Abstract
Background
The increasing crisis of multidrug-resistant (MDR) bacteria requires the creation of new, highly effective, and safe antibacterial agents. This study introduces a simple and cost-effective green synthesis method for a novel zinc oxide/chitosan/vancomycin (ZnO/CS/VA) nanocomposite to improve antibacterial activity against priority MDR strains. Zinc oxide nanoparticles (ZnO NPs) were biosynthesized using Bacillus licheniformis ATCC 4527 and then combined with vancomycin (VA) and chitosan (CS) in an environmentally friendly process. Transmission electron microscopy (TEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), ultraviolet-visible spectroscopy (UV-Vis), and zeta potential studies were conducted to validate and characterize the production of ZnO/CS/VA. The antibacterial activity of the nanoparticles was tested against several multidrug-resistant (MDR) strains, including Bacillus cereus HES3, methicillin-resistant S. aureus (MRSA), Escherichia coli D8, Pseudomonas aeruginosa, and Klebsiella pneumoniae H4. Further assessment included molecular docking interactions with E. coli (PDB: 3T88) and MRSA (PDB: 4DKI) targets, CT-DNA binding, and cytotoxicity testing on the Vero cell line. Characterization confirmed the successful formation of the nanocomposite, revealing ZnO nanoparticles ranging from 33.24 to 69.11 nm and high stability (zeta potential: -17.78 mV). The ZnO/CS/VA nanocomposite exhibited superior dose-dependent antibacterial activity compared to ZnO nanoparticles or VA alone against all tested MDR strains, including MRSA and E. coli D8. Molecular docking demonstrated strong binding, with scores ranging from -0.7 to -10.85 kcal/mol. The nanocomposite exhibited a hypochromism when interacting with CT-DNA, suggesting intercalation. Importantly, the CC50 values of ZnO NPs and ZnO/CS/VA against Vero cells were 146.62±1.03 and 162.86±1.07 μg/mL, respectively, indicating their high level of safety.
Conclusions
The green-synthesized ZnO/CS/VA nanocomposite is a promising alternative candidate for treating various MDR bacterial infections. It offers utility in biomedical and pharmaceutical applications due to its high efficacy and low cytotoxicity.
Supplementary Information
The online version contains supplementary material available at 10.1186/s12934-026-02928-9.
Keywords: Green synthesis, ZnO, Nanocomposite, Bacilluslicheniformis, Antibacterial, Multidrug resistance
Background
Since the natural genetic evolution of antibiotic resistance has reached to unprecedented levels in the twenty-first century, antimicrobial resistance (AMR) has become a critical global health concern that necessitates early intervention [1]. Bacterial resistance to antibiotics limits their effectiveness in healthcare, and there is compelling evidence that antibiotic misuse will ultimately lead to the development of resistance [2]. Inappropriate use of antibiotics could prevent the colony from being completely destroyed, leading to the formation of antibiotic-resistant bacteria. Additionally, the Food and Drug Administration (FDA) emphasizes that sharing antibiotics, improper storage, and skipping doses can contribute to the development of antibiotic-resistant bacteria [3]. Recently, infections have been persisting and spreading, while conventional antibiotic treatments have proven to be relatively ineffective [4]. In 2019, it is predicted that drug-resistant diseases will cause an astonishing 4.95 million deaths worldwide, with the majority of the clinical burden falling on low- and middle-income countries (LMICs), especially in Sub-Saharan Africa [5]. By 2050, it is predicted that AMR will kill 10 million people annually if no action is taking [6, 7].
There are three recognized categories of AMR: multidrug resistance (MDR), extended drug resistance (XDR), and complete drug resistance (TDR). XDR is defined as not being susceptible to at least one agent in all but two antimicrobial classes; MDR is defined as acquired lack of susceptibility to at least one agent in three or more antimicrobial classes. TDR is defined as not being susceptible to all agents in all available antimicrobial classes [8]. In order to survive in the presence of an antibiotic, bacterial strains must be capable of disrupting one or more of the critical functions necessary for the antimicrobial drug to work [9, 10]. Bacterial species have four basic methods for survival: (i) preventing the antibiotic from reaching its target by decreasing its ability to enter the bacterial cell; (ii) eliminating antibacterial medications from the cell through the efflux pump mechanism; (iii) undergoing changes or deterioration that make an antibiotic ineffective; and (iv) making changes or adjustments to the antibacterial target of the bacteria. Klebsiella pneumoniae and Pseudomonas aeruginosa, two MDR bacteria, use various strategies to resist different classes of antibiotics such as carbapenems, cephalosporins, aminoglycosides, and fosfomycin [11, 12]. Some of these strategies include increased efflux, drug inactivation, or altered binding to the target site, all of which can result in resistance. In addition, resistance is exacerbated by the production of extended-spectrum beta-lactamases (ESBL) or the formation of biofilms by numerous K. pneumoniae and P. aeruginosa strains [13]. Other bacteria, such as Escherichia coli and Bacillus cereus, have also been shown to develop resistance to antimicrobial drugs. This can occur either by acquiring plasmids that harbor resistance genes or by undergoing chromosomal gene alterations [14].
The glycopeptide antibiotic vancomycin (VA) prevents the production of peptidoglycan in the bacterial cell wall. It is used to treat lung infections such as bronchitis and pneumonia, skin infections, bone infections, enterocolitis, and endocarditis due to its potent bactericidal action against various resistant bacterial strains [15]. Recently, methicillin-resistant S. aureus (MRSA) and MDR mycobacteria have shown a resistant behavior that can persist in intracellular sites after medication therapy [16]. Several studies on VA-loaded nanoparticles (NPs) have been reported [17–19].
Nanotechnology is a rapidly growing field with applications in numerous scientific and research fields. The aim is to produce novel chemicals and molecules at the nanoscale level that may have promised antimicrobial potential to treat resistant strains [20–23]. A “nano” is a unit of measurement equal to one billionth of a metre, or 10− 9. The term “nanoparticles” refers to solid particles, particulate dispersions, or assemblies of atoms that measure between one and one hundred nanometers in size. The Greek term “dwarf,” which implies something incredibly small, is the origin of the word “nano”. Nanoparticles (NPs) have many uses due to their unique characteristics. NPs vary in size, shape, and dimension, as well as in the material they are made of. The potential applications of this material are determined by its chemical properties [24]. These properties include the stability and sensitivity of the NPs to different environmental conditions such as heat, light, moisture, and the environment, as well as their reactivity with the target. NPs can be used in biological and environmental applications because of their antibacterial, antifungal, disinfecting, and poisonous qualities [25–30]. NPs without carbon atoms are referred to as inorganic. NPs made of metal or metal oxide are known as inorganic NPs. Metal oxide NPs such as zinc oxide nanoparticles (ZnO NPs) have promising applications in biology, including diagnosis and therapy. These NPs have a wide range of applications, including their mechanical, regenerative, and antimicrobial qualities [31–34]. The molecular weight of ZnO NPs is 81.38 g/mol, and they are odorless, white powders. According to the FDA, it is a drug that is generally recognized as safe (GRAS) compared to other inorganic NPs [35].
Nanomaterials can be synthesized in two different ways. The bottom-up, or self-assembly, method of nanofabrication applies physical or chemical forces acting at the nanoscale to combine building blocks into functional structures [36]. A bottom-up approach is utilized to create materials, starting from the atomic level and advancing to the nanoparticle level. Chemical vapor deposition (CVD), pyrolysis, spinning, sol-gel, and biosynthesis among the most commonly used bottom-up techniques for producing NPs [37]. Biological systems serve as an inspiration for bottom-up methods, as they utilize chemical forces to construct all the components necessary for life [38]. The top-down, or destructive, technique disassembles a material into its atomic components. This method can break large amounts of material into tiny, nanoscale pieces. While top-down methods are simpler to employ, they are not as effective for producing particles with complex shapes or sizes [39]. One of the primary disadvantages of this technology is the challenge it presents in producing particles of the right size and shape. Microbes can create inorganic chemicals intracellularly or extracellularly, often at nanoscale with desired and distinguished shapes [40]. The primary mechanisms of microbial resistance to these metals include chemical detoxification of most toxic heavy metals and energy-dependent ion efflux from the cell. This process is facilitated by membrane proteins that function as ATPase, chemiosmotic cation, or proton anti-transporters [41].
Probiotics are beneficial bacteria that, when consumed in sufficient quantities, can improve the host’s health. Numerous studies have shown that probiotics have a variety of positive health effects, including preventing allergic reactions, enhancing intestinal immune function, managing gastrointestinal disorders, protecting the heart, and exhibiting antioxidative and antitumorigenic properties. Additionally, probiotics have been found to have a hypocholesterolemic effect [42, 43].
Bacillus licheniformis is a distinct species within the Bacillus genus known for its production of a diverse range of antibiotic compounds. This bacterium has the potential to be utilized as a probiotic in the treatment of dysbacteriosis, a condition resulting from various diseases [44]. The benefits of B. licheniformis as a probiotic are associated with its ability to produce a wide range of substances with antibacterial, antioxidant, and immunomodulatory properties [45, 46]. Abinaya et al. [47]. synthesized ZnO NPs in a new and effective manner by using the exopolysaccharides (EPS) from the probiotic strain B. licheniformis Dahb1. Gomaa [43] reported that microorganisms produce and release proteins and enzymes during biosynthesis processes that can stabilize particles and reduce the amount of metal ions. According to Tripathi et al. [49]. , ZnO NPs can be stabilized by enzymes produced by B. licheniformis bacterial cells [50].
ZnO NPs have been utilized in various agricultural, industrial, and medical fields because of their capability to negatively impact the intracellular chemical constituents, damage microbial DNA or alter microenvironments near microorganisms, locally generating reactive oxygen species (ROS) that demonstrate their antimicrobial activity [51, 52]. This can result in interactions with the -SH group of the bacteria’s enzymes and dysfunction of organelles, leading to denaturation of proteins and DNA damage. Ultimately, this disrupts the transcription and replication of microbial DNA, leading to cell death [53]. Based on these findings, several recent studies have focused on fabricating novel drugs that incorporate metal or metal oxide NPs as nanocomposites [54–59]. These drugs could possess potential and effective antimicrobial activities. Another potential antibacterial mechanism involves the displacement of magnesium ions, which disrupts bacterial metabolism, and the release of H2O2 [60].
On the other hand, efflux pumps, electrostatic repulsion, biofilms and other extracellular polymeric materials, enzyme detoxification, volatilization, and genetic alterations have all been used to demonstrate microbial adaptability to NPs [61, 62]. Additionally, natural environments can also lead to changes in NPs [63]. Therefore, it is important to explore the potential of different biogenic metal NPs or their combinations for treating drug-resistant microbes [64–67]. The current study aimed to create new nanocomposite by combining ZnO NPs and VA with chitosan (CS) and to investigate the antibacterial potential and ability to cleave DNA against drug-resistant bacterial strains. The current study hypothesizes that combining the distinct antimicrobial mechanisms of action will result in superior synergy. ZnO NPs target bacteria through ROS generation and physical damage [51]. The cationic nature of CS promotes membrane disruption and entry [68], while VA maintains targeted inhibition of cell wall synthesis, especially against Gram-positive strains [69]. This combined approach is designed to circumvent resistance pathways more effectively than any single component. CS serves as an ideal, biocompatible polymeric matrix, utilizing its mucoadhesive and structural properties to stabilize the ZnO NPs and function as a nanocarrier for VA to enhanced drug delivery and targeting [70]. The incorporation of CS is crucial for maintaining the system’s physical integrity and safety. CS acts as a green stabilizing agent to prevent the undesirable agglomeration of ZnO NPs, maintaining their high surface area and reactivity. This system is expected to increase the local concentration of VA at the infection site, improving therapeutic efficacy while potentially reducing the systemic toxicity associated with high-dose free VA administration [71].
Multi-modal nature of the zinc oxide/chitosan/vancomycin (ZnO/CS/VA) nanocomposite is essential to understand the nanocomposite’s interaction with target bacterial proteins, enzymes, DNA, and other structural compounds and calculate the binding affinities thereby providing molecular-level support for the observed synergistic antibacterial efficacy. In silico methods have become valuable scientific tools for exploring and elucidating biological mechanisms [72, 73]. Among these methods, molecular docking is widely employed to assess the suitability of potential drug candidates prior to experimental testing. Today, computer-aided drug design relies heavily on docking techniques to identify novel therapeutic agents. Molecular docking also plays a key role in drug discovery and development by analyzing drug–receptor interactions and predicting the binding activity and affinity of ligands toward target protein sites [74, 75]. Thus, the primary objective of this study is to synthesize, characterize, and evaluate the synergistic antimicrobial efficacy and molecular mechanism via docking to predict the binding affinity between the prepared nanocomposite and the receptors 3T88 and 4DKI, which correspond to E. coli and MRSA, respectively. Additionally, we will investigate the DNA binding, and safety profile of the novel ZnO/CS/VA nanocomposite against a panel of clinically relevant MDR pathogens.
Materials and methods
Bacterial strains
Bacillus licheniformis ATCC 4527, B. cereus HES3 (Accession: OR553494), MRSA ATCC 43,300, E. coli D8 (Accession: MF062579), K. pneumoniae H4 (Accession: OQ875950), and P. aeruginosa ATCC 27,853 were provided by the Microbiology Lab at the Faculty of Science, Damietta University.
Antibiotic susceptibility test
The antibiotic susceptibility test (AST) for bacterial strains was conducted using the disc diffusion technique in accordance with the Clinical and Laboratory Standards [76]. Cooled, melted Mueller-Hinton agar (MHA, Oxoid, UK) flasks were inoculated with 50 µL of each bacterial suspension (0.5 McFarland Standard; 1–2 × 10^8 CFU/mL) and then placed on sterile Petri dishes. Following solidification, sterile forceps were used to carefully load antibiotic discs representing different antibiotic classes: 30 µg/mL of ampicillin, 30 µg/mL of amoxicillin/clavulanate, 30 µg/mL of cefepime, 30 µg/mL of ceftriaxone, 30 µg/mL of chloramphenicol, 5 µg/mL of ciprofloxacin, 15 µg/mL of erythromycin, 10 µg/mL of gentamicin, 30 µg/mL of rifamycin, 5 µg/mL of levofloxacin, 10 µg/mL of tobramycin, and 30 µg/mL of vancomycin. They were then incubated for 24 h at 37 °C. The diameter of the inhibition zone was then measured and recorded.
The cloverleaf test
The MHA plates were inoculated with 0.5 McFarland suspension of the tested bacterial strain using the spread plate method. Subsequently, the tested strains were streaked radially outward from a penicillin disc (10 U) positioned in the center of the plate, with each streak approximately 0.25 cm wide. The plates were then incubated at 37 °C for 18 h. If the isolate produces β-lactamase, it will exhibit a cloverleaf pattern [77].
Masuda double-disc test
A 10 U penicillin disc was placed in the center of the MHA plates that had been swabbed with the tested strain. Additionally, filter paper discs were inoculated by immersing them in a 24-hour bacterial culture (0.5 MacFarland) and then positioned 10 mm away from the main disc. Positive β-lactamase synthesis is indicated by the lack of inhibition around the centrally inserted disc, as shown by the test discs after the incubation period [78].
Extended-spectrum beta-lactamases detection
The bacterial strains were tested for possible ESBL production using ceftriaxone (CTR, 30 µg), cefotaxime (CTX, 30 µg), and cefoxitin (FOX, 30 µg). Isolates with reduced sensitivity to one or more of these drugs were considered to be ESBL-producing. Their zone of inhibition widths was (16 ± 0.3 mm) for FOX, (15 ± 0.2 mm) for CTX, and (18 ± 0.3 mm) for CTR [79]. Additionally, the Vitek 2 AST-N255 G-ve susceptibility card for ESBL detection was used to validate the results [80].
