Loading

Journal of Veterinary Medicine and Research

Nanobiotechnology against Salmonella spp

Review Article | Open Access

  • 1. Department of General and Industrial Microbiology, Sofia University, Bulgaria
  • 2. Polymer department, University of Chemical Technology and Metallurgy, Bulgaria
+ Show More - Show Less
Corresponding Authors
Stoyanova D, Department of General and Industrial Microbiology, Sofia University, Bulgaria
Abstract

This article aims to summarize the benefits of nanobiotechnology in the fight against socially and economically significant bacterial species like Salmonella, starting from identification and diagnostics, drug delivery, increasing the efficiency of conventional antibiotics, just like and antibacterial ability of nanoparticles in their alone application. A special attention on the method of synthesis and trend of green technologies was paid. In an attempt to draw conclusions and dependencies, a systematic review on the mechanisms of action of various nanoparticles against Salmonella spp., clarified until nowadays is prepared.

Keywords


• Antibiotic
• Green technology nanoparticles
• Antibacterial potential
• Detection

Citation

Stoyanova DS, Ivanova IA, Vladkova TG (2016) Nanobiotechnology against Salmonella spp. J Vet Med Res 3(4): 1057.

ABBREVIATIONS

NP(s): Nanoparticle(s); MIC: Minimal Inhibition Concentration; MBC: Minimal Bactericidal Concentration

INTRODUCTION

Salmonella spp. is delicate, non-spore forming gram negative rod-shaped bacteria of the family Enterobacteriaceae, which are widespread in the environment. Intestinal tract of many animals and humans is their usual place of habitat and propagation, hence they are released into the environment and can survive for a long time and grow in food, plant and animal waste, in general, wherever they have found organic matter and suitable conditions [1].

Salmonella is found to be infecting 21.7 million people and literally causing 2,17,000 deaths annually [2]. The main route of transmission for enteric fever is the polluted water and food [3,4].Other study proved that S. typhi is frequently associated with the gallstones in asymptomatic human carriers, in which the bacteria colonizes and forms biofilm [5]. The appearance of severe infections, caused by Salmonella spp. due to its ability of biofilm formation in food manufacturing and processing plants is reported in [6]. These pathogens cause enormous losses in the food industry [6].

IDENTIFICATION AND DIAGNOSTIC

Taxonomic differentiation of the genus S. enterica spp. is complicate and time consuming because of its resemblance with E. coli and about 2,400 serovars. Different fast test were created, but the use of nanoparticles such as gold has further improved biosensor sensitivity and provides a fast detection through direct visualization [7].The use of DNA and gold nanoparticles (Au NP) simultaneously have led to the development of a class of colorimetric biosensors in which detection results are readily observed from the test kit rather than to use further equipment for visualization purposes [8,9]. This in turn greatly reduces the overall cost for the detection of S. enterica [10].

Thavanathan et al. [10], developed a colorimetric biosensor using a dual platform of gold nanoparticles and grapheme oxide sheets for the detection of Salmonella enterica. In this original research the presence of the invA gene in S. enterica causes a change in color of the biosensor from its original pinkish-red to a light purplish solution. This occurs through the aggregation of the primary gold nanoparticles–conjugated DNA probe onto the surface of the secondary graphene oxide– conjugated DNA probe through DNA hybridization with the targeted DNA sequence. The novelty of this biosensor design is that the unmodified targeted gene sequence acquired from spike food samples acts as a crosslinker between the Au NP and GO probes, which induces an observable color change when both nanoparticles are brought together [10]. The dual nanoparticle platforms of Au NP and GO function as the color change and binding components. Through its surface plasmon resonance properties of Au NP, the color of the biosensor could be manipulated by controlling the distance between nanoparticles in the event of DNA hybridization [11]. GO through its numerous surface modifications and transparent nature provides the ideal platform for the aggregation and binding of the Au NP [12].

Thavanathan et al., determined the specificity of the biosensor by measurement and characterization in two parts. The biosensor was tested with the nine most common serovars found in contaminated food. The invA gene targets from S. typhi, S. typhimurium, S. enteritis, S. paratyphi A, S. covallis, S. heidelberg, S. stanley, S. weltevreden, and S. choleraesuis were obtained through PCR amplification. Spectrophotometry analysis of all nine biosensor samples showed a wavelength shift from an initial 525 nm to approximately 600 nm, which indicated the aggregation of the Au NP due to hybridization between the biosensor DNA probes and the target DNA. Minor wavelength peak at 570 nm have showed almost all the S. enterica serovars. These appearances of multiple wavelength peaks could be attributed to the varying sizes of the GO-DNA sheets present within the biosensor solution. This causes the diversity in aggregation of the Au NP-DNA, which is spread throughout the entire biosensor solution and not localized onto a single point, thus giving out multiple wavelength peaks rather than a single peak with the spectrophotometry analysis [10]. Furthermore, the authors of this study determined the limit of detection for the biosensor through the use of multiple concentrations of complementary gene target. Analysis was done through a dual confirmation process, which involved a shift in wavelength peak in spectrophotometry analysis and observable color change of the biosensor solution from pinkish-red to light purplish. The limit of detection for the biosensor through its final color change was found to be at 0.98 nM of DNA target, while with the addition of 0.49 nM of the gene target, the biosensor solution remained pinkish-red without any change [10].

Growing interest in the aptamer-based biosensors is reported. Their advantages are discussed in detail in the review of V. Gedi and Y. Kim [13].

As single-stranded nucleic acids (ssDNA or RNA), aptamers offer several advantages over other sensing molecules for diagnostic and therapeutic applications [14]. In addition to being chemically stable, cost-effective and producible on a large scale, aptamers also possess an intermediate size (between antibodies and small peptides) and have comparable or higher binding affinities for their targets. These targets range from small molecules to whole cells [15-17] via an in vitro selection process known as systematic evolution of ligands by exponential enrichment (SELEX) [18].

Unlike antibodies based on purified receptors, aptamers are more attainable and responsive in living cells because they are selected from intact cells; it is not necessary to consider the conformational changes of the recognition domains in the cell membrane. Among many other types of cells, bacteria and tumor cells have been of primary interest [19,20], due to their involvement in many human diseases. To exploit the full potential of aptamer-based cell targeting, aptamers can be combined with nanomaterials, such as gold nanoparticles (AuNPs), silica NPs (SiNP), graphenes, magnetic NPs (MNP) and quantum dots (QDs). This aptamer-nanomaterial hybridization process is easily accomplished due to the simple chemical modification and welldefined structures of aptamers [21,22]. These hybrid materials are expected to improve target diagnosis and therapy with higher sensitivity and selectivity compared to aptamer-onlybased targeting strategies. Most importantly, due to the large surface area, multivalent structure, and relevant physiochemical properties of nanomaterials, aptamer-nanomaterial hybrids should provide signal amplification and an increased target binding affinity in a multivalent manner.

