Accepted Manuscript Review Antimicrobial magnetic nanoparticles based-therapies for controlling infectious diseases Gisele Regina Rodrigues, Carlos López-Abarrategui, Inés de la Serna Gómez, Simoni Campos Dias, Anselmo J. Otero-González, Octavio Luiz Franco PII: DOI: Reference:
S0378-5173(18)30868-8 https://doi.org/10.1016/j.ijpharm.2018.11.043 IJP 17936
To appear in:
International Journal of Pharmaceutics
Received Date: Revised Date: Accepted Date:
28 July 2018 13 November 2018 15 November 2018
Please cite this article as: G. Regina Rodrigues, C. López-Abarrategui, I. de la Serna Gómez, S. Campos Dias, A.J. Otero-González, O. Luiz Franco, Antimicrobial magnetic nanoparticles based-therapies for controlling infectious diseases, International Journal of Pharmaceutics (2018), doi: https://doi.org/10.1016/j.ijpharm.2018.11.043
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Antimicrobial magnetic nanoparticles based-therapies for controlling infectious diseases. Gisele Regina Rodrigues2, Carlos López-Abarrategui1, Inés de la Serna Gómez2, Simoni Campos Dias2, Anselmo J. Otero-González1 and Octavio Luiz Franco2,3 1- Center for Protein Studies, Faculty of Biology, University of Havana, Cuba. 2- Center for Biochemical and Proteomics Analyses, Catholic University of Brasilia, Brasilia, Brazil. 3- S-Inova Biotech, Post-Graduate in Biotechnology, Catholic University Dom Bosco, Campo Grande, Brazil.
Corresponding author . Phone: (61) 3448-7167/ Fax: (61) 33474797/ e- mail:
[email protected]. Center for Biochemical and Proteomics Analyses, Catholic University of Brasilia, Brazil. 70790-160.
Antimicrobial magnetic nanoparticles based-therapies for controlling infectious diseases Abstract In the last years, the antimicrobial resistance against antibiotics has become a serious health issue, arise as global threat. This has generated a search for new strategies in the progress of new antimicrobial therapies. In this context, different nanosystems with antimicrobial properties have been studied. Specifically, magnetic nanoparticles seem to be very attractive due to their relatively simple synthesis, intrinsic antimicrobial activity, low toxicity and high versatility. Iron oxide NPs (IONPs) was authorized by the World Health Organization for human used in biomedical applications such as in vivo drug delivery systems, magnetic guided therapy and contrast agent for magnetic resonance imaging have been widely documented. Furthermore, the antimicrobial activity of different magnetic nanoparticles has recently been demonstrated. This review elucidates the recent progress of IONPs in drug delivery systems and focuses on the treatment of infectious diseases and target the possible detrimental biological effects and associated safety issues.
Keywords: Magnetic nanoparticles, iron oxide nanoparticles, antimicrobial activity, antimicrobial drugs delivery.
1
1-Introduction
2 In recent years, antimicrobial resistance against antibiotics has become a serious health 3 issue, posing a global threat [1-2]. The lack of development of new antibiotics for treating 4 illnesses (only two new classes of antibiotics have appeared in the last four decades) [3], 5 as well as the appearance of multidrug-resistant strains, have worsened the scenario. In 6 fact, it is estimated that by 2050 antibiotic resistance will have caused approximately 300 7 million deaths, with an economic loss of $100 trillion [4], and according to the World 8 Health Organization antibiotic resistance is one of the major health problems of the 9 century. These concerns have generated a search for innovative strategies in antimicrobial 10 therapies [5]. Among the strategies that have been under investigation are the use of 11 antimicrobial peptides, phage therapy, therapeutic antibodies, quorum sensing inhibitors 12 and, finally, antimicrobial nanoparticles [6]. Nanoparticles (NPs)are an alternative for 13 overcoming these problems. The advantage of NP formulations compared to conventional 14 systems is that they can increase the efficacy of treatment and reduce side effects, due to 15 specific targeting action [7-9]. Since the development of the first drug carrier systems 16 (Bonventre and Gregoriadis, 1978 [10]), a large number of nanoparticles have been 17 developed. [10]. In addition, NPs have been used and tested in the most varied fields, 18 including nanopharmaceuticals (i.e., intended for drug delivery), nanodiagnostics (i.e., 19 used for imaging and diagnostics), nanotheranostics (i.e., combined therapeutic and 20 diagnostic), and nanobiomaterials (i.e., medical implants) [8,11]. Among these, 21 nanopharmaceuticals are predominant and represent 75% of the market share of approved 22 nanoparticles. The nanopharmaceutical market is still at an early stage, but these products 23 have significantly improved the therapeutic efficacy of many small-molecule drugs. 24 Those products approved for the global market are segmented by class of delivery system 25 in Table 1 [11]. According to Ragelle et al. [11], there are currently 29 principal 26 nanoparticle-based drug delivery systems in clinical trials in different phases in various 27 countries [11]. Furthermore, the action mechanism of these nanoparticles is type 28 dependent. While these antimicrobial mechanisms are not fully understood, some of them 29 are related to the damage caused by the physical structure of the nanoparticles itself, 30 whereas others could be associated with the generation of reactive oxygen species (ROS) 31 or linked to the release of metal ions from nanoparticle surfaces [12]. In addition, 32 magnetic nanoparticles (MNPs) have other attractive properties, compared with their 33 metallic, semiconducting, silica- or carbon-based analogs, intended for pharmaceutical
1
34 and biological applications [13]. Magnetic nanoparticles could be remotely guided 35 through the influence of an external magnetic field to selected targets. Also, the 36 application of a fluctuating magnetic field makes MNPs dissipate energy as heat, causing 37 a localized increase in temperature around them. This phenomenon is known as magnetic 38 fluid hyperthermia [14,15]. In order to isolate and/or concentrate analyses, molecular 39 markers and cells from different MNP fluids have been successfully used [16,17]. 40 Furthermore, their capacity for molecule delivery in vitro and in vivo [18-19] 41 magnetically guided immunotherapy, [20,21] and as a contrast agent for magnetic 42 resonance imaging through the tuning of transverse relaxation time [22] has been widely 43 demonstrated. Although all these approaches seem to be effective, magnetic nanoparticles 44 (MNPs) are amongst the most promising strategies regarding potential translation to 45 clinics in the field of antibiotic therapy [6]. MNPs have unique physical properties and 46 the capacity to function at the cellular and molecular level, intended for pharmaceutical 47 and biological applications [13,22-26]. Furthermore, MNP drug delivery systems 48 improve the ability to define specific locations in the body; they decrease the necessary 49 amount of drug to reach the target; and they reduce the concentration of the drug at non50 target sites, minimizing severe side effects [27]. These advantages arise because some 51 metals like zinc, silver and copper exhibit antimicrobial properties in their bulk form. 52 Furthermore, the antimicrobial effect of these metals is inversely proportional to the 53 nanoscale dimensions [28]. For iron oxide nanoparticles (IONPs), the synthesis is 54 relatively simple and economical; it can be achieved practically without toxic by55 products, and its tolerance for biological systems is high. Nevertheless, the greatest 56 concern around IONPs is associated with biocompatibility, biodegradability and 57 cytotoxicity, especially in in vivo tests [24, 25, 27, 29, 30]. Thus, this review elucidates 58 recent progress of IONPs in drug delivery systems, and focuses on the treatment of 59 infectious diseases, aiming to emphasize the potential adverse biological effects and 60 associated safety issues. 61
2-Magnetic nanoparticle (MNP) synthesis and functionalization
62
MNPs are being extensively investigated for biomedical use, for their low cost and
63
toxicity, and unique magnetic properties [22,27,31]. MNPs are based on a metal such as
64
iron, nickel, silver and cobalt, or on a metal oxide [25]. Among metal oxides, iron oxide
65
NPs (IONPs) have wide distribution in nature and are easily synthesized [8,31-33].
