Open Access Article
Lipsa Leena
Panigrahi
a,
Ashirbad
Sarangi
a,
Bhabani
Shankar Das
ad,
Shashank
Shekhar
b,
Debapriya
Bhattacharya
c and
Manoranjan
Arakha
*a
aCenter for Biotechnology, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar-751003, Odisha, India. E-mail: marakha@soa.ac.in; manoranjan.arakha@gmail.com
bIndian Institute of Technology Hyderabad, Hyderabad, India
cIndian Institute of Science Education and Research, Bhopal-462066, India
dMedical Research Laboratory, IMS & SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
First published on 30th June 2025
A hybrid first-line tuberculosis antibiotic conjugated programable magnetic nanoplatform for application in precision therapeutics for treating tuberculosis (TB) is described. Here the citrate anion grafted multicore magnetic nanoparticles (MC-IONPs) enable the precise delivery of isoniazid (INH). This approach promotes specificity and synergistically improves the accumulation of isoniazid on the bacterial membrane interface, thus avoiding the need for higher doses for the treatment. Despite the wide use of isoniazid, there has been no optimal dose established for the treatment of TB, which has led to inadequacy in treatment outcomes. Also, the poor drug absorption and lack of proper knowledge of the pharmacokinetics of INH had made the rise of INH-resistant mycobacteria inevitable. The conjugation of INH on MC-IONPs is facilitated by electrostatic interaction. The successful conjugation was analyzed using FTIR (Fourier transform infrared spectroscopy) and zeta/DLS (dynamic light scattering). The nanoconjugate exhibited MIC (minimum inhibitory concentration) at 1.5 μg mL−1 and MBC (minimum bactericidal concentration) at 3.12 μg mL−1. The nanoconjugate was stable for up to 72 h and showed significant inhibition of replicating bacteria in growth kinetics assay. An increase in ROS (reactive oxygen species) formation is noted in cells treated with the INH–MC-IONP nanoconjugate. In the biofilm model, the mycobacterial biofilm is significantly inhibited (96%) at 12.25 μg mL−1 concentration. This nanoconjugate is also effective against persistent mycobacteria. Given these prevailing scenarios the data obtained suggest that this hybrid nanoplatform acts as a promising tool for application in enhancing the effects of INH with lower doses possible.
New conceptsA programmable nanoplatform consisting of isoniazid coated on citrate anion grafted multicore magnetic nanoparticles for application in target-based therapy for mycobacterial infection treatment has been developed. The novel structures of magnetic particles obtained by the modified polyol method present clustered morphology with grains as small as 8 nm. By utilizing subsequent electrostatic colloidal sorting to fractionate the suspension of iron salts and thereby sorting their magnetic properties these multicore nanoparticles consisting of maghemite and hematite cores were obtained. Notably, our approach consists of the following: (i) the single core size was about 8–10 nm, which cooperated magnetically to form multicore nanoparticles of size about 30–50 nm. (ii) The cooperative magnetic behavior within highly crystalline multicore magnetic particles subsequently improves therapeutics and diagnostics effectiveness over existing nanostructures when conjugated with a generalized drug. (iii) The mycobacterial targeting efficacy of our strategy impacts the replicating, biofilm, persistent, and dormancy phases of mycobacterium species. Thus, our finding provides new insights into using novel engineered nanoplatforms to treat TB. |
000 deaths have been attributed to multidrug-resistant (MDR) strains of Mycobacterium tuberculosis (TB), while 1.3 million deaths have been attributed to TB infections.1 Additionally, 10% of tuberculosis cases are currently caused by the extensively drug-resistant (XRD) strain, which has been documented in 92 countries.2 One essential first-line anti-TB medication that is used in both the intensive and continuation stages of treatment is isoniazid (INH).3 Currently, TB is targeted by employing combinatorial therapeutics comprising the “first-line” anti-TB medications such as ethambutol (EMB), rifampicin (RIF), isoniazid (INH), and pyrazinamide (PZA) for six months (short-term treatment).4 The distinction between TB patients’ and healthy individuals’ pharmacokinetic (PK) characteristics is yet to be deciphered. Furthermore, the oral administration of INH makes its absorption less effective for patients with diabetes, HIV, and gastrointestinal disorders.4 However, the side effects, such as peripheral neurotoxicity, liver toxicity, and renal toxicity, arising from the existing treatment regimens that are being followed also have an impact on patient life quality and adherence to the treatment strategies.4 In addition, over the past ten years, the number of TB drug-resistant cases has increased dramatically. 82% of cases of multidrug resistance, which is problematic, exhibit resistance to both RIF and INH.5 Despite the widespread use of these “first-line” drugs, specifically INH, the optimal dose of its treatment is yet to be established. Consequently, this leads to treatment failure and an increase in multi-drug resistance of TB strains. As a result, the need for an effective TB treatment regime is the need of the hour.