Wu et al. also demonstrated the salt-induced color change of AuNPs for the detection of E. coli and Salmonella typhimurium [23]. They incubated Apt-AuNPs with the target bacterial cells for 10 min. These were then aggregated upon the addition of NaCl. The subsequent color change from red to purple was simply detected either visually or with UV-vis spectroscopy [24]. This colorimetric method was able to detect 105 CFU.mL−1of E. coli or S. typhimurium [23] without requiring any expensive instrumentation or labeling process. Likewise, bacterial cells were measurable on the GO surface using a FAM (carboxyfluorescein)- aptamer which was specific for S. typhimurium. The increased fluorescence in the presence of the target bacteria was quantified as a function of bacterial cells, and the aptamer-based sensor reached an LOD as low as 100 CFU.·mL−1 [25].

This review shows that by utilizing cell-SELEX, recent advances in the development of aptamer-nano hybrid sensors have led to remarkable improvement in targeting cell. Since aptamers can be easily generated and modified with various nanomaterials, the traditional limits, related to low sensitivity, poor stability, and high cost can be overcome. Aptamer-nanomaterial hybrids show tremendous potential as robust diagnostic and therapeutic reagents for detecting and characterizing different types of cells [13].

DRUG DELIVERY

A. Nokhodchi et al., in their review article [26] clarify the challenges in drug delivery to combat Salmonella spp.

Despite the discovery of new antibiotics, treatment of intracellular infections often fails to eradicate the pathogens completely. One major reason is that many antimicrobials are difficult to transport through cell membranes and have low activity inside the cells, thereby imposing negligible inhibitory or bactericidal effects on the intracellular bacteria [27]. In addition, antimicrobial toxicity to healthy tissues poses a significant limitation to their use [27]. Therefore, the delivery of the drug to the bacterial cells is currently a big challenge to the clinicians. This is on top of the problems posed by the emerging Multi-Drug Resistant species. Moreover, the reduced membrane permeability of microorganisms has been cited as a key mechanism of resistance to antibiotics [28].

One of the distinguishing features of liposomes is their lipid bilayer structure, which mimics cell membranes and can readily fuse with the cell membrane and deliver the antibiotic contents into the cellular cytoplasm. As a result, drug delivery may be improved to bacterial and eukaryotic cells alike. By direct fusing with bacterial membranes, the drug pay loads of liposomes can be released into the cell membranes or to the interior of the bacteria. In terms of extracellular pathogens, improved antibiotic delivery into the bacterial cells is of particular importance especially since it can interfere with some of the bacterial drugresistance mechanisms which involve low permeability of the outer membrane or efflux systems [29].

Liposomes are particularly successful in eradicating intracellular pathogens [30]. Liposomal chemotherapeutics for the treatment of salmonellosis may employ some of the conventional antibiotics with proven inhibitory or bactericidal effect in vitro. Bacterial gastrointestinal infections with Salmonella typhi may be treated with chloramphenicol.

Alternatives to chloramphenicol include amoxicillin, cotrimoxazole and trimethoprim [31]. Recently treatment with cephalosporins and fluoroquinolones has become popular, as several members of these antibiotic families have been shown to be effective. The treatment of paratyphoid fever is the same as that for typhoid [31]. Salmonella food-poisoning is self-limiting and does not require antibiotic therapy, unless the patient is severly ill or blood cultures indicate systemic infection. In this case, third generation cephalosporins or fluoroquinolones are the most reliable agents [31]. Ceftriaxone or a first generation fluoroquinolone such as ciprofloxacin, ofloxacin or pefloxacin but not norfloxacin have been recommended as the first choice in typhoid and paratyphoid by The Sanford Guide to Antimicrobial Therapy [32]. The improved efficiency of liposome formulations of antibiotics has been shown in vitro and in vivo. The in vitro infection models utilize macrophages infected with Salmonella.

Nanoparticles are able to adsorb and/or encapsulate a drug, thus protecting it against chemical and enzymatic degradation. Generally, the drug is dissolved, entrapped, encapsulated or attached to a NP matrix and depending upon the method of preparation, nanoparticles, nanospheres or nanocapsules can be obtained. Owing to their nature, nanoparticles may be more stable than liposomes in biological fluids and during storage. Nanocapsules are vesicular systems in which the drug is confined to a cavity surrounded by a unique polymer membrane, while nanospheres are matrix systems in which the drug is physically and uniformly dispersed [33]. In order to minimize the side effects of nanoparticles, the polymers associated with them must be degraded in vivo due to intracellular polymeric overloading. Thus in recent years, biodegradable polymeric nanoparticles have attracted considerable attention as potential drug delivery devices in view of their applications in the controlled release of drugs, their ability to target particular organs, as carriers for DNA in gene therapy, and their ability to deliver proteins, peptides and genes through a peroral route of administration [33]. The in vitro interaction between [3H] ampicillin-loaded poly-isohexyl-cyanoacrylate nanoparticles and murine macrophages infected with Salmonella typhimurium showed that the uptake of nanoparticle-bound [3H] ampicillin by non-infected macrophages was six- and 24-fold greater respectivelycompared to free [3H] ampicillin. Surprisingly bactericidal activity against intracellular Salmonella typhimurium was similar between nanoparticlebound ampicillin and free ampicillin. This unexpected result can be explained by bacterium-induced inhibition of phagosomelysosome fusion within the macrophages, thereby preventing contact between the bacteria in the phagosomes and the nanoparticles in the secondary lysosomes [34].

One of the problems with antibiotic loaded nanoparticles is that in some cases the capacity of a polymeric drug carrier should be engineered to incorporate high concentrations of antibiotics to achieve the required dosage, yet avoid side effects that may be associated with higher amounts of carriers. This seems a difficult task, however, Ranjan et al., introduced two novel technologies by which high concentrations of gentamicin could be incorporated into the nanocomposits [35]. Ranjan et al., made an attempt to enhance antibacterial efficacy of gentamicin using a new technology called core-shell nanostructures Nanostructures administered in vivo either at multiple dosage of 5 microg g(-1) or single dosage of 15 microg g(-1) in AJ-646 mice infected with Salmonella resulted in significant reduction of viable bacteria in the liver and spleen. Histopathological evaluation for concentration-dependent toxicity at a dosage of 15 microg g(-1) revealed mineralized deposits in 50% kidney tissues of free gentamicin-treated mice which in contrast was absent in nanostructure-treated mice. Thus, encapsulation of gentamicin in nanostructures may reduce toxicity and improve in vivo bacterial clearance [35]

