Abstract

The recalcitrance exhibited by microbial biofilms to conventional disinfectants has motivated the development of new chemical strategies to control and eradicate biofilms. The activities of several small phenolic compounds and their trichloromethylsulfenyl ester derivatives were evaluated against planktonic cells and mature biofilms of Staphylococcus epidermidis and Pseudomonas aeruginosa. Some of the phenolic parent compounds are well-studied constituents of plant essential oils, for example, eugenol, menthol, carvacrol, and thymol. The potency of sulfenate ester derivatives was markedly and consistently increased toward both planktonic cells and biofilms. The mean fold difference between the parent and derivative minimum inhibitory concentration against planktonic cells was 44 for S. epidermidis and 16 for P. aeruginosa. The mean fold difference between the parent and derivative biofilm eradication concentration for 22 tested compounds against both S. epidermidis and P. aeruginosa was 3. This work demonstrates the possibilities of a new class of biofilm-targeting disinfectants deploying a sulfenate ester functional group to increase the antimicrobial potency toward microorganisms in biofilms.
1. Introduction
Biofilms are multicellular communities that form when planktonic cells adhere to a surface via cell adhesion structures such as pili or flagella.1,2 The attached cells begin to secrete extracellular DNA, proteins, and polysaccharides to form an extracellular polymeric substance (EPS), which traps nutrients while providing protection from antimicrobials, disinfectants, and host immune defences.3−7 In the biofilm interior, cells experience slow growth rates or become dormant and are able to persist when other cells in the biofilm are killed. These persistent cells are able to regenerate the biofilm, resulting in chronic infection, and contribute greatly to the refractory characteristics of biofilms.8−12 Reactive antimicrobial agents may be retarded in their penetration if they are neutralized as they diffuse into the biofilm.13−17 These factors all contribute to increased tolerance toward antibacterial agents and disinfectants.11,13,18−23 It is traits such as these and biofilms’ prominence in hospitals that lead to elevated efforts to control biofilms with small molecules.24
Over the last 2 decades, the number of hospital-acquired infections has increased by 36% in the US, further stressing the need for novel disinfectants.25 Routine disinfectants that are currently used in hospitals include hydrogen peroxide, sodium hypochlorite, chlorine, and quaternary ammonium salts, although many of these have serious shortcomings when treating biofilms. For example, several studies have shown that Pseudomonas aeruginosa and Escherichia coli biofilms exhibit resistance toward hydrogen peroxide.26−28 Bacterial strains prevalent in hospitals such as Staphylococcus aureus and P. aeruginosa have also been shown to exhibit tolerance toward many quaternary ammonium salts such as benzalkonium chloride, benzyldimethyltetradecylammonium chloride, and didecyldimethylammonium bromide.29−31 Chlorine and chlorine dioxide have been shown to have limited potency toward biofilms because of their inability to fully penetrate through the robust EPS, thus being unable to reach the inner layers of the biofilm.32,33 Essential oils such as thymol and eugenol are used as environmentally friendly disinfectants to control S. aureus biofilms, although they are used at high concentrations in order to be effective.34
Phenols are a well-studied class of organic compounds which have been shown to demonstrate varying degrees of antimicrobial activity35−37 and were chosen here because of a wide variety of structurally diverse phenols being previously evaluated for biological activity.38−46 Among these activities, phenols have been shown to disrupt the cell membrane causing cell lysis, resulting in cell death.41,45,47,48 Phenols have also been shown to attack cytoplasmic targets by denaturing proteins and deactivating enzymes, thereby binding to them to form inoperative complexes.43,46 The majority of phenols selected for this study were done so for their previously known antimicrobial activity toward planktonic cells. The essential oils thymol, menthol, carvacrol, and eugenol were chosen for their inhibitory and antimicrobial properties against a wide range of taxonomically diverse bacteria.49−52 These essential oils were also chosen because of being found in several edible herbs.53,54 Halogenated phenols were chosen because of their extensive evaluation and high activity.40,55 Select alkylphenols were chosen for their antimicrobial and antifouling activity.56,57 Several alkoxyphenols were selected as a variety of alkoxy phenols studied for antimicrobial activity.58,59 Two nonphenolic compounds were also chosen for this study, menthol for its structural similarity to thymol and 5-fluoro-2-((trichloromethyl)thio)isoindoline-1,3-dione (21b) for its similarity to the fungicide folpet.
The trichloromethylanesulfenimide group that has been employed here on select phenols is the active antimicrobial pharmacophore in the broad-spectrum commercial fungicides captan and folpet. captan and folpet are phthalimide derivatives and are commonly used for protection of fruit and vegetable crops. Their activity is attributed to their reactivity with thiols and they are active against a wide range of fungal diseases.60,61 Significantly, these compounds have been shown not to possess carcinogenic, mutagenic, or teratogenic threats to humans.62
In this study, the trichloromethylsulfenate esters of a variety of phenolic compounds were synthesized and evaluated against both planktonic cells and biofilms. The bacteria chosen for evaluation were P. aeruginosa, a Gram-negative bacterium, and Staphylococcus epidermidis, a Gram-positive bacterium. These bacteria were also selected for their prevalence in hospitals63−65 as well as their propensity to form biofilms.66−68 Although the concept of biofilms was presented as early as the 1960s, the study of behavioral variations in biofilms such as nutrient uptake, gene expression, and increased tolerance did not arise until more recently.69−72 Biofilm research is an emerging field which has been rapidly gaining interest in light of new technologies in 3D modeling, imaging, antibiofilm strategies, and analytical tools73−75 as well as recent research emphasizing clinical relevance.70,76 These also shed light on the need for novel strategies for the treatment and eradication of biofilms including antibacterial small natural molecules, peptides, and lipids.77−82
2. Results and Discussion
In this study, 25 sulfenate esters of small phenols were synthesized. This synthesis was accomplished by treating each phenol with trichloromethyl hypochlorothioite in either tetrahydrofuran or diethyl ether with triethylamine at 0 °C for 1.5 h and then allowing the reaction mixture to stir for 1.5 h at room temperature (Scheme 1).
Scheme 1. Representative Synthesis, Using Eugenol (8a).
Sulfenate esters were more potent than their parent compounds 92 % of the time. For example, on average, trichloromethylsulfenate esters were nine times more potent than parent compounds against S. epidermidis and 17 times more potent toward P. aeruginosa in planktonic assays (Figure 1). Against biofilms, sulfenate esters were on average four times more potent toward S. epidermidis and 3.8 times more potent toward P. aeruginosa. It was also observed that toward biofilms, phenols and sulfenates were less potent compared to planktonic cells, a phenomenon that has widely been observed in previous studies.3,68,71,83−85 The relative potencies of the precursor phenols and the corresponding sulfenate esters against both planktonic cells and biofilms will be discussed in turn.
Figure 1.
Parent phenols and corresponding sulfenate esters and their MICs and BECs.
2.1. Disinfectant Activities in the Planktonic State
2.1.1. Parent Phenols
The most potent parent phenols against planktonic cells were 4-heptyloxyphenol (7a), 4-chloro-2-methylphenol (16a), 3,4-dichlorophenol (14a), 2,4-dimethylphenol (3a), 6-(1-methylethyl)-3-methylphenol (thymol) (1a), and 3-(1-methylethyl)-6-methylphenol (carvacrol) (4a) against both S. epidermidis and P. aeruginosa (Figure 1). Compounds 16a and 14a both possess at least one chlorine group on the aromatic ring, and although p-fluorophenol (15a) also possesses a halogen on the aromatic ring, it was significantly less potent against both S. epidermidis and P. aeruginosa (Figure 1). This is congruous with previous studies demonstrating that chlorine, which is more electron-withdrawing than fluorine, increases the potency of the parent phenols to a greater extent.40 Compounds 1a, 3a, and 4a all have either isopropyl or methyl groups in both the ortho and para positions, whereas 7a has a para heptyloxy group (Figure 1). In contrast to 1a, 3a, and 4a, compound 5a (2,6-diisopropylphenol) has two isopropyl groups in the ortho positions and possesses a significantly lower potency. This is likely due to the higher degree of steric hindrance around the phenolic hydroxyl.
