Evidence map›Paper›PMID 36348266›Full record

ArticleBMC microbiology2022

Attenuating the virulence of the resistant superbug Staphylococcus aureus bacteria isolated from neonatal sepsis by ascorbic acid, dexamethasone, and sodium bicarbonate.

Moustafa M Saleh, Nehal Yousef, Shokri M Shafik, Hisham A Abbas

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Microorganisms · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. The Effect of Citric and Ascorbic Acids as Anti-Biofilm and Anti-Capsular Agents on Multidrug-Resistant Acinetobacter baumannii.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Moustafa M SalehMicrobiology and Immunology Department, Faculty of Pharmacy, Port Said University, Port Fuad, Egypt. Mostafa.mohamed@pharm.psu.edu.eg.
Nehal YousefMicrobiology and Immunology Department, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.
Shokri M ShafikMicrobiology and Immunology Department, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.
Hisham A AbbasMicrobiology and Immunology Department, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.
Zagazig University · EGPort Said University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfections affecting neonates caused by Staphylococcus aureus are widespread in healthcare facilities; hence, novel strategies are needed to fight this pathogen. In this study, we aimed to investigate the effectiveness of the FDA-approved medications ascorbic acid, dexamethasone, and sodium bicarbonate to reduce the virulence of the resistant Staphylococcus aureus bacteria that causes neonatal sepsis and seek out suitable alternatives to the problem of multi-drug resistance.

methodsTested drugs were assessed phenotypically and genotypically for their effects on virulence factors and virulence-encoding genes in Staphylococcus aureus. Furthermore, drugs were tested in vivo for their ability to reduce Staphylococcus aureus pathogenesis.

resultsSub-inhibitory concentrations (1/8 MIC) of ascorbic acid, dexamethasone, and sodium bicarbonate reduced the production of Staphylococcus aureus virulence factors, including biofilm formation, staphyloxanthin, proteases, and hemolysin production, as well as resistance to oxidative stress. At the molecular level, qRT-PCR was used to assess the relative expression levels of crtM, sigB, sarA, agrA, hla, fnbA, and icaA genes regulating virulence factors production and showed a significant reduction in the relative expression levels of all the tested genes.

conclusionsThe current findings reveal that ascorbic acid, dexamethasone, and sodium bicarbonate have strong anti-virulence effects against Staphylococcus aureus. Thus, suggesting that they might be used as adjuvants to treat infections caused by Staphylococcus aureus in combination with conventional antimicrobials or as alternative therapies.

Indexed as

Methicillin-Resistant Staphylococcus aureusNeonatal SepsisStaphylococcal InfectionsAnti-Bacterial AgentsAscorbic AcidBiofilmsDexamethasoneHumansInfant, NewbornSodium BicarbonateStaphylococcus aureusVirulence FactorsAnti-Bacterial AgentsAscorbic AcidDexamethasoneSodium BicarbonateVirulence FactorsAscorbic acidDexamethasoneNeonatal sepsisS. aureusSodium bicarbonateVirulence inhibitors

Identifiers

PMID36348266
PMCPMC9644464
OpenAlexW4308559743

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.