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BIOMEDICAL APPLICATIONS OF
NANOPARTICLES
 By,
Swathi . B
4th sem MSc (MB)
RCASC
 Guided by,
Prof. Prasanna Kumar
Dept of MB
RCASC
NANOPARTICLES
 Nanoparticles are particles between 1 and 100
nanometers in size.
 In nanotechnology , a particle is defined as a small
object that behaves as a whole unit with respect to
its transport and properties.
 Nanomaterials hold immense promise for
significantly improving existing diagnosis , therapy
and designing novel approaches to treat a variety
of human ailments.
NANOPARTICLES While some of the applications of nanotechnology
have been translated into clinical settings, many
more potential uses of nanomedicines have been
demonstrated in experimental systems.
 Since a variety of materials can be nanosized, the
scope of nanomedicine is also large and may even
become larger.
 At the same time, the impact of nanomaterials on
cellular and animal models will need to be carefully
evaluated under both acute and chronic exposures
at toxicological and pharmacological doses.
DIFFERENT NANOPARTICLES
 Gold
 Quantum dots
 Iron oxide
 Carbon nanotubes
 Dendrimers
 Polyelectrolyte complex nanoparticles
 Calcium phosphate nanoparticles
 Perfluorocarbon nanoparticles
 Lipid-based nanoparticles
GOLD
 Inorganic nanoparticles are emerging as versatile
tools in imaging as a result of their unique
chemical, physical and optical properties .
 Gold nanoparticles were discovered > 100 years ago
and owing to their surface chemistry, projected
biocompatibility, relatively low short-term toxicity,
high atomic number and high X-ray absorption
coefficient.
 Gold nanoparticles have received significant
interest recently for use in multiple imaging
technologies.
APPICATIONS OF GOLD
NANOPARTICLES
 Gold nanoparticles may be used in different domains,
one of most important being the biomedical field.
 They have suitable properties for :
 controlled drug delivery
cancer treatment
 biomedical imaging
 diagnosis and many others due to their excellent
compatibility with the humans, low toxicity and
tunable stability, small dimensions, and possibility to
interact with a variety of substances.
APPICATIONS OF GOLD
NANOPARTICLES
Gold nanoparticles are intensively studied in
biomedicine, and recent studies revealed the fact
that they can cross the blood-brain barrier, may
interact with the DNA and produce genotoxic
effects.
Because of their ability of producing heat, they can
target and kill the tumors, being used very often in
photodynamic therapy.
Gold nanoparticles have also emerged in
diagnostics as colorimetric biosensors
Quantum dots
 Quantum dots (QDs) are fluorescent semiconductor
nanocrystals (∼ 1 – 100 nm) with unique optical and
electrical properties .
 Quantum dots are increasingly used as fluorophores
for in vivo fluorescence imaging.
 Fluorescence imaging has several advantages compared
with other imaging modalities because this method has
good sensitivity and is non-invasive in nature, using
readily available and relatively inexpensive instruments.
 Being an optical technique, it is limited in terms of
tissue penetration depth. A wide variety of in vivo studies
have validated the potency of QDs.
Iron oxide nanoparticles
 Magnetic nanoparticles have received considerable
attention because of their potential use in optical,
magnetic and electronic devices.
 Magnetic iron oxide nanoparticles have been
functionalized with antibodies, nucleosides, proteins and
enzymes for directing them to diseased tissues such as
tumors.
 MRI is a non-invasive medical imaging technique that is
commonly used in clinical medicine to visualize the
structure and function of tissues.
 MRI is based on the behavior, alignment and interaction
of protons in the presence of an applied magnetic field.
Carbon nanotubes
 CNT’s are used as field emission devices, tips for
scanning microscopy, nanoscale transistors, or
components for composite materials.
 A few bioimaging applications using CNTs have
been developed for cancer cell destruction,
detection and dynamic imaging.
 SWNTs(single walled carbon nanotubes)
covalently linked to visible-wavelength
fluorophores have been imaged in cells using
confocal microscopy .
Dendrimers
 Dendrimers are well-defined, highly branched
molecules that are synthesized with precise structural
control and low polydispersity .