Compound 7a had the lowest minimum inhibitory concentration (MIC) toward both bacteria, making it of particular interest as it is considerably more active than the corresponding 4-methoxy and 2,4-dimethoxy derivatives, 9a and 10a (Table 1), which are less lipophilic. In light of this observation, two additional compounds in this series were synthesized and examined to evaluate the influence of lipophilicity on activity, these being 4-(benzyloxy)phenol (11a) and 4-(2-(2-methoxyethoxy)ethoxy)phenol (12a). Compound 12a was chosen for its near identical side chain length, when compared to 7a, and the increased hydrophilicity imparted by the oxygens within the side chain. Significantly, both of these structural alterations led to a marked decrease in activity compared to 7a (Table 1). In addition, 24a, which differs from 7a solely by possessing a sulfur in place of oxygen, was evaluated and was found to be less potent than 7a against both bacteria.
Table 1. MICs of Phenols 7a, 9a, 10a, 11a, 12a, and 24a.
| MICs (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 7a | 0.3 | 1.5 |
| 9a | 15.6 | 7.8 |
| 10a | 15.6 | 7.8 |
| 11a | 15.6 | 31.2 |
| 12a | 12.5 | 25 |
| 24a | 4.5 | 7.8 |
Based on these results, a second SAR study was conducted with compounds 17a, 19a, and 20a, which all possess an amide chain in the para position (Table 2). Compounds 17a and 19a were chosen to compare the amide chain length, as 17a has a 4-butanamide group whereas 19a has a 4-heptanamide group, which is predicted to increase lipophilicity. Compound 20a was chosen for the comparison of nitrogen placement in the amide side chain vis a vis “amide inversion”. Accordingly, compound 19a (N-(4-hydroxyphenyl) heptanamide) has the amide nitrogen on the aromatic ring, whereas 20a (N-hexyl-4-hydroxybenzamide) has the carbonyl of the amide group attached to the aromatic ring. This structural alteration was performed to assess the effects of electron-donating and electron-withdrawing amide groups of the same length. An additional compound, 18a, was also evaluated for similar reasons to compare to 17a, although here the butanamide group was placed in the 2-position.
Table 2. MICs of Phenols 17a, 18a, 19a, 20a.
| MICs (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 17a | 6.2 | 31.2 |
| 18a | 12.5 | 25 |
| 19a | 3.8 | 7.8 |
| 20a | 3.8 | 15.6 |
Phenol 19a was the most potent compound in this series overall, although 20a shared the same potency against S. epidermidis (Table 2). It was observed that 19a was more potent than 17a toward both bacteria, continuing the trend seen earlier that a longer alkyl chain length does increase the potency toward planktonic cells. Between 17a and 18a, 17a was the more potent isomer against S. epidermidis but not against P. aeruginosa. This evaluation also suggests that the length of the alkyl chain has a greater affect than nitrogen placement with respect to the aromatic ring.
(−)-Menthol (6a) was selected because of its structural similarities to thymol (1a), and as it is nonphenolic. Menthol, like thymol, has been studied for its antimicrobial activity.86,87 It should be noted that 6a was far less active than 1a toward both bacterial strains used in this study.
2.1.2. Trichloromethylsulfenate Esters
It was observed that, in general, more potent parent phenols produced more potent sulfenate esters, although this trend could not reliably be used to predict activity in all cases. The most potent sulfenates against S. epidermidis were, in descending order, 1b, 2b, 4b, 3b, and 16b. For P. aeruginosa, the most potent sulfenates were 15b, 2b, 3b followed by 16b. As seen with the parent phenols, the sulfenate esters 3b and 16b are among the most potent disinfecting agents toward planktonic cells of both bacteria (Figure 1). Likewise, 1a, 3a, and 4a were also among the most potent toward planktonic S. epidermidis. In contrast, sulfenates 2b and 15b showed a significant potency when their parent phenols did not. Conversely, phenols 7a and 14a showed exceptional potency toward both bacteria, whereas the corresponding sulfenates 7b and 14b did not share this characteristic (Figure 1).
In consonance with the prior SAR study, the series of sulfenate esters 7b, 9b, 10b, 11b, 12b, and 24b showed a similar trend to the corresponding phenols toward planktonic cells. Derivatives 7b, 9b, 10b, and 24b shared the highest potency toward S. epidermidis, whereas 7b and 24b were the most potent toward P. aeruginosa in this series (Table 3). Sulfenate 11b was least potent toward both bacteria, as was seen with phenols. It was interesting to note that, in contrast to sulfenates, the 4-alkoxyphenol 7a was significantly more potent than its 4-(thioalkyl) counterpart, 24a (Table 1).
Table 3. MICs of Sulfenates 7b, 9b, 10b, 11b, 12b, and 24b.
| MICs (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 7b | 0.24 | 0.49 |
| 9b | 0.24 | 0.7 |
| 10b | 0.24 | 0.95 |
| 11b | 1.9 | 3.8 |
| 12b | 0.95 | 1.9 |
| 24b | 0.24 | 0.49 |
In the SAR study involving amides, a trend consistent with parent compounds was not observed. Compound 17b was the most potent sulfenate toward both bacteria, whereas the most potent parents were 19a and 20a against S. epidermidis and 19a toward P. aeruginosa (Table 4). Similarly, 20b was the least potent sulfenate in the amide series, whereas the least potent parent was 18a toward S. epidermidis and 17a toward P. aeruginosa. This further demonstrates that trends in parent compounds cannot necessarily be used to predict trends in their corresponding sulfenate ester derivatives.
Table 4. MICs of Sulfenates 17b, 18b, 19b, and 20b.
| MICs (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 17b | 0.49 | 1.9 |
| 18b | 1.9 | 3.8 |
| 19b | 1.9 | 3.8 |
| 20b | 1.9 | 6.5 |
Compounds 6b and 21b were evaluated separately against planktonic cells. Compound 6b was among the six most potent sulfenates against S. epidermidis, sharing an MIC with 3b and 16b (Figure 1). Compound 21b was among the five most potent compounds toward P. aeruginosa, sharing an MIC with 2b, 3b, and 16b.
MICs of sulfenate esters were, in general, statistically significantly lower than the MIC of the parent phenols. A two-tailed t-test was performed on four select phenol/sulfenate ester pairs; 3a/b, 10a/b, 13a/b, and 16a/b. Compounds 10a/b and 13a/b were chosen because of the large discrepancy in potency observed between the parent phenol and the sulfenate. Compounds 3a/b and 16a/b were chosen because the potency between parent phenols and sulfenate esters was the least dramatic of the 25 compound pairs evaluated. The p-value of 2a/b against S. epidermidis was calculated to be 0.043 and against P. aeruginosa, 0.0028. The p-value of 10a/b against S. epidermidis is 0.039 and against P. aeruginosa is 0.031. The p-value of 13a/b against S. epidermidis is 0.0039 and against P. aeruginosa was calculated to be 2.8 × 10–5. The p-values for 16a/b were 0.00051 and 0.0028 against S. epidermidis and P. aeruginosa, respectively.
2.2. Disinfectant Activity against Biofilms
For comparison, the antiparasitic drug nitazoxanide and the antibiotics metronidazole and tobramycin were evaluated for activity toward S. epidermidis and P. aeruginosa biofilms. Nitazoxanide is an antidiarrheal commonly used to treat strains of Cryptosporidium, Blastocystis, and Giardia and is believed to interfere with pyruvate:ferredoxin oxidoreductase enzyme-dependent electron transfer reaction.88−90 Nitazoxanide has also been shown to inhibit biofilm formation in S. epidermidis(91) and enteroaggregative E. coli(92) as well as decrease the viability of Clostridioides difficile biofilms.93 However, the efficacy of the drug to eradicate biofilms has yet to be evaluated, as it is here. The biofilm eradication concentration (BEC) of nitazoxanide was found to be 50 mM toward S. epidermidis and 3.12 mM toward P. aeruginosa.
Metronidazole is a nitroimidazole used to treat a variety of bacterial and parasitic infections and is most commonly used to treat infections related to inflammatory disorders of the gastrointestinal tract. Metronidazole is often used to treat Gram-negative, Gram-positive, and Gram-variable anaerobic bacteria, as well as protozoans such as Giardia lamblia.94 It has been shown to exhibit lower activity toward biofilms such as that of Helicobacter pylori(95) and Clostridium difficile(96,97) although it has also been evaluated in tandem with several other antibiotics, resulting in improved activity against Enterococcus faecalis and Candida albicans biofilms.98 Against S. epidermidis, the BEC of metronidazole was 6.25 and against P. aeruginosa it was 50 mM.