The concept of a nanoparticle-mediated drug delivery approach holds great promise in treatment and diagnosis; however, the precision needs are still unmet. Conjugating the active molecules with biocompatible polymeric carriers such as functionalized poly(ethylene glycols) or their block copolymers allows for effective drug administration and ensures sustained activity and controlled drug release.6 Recently, magnetic micro- and nanoparticles have found growing utility in biomedical applications, such as in magnetic separation, magnetic resonance imaging (MRI), and targeted drug administration.7 These applications leverage the principle of local application of a magnetic field to achieve targeted action of medical drugs, ensuring the delivery of active substances directly to the afflicted tissue. This approach is especially relevant for cytostatic agents like doxorubicin.8 We have utilized this approach in a novel engineered nanoparticle consisting of multiple cores. In medicinal applications, the hydrodynamic size of nanoparticles is crucial as it affects their circulation half-life in the body. Particles smaller than 10 nm are quickly excreted via renal clearance, while those larger than 200 nm are taken up by phagocytes and concentrated in the spleen.9 Both extremes result in a rapid decrease in blood serum concentration. Therefore, particles within 10–200 nm range are optimal for prolonged circulation. Particles smaller than 2 nm are generally unsuitable for medicinal use due to potential toxicity from intracellular organelle damage.8,9 Also, the attachment of multiple cargos to the nanoparticle surface introduces complexity, high production costs, and extensive purification procedures along with low yield, thereby significantly affecting its scalability and efficiency.10 Therefore, new paradigms in drug discovery are widely being explored to address the need for novel antibiotics.
Given all these considerations in this work, we provide a conceptual advance in the field. Accordingly, we have utilized a one-pot polyol approach and subsequent colloidal sorting to fractionate the suspension of ferrous and ferric salts by their size and magnetic properties. Citrate anions have been used to stabilize the nanostructure of the magnetically multicore nanoparticles. The three-dimensional orientation of primary cores results in enhanced magnetic susceptibility, allowing them to be used in precision medicine and therapeutics. This highly crystalline superparamagnetic multi-core iron oxide nanoparticle grafted with citrate anions has been loaded with the first-line TB antibiotic isoniazid (INH). In particular, we demonstrated that the conjugation has prompted specificity and enhanced antimycobacterial propensity against Mycobacterium smegmatis.
:
1 (v/v) ratio) were mixed to dissolve FeCl3·6H2O and FeCl2·4H2O in a 4
:
2 ratio. For 1 h, the mixture was stirred. Subsequently, 0.64 g (16 mmol) of NaOH was dissolved in a 40 mL mixture of DEG and NMDEA (1
:
1 (v/v) ratio). The iron chloride solution was added, and the mixture was stirred for another three hours. Next, the temperature was raised to 220 °C. Following the adjustment of the temperature to 220 °C, the solution was stirred for 18 hours and then cooled slowly to room temperature by removing the heating plate. The black sediments were magnetically separated and repeatedly cleaned with a 1
:
1 (v/v) solution of ethanol and ethyl acetate to remove organic and inorganic contaminants. Ten percent nitric acid treatment was used to get rid of any potential iron hydroxides. To prepare 10% nitric acid, 72.5 mL of the 69% nitric acid solution was added to 27.5 mL of deionized water to make 100 mL of 10% nitric acid solution. Then, after dissolving 8.25 g of the sample of iron(III) nitrate in 20 mL of water, the solution was added to the nanoparticles. The mixture was then heated to 80 °C for 45 minutes to fully oxidize the nanoparticles. Following, a further 10% nitric acid treatment, the particles underwent two rounds of acetone and diethyl ether washing before being re-dispersed in water. Currently, maghemite nanoparticles in an aqueous dispersion are stable in basic or acidic environments.
