Zengchao
Guo†
,
Yun
Chen†
,
Yihan
Wang
,
Hui
Jiang
and
Xuemei
Wang
*
State Key Laboratory of Bioelectronics (Chien-Shiung Wu Lab), School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China. E-mail: xuewang@seu.edu.cn
First published on 26th February 2020
Multi-drug resistant bacterial infection has become one of the most serious threats to global public health. The preparation and application of new antibacterial materials are of great significance for solving the infection problem of bacteria, especially multi-drug resistant bacteria. The exceptional antibacterial effects of metal nanoparticles based on their unique physical and chemical properties make such systems ideal for application as antibacterial drug carriers or self-modified therapeutic agents both in vitro and in vivo. Metal nanoparticles also have admirable clinical application prospects due to their broad antibacterial spectrum, various antibacterial mechanisms and excellent biocompatibility. Nevertheless, the in vivo structural stability, long-term safety and cytotoxicity of the surface modification of metal nanoparticles have yet to be further explored and improved in subsequent studies. Herein, we summarized the research progress concerning the mechanism of metal nanomaterials in terms of antibacterial activity together with the preparation of metal nanostructures. Based on these observations, we also give a brief discussion on the current problems and future developments of metal nanoparticles for antibacterial applications.
Based on exceptional antibacterial performance and high specific surface area, nanomaterials have been widely studied by researchers all over the world as the most promising antimicrobial substances, and bacteria can hardly develop resistance owing to the complex antibacterial mechanism of nanomaterials (Fig. 1).2–5 As an important branch of nanomaterials, metal nanomaterials with interesting magnetic, electrical, photothermal and other excellent physicochemical activities,6,7 as a kind of popular materials, have been used as potential antimicrobial agents.8–11 The latest research shows that in addition to antimicrobial drug loading, metal nanomaterials can also be used for bacterial infection detection and treatment.12–16 The antibacterial properties of metal nanomaterials depend strongly on the size, shape and composition of their structures. To date, diverse methods have been developed to synthesize metal nanomaterials in a variety of shapes such as rods, clusters, cubes, spheres, cages, etc.17–23 Among many metallic elements, gold and silver as “noble” metals have been the focus of various research areas in recent years. In this article, we will briefly review the synthesis strategies and possible antibacterial mechanism and challenges of some metal nanomaterials including Au and Ag.
Since Faraday first discovered gold nanoparticles by employing a two-phase approach in 1857,26 gold nanostructures (NPs) with various morphologies have been successfully synthesized through a variety of methods (Table 1).
At present, the simplest way to synthesize monodisperse, spherical gold nanoparticles is still to use sodium citrate to reduce chloroauric acid (HAuCl4) in an aqueous solution, which was reported by Turkevich et al. in the early 1950s.27,28 They found that adding citrate to HAuCl4 could temporarily change the pH of the reaction medium, and then change the nature of the HAuCl4 and therefore its reactivity. Xia et al. improved the traditional Turkevich method to prepare monodisperse, spherical gold NPs with sizes varying from 12 nm to 36 nm.29 According to the famous LaMer model,30 the brief separation of nucleation and growth steps is the crucial factor for the formation of monodisperse, spherical gold nanoparticles. In the method of seed-mediate growth, pre-formed small nanoparticles are not only used as the reduction catalyst, but also as the nucleation site (seed) of metal ions, which was widely used in the synthesis of monodisperse spherical gold NPs larger than 12 nm in size.31,32 Liz-Marzán et al. reported that monodisperse spherical gold nanoparticles ranging in size from 12 nm to 180 nm were successfully synthesized by the seed growth method, and hexadecyl trimethylammonium bromide (CTAB) was used as the capping agent to control the growth of nanoparticles.33 Puntes et al. synthesized spherical gold nanoparticles with highly monodisperse and uniform size by reducing HAuCl4 with sodium citrate and controlling the growth process of seeds by kinetics (Fig. 2).34 Liu et al. reported a simple, rapid and surfactant-free method of synthesizing spherical gold nanoparticles with sizes ranging from 12 nm to 230 nm using hydrogen peroxide as a reducing agent.35
Fig. 2 Illustration of the different growth pathways for the kinetically controlled seeded growth of Au NPs.34 |
In addition to spherical gold nanoparticles, anisotropic gold nanomaterials, such as gold nanorods (NRs), are of considerable interest because they exhibit better chemical and physical properties than spherical gold NPs. Among the methods, the seed-mediated growth method requires less equipment and the preparation process is simple, and it has received the most extensive attention and become the primary method of wet chemical synthesis of gold NRs. The seed-mediated growth method mainly includes two steps. The first step is to prepare small-size seeds, which are generally smaller than l0 nm. The second step is to add seeds into the growth solution as inducing agents. The preparation of the growth solution is generally obtained by reducing chlorauric acid (salt) with weak reductants (such as hydroxyammonia and ascorbic acid).