Tobramycin is an antibiotic that inhibits protein synthesis, used to treat Gram-negative bacteria. Tobramycin is commonly used to treat bacterial pneumonia and bacterial eye infections, and has been extensively studied against biofilms.99,100 A study by Høiby et al. showed that the inhibitory properties toward P. aeruginosa biofilms were lower than that toward planktonic cells, concluding that biofilms are tolerant to the clinically recommended dose of the antibiotic.101 Sans-Serramitjana et al. evaluated the antimicrobial activity of nanoencapsulated tobramycin, finding that nanoencapsulation did improve the ability of tobramycin to eradicate P. aeruginosa biofilms and thus suggesting the strategy of lipid carriers to deliver the drug, overcoming drug resistance to tobramycin.102 Tobramycin was in part chosen because of the known antimicrobial resistance of P. aeruginosa, making it a valuable comparison to this series of novel antimicrobials.103−105 Tobramycin was found to have a BEC of 18 mM toward S. epidermidis and 0.6 mM toward P. aeruginosa.
2.2.1. Parent Phenols
Based on the observations from planktonic cell assays, 18 parent phenols and the corresponding sulfenate esters were chosen for evaluation against biofilms. Compounds 1a, 3a, 7a, and 14a were chosen for their high potency toward planktonic cells (Figure 1). Compounds 2a, 8a, 15a, 10a, 17a, and 22a were selected because of the large increase in potency between the moderately active parent phenols and the corresponding sulfenate esters (Figure 1). Compounds 7a, 9a, 10a, 11a, 12a, 24a, 17a, 18a, 19a, and 20a were selected for the purpose of continuing the two SAR studies conducted with planktonic cells. Compound 25a was chosen as the corresponding sulfenate ester possesses two trichloromethylsulfenate ester groups. Additionally, the nonphenolic compounds 6a and 21a were chosen, 6a as an aliphatic alcohol bearing a structural similarity to 1a and 21a for its similarity to the imide corresponding to the commercial fungicide folpet. Neither compound showed a significant activity toward either bacterium.
As a continuation of the previous SAR study involving phenols 7a, 9a, 10a, 11a, 12a, and 24a against planktonic cells, this series was subsequently evaluated against biofilms (Table 5). In accordance with planktonic trends, 7a was the most potent phenol in this series toward both bacteria.
Table 5. BECs of Phenols 7a, 9a, 10a, 11a, 12a, and 24a.
| BEC (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 7a | 1.9 | 7.5 |
| 9a | 31.2 | 31.2 |
| 10a | 31.2 | 62.5 |
| 11a | 50 | 50 |
| 12a | 31.2 | 62.5 |
| 24a | 6.2 | 50 |
In the SAR study involving amides, 19a was the most potent phenol toward both bacteria. In contrast, 18a was the least potent compound toward both bacteria, whereas in planktonic assays 17a was least potent toward P. aeruginosa. In both SAR studies, the more potent phenols against planktonic cells did in general have lower BECs as well, though the trend in potency was not always predictable for all compounds (Table 6).
Table 6. BECs of Phenols 17a, 18a, 19a, and 20a.
| BEC (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 17a | 12.5 | 50 |
| 18a | 100 | 100 |
| 19a | 6.2 | 37 |
| 20a | 15.6 | 50 |
Among the additional compounds selected for biofilm evaluations, the majority were alkyl phenols, along with two halophenols and hydroquinone (Table 7). The most potent phenols toward S. epidermidis biofilms were, in descending order, 14a, 7a, 1a, 19a, and 24a. Against P. aeruginosa, the most potent phenols were 14a, 7a, 1a, 25a, and 2a, whereas here, 14a and 7a shared the same BEC. Out of these seven compounds, only three (1a, 7a, and 14a) were among the most active against planktonic cells. These results further reveal that the activity toward planktonic cells cannot be reliably used to predict the potency toward biofilms.
Table 7. BECs for Allyl- and Halo-Phenols and Hydroquinone.
| BEC (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 1a | 4 | 15.6 |
| 2a | 15 | 30 |
| 3a | 31.2 | 62.5 |
| 8a | 31.2 | 62.5 |
| 14a | 1.5 | 7.5 |
| 15a | 62.5 | 31.2 |
| 22a | 37.5 | 75 |
| 25a | 16 | 25 |
2.2.2. Sulfenate Esters
The most potent sulfenate esters toward S. epidermidis were 7b, 25b, 8b, 9b, and 14b. For P. aeruginosa, the most active sulfenates were 25b, 8b, 19b, 9b, and 1b. Interestingly, out of these seven compounds, none were among the most potent toward planktonic cells, which was unexpected as it differs from the trend observed with parent phenols. However, there were similarities between most potent phenols and sulfenates toward biofilms. For example, the phenols corresponding to sulfenates 1b, 7b, 14b, 19b, and 25b were among the most potent parents.
In consonance with the previous SAR study involving 4-alkoxyphenols, sulfonates 7b, 9b, 10b, 11b, 12b, and the 4-(heptylthio)phenyl sulfenate 24b were evaluated toward biofilms (Table 8). Sulfenate 7b was the most potent compound against biofilms in this series. Against planktonic cells however, 7b had the same MIC as 9b, 10b, and 24b against S. epidermidis and 24b against P. aeruginosa (Table 3). This observation supports the finding that long, saturated alkoxy chains generally increase the potency more so than a diethylene glycol-derived chain or a benzyl group. It is also noteworthy that the replacement of the oxygen by sulfur (e.g. 7b → 24b) results in a substantial decrease in activity.
Table 8. BECs for Sulfenates 7b, 9b, 10b, 11b, 12b, and 24b.
| BEC (mM) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 7b | 0.15 | 2.5 |
| 9b | 3 | 6.5 |
| 10b | 12.5 | 31.2 |
| 11b | 12.5 | 12.5 |
| 12b | 15.8 | 31.2 |
| 24b | 4.6 | 25 |
The SAR study involving amides showed that 19b was the most potent derivative toward both bacteria, which is not congruent with what was observed with planktonic cells, where 17b was the most active (Table 9). Compound 18b was the least potent sulfenate in this series against biofilms, whereas 20b was the least potent toward planktonic cells.
Table 9. BEC for Sulfenates 17b, 18b, 19b, and 20b.
| BEC (mM) | ||
|---|---|---|
| compounds | S.epidermidis | P. aeruginosa |
| 17b | 6.2 | 25 |
| 18b | 25 | 25 |
| 19b | 3.1 | 6.2 |
| 20b | 7.8 | 15.6 |
Sulfenates selected for biofilm evaluations, which were not part of the two preceding SAR studies, are assembled in Table 10. Among these, monosulfenates 8b and 1b were the most active toward both strains of bacteria. It is not surprising that bis(sulfenate) 25b showed excellent activity toward biofilms as well. Sulfenate 22b, which contains a basic morpholine group, exhibited a low potency against both bacterial strains. In this case, it had been hoped that the presence of a basic amine might increase the permeability by way of protonation, resulting in enhanced solubility. Nonphenolic sulfenates 6b and 21b were also evaluated toward biofilms (Figure 1). Neither compound showed a significant activity, with 6b showing only half the potency of 1b toward S. epidermidis.
Table 10. BECs for Allyl- and Halo-Sulfenates as Well as the Bis(sulfenate) 25b.
| BEC (Mm) | ||
|---|---|---|
| compounds | S. epidermidis | P. aeruginosa |
| 1b | 3.2 | 6.5 |
| 2b | 4.6 | 8.7 |
| 3b | 12.5 | 12.5 |
| 8b | 2 | 4 |
| 14b | 3 | 12.5 |
| 15b | 14 | 14 |
| 22b | 12.5 | 25 |
| 25b | 0.91 | 3.9 |
2.3. Comparison of Phenols and Sulfenates
Among parents and sulfenates chosen for the alkoxy and alkylthio side chains’ SAR study, (7a/b, 9a/b, 10a/b 11a/b, 12a/b, and 24b), it was shown that the more potent phenols did typically produce more potent sulfenate esters when evaluated against biofilms. The exception to this was 12a, which has a lower BEC than 11a, whereas 11b has a lower BEC than 12b against S. epidermidis biofilms. It is therefore evident that 7a/b were the most potent compounds in this series overall. In the amide SAR study, between 17a/b and 19a/b, it was observed that 19a/b was typically more potent than 17a/b with the exception of 19b being less potent toward planktonic P. aeruginosa. This relationship demonstrates that an increasing alkyl chain length, as with 7a/b, will in general increase the potency of phenols and sulfenates. Between the isomers 19a/b and 20a/b, 19a/b were generally the more potent isomers in both planktonic and biofilm assays, although possessing the same MICs toward S. epidermidis.