Citrate anions were grafted onto their surface by adding 1 g of citric acid per 20 mL of iron oxide nanoparticles to increase colloidal stability at biological pH. The nanoparticles were magnetically extracted from the excess citrate and washed using deionized water. The particles were dried at 60 degrees.
:
1.
After the evaluation of MIC, a growth kinetic study of isoniazid, MC-IONPs, and the INH–MC-IONP nanocomposite at MIC doses was executed against M. smegmatis. The bacteria were cultivated in a 7H9 medium supplemented with OADC (oleic acid, albumin, dextrose, and catalase) until reaching a final optical density of 0.05. A control group was established with no treatment to serve as a baseline for growth comparison. Incubation was conducted at 37 °C, and the optical density (OD) was assessed at 600 nm at 24-hour intervals over 72 h.
Cell viability was determined using the XTT-menadione-reducing assay. After washing the biofilm with phosphate-buffered saline (PBS), a freshly prepared solution containing XTT (200 μM, 48 μL) and menadione (60 μM, 2 μL) were added to each well, along with 158 μL of PBS. Following a 3 h incubation period, absorbance measurements were recorded at 492 nm using an ELISA plate reader.
:
100 dilution of bacterial cells per well, treated with sub-MBIC doses of isoniazid, MC-IONPs, and the INH–MC-IONP nanocomposite. This setup was then incubated for 56 hours to facilitate biofilm establishment. Following the phenotypic observation, the biofilm-covered coverslips were retrieved and rinsed with distilled water and 1× PBS. Subsequently, 2.5% glutaraldehyde solution was added to the coverslips, followed by 20-minute incubation at 4 °C to fix the adherent biofilms. After cleaning the coverslips with distilled water and 1× PBS, they were stained again for one hour at 4 °C using 1% osmium tetroxide. The coverslips were then washed with distilled water and 1× PBS, dried with varying concentrations of ethanol (30%, 50%, 70%, 90%, and 100%), and air dried at room temperature. The slides were incubated overnight at 4 °C before undergoing SEM imaging.
:
1 w/w polyol mixture that contains DEG and NMDEA at 220 °C for over 12 h. It was found that the collected particles had come together to form a structure resembling a flower. Therefore, some literature also mentions them as “nanoflowers”. Previous research has demonstrated that clustering and coalescence are due to the heating ramp and high-temperature phase.11 Following the development of the nanoparticles, forced oxidation using an iron nitrate solution was used to oxidize them into maghemite to maintain their chemical stability. As a result, monodisperse multicore nanoparticles (MC-IONPs) with a mean diameter of around 11.0 nm were obtained. The probable series of reactions leading to the formation can be summarised as follows:
Dissolution of ferric salts in polyols (DEG + NMDEA) is followed by their complexation and initial stabilization.
| FeCl3·4H2O → Fe3+ + 3Cl− + 4H2O | (1) |
| FeCl2·6H2O → Fe2+ + 2Cl− + 6H2O | (2) |
Following the addition of NaOH, the formation of iron hydroxides takes place
| Fe3+ + 3OH− → Fe(OH)3 | (3) |
| Fe2+ + 2OH− → Fe(OH)2 | (4) |
Upon heating, growth and nucleation take place leading to the formation of IONPs
| 3Fe(OH)2 → Fe3O4 + 2H2O +H2 | (5) |
The nanoparticles were arranged in three dimensions, as seen by TEM microscopy, Fig. 1(a). The MC-IONPs are made up of a collection of combined cores that have the same facet (Fig. 1(b)). The distance between the lattice planes is indicated in Fig. 1(c), which is around 0.193 nm. The nanoflowers are isotropic assemblages of cores that create almost spherical porous super-crystals; the total diameter depends on the number of cores present, according to the results of electron tomography. Fig. 1(d) shows the selected area electron diffraction (SAED) pattern as recorded from the area containing a high number of nanoparticles. The rings in the image can be indexed as (220), (311), (400), (422), (511), and (440), which are reflections of cubic magnetite in agreement with XRD results.12
SEM microscopy revealed the morphological feature of MC-IONPs, Fig. 1(e). They appear to be like spherical nanoparticles. EDAX analysis revealed the elemental composition of the MC-IONPs with 82.2% of iron and 17.8% of oxygen being detected (Fig. 1(f)). The inset in Fig. 1(g) presents the elemental analysis of MC-IONPs with yellow representing oxygen and blue representing iron.