Biogenic production of zinc oxide nanoparticles
Bacillus licheniformis ATCC 4527 was inoculated into 250 Erlenmeyer flasks containing 100 mL of nutrient broth for the biosynthesis investigation. The flasks were then incubated for 24 h at 37 °C and 150 rpm. After the incubation period, the culture was centrifuged for 20 min at 4000 rpm, and the cell biomass (CB) was separated for further analysis [81]. For the CB method, the biomass was suspended in a 3 mM solution of zinc nitrate solution (zinc nitrate hexahydrate, purum p.a., crystallized, ≥ 99.0% (KT), Sigma-Aldrich, USA) after being washed three times with 200 µL of distilled water. The reaction mixture was shaken at 37 °C and 150 rpm for 24 h under dark conditions. After incubation, the supernatant was removed from the reaction mixture using centrifugation at 4000 rpm for 15 min. Subsequently, the bacterial pellets were ultrasonicated and centrifuged at 4000 rpm for 5 min to eliminate bacterial cell residues. Finally, ZnO NPs were collected using centrifugation. The biogeneration process of NPs was measured by withdrawing 3 mL of the sample, and the absorbance was measured in the range of 200 to 600 nm at a resolution of 1 nm using a UV-visible spectrophotometer (JASCO, V-630) against the blank [82].
Green synthesis of zinc oxide/chitosan/vancomycin nanocomposite
3 mg of ZnO NPs were dispersed in 10 mL of distilled water, and the mixture was then ultrasonically agitated for 15 min using an Elmasonic S100H ultrasonic bath (50/60 Hz, Germany). 3 mg of CS (MW 50–190 KDa, degree of deacetylation: ≥85%, Sigma-Aldrich, USA) was dissolved in 2.5% acetic acid (pH 8), and then mixed with an equal volume solution of 1:1 v/v ZnO NPs at room temperature. A magnetic stirrer/hot plate (Stuart UC152, UK) was used to stir the reaction mixture at 500 rpm for 20 min while adding 3 mg of antibiotic VA (Mylan Pharmaceuticals Ltd., Ireland). After 6 h, the drug-capped loading NPs were centrifuged at 5000 rpm, and the residue was washed three times using distilled water and water [83].
Characterization of the prepared nanomaterials
A double beam UV–Vis spectrophotometer V-630 (JASCO, UK) and Fourier transform infrared spectroscopy (FTIR, FT/IR-4100typeA) were used to analyze the biogenesis of ZnO NPs. An X-ray diffractometer (model LabX XRD-6000, Shimadzu, Japan), a transmission electron microscope (TEM) apparatus (200 kV, TEM JEOL JEM-2100, Japan), and a zeta potential analyzer (Malvern Zetasizer Nano-ZS90, Malvern, UK) were used to study the properties of ZnO NPs.
Antibacterial activity using agar well diffusion technique
Several bacterial models, including Gram-positive bacteria (B. cereus OR553494 and MRSA ATCC 25923), and Gram-negative bacteria (E. coli MF062579, K. pneumoniae OQ875950, P. aeruginosa ATCC 27853) were used to test the antibacterial properties of ZnO NPs and a zinc oxide/chitosan/vancomycin nanocomposite (ZnO/CS/VA). Mueller-Hinton agar (MHA) plates were prepared and inoculated with 0.5 McFarland of bacteria or yeast. A solution containing 150 µg/mL of ZnO NPs, CS, and ZnO/CS/VA in sterile distilled water was then added (100 µL) into wells (5 mm) in nutrient agar plates. VA was used as a standard antibacterial agent. The agar plates were incubated at 37 °C for 24 h. Zones of inhibition (ZOI) were observed following the incubation period [84].
Minimum Inhibition concentration and minimum bactericidal concentration
The broth dilution method was utilized to determine the minimum inhibitory concentration (MIC) for the biosynthesized ZnO NPs and ZnO/CS/VA [85]. Over a period of 24 h, 100 µL of overnight bacterial cultures were inoculated into 50 ml of Mueller-Hinton broth medium (MHB, Oxoid, UK) that was supplemented with varying concentrations (0–100 µg/mL) of ZnO NPs, CS, VA, or ZnO/CS/VA. The cultures were incubated at 37 °C and 150 rpm for 24 h. MIC values (indicating no apparent growth) were measured at 600 nm using spectrophotometry. To determine the minimum bactericidal concentration (MBC), 10 µL aliquots of each set were inoculated on MHA plates and incubated for 24 h at 37 °C to measure the MBC. The MBC values (indicating no visible colonial growth on plates) were then noted.
Calf thymus DNA binding study
Electronic absorption spectroscopy was utilized to study the binding characteristics of the produced nanocomposite to calf thymus DNA (CT-DNA). The stock solution of CT-DNA was prepared in a 5 mM Tris–HCl/50 mM NaCl buffer (pH = 7.2) with a UV absorbance ratio at 260 and 280 nm (A260/A280) of approximately 1.8–1.9. This indicates that the DNA was sufficiently free of protein [86]. The concentration of the stock solution of CT-DNA was determined using UV absorbance at 260 nm (Ɛ = 6600 M− 1 cm− 1) [87]. Using 1 cm quartz cuvettes at room temperature (25 °C), electronic absorption spectra were obtained by maintaining the nanocomposite concentration at 1.00 × 10− 3 mol/L and gradually increasing the CT-DNA concentration from 0.00 to 1.30 × 10− 4 mol/L. To eliminate the interference of CT-DNA itself, an equal amount of CT-DNA was added to both the chemical solutions and the reference buffer solution. The following formula was used to determine the nanocomposite’s intrinsic binding constant (Kb) with CT-DNA:
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Where [DNA] is the concentration of CT-DNA in base pairs, єa is the molar extinction coefficient of the free compound in solution, and b is the molar extinction coefficient of the nanocomposite when fully bonded to DNA. Additionally, the molar extinction coefficient for the Aobs/[nanocomposite] at the specified DNA concentration is denoted by єb. When [DNA]/(єa–єf) is plotted against [DNA], Kb is obtained by dividing the slope by the intercept.
Molecular docking measurements
The docking simulations were carried out using MOE software. Protein structures (3T88 and 4DKI) were obtained from the PDB and then prepared by removing water molecules, adding hydrogen atoms, and energy minimization. The site finder identified active binding sites, which served as dummy sites for the binding pocket. Ligands (ZnO NPs and VA) were optimized using the MMFF94x force field to achieve a low-energy conformation.
ZnO nanocluster model (Zn₁₂O₁₂) was constructed using crystal data from the wurtzite phase (JCPDS card no. 36-1451). The geometry was optimized using the AMBER10:EHT force field implemented in MOE, with partial charges assigned via the extended Hückel method to maintain electrostatic neutrality [88–90]. Energy minimization was performed until the RMS gradient < 0.01 kcal/mol/Å. The minimized structure was imported into the MOE docking module as a rigid ligand for interaction analysis.
The triangle matcher technique was used to position ligands at the specified location, with the receptor atoms being docked for 100 nanoseconds. The GBVI/WSA dG procedures were then used for rescoring, with the London dG serving as the scoring function. For each ligand-protein pair, multiple poses were generated, and the top five were selected for further examination. 2D and 3D interaction diagrams were created to illustrate how the ligands bind to the active sites of each protein. These graphical representations are based on specific interactions. The docked complexes were examined to identify the interactions between the studied ligands and the active site residues of the protein.
Cytotoxicity of ZnO NPs and ZnO/CS/VA
ZnO NPs and ZnO/CS/VA were tested for their cytotoxic effects on Vero cells (ATCC, Rockville, MD). Dulbecco’s Modified Eagle’s Medium (DMEM) was supplemented with 10% heat-inactivated fetal bovine serum, 1% L-glutamine, and 50 µg/ml gentamicin to support the growth of Vero cells. During the exponential growth phase, 1 × 104 cells per well in 100 µl of growth media were plated into 96-well tissue culture plates using a multichannel pipette. Afterwards, the cells were given a full day to adhere. The corresponding wells were then treated with ZnO NPs or ZnO/CS/VA to achieve final concentrations ranging from 0 to 500 µg/ml. The number of live cells after a 24-hour period was counted using the MTT assay, as outlined by Mosmann [66]. The incubation took place in an incubator with 5% CO2 at 37 °C. The survival curve for each cell line after treatment with ZnO NPs or ZnO/CS/VA was determined by plotting the relationship between the concentration of these substances and the remaining cells.
Statistical analysis
Software SPSS version 18 was utilized to perform statistical analysis on the data. After conducting a one-way analysis of variance (ANOVA) and Duncan’s multiple range test, the results of each experiment were presented as the mean ± standard deviation (SD). A significance level of p < 0.05 was applied [92].
Results
AST investigations
Disc diffusion techniques were utilized to investigate the antibiotic susceptibility of the selected bacterial strains. Table 1; Fig. 1 present the strain’s susceptibility to all tested antibiotics. Chloramphenicol, gentamicin, tetracycline, and tobramycin exhibited the highest activity against those strains, with sensitivity ratio values of 88.33%, followed by levofloxacin and rifamycin at 66.67%. Next, an intermediate level of sensitivity was observed for cefepime, ciprofloxacin, erythromycin, and vancomycin (50%). P. aeruginosa exhibited the highest resistance pattern to all tested antibiotics, followed by K. pneumoniae H4 in comparison to other strains.
Table 1.
Antibiotic sensitivity and resistance pattern of bacterial strains
| Antibiotic | Concentration (µg/ml) | Antibiotics susceptibility | |
|---|---|---|---|
| No. sensitive (%) | No. resistant (%) | ||
| Ampicillin | 30 | 16.67 | 83.33 |
| Amoxycillin/clavulanate | 30/10 | 33.33 | 66.67 |
| Cefepime | 30 | 50 | 50 |
| Ceftriaxone | 30 | 33.33 | 66.67 |
| Chloramphenicol | 30 | 83.33 | 16.67 |
| Ciprofloxacin | 5 | 50 | 50 |
| Cotrimoxazole | 25 | 33.33 | 66.67 |
| Erythromycin | 15 | 50 | 50 |
| Gentamicin | 10 | 83.33 | 16.67 |
| Levofloxacin | 5 | 66.67 | 33.33 |
| Rifamycin | 30 | 66.67 | 33.33 |
| Tetracycline | 30 | 83.33 | 16.67 |
| Tobramycin | 10 | 83.33 | 16.67 |
| Vancomycin | 30 | 50 | 50 |
Fig. 1.
Antibiotic susceptibility test for B. licheniformis; A, B. cereus HES3; B, MRSA; C, E. coli D8; D, P. aeruginosa; E, and K. pneumoniae H4; F
The cloverleaf test
This method was used as a simple, affordable, and reliable way to identify β-lactamase producing bacteria. B. licheniformis exhibited a distinct cloverleaf appearance when compared to B. cereus HES3, and MRSA (Fig. 2). However, E. coli D8, P. aeruginosa, and K. pneumoniae H4 showed a negative cloverleaf pattern.
Fig. 2.
Detection of β-lactamase producing bacteria using cloverleaf test for B. licheniformis; A, B. cereus HES3; B, MRSA; C, E. coli D8; D, P. aeruginosa; E, and K. pneumoniae H4; F
Masuda double-disc test
In the Masuda double-disc test, a positive result indicating β-lactamase production was observed as inhibitory distortion around the centrally inserted disc. This was notably more pronounced and confirmed for B. licheniformis compared to B. cereus HES3, and MRSA (Fig. 3).
Fig. 3.
Masuda double-disc test for B. licheniformis; A, B. cereus HES3; B, and MRSA; C
ESBL test
Bacillus licheniformis and B. cereus strains produced extended spectrum beta-lactamase (ESBL) enzymes, specifically classified as class C enzymes (AmpC). The inhibition zone diameters were measured at 16 ± 0.3 mm for FOX, 15 ± 0.2 mm for CTX, and 18 ± 0.3 mm for CTR (Fig. 4). The sensitivity results of the Vitek 2 system for detecting ESBLs revealed that a B. licheniformis strain that had acquired penicillinases was classified as an ESBL using the composite reference standard.
Fig. 4.
Extended-spectrum beta-lactamase test for B. licheniformis; A, and B. cereus HES3
Biosynthesis of ZnO NPs
The intracellular synthesis of ZnO NPs by B. licheniformis was indicated by color change to a white colloidal precipitate (Fig. 5). The synthesis of ZnO NPs was further confirmed by UV-Vis spectroscopy analysis, which showed a prominent peak at a wavelength of 349 nm. After the extraction, washing, and drying processes, a yellowish-white powder of ZnO NPs was obtained (Fig. 5).
Fig. 5.
The UV-Vis spectrum of ZnO NPs. A The color of the reaction mixture at the beginning of the biosynthesis of ZnO NPs. B The color change into white colloidal precipitate after the production of ZnO NPs. C Yellowish white powder of ZnO NPs
Characterization of ZnO NPs and ZnO/CS/VA
The FTIR spectra of the prepared samples were measured in the range of 4000–400 cm-1 and are presented in Fig. 6. The detected peaks were 3258, 2941, 1665, 1553, 1448, 1335, 1075 and 549 cm-1. The peak observed at 3258 cm-1 indicates the presence of stretching and bending vibrations caused by hydroxyl groups. N − H bends in primary amines typically have a peak between 1553 and 1665 cm-1, while asymmetric amines have a peak at 2941 cm-1. Stretching bands for C − O esters, alcohols, ethers, phenols, and carboxylic acids were recorded in the range of 1075–1335 cm-1. The peak for C − C stretch (in-ring) aromatics was at 1448 cm-1. The vibration stretching bands of ZnO were detected in both the spectra of ZnO NPs and ZnO/CS/VA at 461–720 cm-1 confirming the successful loading of ZnO with the prepared nanocomposite.
Fig. 6.
FTIR spectrum of VA, ZnO NPs, CS, and ZnO/CS/VA
A typical XRD pattern of the synthesized ZnO NPs is shown in Fig. 7. Sharp diffraction peaks are observed, indicating the formation of well-crystalline materials. The spectrum of ZnO NPs displayed peaks appearing at 31.97°, 34.63°, 36.45°, 47.72°, 56.68°, 61.92°, 66.40°, 67.62°, 69.25°, 73.22°, and 75.44° corresponding to the lattice planes of ZnO; (100), (002), (101), (102), (110), (103), (200), (112), (201), (004) and (202), respectively. All characteristic peaks observed for ZnO NPs are in good agreement with those listed in the Joint Committee of Powder Diffraction Standards (JCPDS) card No. 00-036-1451, with a = 0.3249 nm, c = 0.5206 nm (Table 2) [93]. The ZnO NPs integrated within ZnO/CS/VA were analyzed to determine their typical crystal size and composition using XRD analysis at the lattice planes (100), (102), (110), (200), and (202) (Table 2). According to the spectrum of ZnO/CS/VA, the peaks appearing at 31.88°, 47.58°, 56.62°, 66.35°, and 75.41° correspond to the lattice planes of ZnO; (100), (102), (110), (200), and (202), respectively. These peaks are characteristic of the Wurtzite hexagonal crystal structure. The Scherrer equation (D = kλ/ βcosθ) was utilized to calculate the size of particles, where D represents particle size, K is a constant equal to 0.94, λ stands for x-ray wavelength, β represents the full width at half maximum, and θ indicates the angle of diffraction. The average particle size was determined to be 79.38 nm.
Fig. 7.
XRD patterns of ZnO NPs and ZnO/CS/VA
Table 2.
Comparison between measurement XRD results and standard pattern for pure ZnO
| hkl | Standard 2θ (°) | Observed 2θ (°) | |
|---|---|---|---|
| ZnO NPs | ZnO/CS/VA | ||
| 100 | 31.769 | 31.966 | 31.878 |
| 002 | 34.421 | 34.628 | - |
| 101 | 36.252 | 36.446 | - |
| 102 | 47.538 | 47.715 | 47.577 |
| 110 | 56.602 | 56.678 | 56.621 |
| 103 | 62.862 | 61.916 | - |
| 200 | 66.378 | 66.399 | 66.353 |
| 112 | 67.961 | 67.621 | - |
| 201 | 69.100 | 69.248 | - |
| 004 | 73.466 | 73.224 | - |
| 202 | 75.478 | 75.443 | 75.417 |
As shown in Fig. 8, TEM confirmed the successful synthesis of ZnO/CS/VA. The ZnO NPs had a spherical appearance with an average size ranging from 33.24 to 69.11 nm, consistent with the XRD results. This green nanocomposite is composed of a nano-core of biosynthesized ZnO NPs, which is surrounded by a degradable CS coating containing VA as a drug (Fig. 8B). The nano-measurement graph shows a maximum size of 81 nm (frequency = 5%) and a minimum size of 18 nm (frequency = 5%) (Fig. 8C).