1) or single dosage of 15 microg g(-1) in AJ-646 mice infected with Salmonella resulted in significant reduction of viable bacteria in the liver and spleen. Histopathological evaluation for concentration-dependent toxicity at a dosage of 15 microg g(-1) revealed mineralized deposits in 50% kidney tissues of free gentamicin-treated mice which in contrast was absent in nanostructure-treated mice. Thus, encapsulation of gentamicin in nanostructures may reduce toxicity and improve in vivo bacterial clearance [35]

1) or single dosage of 15 microg g(-1) in AJ-646 mice infected with Salmonella resulted in significant reduction of viable bacteria in the liver and spleen. Histopathological evaluation for concentration-dependent toxicity at a dosage of 15 microg g(-1) revealed mineralized deposits in 50% kidney tissues of free gentamicin-treated mice which in contrast was absent in nanostructure-treated mice. Thus, encapsulation of gentamicin in nanostructures may reduce toxicity and improve in vivo bacterial clearance [35]

Later, Ranjan et al. [36], incorporated gentamicin into macromolecular complexes with anionic homo- and blockcopolymers via cooperative electrostatic interactions between cationic drugs and anionic polymers [36].Their study showed that in addition to the high loading of drug carried by these polymeric nanoplexes, the nanoplexes can potentially improve targeting of interacellular pathogens such as Salmonella [36].

Enchanced effect of antibiotics

by nanoparticles Enteric fever remains an important public health problem in many countries of the world. In recent years, an increasing number of salmonellosis outbreaks have been recorded around the world, and probably there should be more cases that should reported [37].

Typhoid fever is endemic in developing countries especially in Southeast Asia and Africa. Salmonella gastroenteritis is usually a self limiting disease. Fluid and electrolyte replacement may be indicated in severe cases. Because antibiotics do not seem to shorten the duration of symptoms and may actually prolong the duration of convalescent carriage, they are not routinely used to treat uncomplicated non typhoidal Salmonella gastroenteritis. Current recommendations are that antibiotics should be reserved for patients with severe disease or patients who are at high risk of invasive disease [38].

Presently, quinolone, macrolide and third – generation cephalosporin antibiotics are preferred for empiric therapy pending sensitivities. Unfortunately, sensitivity to quinolones has been steadily declining: some S.enterica serovar typhi strains resistant to fluoroquinolones have already been reported [28,39,40]. Mutations in regulator genes have been shown to induce the overproduction of efflux and the down-regulation of porin synthesis. In addition, various compounds such as salicylate, imipenem or chloramphenicol are able to activate the MDR response. This phenomenon has been observed both in vitro during culture of bacteria in the presence of drugs and in vivo during antibiotic treatment of infected patients. These effectors activate the expression of specific global regulators, marA, ramA, or target other genes located downstream in the regulation cascade [28]

In recent decades, there has been increasing interest in nanoparticles production from fungi, which are expected to produce high level of silver nanoparticles. Because of their rapid growth and high rate of production, fungi are used as bio-manufacturing units, which will provide an added benefit in being easy to use as compared to other microorganisms. The combination of antibiotics and metal naoparticles could increase the antibiotic efficacy against resistant pathogenes. Nanoparticle - antibiotic conjugates lower the amount of both agents in the concentration, which reduces harmfulness and increases antimicrobial properties. These conjugates were effective against resistant bacteria species due to this conjugation the concentrations of antibiotics were increased at the place of antibiotic –microbe interaction and thus accelerate the binding microbes and antibiotics [41].

G. Krishna et al. in their work [42] used the culture filtrate to develop a simple cost effective, biocompatible and ecofriendly approach for the extracellular biological synthesis of silver nanoparticles using Tramates sp. The study involved the systematic analysis of the antibacterial activity of the biologically prepared silver nanoparticles against Salmonella sp. They also investigated the effect of combination of antibiotics with silver nanoparticles against Salmonella sp. It is clear that such systems may improve the antibiotic efficacy by increasing the drug concentration with the attachment of the nanoparticles in the surrounding of the bacteria [42]

It was found that the silver nanoparticles from Tramete ssp. enhanced the reaction rates of the antibiotics in a synergistic mode as well as in its own way on these pathogenes. In both the cases of S.typhi and S.paratyphi the highest zone of inhibition was found in the combination of ofloxacin + silver NPs followed by ceftriaxone + silver NPs, ofloxicin, ceftiaxone and silver NPs [42].

Very interesting is approach of H. M. Ahmed (2014). The aim of his work is to study the synergistic effect of antibiotic Amikacin with biogenically synthesized silver NPs (plant extract of Nepali hog plum Choerospondia saxillari) and chemically synthesized silver NPs, using sodium citrate [43]. Amikacin antibiotic has showed an enhanced antibacterial activity in combination with plant extract synthesized AgNPs compared to Amikacin in combination with chemically synthesized AgNPs. The antibiotic showed 9,66% fold increase against Salmonella typhi with chemically synthesized AgNPs. However, AgNPs with plant extract (30g/ml) showed 20,16% fold increase against S. typhi[43].

Antibacterial effect of nanoparticles against Salmonella sp.

Salmonellasp. are commonly found in the environment and there are many instances throughout the grow-out phase in which birds can come into contact with Salmonella and other pathogens. Laboratory trial and other two separate field trials were conducted to evaluate the efficacy of various disinfectants on the isolated Salmonella enteriditis when applied to poultry house floors, as well as an innovative trial also, carried out to evaluate the efficacy of same disinfectants when they contained Ag nanoparticles. [44]. White wash and iodophores containing Ag nanoparticles showed highly significant (P < 0.05) reduction of Salmonella populations in floor after disinfection process (5; 4 log10 reduction, respectively). Interestingly, Salmonella populations completely destroyed when exposed to phenuique and formalin containing Ag nanoparticles in field trial. This may be due to the ubiquitous nature of Ag nanoparticles, which are able to enhance the disinfectant power [44].

A. Saxena et al., have reported a fast, convenient and extracellular method for the synthesis of silver nanoparticles by reducing silver nitrate with the help of onion (Allium cepa) extract. They study the antibacterial property of silver nanoparticles toward E.coli and Salmonella typhimurium [45].

Silver nanoparticles were synthesised by this method having 33.6 nm average mean size. The preparation of nanoparticles by using onion extract has desired quality with low cost and convenient methods. These nanoparticles at concentration 50µg/ ml were showed complete antibacterial activity against E.coli and Salmonella typhimurium [45].