Following the structural investigations by TEM, XRD patterns are also investigated and found to be consistent showing the γ-Fe2O3 crystalline structure as shown in Fig. 2(a). The peak positions obtained at (220), (311), (400), (422), (511), and (440) correspond to 2θ values of 30.06, 35.41, 43.03, 56.91, and 62.49 degrees respectively.12 The mean crystallite diameter (dXRD) for the single-core nanoparticles was calculated using the Scherrer equation and found to be 9.2 nm, which was in good agreement with a dTEM value of 10.3 nm obtained from the TEM image. Nevertheless, the dXRD ranged from 9.2 to 15.6 nm for the multi-core nanoparticles, which is consistently smaller than the TEM size. The high-resolution imaging revealed minor crystal structural misalignments at the core interface, which could account for the difference in the XRD and TEM readings.
The bond level properties of the formulated MC-IONPs were identified by FTIR analysis as shown in Fig. 2(b). The band found at 2870 cm−1 is attributed to the stretching of the C–H bond.13 The band found at 1600 cm−1 is attributed to bending vibrations of H–N–N.13 One explanation for the band seen at 1247 cm−1 and 1065 cm−1 is C–C stretching. The spectrum peak obtained at 1388 cm−1 corresponds to C–H methyl rock and is typically the IR spectrum of octane. Since there has been use of organic compounds during the synthesis these C–H vibrations are noted. The bands around 2360 cm−1 are extremely sharp. These bands around 2360 cm−1 are from the carbon dioxide gas. The metal–oxygen interaction is represented by the band seen at 534 cm−1.14
MC-IONPs' negative charge was demonstrated by their negative zeta potential value as shown in Fig. 2(c). The fact that the particles have a high negative zeta potential of −35.4 mV indicates that they are stable.15 The average hydrodynamic size corresponds to around 322.9 nm.15 DLS analysis showed that multi-core nanoparticles dispersed in the colloidal solution (Fig. 2(d)). The colloidal stability of the suspension at room temperature can also show the collective behavior of the intraparticle systems.15,16 The magnetic characteristics are revealed by the intraparticle interactions.17 The colloidal stability is largely attributed to the lack of intraparticle magnetic interactions, indicating that the superparamagnetic characteristics of MC-IONPs are retained. Furthermore, a larger apparent magnetic size and decreased anisotropy imply that our multi-core nanomaterials exhibit increased magnetic properties rather than the magnetic behavior of the individual cores.
The combined cores rotate to share the same crystallographic orientation and then undergo surface energy minimization during the polyol synthesis of the MC-IONPs. Consequently, the FCC structure of nano-formulation is a mono-crystalline inverse spinel. Recently, it has been demonstrated that the unique structure of multicore iron oxide nanoparticles is responsible for their exceptional performance as an MRI contrast agent and as a heating mediator for magnetic hyperthermia. The cooperative behavior of multicore particles can be attributed to exchange interactions between their constituent cores, as demonstrated by a comparison of their magnetic characteristics with those of single cores.18 The crystal continuity at the core interface, which also guaranteed spin orientation continuity, made the collective magnetic behavior of internal cores possible.18 Thus, the multicore particles showed increased sensitivity in comparison to the single core, while maintaining a superparamagnetic behavior due to a reduced surface anisotropy.19 Their exceptional MRI relaxivity and heating power were caused by the combination of their low magnetic, high saturation magnetization, and high sensitivity. Therefore, the biocompatible, water-dispersed multicore particles made of pure iron oxide hold great promise for biomedical applications involving the colloidal chemical synthesis of core–shell nanocomposites. This is because it presents a unique opportunity to control the degradability of MC-IONPs, allowing them to retain their magnetic properties during treatment and break down over time to be either eliminated by biliary excretion or processed locally by iron metabolism.20 The notion of hybrid nanostructures, comprising materials with varying environmental reactivity, presents a novel pathway for regulating the destiny of nanoparticles within organisms. To evaluate this technique in vivo, more research is required.