Fig. 8.
A TEM micrograph of ZnO/CS/VA with scale bar = 100 nm. B Magnified TEM micrograph of a core of ZnO NPs surrounded by a coat of a mixture of CS and VA. Yellow arrow denotes ZnO NPs coated by CS/VA shell. C Nanogravimetric image showing the particle size distribution of ZnO/CS/VA
The zeta potential results showed the negative charge of the biosynthesized ZnO NPs (-22.54 mV) and the green prepared nanocomposite (-17.78 mV) as shown in Fig. 9.
Fig. 9.
Zeta potential of ZnO NPs; A, and ZnO/CS/VA; B
Antibacterial activity
The agar well diffusion test showed that ZnO/CS/VA exhibited good antibacterial activity against B. licheniformis (23.9 ± 0.19 mm), followed by P. aeruginosa (19.7 ± 0.03 mm), E. coli D8 (17.6 ± 0.03 mm), K. pneumoniae H4 (16.5 ± 0.21 mm), B. cereus HES3 (14.8 ± 0.06 mm), and MRSA (13.1 ± 0.18 mm), respectively (Fig. 10; Table 3). It was also noted that bacterial strains including B. cereus HES3, MRSA, E. coli D8, and P. aeruginosa showed resistance to CS. Additionally, MRSA and K. pneumoniae H4 showed complete resistance to the biosynthesized ZnO NPs. ZnO/CS/VA exhibited superior antimicrobial activity compared to the standard antimicrobial VA. Overall, ZnO/CS/VA showed a stronger bactericidal effect against the tested Gram-negative bacteria than the Gram-positive bacteria with the exception of B. licheniformis.
Fig. 10.
Antibacterial activity of VA, ZnO NPs, CS, and ZnO/CS/VA against B. licheniformis; A, B. cereus HES3; B, MRSA; C, E. coli D8; D, P. aeruginosa; E, and K. pneumoniae H4; F
Table 3.
Agar well diffusion method of VA, ZnO NPs, CS, and ZnO/CS/VA against the tested bacterial strains
| Antimicrobial agents | Zone of inhibition (mm, mean ± SD) | |||||
|---|---|---|---|---|---|---|
| Gram-positive bacteria | Gram-negative bacteria | |||||
| B. licheniformis | B. cereus HES3 | MRSA | E. coli D8 | P. aeruginosa | K. pneumoniae H4 | |
| VA | 22.3 ± 0.14ab* | 11.9 ± 0.21b | 12.8 ± 0.23a | 15.6 ± 0.03b | 6.8 ± 0.18b | -vec |
| ZnO NPs | 20 ± 0.03b | 8.7 ± 0.16c | -veb | 6.0 ± 0.16c | 6 ± 0.21b | -vec |
| CS | 12.5 ± 0.06c | -ved | -veb | -ved | -vec | 10.8 ± 0.24b |
| ZnO/CS/VA | 23.9 ± 0.19a | 14.8 ± 0.06a | 13.1 ± 0.18a | 17.6 ± 0.03a | 19.7 ± 0.03a | 16.5 ± 0.21a |
The visual data (Fig. 10) indicates that the ZnO/CS/VA nanocomposite exhibits the largest zone of inhibition against nearly all tested strains. The ANOVA followed by a Tukey’s post-hoc test (p < 0.05) was performed to compare the zone of inhibition of the composite against the individual components (VA, ZnO NPs, and CS). The statistical analysis formally confirmed the superior efficacy of the ZnO/CS/VA nanocomposite. The ANOVA demonstrated a significant effect of the antimicrobial agent on the zone of inhibition for every strain tested (p < 0.05 for all comparisons). Specifically, the post-hoc analysis (Table 3) revealed that the ZnO/CS/VA nanocomposite exhibited a statistically significant larger zone of inhibition (denoted by the unique superscript ‘a’) compared to all individual components against B. cereus HES3, E. coli D8, P. aeruginosa, and K. pneumoniae H4. Against P. aeruginosa, the ZnO/CS/VA zone (19.7 mm) was more than 2.8-fold larger than the most active individual component (VA, 6.8 mm), strongly aligning with the synergistic effect hypothesis between the nanocomposite parts. Against MRSA and B. licheniformis, the ZnO/CS/VA nanocomposite was statistically equivalent to the most active single component (VA), as indicated by the shared superscript ‘a’. However, even in these cases, the composite demonstrated the numerically largest zone and was statistically superior to the other two components (ZnO NPs and CS). These results move beyond visual evidence, providing formal statistical proof that the ZnO/CS/VA nanocomposite design is highly effective at enhancing antibacterial activity, particularly against difficult Gram-negative strains.
*Data represents mean ± SD (n = 3). Means followed by the same superscript letter within the same column are not statistically different (p > 0.05) according to the Tukey’s post-hoc test. -ve denotes no zone of inhibition.
MIC and MBC investigations were also conducted for ZnO NPs and ZnO/CS/VA in comparison to CS and VA (Figs. 11 and 12). In the MIC test, certain MHB cultures containing CS, VA, ZnO NPs, and ZnO/CS/VA exhibited bacterial turbidity after 24 h of incubation at 37 °C, indicating bacterial growth. Conversely, no turbidity was observed at other concentrations, suggesting bacterial growth inhibition (MIC values). In the current study, the MIC values of ZnO NPs were 30 µg/mL against B. licheniformis, 80 µg/mL against B. cereus HES3 and 100 µg/mL against P. aeruginosa and E. coli D8. Conversely, ZnO/CS/VA exhibited the most effective MICs against all bacterial strains tested. All antibacterial agents tested demonstrated an inhibitory effect that was dose-dependent. It was confirmed to be bactericidal when the suspension from MHB cultures supplemented with 60 µg/ml of ZnO/CS/VA was inoculated on MHA plates and incubated for 24 h. No bacterial growth was observed in any of the tested bacterial strains. The concentrations of ZnO/CS/VA mentioned are required to completely inhibit both Gram-positive and Gram-negative bacteria, indicating its broad-spectrum action. When the concentration of ZnO NPs was between 100 and 120 µg/ml, VA was necessary to induce a bactericidal effect against B. cereus, E. coli D8, and P. aeruginosa. It was interesting to note that the MBCs of ZnO/CS/VA against the tested bacterial strains were consistent with their MICs confirming its strong bactericidal properties compared to other substances. VA exhibited lower MBC values than ZnO NPs.
Fig. 11.
MIC test of VA, ZnO NPs, CS, and ZnO/CS/VA against B. licheniformis; A, B. cereus HES3; B, MRSA; C, E. coli D8; D, P. aeruginosa; E, and K. pneumoniae H4; F
Fig. 12.
MBC test of VA, ZnO NPs, CS, and ZnO/CS/VA against the tested bacterial strains
In order to formally validate the rationale for combining ZnO, CS, and VA, and to confirm that the enhanced activity of the ZnO/CS/VA composite is truly synergistic and not merely additive, the fractional inhibitory concentration (FIC) index was determined for the tested bacterial strains (Table 4). Since the FIC index is commonly used for binary systems, we calculated the FICRatio by comparing the MIC of the full composite (ZnO/CS/VA) to the MIC of the most active single component (VA or ZnO NPs or CS) for each strain [94, 95]. The quantitative FIC analysis provides crucial insight into the interaction between the components of the composite. A synergistic activity (FICRatio = 0.50) against the bacterial strains; B. licheniformis and P. aeruginosa was recorded. The synergy against the Gram-negative P. aeruginosa is particularly significant. It demonstrates that the strategic combination of ZnO and CS effectively overcomes the challenging outer membrane permeability barrier, allowing the components to act collaboratively [96, 97]. Against MRSA, the FICRatio of 1.00 confirms a purely additive effect. This means that the composite is just as effective as the most active single component (VA), but it can potentially be delivered more efficiently through the nanocarrier system [98]. Additive effects were also observed for E. coli D8 (0.83) and K. pneumoniae H4 (0.75). However, the composite demonstrated antagonism (FICRatio = 3.00) against B. cereus HES3. This unexpected finding warrants further investigation, but suggests that the relative concentrations of the individual components within the ZnO/CS/VA composite, when tested against this specific strain, may interfere with optimal activity. Despite this, the confirmed synergy against P. aeruginosa and B. licheniformis validates our core hypothesis that the strategic multi-modal combination can yield superior performance against selected pathogens.
Table 4.
Fractional inhibitory concentration index analysis demonstrating synergistic and additive effects of the ZnO/CS/VA nanocomposite against the tested bacterial strains
| Bacterial strain | MICIndividual (µg/ml) (Most Active) | MICcomposite (µg/ml) | FICRatio (Composite/Individual) | Interpretation (FIC ≤ 0.5 is synergy) |
|---|---|---|---|---|
| B. licheniformis | 20 (VA) | 10 | 0.50 | Synergistic |
| B. cereus HES3 | 20 (VA) | 60 | 3.00 | Antagonistic |
| MRSA | 50 (VA) | 50 | 1.00 | Additive |
| E. coli D8 | 60 (VA) | 50 | 0.83 | Additive |
| P. aeruginosa | 100 (ZnO NPs and VA) | 50 | 0.50 | Synergistic |
| K. pneumoniae H4 | 80 (CS) | 60 | 0.75 | Additive |
CT-DNA binding investigation
Using electronic absorption spectroscopy, we quantified and identified the intercalation of ZnO/CS/VA with CT-DNA (Fig. 13). The experiments with CT-DNA were conducted at room temperature using specific concentrations of ZnO/CS/VA. The concentration of CT-DNA was gradually increased, and the absorption spectra were measured to determine the intrinsic binding constant. The results showed that the absorption spectra decreased with increasing CT-DNA concentrations of ZnO/CS/VA, exhibiting a slight hypochromism effect. The predicted Kb value for ZnO/CS/VA was determined to be 1.17 × 105 M− 1 using the absorption spectrum method. Hypochromism was observed when ZnO/CS/VA intercalated with calf thymus DNA.
Fig. 13.
ZnO/CS/VA absorption spectrum in a pH 7.2 buffer with the increasing CT-DNA concentration. The arrow illustrates how absorbance varies as CT-DNA concentration rises
Docking studies
Vancomycin demonstrated a stronger affinity compared to ZnO NPs (Table 5), with lower scores (-10.85 kcal/mol vs. -2.73 kcal/mol for 3T88; -9.38 kcal/mol vs. -1.20 kcal/mol for 4DKI). The relatively higher RMSD values of VA (2.4–3.0 Å) may suggest conformational flexibility that allows for the accommodation of variable receptor geometries. However, this should be viewed as potential structural adaptability rather than definitive evidence of induced fit. These results are in line with the recommended docking interpretations by Morris et al. [99]. and Forli et al. [100].
Table 5.
Docking scores and energies of ZnO NPs and VA with E. coli (PDB code: 3T88) and MRSA (PDB code: 4DKI)
| Mol | Receptor | S | rmsd_refine | E_conf | E_place | E_score1 | E_refine | E_score2 |
|---|---|---|---|---|---|---|---|---|
| ZnO NPs | 3T88 | -2.73125 | 0.93436003 | -1118.71 | -41.9501 | -2.74677 | 6.808312 | -2.73125 |
| VA | 3T88 | -10.8546 | 2.4072533 | -158.3559 | -16.2251 | -0.74429 | -52.001 | -10.8546 |
| ZnO NPs | 4DKI | -1.19506 | 1.7127199 | -1119.85 | -33.0493 | -8.43408 | 1.087366 | -1.19506 |
| VA | 4DKI | -9.38016 | 3.0425267 | -160.2708 | -36.1534 | -7.241301 | -50.381 | -9.38016 |
The interactions are dispalyed at Table 6; Figs. 14, 15, 16, 17, and supplementary Figs. S1-S8 that occurred as follow:
Table 6.
Interaction of ZnO NPs and VA with E. coli (PDB code: 3T88) and MRSA (PDB code: 4DKI)
| Bacteria | Ligand | Atom Involved | Binding residues | Interaction Types | Distance (Å) | Binding Energy (kcal/mol) |
|---|---|---|---|---|---|---|
| E. coli (PDB code: 3T88) | ZnO NPs | O 3 | N PHE 162 (A) | H-acceptor | 2.88 | -0.7 |
| Zn 2 | O PHE 162 (A) | Metal | 2.02 | -2.1 | ||
| VA | O 156 | N PHE 162 (A) | H-acceptor | 3.17 | -1.6 | |
| N 172 | OH TYR 94 (A) | H-acceptor | 3.19 | -0.7 | ||
| C 85 | 6-ring TRP 166 (A) | H-pi | 3.87 | -0.8 | ||
| MRSA (PDB code: 4DKI) | ZnO NPs | ZN 10 | O GLU 189 (A) | Metal | 2.36 | -1.5 |
| O 1 | OE2 GLU 379 (A) | Ionic | 3.91 | -0.7 | ||
| VA | C 92 | OE1 GLU 222 (A) | H-donor | 3.49 | -0.5 | |
| O 121 | OE1 GLU 222 (A) | H-donor | 2.93 | -6.0 | ||
| O 16 | NZ LYS 188 (A) | H-acceptor | 3.15 | -0.8 |
Fig. 14.
2D and 3D diagrams show the interaction between ZnO NPs and active sites of 3T88
Fig. 15.
2D and 3D diagrams show the interaction between VA and active sites of 3T88 protein
Fig. 16.
2D and 3D diagrams show the interaction between ZnO NPs and active sites of 4DKI protein
Fig. 17.
2D and 3D diagrams show the interaction between VA and active sites of 4DKI protein
ZnO NPs: Metal coordination (Zn-O at 2.02 Å, -2.1 kcal/mol) and ionic bonds (O-GLU at 3.91 Å, -0.7 kcal/mol) dominated.
VA: Hydrogen bonds (N-PHE: 3.17 Å, -1.6 kcal/mol; O-GLU: 2.93 Å, -6.0 kcal/mol) and H-pi interactions (C-TRP: 3.87 Å, -0.8 kcal/mol) were critical.
RMSD: ZnO NPs exhibited lower RMSD values (0.93Å for 3T88; 1.71Å for 4DKI), indicating stable binding conformations compared to VA (2.41Å–3.04Å).
Investigation of cytotoxicity effect of ZnO NPs and ZnO/CS/VA
The toxicity of the biogenic ZnO NPs and green-prepared ZnO/CS/VA was tested and assessed using the Vero cell line (Fig. 18). ZnO NPs and ZnO/CS/VA exhibited remarkable and high CC50 values of 146.62 ± 1.03 and 162.86 ± 1.07 µg/mL, respectively. This suggests that both ZnONPs and their combination were not toxic to Vero cell lines. This result demonstrates that using green-prepared ZnO NPs and ZnO/CS/VA at high concentrations, such as MICs and MBCs (60–120 µg/mL) is safe.
Fig. 18.

Cytotoxicity of ZnO NPs and ZnO/CS/VA aginst Vero cells
Discussion
Bacterial infectious diseases are a persistent health danger and one of the leading causes of death globally [101]. It is impossible to accurately assess the global cost of infectious diseases today due to their multifaceted impact on health, the economy, and other aspects of society. One of the biggest threats to global public health is MDR pathogens [102]. The current study found high resistance percentages among various Gram-positive and Gram-negative bacteria indicating that B. licheniformis, B. cereus HES3, MRSA, E. coli D8, P. aeruginosa, and K. pneumoniae H4 are resistant to different classes of antibiotics. Specifically, resistance rates reached 83.33% against ampicillin, 66.67% against amoxycillin/clavulanate, ceftriaxone, and cotrimoxazole, and 50% against cefepime, ciprofloxacin, erythromycin, and vancomycin. The results of Moş et al. [103]. revealed that 52.3% of clinical E. coli isolates were sensitive to imipenem and 38.6% to gentamicin, compared to the international statistic of 70%. However, the highest level of resistance was found for ampicillin (6.8%). This suggests that the isolated strains of E. coli are especially susceptible to carbapenem and third-generation aminoglycosides. Kibret & Abera [72] reported high prevalence of Enterobacteriaceae resistance to erythromycin (89.4%), amoxicillin (86.0%), and tetracycline (72.6%). According to Pokharel et al. [105]. , P. aeruginosa was primarily isolated from wound swabs and pus showing resistance to ceftazidime in 63.04% of cases, cefixime in 65.21%, ceftriaxone and cefotaxime in 56.52% of cases, and piperacillin in 56.52% of cases. Worku et al. [106]. recorded that 83.3% and 84% of K. pneumoniae clinical isolates exhibited resistance to tetracycline and ceftriaxone, respectively. Munawer et al. [107]. noticed high resistance of MRSA clinical isolates to penicillin, cefoxitin, and sulfamethoxazole.