Irayyif et al., investigate the effect of silver nanoparticles on the food borne pathogens like Salmonella typhi and Salmonella paratyphi. The silver nanopartciles at 10nm size were found to be effective towards the food borne pathogens Salmonella. Both the species of Salmonella (Salmonella typhi and Salmonella paratyphi) showed sensitivity to the nanopartciles. The study on the antibacterial activity, biofilm formation and their primary adherence capacity all proved of the role of the nanoparticles as antimicrobial agents. Moreover, a keen study observed that the response was stronger towards Salmonella paratyphi than Salmonella typhi. The effect of nanoparticles on the biofilm formation and primary adherence assay was found to be concentration dependent [46].

Ravikumar et al., in their study investigate the antibacterial potential of metal oxide nanoparticles viz., Al2 O3 , Fe3 O4 , CeO2 , ZrO2 , and MgO against poultry pathogens viz., Klebsiella sp., E. coli, Staphylococcus sp. and Salmonella sp. The ZrO2 showed maximum antibacterial activity against Salmonella sp. followed by E. coli respectively. The MIC and MBC results revealed that, the ZrO2 nanoparticles inhibit the bacterial growth at a concentration of 2.5µg/ml against Salmonella sp. All the nanoparticles showed activity against all the tested pathogens. The time kill assay reveals that, the growth of the Salmonella sp. was inhibited by ZrO2 from the 1st h onwards. It is concluded that, the ZrO2 nanoparticles could be used as an effective antibacterial agent for the management of poultry systems. The ZrO2 nanoparticle showed antibacterial activity against Salmonella sp. at a concentration of 5µg/ml. The time kill assay revels that, the bacterial growth was inhibited from the 1st h up to 12th h[47].

Kurantowicz et al., compared the toxicity of different forms of graphene family materials (GFM); pristine graphene (pG), graphene oxide (GO) and reduced graphene oxide (rGO) towards bacteria strains. The effect of three different GFMs on chosen food-borne bacteria strains: Gram-positive (G+) – Listeria monocytogenes, and Gram-negative (G-) – Salmonella enterica [48] was tested. Results are a decreased number of bacterial colonies observed in probes 250 μg/mL for all examined GFMs. Moreover, as low concentration of GO as 25 μg/mL caused a drop in the level of bacterial colonies as well and reduced growth by almost 100% [48].

T. Jin et al. [49] reported that the inhibitory efficacies of ZnO QDs against 3 pathogens (Listeria monocytogenes, Salmonella enteritidis and Escherichia coli O157) were concentration dependent and also related to type of application [49]. It was found that the treatment with ZnO formulation caused a net reduction in bacterial cells of 78% and 62% in the case of treated cotton and cotton/polyester fabrics while the net reduction in fungi was calculated to be 80.7% and 32%, respectively [50]. ZnO is 1 of 5 zinc compounds that are currently listed as generally recognized as safe (GRAS) by the U.S. Food and Drug Administration (21CFR182.8991). The inhibitory effect of ZnO nanoparticles against Salmonella was dependent on the concentration of ZnO. After initial killing of cells by ZnO treatment, the cell populations of Salmonella remained constant during the 8 d incubation with the numbers of cells after 8 d at 5.5 log CFU/mL for 0.28 mg/mL. In the 1.12 mg/mL solution, Salmonella cells decreased to 3.5 log CFU/mL, whereas the control grew to 9.7logCFU/mL[49].

Antimicrobial growth inhibition and mechanistic activities of synthesized ZnO NPs were investigate from Navale et al. [51]. Nanoparticle size 20-25nm and concentration of 0, 20, 40, 60, 80 and 100µg/ml were used against pathogenic bacteria S.aureus (Gram positive) and Salmonella thyphimurium (Gram negative) and also first time against two plant fungi Aspergillus flavus and fumigatus. The growth analysis data indicated that the ZnO NPs have significant bactericidal effect on both bacteria. The quantity of died fungal biomass was negligible when the fungal culture was grown in presence of 100µg/ml NPs. The bactericidal effect was obtained at concentration 80µl/ml and bacteriostatic at 60µl/ml. These microbial analyses data indicates that ZnO NPs (size 20-25nm) have shown potential activity against these tested bacteria [51].

Antibacterial effects of ZnS: Ag nanoparticles against Pseudomonas aeruginosa, Staphylococcus aureus and Salmonella typhi were investigated from Parvin et al.[52]. By increasing the ZnS concentration in wells and discs, the growth inhibition has also been increased. The size of inhibition zone was different according to the type of bacteria and the concentrations of ZnS:Ag QDs. Based on the diameter of inhibition zone for different bacteria the maximum inhibition activity is demonstrated against Staphylococcus aureus in comparison with P. aeruginosa and S. typhi. Data showed the similar results for different concentrations of ZnS nanoparticles antibacterial activity.The results of MICs obtained from broth dilution for Pseudomonas aeruginosa, Staphylococcus aureus and Salmonella typhi, are 3.05 , 3.05 and 6.1 mg/ml whereas the amountsof obtained Minimal Bactericidal Concentrations are 12.2 , 6.1 and 12.2 mg/ml respectively [52].

Y. He et al., reported that magnesium oxide nanoparticles (MgO nanoparticles), with average size of 20 nm have considerable potential as antimicrobial agents in food safety applications due to their structure, surface properties, and stability [53].The observed antimicrobial effect was further investigated by exposing 108 CFU/ml C. jejuni and 109 CFU/ml E. coli O157:H7 and S. enteritidis to 0,5- 8 mg/ml MgO nanoparticles over a set time trial. Live cells were measured by the colony forming units onMH (Muler Hinton???) agar. At a concentration of 2 mg/ml MgO nanoparticles, C. jejuni was reduced 6 orders of magnitude after 2 h and completely killed after 4 h. At 4 mg/ml, C. jejuni was completely killed within 1 h. On the contrary, 8 mg/ ml MgO nanoparticles were required to kill all E. coli O157:H7 and S. enteritidis cells in 4 h and 4 mg/ml in 6 h. In addition, E. coli O157:H7 could also be killed by 2 mg/ml in 8 h, whereas S. enteritidis was only reduced 5 logs after the same exposure. This demonstrates again that MgO nanoparticles are effective at killing C. jejuni at low concentrations in short periods of time. They are also advantageous at killing E. coli O157:H7 and S. enteritidis within 4 h [53].

Lima et al., in their work [54] used gold nanoparticles supported onto clinoptilolite, mordenite and faujasite zeolites. Content of gold in materials varied between 2, 3 and 2,8 wt%. The size, dispersion and roughness of gold nanoparticles were highly dependent of the zeolite support. The faujasite support was the support where the 5 nm NPs were highly dispersed. Gold nanoparticles dispersed on zeolites eliminate E.coli and S.typhi at short times. The biocidal properties of gold nanoparticles are influenced by the type of support which indeed, drives key parameters as the size and roughness of NPs. The most active material were pointed out as Au-faujasite. These materials contained particles size 5nm at surface and eliminate 90-95%of E.coli and S.typhi colonies for only90min. [54].