O stretching vibrations occur in the range of 1870–1560 cm−1.22 Hence, the C
O stretching mode is responsible for the strong band seen at 1662 cm−1 in the FTIR spectrum. Due to NH bending, primary and secondary amides exhibit a band or bands in the range of 1650–1515 cm−1. Amine groups are responsible for the band observed at 1548 cm−1. C–C vibrations are associated with the amine bands at 1412 cm−1.21 Absorptions in the range of 1260–700 cm−1 are observed for the C–C stretching vibrations. As a result, C–C stretching has been identified due to the band seen at 1220 cm−1, 1136 cm−1, 1019 cm−1, 886 cm−1, 850 cm−1, and 660 cm−1.22 For INH–MC-IONPs the peaks appeared at 3305 cm−1, 2866 cm−1, 2366 cm−1, and 1656 cm−1 due to functionalization. The peak at 2866 cm−1 corresponds to the C–H stretching vibrations from aliphatic chains. The peaks at 1656 cm−1 are usually indicative of C
O stretching from the carbonyl group.23 The isonicotinoyl hydrazine structure contains a carbonyl group, which could give rise to this peak. Also, this peak is indicative of the INH being conjugated to a nanoparticle surface or matrix.23 The peak obtained at 516 cm−1 is due to metal–oxygen interaction. The zeta potential value of the synthesized INH–MC-IONP nanocomposite was found to be −38.8 mV (Fig. 3(b)). The higher zeta potential might be attributed to the conjugation of negative INH. Accordingly, the hydrodynamic size of the INH–MC-IONP nanocomposites was found to be 359.7 nm. This increase in size upon INH conjugation is attributed to the electrostatic assembly of the drug on the surface of citrate-grafted MC-IONPs (Fig. 3(c)).
![]() | ||
| Fig. 3 Confirmation of conjugation of INH on MC-IONPs. (a) FTIR analysis of INH in comparison with INH–MC-IONPs. (b) and (c) zeta potential and DLS analysis of INH–MC-IONPs. | ||
M. smegmatis shares a significant amount of genetic similarity with pathogenic mycobacteria like M. tuberculosis and M. leprae, thereby making them an excellent model for understanding how mycobacteria develop resistance to anti-tuberculosis drugs like isoniazid and rifampicin.24 Also, the cell wall structure is similar to M. tuberculosis, making them more relevant for the study of the resistant phenomenon.24 The strain of M. smegmatis, when grown in its specific culture medium treated with various concentrations (0.07–250 μg mL−1) of INH, MC-IONPs, and INH–MC-IONP nanoconjugates, showed differential resistance and sensitivity behavior (Table 1 and Fig. 4). Among the test samples, MC-IONPs were found ineffective against the mycobacterium strain even at a concentration of 250 μg mL−1. However, the loss of mycobacterial cell viability was visible at 12.5 μg mL−1 and 1.5 μg mL−1 for the first-line TB drug INH and INH–MC-IONP nanoconjugates respectively. Positive controls containing only media and bacteria exhibited a clear blue-to-pink shift, confirming bacterial viability. Negative controls, containing only media, remained blue throughout the experiment, verifying the absence of contamination. The cell viability decreased consistently with the increase in concentrations of INH and INH–MC-IONP nanoconjugates and was further completely lost at the MBC dose. The MBC concentrations of INH and INH–MC-IONP are 50 and 3.12 μg mL−1 respectively.