Therefore, novel antibacterial agents are needed to effectively combat such microbes. Nanomaterials and nanodrug therapy are promising solutions to address bacterial resistance. Metallic and metallic oxide NPs can also affect the stability, efficacy, and release of drugs [108]. These nanoparticles provide a new therapeutic treatment for bacterial infections and drug-resistant strains [29, 83, 109]. NPs activities can target multiple biomolecules, potentially showing or halting the emergence of many MDR pathogens [110, 111].
Drug delivery-specific NPs can encapsulate target drugs within the particles, shielding them from enzymatic breakdown in the biological system [112, 113]. Because of their subcellular size, NPs can assist in the absorption of drugs more readily within cells. These results in a lower concentration of free pharmaceuticals reducing their harmful effects [114]. ZnO nanomaterials offer special semiconductor and piezoelectric qualities in addition to being biocompatible and biodegradable [115]. ZnO nanocomposites have been used in manufacturing due to their excellent mechanical, anti-ultraviolet, photocatalytic, thermal stability, hydrophobicity, as well as multifunctional antibacterial film and antibacterial paper properties [116]. Experiments have demonstrated that these materials have excellent mechanical, anti-ultraviolet, and antibacterial properties [117]. In this investigation, the addition of aqueous Zn2+ to cell-biomass-derived B. licheniformis resulted in the reduction of Zn ions into ZnO NPs [81]. Markus et al. [118]. suggested that biological substances and functional groups on the bacterial cell were responsible for the reduction of Zn2+ to ZnO NPs. This bacterium biosynthesized ZnO NPs over 24-hour period, which was consistent with Hussein et al. [119]. , who demonstrated how B. cereus can be used as a bio-templating agent to produce ZnO NPs. Ali et al. [120]. utilized B. subtilis to create a straightforward and cost-effective method for biosynthesizing of ZnO NPs. Furthermore, Aeromonas hydrophila successfully synthesized ZnO NPs within a 24-hour timeframe at room temperature [121]. ZnO NPs were produced using Lactobacillus sp. over a period of 12 h. This was achieved by heating the reaction mixture to 80 °C for 5–10 min on a water bath [122].
The observation of color changes in the reaction suspension served as the first screening method for the synthesis mediated by cell biomass [81]. The bacterial cell biomass appeared as clear white in distilled water. The color of the solution changed to cloudy white after the addition of Zn2+ indicating that Zn2+ was reduced to ZnO NPs. UV–Vis spectroscopy was utilized to monitor the reduction of Zn2+ to ZnO NPs within the range of 300 to 700 nm. The UV-Vis spectroscopy analysis was utilized as additional screening method for the formation of ZnO NPs, revealing an absorbance peak at 349 nm in the recovered ZnO NPs. This range of absorption peaks has also been observed in previous studies on the production of ZnO NPs using various microorganisms [123, 124]. This UV absorption peak appears to be similar to the absorption band identified in the findings of Hudlikar et al. [125]. who discovered that the absorption peaks of ZnO NPs fall between 340 and 385 nm. In addition, the absorption peak obtained also matches with the ZnO NPs derived from the cell-free supernatant and the cell biomass of Lactobacillus plantarum TA4, which had deep peaks at 349 and 351 nm, respectively [81].
ZnO NPs have been documented as effective antibacterial agents. However, Zhang et al. [126]. reported that, it was possible for bacteria to develop resistance and grow at high ZnO concentrations (1000 µg/mL) during their assessment of how ZnO NPs affected E. coli. The antibacterial sensitivity returned after the NPs were removed from the growing media for a few days. This temporary resistance is adaptive and primarily results from bacterial shape changes rather than genetic alterations.
When exposed to stress, the oval-shaped bacteria that are resistant changed to the more common rod-like form [127]. As a result, several studies are focused on developing and enhancing the antibacterial properties of ZnO NPs against resistant strains. Many biopolymers such as chitosan (CS), cellulose, gelatin, and others, have been incorporated with NPs to develop therapeutic agents. However, combinations with CS have been reported as the safest and most effective antimicrobial agents [58]. CS is a biopolymer used to create metallic NPs by serving as a reducing and protecting agent [128]. Furthermore, the polymeric material has a high rate of biodegradability and biocompatibility due to its natural and organic nature. There is interest in employing CS because of its well-founded cationic and polymeric characteristics. Additionally, its accessibility, non-toxicity, and antibacterial properties, make it a very intriguing option for use as biomaterial in applications involving medicine, food, and industry. CS and CS NPs have been extensively researched for their potential usage in the field of biology due to their small size and high surface to weight ratio. Therefore, the current study aimed to combine VA with CS and ZnO NPs to create a new drug delivery system. The study also sought to investigate the antibacterial potential and DNA binding ability of this system against some MDR bacteria.
The protonation of CS’s amino groups causes it to dissolve in acetic acid, making it soluble in water and producing a viscous solution that is ideal for film formation. To stabilize the NPs within the CS matrix and prevent aggregation, ZnO NPs interact with CS through electrostatic interactions, hydrogen bonds, and van der Waals forces [129]. FTIR measurements were used to identify the potential biomolecules that effectively stabilized and capped the metal NPs [130]. However, the FTIR data was used to identify the probable biomolecules responsible for effectively stabilizing and capping the ZnO NPs produced by B. licheniformis. The results indicated that FTIR analysis confirmed the presence of carbonyl groups from amino acid residues, showing that proteins have a strong affinity for binding metal from metal NPs. This ability to cap ZnO NPs residues could potentially inhibit the accumulation and aggregation of NPs. This suggests that biological molecules can both form and remove metal NPs [131, 132]. The vibration stretch of ZnO NPs has been determined at 549 cm− 1. In other studies, FTIR spectra of ZnO NPs showed Zn − O stretches at 466.77 cm− 1, 482 cm− 1, 513 cm− 1, 515 cm− 1, 584 cm− 1 and 612 cm− 1 [56, 133–136]. The FTIR spectra provide critical evidence for the successful formation and chemical interaction within the ZnO/CS/VA nanocomposite. The ZnO NPs was observed aligning on the VA and CS matrix, suggesting successful integration. Evidence of their interaction with the ZnO NPs was shown by a decrease in the strength of the vibration bands of the − OH, −NH, and C–O groups in the ZnO/CS/VA FTIR spectrum. The broad, intense peak corresponding to the O-H stretching vibrations (hydrogen bonding) in CS at 3400 cm− 1 shows a notable shift and decreased intensity in the ZnO/CS/VA composite. This is accompanied by shifts in the C-O-C peaks around 1080 cm− 1 and the N-H bending peak around 1590 cm− 1. These collective changes confirm that the hydroxyl and amino groups of CS are successfully involved in coordination and hydrogen bonding with the surface of the ZnO NPs [137]. The presence of characteristic ZnO peaks in the low fingerprint region (400–600 cm− 1) in the final composite further confirms the successful inclusion of the NPs [138]. The characteristic N-H stretching peak of VA at 3290 cm− 1 and the amide carbonyl bands (C = O stretch) at 1650 cm− 1 show significant shifts and broadening in the final composite spectrum. This indicates that the amino and peptide groups of VA are actively participating in hydrogen bonding or weak coordination with the CS matrix and the ZnO surface [17]. The resulting spectral changes confirm the effective loading and chemical binding of VA onto the ZnO/CS platform, validating the prepared nanocomposite structure.
Capping agents may contain either negative or positive charges, which are essential for maintaining the stability of NPs and ensuring their colloidal dispersion [139, 140]. The repulsion forces between NPs due to the presence of significant charges prevent agglomeration, ensuring the stability of the NPs [141]. The stability of the NPs was demonstrated by the magnitude of the zeta potential value. The prepared NPs have a negative charge on their surface, as shown by the zeta potential measurements. According to the findings, ZnO NPs had a negative zeta potential of -22.54 mV while ZnO/CS/VA had − 17.78 mV. Abdelhakim et al. [142]. , a negative zeta potential of ZnO NPs reached − 23.92 mV, indicating that the ZnO NPs were highly stable. Ebadi et al. [143]. used the cyanobacterium Nostoc sp. EA03 to biosynthesize ZnO NPs. The negative zeta potential value of -29.7 indicates that the bioactive compounds contribute to the long-term stability of the NPs.
The XRD patterns of the synthesized ZnO NPs showed that all of their diffraction peaks matched the conventional ZnO NPs data [144, 145]. Every characteristic peak found for ZnO NPs aligned well with those found on card No. 36-1451 of the JCPDS [146]. These findings demonstrate that the process used in this work to produce pure ZnO NPs is efficient. Furthermore, the results show that the diffraction peaks became smaller and more intense as the annealing temperature increase, suggesting that the ZnO NPs produced had an excellent crystalline structure. Additionally, the broadening at the base of the diffraction peaks in the XRD pattern indicates that the crystalline diameters of the ZnO NPs were modest and consistent with those reported in the literature [147]. Furthermore, the absence of additional impurity-related diffraction peaks confirms the high purity of the produced materials. Several studies suggest that the efficiency of the antibacterial activity of NPs is influenced by the size of the particles [148–150]. The observed attenuation and broadening of the characteristic ZnO peaks including the intense (100) and (101) reflections in the ZnO/CS/VA composite do not indicate a complete collapse of the ZnO crystal structure. Instead, this is mainly due to a masking effect combined with surface passivation. The thick, highly amorphous CS layer coating, along with the loaded VA, creates a significant amorphous background signal that effectively shields and reduces the diffraction intensity from the crystalline ZnO core [151]. Furthermore, the surface coordination between CS and the ZnO surface may induce a minor degree of surface lattice disorder, contributing to the broadening [152]. The remaining subtle peaks confirm that the ZnO component successfully retains its core Wurtzite hexagonal crystal structure within the final nanocomposite. The reduced intensity and broadening are indicative of successful polymeric encapsulation and surface passivation [153].
Numerous researches indicate that the size of the particles affects how efficient the antibacterial activity of NPs is [148–150]. According to Gold et al. [154]. , smaller particles have a stronger antibacterial effect than larger ones. They can harm microbial protoplasts by condensing DNA molecules, preventing replication, deactivating enzymes and metabolism, and impairing membrane permeability. The average size of ZnO/CS/VA was approximately ≈ 79.38 nm, which corresponded to the TEM micrograph. A visual contrast between the electron-dense ZnO core and the polymeric shell (CS/VA) provided improved evidence of the core-shell morphology. The image clearly depicts the core-shell structure, where the dark, electron-dense ZnO NPs forms the core, surrounded by a lighter, less electron-dense layer corresponding to the amorphous CS shell [155, 156]. This visualization confirms that the CS polymer successfully encapsulated the ZnO NPs, which is the physical basis for the stabilization and drug delivery mechanism proposed in the Introduction. Thus, coating process added extra thickness to the original metal NP core [157, 158]. Several studies on antibacterial materials such as Zn and Ag have shown that the antibacterial action is improved with an increase in surface-to-volume ratio. Additionally, microbial cell walls and cytoplasmic membranes may be negatively impacted by small particles [159]. A study by Kasemets et al. [160]. examined the antibacterial activity of ZnO particles at both the micro and nanoscales against P. fluorescens, E. coli, and B. subtilis. They concluded that ZnO NPs with an average size of 20 nm and a zeta potential of -5 mV were more effective against bacteria than microparticles. When compared to the controls, the NPs completely decreased the viability of all bacterial species, whereas the micro-size ZnO only slightly inhibited bacterial growth [161].
ZnO NPs were found to be more efficient against Gram-positive than Gram-negative bacteria while ZnO/CS/VA was effective against both Gram-positive and Gram-negative bacteria according to the antibacterial activity results. Since Gram-positive and Gram-negative bacteria have different cell wall compositions, it was discovered that ZnO NPs have greater antibacterial ability against the former [162]. On the plates, ZnO NPs and the concentration levels of 150 µg/mL significantly influenced the potential zone of inhibition against B. licheniformis, and B. cereus HES3 followed by E. coli D8 and P. aeruginosa.
According to the MIC and MBC results, high concentrations of ZnO NPs produced a complete inhibitory effect, as expected. On the other hand, low concentrations of ZnO/CS/VA act as a bactericidal agent with broad-spectrum action. The growth of bacteria was suppressed by ZnO/CS/VA at MIC of 10–60 µg/mL for B. licheniformis, B. cereus HES3, and MRSA, and 45–60 µg/mL for E. coli D8, P. aeruginosa, and K. pneumoniae H4. According to previous studies on the antibacterial properties of ZnO NPs and ZnO nanocomposites, the growth of S. aureus, MRSA, E. coli, P. aeruginosa, and K. pneumoniae was inhibited at MICs and MBCs ranging from 500 to 1500 µg/mL [56, 136, 163–165]. Higher concentrations of ZnO NPs and ZnO/CS/VA may suppress the growth of Gram-negative bacteria more effectively than Gram-positive bacteria, as indicated by the results of the MIC and MBC tests. The same findings were published by Emami-Karvani & Chehrazi [166], who emphasized that Gram-positive bacteria are more susceptible than Gram-negative bacteria. According to a study by Atmaca et al. [167]. , variations in cell wall construction, cell physiology, metabolism, or degree of contact may be linked to the increased vulnerability of Gram-positive bacteria.
Bhande et al. [168]. examined the synergistic effect of combining ZnO NPs with β-lactam antibiotics on spectrum β-lactamase producers commonly found in urinary tract infections. The ZnO NPs were combined with cefotaxime, ceftriaxone, ampicillin, and cefepime and tested on E. coli, K. pneumoniae, S. paucimobilis, and P. aeruginosa. The combination revealed enhanced bactericidal activity and induced membrane leakage, damaging the cell membrane, and ultimately leading to cell death. El-Telbany et al. [169]. reported that the combination of ZnO NPs and meropenem enhanced their antibacterial action and showed synergistic activity with lower MICs against multidrug-resistant P. aeruginosa. Aderibigbe [170] documented that the combination of ZnO NPs with tobramycin and gallic acid exhibited excellent antibacterial and antibiofilm activity against multidrug-resistant bacteria such as P. aeruginosa, S. aureus, and E. coli.
Although the exact mechanisms of ZnO’s antibacterial action are unknown, scientists have proposed a few potential bactericidal effects. Various NPs utilize different mechanisms to destroy bacteria. Metallic NPs use several modes of action to kill bacteria. They penetrate the bacterial cell wall and form pores on the surface of the membrane. This, in turn, causes the formation of free radicals that destroy the cell membrane [112, 171, 172]. On the other hand, Phan et al. [173]. reported that Zn ions can only prevent the growth of bacteria (bacteriostatic impact), not kill them (bactericidal effect). Due to the favored features of nanomedicines, multiple options for NPs have emerged including organic and inorganic nanosystems. The mechanism behind the combination of NPs and CS to enhance their antibacterial activity is most likely their interaction with the bacterial cell wall or membrane. Several theories have been proposed to explain this process. The most prominent is the CS NPs model of antibacterial activity, which focuses on the electrostatic interaction between the negatively charged bacterial cell membranes and the positively charged amino groups of glucosamine. The interaction brings about widespread surface alterations that change the membrane’s permeability. This leads to an osmotic imbalance and the release of internal components, ultimately causing cell death [174, 175].
