Abstract

In the field of public health, treatment of multidrug-resistant (MDR) bacterial infection is a great challenge. Herein, we provide a solution to this problem with the use of graphene oxide-silver (GO-Ag) nanocomposites as antibacterial agent. Following established protocols, silver nanoparticles were grown on graphene oxide sheets. Then, a series of in vitro studies were conducted to validate the antibacterial efficiency of the GO-Ag nanocomposites against clinical MDR Escherichia coli (E. coli) strains. GO-Ag nanocomposites showed the highest antibacterial efficiency among tested antimicrobials (graphene oxide, silver nanoparticles, GO-Ag), and synergetic antibacterial effect was observed in GO-Ag nanocomposites treated group. Treatment with 14.0 µg ml−1 GO-Ag could greatly inhibit bacteria growth; remaining bacteria viabilities were 4.4% and 4.1% for MDR-1 and MDR-2 E. coli bacteria, respectively. In addition, with assistance of photothermal effect, effective sterilization could be achieved using GO-Ag nanocomposites as low as 7.0 µg ml−1. Fluorescence imaging and morphology characterization uncovered that bacteria integrity was disrupted after GO-Ag nanocomposites treatment. Cytotoxicity results of GO-Ag using human-derived cell lines (HEK 293T, Hep G2) suggested more than 80% viability remained at 7.0 µg ml−1. All the results proved that GO-Ag nanocomposites are efficient antibacterial agent against multidrug-resistant E. coli.

Highlights

  • Antibiotics have been widely used for over 70 years in different fields such as medicines, agriculture and environment [1]

  • All the results proved that graphene oxide (GO)-Ag nanocomposites are efficient antibacterial agent against 2 multidrug-resistant E. coli

  • atomic force microscope (AFM) analysis revealed both single layer and multilayer sheets existed in synthesized GO

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Summary

Introduction

Antibiotics have been widely used for over 70 years in different fields such as medicines, agriculture and environment [1]. Bacteria have developed resistance to antibiotics through acquired resistance genes or intrinsic antibiotic resistance capability [2], which leads to the wide existence of resistant bacteria, including multidrug-resistant (MDR) bacteria, extensively drug-resistant (XDR) bacteria and pandrugresistant bacteria [3]. Antibiotic resistance makes antibiotic selection a great challenge as more and more MDR bacteria were found in patients [4,5,6]. Among all the infections encountered in hospital, urinary tract infections are one of the most common infections, in which case E. coli is found to be the major cause [7]. Spreading of certain type of antibiotic-resistant E. coli may become potential cause for epidemic disease [8]. Due to the wide spread of antibiotic-resistant bacteria and less efficiency of conventional antibiotics, alternatives are needed to deal with antibiotic-resistant bacteria

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