Mechanism of action of nanoparticles against Salmonella sp

To explore antimicrobial mechanism of the nanoparticles, scanning electron microscopy was used to examine the morphological and membrane structure changes of C. jejuni, E. coliO157:H7, and S. enteritidis induced by MgO nanoparticles. Bacterial cells in late-log growth were treated with sub-lethal doses of MgO nanoparticles (1 and 2 mg/ml) for 4 h and collected for SEM study. Both treated and untreated cells were incubated under the same conditions and analyzed by SEM in parallel in order to observe the differences between the control and cells exposed to nanoparticles. SEM images show all of the untreated cells have intact and smooth surfaces. As expected, C. jejuni cells are spiral-shaped, whereas E. coliO157:H7 and S. enteritidis are rod-shaped. After incubation with a sub-lethal concentration of nanoparticles, C. jejuni cells underwent significant morphological changes from spiral to coccoid form, but E. coli O157:H7 and S. enteritidis remained rod shaped. Noticeably, all of the treated cells displayed some deep craters on their membrane surface, indicating a degree of membrane structure damage. These cells appear to be shorter and more compact, suggesting there could be some leakage of the cellular contents caused by the treatment. No cell lysis was noticed after the treatment of sub-lethal concentrations of nanoparticles [53].

The membrane permeability of C. jejuni after exposure to 1 and 2 mg/ml MgO nanoparticles for 4 h was assessed by EMA-qPCR assay. The results show that cells exposed to MgO nanoparticles had a nearly 1-log reduction in DNA amplification, indicating EMA penetration via damaged membranes. Similar experiments were performed on E. coli O157:H7 and S. enteritidis cells after exposure to 2 and 4 mg/ml MgO nanoparticles. The effects of membrane leakage by MgO nanoparticles were less noticeable compared to C. jejuni (data not shown). Together, these results indicate that MgO nanoparticles increase cell membrane permeability and that C. jejuni is more susceptible to the membrane damage than E. coliO157:H7 and S. Enteritidis [53]

Krishnamoorthy et al., also reported for different mechanism of action in their work linked with antibacterial efficiency of graphene nanosheets against pathogenic bacteria via lipid peroxidation [55]. Graphene nanosheets are synthesized by a hydrothermal approach. The minimum inhibitory concentration (MIC) of graphene nanosheets against pathogenic bacteria was evaluated by a microdilution method. MICs such as 1 μg/mL (against Escherichia coli and Salmonella typhimurium), 8 μg/mL (against Enterococcus faecalis), and 4 μg/mL (against Bacillus subtilis) suggest that graphene nanosheets have predominant antibacterial activity compared to the standard antibiotic, kanamycin. Measurement of free radical modulation activity of graphene nanosheets suggested the involvement of reactive oxygen species in antibacterial properties.

The free radical modulation activity of graphene nanosheets was determined using a lipid peroxidation assay [56]. Briefly, lipid peroxidation was induced in liposome prepared by ultrasonic irradiation from egg lecithin by adding 5 μL of 400 mM FeCl3 and 5 μL of 200 mM L-ascorbic acid. To this, the graphene nanosheets were added. A control which contained no compound was prepared. The samples were incubated at 37 °C for 60 min. The reaction was inhibited by adding 1 mL of stopping solution which contained 0.25 N HCl, 1.5% trichloroacetic acid, and 0.375% thiobarbituric acid. These reaction mixtures were kept in a boiling water bath for 15 min, cooled, and centrifuged. The absorbance of the resulting solution was measured at 532 nm.

Graphene nanosheets enhanced the ultrasound-induced lipid peroxidation. In comparison with the control group, lipid peroxidation was increased by 117% and 109% after exposure to 10 and 5 μg/mL of graphene (p < 0.05), respectively [55].

Berton et al., with the use of the transmission electron microscopy (TEM) were able to evaluate the interaction between Ag-NPs and two Salmonella enterica strains (enteritidis and senftenberg) and to study morphological changes caused by the interaction with nanoparticles.[57]The Ag-NPs appeared to interact rapidly with the two Salmonella serovar, adhering mainly to the cell wall. The interaction with the Ag-NPs resulted to be time limited in the case of S. senftenberg, while it was more long lasting for S. enteritidis. Cell responses to Ag-NPs morphologically differed in S. enteritidis and S. senftenberg. Ag-NPs were adsorbed to the cell membrane of S. enteritidis and penetrated inside, thus modifying the cell structures. On the contrary, Ag-NPs were able to damage the cell wall of S. senftenberg, but did not enter the cells. These results show that the two Salmonella strains display different sensitivity to silver, with S. senftenberg exhibiting a resistant phenotype [57].

The response of S. enteritidis to Ag-NPs after 1 hour included: disruption of the cell wall, lysis of the cell membrane, damage of the cytoplasm and cell deformation. The interaction between AgNPs and the cell wall was characterized by the formation of “pits” and by their aggregation on the surface of the outer membrane thus determining an enhanced permeability of the bacterial membrane which allowed entry into the cell and, possibly, caused its death. In addition, electron dense Ag-NPs were found in cytoplasm of S. enteritidis and the damage of the cells displayed the formation of small electron lucent areas in cytoplasm. These regions appeared throughout the whole cell and aggregated in areas of high electron density located in the electron lucent cytoplasm. Another change induced by the adsorption of Ag-NPs was the widening of the periplasmic space, in which Ag-NPs had accumulated.

In the case of S. senftenberg, the disruption of the cell wall was observed after 1 hour, although the Ag-NPs did not penetrate inside and the authors did not detect any damage to the cell shape. After 4 hours, the S. senftenberg cells were mainly intact and maintained the same morphological structures as the control [57].

The study has demonstrated that Ag-NPs can be effective as an antimicrobial in the case of Salmonella, but its success is strongly strain-dependent, since differences in terms of time of action of AgNPs and sensitivity were observed for the two investigated serovars. This is probably due to genetic factors specifically intrinsic of each strain, including the presence of specific determinants of resistance, as demonstrated in the case of S. senftenberg [57].

In Salmonella, the silver resistance determinant present in some strains is encoded by genes located both on the plasmid and the chromosome. The silver determinant, studied on Salmonella plasmid pMG101, contains nine genes coding for one efflux ATPase (SilP), two metal-binding proteins (SilF and SilE), and one cation/proton antiporter (SilCBA). These proteins supposedly work in synergy: SilP releases Ag+ in the periplasmic space, SilF carries Ag+ from the periplasm to the inner membrane cation pump protein SilA, as a part of the SilCBA complex, which brings Ag+ out from the bacterial cell [58].