The seed growth method was first developed by Murphy's group; the main drawback is the low yield.36 To overcome the problem, they then refined the process so that the yield reached 90%.37 Later, Huang et al. improved Murphy's method and obtained gold nanorods with a narrow size distribution and high yield after adding HNO3 into the growth solution.38,39 Based on these studies, Nikoobakht et al. proposed the theory of Ag+ assisted growth and further improved this method.40 Subsequently, researchers extensively studied the specific conditions in detail, and Jana et al. found that the seed size had an important effect on the symmetry of the Au NRs.41 Park et al. believed that the by-products of gold nanorods synthesized by the seed growth method were mainly caused by insufficient understanding of the early growth of gold nanorods.42 In addition to the typical capping agent CTAB, a large number of other additives have also been introduced into the process of preparing gold nanorods by the seed growth method, such as copper ions,43 aromatic additives,44 sodium oleate45 and so on. Jiang et al. added AgNO3 into the solution to promote the reaction; they prepared gold nanorods with a narrow size distribution, and the volume of gold NRs accounted for 79% of the whole product.46
Meanwhile, as a bridge between individual atoms and large plasmonic nanoparticles, ultrasmall noble metal nanoparticles with core size less than 3 nm that contain few atoms are another exciting research area that deserves special attention.47,48 In order to gain high-quality Au NCs, the reducing condition should be strict, and the ligand should have reliable interaction with metal NCs. Small thiol molecules were first used to prepare Au NCs by reduction of a Au precursor with NaBH4.49,50 The fluorescence emission of these gold nanoclusters can be effectively regulated from the blue region to the near-infrared region (NIR). A poly(amidoamine) dendrimer, as another attractive ligand, has also been employed to synthesize Au NCs with QY > 10%.51 Furthermore, Santiago et al. reported the synthesis of Au NCs with only 2–3 atoms by a simple electrochemical method using polyvinylpyrrolidone (PVP); the Au NCs also had magnetic properties.52 Due to the expensive synthesis process or the use of toxic reagents, utilizing biological ligands can effectively decrease the possible toxicity of Au NCs and increase their suitable applications in biomedicine. Using bovine serum albumin (BSA) as a bio-ligand, Xie et al. synthesized Au NCs with red emission by using a simple, one-pot, “green” synthetic route at physiological temperature as shown in Fig. 3.53 Lysozyme is also a better reducing agent; Wei et al. employed lysozyme as a friendly reagent for the synthesis of highly fluorescent Au NCs.54 In addition, both DNA55,56 and proteins such as pepsin,57 lactoferrin,58 trypsin59 and papain60 can also be used as ligands to synthesize Au NCs. In recent years, in situ biosynthesis of gold nanoclusters has attracted a wealth of attention, due to its biocompatible and economic nature and low-toxicity. Wang's group conducted pioneering research and reported that fluorescent gold nanoclusters are spontaneously biosynthesized by cancerous cell when incubated with micromolar HAuCl4 solutions.61–63 Furthermore, Goswami et al. synthesized gold nanoclusters on a bacterial template for enumeration and detection of bacterial contaminants and kanamycin-resistant strains.64
Fig. 3 Green synthesis of BSA–Au NCs.53 |
Based on these studies, Chen et al. improved the seed growth method; by controlling the proportion of seeds and growth solution and adding other ions, gold nanoparticles with different morphology including spherical, rod-shaped, fusiform, star-shaped and triangular shaped could be obtained. Temperature has a significant effect on the product. As can be seen from Fig. 4, when the temperature changes between 40 °C and 90 °C, the products transition from rod shape to triangle shape and finally become spherical products.65 Shao et al. adopted the method of aspartic acid reduction for HAuCl4, and obtained a large number of gold nanoparticles with triangular, hexagonal and irregular flake structure particles.66
Fig. 4 (a–f) TEM images of Au nanoparticles at various temperature conditions as labeled in each image.65 |
Among special morphologies, many studies have been done on gold nanoparticles with multiple branches. Compared with the traditional spherical and rod-shapes, they have a larger specific surface area, and their high activity and sharp edge structure can be modified to a superhydrophobic surface and oil-phobic surface, as well as sizeable magnetic field enhancement, etc., which brings enormous potential applications, such as electrocatalysis, SERS, surface plasma and others.67–69 The methods of preparing gold nanostructures with branched arms include gas phase polymerization,70 ultrasound-assisted methods,71 hydrothermal methods72 and so on. Yamamoto et al. prepared star-shaped gold nanoparticles by reduction of polyvinyl-2-pyrrolidone.73