66
Although many pure phases of iron oxide exist in nature, the most popular MNPs are 2
67
nanoscale zero-valent iron (nZVI) Fe3O4 and αFe2O3. They have different
68
physicochemical properties arising from the variation in their iron oxidation states.
69
Among them, magnetite (Fe3O4), which is a ferromagnetic oxide of both Fe(II) and
70
Fe(III), has been broadly studied. Magnetite is the preferred type considering the
71
presence of the Fe2+state with the capability of acting like an electron donor. [8,31]. In
72
addition, IONPs are nanomaterials that exhibit magnetic properties such as
73
ferromagnetism, ferrimagnetism, and paramagnetism or superparamagnetism, different
74
magnetic properties that occur during the crystallization of iron [8,14,25].
75
Superparamagnetic nanoparticles (SIONPs) exhibit superparamagnetism in a size-
76
dependent manner, and when exposed to the external magnetic field they are
77
magnetized and become neutral upon removal of the field [25,34,35]. Therefore, the
78
magnetic properties can define size, shape, composition and their biological applications
79
[8,13, 31-37]. Fig. 1.
80
MNPs can be synthesized by different methods, namely chemical, physical and
81
biological [38]. Chemical methods are most frequently used due to their simplicity,
82
controllable handling, and efficiency. Besides that, the composition, size, and shape of
83
the NPs can be designed (i.e., using co-precipitation [39], microemulsion [40],
84
hydrothermal [41], etc.), and these syntheses use one of two main methods [29]. First,
85
physical methods consist of elaborate procedures which in general cannot control the
86
size of particles in the nanometer range but are easy to perform (i.e., gas phase
87
deposition [42], electron beam lithography [43], etc). Second, a biological method or
88
bacterial synthesis can be a new option to substitute chemical synthesis, as it takes place
89
under mild conditions and avoids the use of toxic chemicals; it thus may offer a new
90
non-toxic, biocompatible composite for biomedical and environmental applications.
91
[8,44,45]. As a natural product, magnetic nanoparticles are uniform particles of 20–45
92
nm core diameter and single-domain crystals [8,44]. These methods are advantageous
93
with respect to yield, reproducibility and scalability, but the fermentation process is
94
time-consuming. (i.e., bacterium and fungus mediated) [45]. Furthermore, bare MNPs
95
are generally unstable and they easily aggregate, due to high surface energy [31].
96
Aggregation significantly affects MNP dispersion into the aqueous medium;
97
furthermore, the oxidation process could occur in the presence of oxygen [29,31]. In
98
order to overcome such disadvantages, different methods of surface modification can be
99
used, including the use of chemicals (i.e., oleic acid [46)] citric acid [47], polymers [48-
3
100
50)] etc.) or of biological molecules (i.e., chitosan [25,51], albumin [52], dextran
101
[53,54], etc.) Fig. 2.
102
Among various functionalization methods, dopamine is the most common organic
103
material with a high-affinity connection group used for the stabilization of IONPs in
104
water and physiologic buffers [29]. The catechol unit of dopamine can coordinate the
105
IONP surface. Amstad et al. [55] described catechol-derived anchor groups, which have
106
a specific binding affinity to iron oxide and thus can disperse superparamagnetic
107
nanoparticles under physiologic conditions. Silica is widely known as a coating material
108
and frequently used for encapsulating IONPs in the sol-gel reaction (also known as the
109
Stober process). It is synthesized via the hydrolysis and condensation of silicon
110
orthoester (Si(OR)4) (e.g., tetraethyl orthosilicate (TEOS) and tetramethyl orthosilicate
111
(TMOS)) [56]. This functionalization has a great impact on the biocompatibility of
112
MNPs, as well as improving biomarker targeting [41,57]. Besides, different molecules
113
have been conjugated to or entrapped in MNPs in order to add new functionalities to the
114
nanosystems [3]. Fig. 3.
115
3-Antimicrobial activity of MNPs
116
The intrinsic antimicrobial property of MNPs promotes their study as potential
117
therapeutic agents against infectious diseases. Indeed, the direct antimicrobial activity of
118
MNPs has been confirmed by many researchers [9,13,26,59,60]. The antimicrobial
119
activity of nanomaterials mainly functions via three mechanisms: cell membrane
120
damage; releasing toxic metals, which can react with proteins, causing a loss of protein
121
function, and thus inhibiting or killing microbes; and generating reactive oxygen (ROS),
122
an active reactant that damages DNA, RNA, and proteins, thus damaging microbes
123
[13,25].
124
Among the MNPs, IONPs are of great importance for biomedical applications, due to
125
various physicochemical properties [29,61-63]. For example, Prucek et al. [63]
126
synthesized two types of MNPs, Ag@Fe3O4 and α- -Fe2O3@Ag. Ag@Fe3O4 ultra small
127
silver nanoparticles (~5 nm) were caught on the surface of Fe3O4 magnetic core (~70
128
nm). The Ag@Fe3O4 nanocomposite revealed a higher large silver nanocore (20-40
129
nm), surrounded by ultra-small α-Fe2O3-Fe2O3@Ag. These nanoparticles demonstrated
130
important antibacterial and antifungal activities, against 10 tested for bacterial strains
4
131
and four Candida species. This nanoparticle can be used for the targeted transport of an
132
antimicrobial agent, and its removal is made by an external magnetic field [63,64].