The shape and size of GFMs and their interactions towards bacteria strains were inspected by transmission electron microscope also. Bacteria were aggregated and attached to GFMs. A strong affinity occurred between bacteria and edges of pG and rGO, while bacterial strains attached to GO nanoparticle surfaces. The present results indicate that GFM antibacterial activity causes mechanical damage of bacterial cell membranes by a direct contact of the bacteria with the extremely sharp edges of GFM with sp3 -hybridized bonds. Based on the present results, the authors propose a three-step antimicrobial mechanism of GFM. It includes initial cell deposition on GFM (step 1), membrane stress and disruption caused by direct contact with sharp edges and bonds (step 2), and finally stimulated oxidation stress (step 3). The key difference between the chosen graphene materials is the bacterial cell deposition place [48].

The possible mechanism of action is, the metal nanoparticles are carrying the positive charges and the microbes are having the negative charges which create the electromagnetic attraction between the nanoparticles and the microbes. When the attraction is finished, the microbes get oxidized and die instantly [59]. Generally, the nano materials release ions, which react with the thiol groups (-SH) of the proteins present on the bacterial cell surface which leads to cell lysis [60].

CONCLUSION

As a result of the survey we can conclude that nanobiotechnology is applicable at any stage of the fight against Salmonella. Many types of nanoparticles and nanocomposites give promising results on antibacterial effect evidence. It should be taken into account in future studies to clarify the mechanisms of action depending on factors such as concentration during treatment and strains dependence. From an overview, we can also mention trend for application of green synthesis of nanoparticles that reduce environmental risk. We note also that when comparing the examined nanoparticles those with very low levels of MIC and MBC, should be a priority in future research.

REFERENCES

1. Mitov I. Salmonellas. In: Microbiology, Mitov G, editor. Arso, Sofia, (in Bulgarian). 2000.

2. Fux CA1, Costerton JW, Stewart PS, Stoodley P. Survival strategies of infectious biofilms. Trends Microbiol. 2005; 13: 34-40.

3. Gelperina S, Kisich K, Iseman MD, Heifets L. The potential advantages of nanoparticle drug delivery systems in chemotherapy of tuberculosis. Am J Respir Crit Care Med. 2005; 172: 1487-1490.

4. Kearns DB. A field guide to bacterial swarming motility. Nat Rev Microbiol. 2010; 8: 634-644.

5. Klapper I, Dockery J. Mathematical description of microbial biofilms. SIAM Review. 2010; 52: 221-265.

6. Murray TS, Ledizet M, Kazmierczak BI. Swarming motility, secretion of type 3 effectors and biofilm formation phenotypes exhibited within a large cohort of Pseudomonas aeruginosa clinical isolates. J Med Microbiol.2010; 59: 511-520.

7. Luo R, Li Y, Lin X, Dong F, Zhang W, Yan L, et al. A colorimetric assay method for invA gene of Salmonella using DNAzyme probe selfassembled gold nanoparticles as single tag. Sens Actuators B Chem. 2014; 198: 87-93.

8. Dungchai W, Siangproh W, Chaicumpa W, Tongtawe P, Chailapakul O. Salmonella typhi determination using voltammetric amplification of nanoparticles: a highly sensitive strategy for metalloimmunoassay based on a copper-enhanced gold label. Talanta. 2008; 77: 727-732.

9. Yuan J, Tao Z, Yu Y, Ma X, Xia Y, Wang L, et al. A visual detection method for Salmonella typhimurium based on aptamer recognition and nanogold labeling. Food Control. 2014; 37: 188-192.

10. Thavanathan J, Huang NM, Thong KL. Colorimetric biosensing of targeted gene sequence using dual nanoparticle platforms. Int J Nanomedicine. 2015; 10: 2711-2722.

11. Ding N, Zhao H, Peng W, He Y, Zhou Y, Yuan L, et al. A simple colorimetric sensor based on anti-aggregation of gold nanoparticles for Hg2+ detection. Colloids Surf A Physicochem Eng Asp. 2012; 395: 161-167.

12. Gogotsi Y. Controlling graphene properties through chemistry. J Phys Chem Lett. 2011; 2: 2509-2510.

13. Gedi V, Kim YP. Detection and characterization of cancer cells and pathogenic bacteria using aptamer-based nano-conjugates. Sensors (Basel). 2014; 14: 18302-18327.

14. Jayasena SD. Aptamers: an emerging class of molecules that rival antibodies in diagnostics. Clin Chem. 1999; 45: 1628-1650.

15. Wilson DS, Szostak JW. In vitro selection of functional nucleic acids. Annu Rev Biochem. 1999; 68: 611-47.

16. Cerchia L, de Franciscis V. Targeting cancer cells with nucleic acid aptamers. Trends Biotechnol. 2010; 28: 517-525.

17. Lee S, Kang J, Ren S, Laurell T, Kim S, Jeong OC. A cross-contaminationfree SELEX platform for a multi-target selection strategy. Biochip J. 2013; 7: 38-45.

18. Stoltenburg R, Reinemann C, Strehlitz B. SELEX--a (r)evolutionary method to generate high-affinity nucleic acid ligands. Biomol Eng. 2007; 24: 381-403.

19. Sefah K, Shangguan D, Xiong X, O’Donoghue MB, Tan W. Development of DNA aptamers using Cell-SELEX. Nat Protoc. 2010; 5: 1169-1185.

20. Chen F, Zhou J, Luo FL, Mohammed AB, Zhang XL. Aptamer from whole-bacterium SELEX as new therapeutic reagent against virulent Mycobacterium tuberculosis. Biochem Biophys Res Commun. 2007; 357: 743-748.

21. Lee JH. Conjugation approaches for construction of aptamer-modified nanoparticles for application in imaging. Curr Top Med Chem. 2013; 13: 504-512.

22. Yu MK, Park J, Jon S. Targeting strategies for multifunctional nanoparticles in cancer imaging and therapy. Theranostics. 2012; 2: 3-44.

23. Wu WH, Li M, Wang Y, Ouyang HX, Wang L, Li CX, et al. Aptasensors for rapid detection of Escherichia coli O157:H7 and Salmonella typhimurium. Nanoscale Res Lett. 2012; 7: 658.

24. Shipway AN, Lahav M, Gabai R, Willner I. Investigations into the electrostatically induced aggregation of Au nanoparticles. Langmuir. 2000; 16: 8789-8795.

25. Duan YF, Ning Y, Song Y, Deng L. Fluorescent aptasensor for the determination of Salmonella typhimurium based on a graphene oxide platform. Microchim Acta. 2014; 181: 647-653.

