuable insight, stimulates broader discussions, and spurs further developments around this promising natural product.
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Affiliation(s)
- Chongshan Dai
- Department of Veterinary Pharmacology and Toxicology, College of Veterinary Medicine, China Agricultural University, No. 2 Yuanmingyuan West Road, Beijing 100193, China; (J.L.); (Z.S.); (Y.W.)
- Beijing Key Laboratory of Detection Technology for Animal-Derived Food Safety, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China
| | - Jiahao Lin
- Department of Veterinary Pharmacology and Toxicology, College of Veterinary Medicine, China Agricultural University, No. 2 Yuanmingyuan West Road, Beijing 100193, China; (J.L.); (Z.S.); (Y.W.)
| | - Hui Li
- Beijing Key Laboratory of Diagnostic and Traceability Technologies for Food Poisoning, Beijing Center for Disease Prevention and Control, Beijing 100193, China;
| | - Zhangqi Shen
- Department of Veterinary Pharmacology and Toxicology, College of Veterinary Medicine, China Agricultural University, No. 2 Yuanmingyuan West Road, Beijing 100193, China; (J.L.); (Z.S.); (Y.W.)
| | - Yang Wang
- Department of Veterinary Pharmacology and Toxicology, College of Veterinary Medicine, China Agricultural University, No. 2 Yuanmingyuan West Road, Beijing 100193, China; (J.L.); (Z.S.); (Y.W.)
- Beijing Key Laboratory of Detection Technology for Animal-Derived Food Safety, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China
| | - Tony Velkov
- Department of Pharmacology & Therapeutics, School of Biomedical Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Jianzhong Shen
- Department of Veterinary Pharmacology and Toxicology, College of Veterinary Medicine, China Agricultural University, No. 2 Yuanmingyuan West Road, Beijing 100193, China; (J.L.); (Z.S.); (Y.W.)
- Beijing Key Laboratory of Detection Technology for Animal-Derived Food Safety, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China
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Biofilms in Surgical Site Infections: Recent Advances and Novel Prevention and Eradication Strategies. Antibiotics (Basel) 2022; 11:antibiotics11010069. [PMID: 35052946 PMCID: PMC8773207 DOI: 10.3390/antibiotics11010069] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/31/2021] [Accepted: 01/05/2022] [Indexed: 12/24/2022] Open
Abstract
Surgical site infections (SSIs) are common postoperative occurrences due to contamination of the surgical wound or implanted medical devices with community or hospital-acquired microorganisms, as well as other endogenous opportunistic microbes. Despite numerous rules and guidelines applied to prevent these infections, SSI rates are considerably high, constituting a threat to the healthcare system in terms of morbidity, prolonged hospitalization, and death. Approximately 80% of human SSIs, including chronic wound infections, are related to biofilm-forming bacteria. Biofilm-associated SSIs are extremely difficult to treat with conventional antibiotics due to several tolerance mechanisms provided by the multidrug-resistant bacteria, usually arranged as polymicrobial communities. In this review, novel strategies to control, i.e., prevent and eradicate, biofilms in SSIs are presented and discussed, focusing mainly on two attractive approaches: the use of nanotechnology-based composites and natural plant-based products. An overview of new therapeutic agents and strategic approaches to control epidemic multidrug-resistant pathogenic microorganisms, particularly when biofilms are present, is provided alongside other combinatorial approaches as attempts to obtain synergistic effects with conventional antibiotics and restore their efficacy to treat biofilm-mediated SSIs. Some detection and real-time monitoring systems to improve biofilm control strategies and diagnosis of human infections are also discussed.
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