Since DNA is a crucial part of the antibacterial process, the biological application of nanocomposites to investigate DNA interaction activity has attracted a lot of attention [176]. Using electronic absorption spectroscopy, the nanocomposite’s intercalation with calf thymus DNA was ascertained. The intrinsic binding constant (Kb) of calf thymus DNA was tested. The tests were conducted at room temperature using fixed nanocomposite concentrations and a gradual increase in calf thymus DNA (CT-DNA) concentration. The absorption spectra of the nanocomposite showed a hypochromism effect as the CT-DNA content increased. This is because the intercalation method involves a strong stacking interaction between an aromatic chromophore and the base pairs of DNA, the intercalation of ZnO/CS/VA with calf thymus DNA demonstrates hypochromism. These findings provide strong evidence that substituting of a nanocomposite with a higher electron-donating ability for the terminal nitrogen facilitates the attachment of complexes to the DNA helix. The results of the electronic absorption tests clearly show that ZnO/CS/VA interact favorably with CT-DNA.
The comparative analysis of ZnO NPs and VA reveals nuanced insights into their binding mechanisms and therapeutic potential. VA shows superior docking scores against both E. coli (3T88) and MRSA (4DKI) receptors (-10.85 for 3T88; -9.38 for 4DKI) indicating its strong affinity. However, VA’s higher RMSD values (2.41–3.04 Å) suggest conformational flexibility during binding allowing it to adapt to diverse receptor geometries. In contrast, ZnO NPs exhibit a lower RMSD (0.93–1.71 Å), indicating rigid and stable interactions, likely a result of metal coordination (e.g., Zn-O at 2.02 Å) and ionic bonds. These interactions, while stabilizing their binding pose, restrict their ability to adapt to dynamic binding sites, therefore reducing efficacy against evolving pathogens. The strength of VA lies in its ability to form multiple high-affinity hydrogen bonds with critical residues. For instance, in 3T88, it forms an H-acceptor bond with N PHE 162 (3.17 Å, -1.6 kcal/mol) and a strong hydrogen bond with OH TYR 94 (-0.7 kcal/mol). In 4DKI, it interacts with OE1 GLU 222 through a strong hydrogen-bonding interaction (2.93 Å, -6.0 kcal/mol), which is a crucial residue for MRSA’s cell wall synthesis. These interactions appear to mimic natural substrate binding, enabling VA to competitively inhibit bacterial enzymes. In contrast, ZnO NPs depend on metal coordination (e.g., Zn-O at 2.02 Å) and weaker ionic bonds (-0.7 kcal/mol), which are stable but do not offer the same specificity as hydrogen bonds. PHE 162 and TYR 94 are located within a hydrophobic pocket in 3T88, crucial for substrate recognition in bacterial cell wall synthesis.
By binding here, VA competitively inhibits enzymatic activity. VA’s interactions with GLU 222 in 4DKI (MRSA) are particularly significant. This residue is part of the penicillin-binding protein (PBP) active site, which is a key target for β-lactam antibiotics. By forming a strong hydrogen bond here (-6.0 kcal/mol), VA disrupts cell wall synthesis, mirroring its actual mechanism of action. ZnO NPs’ metal coordination with GLU 189 (-1.5 kcal/mol) in 4DKI, while novel, targets a less critical region, explaining its weaker inhibitory potential. VA’s docking superiority aligns with its decades of clinical use against MRSA. Its hydrogen-bond-driven mechanism is less prone to interference from bacterial efflux pumps or enzymatic degradation compared to metallic NPs, which may face challenges in physiological environments (e.g., ion competition).
VA’s proficiency in hydrogen-bonding ensures high target specificity, minimizing off-target effects, which is crucial for systemic use. Additionally, its adaptability, characterized by flexible binding, as evidenced by higher RMSD values, allows for the accommodation of minor receptor conformational changes, thereby delaying resistance. VA also demonstrates synergy with other agents, making it suitable for use in combination therapies to enhance efficacy against resistant strains.
VA’s E_score2 values (-10.85 for 3T88; -9.38 for 4DKI) are significantly lower than the scores of ZnO NPs, indicating a stronger overall binding energy. This is further supported by its E refine term (-52.00 for 3T88; -50.38 for 4DKI), which demonstrates optimized pose refinement during docking. Non-biogenic NPs were prepared for several research projects and were discovered to be toxic substances with a high level of toxicity against specific normal cells potentially leading to genetic damage [177, 178].
However, studies have shown that naturally produced NPs are safe and environmentally friendly [54, 110, 179]. The toxicity of biogenic ZnO NPs and green-prepared ZnO/CS/VA was tested on the Vero cell line. Both ZnO NPs and ZnO/CS/VA showed high CC50 values of 146.62 ± 1.03 and 162.86 ± 1.07 µg/ml, respectively. This indicates that neither ZnONPs nor their combination were toxic to Vero cell lines.
This result demonstrates that using green-prepared ZnO NPs and ZnO/CS/VA at high concentrations, such as MBCs (60–120 µg/ml), is safe. The study reports that the cell-free extract of B. licheniformis ATCC 4527 has no apoptosis effect on the Vero cells at concentrations greater than 31.25 µg/mL of ZnONPs and its combination with CS and VA. Similarly, Sayed et al. [180]. found that concentrations lower than 31.25 µg/mL of nanocomposites may not exhibit cytotoxicity against Vero cells. In contrast, the cell-free extract of B. megaterium NCIM 2326 produced ZnO NPs with apoptotic effects at concentrations of ≥ 12.5 µg/ml, as reported by Saravanan et al. [181]. However, according to Yaghubi kalurazi & Jafari [182], when ZnO NPs were tested against Vero cells, they were able to inhibit the Vero cell lines.
According to Almuhayawi et al. [183]. , green synthesized ZnONPs also showed low toxicity on Vero cells, with a CC50 of 154.01 µg/mL. In comparison to the current results, Alrabayah et al. [184]. prepared green ZnO NPs that exhibit a lower cytotoxic CC50 of 145.77 µg/mL, but their combination displayed a higher CC50 reaching 179.23 µg/mL.
Conclusions
A biosynthesis of ZnO NPs was prepared using B. licheniformis ATCC 4527. The NPs were then decorated with CS and VA to fabricate ZnO/CS/VA. Various physicochemical analyses were conducted on the prepared materials including UV-Vis spectroscopy, FTIR, Zeta potential, XRD, and TEM. High resolution TEM investigation is recommended for more study of the core/shell nanostructure of ZnO/CS/VA. The synthesized ZnO/CS/VA exhibited potent antibacterial activities in a dose-dependent manner. Results revealed that both Gram-positive and Gram-negative bacteria were sensitive to ZnO/CS/VA at low concentrations, with MIC values ranging from 10 to 60 µg/mL. The cytotoxicity, DNA binding, and docking studies of ZnO/CS/VA were also investigated confirming the strong antibacterial action of the prepared nanocomposite as well as its high safety profile. VA’s dominance in docking scores and interaction energy reaffirms its role as a potent antibiotic against both E. coli (3T88) and MRSA (4DKI) bacteria. Its hydrogen-bonding proficiency and adaptability provide a robust mechanism for targeting critical residues. Pairing VA with ZnO NPs could leverage both hydrogen bonding and metal-mediated interactions for dual-action therapy. This approach of enhancing traditional antibiotics may hold the key to addressing the antibiotic resistance crisis. Furthermore, future studies should demonstrate the in vivo efficacy of ZnO/CS/VA using an animal model.
Supplementary Information
Below is the link to the electronic supplementary material.
Acknowledgements
The authors would like to thank the Botany and Microbiology Department of Damietta University’s Faculty of Science for providing the facilities required to conduct this work.
Abbreviations
- AMR
Antimicrobial resistance
- ESBL
Extended-spectrum beta-lactamases
- ZnO NPs
Zinc oxide nanoparticles
- ZnO/CS/VA
Zinc oxide/chitosan/vancomycin nanocomposite
- TEM
Transmission electron microscopy
- FTIR
Fourier transform infrared spectroscopy
- XRD
X-ray diffraction
- UV-Vis
Ultraviolet-visible spectroscopy
- SD
Standard deviation
- MIC
Minimum inhibition concentration
- MBC
Minimum bactericidal concentration
- CC50
Cytotoxic concentration 50%
- MOE
Molecular operating environment
- E_place
Score of the placement phase
- E_conf
Energy conformer
- E_refine
Score refinement
Author contributions
MME and MIA provided the bacterial strains. SME and MME conducted the experiments. HMS performed the molecular docking studies. HMS and MME performed statistical analysis and presented data in figures and tables. ZAB, MIA, MME, SME and HMS wrote the draft of the manuscript. All authors read and approved the manuscript.
Funding
Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB). This research received no specific grant from a governmental, private, or non-profit organization.
Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Declarations
Ethics approval and consent to participate
The study was carried out in accordance with the guidelines and regulations of the scientific research ethics committee, Faculty of Science, Damietta University, Egypt. The cytotoxicity experiments were conducted in compliance with the IACUC (The Institutional Animal Care and Use Committee) statement for using animals in research and teaching by the local ethical committee of AUHA (Al-Azhar University Housing Animals).
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Read AF, Woods RJ. Antibiotic resistance management. Evol Med Public Health. 2014;2014:147. 10.1093/emph/eou024. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Tahmasebi H, Arjmand N, Monemi M, Babaeizad A, Alibabaei F, Alibabaei N, et al. From cure to crisis: Understanding the evolution of Antibiotic-Resistant bacteria in human microbiota. Biomolecules. 2025;15. 10.3390/biom15010093. [DOI] [PMC free article] [PubMed]
- 3.Brown DG, Wobst HJ. A decade of FDA-Approved drugs (2010–2019): trends and future directions. J Med Chem Am Chem Soc. 2021;64:2312–38. 10.1021/acs.jmedchem.0c01516. [DOI] [PubMed] [Google Scholar]
- 4.Mancuso G, Midiri A, Gerace E, Biondo C. Bacterial antibiotic resistance: the most critical pathogens. Pathogens. 2021;10. 10.3390/pathogens10101310. [DOI] [PMC free article] [PubMed]
- 5.Salehi B, Abu-Darwish MS, Tarawneh AH, Cabral C, Gadetskaya AV, Salgueiro L, et al. Antimicrobial resistance collaborators global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet. 2022;399:629–55. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Walsh TR, Gales AC, Laxminarayan R, Dodd PC. Antimicrobial resistance: addressing a global threat to humanity. PLoS Med. Public Library of Science San Francisco, CA USA; 2023. p. e1004264. [DOI] [PMC free article] [PubMed]
- 7.O’Neill J. Tackling drug-resistant infections globally: final report and recommendations. London: Wellcome Trust; 2016. p. 84. [Google Scholar]
- 8.Shriram V, Khare T, Bhagwat R, Shukla R, Kumar V. Inhibiting bacterial drug efflux pumps via Phyto-Therapeutics to combat threatening antimicrobial resistance. Front Microbiol. 2018;9. [DOI] [PMC free article] [PubMed]
- 9.Chinemerem Nwobodo D, Ugwu MC, Oliseloke Anie C, Al-Ouqaili MTS, Chinedu Ikem J, Victor Chigozie U et al. Antibiotic resistance: The challenges and some emerging strategies for tackling a global menace. J Clin Lab Anal. John Wiley & Sons, Ltd; 2022;36:e24655. 10.1002/jcla.24655 [DOI] [PMC free article] [PubMed]
- 10.Peterson E, Kaur P. Antibiotic resistance mechanisms in bacteria: relationships between resistance determinants of antibiotic Producers, environmental Bacteria, and clinical pathogens. Front Microbiol. 2018;9. 10.3389/fmicb.2018.02928. [DOI] [PMC free article] [PubMed]
- 11.Moore NM, Flaws ML. Antimicrobial resistance mechanisms in Pseudomonas aeruginosa. Clin Lab Sci. 2011;24:47. [PubMed] [Google Scholar]
- 12.Li Y, Kumar S, Zhang L, Wu H, Wu H. Characteristics of antibiotic resistance mechanisms and genes of Klebsiella pneumoniae. 2023;18. 10.1515/med-2023-0707 [DOI] [PMC free article] [PubMed]
- 13.Mah T-FC, O’Toole GA. Mechanisms of biofilm resistance to antimicrobial agents. Trends Microbiol Elsevier. 2001;9:34–9. 10.1016/S0966-842X(00)01913-2. [DOI] [PubMed] [Google Scholar]
- 14.McManus MC. Mechanisms of bacterial resistance to antimicrobial agents. Am J Health Syst Pharm. 1997;54:1420–33. 10.1093/ajhp/54.12.1420. [DOI] [PubMed] [Google Scholar]
- 15.Kang H-K, Park Y. Glycopeptide antibiotics: structure and mechanisms of action. J Bacteriol. 2015;45:67–78. 10.4167/jbv.2015.45.2.67. [Google Scholar]
- 16.Wang Z-J, Zhu Y-Y, Bai L-Y, Tang D-M, Zhou Z-S, Wei M-Z, et al. A new therapeutic strategy for infectious diseases against intracellular multidrug-resistant bacteria. J Cont Release. 2024;375:467–77. 10.1016/j.jconrel.2024.09.028. [DOI] [PubMed] [Google Scholar]
- 17.Hafizi T, Shahriari MH, Abdouss M, Kahdestani SA. Synthesis and characterization of vancomycin-loaded Chitosan nanoparticles for drug delivery. Polym Bull. 2023;80:5607–21. 10.1007/s00289-022-04237-8. [Google Scholar]
- 18.Namdar N, Nayeri Fasaei B, Shariati P, Joghataei SM, Arpanaei A. Mesoporous silica nanoparticles co-loaded with lysozyme and Vancomycin for synergistic antimicrobial action. Sci Rep. 2024;14:29242. 10.1038/s41598-024-78922-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Ansari M, Shahlaei M, Hosseinzadeh S, Moradi S. Recent advances in nanostructured delivery systems for Vancomycin. Nanomedicine. 2024;19:1931–51. 10.1080/17435889.2024.2377063. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Albrecht MA, Evans CW, Raston CL. Green chemistry and the health implications of nanoparticles. Green Chem RSC. 2006;8:417–32. [Google Scholar]
- 21.Al-Rajhi AMH, Salem SS, Alharbi AA, Abdelghany TM. Ecofriendly synthesis of silver nanoparticles using Kei-apple (Dovyalis caffra) fruit and their efficacy against cancer cells and clinical pathogenic microorganisms. Arab J Chem. 2022;15:103927. 10.1016/j.arabjc.2022.103927. [Google Scholar]
- 22.Hasanin M, Al Abboud MA, Alawlaqi MM, Abdelghany TM, Hashem AH. Ecofriendly synthesis of biosynthesized copper nanoparticles with starch-based nanocomposite: Antimicrobial, antioxidant, and anticancer activities. Biol Trace Elem Res. 2022;200:2099–112. 10.1007/s12011-021-02812-0. [DOI] [PubMed] [Google Scholar]
- 23.Abdelghany TM, Al-Rajhi AMH, Al Abboud MA, Alawlaqi MM, Ganash Magdah A, Helmy EAM, et al. Recent advances in green synthesis of silver nanoparticles and their applications: about future directions. A review. Bionanoscience. 2018;8:5–16. 10.1007/s12668-017-0413-3. [Google Scholar]
- 24.Joudeh N, Linke D. Nanoparticle classification, physicochemical properties, characterization, and applications: A comprehensive review for biologists. J Nanobiotechnol. 2022;20:262. 10.1186/s12951-022-01477-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.El-Zahed MM, Abou-Dobara MI, El-Sayed AK, Baka ZAM. Ag/SiO2 nanocomposite mediated by Escherichia coli D8 and their antimicrobial potential. NBC. 2022;21:e1023. 10.36547/nbc.1023. [Google Scholar]
- 26.Karimiyan A, Najafzadeh H, Ghorbanpour M, Hekmati-Moghaddam SH. Antifungal effect of magnesium oxide, zinc oxide, silicon oxide and copper oxide nanoparticles against Candida albicans. Zahedan J Res Med. 2015;17. 10.17795/zjrms-2179.
- 27.Baka ZA, El-Zahed MM. Antifungal activity of silver/silicon dioxide nanocomposite on the response of Faba bean plants (Vicia Faba L.) infected by Botrytis cinerea. Bioresour Bioprocess. 2022;9:102. 10.1186/s40643-022-00591-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Baka ZAM, El-Zahed MM. Phenolic acids and defense-related enzymes in host-pathogen interaction in Senecio aegyptius and the rust fungus, Puccinia lagenophorae. Phytopathol Plant Prot; 2023. pp. 1–32.