| Nanoparticles (μg mL−1) | MIC | MBC |
|---|---|---|
| MC-IONPs (multicore iron oxide nanoparticles) | 250 | — |
| Isoniazid (INH) | 12.5 | 50 |
| INH–MC-IONP nanoconjugates | 1.5 | 3.12 |
The generation of reactive oxygen species by INH, MC-IONPs, and INH–MC-IONP nanoconjugates was assessed in terms of fluorescence intensity using 2′7-dichloro-dihydro-fluorescein diacetate (DCFH-DA) dye. Fluorescence intensity was measured at 24 h intervals for a 48 h period (Fig. 5(b)). There was a significant increase in the intensity in the INH and INH–MC-IONP treated group compared to the control and MC-IONPs. Overall, the INH–MC-IONP nanoconjugates induced the highest ROS production.
Correspondingly, the XTT-menadione assay indicated a marked decrease in cell viability within the biofilms upon treatment. This result is consistent with the biofilm assay with only 7% of viable cells being noted for the INH–MC-IONP nanocomposite and 38% of viable cells being noted for INH.
166
666.67 ± 251
661.1478, whereas INH treated plates show a decreased cell count at 900
000 ± 264
575.1311. Furthermore, the INH–MC nanoconjugate showed 630
000 ± 615
386.0577 viable cells, thereby establishing the fact that the INH–MC nanoconjugate is effective against persistent M. smegmatis (Table 2).
| Bacterial strain | Control | INH (50 μg mL−1) | INH–MC-IONP nano-conjugate (12.5 μg mL−1) |
|---|---|---|---|
| Mycobacterium smegmatis (MTCC 155) | 18 166 666.67 ± 251 661.1478 |
900 000 ± 264 575.1311 |
630 000 ± 615 386.0577 |
It can be inferred that the mechanism behind the action of the INH–MC-IONP nanoconjugate against mycobacteria follows the classical mycolic acid inhibition strategy of the INH. Since iron oxide intrinsically does not possess any significant antimycobacterial activity it could not aid the pore formation on the bacterial membrane. However, upon internalization, as seen in the persistent model, the INH–MC-IONP nanoconjugates performed superiorly. Also, the loading of lower doses of INH could facilitate lower cytotoxicity when used in in vivo models (Fig. 8).
The potential mechanism for the development of MC-IONPs is based on the importance of the duration at the final plateau temperature from that of the initial heating period.11 The heating path produces a variety of multicore sizes; regular heating, or a lower heating slope, better controls seed aggregation. Regular heating hence produces aggregates with a restricted size distribution. Likewise, the initial decrease in seed repulsion causes larger flowers when NaOH is added, and vice versa.11 Aggregate growth is still permitted for the first two hours of the second stage at the plateau temperature. However, further heating at the plateau temperature (220°) mainly induces the coalescence and reorganization of the aggregated seeds.11 The longer the plateau length, the better aligned the individual seeds' crystal lattices are. Monocrystalline multicores ripen more readily on longer plateaus. The multicores formed following regular heating display a reduced number of grains (size < 28.5 nm) with high ordering and heating power, which aligns with this method. The fact that the suggested MC-IONPs are made entirely of iron oxide and don't contain any biogenic or potentially harmful inorganic components that can trigger immunogenicity is another important benefit. Furthermore, the chemical and magnetic characteristics of MC-IONPs hold steady over time under both aquatic and growth conditions since maghemite is the fully oxidized form of iron oxide.28 Their excellent heating properties are further guaranteed by their colloidal stability in culture media, which inhibits the production of large aggregates.28 This makes MC-IONP-based nanostructures the best option since iron oxide nanoparticles may be broken down and utilized by the body's iron metabolism without causing harm. A magnetic ordering across the interface and, as a result, a cooperative magnetic behavior are favored, as demonstrated by Lartigue et al., by the oriented attachment of individual cores that comprise the IONFs and the ensuing continuity of their crystallographic orientation with a few degree misalignment of the cores.29 Hence, despite maintaining their superparamagnetic characteristic, the MC-IONPs show increased magnetic susceptibility and decreased surface disorder. Yet, a variety of factors, including the size of the particles' overall mass, the number of cores inside the particles, and their size, affect the magnetic effectiveness of MC-IONPs. Furthermore, studies have