Evidence map›Paper›PMID 40301384›Full record

ArticleScientific reports2025

Biofilm inhibition of multidrug-resistant Pseudomonas aeruginosa using green-synthesized silver nanoparticles and colistin.

Masoud Azimzadeh, Grazia Greco, Abbas Farmani, Alireza Nourian, Maryam Pourhajibagher, Amir Taherkhani, Mohammad Yousef Alikhani, Abbas Bahador

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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
–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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Anti-QS Strategies AgainstMicroorganisms · 2025
    Review
  9. Biofilm-dispersal patterns in ESKAPE pathogens.Archives of microbiology · 2025
    Review
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

8 authors.

Masoud AzimzadehDepartment of Microbiology, Hamadan University of Medical Sciences, Hamadan, Iran.
Grazia GrecoDepartment of Veterinary Medicine, University of Bari "Aldo Moro", Valenzano, Bari, 70010, Italy.
Abbas FarmaniDental Implants Research Center, Avicenna Institute of Clinical Sciences, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran.
Alireza NourianDepartment of Pathobiology, Bu-Ali Sina University, Hamedan, Iran.
Maryam PourhajibagherDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Amir TaherkhaniResearch Center for Molecular Medicine, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran.
Mohammad Yousef AlikhaniInfectious Disease Research Center, Avicenna Institute of Clinical Sciences, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran. alikhani43@yahoo.com.ORCID http://orcid.org/0000-0003-4577-4029
Abbas BahadorDepartment of Microbiology, Tehran University of Medical Sciences, Tehran, Iran. ab.bahador@gmail.com.

Funding

Vice Chancellor for Research and Technology, Hamadan University of Medical Sciences 140004293640
6 · The paper itself

Abstract

We aimed to investigate the synergistic effects of colistin and green-synthesized silver nanoparticles on the biofilm formation and expression of Quorum Sensing regulated and related genes in clinical isolates of P. aeruginosa. Ten clinical P. aeruginosa isolates collected from patients with burn wound infections were investigated. The antibiotic sensitivity pattern of the isolates was determined using disk diffusion and microbroth dilution tests. The silver nanoparticles (AgNPs) were synthesized using propolis and characterized. The microtiter plate method and scanning electron microscopy (SEM) were used to evaluate the synergistic effects of colistin and silver nanoparticles combination (AgNPs@CL) on the inhibition of biofilm formation. The effect of AgNPs@CL on the expression of genes controlled by QS was evaluated using RT-PCR. All isolates were strong biofilm formers. Confronting AgNPs@CL, all isolates were either synergistic or additive and effectively decrease the minimum inhibitory concentration (MIC) and minimum biofilm inhibitory concentration (MBIC) values of Carbapenem-Resistant P. aeruginosa (CRPA) isolates. The SEM analysis corroborated the enhanced biofilm inhibition observed with the combined treatment compared to individual AgNPs or colistin treatments. When exposed to AgNPs@CL, the expression levels of lasI, lasR, rhlI, rhlR, pelA, and pslA genes significantly decreased in P. aeruginosa ATCC 27,853 and clinical isolate No. #354, which displayed synergistic activity. In contrast, with additive activity, clinical isolate No. #30 showed no significant decrease. Targeting critical components of QS could effectively inhibit biofilm production. The results of our study suggest AgNPs@CL as an auxiliary to antibiotic therapy.

Indexed as

Anti-Bacterial AgentsBiofilmsColistinDrug Resistance, Multiple, BacterialMetal NanoparticlesPseudomonas aeruginosaSilverBacterial ProteinsDrug SynergismGreen Chemistry TechnologyHumansMicrobial Sensitivity TestsPseudomonas InfectionsQuorum SensingAnti-Bacterial AgentsBacterial ProteinsColistinSilverBiofilmsColistinDrug synergismPseudomonas aeruginosaQuorum sensing

Identifiers

PMID40301384
PMCPMC12041517

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Registered trials

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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.