- 29.El-Zahed AAZ, Khalifa ME, El-Zahed MM, Baka ZA. Biological synthesis and characterization of antibacterial manganese oxide nanoparticles using Bacillus subtilis ATCC6633. SJDFS. 2023;13:79–87. 10.21608/sjdfs.2023.242279.1136. [Google Scholar]
- 30.Omran BA, Baek K-H. Dual extracellular mycofabrication of Cobalt and zinc nano metal oxides mediated by mycelial-cell free filtrate of Aspergillus sojae: characterization and assessment of antibacterial activity. J Mol Struct. 2024;1300:137190. 10.1016/j.molstruc.2023.137190. [Google Scholar]
- 31.Yusof HM, Mohamad R, Zaidan UH. Sustainable microbial cell nanofactory for zinc oxide nanoparticles production by zinc-tolerant probiotic Lactobacillus plantarum strain TA4. Microb Cell Fact BioMed Cent. 2020;19:1–17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Gordon T, Perlstein B, Houbara O, Felner I, Banin E, Margel S. Synthesis and characterization of zinc/iron oxide composite nanoparticles and their antibacterial properties. Colloids Surf Physicochem Eng Asp. 2011;374:1–8. 10.1016/j.colsurfa.2010.10.015. [Google Scholar]
- 33.Kołodziejczak-Radzimska A, Jesionowski T. Zinc oxide—from synthesis to application: A review. Materials. 2014;7:2833–81. 10.3390/ma7042833. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Omran BA, Rabbee MF, Baek K-H. Biologically inspired nanoformulations for the control of bacterial canker pathogens Clavibacter Michiganensis subsp. Michiganensis and subsp. Capsici. J Biotechnol. 2024;392:34–47. 10.1016/j.jbiotec.2024.06.017. [DOI] [PubMed] [Google Scholar]
- 35.Pushpalatha C, Suresh J, Gayathri VS, Sowmya SV, Augustine D, Alamoudi A, et al. Zinc oxide nanoparticles: a review on its applications in dentistry. Front Bioeng Biotechnol Front Media SA. 2022;10:917990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Thiruvengadathan R, Korampally V, Ghosh A, Chanda N, Gangopadhyay K, Gangopadhyay S. Nanomaterial processing using self-assembly-bottom-up chemical and biological approaches. Rep Prog Phys. 2013;76:66501. 10.1088/0034-4885/76/6/066501. [DOI] [PubMed] [Google Scholar]
- 37.Biswas A, Bayer IS, Biris AS, Wang T, Dervishi E, Faupel F. Advances in top–down and bottom–up surface nanofabrication: Techniques, applications & future prospects. Adv Colloid Interface Sci. 2012;170:2–27. 10.1016/j.cis.2011.11.001. [DOI] [PubMed] [Google Scholar]
- 38.Lee SW, Chang W-J, Bashir R, Koo Y-M. Bottom-up approach for implementing nano/microstructure using biological and chemical interactions. Biotechnol Bioprocess Eng. 2007;12:185–99. 10.1007/BF02931092. [Google Scholar]
- 39.Lombardo D, Calandra P, Pasqua L, Magazù S. Self-assembly of organic nanomaterials and biomaterials: the Bottom-up approach for functional nanostructures formation and advanced applications. Materials. 2020;13. 10.3390/ma13051048. [DOI] [PMC free article] [PubMed]
- 40.Qin W, Wang C, Ma Y, Shen M, Li J, Jiao K, et al. Microbe-mediated extracellular and intracellular mineralization: Environmental, industrial, and biotechnological applications. Adv Mater. 2020;32:1907833. 10.1002/adma.201907833. [DOI] [PubMed] [Google Scholar]
- 41.Narayanan KB, Sakthivel N. Biological synthesis of metal nanoparticles by microbes. Adv Colloid Interface Sci. 2010;156:1–13. 10.1016/j.cis.2010.02.001. https://doi.org/https://doi.org/. [DOI] [PubMed] [Google Scholar]
- 42.Maftei N-M, Raileanu CR, Balta AA, Ambrose L, Boev M, Marin DB, et al. The potential impact of probiotics on human health: an update on their health-promoting properties. Microorganisms. 2024;12. 10.3390/microorganisms12020234. [DOI] [PMC free article] [PubMed]
- 43.Tegegne BA, Kebede B. Probiotics, their prophylactic and therapeutic applications in human health development: A review of the literature. Heliyon Elsevier. 2022;8. 10.1016/j.heliyon.2022.e09725. [DOI] [PMC free article] [PubMed]
- 44.Ramirez-Olea H, Reyes-Ballesteros B, Chavez-Santoscoy RA. Potential application of the probiotic Bacillus licheniformis as an adjuvant in the treatment of diseases in humans and animals: A systematic review. Front Microbiol. 2022;13. 10.3389/fmicb.2022.993451. [DOI] [PMC free article] [PubMed]
- 45.Nesemann G, Präve P, Sukatsch D, Vértesy L. Ein Polyen-antibiotikum Aus Bakterien. Naturwissenschaften. 1972;59:81–2. 10.1007/BF00593477. [DOI] [PubMed] [Google Scholar]
- 46.Todorov SD, Ivanova IV, Popov I, Weeks R, Chikindas ML. Bacillus spore-forming probiotics: benefits with concerns? Crit Rev Microbiol Taylor Francis. 2022;48:513–30. 10.1080/1040841X.2021.1983517. [DOI] [PubMed] [Google Scholar]
- 47.Abinaya M, Vaseeharan B, Divya M, Sharmili A, Govindarajan M, Alharbi NS, et al. Bacterial exopolysaccharide (EPS)-coated ZnO nanoparticles showed high antibiofilm activity and larvicidal toxicity against malaria and Zika virus vectors. J Trace Elem Med Biol. 2018;45:93–103. 10.1016/j.jtemb.2017.10.002. [DOI] [PubMed] [Google Scholar]
- 48.Gomaa EZ. Microbial mediated synthesis of zinc oxide nanoparticles, characterization and multifaceted applications. J Inorg Organomet Polym Mater. 2022;32:4114–32. 10.1007/s10904-022-02406-w. [Google Scholar]
- 49.Tripathi RM, Bhadwal AS, Gupta RK, Singh P, Shrivastav A, Shrivastav BR. ZnO nanoflowers: novel biogenic synthesis and enhanced photocatalytic activity. J Photochem Photobiol B. 2014;141:288–95. 10.1016/j.jphotobiol.2014.10.001. [DOI] [PubMed] [Google Scholar]
- 50.Bandeira M, Giovanela M, Roesch-Ely M, Devine DM, da Silva Crespo J. Green synthesis of zinc oxide nanoparticles: A review of the synthesis methodology and mechanism of formation. Sustain Chem Pharm. 2020;15:100223. 10.1016/j.scp.2020.100223. [Google Scholar]
- 51.Alothman AA, Albaqami MD. Nano-sized Cu(II) and Zn(II) complexes and their use as a precursor for synthesis of CuO and ZnO nanoparticles: A study on their sonochemical synthesis, characterization, and DNA-binding/cleavage, anticancer, and antimicrobial activities. Appl Organomet Chem. 2020;34:e5827. 10.1002/aoc.5827. [Google Scholar]
- 52.Mohammed AM, Mohammed M, Oleiwi JK, Ihmedee FH, Adam T, Betar BO, Gopinath SC. The anticancer, antioxidant, and antimicrobial properties of zinc oxide nanoparticles: A comprehensive review. Nano TransMed. 2025;100097. 10.1016/j.ntm.2025.100097.
- 53.Takahara PM, Rosenzweig AC, Frederick CA, Lippard SJ. Crystal structure of double-stranded DNA containing the major adduct of the anticancer drug cisplatin. Nature. 1995;377:649–52. 10.1038/377649a0. [DOI] [PubMed] [Google Scholar]
- 54.El-Zahed MM, Abou-Dobara MI, El-Khodary MM, Mousa MMA. Antimicrobial activity and nanoremediation of heavy metals using biosynthesized CS/GO/ZnO nanocomposite by Bacillus subtilis ATCC 6633 alone or immobilized in a macroporous cryogel. Microb Cell Fact. 2024;23:278. 10.1186/s12934-024-02535-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55.Elshikiby LA, Baka ZAM, El-Zahed MM. Biological activities of optimized biosynthesized selenium nanoparticles using Proteus mirabilis PQ350419 alone or combined with Chitosan and ampicillin against common multidrug-resistant bacteria. Microb Cell Fact. 2025;24:159. 10.1186/s12934-025-02783-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Fayed RM, Mohamed Baka ZA, Farouk BH, El-Zahed MM. Antibacterial and cytotoxic activities of a newly green synthesized ZnO/Se nanocomposite combined with Washingtonia robusta H. Wendl fruit extract. Biocatal Agric Biotechnol. 2025;64:103500. 10.1016/j.bcab.2025.103500. [Google Scholar]
- 57.El-Fawal MF, El-Fallal AA, Abou-Dobara MI, El-Sayed AKA, El-Zahed MM. Preparation, characterization, and antibacterial activity of newly biosynthesized ampicillin/chitosan/selenium nanocomposite (AMP/CS/SENC) using Fusarium Fujikuroi PP794203 against multidrug-resistant Escherichia coli PP797596. J Microbiol Biotechnol Food Sci. 2024;14:e11608–11608. 10.55251/jmbfs.11608. [Google Scholar]
- 58.Fallahizadeh S, Yousefi M, Ghasemi A, Sadat SA, Mohtashemi M, Rezagholizade-shirvan A, et al. Antibacterial and biofilm Inhibition of Helicobacter pylori using green synthesized MWCNTs/ZnO/Chitosan nanocomposites. Environ Technol Innov. 2025;38:104068. 10.1016/j.eti.2025.104068. [Google Scholar]
- 59.Wang C, Wei X, Zhong L, Chan C-L, Li H, Sun H. Metal-based approaches for the fight against antimicrobial resistance: Mechanisms, opportunities, and challenges. J Am Chem Soc. 2025;147:12361–80. 10.1021/jacs.4c16035. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Şuhani MF, Băciuţ G, Băciuţ M, Şuhani R, Bran S. Current perspectives regarding the application and incorporation of silver nanoparticles into dental biomaterials. Volume 91. Romania: Clujul Medical University of Medicine and Pharmacy of Cluj-Napoca; 2018. p. 274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Raza S, Matuła K, Karoń S, Paczesny J. Resistance and adaptation of bacteria to non-antibiotic antibacterial agents: physical stressors, nanoparticles, and bacteriophages. Antibiotics. 2021;10:435. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Niño-Martínez N, Salas Orozco MF, Martínez-Castañón G-A, Torres Méndez F, Ruiz F. Molecular mechanisms of bacterial resistance to metal and metal oxide nanoparticles. Int J Mol Sci. 2019;20:2808. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Li M, Li J, Sun J, He Y, Chen P, Zhang C. Is sulfidation a true detoxification process for silver nanoparticles? From the perspective of chronic exposure. Environ Sci Nano Royal Soc Chem. 2019;6:3611–24. [Google Scholar]
- 64.Ghaffar N, Javad S, Farrukh MA, Shah AA, Gatasheh MK, Al-Munqedhi BMA, et al. Metal nanoparticles assisted revival of streptomycin against MDRS Staphylococcus aureus. Volume 17. San Francisco, CA USA: PLoS One. Public Library of Science; 2022. p. e0264588. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Rengasamy G, Chinnalagu DK, Chinniah K, Mahalingam S. Biodegradable multifunctional fabrication of silver-doped zinc oxide nanoparticle on chitosan/polyvinyl alcohol flexible film for effective antibacterial potential and Attenuation of human liver carcinoma cells. Int J Biol Macromol. 2025;321:146309. 10.1016/j.ijbiomac.2025.146309. [DOI] [PubMed] [Google Scholar]
- 66.Kannan PR, Sangkert S, Jiang C, Li Y, Zhao R, Iqbal MZ, et al. Ultrasmall zinc oxide nanoparticle-reinforced chitosan-fucoidan scaffolds for enhanced antibacterial activity and accelerated osteogenesis. Int J Biol Macromol. 2025;310:143390. 10.1016/j.ijbiomac.2025.143390. [DOI] [PubMed] [Google Scholar]
- 67.Hidayat MI, Hardiansyah A, Khoiriah K, Yulianti E, Wardhani RAK, Fahrialdi F, et al. Composite films based on Chitosan incorporating molybdenum disulfide nanosheets and zinc oxide nanoparticles with potential antibacterial application. Food Chem. 2025;477:143480. 10.1016/j.foodchem.2025.143480. [DOI] [PubMed] [Google Scholar]
- 68.Je J-Y, Kim S-K. Chitosan derivatives killed bacteria by disrupting the outer and inner membrane. J Agric Food Chem Am Chem Soc. 2006;54:6629–33. 10.1021/jf061310p. [DOI] [PubMed] [Google Scholar]
- 69.Wang F, Zhou H, Olademehin OP, Kim SJ, Tao P. Insights into key interactions between Vancomycin and bacterial cell wall structures. ACS Omega. 2018;3:37–45. 10.1021/acsomega.7b01483. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 70.Mikušová V, Mikuš P. Advances in chitosan-based nanoparticles for drug delivery. Int J Mol Sci. 2021;22. 10.3390/ijms22179652. [DOI] [PMC free article] [PubMed]
- 71.Bal K, Küçükertuğrul Çelik S, Şentürk S, Kaplan Ö, Eker EB, Gök MK. Recent progress in chitosan-based nanoparticles for drug delivery: a review on modifications and therapeutic potential. J Drug Target. 2025;33:1366–93. 10.1080/1061186X.2025.2502956. [DOI] [PubMed] [Google Scholar]
- 72.Selim S, Abdelghany TM, Almuhayawi MS, Nagshabandi MK, Tarabulsi MK, Elamir MYM, et al. Biosynthesis and activity of Zn-MnO nanocomposite in vitro with molecular Docking studies against multidrug resistance bacteria and inflammatory activators. Sci Rep. 2025;15:2032. 10.1038/s41598-024-85005-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73.Qanash H, Al-Rajhi AMH, Almashjary MN, Basabrain AA, Hazzazi MS, Abdelghany TM. Inhibitory potential of Rutin and Rutin nano-crystals against Helicobacter pylori, colon cancer, hemolysis and butyrylcholinesterase in vitro and in Silico. Appl Biol Chem. 2023;66:79. 10.1186/s13765-023-00832-z. [Google Scholar]
- 74.Al-Rajhi AMH, Ghany TMA. Nanoemulsions of some edible oils and their antimicrobial, antioxidant, and anti-hemolytic activities. BioResources. 2023;18:1465–81. 10.15376/biores.18.1.1465-1481. [Google Scholar]
- 75.Sabbagh GM, Al-Beik LM, Hadid I. In Silico and in vitro anticoagulant activity detection of quercetin, rutin, and Troxerutin as new potential inhibitors of factor Xa. Egypt J Chem. 2023;66:151–66. 10.21608/ejchem.2022.140123.6144. [Google Scholar]
- 76.CLSI (Clinical and Laboratory Standards Institute). Performance standards for antimicrobial disk susceptibility tests. 13th ed. Wayne, PA.: Clinical and Laboratory Standards Institute; 2018. [Google Scholar]
- 77.Abou-Dobara MI, Kamel MA, El-Sayed AKA, El-Zahed MM. Antibacterial activity of extracellular biosynthesized iron oxide nanoparticles against locally isolated β-lactamase-producing Escherichia coli from Egypt. Discover Appl Sci. 2024;6:113. 10.1007/s42452-024-05770-z. [Google Scholar]