already been conducted on the biological effectiveness of citrate-coated multi-core nanoparticles for the treatment of cancer, as well as their interactions with the human breast cancer MCF-7 cell line. Multicore iron oxide nanoparticles were incubated in serum-free media with cells at various iron concentrations (0.2–5 mM). The citrate ligands facilitate the easy adsorption of nanoparticles on the cell plasma membrane, as was previously shown for nanoparticles produced by co-precipitation. This results in quick and effective uptake of the particles by tumor cells by endocytosis. On the other hand, because of their weak affinity for the cell membrane, dextran- or polymer-coated nanoparticles would take a lot longer to achieve comparable uptake. After one hour of treatment, 20% of the lower-concentration cells turned necrotic, while 60% of the higher-concentration cells did the same. Thus, the dose-dependent thermal effect directly translates to dose-dependent cytotoxicity. In research conducted by Padwal et al., biocompatible citric acid-coated iron oxide nanoparticles synthesized via coprecipitation were shown to enhance the uptake of existing anti-TB drugs and could be a viable strategy for TB treatment.30 The uptake of these nanoparticles by M. smegmatis was found to be concentration-dependent, up to 32 μg mL−1. The presence of CA-MNPs doubled the intracellular levels of rifampicin compared to when the drug was used alone. Similarly, reactive oxygen species (ROS) levels, indicative of intracellular isoniazid, were higher in cells treated with both nanoparticles and isoniazid than with the drug alone.30 Another example was provided by Gifford et al., who showed that the Small Molecule Variable Ligand Display (SMLVD) approach for finding nanoparticle antibiotics could be expanded around a ligand feed ratio parameter space to find gold nanoparticle conjugates that are highly effective growth inhibitors for mycobacteria.31 Compared to encapsulated nanoparticles, our multi-core constructs have several advantages. The lack of a matrix and the ensuing close contact between the individual cores promote cooperative behavior, which increases the global magnetic moment while preserving superparamagnetic characteristics and exceptional colloidal stability. The multi-core nanoparticle suspensions presented here have additional benefits beyond the new understanding of collective magnetic behavior. Specifically, the citrate coating offers unique advantages for cell labeling, and the collective effects modify the dynamics of the magnetic moment in a way that enhances both longitudinal and transverse relaxivities.32
Isoniazid in this context has a very long history of over 60 years as an irreplaceable first-line TB antibiotic engaged in both intensive and continuation phases of therapy.33 However, the incidence of drug-resistant TB is rising. According to recent statistics, in Eastern Europe, one in three TB cases is resistant to INH, compared to one in seven cases in other regions.34 This highlights the crucial need for new strategies to tackle resistant organisms. To tackle resistance, it is essential to understand the function of the drug. Generally, INH is a prodrug that enters the cytoplasm of mycobacterium through passive diffusion and gets activated by the enzyme KatG.35 KatG activates INH through peroxidation, producing intracellular reactive INH-derived species. Various oxidants, such as superoxide, hydrogen peroxide, and simple alkyl hydroperoxides, facilitate this process.35 This activation generates oxygen- and carbon-centered free radicals, which are hypothesized to be crucial for mycobacterial cell killing by damaging lipids, proteins, and nucleic acids.35 Despite this, the discovery that INH inhibits cell wall lipid synthesis by forming inhibitory adducts with NAD+/NADP+ shifted research focus away from this mechanism.36 Interestingly, M. smegmatis mutants lacking mycothiol synthesis, an important antioxidant in M. tuberculosis, showed increased resistance to INH but heightened sensitivity to other oxidants, suggesting a complex role for INH-derived radicals.36 Therefore, the appropriate mechanism of action of isoniazid is yet to make convincing progress since it requires combinational approaches of bacterial genetics, biochemical works, and detailed free radical chemistry.37 Looking ahead the nanotechnology-based approach of constituting engineered nanoparticles might act in combination as a potent antituberculosis cocktail and would be able to attack multiple targets.