Overall, a correlation between an increased potency toward planktonic cells leading to an increased potency in biofilms was observed through evaluation of phenols and corresponding sulfenate esters, with the exception of 14a/b and 7a/b against P. aeruginosa biofilms (Figure 1). This type of relationship has been previously described by others as well,106 although it has also been observed that activity toward planktonic cells cannot reliably be used to predict the same compound potency against biofilms. This has been demonstrated most recently by Walsh et al. (2019)107 and is further supported here by the foregoing results.
The BECs of sulfenate esters when compared to their corresponding parent phenols were generally statistically significantly lower. A two-tailed t-test was performed on four select phenol/sulfenate ester pairs; 8a/b, 9a/b, 12a/b, and 17a/b. Compounds 8a/b and 9a/b were chosen because of the large discrepancy in potency observed between the parent phenol and the sulfenate. Compounds 12a/b and 17a/b were chosen because the potency between parent phenols and sulfenate esters was the least dramatic of the 25 compound pairs evaluated. The p-value of 8a/b against S. epidermidis was calculated to be 0.00012 and against P. aeruginosa, 0.044. The p-value of 9a/b against S. epidermidis is 0.044 and against P. aeruginosa is 0.0091. The p-value of 12a/b against S. epidermidis is 0.0038 and against P. aeruginosa was calculated to be 0.019. The p-value for 17a/b was 0.019 against both S. epidermidis and P. aeruginosa.
2.4. Comparison of Sulfenates and Known Antibacterial Compounds
The sulfenate esters which showed the highest potency toward biofilms were 7b toward S. epidermidis, with a BEC of 0.15 mM (Table 8), and 25b toward P. aeruginosa with, a BEC of 3.9 mM (Table 10). Among the commercially available antimicrobials evaluated here, metronidazole exhibited the highest potency toward S. epidermidis biofilms with a BEC of 6.25 mM and tobramycin toward P. aeruginosa with a BEC of 0.6 mM. Against S. epidermidis, nine of 19 sulfenate esters had a lower BEC than metronidazole, 18 out of 19 had a lower BEC than tobramycin, and all 19 had a lower BEC than nitazoxanide. Against P. aeruginosa, tobramycin and nitazoxanide had a lower BEC than all sulfenate esters, although all 19 sulfenate esters had a lower BEC than metronidazole.
As Staphylococci and Pseudomonas are both facultative anaerobes and metronidazole is most affective toward anaerobic bacteria, it was predicted that the majority of sulfenate esters would be more potent toward both bacteria. Tobramycin is typically used to treat Gram-negative infections, and, as shown here, was significantly more potent toward P. aeruginosa than sulfenate esters. Nitazoxanide is used to treat both Gram-positive and -negative bacteria, although is more often used to treat anaerobes. Sulfenate esters were statistically more potent toward S. epidermidis than P. aeruginosa; so it is no surprise that the majority of sulfenates showed greater potency toward S. epidermidis but not toward P. aeruginosa when compared to known antimicrobials.
2.5. Analysis of Sulfenate Degradation
Sulfenate esters are expected to hydrolyze to the parent phenols in aqueous solutions via cleavage of the S–O bond. In a study to determine the hydrolytic stability of sulfenates, the decomposition of (4-fluorophenoxy)trichloromethylsulfane (15b) in water was monitored via 19F NMR (Figure 2). In this study, the gradual appearance of 4-fluorophenol (15a) (19F NMR δ: −125.1 ± 0.1) was clearly revealed.
Figure 2.
(A) 19F NMR of p-fluorophenol (15a) in D2O; (B) 19F NMR of (4-fluorophenoxy) (trichloromethyl)sulfane (15b) in D2O at 0 h; (C) 19F NMR of (4-fluorophenoxy)(trichloromethyl)sulfane in D2O after 12 h; (D) 19F NMR of (4-fluorophenoxy) (trichloromethyl)sulfane in D2O after 24 h; (E) 19F NMR of (4-fluorophenoxy) (trichloromethyl)sulfane in D2O after 48 h; (F) 19F NMR of (4-fluorophenoxy) (trichloromethyl)sulfane in D2O after 144 h.
After 12 h (C), there were no signs of decomposition of the sulfenate (15b). However, after 24 h (D), the sulfenate ester (15b) had begun to hydrolyze to the parent phenol. A continuation of this decomposition was observed (E and F), and after 144 h, the sulfenate ester approached a 1:1 ratio with the corresponding phenol (F). This shows that while sulfenate esters do hydrolyze in the presence of water, they are stable for up to 12 h. This is crucial as the biological assays employed here require a 12 h exposure time for each phenol and sulfenate ester derivative in planktonic and biofilm assays. Accordingly, sulfenates should be robust for the entirety of the exposure time.
3. Conclusions
This study has shown that sulfenate esters generally exhibit a significant increase in potency toward planktonic cells and biofilms of S. epidermidis and P. aeruginosa when compared to their phenolic counterparts. For example, it was found that on average sulfenates were nine times more potent than the parent phenols against S. epidermidis and 17 times more potent toward P. aeruginosa in planktonic assays. Against biofilms, sulfenates were four times more potent toward both S. epidermidis and P. aeruginosa. The findings presented here also reveal that the most potent compounds toward planktonic cells are not always the most potent toward biofilms. Likewise, the most potent parent phenols do not consistently produce the most potent sulfenate esters. SAR studies have shown that placement, configuration, and alkyl chain length of functional groups do affect the potency of the parent phenols as well as the derivatized sulfenates. An additional study, the monitored hydrolysis of 15b by 19F NMR, has shown that the stability of a representative sulfenate ester in aqueous solution is approximately 24 h. Further experimentation to determine clinical significance could be conducted with biofilms’ eradications measurements being determined with biofilms grown on different surfaces, such as metal and plastic, to mimic those found in clinical settings.
4. Materials and Methods
4.1. Synthetic Reagents and Bacteria
All organic reagents for chemical synthesis were purchased from commercial sources and used as received without further purification. P. aeruginosa (PA01) and S. epidermidis (35984) were obtained from American Type Culture Collection (ATCC). All bacteria were subcultured onto tryptic soy agar (TSA) plates and incubated at 37 °C for 24 h. Single colonies were transferred from the plates and inoculated into 25 mL tryptic soy broth (TSB) in Erlenmeyer flasks. Cultures were incubated 37 °C for 24 h and 10 μL of culture was transferred into 25 mL of TSB. The absorbance was read at 600 nm (OD600) using a spectrophotometer, adjusted to an OD of 0.05 and standardized to 106 to 107 CFU/mL.
4.2. Synthesis
4.2.1. Preparation of (2,4-Dimethylphenoxy)trichloromethyl Sulfane (3b)
A 25 mL round-bottomed flask equipped with a magnetic stirring bar was charged with 2,4-dimethylphenol (610 mg, 5 mmol, 1 equiv) and anhydrous diethyl ether (10 mL). The mixture was cooled to 0 °C and anhydrous triethylamine (0.77 mL, 5.5 mmol, 1.1 equiv) was added. To the stirred mixture was added trichloromethyl hypochlorothioite (0.57 mL, 5.25 mmol, 1.05 equiv) dropwise. The reactant mixture was stirred at 0 °C for 1.5 h and allowed to warm to room temperature and stirred for an additional 12 h. To the resulting mixture was added pentane (5 mL), which was then filtered through Celite and washed with t-butyl methyl ether (3 × 5 mL). The solvents were evaporated in vacuo to provide the title compound 1.03 g (76%) as a yellow oil. 1H NMR (300 MHz, CDCl3): δ 7.23 (dd, J = 843, 2.62 Hz, 1H), 7.00 (dd, J = 2.62, 0.45 Hz, 1H), 6.98 (dd, J = 8.43, 0.45 Hz, 1H), 2.39 (s, 3H), 2.31 (s, 3H). C13NMR (500 MHz, CDCl3): δ 16.16 (CH3), 20.55 (CH3), 116.19 (C), 121.49 (CH), 130 (C), 132.02 (C), 133.81 (CH), 136.73 (CH), 156.05 (C). 1H and 13C NMR was used to confirm the purity of all sulfenate esters. Details can be found in the Supporting Information.
