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Modulation of efflux pump gene expression in Enterococcus faecium by tungsten nanoparticles and multi-walled carbon
Mahsa Khosroparviz1, Akram Sadat Tabatabaee Bafroee2,3, Kumars Amini4
1Department of Biology, ET.C, Islamic Azad University, Tehran, Iran.
Background:
Enterococcus faecium (E. faecium) is an opportunistic pathogen frequently associated with urinary tract infections (UTIs). Its increasing multidrug resistance (MDR) is largely mediated by efflux pump systems that reduce intracellular antibiotic accumulation.
Objective:
This study aimed to investigate antimicrobial resistance patterns of clinical E. faecium isolates and to evaluate the antibacterial and efflux pump-modulating effects of tungsten nanoparticles (WNPs) and functionalized multi-walled carbon nanotubes (MWCNTs).
Methods:
Fifty-eight E. faecium isolates from UTI patients were subjected to antibiotic susceptibility testing and molecular detection of the efflux genes efrA, efrB, and emeA. WNPs and MWCNTs were synthesized, physicochemically characterized, and evaluated for antibacterial activity using minimum inhibitory concentration (MIC) assays. Quantitative real-time PCR was used to assess changes in efflux pump gene expression following nanoparticle exposure.
Results:
High resistance rates were observed for erythromycin (86.2%), tetracycline (81.0%), fluoroquinolones, and vancomycin (48.3%), with approximately 85% of isolates classified as MDR. Efflux pump genes were detected in 72-86% of isolates. WNPs and MWCNTs exhibited MIC values of 750 µg/mL and 375 µg/mL, respectively. Treatment with sub-inhibitory concentrations of these nanoparticles resulted in significant downregulation (1.8- to 2-fold) of efrA, efrB, and emeA expression, indicating suppression of efflux-mediated resistance mechanisms.
Conclusions:
Tungsten nanoparticles and functionalized MWCNTs demonstrate notable antibacterial activity against MDR E. faecium and effectively modulate efflux pump gene expression. These findings support their potential use as adjunctive agents to enhance antimicrobial efficacy against resistant E. faecium infections, warranting further optimization and in vivo validation.
Insights
Tungsten nanoparticles and multi-walled carbon nanotubes show antibacterial effects against multidrug-resistant Enterococcus faecium. These nanomaterials also reduce the expression of efflux pump genes, offering potential as adjunctive therapies for resistant infections.
Area of Science:
- Nanomedicine
- Microbiology
- Antimicrobial Resistance
Background:
- Enterococcus faecium (E. faecium) is a common cause of urinary tract infections (UTIs).
- Multidrug resistance (MDR) in E. faecium is often due to efflux pump systems.
- These pumps reduce the effectiveness of antibiotics by expelling them from bacterial cells.
Purpose of the Study:
- To analyze antibiotic resistance patterns in clinical E. faecium isolates.
- To evaluate the antibacterial and efflux pump-modulating properties of tungsten nanoparticles (WNPs) and functionalized multi-walled carbon nanotubes (MWCNTs).
Main Methods:
- Antibiotic susceptibility testing and detection of efflux genes (efrA, efrB, emeA) in 58 E. faecium UTI isolates.
- Synthesis and characterization of WNPs and MWCNTs.
- Minimum inhibitory concentration (MIC) assays and quantitative real-time PCR to assess gene expression changes after nanoparticle treatment.
Main Results:
- High resistance rates observed for erythromycin (86.2%), tetracycline (81.0%), fluoroquinolones, and vancomycin (48.3%).
- Approximately 85% of isolates were classified as multidrug-resistant (MDR).
- WNPs and MWCNTs showed antibacterial activity (MICs of 750 µg/mL and 375 µg/mL, respectively) and downregulated efflux pump gene expression (1.8- to 2-fold).
Conclusions:
- Tungsten nanoparticles and functionalized MWCNTs possess antibacterial activity against MDR E. faecium.
- These nanomaterials effectively modulate efflux pump gene expression, suggesting a mechanism to overcome resistance.
- Further research and in vivo studies are warranted to explore their potential as adjunctive antimicrobial agents.
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