The interaction of INH–MC-IONPs with the bacterial membrane triggers a series of thermodynamical and physio-chemical reactions, which in turn alter the membrane surface tension, generating mediated chemical modifications of accessible functional groups of the membrane. Henceforth, the interactions between the assembled INH at the MC-IONP interface play an important role in determining the antibacterial propensity of the conjugates compared to the individual entity.
M. smegmatis comprised of a thick waxy cell wall rich in mycolic acid is more complex than typical Gram-positive organisms. Although M. smegmatis does have an overall negative surface charge due to the presence of acidic phospholipids; however, the lipid-rich outer membrane is highly impermeable to many substances including nanoparticles, thereby preventing the effective penetration between the negatively charged MC-IONPs even at millimolar concentration,38 whereas on the other hand using nanoparticles in combination with agents that can weaken or disrupt mycobacterial cell walls enhances the overall antimicrobial effect. In contrast, INH disrupts the synthesis of both mycolic acids and nucleic acids. It was discovered that INH oxidation in the presence of NADH and InhA produced potent covalent INH–NADH adducts, which are InhA inhibitors. An enoyl acyl carrier protein reductase called InhA participates in the production of mycolic acids, so its inhibition is consistent with mycobacteria's particular susceptibility to INH.39 It was subsequently demonstrated that these adducts could develop during INH oxidation when NADH is present in free solution by Minisci introducing the isonicotinoyl radical into NAD. This happens at roughly 106 M−1 s−1.40 The metabolic consequences of NADH/NAD+ ratios on INH sensitivity in mycobacteria provide more evidence for the role of NAD+ in the production of INH–NAD adducts wherein decreased levels of NAD+ conferred INH resistance, as well as via changes to the NADH oxidase gene and in some isolates resistant to INH. Adducts of INH-NAD that can inhibit InhA are produced in simple KatG-catalysed reactions.41 Also, the INH–NADP adducts strongly inhibit MAbA, which is an NADPH-dependent ketoacyl-ACP reductase that is also central to mycolic acid synthesis. Thus, INH adducts of both NAD+ and NADP+ could inhibit different steps in cell wall lipid synthesis.41
The physicochemical properties of MC-IONP assist in further permeabilization of the conjugate through the ROS-mediated change in the bacterial membrane surface. The non-covalent interaction arising from different functional groups present over the conjugate interface and bacterial membrane cooperatively generates a significant amount of energy to catalyze the conjugate permeabilization process. Different physicochemical properties of the membrane interface, like (i) stretching and elasticity of the membrane, (ii) thermal fluctuation of the cell membrane, and (iii) hydrophobic exclusion of polar surfaces by the membrane, will resist the conjugate against permeabilization. However, microscopy data indicated that the conjugate interactions with the membrane interface generate a sufficient amount of energy to help the permeabilization without splitting the conjugate. The increase in surface tension with time at the loci of adhesion of the INH–MC-IONP conjugate and membrane causes the conjugate's invagination, leaving behind the pore/cavity of respective size (Fig. 7). The cavity(s) results in the rapid efflux of the vital cellular moieties leading to loss of cell viability. Upon internalization of the conjugate, the conjugate kills the bacteria by targeting and damaging various intracellular biomolecules in the ROS-mediated pathway, in addition to the INH mediated cell death. The data, together, indicated that, besides the broadening of INH activity against M. smegmatis at sub-micromolar concentrations, the MC-IONP interface enhances the efficiency of of the INH assembly. Hence, the interfacial assembly of INH at the MC-IONP interface enhances the antimycobacterial efficacy, Fig. 10. Findings from the study reveal that electrostatic interactions play an important role in the interfacial assembly of INH at the MC-IONP interface, forming stable conjugates. The interfacial assembly is confirmed by the change in the nanoparticle's specific SPR signature, IR signatures for metals and bonds, and surface potential neutralization. Additionally, the interaction energy and interfacial ROS generation play an important role in destabilizing the membrane to favor the conjugate permeabilization process. The cavity formed in the membrane on the permeabilization and the intracellular ROS generation, primarily, results in the cell's non-viability. Hence, this conjugate can be adopted as a potential antibacterial formulation to broaden the efficacy of INH.
| This journal is © The Royal Society of Chemistry 2025 |