133
As regards the antibacterial activities of bare iron oxide nanoparticles, iron-oxide
134
nanoparticles were synthesized in a co-precipitation method and characterized by
135
absorption spectrophotometer (UVVIS), particle size analyzer (PD), X-ray diffraction
136
(XRD), and scanning electron microscope (SEM). IONPs of 66 nm were tested against
137
eight pathogenic strains (six Gram-positive and two Gram-negative). The antimicrobial
138
activity effect was better for Gram-positive bacteria than Gram-negative [65]. In the
139
studies cited above, the IONPs were not coated, and thus could have a harmful effect on
140
the stability and the antimicrobial efficacy of nanoparticles; on the other hand, the
141
antimicrobial activity may be linked to the small size of IONPs. Other studies have
142
demonstrated similar effects regarding the small size of nanoparticles [66-69]. Yao et al.
143
[70] reported the synthesis of magnetic TMP-based amine N-halamine nanoparticles
144
(Fe3O4@SiO2/CTMP NPs) as recyclable antimicrobial agents by arming Fe3O4@SiO2
145
NPs with amine N-halamines. The magnetic/antibacterial bi-functional products have
146
three components, magnetic Fe3O4 (inner), inert SiO2 (middle), and antibacterial N-
147
calamine (outer), forming core/shell structure. The nanoparticle exhibited a strong
148
antimicrobial effect. Such fact was demonstrated in the time-kill assay with different
149
concentrations of oxidative chlorine (0.11, 0.24, and 0.58 Cl+%) against E. coli as a
150
function of contact time (from 0 to 80 min), the results indicated 100% bacterial killing
151
in 20 min with concentration 0.58 Cl+% [70]. Furthermore, in this study the authors
152
tested the effect of iron-oxide nanoparticles on biofilm structure on different
153
biomaterials and surfaces, such as poly (methyl methacrylate) (PMMA), polystyrene
154
(PS), tissue culture polystyrene well plates (TCPS), glass slide and surfaces (PMMA
155
and TCPS) coated with a hydrophilic polyethylene oxide (PEO). The nanoparticle
156
showed an important decline in biofilm growth and demonstrated antimicrobial activity
157
against E. coli, S. aureus and P. aeruginosa [71]. A reduction in biofilm formation was
158
described for all bacteria tested. The growth of bacteria as biofilm structures helps them
159
resist adverse environmental conditions, and bacterial biofilms are refractory to
160
antibiotic treatments and immune clearance. Thus, novel anti-biofilm therapies are
161
urgently required [72]. In this regard, Grumezescu et al. [73] reported the use of matrix-
162
assisted pulsed laser evaporation (MAPLE), an effective technique to obtain novel anti-
163
biofilm nanocoatings based on Fe3O4/sodium lauryl sulfate (Fe3O4/SLS), core/shell
5
164
nanoparticles loaded with cephalosporin (cefotaxime (CTX) and cefrom (CEF)) ATB
165
adsorption shell. The nanoparticle showed an important decline in biofilm growth; the
166
highest reduction was observed in the presence of iron-oxide nanoparticles at 0.15 mg.
167
mL-1 concentration and inhibition 29 mm was detected for S. aureus compared E. coli
168
and P. aeruginosa [73]. Additionally, the interaction of superparamagnetic iron oxide
169
(SPONs) nanoparticles was evaluated regarding the biological activity of a bacterial
170
biofilm (Streptococcus mutans). The authors synthesized two bare SPIONs, one
171
positively and other negatively charged, in order to prove that the diffusion of the
172
nanoparticles through biofilms would depend on their surface feature. They observed
173
that SPIONs with positive charge were more effective in killing bacteria than the
174
negatively charged ones. Besides, different concentrations of SPION were tested and the
175
activity of antimicrobials for both concentrations, lower and higher, was the same. This
176
study proposes that the surface characteristics of the nanoparticle seem to be a relevant
177
parameter to adjust the efficiency of antimicrobial agents. Additionally, these
178
nanoparticles have the equivalent antibacterial activity against planktonic cells or
179
biofilms. Furthermore, the positively charged SPIONs were more effective in killing
180
bacteria than the negatively charged ones. It is proposed that the surface characteristics
181
of nanoparticle seem to be a relevant parameter in adjusting the efficiency of
182
antimicrobial agents. Additionally, these nanoparticles have the equivalent antibacterial
183
activity against planktonic cells or biofilms [74]. Agarwala et al. [75], described the
184
antibacterial activity of CuO and Fe2O3 nanoparticles against methicillin resistant
185
Staphylococcus aureus (MRSA) and E. coli. The CuO showed antibacterial activity
186
with inhibition of (22 ± 1) mm against Staphylococcus aureus (MRSA) and (18 ± 1)
187
mm for E. coli. The Fe2O3 results for MRSA (14 ± 1) mm and E. coli (12 ± 1) mm CuO.
188
These results demonstrated that CuO has better antibacterial activity than Fe2O3. In
189
contrast, three different magnetite nanoparticles synthesized by three different
190
laboratories (Brown University, US Research Nanomaterial Inc, and NovaCentrix) were
191
unable to inhibit P. aeruginosa biofilm formation at concentrations up to 200 µg. mL-1
192
[76]. This result corroborates those reported by Borcherding et al. [77], in which
193
magnetic nanoparticles (α- Fe2O3) of different sizes did not inhibit P. aeruginosa
194
biofilm growth. Specifically, the authors found that smaller nanoparticles (2 nm)
195
increased biofilm formation significantly more than larger nanoparticles (540 nm). They
196
hypothesized that Fe+3 ions released by magnetic nanoparticles increase bacterial
197
growth. Nevertheless, despite the role of Fe ions in bacterial growth, the antimicrobial 6
198
effect of these ions has been reported [78,79]. Recently Gao et al. [80] described the
199
catalytic nanoparticle (CAT-NP/H2O2), has degradation effect against the biofilm
200
matrix and concurrently as able to kill dental caries bacteria. They used a Streptococcus
201
mutans UA159 as biofilm at in vitro analyses they observed notably antibacterial effect
202
within biofilms, with >99.9% killing in 5 min. Moreover at in vivo tests, the results
203
demonstrated that CAT-NP-H2O2 interrupted outset and the severity dental caries. The
204
same group study the ferumoxytol nanoparticle approved by U.S. Food and Drug
205
Administration used for treat iron deficiency. The results demonstrated that ferumoxytol
206
binds in the biofilm formed by Streptococcus mutans and produce free radicals from
207
hydrogen peroxide (H2O2), lead to bacterial death via cell membrane disruption and
208
extracellular polymeric substances matrix degradation [80]. The studies described above
209
have antimicrobial, antifungal and anti-biofilm activity, and their excellent activity can
210
be related to the small size of IONPs, independently of the type of cover used for NPs.