 Magnevist, a gadolinium(III)-
diethylenetriaminepentaacetic acid (Gd-DTPA)
complex, is a commonly used contrast agent for MRI.
Polyelectrolyte complex
nanoparticles
 Polyelectrolyte complex nanoparticles have attractive
properties for imaging and drug delivery.
 PECs have been established as potential materials for
gene delivery because of their relatively efficient
transfection efficiency and simple formulation .
 More recently, these nanocarriers have proved
effective for entrapping and delivering small
molecules, peptides, RNAs and even large proteins .
 Few reports are also available on their use in
biomedical imaging applications and also as
therapeutic agents.
Calcium phosphate nanoparticles
 Calcium phosphate nanoparticles have received
attention because of reports of low toxicity,
biocompatibility and solubility in cells.
 Calcium phosphate has been used as a delivery
vehicle for DNA and has been studied as a
nanoparticle for gene delivery.
 Also, these particles have been used for the
encapsulation of organic molecules, fluorescent
dyes and chemotherapeutic drugs, suggesting the
potential for in vivo biomedical imaging and drug
delivery applications.
Perfluorocarbon nanoparticles
 Perfluorocarbon nanoparticles (PFCNPs) have
received considerable attention for their applications
in molecular imaging and targeted drug delivery
applications.
 PFCNPs act as a platform to carry contrast-enhancing
agents or chemotherapeutic drugs.
 Functionalized PFCNPs are compatible with several
molecular imaging modalities, including MRI and CT.
 Functionalized PFCNP contrast agents have been used
as molecular imaging agents in MRI assessments of
tumor angiogenesis, cellular tracking and
atherosclerosis .
Lipid-based nanoparticles
 Lipid-based nanoparticles such as liposomes and micelles
have been developed for pharmaceuticals and aim to
address the traditional boundaries to drug delivery .
 Mulder et al. pioneered the use of lipid-based
nanoparticles for contrast-enhanced MRI and molecular
imaging applications .
 Koole et al. recently developed paramagnetic lipid-coated
silica nanoparticles containing a quantum dot core as a
contrast agent for multimodal imaging (fluorescence and
MRI) of αvβ3-integrin expression on cultured endothelial
cells.
Lipid-based nanoparticles
 Also, Cressman et al. recently developed an RGD-
labeled lipid incorporated into liposomal
nanoparticles and studied trafficking in cultured
endothelial cells.
 Senarath-Yapa et al. furthered this work by
reporting the use of poly(lipid)-coated,
fluorophore-doped silica nanoparticles for
biolabeling and cellular imaging applications .
Toxicity considerations
 Owing to the rapid growth of nanoparticle use in biomedical
research, the toxicity of these materials should be considered
in detail .
 Complete characterization of size , shape, charge , surface
chemistry and material properties is important when
correlating toxicity.
 Nanomaterials may agglomerate in vitro or in vivo and may
chemically degrade, making it difficult to relate systematically
nanoparticle toxicity to such a diverse set of materials.
 Detailed studies of biodistribution, pharmacokinetics and
local and systemic toxicity for each type of nanoparticle, will
be important in overall toxicity evaluations.
ANTIMICROBIAL NANOPARTICLES
 Despite numerous existing potent antibiotics and
other antimicrobial means, bacterial infections are
still a major cause of morbidity and mortality.
 Moreover, the need to develop additional
bactericidal means has significantly increased due
to the growing concern regarding multidrug-
resistant bacterial strains and biofilm associated
infections.
 Consequently, attention has been especially
devoted to new and emerging nanoparticle-based
materials in the field of antimicrobial
chemotherapy.
ANTIMICROBIAL NANOPARTICLES
 Metals and metal oxides have been widely studied
for their antimicrobial activities.
 Metal oxide nanoparticles, well known for their
highly potent antibacterial effect, include silver
(Ag), iron oxide (Fe3O4), titanium oxide (TiO2),
copper oxide (CuO), and zinc oxide (ZnO).
 Most metal oxide nanoparticles exhibit
bactericidal properties through reactive oxygen
species (ROS) generation although some are
effective due to their physical structure and metal
ion release.