So far, different synthesis methods of silver nanocubes have been reported, including wet chemistry, hydrothermal synthesis and polyol methods. Chao et al. prepared silver nanocubes by a seed-assisted wet chemistry method. With the help of similar lattice constants of Ag and Pt, they induced the synthesis of silver nanocubes by using single crystal Pt seeds, and effectively adjusted the size of the silver nanocubes by changing the content of the seeds.79 However, this method is very complicated and has low yield, which limits its practical application. Chang et al. proposed a hydrothermal method to synthesize high-quality silver nanocubes. They took cetyltrimethylammonium bromide (CTAB) as an inducer, ammonia as a complexing agent, silver nitrate as a silver source and glucose as a reducing agent, and heated water at 120 °C to form silver nanocubes with a size of 9.3 ± 4.1 nm.80
Actually, the preparation of nanocubes by the polyol process reported by Xia's research group is the biggest breakthrough and has been widely used in the synthesis of silver nanocubes.81–83 They prepared silver nanocubes with high quality and high yield by an oil bath polyol method, and the size of the silver nanocubes could be controlled. It has been found that silver nanocubes are single crystal structures, but the product of pyramid and nanowire structures is easily obtained in the traditional polyol process, which is due to the formation of seeds of twinned structure in the initial stage. In order to obtain high purity silver single crystal seeds, twinned seeds must be oxidized and etched into single crystal seeds at the beginning of the reaction. Jeon et al. reported an improved oil bath polyol process in which hydrochloric acid was added to form a strong nitric acid oxidizing agent and O2/Cl− etching agent to etch and dissolve the twinned seeds into pure single crystal seeds in the initial stage, and finally get silver nanocubes of uniform size and shape.84
The synthesis of silver nanowires is another exciting research field that deserves special attention. Many methods can be used to effectively synthesize Ag NWs, such as wet chemistry, template, hydrothermal and polyol methods. The template method is an essential technique for synthesizing silver nanowires, mainly including cationic alumina (AAO), nanotubes, biological DNA and so on. The template can prevent agglomeration between the Ag NWs during the growth process, and can effectively control the orientation, size and morphology of the Ag NWs. Braun et al. first reported the synthesis of conductive Ag NWs by a DNA template method, which used ion exchange to load the DNA with silver ions, and the silver was collected on the DNA skeleton by reduction. Then, Ag NWs with a diameter of 100 nm and length of 12 μm were prepared in citric acid buffer solution.85 Park et al. designed a three-dimensional helical beam DNA structure and used it as a template to synthesize Ag NWs with a diameter of 20 nm.86 Yang et al. synthesized nanowires with cationic alumina (AAO) as a template and obtained nanowires with a diameter of 35 nm.87 Kim's group used calixarene-4-hydroquinone (CHQ) nanotubes as templates and combined with ultraviolet radiation technology to prepare nanowires with a diameter of 0.4 nm and length of up to microns. The method is carried out under normal temperature and pressure, which solves the previous problem of high temperature and high pressure in the preparation of nanowires and improves the stability of the products.88,89 Although the template method is relatively controllable, there are some problems such as difficulty in template removal and aggregation of nanowires after template removal, which lead to the limitation of application of the prepared nanowires. The wet chemistry method generally synthesizes silver nanowires in a liquid phase system (such as water) under the action of a reducing agent and structure directing agent. With ascorbic acid as the reducing agent, PMMA as the coating agent and water as the solvent, Zhang et al. synthesized nanowires with a diameter of 30–40 nm.90 Zhang et al. used a wet chemistry method to reduce AgNO3 at 100 °C with Cu2O as a reducing agent and structure-guiding agent and water as a synthetic solvent to prepare nanowires with a diameter of about 50–500 nm and a length up to several tens of microns.91 The hydrothermal method is to add a polymer surfactant to induce the growth of silver nanowires along the one-dimensional direction in an aqueous phase system, so as to realize the directional growth of silver nanowires and thus synthesize silver nanowires with a high length–diameter ratio. At the same time, the relatively closed environment also makes the product purer. Wang et al. mixed AgNO3 and NaCl in aqueous solution and used glucose as a reducing agent to prepare silver nanowires with higher purity.92 Caswell et al. prepared silver nanowires about 12 nm long in an alkaline solution of sodium hydroxide with sodium citrate as a reducing agent without introducing crystal seeds and a surfactant.93