211
In Table 2 we summarized others nanoparticle with their mechanisms of action. The
212
main mechanism proposed for the antimicrobial action of iron oxide nanoparticles is the
213
oxidative stress generated by reactive oxygen species (ROS). ROS include different
214
radicals such as superoxide, hydroxyl, hydrogen peroxide, and singlet oxygen, which
215
could cause chemical flaw in the proteins and DNA in bacteria [100]. Furthermore,
216
electrostatic interactions between nanoparticles and microbial cell membranes can result
217
in physical disorder, which eventually leads to microbial growth inhibition or cell death
218
[101-104]. Through the Fenton reaction (Eq. 1), which involves the reduction of
219
hydrogen peroxide by ferrous iron, hydroxyl radicals that have the ability to oxidize
220
most organic molecules are generated [105,106] Fig. 4.
221
Fe (II) + H2O2 → Fe (III) + OH- + OH
222
In fact, the peroxidase activity of MNPs has been widely demonstrated. This activity, in
223
addition to ROS generation, has a direct impact on the development of different
224
analytical techniques [17, 107-112]. Furthermore, the physicochemical properties of
225
MNPs (i.e., size, surface area, shape, solubility, and aggregation status) correlate with
226
their potential to generate ROS [104]. As described above, the surface potential of
227
MNPs influences their antimicrobial activity. In fact, spherical magnetite nanoparticles
228
of 10-20 nm diameter, synthesized by the co-precipitation method, were found to have a
229
negative surface potential.
(Eq. 1)
7
230 231
Arakha et al. [104], es ed 50 μM f
b NP g
ed ed pp x m ely 30% f m ell
s B. s b l s
bl y f
w sm
d E. coli, and n-IONP g
sm’s
bl y f
232
both bacterial, while p-IONP reduced 70% for both microorganisms. These changes
233
play a crucial role in determining the IONPs antimicrobial propensity. This study
234
mentions the higher ROS production upon p-IONP bacterial treatment, and it also
235
indicated that chitosan coating of IONP results in communication that enhances ROS
236
production, boosting antimicrobial activity. These changes play a crucial role in
237
determining the antimicrobial propensity of IONPs. This study mentions the higher
238
ROS production upon n-IONP treatment of the bacteria, and it also indicated that
239
chitosan coating of IONP results in communication that enhances ROS production,
240
boosting antimicrobial activity. [105] Besides, Fe3O4 nanoparticles coated with
241
poly(ethylenimine) (PEI) and poly (ethylene glycol) (PEG) present distinct surface
242
positive charges. Indeed, Fe3O4-PEI nanoparticles, which had a higher surface charge
243
than Fe3O4-PEI-PEG nanoparticles, exhibited greater cytotoxicity and ROS formation in
244
different cell lines [112]. Fu et al. [113] demonstrated that magnetite (Fe3O4) and
245
maghemite (Fe2O3) can present distinct cellular responses due to their skill in bearing
246
oxidation/reduction reactions. Indeed, magnetite was seen to cause higher levels of
247
toxicity in A549 human lung epithelial cell line, owing to its capacity to bear oxidation
248
[113,114]. This could explain why in many studies the antimicrobial activity of
249
magnetite is higher than that of maghemite. Furthermore, Wang et al. [115]
250
demonstrated that hematite (α-Fe2O3) and maghemite (γ-Fe2O3), which have different
251
surface structures, induced hydroxyl radicals at different levels. They synthesized a film
252
composed of iron oxide-coated graphene oxide nanomaterial with the chitosan hydrogel
253
matrix. The nanocomposite displayed significant antimicrobial activity against different
254
bacterial strains and Candida albicans. The authors also demonstrated the antimicrobial
255
efficacy of the individual chitosan-graphene oxide (CH-GO) and chitosan iron oxide
256
(CH-IO) hydrogel nanocomposite films. Additionally, the toxicity of the nanocomposite
257
films was evaluated by hemolytic activity and MTT assay. The films were not
258
cytotoxic, so it is possible that they may have a future application in biomedicine, as
259
well as in the food industry [115]. Furthermore, the development of antifungal
260
nanotherapies based on MNPs has also been conducted [116-118]. For this,
261
antimicrobial activity with citric acid-modified MnFe2O4-NPs of about 5 nm diameter
262
was evaluated. These nanoparticles inhibited C. albicans from growing at different
263
concentrations, and the minimal inhibitory concentration (MIC) of the MNPs was 8
264
reported at 250 µg. mL-1 in the RPMI medium. These nanoparticles were not effective
265
against Gram-positive S. aureus and Gram-negative E. coli bacteria. So, the
266
antimicrobial action of these nanoparticles is specific to yeast cells, and this can occur
267
due to the electrostatic connection among citric acid-coated MnFe2O4-NPs and the yeast
268
plasma membrane. In addition, these MNPs were demonstrated to be non-toxic to
269
macrophage [100]. Finally, targeted magnetic fluid hyperthermia (MFH) is also a
270
promising method for microbial therapy. In this regard, researchers evaluated the
271
antifungal efficacy of magnetic hyperthermia therapy by applying meso-2,3-
272
dimercaptosuccinic acid coated MNPs or anti-C. albicans immunomagnetic
273
nanoparticles. MFH based on both magnetic nanocomposites was effective against C.
274
albicans [119].
275
The experiments mentioned above prove the potential of MNPs to control infections.
276
Furthermore, the intrinsic antimicrobial activity of MNPs is very probably mediated by
277
ROS through the action of iron ions, which are also vital for the growth of
278
microorganisms, and it is therefore unlikely that resistance mechanisms will develop
279
against such nanoparticles. Using antimicrobial substances for coating MNPs or
280
creating nanocomposites could increase their therapeutic efficacy.
281
4-Antimicrobial drug delivery by MNPs
282
The basic purpose of MNP-based drug delivery is to direct a loaded magnetic drug
283
carrier system to a specific organ or tissue using an externally applied magnetic field for
284
drug accumulation. Compared with conventional drug administration, MNP drug
285
delivery could reduce the drug concentration administered, thus reducing systemic side
286
effects. In addition, this method raises the drug concentration in the affected tissue,
287
obtaining a better therapeutic effect [27,31]. The choice of coating material is crucial for
288
drug delivery application, which depends on the tailored drug loading and release
289
behaviors, and various materials can be used for coating bare IONPs before employing
290
them in drug delivery, like polymers (e.g., PEG, PAA, and chitosan) and mesoporous
291
silica [31].
