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.

Abstract

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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