Evidence map›Paper›PMID 40050888›Full record

ArticleJournal of nanobiotechnology2025

Sustainable nanophytosome-based therapies against multidrug-resistant Escherichia coli in urinary tract infections: an in Vitro and in vivo study.

Ming Ming Wen, Ibrahim A Abdelwahab, Rania Abozahra, Sarah M Abdelhamid, Kholoud Baraka, Heba Essam Sedky Ahmed, Wessam F El-Hadidy

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Antibiotics (Basel, Switzerland) · 2026
    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

7 authors.

Ming Ming WenDepartment of Pharmaceutics & Pharmaceutical Technology, Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt. mingming.wen@pua.edu.eg.ORCID https://orcid.org/0000-0002-1046-2167
Ibrahim A AbdelwahabDepartment of Microbiology and Immunology, Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt.
Rania AbozahraDepartment of Microbiology and Immunology, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.
Sarah M AbdelhamidDepartment of Microbiology and Immunology, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.
Kholoud BarakaDepartment of Microbiology and Immunology, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.
Heba Essam Sedky AhmedDepartment of Pharmacology & Experimental Therapeutics, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Wessam F El-HadidyDepartment of Pharmacology & Experimental Therapeutics, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) is a prevalent bacterial infection impacting a significant number of individuals globally. The rise in multidrug-resistant (MDR) E. coli strains as the predominant cause of UTIs presents a substantial public health concern and poses a challenge to existing antibiotic treatments. This study introduces an innovative and sustainable therapeutic approach utilizing rosemary oil nanophytosomes as a targeted drug delivery system to address biofilms in UTIs induced by MDR E. coli.

methodSeventy clinically identified E. coli isolates from UTI patients were used for this study. Nanophytosomes were formulated with chitosan (CS) and nanostructured lipid carriers. CS-nanophytosomes were lyophilized to evaluate the storage stability. In vivo study included 40 female Wistar rats with daily treatment over seven days. For all the statistical tests, differences were considered significant at p < 0.01 and highly significant at p < 0.001.

resultsCS-nanophytosomes demonstrated a particle size of 176.70 ± 12.30 nm with a substantial antibiofilm efficacy against MDR E. coli. High entrapment efficiency was ascertained with 93.12 ± 1.05%. The drug release study showed that the pure rosemary oil exhibited a notably lower release of 35.4 ± 2.36% over 48 h. In contrast, the CS-nanophytosomes and lyophilized CS-nanophytosomes displayed significantly higher release percentages of 58.6 ± 3.69% and 56.9 ± 5.01%, respectively, compared to the pure rosemary oil of 35.4 ± 2.36% over 48 h. The in vivo study indicated that nanophytosomes successfully reduced the bacterial load in the urine, bladder, and kidney tissues of mice infected with MDR E. coli, while also lowering the levels of inflammatory cytokines and oxidative stress markers in serum and urine samples. Additionally, the nanophytosomes improved histopathological changes in bladder and kidney tissues caused by UTI without causing any toxicity or adverse effects on kidney function or hematological parameters.

conclusionOur research introduces a cost-effective and innovative approach to addressing UTIs caused by MDR E. coli by the use of rosemary oil, a natural antimicrobial agent encapsulated in nanophytosomes. This strategy not only demonstrates proven therapeutic efficacy in UTI animal models but also promotes the adoption of sustainable medical approaches. CS-nanophytosomes provides a sustainable alternative therapeutic option to combat MDR UTIs.

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli InfectionsOils, VolatileUrinary Tract InfectionsAnimalsBiofilmsChitosanDrug CarriersDrug LiberationFemaleHumansMicrobial Sensitivity TestsParticle SizeRatsAnti-Bacterial AgentsChitosanDrug CarriersOils, Volatilerosemary oilChitosanDrug deliveryEscherichia coliHerbal medicineMultidrug resistanceNanoparticleNanophytosomesRosemary oilSustainabilityUrinary tract infection

Identifiers

PMID40050888
PMCPMC11883929

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.