292
Nowadays, there are few effective drugs available to control infections by pathogenic
293
bacteria, especially at the intracellular level [3]. Another concern in this regard is the
294
negligible inhibitory effect of therapeutics on the target microorganism, due to the
295
difficulty of transporting drugs across cellular membranes and of specifically targeting
9
296
drugs into the potential active site, together with their low activity and stability [120].
297
Antimicrobial toxicity adds another significant limitation to their use [15]. These
298
shortcomings have been the main reason for the development of novel strategies to
299
combat infectious diseases, such as the utilization of nanoparticles as drug carriers that
300
could enhance therapeutic effectiveness [18].
301
In this context, different molecules have been considered to be chemically and/or
302
physically bonded to MNPs, in order to increase their antimicrobial properties [11, 101].
303
Nonetheless, some uncertainties about the ability of MNPs to efficiently deliver
304
antimicrobial agents have recently been reported [79,121,122]. Masadeh et al. [122]
305
studied the effect of CeO2 and α-Fe2O3 with a mean diameter of 45 nm on the
306
antimicrobial activity of ciprofloxacin. Therefore, the minimal inhibitory concentration
307
(MIC) of only the antibiotic or a nanoformulated antibiotic against different bacteria
308
was compared. The authors demonstrated a considerable decrease in antibiotic activity
309
when it was tested in the presence of γ-Fe2O3. Moreover, Borcherding et al. [77]
310
evaluated the antimicrobial activity of a mixture of the antimicrobial molecules,
311
Lysozyme (600 μg. mL-1), Lactoferrin (200 μg. mL-1), HNP 1 (100 μg. mL-1) and
312
HNP 2 (100 μg. mL-1), in the presence of hematite nanoparticles (α-Fe2O3) of different
313
sizes (2, 43, 85 and 540 nm) in a system with synergic effect. The experiment was
314
conducted by 1-hour incubation of the antimicrobial cocktail with MNPs, following the
315
separation of the soluble molecules by centrifugation. Later, the antimicrobial activity
316
of the soluble medium was evaluated. Interestingly, the smallest nanoparticles inhibited
317
the antimicrobial action of the mixture of host defense molecules. Apparently, inhibition
318
of AMP activity could be attributable to the generation of Fe+3 ions by MNPs that
319
followed sequestering by bacteria, but in this work the higher capacity of the smallest
320
nanoparticles to adsorb antimicrobial polypeptides was also demonstrated. Thus, the
321
inhibition of antimicrobial polypeptide activity by α-Fe2O3 could be a consequence of
322
the removal of the antimicrobial assay of host defense molecules adsorbed to MNPs.
323
The utilization of antimicrobial activity of AMPs or antibiotics conjugated to MNPs has
324
been widely demonstrated [100,120-125]. Zhang et al. [125] showed that bacitracin was
325
covalently immobilized onto Fe3O4 nanoparticles via a CuI–catalyzed azide-alkyne 1,3-
326
dipolar cycloaddition (CuAAC) reaction, and biofunctionalized magnetic antibacterial
327
nanocomposites and nanoparticles (average size 12-15 nm). The conjugated
328
nanoparticles exhibited an antibacterial effect against both Gram-positive and Gram-
10
329
negative microorganisms, which was even higher than that of bacitracin itself. These
330
results allow the dosage and the side-effects of the antibiotic to be reduced, thus
331
increasing drug efficacy [125]. A similar study to compare the activity of bactericins,
332
cathalecidin, synthetic ceragenins and antibiotics like vancomycin and colestin against a
333
methicillin-resistant microorganism, these compounds were tested alone and in
334
combination with core-shell MNPs [126]. Three different nanosystems based on
335
magnetite (Fe3O4): aminosilane-coated nanoparticles (MNP@NH2), gold-coated
336
nanoparticles (MNP@Au), and quaternary ammonium derivative-coated MNPs
337
(MNP@PQAS) were evaluated. In most conditions, synergistic effects were observed in
338
combinations of core-shell MNPs with antimicrobial molecules. Furthermore, the
339
IONPs using antibacterial agents with core-shell MNPs also restrict biofilm formation.
340
Apparently, core-shell MNPs could interact with the bacterial cell wall and/or cellular
341
membrane, enhancing the insertion or uptake of the antimicrobial molecules [126].
342
The results described above corroborate the findings of studies on different strategies,
343
confirming that nanoformulation for targeted drug delivery can be used with effective
344
results [27,31]. In this line, the drug delivery MNPs described were efficient against
345
bacteria (MDR), fungi and biofilm of P. aeruginosa and S. aureus [126,127]. These
346
studies elucidate different methods for treatment and prevention of a wide range of
347
infections caused by MDR pathogens. Similar results were achieved against E. coli and
348
Staphylococcus aureus by synthesizing SPION@Au core-shell NPs functionalized with
349
CM, which has a diameter of 12 ± 2 nm, a zeta potential of +24.2 ± 3.5 mV (in PBS),
350
and 0.4 mg of CM per 1 mg of NPs. AMP-NPs have a lower MIC than soluble CM (0.4
351
versus 5 µg/mL), likely due to the synergetic effect of multiple CM peptides on the
352
surface of the NP [122]. It is possible that functionalized nanosystems could be more
353
specific for certain microbial membranes. For example, in this work, the authors
354
showed that soluble peptide interacts strongly with erythrocyte lipid membranes as
355
compared to the AMP-NPs, which indicate an increase in the selectivity for bacterial
356
membranes of the AMP-coated NPs [122]. Nguyen et al. [127] synthetized the POEGA-
357
b-PMAEP and stabilized with IONP. They produced local heating in biofilms on
358
exposure to a magnetic field. The POEGA-b-PMAEP@IONPs showed no toxicity,
359
besides promoting a detachment of biofilm when they heated biofilm cells and elevated
360
the efficiency of planktonic and biofilm cells; these results were compared with
361
gentamicin.
11
362
According to what has been previously described, magnetic fluid hyperthermia could be
363
efficiently used to control some infectious diseases. In this regard, hyperthermia
364
induced by magnetic nanoparticles upon exposure to an alternating magnetic field could
365
induce biofilm detachment, increasing the number of suspended cells and antibiotic
366
efficacy. Also, magnetic nanoparticles have been employed as vehicles for controlled
367
release of different drugs [15]. Indeed, magnetic nanoparticles coated with the
368
antimicrobial molecule ceragenin CSA-13 (MNP-CSA-13) through the imine bond may
369
be used as a pH control system to release it. At lower pH (pH=5), for 1 hour, 25% of
370
CSA-13 was released to the medium. Furthermore, the nanocomposite showed strong
371
antibacterial activity that was more effective than soluble ceragenin in killing the
372
bacteria P. aeruginosa. A significant reduction in CSA-13 hemolytic activity was
373
detected when the antimicrobial molecule was entrapped on the magnetic nanoparticle
374
surface [123]. This approach overcomes a possible functional impairment of the
375
antimicrobial molecules after their conjugation to nanoparticles.
