2012
DOI: 10.1099/jmm.0.047100-0
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Synergistic effects between silver nanoparticles and antibiotics and the mechanisms involved

Abstract: Silver nanoparticles (nano-Ags), which have well-known antimicrobial properties, are used extensively in various medical and general applications. In this study, the combination effects between nano-Ags and the conventional antibiotics ampicillin, chloramphenicol and kanamycin against various pathogenic bacteria were investigated. The MIC and fractional inhibitory concentration index (FICI) were determined to confirm antibacterial susceptibility and synergistic effects. The results showed that nano-Ags possess… Show more

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Cited by 231 publications
(159 citation statements)
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“…Recently, several studies have indicated that AgNPs may strengthen the antibacterial effects of antibiotics against both susceptible and resistant bacteria, either additively or synergistically (Fayaz et al, 2010;Lara et al, 2010;Hwang et al, 2012). Consistent with these findings, combining two agents with reported multimodal antibacterial action, in the present study, has shown at least additive or synergistic effect for all tested strains (Table 2).…”
Section: Discussionsupporting
confidence: 80%
See 1 more Smart Citation
“…Recently, several studies have indicated that AgNPs may strengthen the antibacterial effects of antibiotics against both susceptible and resistant bacteria, either additively or synergistically (Fayaz et al, 2010;Lara et al, 2010;Hwang et al, 2012). Consistent with these findings, combining two agents with reported multimodal antibacterial action, in the present study, has shown at least additive or synergistic effect for all tested strains (Table 2).…”
Section: Discussionsupporting
confidence: 80%
“…Silver nanoparticles were shown to inactivate bacterial enzymes, disrupt bacterial metabolic processes, increase the cytoplasmic membrane permeability, interact with DNA and generate reactive oxygen species that damage biomacromolecules (Lara et al, 2010;Franci et al, 2015). The studies reporting the different mechanisms by which AgNPs interact with microbes paralleled with several reports that investigated the synergistic potential of AgNPs with classical antibiotics (Fayaz et al, 2010;Hwang et al, 2012;Naqvi et al, 2013;Singh et al, 2013). In these studies, quantifying the synergistic effects of antibiotics in combination with AgNPs against an assortment of microorganisms has been investigated, employing the microdilution method.…”
Section: Discussionmentioning
confidence: 85%
“…45,47 Previous studies have reported enhanced outcomes with a combination of Ag nanoparticles and antibiotics in vitro. [27][28][29][30][31] However, the synergistic antibacterial activity is rarely tested in vivo. In this regard, we built an implant infection model with MRSA (ATCC 43300) and treated it with the combinational antibacterial therapy for further verification of the in vitro results.…”
Section: Discussionmentioning
confidence: 99%
“…25,26 Several recent studies indicated that Ag nanoparticles could enhance the antibacterial effect of antibiotics, such as vancomycin, gentamicin, rifampicin, and levofloxacin. [27][28][29][30][31] The mechanism of the synergistic effect is complicated and varies with the type of antibiotics. For example, the destruction of cell wall by Ag nanoparticles or ions makes the antibiotic-resistant bacteria more sensitive to antibiotics.…”
Section: Introductionmentioning
confidence: 99%
“…Thereby, Ag-NPs, unlike antibiotics, can easily pass cellular membrane. It can be concluded that silver nanoparticles bonded antibiotics can be easily delivered to the cell (Hwang et al, 2012).…”
Section: Antibacterial Activitymentioning
confidence: 99%