26. Nokhodchi A, Ghafourian T, Mohammadi G. Nanotechnology Tools for Efficient Antibacterial Delivery to Salmonella.

27. Drulis-Kawa Z, Dorotkiewicz-Jach A. Liposomes as delivery systems for antibiotics. Int J Pharm. 2010; 387: 187-98.

28. Davin-Regli A, Bolla JM, James CE, Lavigne JP, Chevalier J, Garnotel E, et al. Membrane permeability and regulation of drug “influx and efflux” in enterobacterial pathogens. Curr Drug Targets. 2008; 9: 750-9.

29. Mugabe C, Halwani M, Azghani AO, Lafrenie RM, Omri A. Mechanism of enhanced activity of liposome-entrapped aminoglycosides against resistant strains of Pseudomonas aeruginosa. Antimicrob Agents Chemother. 2006; 50: 2016-2022.

30. Labana S, Pandey R, Sharma S, Khuller GK. Chemotherapeutic activity against murine tuberculosis of once weekly administered drugs (isoniazid and rifampicin) encapsulated in liposomes. Int J Antimicrob Agents. 2002; 20: 301-304.

31. Kelly P, Farthing MJG. Infections of the gastrointestinal tract. In: O’Grady F, Lambert HP, Finch RG, Greenwood D, editors. Antibiotic and Chemotherapy. Churchill Livingstone Inc., New York. 1997; 708- 720.

32. Gilbert DN, Moellering RC, Eliopoulos GM, Sande MA. The Sanford Guide to Antimicrobial Therapy 35th Edn. Antimicrobial Therapy Inc., USA. 2005.

33. Soppimath KS1, Aminabhavi TM, Kulkarni AR, Rudzinski WE. Biodegradable polymeric nanoparticles as drug delivery devices. J Control Release. 2001; 70: 1-20.

34. Balland O, Pinto-Alphandary H, Pecquet S, Andremont A, Couvreur P. The uptake of ampicillin-loaded nanoparticles by murine macrophages infected with Salmonella typhimurium. J Antimicrob Chemother. 1994; 33: 509-522.

35. Ranjan A, Pothayee N, Seleem MN, Taler RD, Brenseke B, Sriranganathan N, et al. Antibacterial efficacy of core-shell nanostructures encapsulating gentamicin against an in vivo intracellular Salmonella model. Int J Nanomed. 2009; 4: 289-297.

36. Ranjan A, Pothayee N, Seleem M, Jain N, Sriranganathan N, Riffle JS, et al. Drug Delivery using novel nanoplexes against a Salmonella mouse infection model. J Nanopart Res. 2010; 12: 905-914.

37. Anima N, Shahnaz M. Enhanced antibacterial efficacy of biosynthesized silver nanoparticles from Penicillium glabrum (MTCC 1985) pooled with different drugs. Int J.Pharm Tech Res. 2014; 6: 217-223. 

38. Bansal V, Rautaray D, Bharde A, Ahire K, Sanyal A, Ahmad A. Fungusmediated biosynthesis of silica and titania particles. J Mater Chem. 2005; 15: 2583-2589.

39. Chitnis V, Chitnis D, Verma S, Hemvani N. Multidrug-resistant Salmonella typhi in India. Lancet. 1999; 354: 514-5.

40. Crump JA, Medalla FM, Joyce KW, Krueger AL, Hoekstra RM, Whichard JM. Antimicrobial resistance among invasive nontyphoidal Salmonella enteric isolates in the United States national antimicrobial resistance monitoring system, 1996 to 2007. Antimicrob Agents Chemother. 2011; 55: 1148-1154.

41. Furno F, Morley KS, Wong B, Sharp BL, Arnold PL, Howdle SM, et al. Silver nanoparticles and polymeric medical devices: a new approach to prevention of infection? J Antimicrob Chemother. 2004; 54: 1019- 1024.

42. Krishna G, Kumar SS, Pranitha V, Alha M, Charaya S. Biogenic synthesis of silver nanoparticles and their synergistic effect with antibiotics: A study against Salmonella sp. Int J Pharm Pharm Sci. 2015; 7: 84-88.

43. Ahmed HM. Biophysical and characterizations of silver nanoparticles used as Salmonella typhi detector. Int J Appl Sci Biotecnol. 2014; 2: 510-515.

44. Kaoud HA, Yosseif S. Efficacy of silver nanoparticles and activated electrochemical water as poultry disinfectants against Salmonella enteritidis. Global J Sci Res. 2013; 1: 8-13.

45. Saxena A, Tripathi RM, Singh RP. Biological Synthesis of silver nanoparticles by using onion (Allium cepa) extract and their antibacterial activity. Digest J Nanomaterials Biostruct. 2010; 5: 427- 432.

46. Irayyif SM, Araghiand AMS, Malla S. Silver nanoparticles and their effect on the biofilm formation in food borne Salmonella species. Int J Recent Sci Res. 2015; 6: 4343-4346.

47. Ravikumar S, Gokulakrishnan R. The Inhibitory Effect of Metal Oxide Nanoparticles against Poultry Pathogens. Int J Pharm Sci Drug Res. 2012; 4: 157-159.

48. Kurantowicz N, Sawosz E, Jaworski S, Kutwin M, Strojny B, Wierzbicki M, et al. How graphene family materials affect Listeria monocytogenes and Salmonella enterica strains? 4th International Conference on Clinical Microbiology and Microbial Genomics. Philadelphia, USA. October 05-07, 2015.

49. Jin T, Sun D, Su JY, Zhang H, Sue HJ. Antimicrobial efficacy of zinc oxide quantum dots against Listeria monocytogenes, Salmonella enteritidis, and Escherichia coli O157:H7. J Food Sci. 2009; 74: M46-52.

50. Zohdy MH, Abdel Kareem H, El-Naggar AM, Hassan MS. Microbial detection, surface morphology, and thermal stability of cotton and cotton/polyester fabrics treated with antimicrobial formulations by a radiation method. J Appl Polym Sci. 2003; 89: 2604–2610.

51.Navale GR, Thripuranthaka M, Late DJ, Shinde SS. Antimicrobial Activity of ZnO nanoparticles against pathogenic bacteria and fungi. JSM Nanotechnol Nanomed. 2015; 3: 1033.

52. Parvin N, Amiri G, Karbasizadeh V. Antibacterial effect assessment of ZnS: Ag nanoparticles. Nanomed J. 2016; 3: 191-195.

53. He Y, Ingudam S, Reed S, Gehring A, Strobaugh Jr TP, Irwin P. Study on the mechanism of antibacterial action of magnesium oxide nanoparticles against foodborne pathogens. J Nanobiotechnol. 2016; 14: 54.