376
In fact,
377
physicochemical properties [3]. Another study using magnetite nanoparticles with a
378
diameter of 39-41 nm coated with chitosan (CS-MNPs) and further loaded with the
379
antibiotic ampicillin corroborates the importance of the strategy mentioned above. The
380
release of ampicillin in this nanocomposite was 100% over 400 min. The antimicrobial
381
effect of the nanocomposite was dependent on the antibiotic since bare nanoparticles
382
were not antimicrobial. The results indicated that the nanocomposite had no bactericidal
383
effect; otherwise, the same nanocomposite exhibited antifungal properties and
384
antimycobacterial effect [128]. This same group also demonstrated antibacterial and
385
antifungal properties with nystatin nanocomposite nanoparticles (Nyst-CS-MNP) by
386
loading nystatin (Nyst) on chitosan (CS)-coated magnetic nanoparticles (MNPs) [129].
387
The results described by Hussein-Al-Ali et al [128] demonstrated that the chitosan-
388
coated particles (CS-MNP) did not have an antimicrobial effect; on the other hand,
389
Hussein-Al-Ali et al [129] demonstrated that the incorporation of nystatin into iron
390
oxide nanoparticles (Nyst-CS-MNP) decreased toxicity and harmful side effects.
391
Another study was designed in order to investigate the fungicidal properties of polyene
392
antibiotics (amphotericin B and nystatin) attached to the surface of aminosilane-coated
393
nanoparticles (MNP@NH2) against clinical isolates of Candida spp, including resistant
394
strains [124]. Synergistic or additive activity was observed with polyene-coated MNPs
the immobilization reactions
can
affect
molecules
with
different
12
395
against all tested Candida strains. Furthermore, functionalized nanoparticles were more
396
potent than unbound agents when tested to prevent Candida biofilm formation.
397
Apparently, disruption of the oxidation-reduction balance mediated by the inactivation
398
of catalase Cat1 is a mechanism leading to inhibition of Candida growth by MNPs.
399
Besides, the authors demonstrated a significant decrease in the toxicity of polyenes
400
against host cells after their conjugation to MNPs.
401
In general, magnetic nanoparticles as a drug delivery platform allow the use of lower
402
amounts of drugs compared to traditional drug therapy, which decreases adverse effects
403
related to drug toxicity. In addition, the majority of the synthesized MNPs show
404
inherent antimicrobial activity, so the combination of antimicrobial molecules with
405
them could imply a synergistic or additive effect in therapies, improving the usefulness
406
of antimicrobial drugs. This effect may be very beneficial in reducing bacterial
407
resistance to traditional antimicrobial therapy.
408
5- MNPs biodistribution and toxicity
409
The expanding applications of MNPs have given rise to many concerns regarding their
410
toxicological properties and long-term impact on human health [30]. The
411
biocompatibility of a drug nanocarrier may be linked to both the immune system
412
response, raised following its administration, and to the intrinsic toxicity of the carrier
413
and/or of its metabolites. Importantly, when associated with a nanocarrier, the toxicity
414
profile of the drug itself may undergo changes as a consequence of forthcoming
415
modification once in the body, due to cell or tissue biodistribution, clearance or
416
metabolization [130].
417
The potential toxicity of MNPs remains an issue of debate. Many in vitro and in vivo
418
experiments have shown apparently contradictory results in this regard, raising more
419
uncertainty [13,30,131]. There is an ongoing need to understand the in vivo
420
biodistribution and potential clearance mechanisms, and hence both their efficacy and
421
safety. H we e , wh
422
influenced by a myriad of factors [132]. In fact, not only the composition of NPs but
423
also their physical size or surface chemistry, among other variables, may affect the
424
physiological response from the patient, determining NP fate [134]. That would depend
425
on whether they would remain in the same nanostructure afterward, or instead become
426
metabolized. In general, MNPs are classified as good candidates for the intravenous
s
q es
ble s h
p
les’ b d s b
s
13
427
administration when they are small in size, that is 10-100 nm, since nanoparticles larger
428
than 200 nm are rapidly cleared by the reticuloendothelial system (RES) from the blood
429
stream, increasing their biodistribution in the liver and the spleen, while nanoparticles
430
lower than 10 nm are more likely removed from the body through renal clearance [13].
431
Recently, Yang et al., [134] studied the size-dependent biodistribution of MNPs of 10,
432
20, 30 and 40 nm in diameter in mice [134]. At the first day post-injection, all MNPs
433
were found primarily in the spleen and liver. Furthermore, size-dependent
434
biodistribution was reported. The smallest NPs (10 nm) were found mainly in the liver,
435
while larger NPs were found in the spleen [134]. Similar distribution patterns have been
436
reported by Jain et al. [135] and Tsuchiya et al. [136] in rats and mice, respectively.
437
Likewise, Weissleder et al. [137] found that, in rats, 82.6% and 6.2% of the injected
438
dose (ID) of ferumoxide, a clinically approved dextran-coated IONP with an overall
439
hydrodynamic diameter of 80 nm, had accumulated in the liver and spleen 1 hour after
440
the intravenous injection. Similarly, Bourrinet et al. [138] compared the biodistribution
441
of ferumoxtran-10, a 30 nm dextran-coated IONP, with the results previously reported
442
for ferumoxide. In rats, ferumoxtran NPs were mainly localized in the spleen (37–46%
443
ID) and lymph nodes (5–11% ID) 24 hours after intravenous injection and had modest
444
distribution in the liver (25% ID), while there was predominant liver uptake of the
445
larger ferumoxides (83% ID at 1-hour post-injection). In the same way, the effect of NP
446
size also influenced their circulation times. Larger particles are more quickly taken up
447
(by the liver and spleen) and have shorter circulation time in the blood compared with
448
the smaller ones [108]. Indeed, ferumoxtran was found to circulate much longer in the
449
blood compared with ferumoxides. While ferumoxtran showed a blood clearance half-
450
life of 97–222 min, depending on the dose used [139], ferumoxides have been reported
451
to have a much shorter plasma clearance half-life of approximately 6 min [138].
452
As mentioned above, surface chemistry is also a determinant in MNP biodistribution.
