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. 2021 Oct 22;26(21):6392. doi: 10.3390/molecules26216392

Table 1.

The treatment strategies of biofilm eradication.

The Strategy Classification The Mechanism of Eradication
Water spray Mechanic force The physical removal of biofilm by local delivery of mechanic forces
Water-based jet Mechanic force The physical removal of biofilm by local delivery of mechanic forces
Photodynamic therapy Physical method The combination of specific light irradiation and photosensitizers to produce oxidative stress
Photothermal therapy Physical method The combination of near-infrared irradiation and photothermal agents to produce local hyperthermia
DNase Enzymatic degradation Hydrolysis of the extracellular DNA
Proteinase K Enzymatic degradation Cleavage of the C-terminal peptide bond for protein digestion
Dispersin B Enzymatic degradation Biofilm-releasing enzyme from Aggregatibacter actinomycetecomitans to eliminate biofilm
Lysostaphin Enzymatic degradation Cleavage of pentaglycine cross-bridge in peptidoglycan
Mannosides Adhesin inhibition Target to bacterial adhesin FimH for prevent bacterial binding to surface
LL-37 Antimicrobial peptide Prevention of bacterial attachment to surface
Oritavancin Antimicrobial peptide Prevention of bacterial attachment to surface
Glycerol monolaurate Antimicrobial lipid The amphiphile nature to disrupt biofilm structure
Free fatty acids Antimicrobial lipid The amphiphile nature to disrupt biofilm structure
Quaternary ammonium compounds Surfactant The amphiphile nature to disrupt biofilm structure
Autoinducing peptides QS inhibitor Reactivates agr QS in biofilm to disassemble biofilm
Hammelitannin QS inhibitor QS inhibitor RNAIII-inhibiting peptide to reduce S. aureus attachment
AP4 antibody QS inhibitor Biofilm inhibition in mouse abscess infection model
AI-2 QS inhibitor Reduction of proportion of adherent bacteria and dispersal

AI, autoinducer; QS, quorum sensing.