Bacterial
biofilms pose a major threat to public health because
they are resistant to most current therapeutics. Conventional antibiotics
exhibit limited penetration and weakened activity in the acidic microenvironment
of a biofilm. Here, the development of biofilm-responsive nanoantibiotics
(rAgNAs) composed of self-assembled silver nanoclusters and pH-sensitive
charge reversal ligands, whose bactericidal activity can be selectively
boosted in the biofilm microenvironment, is reported. Under neutral
physiological conditions, the bactericidal activity of rAgNAs is self-quenched
because the toxic silver ions’ release is largely inhibited;
however, upon entry into the acidic biofilm microenvironment, the
rAgNAs not only exhibit charge reversal to facilitate local accumulation
and retention but also disassemble into small silver nanoclusters,
thus enabling deep penetration and accelerated silver ions release
for dramatically amplified bactericidal activity. The superior antibiofilm
activity of rAgNAs is demonstrated both in vitro and in vivo, and
the mortality rate of mice with multi-drug-resistant biofilm-induced
severe pyomyositis can be significantly reduced by rAgNAs treatment,
indicating the immense potential of rAgNAs as highly efficient nanoscale
antibacterial agents to combat resistant bacterial biofilm-associated
infections.