4.3. Efficacy of Phenols and Derivatives on Inhibiting Planktonic Cells
MICs of all compounds evaluated here were determined using a 96-well plate assay previously described by Xie.36 Ninety-six-well plates were inoculated with bacterial culture, prepared as stated in Section 2.1, followed by exposure to the phenol or the sulfenate. The plates were incubated at 37 °C for 12 h. A plate reader was used to analyze bacterial inhibition. Samples were diluted in dimethyl sulfoxide (DMSO) and DMSO controls were conducted as the negative control. Experiments were done in biological triplicate with technical duplicates. Tests for statistical significance were calculated with a two-tailed t-test assuming unequal variances. All compounds were readily soluble in DMSO and no solvent carriers were used in this procedure.
4.4. Efficacy of Phenols and Derivatives on Biofilms
In methods similar to those published by Walsh. et al.,107 both strains were cultured as described above and biofilms were grown in Costar polystyrene 96-well plates at 37 °C. After 24 h of incubation, the planktonic-phase cells were gently removed, and the wells were washed three times with phosphate-buffered saline (PBS). Wells were filled with 150 μL dilutions of the compound being evaluated. The 96-well plates were incubated for an additional 12 h at 37 °C. The media was gently removed and each well filled with 150 μL of PBS and the biofilm broken up through stirring with sterile, wooden rods. Three tenfold dilutions of each sample were drop-plated on TSA plates and incubated for 24 h. The BEC was determined to be the lowest concentration at which no bacterial growth occurred. This procedure was modeled on previously reported procedures according to Pitts.108 Two negative controls were conducted with 150 μL of PBS and with 150 μL of DMSO in the absence of disinfecting agents. Positive disinfectant controls were conducted using nitazoxanide, metronidazole, and tobramycin. Experiments were done in biological triplicate with technical duplicates. All compounds were readily soluble, and no solvent carriers were used in this procedure.
4.5. Measuring Rate of Hydrolysis of Sulfenate Derivatives
(4-Fluorophenoxy)trichloromethylsulfane (15b) (13 mg, 0.05 mmol) was dissolved in water (1 mL). An aliquot was taken every 12 h and dissolved in D2O in an NMR tube. 19F NMR was performed to measure the appearance of the parent compound, p-fluorophenol (15a), in the sample. A 0 h 19F NMR of the sulfane derivative (15b) was taken, as was that of the pure parent compound (15a) for reference (Figure 2). Technical triplicates were done.
Acknowledgments
Generous funding for this research was provided by the National Institute for General Medical Science. GM 116949.
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acsomega.9b04392.
General procedure for the characterization of all the compounds (PDF)
The authors declare no competing financial interest.
Supplementary Material
References
- Floyd K. A.; Eberly A. R.; Hadjifrangiskou M.. 3—Adhesion of bacteria to surfaces and biofilm formation on medical devices. In Biofilms and Implantable Medical Devices; Deng Y., Lv W., Eds.; Woodhead Publishing, 2017; pp 47–95. [Google Scholar]
- Garrett T. R.; Bhakoo M.; Zhang Z. Bacterial adhesion and biofilms on surfaces. Prog. Nat. Sci. 2008, 18, 1049–1056. 10.1016/j.pnsc.2008.04.001. [DOI] [Google Scholar]
- Donlan R. M. Biofilms: microbial life on surfaces. Emerging Infect. Dis. 2002, 8, 881–890. 10.3201/eid0809.020063. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gilbert P.; Das J.; Foley I. Biofilm Susceptibility to Antimicrobials. Adv. Dent. Res. 1997, 11, 160–167. 10.1177/08959374970110010701. [DOI] [PubMed] [Google Scholar]
- Singh S.; Singh S. K.; Chowdhury I.; Singh R. Understanding the Mechanism of Bacterial Biofilms Resistance to Antimicrobial Agents. Open Microbiol. J. 2017, 11, 53–62. 10.2174/1874285801711010053. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Domenech M.; Ramos-Sevillano E.; García E.; Moscoso M.; Yuste J. Biofilm formation avoids complement immunity and phagocytosis of Streptococcus pneumoniae. Infect. Immun. 2013, 81, 2606–2615. 10.1128/iai.00491-13. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leid J. G. Bacterial Biofilms Resist Key Host Defenses. Microbe 2009, 4, 66–70. [Google Scholar]
- Conlon B. P.; Rowe S. E.; Lewis K.. Persister Cells in Biofilm Associated Infections. In Biofilm-Based Healthcare-Associated Infections: Volume II; Donelli G., Ed.; Springer International Publishing: Cham, 2015; pp 1–9. [DOI] [PubMed] [Google Scholar]
- Balaban N. Q.; Merrin J.; Chait R.; Kowalik L.; Leibler S. Bacterial persistence as a phenotypic switch. Science 2004, 305, 1622–1625. 10.1126/science.1099390. [DOI] [PubMed] [Google Scholar]
- Dörr T.; Vulić M.; Lewis K. Ciprofloxacin causes persister formation by inducing the TisB toxin in Escherichia coli. PLoS Biol. 2010, 8, e1000317 10.1371/journal.pbio.1000317. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Patel R. Biofilms and antimicrobial resistance. Clin. Orthop. Relat. Res. 2005, 437, 41–47. 10.1097/01.blo.0000175714.68624.74. [DOI] [PubMed] [Google Scholar]
- Cerca N.; Oliveira R.; Azeredo J. Susceptibility of Staphylococcus epidermidis planktonic cells and biofilms to the lytic action of staphylococcus bacteriophage K. Lett. Appl. Microbiol. 2007, 45, 313–317. 10.1111/j.1472-765x.2007.02190.x. [DOI] [PubMed] [Google Scholar]
- Stewart P. S. Antimicrobial Tolerance in Biofilms. Microbiol. Spectrum 2015, 10.1128/microbiolspec.MB-0010-2014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Flemming H.-C.; Wingender J.; Szewzyk U.; Steinberg P.; Rice S. A.; Kjelleberg S. Biofilms: an emergent form of bacterial life. Nat. Rev. Microbiol. 2016, 14, 563–575. 10.1038/nrmicro.2016.94. [DOI] [PubMed] [Google Scholar]
- Donlan R. M.; Costerton J. W. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin. Microbiol. Rev. 2002, 15, 167–193. 10.1128/cmr.15.2.167-193.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campanac C.; Pineau L.; Payard A.; Baziard-Mouysset G.; Roques C. Interactions between biocide cationic agents and bacterial biofilms. Antimicrob. Agents Chemother. 2002, 46, 1469–1474. 10.1128/aac.46.5.1469-1474.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davenport E. K.; Call D. R.; Beyenal H. Differential protection from tobramycin by extracellular polymeric substances from Acinetobacter baumannii and Staphylococcus aureus biofilms. Antimicrob. Agents Chemother. 2014, 58, 4755–4761. 10.1128/aac.03071-14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mah T.-F. C.; O’Toole G. A. Mechanisms of biofilm resistance to antimicrobial agents. Trends Microbiol. 2001, 9, 34–39. 10.1016/s0966-842x(00)01913-2. [DOI] [PubMed] [Google Scholar]
- Römling U.; Balsalobre C. Biofilm infections, their resilience to therapy and innovative treatment strategies. J. Intern. Med. 2012, 272, 541–561. 10.1111/joim.12004. [DOI] [PubMed] [Google Scholar]
- Lewis K. Riddle of Biofilm Resistance. Antimicrob. Agents Chemother. 2001, 45, 999–1007. 10.1128/aac.45.4.999-1007.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hughes G.; Webber M. A. Novel approaches to the treatment of bacterial biofilm infections. Br. J. Pharmacol. 2017, 174, 2237–2246. 10.1111/bph.13706. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yan Z.; Huang M.; Melander C.; Kjellerup B. V., Dispersal and Inhibition of Biofilms Associated with Infections. J. Appl. Microbiol. 2019. [DOI] [PubMed] [Google Scholar]
- Worthington R. J.; Richards J. J.; Melander C. Small molecule control of bacterial biofilms. Org. Biomol. Chem. 2012, 10, 7457–7474. 10.1039/c2ob25835h. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stone P. W. Economic burden of healthcare-associated infections: an American perspective. Expert Rev. Pharmacoecon. Outcomes Res. 2009, 9, 417–422. 10.1586/erp.09.53. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Elkins J. G.; Hassett D. J.; Stewart P. S.; Schweizer H. P.; McDermott T. R. Protective role of catalase in Pseudomonas aeruginosa biofilm resistance to hydrogen peroxide. Appl. Environ. Microbiol. 1999, 65, 4594–4600. 10.1128/aem.65.10.4594-4600.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Khakimova M.; Ahlgren H. G.; Harrison J. J.; English A. M.; Nguyen D. The stringent response controls catalases in Pseudomonas aeruginosa and is required for hydrogen peroxide and antibiotic tolerance. J. Bacteriol. 2013, 195, 2011–2020. 10.1128/jb.02061-12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leung C. Y.; Chan Y. C.; Samaranayake L. P.; Seneviratne C. J. Biocide resistance of Candida and Escherichia coli biofilms is associated with higher antioxidative capacities. J. Hosp. Infect. 2012, 81, 79–86. 10.1016/j.jhin.2011.09.014. [DOI] [PubMed] [Google Scholar]