453
For example, a comparison of different surface charged dextran-coated Fe3O4 NPs,
454
carried out on mice, demonstrated an increase in the liver uptake of cationic (+ 20 mV)
455
(− 30 mV) NPs w h espe
e
l NPs [140]. In connection with this,
456
Veiseh et al. [141] showed that iron oxide nanoparticles (hydrodynamic diameter: 30
457
nm) coated with chitosan and polyethylene glycol (PEG) improve their ability to cross
458
the blood brain barrier [141]. Furthermore, the administration route and the dose are
459
also among the contributing variables which determine the biodistribution and toxicity
14
460
of MNPs [13, 131]. For example, IONPs administrated by via intranasal will eventually
461
enter the lungs, as was demonstrated by Arami et al. [131] in studies carried out in mice.
462
On the other hand, intraperitoneally inoculated SiO2-coated MNPs (50 nm mean
463
diameter) were found distributed at high concentrations in the liver and spleen, followed
464
by other organs such as the kidneys and heart, while a very low accumulation was
465
detected in the lungs [142]. Besides, at high NP concentration, the functions of the liver
466
and spleen of rats are saturated, resorption become slow, and the residual NPs can
467
circulate in the blood for longer times and have more chance of reaching other organs
468
[131].
469
The in vivo interactions of MNPs and biological systems are quite complicated and
470
dynamic. Diverse proteins exist in the blood and specifically bind to nanoparticles.
471
Adsorption of proteins to the NP surface actually promote dramatic changes in its
472
overall physicochemical properties. These interactions may determine NP uptake and
473
degradation. IONPs become enclosed by plasma opsonin proteins by a process known
474
as opsonization, which contributes to the recognition of NPs by macrophages [143].
475
Opsonization is typically pursued by receptor-mediated phagocytosis of the
476
nanoparticles through the innate immune system. In addition, opsonization also
477
enhances the hydrodynamic size of the MNPs, which accelerates their hepatic clearance
478
[131]. Singh et al. [30] confirm that a range of MNPs with different physico-chemical
479
characteristics primarily show low toxicity with dosage of 100 μg.ml-1 or higher [30].
480
In fact, in vitro experiments have associated the exposure of cells to MNPs with
481
important toxic effects like impaired mitochondrial function, DNA damage, cellular
482
membrane leakage, chromosome condensation, cell differentiation and formation of
483
apoptotic bodies [30]. According to this, the effect of MNP surface coating on cellular
484
toxicity has been assessed. For instance, dextran-magnetite NPs are capable of causing
485
cell death and reduced cellular proliferation in a similar way to bare iron oxide NPs
486
[144]. Nevertheless, a recent study conducted in mice and rats evaluated the toxicity of
487
dextran-coated ferrite nanoparticles and showed that these nanoparticles do not cause
488
toxicity mediated by oxidative stress; nor do they interfere with physiological activities
489
or induce pathological lesions [145]. The influence of transferrin-derived MNPs in
490
human fibroblasts has been studied. The derived MNPs were located at the cellular
491
membrane, and the upregulation of different genes, mainly implicated in cell signaling
492
and cytoskeleton formation, was demonstrated [146]. The toxicity described on
15
493
magnetite-dextran NPs is related to rupture of the dextran shell that allows the exposure
494
of the cells to the aggregates of iron oxide [144]. On the other hand, the same research
495
described membrane detachment after exposure to albumin derived MNPs, and this was
496
applied to the communication among albumin and membrane fatty acids and
497
phospholipids, resulting in cytotoxicity (at 50 μg.ml-1), but did not result in cell death
498
[146]. The cytotoxicity value using albumin-derived iron oxide NPs decreased
499
according to the information described above [30]. It is probable that differences in
500
toxicity between in vivo and in vitro experiments are mediated by the fine control of
501
iron homeostasis, which occurs in healthy animals. Therefore, healthy animals are
502
capable of maintaining iron levels and ROS generation within a safe threshold [30]. In
503
fact, in different clinical trials in humans using MNPs, serious toxicity-related problems
504
have not been much focused [130, 145]. Only minor and transitory side effects such as
505
urticaria, diarrhea, and nausea have been documented. Additionally, extensive data
506
about the toxicological effect of MNPs in preclinical studies reinforce the idea that
507
MNPs are biocompatible and non-cytotoxic [134, 135, 142, 145, 149].
508
Concluding Remarks
509
The intrinsic antimicrobial activity of IONPs was demonstrated with different sizes,
510
shapes and surface coatings. IONPs have been engineered to achieve high crystallinity,
511
size distribution and improved magnetic properties, in order to perform better in
512
biomedical applications. In addition, with their low cost of synthesis and high
513
versatility, they are a feasible solution to overcoming infectious diseases. IONPs may
514
provide promising treatments for infectious illnesses by targeting specific and hard-to-
515
reach sites where pathogens are harbored. Besides that, they optimize physicochemical
516
characteristics, allowing the clinical use of new agents or their administration through
517
more convenient routes. However, they also have drawbacks, and we still know very
518
little about the metabolism, clearance, and toxicity of NPs. On the other hand, IONPs
519
promise significant benefits and advances in addressing the key obstacles to treating
520
infectious diseases.
521
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Fig. 1. (A) Schematic representation of Fe3O4; (B) Magnetization properties of
1102 1103 1104
Ferromagnetic and Superparamagnetic NPs with and without the influence of external magnetic field. Modified from Ref. [36] [37]. Fig. 2. Description of different strategies to obtain IONPs.
1105 1106 1107 1108
Fig. 3. Representation of different nanoparticles: (A) Core-Shell structure; I) Spherical structure with single core, II) Core–satellite, III) Mesoporus, IV) Lipossome, (B) Matrix-dispersed structure -Inorganic matrix, I) aggregated cores, II) multiple cores; (C) Hollow structure, I) Mesoporous hollow.
1109 1110
Fig. 4. Mechanisms of antimicrobial activity of the IONPs and ROS. The Nanoparticle is represented by magnetite (Fe3O4) in blue, the surface coating in green and therapeutic
1111 1112 1113 1114
drug in orange. Table 1: Commercially available nanoparticle-based drug delivery systems in USA and EU. Table 2. Magnetic Nanoparticle (MNP) and their antimicrobial activity.
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1115
30
1116 1117
31
1118 1119
32
1120 1121
33
1122 1123
34
Delivery system
Name
Active molecule
Indication
Administrati on
Year of approv al
Abraxane
Paclitaxel
Metastatic Breast Cancer, Advanced NonSmall Cell Lung Cancer and Metastatic Adenocarcinoma of the Pancreas
I.V.
2005
Liposomes
AmBisome
Amphoteri cin B
I.V.
1997
Liposomes
DaunoXom e
Fungal infections, Cryptococcal meningitis, visceral leishmaniasis, Daunorubic AIDS-related in Kaposi's sarcoma citrate
I.V.
