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Updated: Nov 20, 2025

Evaluation of Antimicrobial Activities of Nanoparticles and Nanostructured Surfaces In Vitro
Published on: April 21, 2023
Antibacterial apple cider vinegar eradicates methicillin resistant Staphylococcus aureus and resistant Escherichia
Darshna Yagnik1, Malcolm Ward2, Ajit J Shah2
1Department of Natural Sciences, School of Science and Technology, Middlesex University, The Burroughs, London, NW4 4BT, England, UK. d.yagnik@mdx.ac.uk.
Abstract:
Methicillin-resistant Staphylococcus aureus (MRSA) and resistant Escherichia coli (rE.coli) infections can spread rapidly. Further they are associated with high morbidity and mortality from treatment failure. Therapy involves multiple rounds of ineffective antibiotics alongside unwanted side effects, alternative treatments are crucial. Apple cider vinegar (ACV) is a natural, vegan product that has been shown to have powerful antimicrobial activity hence we investigated whether ACV could ameliorate these resistant bacteria. The minimum dilution of ACV required for growth inhibition was comparable for both bacteria (1/25 dilution of ACV liquid and ACV tablets at 200 µg/ml were effective against rE. coli and MRSA). Monocyte co-culture with microbes alongside ACV resulted in an increase in monocyte phagocytosis by 21.2% and 33.5% compared to non-ACV treated but MRSA or rE. coli stimulated monocytes, respectively. Label free quantitative proteomic studies of microbial protein extracts demonstrated that ACV penetrated microbial cell membranes and organelles, altering the expression of key proteins. This resulted in significant reductions in total protein expression, moreover we could only detect ribosomal proteins; 50 s 30 s, enolase, phosphenol pyruvate and the ATP synthase subunit in rE. coli. Elongation factor iNOS and phosphoglycerate kinase OS were the only proteins present in MRSA samples following ACV treatment.
Insights
Apple cider vinegar shows promise in combating antibiotic-resistant bacteria like MRSA and E. coli. This natural treatment effectively inhibits bacterial growth and enhances immune cell activity against these infections.
Area of Science:
- Microbiology
- Immunology
- Natural Products
Background:
- Antibiotic resistance in bacteria such as Methicillin-resistant Staphylococcus aureus (MRSA) and resistant Escherichia coli (rE.coli) poses a significant global health threat.
- Current treatment strategies often involve multiple ineffective antibiotic courses with adverse effects, necessitating the exploration of alternative therapies.
Purpose of the Study:
- To investigate the antimicrobial efficacy of apple cider vinegar (ACV) against MRSA and rE.coli.
- To evaluate the impact of ACV on immune cell function in the context of these resistant bacterial infections.
- To elucidate the molecular mechanisms underlying ACV's action against resistant bacteria.
Main Methods:
- Determining the minimum inhibitory dilution of ACV against MRSA and rE.coli.
- Assessing monocyte phagocytosis in co-culture models with ACV and bacteria.
- Utilizing label-free quantitative proteomics to analyze microbial protein expression changes post-ACV treatment.
Main Results:
- ACV demonstrated antimicrobial activity against both MRSA and rE.coli at a 1/25 dilution (liquid) or 200 µg/ml (tablets).
- ACV significantly increased monocyte phagocytosis by 21.2% (vs. MRSA) and 33.5% (vs. rE.coli).
- Proteomic analysis revealed ACV penetrates bacterial cells, altering protein expression and significantly reducing total protein levels, with specific proteins identified in treated MRSA and rE.coli.
Conclusions:
- Apple cider vinegar exhibits potent antimicrobial effects against antibiotic-resistant bacteria.
- ACV enhances immune cell phagocytic activity, suggesting an immunomodulatory role.
- ACV acts at a molecular level by disrupting essential protein expression within resistant bacterial cells.
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