2017
DOI: 10.3389/fcimb.2017.00043
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Vitamin C Pretreatment Enhances the Antibacterial Effect of Cold Atmospheric Plasma

Abstract: Bacterial biofilms are three-dimensional structures containing bacterial cells enveloped in a protective polymeric matrix, which renders them highly resistant to antibiotics and the human immune system. Therefore, the capacity to make biofilms is considered as a major virulence factor for pathogenic bacteria. Cold Atmospheric Plasma (CAP) is known to be quite efficient in eradicating planktonic bacteria, but its effectiveness against biofilms has not been thoroughly investigated. The goal of this study was to … Show more

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Cited by 46 publications
(40 citation statements)
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“…These findings are summarized in Figure 2. Our results [27] suggest that vitamin C can be used as an effective pre-treatment, to render CAP treatments more effective. This biofilmdestabilizing effects probably also accounts for previously reported effect of vitamin C in enhancing common antibiotic treatments, even against bacteria which are not directly killed by vitamin C [25,26].…”
Section: Combining Vitamin C With Cold Atmospheric Plasmamentioning
confidence: 56%
See 1 more Smart Citation
“…These findings are summarized in Figure 2. Our results [27] suggest that vitamin C can be used as an effective pre-treatment, to render CAP treatments more effective. This biofilmdestabilizing effects probably also accounts for previously reported effect of vitamin C in enhancing common antibiotic treatments, even against bacteria which are not directly killed by vitamin C [25,26].…”
Section: Combining Vitamin C With Cold Atmospheric Plasmamentioning
confidence: 56%
“…Since CAP treatments are inhibited by the biofilm matrix [12], we have examined whether vitamin C, which inhibits EPS production, could be used to enhance the effectiveness of CAP treatments. We found that the vitamin C pre-treatment made bacterial biofilms of Bacillus subtilis, Escherichia coli, P. aeruginosa and Staphylococcus epidermidis significantly more prone to extermination by CAP treatments [27]. These findings are summarized in Figure 2.…”
Section: Combining Vitamin C With Cold Atmospheric Plasmamentioning
confidence: 68%
“…For using chemical methods to enhance plasma efficiency, modified atmosphere is one of the most studied successful methods (Misra, Moiseev et al., ), whereas both food‐based sanitizers and natural antimicrobials (for example, lemongrass oil, and vitamin C) are alternative approaches (Cui, Wu, Li, & Lin, ; Helgadottir et al., ). Matan, Puangjinda, Phothisuwan, and Nisoa () observed the synergistic antibacterial activity of green tea extract and atmospheric RF plasma against pathogens on fresh‐cut dragon fruit, and results indicated that 5.0% of green tea pretreatment for 60 s followed by plasma exposure for 60 s at 40 W extended the shelf life of fresh‐cut dragon fruit to at least 15 days at 4 °C.…”
Section: Fundamentals Of Nonthermal or Cold Plasmamentioning
confidence: 99%
“…have been reported by El-Gebaly et al [31]. On the contrary, other studies [30,[32][33][34] have found that ascorbic acid did not inhibit the growth of E. coli and P. aeruginosa but made them more resistant to antimicrobials and physical disinfection.…”
Section: Discussionmentioning
confidence: 88%
“…In turn, Mirani et al [26] have observed that ascorbic acid inhibited EPS production and staphylococcal biofilm formation but the survived bacteria tolerated its toxic concentration. Helgadóttir et al [30] have noticed the reduction of 89.9% of S. epidermidis, E. coli, and P. aeruginosa bacteria number on catheters after vitamin C treatment. Similar results against mature biofilms of uropathogenic bacteria (E. coli, Klebsiella spp., Citrobacter spp., Enterobacter spp., Proteus spp., and Pseudomonas spp.)…”
Section: Discussionmentioning
confidence: 97%