Evidence map›Paper›PMID 42353685›Full record

ArticleAntibiotics (Basel, Switzerland)2026

Synergistic Potential of Plant Alkaloids and Intragenic Antimicrobial Peptides in Treating Multidrug-Resistant Infectious Diseases.

Athamy Sarah de Paula Cruz, Thaís Campos de Sousa, Natália Elisabeth Kruklis, Nilton Araripe Dos Santos Neto, Bianca Oliveira do Vale Lira, Gabriel Rocha de Andrade, Octávio Luiz Franco, Guilherme Dotto Brand, Marcelo Henrique Soller Ramada

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Athamy Sarah de Paula CruzPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.ORCID 0000-0003-4378-9681
Thaís Campos de SousaPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.ORCID 0000-0001-5163-0625
Natália Elisabeth KruklisPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.ORCID 0009-0007-3034-8699
Nilton Araripe Dos Santos NetoPrograma de Pós-Graduação em Patologia Molecular, Universidade de Brasília, Brasilia 70910-000, DF, Brazil.
Bianca Oliveira do Vale LiraPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.
Gabriel Rocha de AndradePrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.
Octávio Luiz FrancoPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.ORCID 0000-0001-9546-0525
Guilherme Dotto BrandLaboratório de Síntese e Análise de Biomoléculas, Instituto de Química, Universidade de Brasília, Brasilia 70910-000, DF, Brazil.ORCID 0000-0002-1615-0009
Marcelo Henrique Soller RamadaPrograma de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasilia 71966-700, DF, Brazil.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 304154/2025-3Conselho Nacional de Desenvolvimento Científico e Tecnológico 409114/2023-5Conselho Nacional de Desenvolvimento Científico e Tecnológico 440916/2023-2Conselho Nacional de Desenvolvimento Científico e Tecnológico 442720/2018-1Foundation for Research Support of the Federal District 00193.00001055/2021-13Foundation for Research Support of the Federal District 00193.00001117/2021-97Foundation for Research Support of the Federal District 00193-00001985/2023-39Foundation for Research Support of the Federal District 00193.00002419/2023-44
6 · The paper itself

Abstract

backgroundNosocomial infections caused by multidrug-resistant microorganisms are a significant public health concern. Antimicrobial resistance (AMR) is closely linked to the excessive and indiscriminate use of antibiotics, which creates selective pressure and promotes the emergence of resistant pathogens.

objectivesThis study evaluates the synergistic potential of intragenic antimicrobial peptides (IAPs) combined with plant alkaloids against susceptible and multidrug-resistant human pathogenic bacteria, assessing antimicrobial activity, biofilm inhibition, and hemocompatibility.

methodsThe tested molecules included berberine, tomatidine, sinomenine, and the IAPs Hs02 and Gr01. Minimum inhibitory concentration (MIC) and minimum microbicidal concentration (MMC) assays were performed against both ATCC (

resultsBerberine exhibited a MIC of 1024 µM when tested individually, while tomatidine and sinomenine showed no significant activity. As expected, the IAPs showed strong antimicrobial properties at 8 µM (Hs02) and 4 µM (Gr01). When tested in synergy, alkaloids and IAPs reduced the MIC by up to 128-fold. The combination of IAPs and alkaloids reduced the biofilm biomass of

conclusionsThese results highlight the importance of further exploring combinations of natural and synthetic bioactive molecules as promising antimicrobial candidates. This approach may help to extend the useful life of conventional antibiotics. However, further studies are needed to assess safety, cytotoxicity, genotoxicity, inflammation, and in vivo effects.

Indexed as

alkaloidsantimicrobial resistancebiofilm inhibitionintragenic antimicrobial peptidessynergistic combinations

Identifiers

PMID42353685
PMCPMC13295677

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.