1996
Liposomes DepoCyt
DepoCyt
Cytarabine
Lymphomatous meningitis
Lumbar puncture
1999
Liposomes PEGylated Liposomes
DepoDur Doxil/Cael yx/ LipoDox
Morphine Doxorubici n (generic)
Pain relief Ovarian cancer, AIDS-related Kaposi's sarcoma, Multiple myeloma
Epidural I.V.
2004 1995 2013 (USA)
Liposomes
Exparel
Bupivacain e
Post-surgical analgesia
Local/ Depofoam
2011 (USA)
Liposomes
Marqibo
Vincristine
Philadelphia chromosomenega tive acute lymphoblastic leukemia
I.V.
2012 (USA)
Proteinbased delivery systems Albuminbound paclitaxel nanoparticle s (Nab®technology)
Lipidbased delivery systems
35
1124 1125 1126
Liposomes
Mepact
Mifamurtid e
Osteosarcoma
I.V.
2009 (EU)
Liposomes
Myocet
Doxorubici n citrate
Metastatic Breast Cancer
I.V.
2000 (EU)
Liposomes
Visudyne
Verteporfin
Photodynamic therapy used in eye neovascularizatio n
I.V.
2002
Liposomes
MM-398
Iritonecan
I.V.
2015 (USA)
Lipid nanoparticle s Lipid nanoparticle s
Abelcet
Amphoteri cin B
Metastatic Adenocarcinoma of the Pancreas with 5fluorouracil and leucovorin Fungal infections
I.V.
1995
Amphotec
Amphoteri cin B
Fungal infections, Cryptococcal meningitis, visceral leishmaniasis,
I.V.
1996
Nanoemulsi on Nanoemulsi on
Diprivan
Propofol
I.V.
1989
Durezol
Diflupredn ate
Ocular
2008 (USA)
Nanoemulsi on
Restasis
Cyclospori ne
General anesthesia Eye inflammation, uveitis A Dry eye syndrome
Ocular
2003 (USA)
Nanoemulsi on Metalbased delivery systems SPION coated with a carbohydrat e
Ikervis
Cyclospori ne
A Dry eye syndrome
Ocular
2015 (EU)
Feraheme
Ferumoxyt ol
Iron deficiency anemia associated with chronic kidney diseases
I.V.
2009 (USA)
* When not specified, the drug is approved in both the USA and the EU. Approval in only one jurisdiction is indicated in parentheses following year of approval. I.V- intravenous. Ragelle et al.(11).
36
1127 1128 1129
Table 02. Magnetic Nanoparticle (MNP) and their antimicrobial activity.
37
1130
MSSA, methicillin-susceptible Staphylococcus aureus; MRSA, methicillin-resistant Staphylococcus aureus; Nanoparticle
Size (nm)
Synthesis
Characterization
Microorganism
Ou
Au
1.625nm
Ultrasonic; Turkevich; Colloidal, Chemical
UV-Vis; TEM
Candida albicans; C. albicans, Candida glabrata; E. coli, Salmonella typhi, S. aureus, S. epidermidis, P. aeruginosa.
Gold nanoparti excellent antifu activity; Au N positive and ne
Ag
680
Polyvinylpyrrolidone (PVP); Sol-gel
X-ray diffraction; UV–Vis, TEM
Silver nanopa antimicrobial induces gaps membrane, ion metabolic pro damages.
Cu
5100
Biopreparation, Microwave; Green synthesis (Aloe vera);(Pterocarpus marsupium)
UV-Vis, FTIR, TEM XRD, SEM-EDS,
Fe3O4
2200
Co-precipitation, Chemical
UV-Vis spectroscopy, XRD SEM, BET
E. coli, Candida albicans, Klebsiella pneumoniae, S. aureus, B. subtilis, P. aeruginosa, Enterobacter cloacae, Aeromonas sp. SH10 and Corynebacterium sp. SH09, S. aureus (MRSA), Staphylococcus aureus (VRSA). E. aerogenes, S. aureus, Shigella dysenteriae, Vibrio cholerae non.0139(L4), S. pneumoniae,E. coli MRSA, MRSE, VRE, K pneumoniae, Pseudomonas spp Proteus mirabilis. S. aureus, Shigella flexneri, Bacillus licheniformis, Brevibacillus brevis, V. cholerae, P. aeruginosa, S. aureus, S. epidermis, B. subtilis and E. coli MRSA, MRSE, VRE, K pneumoniae, Pseudomonas spp. and P. mirabilia.
Strongly dimini forming urop and E. coli). Th bacterial cell interrupt enzym
Showed antibac disrupt the cell
Table 02. Size (nm) Nanoparticle Mg
11130
Ti
760
Zn
12200
Synthesis
Characterization
Microorganism
Ou
Co-precipitation
XRD, XPS, HR-SEM, FTIR, PL, DTA, TGA
E. coli, B. subtilis, S. aureus.
Antibacterial damages in formation of RO
Sol-gel
XRD, TEM, UV-Vis, PL, FTIR, PSA, SEM
E. coli, S. aureus, K. pneumoniae, MRSA.
Showed effici activity, The Ti integrity, and fo
ZnO using albumen as biotemplate, Sol-gel, Chemical, Wet chemical
XRD, TEM, AFM, DLS, PCCS, FTIR, SEM
E. coli, S. aureus, Proteus vulgaris, Salmonella typhimurium, Shigella flexneri, B. cereus, MSSA, Salmonella sp,.
Demonstrated antibacterial generation, deteriorated; a internalization
38
1131
VRE, vancomycin-resistant entero- cocci; MRSE, methicillin-resistant Staphylococcus epidermidis;
1132 1133 1134 1135 1136 1137
The characterization abbreviated in this column are as follows: AFM, atomic force spectroscopy; BET, Brunauer–Emmett–Teller anal- ysis; DLS, dynamic light scattering; DTA, differential thermal analysis; FTIR, Fourier transform infrared spectroscopy; HR, high-resolution; PCCS, photon cross correlation spectroscopy; PL, photoluminescence; PSA, particle size analyser; SEM, scanning electron microscopy; TEM, transmission electron microscopy; UV-Vis, ultraviolet–visible spectroscopy; XPS, X-ray photoelectron spectroscopy; XRD, X-ray diffraction.
1138 1139 1140 1141
39
1142
Declaration of interests
1143 1144 1145
☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
1146 1147 1148 1149
☐The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:
1150 1151 1152 1153 1154
40
1155
Graphical abstract
1156 1157 1158
Highlights
1159 1160
1- Introduction
1161 1162 1163
2- Magnetic nanoparticles (MNPs) synthesis and functionalization
1164 1165
3- Antimicrobial activity of MNPs
1166 1167
4- Antimicrobial drug delivery by MNPs
1168 1169
5- MNPs biodistribution and toxicity
1170 1171
41