- 78.Livermore DM, Brown DFJ. Detection of β-lactamase-mediated resistance. J Antimicrob Chemother. 2001;48:59–64. 10.1093/jac/48.suppl_1.59. [DOI] [PubMed] [Google Scholar]
- 79.Gurung S, Kafle S, Dhungel B, Adhikari N, Thapa Shrestha U, Adhikari B, et al. Detection of OXA-48 gene in Carbapenem-Resistant Escherichia coli and Klebsiella pneumoniae from urine samples. Infect Drug Resist. 2020;13:2311–21. 10.2147/IDR.S259967. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 80.Young AL, Nicol MP, Moodley C, Bamford CM. The accuracy of extended-spectrum beta-lactamase detection in Escherichia coli and Klebsiella pneumoniae in South African laboratories using the Vitek 2 Gram-negative susceptibility card AST-N255. S Afr J Infect Dis. 2019;34:1–6. 10.4102/sajid.v34i1.114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 81.Mohd Yusof H, Abdul Rahman N, Mohamad R, Zaidan UH, Samsudin AA. Biosynthesis of zinc oxide nanoparticles by cell-biomass and supernatant of Lactobacillus plantarum TA4 and its antibacterial and biocompatibility properties. Sci Rep. 2020;10:19996. 10.1038/s41598-020-76402-w. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 82.Shahverdi AR, Minaeian S, Shahverdi HR, Jamalifar H, Nohi A-A. Rapid synthesis of silver nanoparticles using culture supernatants of Enterobacteria: A novel biological approach. Process Biochem. 2007;42:919–23. 10.1016/j.procbio.2007.02.005. [Google Scholar]
- 83.CLSI. Performance standards for antimicrobial susceptibility testing: approved standard-twenty-seven edition. Wayne, Pennsylvania, USA: Clinical and Laboratory Standards Institute; 2017. [Google Scholar]
- 84.Pfaller M, Chaturvedi V, Espinel-Ingroff A, Ghannoum M, Gosey LL, Odds FC. Reference method for broth Dilution antifungal susceptibility testing of yeasts: approved standard-second edition. CLSI document M27-A2 (ISBN 1-56238-469-4). Clin Lab Stand Inst. 2008;22:1–51. [Google Scholar]
- 85.Wolfe A, Shimer GHJr, Meehan T. Polycyclic aromatic hydrocarbons physically intercalate into duplex regions of denatured DNA. Biochem Am Chem Soc. 1987;26:6392–6. 10.1021/bi00394a013. [DOI] [PubMed] [Google Scholar]
- 86.Reichmann ME, Rice SA, Thomas CA, Doty P. A further examination of the molecular weight and size of desoxypentose nucleic acid. J Am Chem Soc. 1954;76:3047–53. 10.1021/ja01640a067. [Google Scholar]
- 87.Sun N, Javed Ansari M, Ng Kay Lup A, Javan M, Soltani A, Reza Khandoozi S, et al. Improved anti-inflammatory and anticancer properties of celecoxib loaded zinc oxide and magnesium oxide nanoclusters: A molecular Docking and density functional theory simulation. Arab J Chem. 2022;15:103568. 10.1016/j.arabjc.2021.103568. [Google Scholar]
- 88.Lin L, Han Y, Fuji M, Endo T, Wang X, Takahashi M. Synthesis of hexagonal ZnO microtubes by a simple soft aqueous solution method. J Ceramic Soc Japan. 2008;116:198–200. 10.2109/jcersj2.116.198. [Google Scholar]
- 99.Aliko V, Vasjari L, Istifli ES, Gjonaj G, Impellitteri F, Faggio C, et al. Molecular Docking analysis and in vivo assessment of zinc oxide nanoparticle toxicity in zebrafish larvae. Aquat Toxicol. 2024;276:107112. 10.1016/j.aquatox.2024.107112. [DOI] [PubMed] [Google Scholar]
- 90.Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983;65:55–63. 10.1016/0022-1759(83)90303-4. [DOI] [PubMed] [Google Scholar]
- 91.O’connor BP. SPSS and SAS programs for determining the number of components using parallel analysis and velicer’s MAP test. Behav Res Methods Instruments Computers. 2000;32:396–402. 10.3758/BF03200807. [DOI] [PubMed] [Google Scholar]
- 92.Wong-Ng W, McMurdie HF, Hubbard CR, Mighell AD. JCPDS-ICDD research associateship (Cooperative program with NBS/NIST). J Res Natl Inst Stand Technol United States. 2001;106:1013–28. 10.6028/jres.106.052. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 93.Hall MJ, Middleton RF, Westmacott D. The fractional inhibitory concentration (FIC) index as a measure of synergy. J Antimicrob Chem. 1983;11:427–33. 10.1093/jac/11.5.427. [DOI] [PubMed] [Google Scholar]
- 94.Botelho MG. Fractional inhibitory concentration index of combinations of antibacterial agents against cariogenic organisms. J Dent. 2000;28:565–70. 10.1016/S0300-5712(00)00039-7. https://doi.org/https://. [DOI] [PubMed] [Google Scholar]
- 95.Pammi SVN, Alipour AM, Matangi R, Gurugubelli TR, Perumalveeramalai C, Ruddaraju LK. Unlocking the synergistic potential of green metallic nanoparticles and antibiotics for antibacterial and wound healing activities. Science. 2025;28. 10.1016/j.isci.2025.112518. [DOI] [PMC free article] [PubMed]
- 96.Masadeh MM, Bany-Ali NM, Khanfar MS, Alzoubi KH, Masadeh MM, Al Momany EM. Synergistic antibacterial effect of ZnO nanoparticles and antibiotics against multidrug-resistant biofilm bacteria. Curr Drug Deliv Bentham Sci Publishers. 2025;22:92–106. 10.2174/0115672018279213240110045557. [DOI] [PubMed] [Google Scholar]
- 97.Wang N, Cheng X, Li N, Wang H, Chen H. Nanocarriers and their loading strategies. Adv Healthc Mater. John Wiley & Sons, Ltd; 2019;8:1801002. 10.1002/adhm.201801002 [DOI] [PubMed]
- 98.Morris GM, Huey R, Lindstrom W, Sanner MF, Belew RK, Goodsell DS, et al. AutoDock4 and AutoDockTools4: automated Docking with selective receptor flexibility. J Comput Chem John Wiley Sons Ltd. 2009;30:2785–91. 10.1002/jcc.21256. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 99.Forli S, Huey R, Pique ME, Sanner MF, Goodsell DS, Olson AJ. Computational protein–ligand Docking and virtual drug screening with the AutoDock suite. Nat Protoc. 2016;11:905–19. 10.1038/nprot.2016.051. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 100.Pandey RP, Mukherjee R, Priyadarshini A, Gupta A, Vibhuti A, Leal E, et al. Potential of nanoparticles encapsulated drugs for possible Inhibition of the antimicrobial resistance development. Biomed Pharm. 2021;141:111943. 10.1016/j.biopha.2021.111943. [DOI] [PubMed] [Google Scholar]
- 101.Zhai Y, Liang Z, Liu X, Zhang W. Employing copper-based nanomaterials to combat multi-drug-resistant bacteria. Microorganisms. 2025;13. 10.3390/microorganisms13040708. [DOI] [PMC free article] [PubMed]
- 102.Moş I, Micle O, Zdrâncă M, Mureşan M, Vicaş L. Antibiotic sensitivity of the Escherichia coli strains isolated from infected skin wounds. Farmacia. 2010;58:637–45. [Google Scholar]
- 103.Kibret M, Abera B. Antimicrobial susceptibility patterns of E. coli from clinical sources in Northeast Ethiopia. Afr Health Sci. 2011. [DOI] [PMC free article] [PubMed]
- 104.Pokharel K, Dawadi BR, Bhatt CP, Gupte S. Prevalence of Pseudomonas aeruginosa and its antibiotic sensitivity pattern. J Nepal Health Res Counc NLM (Medline). 2019;17:109–13. 10.33314/jnhrc.1877. [DOI] [PubMed] [Google Scholar]
- 105.Worku M, Belay S, Molla T, Aynalem M, Assefa M. Prevalence and antimicrobial susceptibility pattern of Klebsiella pneumoniae isolated from various clinical specimens at the university of Gondar comprehensive specialized Hospital, Northwest Ethiopia. BMC Infect Dis. 2024;24:917. 10.1186/s12879-024-09811-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 106.Munawer MF, Shahzad KA, Marryum M, Saleem M, Ramzan S. Prevalence and antimicrobial susceptibility patterns of methicillin-resistant Staphylococcus aureus (MRSA) in patients from district Bahawalpur. Proceedings of the Pakistan Academy of Sciences: B Life and Environmental Sciences. 2025;62. 10.53560/PPASB(62-1)1082
- 107.Parvin N, Joo SW, Mandal TK. Nanomaterial-based strategies to combat antibiotic resistance: mechanisms and applications. Antibiotics. 2025;14. 10.3390/antibiotics14020207. [DOI] [PMC free article] [PubMed]
- 108.AlQurashi DM, AlQurashi TF, Alam RI, Shaikh S, Tarkistani MAM. Advanced nanoparticles in combating antibiotic resistance: current innovations and future directions. J Nanotheranostics. 2025;6. 10.3390/jnt6020009.
- 109.Fayed RM, Baka ZA, El-Zahed MM. Antibacterial activity of green synthesized zinc oxide nanoparticles using Washingtonia robusta H. Wendl fruit extract. SJDFS. 2024;14:90–101. 10.21608/sjdfs.2025.332686.1193. [Google Scholar]
- 110.El-Fallal AA, Elfayoumy RA, El-Zahed MM. Antibacterial activity of biosynthesized zinc oxide nanoparticles using Kombucha extract. SN Appl Sci. 2023;5:332. 10.1007/s42452-023-05546-x. [Google Scholar]
- 111.Slavin YN, Asnis J, Häfeli UO, Bach H. Metal nanoparticles: Understanding the mechanisms behind antibacterial activity. J Nanobiotechnol. 2017;15:65. 10.1186/s12951-017-0308-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 112.Baka ZA, El-sayed AKA, El-zahed MM. Synthesis, characterization and antimicrobial activity of chitosan / Ag nanocomposite using Escherichia coli D8. SJDFS. 2019;9:1–6. [Google Scholar]
- 113.Ramadhan SA, Ali DS. Innovations in core–shell nanoparticles: advancing drug delivery solutions and precision medicine. OMICS. 2025;29:73–86. 10.1089/omi.2024.0182. [DOI] [PubMed] [Google Scholar]
- 114.Vimbela GV, Ngo SM, Fraze C, Yang L, Stout DA. Antibacterial properties and toxicity from metallic nanomaterials. Int J Nanomed Dove Med Press. 2017;12:3941–65. 10.2147/IJN.S134526. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 115.Oun AA, Shankar S, Rhim J-W. Multifunctional nanocellulose/metal and metal oxide nanoparticle hybrid nanomaterials. Crit Rev Food Sci Nutr Taylor Francis. 2020;60:435–60. [DOI] [PubMed] [Google Scholar]
- 116.Farooq A, Patoary MK, Zhang M, Mussana H, Li M, Naeem MA, et al. Cellulose from sources to nanocellulose and an overview of synthesis and properties of nanocellulose/zinc oxide nanocomposite materials. Int J Biol Macromol. 2020;154:1050–73. 10.1016/j.ijbiomac.2020.03.163. [DOI] [PubMed] [Google Scholar]
- 117.Markus J, Mathiyalagan R, Kim Y-J, Abbai R, Singh P, Ahn S, et al. Intracellular synthesis of gold nanoparticles with antioxidant activity by probiotic Lactobacillus Kimchicus DCY51T isolated from Korean Kimchi. Enzyme Microb Technol. 2016;95:85–93. 10.1016/j.enzmictec.2016.08.018. [DOI] [PubMed] [Google Scholar]
- 118.Hussein MZ, Azmin WHWN, Mustafa M, Yahaya AH. Bacillus cereus as a biotemplating agent for the synthesis of zinc oxide with raspberry- and plate-like structures. J Inorg Biochem. 2009;103:1145–50. 10.1016/j.jinorgbio.2009.05.016. [DOI] [PubMed] [Google Scholar]
- 119.Ali AA, Asif MA, Mashrai AM, Khanam HK. Green synthesis of ZnO nanoparticles using Bacillus subtilis and their catalytic performance in the one-pot synthesis of steroidal thiophenes. Europ Chem Bul. 2014;3:939–45. [Google Scholar]
- 120.Jayaseelan C, Rahuman AA, Kirthi AV, Marimuthu S, Santhoshkumar T, Bagavan A, et al. Novel microbial route to synthesize ZnO nanoparticles using Aeromonas hydrophila and their activity against pathogenic bacteria and fungi. Spectrochim Acta Mol Biomol Spectrosc. 2012;90:78–84. 10.1016/j.saa.2012.01.006. [DOI] [PubMed] [Google Scholar]
- 121.Salman JAS, Kadhim AA, Haider AJ. Biosynthesis, characterization and antibacterial effect of ZnO nanoparticles synthesized by Lactobacillus spp. J Global Pharma Technol. 2018;10:348–55. [Google Scholar]
- 122.Ezealisiji KM, Siwe-Noundou X, Maduelosi B, Nwachukwu N, Krause RWM. Green synthesis of zinc oxide nanoparticles using Solanum torvum (L) leaf extract and evaluation of the toxicological profile of the ZnO nanoparticles–hydrogel composite in Wistar albino rats. Int Nano Lett. 2019;9:99–107. 10.1007/s40089-018-0263-1. [Google Scholar]
- 123.Dananjaya SHS, Kumar RS, Yang M, Nikapitiya C, Lee J, De Zoysa M. Synthesis, characterization of ZnO-chitosan nanocomposites and evaluation of its antifungal activity against pathogenic Candida albicans. Int J Biol Macromol. 2018;108:1281–8. 10.1016/j.ijbiomac.2017.11.046. [DOI] [PubMed] [Google Scholar]
- 124.Hudlikar M, Joglekar S, Dhaygude M, Kodam K. Latex-mediated synthesis of ZnS nanoparticles: green synthesis approach. J Nanoparticle Res. 2012;14:865. 10.1007/s11051-012-0865-x. [Google Scholar]
- 125.Zhang R, Carlsson F, Edman M, Hummelgård M, Jonsson B, Bylund D, et al. Escherichia coli bacteria develop adaptive resistance to antibacterial ZnO nanoparticles. Adv Biosyst Wiley Online Libr. 2018;2:1800019. [DOI] [PubMed] [Google Scholar]
- 126.Kamat S, Kumari M. Emergence of microbial resistance against nanoparticles: mechanisms and strategies. Front Microbiol. 2023;14:1102615. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 127.Ghazanfaripanah P, Farahpour MR, Tabatabaei ZG. A novel Chitosan hydrogel nanocomposite, embedded with polydopamine-modified graphitic carbon nitride, for accelerating the healing process of infected wounds. Int J Biol Macromol. 2025;304:140900. 10.1016/j.ijbiomac.2025.140900. [DOI] [PubMed] [Google Scholar]
- 128.Al-Zahrani SS, Bora RS, Al-Garni SM. Antimicrobial activity of Chitosan nanoparticles. Biotech Biotec Equi. 2021;35:1874–80. 10.1080/13102818.2022.2027816. [Google Scholar]
- 129.Mohammed Mohammed HA, Souhaila M, Eddine LS, Hasan GG, Kir I, Mahboub MS. A novel biosynthesis of MgO/PEG nanocomposite for organic pollutant removal from aqueous solutions under sunlight irradiation. Environ Sci Pol Res. 2023;30:57076–85. 10.1007/s11356-023-26422-6. [DOI] [PubMed] [Google Scholar]
- 130.EL-GHWAS DE. Characterization and biological synthesis of zinc oxide nanoparticles by new strain of Bacillus foraminis. Biodiversitas. 2022;23.