54. Lima E, Guerra R, Lara V, Guzmán A. Gold nanoparticles as efficient antimicrobial agents for Escherichia coli and Salmonella typhi. Chem Cent J. 2013; 7: 11.

55. Krishnamoorthy K, Veerapandian M, Zhang L-H, Yun K, Kim SJ. Antibacterial Efficiency of Graphene Nanosheets against Pathogenic Bacteria via Lipid Peroxidation. J Phys Chem C. 2012; 116: 17280- 17287.

56. Premanathan M, Karthikeyan K, Jeyasubramanian K, Manivannan G. Selective toxicity of ZnO nanoparticles toward Gram-positive bacteria and cancer cells by apoptosis through lipid peroxidation. Nanomedicine. 2011; 7: 184-192.

57. Berton V, Montesi F, Losasso C, Facco DR, Toffan A, Terregino C. Study of the Interaction between Silver Nanoparticles and Salmonella as Revealed by Transmission Electron Microscopy. J Prob Health. 2014; 3. 58.Silver S, Phung le T, Silver G. Silver as biocides in burn and wound dressings and bacterial resistance to silver compounds. J Ind Microbiol Biotechnol. 2006; 33: 627-34.

59. Rezaei-Zarchi S, Javed A, Ghani MJ, Soufian S, Firouzabadi FB, Moghaddam AB, et al. Comparative Study of Antimicrobial Activities of TiO2 and CdO Nanoparticles against the Pathogenic Strain of Escherichia coli. Iran J Pathol. 2010; 5: 83-89.

60. Zhang H, Chen G. Potent antibacterial activities of Ag/TiO2 nanocomposite powders synthesized by a one-pot sol-gel method. Environ Sci Technol. 2009; 43: 2905-2910

Received : 01 Sep 2016
Accepted : 20 Sep 2016
Published : 21 Sep 2016
Journals
Annals of Otolaryngology and Rhinology
ISSN : 2379-948X
Launched : 2014
JSM Schizophrenia
Launched : 2016
Journal of Nausea
Launched : 2020
JSM Internal Medicine
Launched : 2016
JSM Hepatitis
Launched : 2016
JSM Oro Facial Surgeries
ISSN : 2578-3211
Launched : 2016
Journal of Human Nutrition and Food Science
ISSN : 2333-6706
Launched : 2013
JSM Regenerative Medicine and Bioengineering
ISSN : 2379-0490
Launched : 2013
JSM Spine
ISSN : 2578-3181
Launched : 2016
Archives of Palliative Care
ISSN : 2573-1165
Launched : 2016
JSM Nutritional Disorders
ISSN : 2578-3203
Launched : 2017
Annals of Neurodegenerative Disorders
ISSN : 2476-2032
Launched : 2016
Journal of Fever
ISSN : 2641-7782
Launched : 2017
JSM Bone Marrow Research
ISSN : 2578-3351
Launched : 2016
JSM Mathematics and Statistics
ISSN : 2578-3173
Launched : 2014
Journal of Autoimmunity and Research
ISSN : 2573-1173
Launched : 2014
JSM Arthritis
ISSN : 2475-9155
Launched : 2016
JSM Head and Neck Cancer-Cases and Reviews
ISSN : 2573-1610
Launched : 2016
JSM General Surgery Cases and Images
ISSN : 2573-1564
Launched : 2016
JSM Anatomy and Physiology
ISSN : 2573-1262
Launched : 2016
JSM Dental Surgery
ISSN : 2573-1548
Launched : 2016
Annals of Emergency Surgery
ISSN : 2573-1017
Launched : 2016
Annals of Mens Health and Wellness
ISSN : 2641-7707
Launched : 2017
Journal of Preventive Medicine and Health Care
ISSN : 2576-0084
Launched : 2018
Journal of Chronic Diseases and Management
ISSN : 2573-1300
Launched : 2016
Annals of Vaccines and Immunization
ISSN : 2378-9379
Launched : 2014
JSM Heart Surgery Cases and Images
ISSN : 2578-3157
Launched : 2016
Annals of Reproductive Medicine and Treatment
ISSN : 2573-1092
Launched : 2016
JSM Brain Science
ISSN : 2573-1289
Launched : 2016
JSM Biomarkers
ISSN : 2578-3815
Launched : 2014
JSM Biology
ISSN : 2475-9392
Launched : 2016
Archives of Stem Cell and Research
ISSN : 2578-3580
Launched : 2014
Annals of Clinical and Medical Microbiology
ISSN : 2578-3629
Launched : 2014
JSM Pediatric Surgery
ISSN : 2578-3149
Launched : 2017
Journal of Memory Disorder and Rehabilitation
ISSN : 2578-319X
Launched : 2016
JSM Tropical Medicine and Research
ISSN : 2578-3165
Launched : 2016
JSM Head and Face Medicine
ISSN : 2578-3793
Launched : 2016
JSM Cardiothoracic Surgery
ISSN : 2573-1297
Launched : 2016
JSM Bone and Joint Diseases
ISSN : 2578-3351
Launched : 2017
JSM Bioavailability and Bioequivalence
ISSN : 2641-7812
Launched : 2017
JSM Atherosclerosis
ISSN : 2573-1270
Launched : 2016
Journal of Genitourinary Disorders
ISSN : 2641-7790
Launched : 2017
Journal of Fractures and Sprains
ISSN : 2578-3831
Launched : 2016
Journal of Autism and Epilepsy
ISSN : 2641-7774
Launched : 2016
Annals of Marine Biology and Research
ISSN : 2573-105X
Launched : 2014
JSM Health Education & Primary Health Care
ISSN : 2578-3777
Launched : 2016
JSM Communication Disorders
ISSN : 2578-3807
Launched : 2016
Annals of Musculoskeletal Disorders
ISSN : 2578-3599
Launched : 2016
Annals of Virology and Research
ISSN : 2573-1122
Launched : 2014
JSM Renal Medicine
ISSN : 2573-1637
Launched : 2016
Journal of Muscle Health
ISSN : 2578-3823
Launched : 2016
JSM Genetics and Genomics
ISSN : 2334-1823
Launched : 2013
JSM Anxiety and Depression
ISSN : 2475-9139
Launched : 2016
Clinical Journal of Heart Diseases
ISSN : 2641-7766
Launched : 2016
Annals of Medicinal Chemistry and Research
ISSN : 2378-9336
Launched : 2014
JSM Pain and Management
ISSN : 2578-3378
Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
JSM Environmental Science and Ecology
ISSN : 2333-7141
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Journal of Pharmacology and Clinical Toxicology
ISSN : 2333-7079
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
Author Information X