- Guerin-Mechin L.; Dubois-Brissonnet F.; Heyd B.; Leveau J. Y. Specific variations of fatty acid composition of Pseudomonas aeruginosa ATCC 15442 induced by quaternary ammonium compounds and relation with resistance to bactericidal activity. J. Appl. Microbiol. 1999, 87, 735–742. 10.1046/j.1365-2672.1999.00919.x. [DOI] [PubMed] [Google Scholar]
- Méchin L.; Dubois-Brissonnet F.; Heyd B.; Leveau J. Y. Adaptation ofPseudomonas aeruginosaATCC 15442 to didecyldimethylammonium bromide induces changes in membrane fatty acid composition and in resistance of cells. J. Appl. Microbiol. 1999, 86, 859–866. 10.1046/j.1365-2672.1999.00770.x. [DOI] [PubMed] [Google Scholar]
- Bjorland J.; Sunde M.; Waage S. Plasmid-borne smr gene causes resistance to quaternary ammonium compounds in bovine Staphylococcus aureus. J. Clin. Microbiol. 2001, 39, 3999–4004. 10.1128/jcm.39.11.3999-4004.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- De Beer D.; Srinivasan R.; Stewart P. S. Direct measurement of chlorine penetration into biofilms during disinfection. Appl. Environ. Microbiol. 1994, 60, 4339–4344. 10.1128/aem.60.12.4339-4344.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jang A.; Szabo J.; Hosni A. A.; Coughlin M.; Bishop P. L. Measurement of chlorine dioxide penetration in dairy process pipe biofilms during disinfection. Appl. Microbiol. Biotechnol. 2006, 72, 368–376. 10.1007/s00253-005-0274-5. [DOI] [PubMed] [Google Scholar]
- Vázquez-Sánchez D.; Galvão J. A.; Mazine M. R.; Gloria E. M.; Oetterer M. Control of Staphylococcus aureus biofilms by the application of single and combined treatments based in plant essential oils. Int. J. Food Microbiol. 2018, 286, 128–138. 10.1016/j.ijfoodmicro.2018.08.007. [DOI] [PubMed] [Google Scholar]
- Ziebuhr W.; Hennig S.; Eckart M.; Kranzler H.; Batzilla C.; Kozitskaya S. Nosocomial infections by Staphylococcus epidermidis: how a commensal bacterium turns into a pathogen. Int. J. Antimicrob. Agents 2006, 28, 14–20. 10.1016/j.ijantimicag.2006.05.012. [DOI] [PubMed] [Google Scholar]
- Xie J.; Singh-Babak S.; Cowen L. Minimum Inhibitory Concentration (MIC) Assay for Antifungal Drugs. Bio-Protoc. 2012, 2, e252 10.21769/bioprotoc.252. [DOI] [Google Scholar]
- Campos F. M.; Couto J. A.; Figueiredo A. R.; Tóth I. V.; Rangel A. O. S. S.; Hogg T. A. Cell membrane damage induced by phenolic acids on wine lactic acid bacteria. Int. J. Food Microbiol. 2009, 135, 144–151. 10.1016/j.ijfoodmicro.2009.07.031. [DOI] [PubMed] [Google Scholar]
- Pinheiro P. F.; Menini L. A. P.; Bernardes P. C.; Saraiva S. H.; Carneiro J. W. M.; Costa A. V.; Arruda T. R.; Lage M. R.; Gonçalves P. M.; Bernardes C. d. O.; Alvarenga E. S.; Menini L. Semisynthetic Phenol Derivatives Obtained from Natural Phenols: Antimicrobial Activity and Molecular Properties. J. Agric. Food Chem. 2018, 66, 323–330. 10.1021/acs.jafc.7b04418. [DOI] [PubMed] [Google Scholar]
- Alves M. J.; Ferreira I. C. F. R.; Froufe H. J. C.; Abreu R. M. V.; Martins A.; Pintado M. Antimicrobial activity of phenolic compounds identified in wild mushrooms, SAR analysis and docking studies. J. Appl. Microbiol. 2013, 115, 346–357. 10.1111/jam.12196. [DOI] [PubMed] [Google Scholar]
- Suter C. M. Relationships between the Structure and the Bactericidal Properties of Phenols. Chem. Rev. 1941, 28, 269–299. 10.1021/cr60090a004. [DOI] [Google Scholar]
- Knobloch K.; Pauli A.; Iberl B.; Weigand H.; Weis N. Antibacterial and Antifungal Properties of Essential Oil Components. J. Essent. Oil Res. 1989, 1, 119–128. 10.1080/10412905.1989.9697767. [DOI] [Google Scholar]
- Das S.; Singh V. K.; Dwivedy A. K.; Chaudhari A. K.; Upadhyay N.; Singh A.; Deepika; Dubey N. K. Antimicrobial activity, antiaflatoxigenic potential and in situ efficacy of novel formulation comprising of Apium graveolens essential oil and its major component. Pestic. Biochem. Physiol. 2019, 160, 102–111. 10.1016/j.pestbp.2019.07.013. [DOI] [PubMed] [Google Scholar]
- Ultee A.; Bennik M. H. J.; Moezelaar R. The phenolic hydroxyl group of carvacrol is essential for action against the food-borne pathogen Bacillus cereus. Appl. Environ. Microbiol. 2002, 68, 1561–1568. 10.1128/aem.68.4.1561-1568.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tepe B.; Daferera D.; Sokmen A.; Sokmen M.; Polissiou M. Antimicrobial and antioxidant activities of the essential oil and various extracts of Salvia tomentosa Miller (Lamiaceae). Food Chem. 2005, 90, 333–340. 10.1016/j.foodchem.2003.09.013. [DOI] [Google Scholar]
- Nazzaro F.; Fratianni F.; De Martino L.; Coppola R.; De Feo V. Effect of essential oils on pathogenic bacteria. Pharmaceuticals 2013, 6, 1451–1474. 10.3390/ph6121451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Maris P. Modes of action of disinfectants. Rev. Inf. Sci. Tech. 1995, 14, 47–55. 10.20506/rst.14.1.829. [DOI] [PubMed] [Google Scholar]
- Lucchini J. J.; Corre J.; Cremieux A. Antibacterial activity of phenolic compounds and aromatic alcohols. Res. Microbiol. 1990, 141, 499–510. 10.1016/0923-2508(90)90075-2. [DOI] [PubMed] [Google Scholar]
- Lambert R. J. W.; Skandamis P. N.; Coote P. J.; Nychas G.-J. E. A study of the minimum inhibitory concentration and mode of action of oregano essential oil, thymol and carvacrol. J. Appl. Microbiol. 2001, 91, 453–462. 10.1046/j.1365-2672.2001.01428.x. [DOI] [PubMed] [Google Scholar]
- Prieto M. C.; Lapaz M. I.; Lucini E. I.; Pianzzola M. J.; Grosso N. R.; Asensio C. M. Thyme and Suico essential oils: promising natural tools for Potato Common Scab Control. Plant Biol. 2019, 22, 81. 10.1111/plb.13048. [DOI] [PubMed] [Google Scholar]
- Pinheiro P. F.; Menini L. A. P.; Bernardes P. C.; Saraiva S. H.; Carneiro J. W. M.; Costa A. V.; Arruda T. R.; Lage M. R.; Gonçalves P. M.; Bernardes C. d. O.; Alvarenga E. S.; Menini L. Semisynthetic Phenol Derivatives Obtained from Natural Phenols: Antimicrobial Activity and Molecular Properties. J. Agric. Food Chem. 2018, 66, 323–330. 10.1021/acs.jafc.7b04418. [DOI] [PubMed] [Google Scholar]
- Ali S.; Khan A.; Ahmed I.; Musaddiq M.; Ahmed K.; Polasa H.; Rao L. V.; Habibullah C.; Sechi L.; Ahmed N. Antimicrobial activities of Eugenol and Cinnamaldehyde against the human gastric pathogen Helicobacter pylori. Ann. Clin. Microbiol. Antimicrob. 2005, 4, 20. 10.1186/1476-0711-4-20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marino M.; Bersani C.; Comi G. Impedance measurements to study the antimicrobial activity of essential oils from Lamiaceae and Compositae. Int. J. Food Microbiol. 2001, 67, 187–195. 10.1016/s0168-1605(01)00447-0. [DOI] [PubMed] [Google Scholar]
- Chaieb K.; Hajlaoui H.; Zmantar T.; Kahla-Nakbi A. B.; Rouabhia M.; Mahdouani K.; Bakhrouf A. The chemical composition and biological activity of clove essential oil,Eugenia caryophyllata (Syzigium aromaticum L. Myrtaceae): a short review. Phytother. Res. 2007, 21, 501–506. 10.1002/ptr.2124. [DOI] [PubMed] [Google Scholar]
- Kumari P.; Mishra R.; Arora N.; Chatrath A.; Gangwar R.; Roy P.; Prasad R. Antifungal and Anti-Biofilm Activity of Essential Oil Active Components against Cryptococcus neoformans and Cryptococcus laurentii. Front. Microbiol. 2017, 8, 2161. 10.3389/fmicb.2017.02161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cronin M. T. D.; Schultz T. W. Structure-toxicity relationships for phenols to Tetrahymena pyriformis. Chemosphere 1996, 32, 1453–1468. 10.1016/0045-6535(96)00054-9. [DOI] [PubMed] [Google Scholar]
- Etoh H.; Ban N.; Fujiyoshi J.; Murayama N.; Sugiyama K.; Watanabe N.; Sakata K.; Ina K.; Miyoshi H.; Iwamura H. Quantitative Analysis of the Antimicrobial Activity and Membrane-perturbation Potency of AntifoulingPara-substituted Alkylphenols. Biosci., Biotechnol., Biochem. 1994, 58, 467–469. 10.1271/bbb.58.467. [DOI] [Google Scholar]
- Denyer S. P.; Hugo W. B.; Witham R. F. The antibacterial action of a series of 4-n-alkylphenols. J. Pharm. Pharmacol. 1980, 32, 27P. 10.1111/j.2042-7158.1980.tb10830.x. [DOI] [Google Scholar]
- Harper D.; Coburn R.; Georgiades C.; Huntley M.; Soshinsky A.. Non-halogenated naphthol compounds, antimicrobial compositions containing the same, and methods of using the same. EP 1409443 A2, November 29, 2001.
