Evidence map›Paper›PMID 40775294›Full record

ArticleBMC microbiology2025

The in vitro evaluation of synergistic effects of ciprofloxacin and berberine hydrochloride against Pseudomonas aeruginosa.

Anis Zeraatpisheh, Melika Moradi, Maniya Arshadi, Behrouz Taheri, Massomeh Zahmatkeshan, Fereshteh Nezhad Dehbashi, Fariba Esmaeili, Bentolhoda Amanzadi, Zahra Farshadzadeh

Abstract read
In one paragraph

Article in BMC microbiology, 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. Article
  2. 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

9 authors.

Anis Zeraatpisheh *Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Melika Moradi *Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Maniya ArshadiInfectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Behrouz TaheriDepartment of Medical Biotechnology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Massomeh ZahmatkeshanDepartment of Medical Nanotechnology, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Fereshteh Nezhad DehbashiCellular and Molecular Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Fariba EsmaeiliDepartment of Medical Nanotechnology, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Bentolhoda AmanzadiAdvanced Laboratory of Nanocarriers Synthesis, Department of Medical Nanotechnology, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Zahra FarshadzadehInfectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Zahra.Farshadzadeh@gmail.com.

Funding

Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences OG-0223
6 · The paper itself

Abstract

backgroundPseudomonas aeruginosa is a major cause of severe infections, leading to significant morbidity and mortality rates due to its ability of biofilm formation and antibiotic resistance. This study evaluates the in vitro antimicrobial and antibiofilm effects of ciprofloxacin and berberine hydrochloride, alone and in combination, against clinical and standard strains of P. aeruginosa.

methodsClinical isolates of carbapenem-susceptible P. aeruginosa (CSPA), carbapenem-resistant P. aeruginosa (CRPA), and the standard P. aeruginosa PAO

resultsThe minimum inhibitory concentrations (MICs) of ciprofloxacin and berberine hydrochloride ranged from 0.5 to 64 µg/mL and 593 to 1187 µg/mL, respectively. The minimum bactericidal concentrations (MBCs) for both agents were ≥ 2× MIC. Neither ciprofloxacin nor berberine hydrochloride was able to eradicate 24-hour preformed biofilms (MBEC). However, biofilm prevention (MBIC) occurred at sub-MIC levels (0.5-1× MIC). The combination of ciprofloxacin and berberine hydrochloride demonstrated synergistic activity against PAO

conclusionBerberine hydrochloride may serve as a promising synergistic agent to enhance the antimicrobial and antibiofilm activity of ciprofloxacin in vitro. This combination warrants further exploration as a therapeutic strategy against resistant infections.

Indexed as

Anti-Bacterial AgentsBerberineCiprofloxacinDrug SynergismPseudomonas aeruginosaBiofilmsHumansMicrobial Sensitivity TestsMicrobial ViabilityPseudomonas InfectionsAnti-Bacterial AgentsBerberineCiprofloxacinBerberine hydrochlorideBiofilmCiprofloxacinePseudomonas aeruginosaSynergism

Identifiers

PMID40775294
PMCPMC12330098

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.