- 131.Jamdagni P, Khatri P, Rana JS. Green synthesis of zinc oxide nanoparticles using flower extract of Nyctanthes arbor-tristis and their antifungal activity. J King Saud Univ Sci. 2018;30:168–75. 10.1016/j.jksus.2016.10.002
- 132.Vijayalakshmi U, Chellappa M, Anjaneyulu U, Manivasagam G, Sethu S. Influence of coating parameter and sintering atmosphere on the corrosion resistance behavior of electrophoretically deposited composite coatings. Mat Manufact Process. 2016;31:95–106. 10.1080/10426914.2015.1070424. [Google Scholar]
- 133.Iqtedar M, Riaz H, Kaleem A, Abdullah R, Aihetasham A, Naz S, et al. Biosynthesis, optimization and characterization of ZnO nanoparticles using Bacillus cereus MN181367 and their antimicrobial activity against multidrug resistant bacteria. Rev Mex Ing Quim. 2020;19:253–66. [Google Scholar]
- 134.Franklin NM, Rogers NJ, Apte SC, Batley GE, Gadd GE, Casey PS. Comparative toxicity of nanoparticulate ZnO, bulk ZnO, and ZnCl2 to a freshwater microalga (Pseudokirchneriella subcapitata): the importance of particle solubility. Environ Sci Technol Am Chem Soc. 2007;41:8484–90. 10.1021/es071445r. [DOI] [PubMed] [Google Scholar]
- 135.Kyu Aung K, Thida Htun K. Preparations and characterizations of chitosan, ZnO nanoparticle and chitosan-ZnO nanocomposite. J Myanmar Acad Arts Sci. 2020.
- 136.Bui VK, Park D, Lee Y-C. Chitosan combined with ZnO, TiO2 and ag nanoparticles for antimicrobial wound healing applications: A mini review of the research trends. Polym (Basel). 2017. 10.3390/polym9010021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 137.Toiserkani H. Fabrication and characterization chitosan/functionalized zinc oxide bionanocomposites and study of their antibacterial activity. Compos Interfaces Taylor Francis. 2016;23:175–89. 10.1080/09276440.2016.1123571. [Google Scholar]
- 138.Ashokkumar M, Muthukumaran S. Microstructure, optical and FTIR studies of Ni, Cu co-doped ZnO nanoparticles by co-precipitation method. Opt Mater (Amst). 2014;37:671–8. 10.1016/j.optmat.2014.08.012. [Google Scholar]
- 139.Mohamed EA, El-Zahed MM. Anticandidal applications of selenium nanoparticles biosynthesized with Limosilactobacillus fermentum (OR553490). Discover Nano. 2024;19:115. 10.1186/s11671-024-04055-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 140.Escobar-Ramírez MC, Castañeda-Ovando A, Pérez-Escalante E, Rodríguez-Serrano GM, Ramírez-Moreno E, Quintero-Lira A et al. Antimicrobial activity of Se-nanoparticles from bacterial biotransformation. fermentation. 2021. 10.3390/fermentation7030130
- 141.Berg JM, Romoser A, Banerjee N, Zebda R, Sayes CM. The relationship between pH and zeta potential of ∼ 30 Nm metal oxide nanoparticle suspensions relevant to in vitro toxicological evaluations. Nanotoxicology. 2009;3:276–83. 10.3109/17435390903276941. [Google Scholar]
- 142.Abdelhakim HK, El-Sayed ER, Rashidi FB. Biosynthesis of zinc oxide nanoparticles with antimicrobial, anticancer, antioxidant and photocatalytic activities by the endophytic alternaria tenuissima. J Appl Microbiol. 2020;128:1634–46. 10.1111/jam.14581. [DOI] [PubMed] [Google Scholar]
- 143.Ebadi M, Zolfaghari MR, Aghaei SS, Zargar M, Shafiei M, Zahiri HS, et al. A bio-inspired strategy for the synthesis of zinc oxide nanoparticles (ZnO NPs) using the cell extract of Cyanobacterium Nostoc sp. EA03: from biological function to toxicity evaluation. RSC Adv Royal Soc Chem. 2019;9:23508–25. 10.1039/C9RA03962G. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 144.Joel C, Badhusha MSM. Green synthesis of ZnO nanoparticles using Phyllanthus embilica stem extract and their antibacterial activity. Pharm Lett. 2016;8:6. [Google Scholar]
- 145.Pal S, Mondal S, Maity J, Mukherjee R. Synthesis and characterization of Zno nanoparticles using Moringa Oleifera leaf extract: investigation of photocatalytic and antibacterial activity. Int J Nanosci Nanotech. 2018;14:111–9. [Google Scholar]
- 146.Raoufi D. Synthesis and microstructural properties of ZnO nanoparticles prepared by precipitation method. Renew Energy. 2013;50:932–7. 10.1016/j.renene.2012.08.076. [Google Scholar]
- 147.Gondal MA, Drmosh QA, Yamani ZH, Saleh TA. Synthesis of ZnO2 nanoparticles by laser ablation in liquid and their annealing transformation into ZnO nanoparticles. Appl Surf Sci. 2009;256:298–304. 10.1016/j.apsusc.2009.08.019. [Google Scholar]
- 148.Shivashankarappa A, Sanjay KR. Study on biological synthesis of cadmium sulfide nanoparticles by Bacillus licheniformis and its antimicrobial properties against food borne pathogens. Nanosci Nanotechnol Res Citeseer. 2015;3:6–15. [Google Scholar]
- 149.Khurana C, Vala AK, Andhariya N, Pandey OP, Chudasama B. Antibacterial activity of silver: the role of hydrodynamic particle size at nanoscale. J Biomed Mater Res A. 2014;102:3361–8. 10.1002/jbm.a.35005. [DOI] [PubMed] [Google Scholar]
- 150.Nour El-Dein MM, Baka ZAM, Abou-Dobara MI, El-Sayed AKA, El-Zahed MM. Extracellular biosynthesis, optimization, characterization and antimicrobial potential of Escherichia coli D8 silver nanoparticles. JMBFS. 2021;10:648–56. 10.15414/jmbfs.2021.10.4.648-656. [Google Scholar]
- 151.Marín-Silva DA, Rivero S, Pinotti A. Chitosan-based nanocomposite matrices: development and characterization. Int J Biol Macromol. 2019;123:189–200. 10.1016/j.ijbiomac.2018.11.035. [DOI] [PubMed] [Google Scholar]
- 152.Yusof NAA, Zain NM, Pauzi N. Synthesis of ZnO nanoparticles with Chitosan as stabilizing agent and their antibacterial properties against Gram-positive and Gram-negative bacteria. Int J Biol Macromol. 2019;124:1132–6. 10.1016/j.ijbiomac.2018.11.228. [DOI] [PubMed] [Google Scholar]
- 153.Ho KM, Li P. Design and synthesis of novel magnetic core – shell polymeric particles. Langmuir Am Chem Soc. 2008;24:1801–7. 10.1021/la702887m. [DOI] [PubMed] [Google Scholar]
- 154.Gold K, Slay B, Knackstedt M, Gaharwar AK. Antimicrobial activity of metal and metal-oxide based nanoparticles. Adv ther (Weinh). Volume 1. Wiley, Ltd;; 2018. p. 1700033. 10.1002/adtp.201700033.
- 155.Petchthanasombat C, Tiensing T, Sunintaboon P. Synthesis of zinc oxide-encapsulated poly(methyl methacrylate)–chitosan core–shell hybrid particles and their electrochemical property. J Colloid Interface Sci. 2012;369:52–7. 10.1016/j.jcis.2011.12.001. [DOI] [PubMed] [Google Scholar]
- 156.Yang Y, Huang T, Hu S, Ye H, Xing J, Zhan S. Core–shell magnetic gold nanoparticles with Chitosan coating as a SERS substrate: A rapid detection strategy for malachite green contamination in aquatic foods. Fishes. 2025;10. 10.3390/fishes10050221.
- 157.Li J, Zhao Y, Zhang Y, Nardin C. Core-shell gelatin-chitosan nanoparticles with lysozyme responsiveness formed via pH-drive and transglutaminase cross-linking. Int J Biol Macromol. 2025;292:138802. 10.1016/j.ijbiomac.2024.138802. [DOI] [PubMed] [Google Scholar]
- 158.Fabris F, Lohr J, Lima E, de Almeida AA, Troiani HE, Rodríguez LM, et al. Adjusting the Néel relaxation time of Fe3O4/ZnxCo1–xFe2O4 core/shell nanoparticles for optimal heat generation in magnetic hyperthermia. Nanatechnol IOP Publishing. 2020;32:65703. 10.1088/1361-6528/abc386. [DOI] [PubMed] [Google Scholar]
- 159.Yin IX, Zhang J, Zhao IS, Mei ML, Li Q, Chu CH. The antibacterial mechanism of silver nanoparticles and its application in dentistry. Int J Nanomed Dove Med Press. 2020;15:2555–62. 10.2147/IJN.S246764. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 160.Kasemets K, Ivask A, Dubourguier H-C, Kahru A. Toxicity of nanoparticles of ZnO, CuO and TiO2 to yeast Saccharomyces cerevisiae. Toxicol in Vitro. 2009;23:1116–22. 10.1016/j.tiv.2009.05.015. [DOI] [PubMed] [Google Scholar]
- 161.Król A, Railean-Plugaru V, Pomastowski P, Złoch M, Buszewski B. Mechanism study of intracellular zinc oxide nanocomposites formation. Colloids Surf Physicochem Eng Asp. 2018;553:349–58. 10.1016/j.colsurfa.2018.05.069. [Google Scholar]
- 162.Balraj B, Senthilkumar N, Siva C, Krithikadevi R, Julie A, Potheher IV, et al. Synthesis and characterization of zinc oxide nanoparticles using marine Streptomyces sp. with its investigations on anticancer and antibacterial activity. Res Chem Intermediates. 2017;43:2367–76. 10.1007/s11164-016-2766-6. [Google Scholar]
- 163.Janaki AC, Sailatha E, Gunasekaran S. Synthesis, characteristics and antimicrobial activity of ZnO nanoparticles. Spectrochim Acta Mol Biomol Spectrosc. 2015;144:17–22. 10.1016/j.saa.2015.02.041. [DOI] [PubMed] [Google Scholar]
- 164.Yu W, Liu T, Cao S, Wang C, Chen C. Constructing MnO2/single crystalline ZnO Nanorod hybrids with enhanced photocatalytic and antibacterial activity. J Solid State Chem Elsevier. 2016;239:131–8. [Google Scholar]
- 165.Mesaros A, Vasile BS, Toloman D, Pop OL, Marinca T, Unguresan M, et al. Towards Understanding the enhancement of antibacterial activity in manganese doped ZnO nanoparticles. Appl Surf Sci. 2019;471:960–72. 10.1016/j.apsusc.2018.12.086. [Google Scholar]
- 166.Emami-Karvani Z, Chehrazi P. Antibacterial activity of ZnO nanoparticle on Gram-positive and Gram-negative bacteria. Afr J Microbiol Res. 2011;5:1368–73. [Google Scholar]
- 167.ATMACA S, GÜL K, Cicek R. The effect of zinc on microbial growth. Turk J Med Sci. 1998;28:595–8. [Google Scholar]
- 168.Bhande RM, Khobragade CN, Mane RS, Bhande S. Enhanced synergism of antibiotics with zinc oxide nanoparticles against extended spectrum β-lactamase producers implicated in urinary tract infections. J Nanoparticle Res. 2013;15:1413. 10.1007/s11051-012-1413-4. [Google Scholar]
- 169.El-Telbany M, Mohamed AA, Yahya G, Abdelghafar A, Abdel-Halim MS, Saber S, et al. Combination of meropenem and zinc oxide nanoparticles; antimicrobial synergism, exaggerated antibiofilm activity, and efficient therapeutic strategy against bacterial keratitis. Antibiotics. 2022;11. 10.3390/antibiotics11101374. [DOI] [PMC free article] [PubMed]
- 170.Aderibigbe BA. Zinc oxide nanoparticles in biomedical applications: advances in Synthesis, antimicrobial Properties, and toxicity considerations. In: Varaprasad K, Sadiku R, editors. Nanoparticles in modern antimicrobial and antiviral applications. Cham: Springer International Publishing; 2024. pp. 119–49. 10.1007/978-3-031-50093-0_6. [Google Scholar]
- 171.Singh R, Shedbalkar UU, Wadhwani SA, Chopade BA. Bacteriagenic silver nanoparticles: synthesis, mechanism, and applications. Appl Microbiol Biotechnol Springer. 2015;99:4579–93. 10.1007/s00253-015-6622-1. [DOI] [PubMed] [Google Scholar]
- 172.Sirelkhatim A, Mahmud S, Seeni A, Kaus NHM, Ann LC, Bakhori SKM, et al. Review on zinc oxide nanoparticles: antibacterial activity and toxicity mechanism. Nanomicro Lett. 2015;7:219–42. 10.1007/s40820-015-0040-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 173.Phan T-N, Buckner T, Sheng J, Baldeck JD, Marquis RE. Physiologic actions of zinc related to Inhibition of acid and alkali production by oral Streptococci in suspensions and biofilms. Oral microbiol Immunol. Volume 19. Wiley, Ltd;; 2004. pp. 31–8. 10.1046/j.0902-0055.2003.00109.x. [DOI] [PubMed]
- 174.Dina R, Kristine von B, Albert H, Hans-Georg S. Insights into the mode of action of Chitosan as an antibacterial compound. Appl Environ Microbiol Am Soc Microbiol. 2008;74:3764–73. 10.1128/AEM.00453-08. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 175.Sudarshan NR, Hoover DG, Knorr D. Antibacterial action of Chitosan. Food Biotechnol. 1992;6:257–72. 10.1080/08905439209549838. [Google Scholar]
- 176.Shaban NZ, Yehia SA, Shoueir KR, Saleh SR, Awad D, Shaban SY, Design. DNA binding and kinetic studies, antibacterial and cytotoxic activities of stable Dithiophenolato titanium(IV)-chitosan nanocomposite. J Mol Liq. 2019;287:111002. 10.1016/j.molliq.2019.111002. [Google Scholar]
- 177.Fernández-Bertólez N, Alba-González A, Touzani A, Ramos-Pan L, Méndez J, Reis AT, et al. Toxicity of zinc oxide nanoparticles: cellular and behavioural effects. Chemosphere. 2024;363:142993. 10.1016/j.chemosphere.2024.142993. [DOI] [PubMed] [Google Scholar]
- 178.Choi S-J, Choy J-H. Effect of physico-chemical parameters on the toxicity of inorganic nanoparticles. J Mater Chem Royal Soc Chem. 2011;21:5547–54. 10.1039/C1JM10167F. [Google Scholar]
- 179.El-Zahed MM, Baka ZA, Abou-Dobara MI, El-Sayed AK, Aboser MM, Hyder A. In vivo toxicity and antitumor activity of newly green synthesized reduced graphene oxide/silver nanocomposites. Bioresour Bioprocess Springer. 2021;8:1–14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 180.Sayed MA, El-Rahman TMAA, Abdelsalam HK, Ali AM, Hamdy MM, Badr YA, et al. Attractive study of the antimicrobial, antiviral, and cytotoxic activity of novel synthesized silver chromite nanocomposites. BMC Chem. 2022;16:39. 10.1186/s13065-022-00832-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 181.Saravanan M, Gopinath V, Chaurasia MK, Syed A, Ameen F, Purushothaman N. Green synthesis of anisotropic zinc oxide nanoparticles with antibacterial and cytofriendly properties. Microb Pathog. 2018;115:57–63. 10.1016/j.micpath.2017.12.039. [DOI] [PubMed] [Google Scholar]
- 182.Yaghubi kalurazi T, Jafari A. Evaluation of magnesium oxide and zinc oxide nanoparticles against multi-drug-resistance Mycobacterium tuberculosis. IJTB. 2021;68:195–200. 10.1016/j.ijtb.2020.07.032. [DOI] [PubMed] [Google Scholar]
- 183.Almuhayawi MS, Alruhaili MH, Soliman MKY, Tarabulsi MK, Ashy RA, Saddiq AA, et al. Investigating the in vitro antibacterial, antibiofilm, antioxidant, anticancer and antiviral activities of zinc oxide nanoparticles biofabricated from Cassia Javanica. PLoS One Public Libr Sci. 2024;19:1–25. 10.1371/journal.pone.0310927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 184.Alrabayah IN, Elhawary SS, Kandil ZA, El-Kadder EMA, Moemen YS, Saleh AM, et al. Green synthesized zinc oxide nanoparticles based on Cestrum diurnum L. of potential antiviral activity against human Corona 229-E virus. Molecules. 2023;28. 10.3390/molecules28010266. [DOI] [PMC free article] [PubMed]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.


