- Anand S.; Deighton M.; Livanos G.; Morrison P. D.; Pang E. C. K.; Mantri N. Antimicrobial Activity of Agastache Honey and Characterization of Its Bioactive Compounds in Comparison With Important Commercial Honeys. Front. Microbiol. 2019, 10, 263. 10.3389/fmicb.2019.00263. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bernard B. K.; Gordon E. B. An Evaluation of the Common Mechanism Approach to the Food Quality Protection Act: Captan and Four Related Fungicides, a Practical Example. Int. J. Toxicol. 2000, 19, 43–61. 10.1080/109158100225033. [DOI] [Google Scholar]
- Müller F.; Ackermann P.; Margot P.. Fungicides, Agricultural, 2. Individual Fungicides. In Ullmann’s Encyclopedia of Industrial Chemistry; Wiley, 2011. [Google Scholar]
- Gupta P. K.Herbicides and fungicides. In Biomarkers in Toxicology; Gupta R. C., Ed.; Academic Press: Boston, 2014; Chapter 24, pp 409–431. [Google Scholar]
- Akbari F.; Kjellerup B. Elimination of Bloodstream Infections Associated with Candida albicans Biofilm in Intravascular Catheters. Pathogens 2015, 4, 457–469. 10.3390/pathogens4030457. [DOI] [PMC free article] [PubMed] [Google Scholar]
- von Eiff C.; Heilmann C.; Herrmann M.; Peters G. Basic aspects of the pathogenesis of staphylococcal polymer-associated infections. Infection 1999, 27, S7–S10. 10.1007/bf02561610. [DOI] [PubMed] [Google Scholar]
- Ziebuhr W.; Hennig S.; Eckart M.; Kränzler H.; Batzilla C.; Kozitskaya S. Nosocomial infections by Staphylococcus epidermidis: how a commensal bacterium turns into a pathogen. Int. J. Antimicrob. Agents 2006, 28, 14–20. 10.1016/j.ijantimicag.2006.05.012. [DOI] [PubMed] [Google Scholar]
- Sakimura T.; Kajiyama S.; Adachi S.; Chiba K.; Yonekura A.; Tomita M.; Koseki H.; Miyamoto T.; Tsurumoto T.; Osaki M. Biofilm-Forming Staphylococcus epidermidis Expressing Vancomycin Resistance Early after Adhesion to a Metal Surface. BioMed Res. Int. 2015, 2015, 1–8. 10.1155/2015/943056. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Büttner H.; Mack D.; Rohde H. Structural basis of Staphylococcus epidermidis biofilm formation: mechanisms and molecular interactions. Front. Cell. Infect. Microbiol. 2015, 5, 14. 10.3389/fcimb.2015.00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gotz F. Staphylococcus and biofilms. Mol. Microbiol. 2002, 43, 1367–1378. 10.1046/j.1365-2958.2002.02827.x. [DOI] [PubMed] [Google Scholar]
- Donlan R. M.; Costerton J. W. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin. Microbiol. Rev. 2002, 15, 167–193. 10.1128/cmr.15.2.167-193.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jefferson K. K. What drives bacteria to produce a biofilm?. FEMS Microbiol. Lett. 2004, 236, 163–173. 10.1111/j.1574-6968.2004.tb09643.x. [DOI] [PubMed] [Google Scholar]
- Stewart P. S. Mechanisms of antibiotic resistance in bacterial biofilms. Int. J. Med. Microbiol. 2002, 292, 107–113. 10.1078/1438-4221-00196. [DOI] [PubMed] [Google Scholar]
- Stewart P. S.; William Costerton J. Antibiotic resistance of bacteria in biofilms. Lancet 2001, 358, 135–138. 10.1016/s0140-6736(01)05321-1. [DOI] [PubMed] [Google Scholar]
- Franklin M. J.; Chang C.; Akiyama T.; Bothner B. New Technologies for Studying Biofilms. Microbiol. Spectrum 2015, 10.1128/microbiolspec.MB-0016-2014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Benjamin A. D.; Abbasi R.; Owens M.; Olsen R. J.; Walsh D. J.; LeFevre T. B.; Wilking J. N. Light-based 3D printing of hydrogels with high-resolution channels. Biomed. Phys. Eng. Express 2019, 5, 025035. 10.1088/2057-1976/aad667. [DOI] [Google Scholar]
- Blackledge M. S.; Worthington R. J.; Melander C. Biologically inspired strategies for combating bacterial biofilms. Curr. Opin. Pharmacol. 2013, 13, 699–706. 10.1016/j.coph.2013.07.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Donlan R. M. Biofilm Formation: A Clinically Relevant Microbiological Process. Clin. Infect. Dis. 2001, 33, 1387–1392. 10.1086/322972. [DOI] [PubMed] [Google Scholar]
- van Tilburg Bernardes E.; Lewenza S.; Reckseidler-Zenteno S. Current Research Approaches to Target Biofilm Infections. Postdoc J. 2015, 3, 36–49. 10.14304/surya.jpr.v3n6.5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garrison A. T.; Huigens R. W. III Eradicating Bacterial Biofilms with Natural Products and Their Inspired Analogues that Operate Through Unique Mechanisms. Curr. Top. Med. Chem. 2017, 17, 1954. 10.2174/1568026617666161214150959. [DOI] [PubMed] [Google Scholar]
- Dostert M.; Belanger C. R.; Hancock R. E. W. Design and Assessment of Anti-Biofilm Peptides: Steps Toward Clinical Application. J. Innate Immun. 2019, 11, 193–204. 10.1159/000491497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- de la Fuente-Núñez C.; Reffuveille F.; Haney E. F.; Straus S. K.; Hancock R. E. W. Broad-spectrum anti-biofilm peptide that targets a cellular stress response. PLoS Pathog. 2014, 10, e1004152 10.1371/journal.ppat.1004152. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown K. L.; Hancock R. E. Cationic host defense (antimicrobial) peptides. Curr. Opin. Immunol. 2006, 18, 24–30. 10.1016/j.coi.2005.11.004. [DOI] [PubMed] [Google Scholar]
- Desbois A. P.; Smith V. J. Antibacterial free fatty acids: activities, mechanisms of action and biotechnological potential. Appl. Microbiol. Biotechnol. 2010, 85, 1629–1642. 10.1007/s00253-009-2355-3. [DOI] [PubMed] [Google Scholar]
- Bridier A.; Briandet R.; Thomas V.; Dubois-Brissonnet F. Resistance of bacterial biofilms to disinfectants: a review. Biofouling 2011, 27, 1017–1032. 10.1080/08927014.2011.626899. [DOI] [PubMed] [Google Scholar]
- Hall C. W.; Mah T.-F. Molecular mechanisms of biofilm-based antibiotic resistance and tolerance in pathogenic bacteria. FEMS Microbiol. Rev. 2017, 41, 276–301. 10.1093/femsre/fux010. [DOI] [PubMed] [Google Scholar]
- Stewart P. S.; Franklin M. J. Physiological heterogeneity in biofilms. Nat. Rev. Microbiol. 2008, 6, 199–210. 10.1038/nrmicro1838. [DOI] [PubMed] [Google Scholar]