Compared with the above preparation methods, the polyol method can control well the morphology and size of nanomaterials. It is easy to operate, environmentally friendly, and produces a high length–diameter ratio and purity of silver nanowires. In short, the polyol method is to use polyols (EG, DEG, etc.) as a solvent or reducing agent, add a surfactant (such as PVP) as a dispersion stabilizer and inducer, and reduce the silver precursor to obtain silver nanowires at a certain temperature. Sun et al. introduced Ag or Pt crystal seeds into ethylene glycol solvent and synthesized silver nanowires with a diameter of 30–40 nm and a length of 50 nm with PVP as the structure guide.94 In this method, silver nanowires of different sizes can be obtained by controlling the ratio of PVP/AgNO3. Xia's team prepared 100 nm silver nanowires by introducing NaCl and KCl. They found that under the condition of high concentration of Cl−, Cl− acted with oxygen atoms in the system to inhibit the formation of nanowires.95 The researchers then studied the effect of metal ions (Cu2+, Fe3+) on the reaction products. Korte et al. studied the effects of CuCl2, Cu(NO3)2 and CuCl on the products, and concluded that Cu2+/Cu+ could prevent the etching of silver nanowires by O2 and promote the growth of silver nanowires, as shown in Fig. 5.96 Ma et al. rapidly prepared silver nanowires with a diameter of 80–323 nm by adjusting the FeCl3 concentration at a high AgNO3 concentration.97 In addition, Lee et al. made silver nanowires with a diameter of 120 nm and a length of 400–500 pm by a continuous multi-step polyol method, using glycol as the reducing agent and solvent, AgNO3 as the silver source and PVP as the surfactant.98 Ran et al. prepared silver nanowires with a length–diameter ratio over 1000 by the polyol method. In this method, they introduced a mixture of surfactants pvp-k30 and -k90, which could adjust the size of the silver nanowires by changing the proportion of PVP of two different degrees of polymerization.99
Fig. 5 Schematic illustration depicting the role of Cu2+ in the polyol synthesis of Ag nanowires.96 |
Besides these studies, silver nanoclusters with photoluminescence were discovered as early as the 1980s, but early researchers synthesized silver nanoclusters only in the solid and gas phases, such as zeolites,100–102 cryogenic inert gas103–105 and inorganic glass.106,107 In the 1990s, Henglein's group synthesized silver nanoclusters in the liquid phase for the first time, studied their physical and chemical properties in detail, and clearly pointed out that silver nanoclusters have non-metallic properties.108–114 However, the synthetic water-soluble silver nanoclusters can only be stabilized for several hours, and fluorescence properties have not been reported. In 2002, Dickson and his team used a dendrimer as a template to synthesize stable water-soluble silver nanoclusters for the first time, which opened the research boom of silver nanoclusters.115
The branching structure of a polymer facilitates the formation of pores that protect the silver nanoclusters from agglomeration. Zheng et al. conducted pioneering research and synthesized stable silver nanoclusters for the first time with hydroxy-capped PAMAM as a ligand.115 Lesniak et al. further demonstrated that the silver nanoclusters synthesized with PAMAM as a template have excellent biocompatibility and can be used as markers of cells.116 Since it has been found that high density carboxyl groups contribute to the synthesis of silver nanoclusters, poly(methacrylic acid) (PMAA), a common and commercially available polymer, has also been used as a template for the synthesis of silver nanoclusters. Dong and his team first reported the synthesis of silver nanoclusters emitting red fluorescence through ultraviolet radiation (365 nm) using PMAA as a template and the silver nanoclusters were used to determine Cu2+.117,118 Subsequently, Liu et al. synthesized silver nanoclusters using PMAA as a template by a microwave irradiation method and used them to determine Cr3+.119 In addition, Yuan et al. synthesized blue-green fluorescent hPEI-AgNCs with hyperbranched polyethylenimine (hPEI) as the ligand and ascorbic acid as the reducing agent; the nanocluster has excellent pH stability and can be used for the detection of Cu2+ (Fig. 6).120
Fig. 6 (a) Synthetic strategy of hPEI-AgNCs and (b) hPEI-AgNC-based nanoprobes for the detection of Cu2+.120 |
Small molecule compounds such as mercaptosuccinic acid, glutathione and other structures containing sulfhydryl groups have a strong complexation ability to silver ions, protect Ag NCs against agglomeration, and can also be used as ligands to synthesize silver nanoclusters. Wu et al. first synthesized silver nanoclusters using 2,3-dimercapto succinic acid (DMSA) as the template.121 Subsequently, dihydrolipoic acid was also used as a template for the synthesis of silver nanoclusters that emitted red fluorescence and were used for the determination of Hg2+ (Fig. 7).122 Pradeep et al. used mercaptosuccinic acid (H2MSA) as a template to obtain silver clusters with different numbers of atoms (Ag7, Ag8123 and Ag9124 nanoclusters) through different reaction pathways. Yuan et al. developed a reverse transfer method with sulfhydryl compounds as ligands, that is, after chemical reduction in the water phase, the system was transferred to ethanol for slow etching, and the synthesized silver nanoclusters had better dispersion, ultra-high stability and ultra-small size.125 Zhu et al. synthesized GSH-Ag NCs with blue and red double emission fluorescence. When the concentration ratio of GSH and Ag+ changed during the synthesis process, the fluorescence intensity of the double emission peak changed accordingly.126
Fig. 7 The formation of an Ag nanocluster–DHLA nanoconjugate.122 |
The high affinity of DNA to metal ions is mainly due to the strong interaction between metal ions and heterocyclic rings of bases.127 There are many advantages of using DNA as a template to synthesize silver nanoclusters. For example, the synthesized silver nanoclusters have high fluorescence quantum yield, and the size and fluorescence emission wavelength of the silver nanoclusters can be controlled by adjusting the DNA base sequence. Petty et al. first synthesized fluorescent silver nanoclusters with single-stranded DNA of 12 bases (5′-AGGTCGCCGCCC-3′) as a template under NaBH4 reduction, and proved that there was a strong binding force between Ag+ and cytosine, as shown in Fig. 9a.128 Since Ag+ has different affinities with the four bases, the fluorescence properties of silver nanoclusters can be regulated by changing the sequence of DNA. Richards et al. used gene chip technology to optimize five single chain sequences, which can be used to synthesize silver nanoclusters with different fluorescence emission, with emission wavelength from the visible region to the near-infrared region.129 Eun et al. used melamine to improve the fluorescence intensity and stability of DNA-silver nanoclusters. The results exhibited a ca. 3-fold larger fluorescence efficiency and long-term stability (70 d) in contrast to those of DNA–Ag NCs in the absence of melamine (Fig. 8).130 Besides, double-stranded DNA can also be used for the synthesis of silver nanoclusters. Guo et al. designed a specific sequence of double-stranded DNA in which a cytosine-rich hairpin structure was inserted as a template for the synthesis of silver nanoclusters (Fig. 9b).131 The silver nanoclusters were found to be highly sequence-dependent and specifically recognize gene mutations of sickle cell anemia. Subsequently, Ma et al. found that the mismatched base sites of double-stranded DNA could specifically grow silver clusters.132 Gwinn and his team studied the dependence of the fluorescence of silver nanoclusters on the secondary structure of DNA, and for the first time synthesized four kinds of silver nanoclusters by regulating the number of cytosines using hairpin DNA as a template.133
Fig. 8 (a) Illustration of melamine-promoted formation of Mel-DNA-Ag NCs with improved fluorescence properties. (b) Fluorescence excitation and emission spectra and (c) fluorescence images under UV light of solutions formed in the absence of the DNA template (i – black), in the presence of the DNA template (ii – blue), and in the presence of the DNA template together with melamine (iii – red).130 |
Fig. 9 (a) The formation of Ag nanoclusters using a DNA oligonucleotide as a scaffold128 and (b) use of two different DNA duplexes with inserted cytosine loops working as synthetic scaffolds to generate fluorescent Ag nanoclusters.131 |
In addition to the above-mentioned silver nanocubes, silver nanowires and silver nanoclusters, other silver nanostructures such as nanospheres, nanosheets and nanotubes have also been facilely obtained through different methods. These different morphology silver nanomaterials exhibit different electrical, thermal and optical properties, which enriches the applications of silver nanomaterials.