- Singh R.; Shushni M. A. M.; Belkheir A. Antibacterial and antioxidant activities of Mentha piperita L. Arabian J. Chem. 2015, 8, 322–328. 10.1016/j.arabjc.2011.01.019. [DOI] [Google Scholar]
- Trombetta D.; Castelli F.; Sarpietro M. G.; Venuti V.; Cristani M.; Daniele C.; Saija A.; Mazzanti G.; Bisignano G. Mechanisms of antibacterial action of three monoterpenes. Antimicrob. Agents Chemother. 2005, 49, 2474–2478. 10.1128/aac.49.6.2474-2478.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Somvanshi V. S.; Ellis B. L.; Hu Y.; Aroian R. V. Nitazoxanide: nematicidal mode of action and drug combination studies. Mol. Biochem. Parasitol. 2014, 193, 1–8. 10.1016/j.molbiopara.2013.12.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leung A. K. C.; Leung A. A. M.; Wong A. H. C.; Sergi C. M.; Kam J. K. M. Giardiasis: An Overview. Recent Pat. Inflammation Allergy Drug Discovery 2019, 13, 134–143. 10.2174/1872213x13666190618124901. [DOI] [PubMed] [Google Scholar]
- Lee S.; Harwood M.; Girouard D.; Meyers M. J.; Campbell M. A.; Beamer G.; Tzipori S. The therapeutic efficacy of azithromycin and nitazoxanide in the acute pig model of Cryptosporidium hominis. PLoS One 2017, 12, e0185906 10.1371/journal.pone.0185906. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tchouaffi-Nana F.; Ballard T. E.; Cary C. H.; Macdonald T. L.; Sifri C. D.; Hoffman P. S. Nitazoxanide inhibits biofilm formation by Staphylococcus epidermidis by blocking accumulation on surfaces. Antimicrob. Agents Chemother. 2010, 54, 2767–2774. 10.1128/aac.00901-09. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shamir E. R.; Warthan M.; Brown S. P.; Nataro J. P.; Guerrant R. L.; Hoffman P. S. Nitazoxanide inhibits biofilm production and hemagglutination by enteroaggregative Escherichia coli strains by blocking assembly of AafA fimbriae. Antimicrob. Agents Chemother. 2010, 54, 1526–1533. 10.1128/aac.01279-09. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mathur H.; Rea M. C.; Cotter P. D.; Hill C.; Ross R. P. The efficacy of thuricin CD, tigecycline, vancomycin, teicoplanin, rifampicin and nitazoxanide, independently and in paired combinations against Clostridium difficile biofilms and planktonic cells. Gut Pathog. 2016, 8, 20. 10.1186/s13099-016-0102-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Freeman C. D.; Klutman N. E.; Lamp K. C. Metronidazole. Drugs 1997, 54, 679–708. 10.2165/00003495-199754050-00003. [DOI] [PubMed] [Google Scholar]
- Yonezawa H.; Osaki T.; Hojo F.; Kamiya S. Effect of Helicobacter pylori biofilm formation on susceptibility to amoxicillin, metronidazole and clarithromycin. Microb. Pathog. 2019, 132, 100–108. 10.1016/j.micpath.2019.04.030. [DOI] [PubMed] [Google Scholar]
- Vuotto C.; Moura I.; Barbanti F.; Donelli G.; Spigaglia P. Subinhibitory concentrations of metronidazole increase biofilm formation in Clostridium difficile strains. Pathog. Dis. 2016, 74, ftv114. 10.1093/femspd/ftv114. [DOI] [PubMed] [Google Scholar]
- Vuotto C.; Moura I.; Barbanti F.; Donelli G.; Spigaglia P. Subinhibitory concentrations of metronidazole increase biofilm formation in Clostridium difficile strains. Pathog. Dis. 2016, 74, ftv114. 10.1093/femspd/ftv114. [DOI] [PubMed] [Google Scholar]
- Zancan R. F.; Calefi P. H. S.; Borges M. M. B.; Lopes M. R. M.; Andrade F. B.; Vivan R. R.; Duarte M. A. H. Antimicrobial activity of intracanal medications against both Enterococcus faecalis and Candida albicans biofilm. Microsc. Res. Tech. 2019, 82, 494–500. 10.1002/jemt.23192. [DOI] [PubMed] [Google Scholar]
- Bothra M.; Lodha R.; Kabra S. K. Tobramycin for the treatment of bacterial pneumonia in children. Expert Opin. Pharmacother. 2012, 13, 565–571. 10.1517/14656566.2012.656090. [DOI] [PubMed] [Google Scholar]
- Wilhelmus K. R.; Gilbert M. L.; Osato M. S. Tobramycin in ophthalmology. Surv. Ophthalmol. 1987, 32, 111–122. 10.1016/0039-6257(87)90103-2. [DOI] [PubMed] [Google Scholar]
- Høiby N.; Henneberg K.-Å.; Wang H.; Stavnsbjerg C.; Bjarnsholt T.; Ciofu O.; Johansen U. R.; Sams T. Formation of Pseudomonas aeruginosa inhibition zone during tobramycin disk diffusion is due to transition from planktonic to biofilm mode of growth. Int. J. Antimicrob. Agents 2019, 53, 564–573. [DOI] [PubMed] [Google Scholar]
- Sans-Serramitjana E.; Jorba M.; Fuste E.; Pedraz J. L.; Vinuesa T.; Vinas M. Free and Nanoencapsulated Tobramycin: Effects on Planktonic and Biofilm Forms of Pseudomonas. Microorganisms 2017, 5, 35. 10.3390/microorganisms5030035. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nickel J. C.; Ruseska I.; Wright J. B.; Costerton J. W. Tobramycin resistance of Pseudomonas aeruginosa cells growing as a biofilm on urinary catheter material. Antimicrob. Agents Chemother. 1985, 27, 619. 10.1128/aac.27.4.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Merlo C. A.; Boyle M. P.; Diener-West M.; Marshall B. C.; Goss C. H.; Lechtzin N. Incidence and Risk Factors for Multiple Antibiotic-Resistant Pseudomonas aeruginosa in Cystic Fibrosis. Chest 2007, 132, 562–568. 10.1378/chest.06-2888. [DOI] [PubMed] [Google Scholar]
- Poole K. Aminoglycoside Resistance in Pseudomonas aeruginosa. Antimicrob. Agents Chemother. 2005, 49, 479. 10.1128/aac.49.2.479-487.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gill R. K.; Kumar V.; Robijns S. C. A.; Steenackers H. P. L.; Van der Eycken E. V.; Bariwal J. Polysubstituted 2-aminoimidazoles as anti-biofilm and antiproliferative agents: Discovery of potent lead. Eur. J. Med. Chem. 2017, 138, 152–169. 10.1016/j.ejmech.2017.06.043. [DOI] [PubMed] [Google Scholar]
- Walsh D. J.; Livinghouse T.; Goeres D. M.; Mettler M.; Stewart P. S. Antimicrobial Activity of Naturally Occurring Phenols and Derivatives Against Biofilm and Planktonic Bacteria. Front. Chem. 2019, 10.3389/fchem.2019.00653. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pitts B.; Hamilton M. A.; Zelver N.; Stewart P. S. A microtiter-plate screening method for biofilm disinfection and removal. J. Microbiol. Methods 2003, 54, 269–276. 10.1016/s0167-7012(03)00034-4. [DOI] [PubMed] [Google Scholar]
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