Au NPs with high specific surface area were modified to interact with proteins on the surface of bacterial membranes. Different proteins expressed on different bacterial surfaces had little effect on Au NP adhesion to the bacterial membrane surface. Studies have shown that Au NP aggregation on different bacterial surfaces was observed to differ only in morphology and amount, but the effect was similar.135 Li et al. treated bacteria with Au NPs and then bleached and developed them with propiridine iodide (PI); significant destruction of the bacterial membranes was found. Thus, the modified Au NPs could accumulate on the bacterial membrane and affect its stability and integrity.136
Meanwhile, the intracellular antibacterial activities of Au NPs include the effects of its adjuvant antibacterial agents and its own antibacterial activities. Au NP-assisted antibacterial agents play a major role by carrying high concentrations of antibacterial drugs such as small molecule antibiotics, antimicrobial peptides and amphoteric cationic ligands into the cell through the uptake of bacteria.137–141 The combination of Au NPs with antibacterial agents reduces the resistance of the bacterial membrane physical barrier to antibacterial drugs and improves the efficiency of the entry of antibacterial drugs into bacteria. For example, our previous study demonstrated an active antibacterial hybrid formed by covalently conjugating Au NCs and daptomycin. The as-synthesized hybrid structure could effectively disrupt bacterial membranes (Fig. 11), lead to more serious damage of bacteria at subcellular levels and limit the ability of bacteria to develop drug resistance.142
Fig. 11 (a) CLSM images of MRSA treated with PBS, Dap, AuDAMP, Dap + AuDAMP, and Dap-AuDAMP. The dead cells were visualized by PI staining (red), while SYTO 9 (green) was used to identify all cells. (b) SEM micrographs of bacteria treated with PBS, Dap, AuDAMP, Dap + AuDAMP, and Dap-AuDAMP.142 |
On the other hand, Au NPs enter the cell, and they can exert antibacterial effects in two ways: (1) they inhibit the binding of ribosome subunits to transport RNA (tRNA) and interfere with DNA transcription and replication134 and (2) they produce a large amount of ROS aggregation. Au NPs interfere with the expression of metabolism-related genes, such as up-regulation of metabolic enzymes that promote oxidation and down-regulation of antioxidant genes, leading to the production of large amounts of peroxides and superoxides in the cells. Recent studies have shown that Au NPs exhibit antimicrobial activity by inducing intracellular oxidative stress injury. The survival rate of bacteria can be increased by using an antioxidant to antagonize ROS or reducing the temperature of the bacterial culture to inhibit its metabolic process.143 Bing et al. indicated that the Au NPs could catalyze the decomposition of the naturally existing H2O2 being produced by bacteria into ˙OH and O2−. Owing to the excellent antibacterial capacity of ROS, the Au NPs exhibited striking antibacterial properties. Consequently, Au NPs can cause bacterial death by producing a large amount of intracellular ROS, which leads to intracellular protein aggregation and DNA destruction.144
In fact, the antibacterial mechanism of gold nanoparticles is a continuous process. Zheng et al. synthesized gold nanoclusters with mercaptopyrimidine as ligands and uncovered that Au NCs could effectively damage the bacterial cell membranes and change their permeability. The change in cell membrane permeability then allowed Au NCs to easily internalize into bacterial cells, inducing the destruction of bacterial genomic DNA. More importantly, Au NCs could strongly induce intracellular ROS production after their entry. Furthermore, they further revealed the potential of Au NCs for in vivo applications both in a macrophage infection model and a mouse infection model and reported that the amount of bacteria was decreased significantly and all mice survived after 6 days of Au NC therapy.145 Xie et al. reported that Au NCs significantly affect the bacterial cell membrane, including the membrane integrity, permeability, and inner potential, and observed a dramatic increase in the ROS levels and a decline in the ATP levels. They also demonstrated the potential application of Au NCs to combat bacterial infections in vivo. A low dose of Au NCs is efficacious for bacteria elimination and wound healing in a mouse skin infection model and the Au NCs do not cause an inflammatory response in mice, showing a good therapeutic effect in animal infection models.146
Compared with the antibacterial effect of Au NPs, silver nanoparticles have broad-spectrum antibacterial properties and do not produce drug resistance. They have a bactericidal effect on various microorganisms such as Escherichia coli, Candida albicans and Staphylococcus aureus. Studies have shown that they mainly exert antibacterial effects by releasing silver ions and producing ROS. The mechanism of action is shown in Fig. 12.147
Fig. 12 Antibacterial mechanism of silver nanoparticles.147 |
Although different types of Ag nanoparticles have different toxicity mechanisms, the release of ions by nanoparticles is usually an important step in the performance of nanotoxicity. In early studies, cysteine was added to cells that were exposed to Ag NPs. Since cysteine can bind to Ag+ and block the toxic effects of Ag+, the antibacterial properties of the Ag NPs decreased significantly after adding cysteine, indicating that the toxicity of the Ag NPs comes from the release of Ag+.148,149 It is currently believed that silver ions can bind to electron donors in biomolecules containing sulfur, oxygen, or nitrogen and directly act on cellular enzymes and proteins, affecting cellular respiration and ion transmembrane movement, ultimately leading to cell death.150–152
Another important mechanism of silver toxicity is the generation of ROS by Ag NPs and their induced oxidative stress or oxidative damage. Abnormal accumulation of ROS induces oxidative stress. Reactive oxygen species can attack cell membranes, react with fats, proteins and nucleic acids, and hinder the cell transport system, leading to DNA damage and cell death.153 Danilczuk et al. found free radicals generated by silver nanoparticles through the electron spin resonance spectrum.154 Kim et al. observed the same results and found that the addition of the antioxidant N-acetylcysteine in the medium could counteract the bactericidal effect of Ag NPs, proving that the free radicals generated by Ag NPs were related to their antibacterial properties.155
It is evident that Ag NPs can accumulate on the cell membrane, attack the phospholipid bilayer of the cell membrane, and form bumps and holes in the cell membrane, causing material loss within the cell. Escárcega-González et al. demonstrated that membrane integrity is compromised either directly or as a consequence of the antimicrobial properties exhibited by Ag nanoparticles. They also found that the Ag NPs were capable of eradicating pathogenic resistant bacteria in an infection in vivo safely and efficiently.156 As for the direct injury of the cell membrane by Ag NPs, Raffi et al. believed that it was due to the charge interaction between negatively charged bacteria and positively charged nanoparticles,157 while Morones et al. believed that the silver nanoparticles bound to the thiol group of proteins on the cell membrane.158 Sondi et al. found that Ag nanoparticles adsorbed on the cell membrane and accumulated, leading to the increase of cell permeability and intracellular substances flowing out of the cells, eventually leading to bacterial death.159 Other researchers have also found that treatment of bacteria with silver nanoparticles results in the partial release of chromosome fragments due to cell membrane damage.160 Furthermore, Ag NPs would also affect the membrane vesicles. Li et al. indicated that the membrane vesicles were dissolved and dispersed after E. coli exposure to Ag nanoparticles.161
Bacterial biofilms aid bacteria to evade host immune responses; they are the main source of chronic infections and can augment resistance to drug therapy.162,163 Mohanty et al. indicated an approximately 88% decrease in biofilm formation after treatment with Ag NPs and uncovered that Ag NPs impede biofilm formation more potently compared to antimicrobial peptide LL-37.164 Din et al. showed that the combination treatment of Ag NPs and visible blue light significantly inhibited biofilm formation by P. aeruginosa. In vivo investigations found that the number of bacteria in wounded skin dropped dramatically.160 Gurunathan et al. reported that Ag NPs inhibited the activity of biofilms of all the tested bacterial strains and the concentrations of Ag NPs were slightly lower than those that affected cell viability.165
In recent years, bimetallic nanoparticles (NPs), in an alloy or core–shell NP formulation, have attracted attention as a novel class of nanomaterials. It was further reported that the addition of other noble metals to silver nanoparticles is known to alter the silver dissolution behavior and reduce their overall toxicity towards eukaryotes.166 Of these, noble bimetallic NPs containing gold and silver have been of immense interest. Holden et al. synthesized biocompatible Au/Ag alloy bimetallic nanoparticles by an alternative “green” approach and indicated that a majority of the bacterial membranes were completely disrupted by the Au/Ag alloy, causing the intracellular material to flow out.167 Ding et al. found that Au/Ag NPs showed strong antibacterial activity (MIC as low as 7.5 pM) and negligible toxicity to human dermal fibroblasts. Moreover, Au/Ag NPs effectively removed 85% of the notorious bacterial biofilm within 4 min under NIR irradiation.168 Banerjee et al. realized that Au/Ag core–shell NPs showed antibacterial activity against both Gram negative and Gram positive bacteria at a low concentration of silver present in the shell. TEM and flow cytometric studies indicated that the core–shell NPs attached to the bacterial surface and caused irreparable membrane damage, leading to cell death. They concluded that the enhanced antibacterial activity of Au/Ag core–shell NPs as compared to Ag NPs of similar sizes could be due to the more active silver atoms in the shell surrounding the gold core due to the high surface free energy of the surface Ag atoms owing to the shell thinness in the bimetallic NP structure.169
Another strategy for the development of novel antimicrobials is to combine the stability and pleiotropic effects of inorganic compounds with the specificity and efficiency of organic compounds. Dos Santos et al. added Au/Ag alloy NPs to antibiotics; a strong enhancement of the antimicrobial effect of the antibiotic was clearly observed and the dose of antibiotic necessary was considerably decreased. The observed effect was more pronounced than the sum of the individual effects of the nanoparticles and antibiotic, indicating a possible synergistic effect of the metal ions and the antibiotics possibly via targeting of different cell structures and physiological pathways.170 Yallappa et al. observed that the antimicrobial activity was increased 1–2 times for ampicillin and kanamycin in the presence of Au and Ag NPs against both Gram positive and Gram negative bacteria, whereas for Au–Ag alloy NPs, the antimicrobial activity was significantly increased 3–4 times. It is clearly indicated that Au–Ag alloy NPs linked with antibiotics were more potent than Au and Ag NP linked antibiotics against all test strains.171 In addition, Wang et al. designed and prepared a novel antibacterial nanomaterial, referred to as Au–Ag alloy NP modified SiNWAs (SN-Au/Ag). The results showed that SN-Au/Ag could kill bacteria with high efficiency in a few minutes under sunlight through synergism between photothermal and photocatalytic effects. The combination of heat and reactive oxygen species (ROS) caused bacterial death by destroying cell membranes and leaking cytoplasmic contents (Fig. 13).172
Fig. 13 Antibacterial effect of SN-Au/Ag exposed to sunlight for a short time. (a) Schematic of the method. (b) Colony formation (agar plate) by light-treated E. coli on different nanomaterials. (c) Bacterial killing efficiency of SN, SN-Ag, SN-Au and SN-Au/Ag after 10 min exposure to sunlight.172 |
With the application of metal nanomaterials in various fields, problems such as biosafety have gradually become a hot spot of concern. Kim et al. showed that with the increase of Ag NPs, cholesterol and alkaline phosphatase in SD mice increased significantly, and a high concentration of Ag NPs may cause liver damage.183 In addition, studies have found that different nanoparticles have concentration-dependent toxicity to male mouse spermatogonial stem cells, and Ag NPs are the most toxic of these nanoparticles.184 Some researchers also observed the effects of silver nanoparticles on lung function in SD rats, and the results showed that after treatment with Ag NPs for 90 days, the rats developed an inflammatory response that further induced changes in lung function.185
In addition to cytotoxicity, a few recent studies have provided tentative evidence of bacterial resistance or reduced susceptibility to Ag NPs.186,187 Gunawan et al. described bacterial behavior in response to repeated long-term exposure to Ag NPs and reported that Bacillus subtilis had the ability to adapt to cellular oxidative stress produced by Ag+.188 Panáček et al. also indicated that bacteria could develop resistance to silver nanoparticles after repeated exposure, and pointed out that the resistance evolves without any genetic changes; only phenotypic change is needed to reduce the nanoparticles’ stability and thus eliminate the antibacterial activity of Ag NPs.189 Owing to these shortcomings, the application of metal nanoparticles in clinical practice is limited. Since the invention of penicillin in 1929,190 antibiotics have made tremendous contributions to the fight against various pathogens. The combination of nanomaterials and antibiotics can reduce the dosage of both, thus reducing the cytotoxicity and exerting an excellent synergistic antibacterial effect. Silver nanoparticles have been reported to significantly improve antibacterial properties when combined with antibiotics such as gentamicin. In vivo animal experiments further confirmed the effectiveness of the synergistic antibacterial effect.191 Zheng et al. designed a helpful antimicrobial hybrid synthesized by conjugating Ag NPs with daptomycin, and it exhibited improved antibacterial capacity over the physically mixed Ag NPs and daptomycin.192
Au NPs have excellent antibacterial effects and diverse antibacterial mechanisms. A study also found that after bacteria were treated with Au NPs at a concentration of 33% MIC, after continuous treatment for 30 days, the bacteria remained sensitive to Au NPs under MIC treatment, suggesting that Au NPs are not susceptible to bacterial resistance.145 Nevertheless, the possibility of Au NP resistance caused by repeated and long-term low concentration treatment cannot be ruled out. It has been observed that repeated treatment of bacteria with copper ions causes an increase in the expression of the bacterial copper ion efflux pump, thereby exhibiting a tendency of copper ion tolerance. Moreover, clinical application is still lacking, which requires more information on the long-term toxicity of Au NPs in vivo.193 Au has relatively low activity and little oxidation occurs, which means fewer free ions and ROS are produced. In order to produce excessive ROS and achieve an antibacterial effect, Au NPs of higher concentration may be required, which may reduce their biocompatibility.194,195
Determining whether nanoparticles can be modified and affected by the in vivo and intracellular environment is a problem that needs to be further explored and solved in future research. It is generally believed that when nanoparticles enter the human body, they will absorb negative proteins in the body, which will easily lead to aggregation and change the properties of the nanoparticles. The size, surface charge, dispersant and environment of nanoparticles not only affect their antibacterial properties, but also change the safety of metal nanoparticles. Metal NPs such as Au NPs and Ag NPs have made significant achievements in many areas; whether they can be completely safe in clinical application remains to be further proved. In the process of clinical transformation, the distribution and transportation of metal NPs and the interaction between metal NPs and biological systems need to be further understood. The size, composition, shape and aggregation rate of relevant NPs also need to be considered from organs to cells, organelles and even biological macromolecules.196
Footnote |
† Common first author. |
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