Silver
 Of the metal nanoparticles, silver nanoparticles have
been widely used as an effective antimicrobial agent
against bacteria, fungi, and viruses .
 Ag and its compounds have long been used for the
disinfection of medical devices and water purification.
 In medicine, Ag compounds are commonly applied to
treat burns, wounds, and a variety of infectious
diseases .
 Although the Ag nanoparticle mechanism of action is
still not clear, small diameter Ag nanoparticles have a
superior antimicrobial effect to those of a larger
diameter .
Titanium Oxide
 Titanium dioxide (TiO2) is another metal oxide
that has been extensively studied for its
antimicrobial activities .
 TiO2 has long been known for its ability to kill
both Gram-positive and Gram-negative bacteria .
 More recent reports have shown its efficiency
against various viral species and parasites.
Titanium Oxide
 Titanium dioxide (TiO2) NM as antibacterial compounds
have been on the market for quite some time .
 They are photocatalytic, their toxicity induced by visible
light, near-UV or UV , stimulates ROS burst.
 The ROS damage the membrane, DNA, and many other
macromolecules and functions of the bacterial cell .
 TiO2 is effective against many bacteria including spores
of Bacillus , which is the most resistant organism known.
 As with other NM, combinations of Ti or TiO2 with
other NM such as Ag were found to have a synergistic
effect and to enhance their activity.
Zinc Oxide
 Additional broad spectrum bactericidal NM are
ZnO-based nanoparticles .
 ZnO nanoparticles were shown to have a wide
range of antimicrobial activity against various
microorganisms, which is significantly dependent
on the chosen concentration and particle size
Zinc Oxide
 ZnO nanoparticles were shown to inhibit the
growth of methicillin-sensitive S. aureus (MSSA),
methicillin-resistant S. aureus (MRSA), and
methicillin-resistant S. epidermidis (MRSE) strains
and proved to be effective bactericidal agents that
were not affected by the drug-resistant
mechanisms of MRSA and MRSE .
Zinc Oxide
 Zinc oxide (ZnO) NM are of relatively low cost and
effective in size dependency against a wide range
of bacteria .
 These include pathogens such as Klebsiella
pneumonia , Listeria monocytogenes, Salmonella
enteritidis , Streptococcus mutans,
Lactobacillus and E. coli with low toxicity to
human cells.
Zinc Oxide
 Their white color, UV-blocking, and ability to prevent
biofilm formation makes them suitable for fabric and
glass industries as coating materials designated for
medical and other devices.
 Furthermore, treatment using zinc was approved by
the FDA and nowadays Zn is available as a food
additive .
 ZnO NM affect bacterial cells by binding to
membranes, disrupting their potential and integrity,
and by inducting ROS production .
 In addition and as a result, Zn NM are also weak
mutagens.
Iron Oxide and Gold
 Fe3O4 nanoparticles and gold (Au) represent an
additional class of antimicrobial materials that are
being researched for their use in health care .
 Microbiological assays have proved that surfaces
modified using Fe3O4 nanoparticles demonstrate
antiadherent properties and significantly reduce
both Gram-negative and Gram-positive bacterial
colonization .
 Au nanoparticles and nanorods have been
reported to be bactericidal when photothermally
functionalized.
Magnesium Oxide
 Nano-magnesium oxides (MgO) are additional
antibacterial metal oxide NM that have been shown to
exhibit bactericidal activity.
 Nano-MgO particles were reported to exhibit efficient
antimicrobial activity against bacteria (both Gram-
positive and Gram-negative), spores, and viruses.
 Magnesium (Mg) can be used in various NM in the
form of MgO or MgX2 (e.g., MgF2) .
 In addition to inducing ROS, Mg-containing NM may
directly inhibit essential enzymes of the bacteria .
MgF2 NM were found to prevent biofilm formation
of E. coli and S. aureus .
Superparamagnetic Iron Oxide
 Superparamagnetic iron oxide (SPION) represents
a relatively new approach using magnetic particles
that cause local hyperthermia in the presence of a
magnetic field or alternatively, they can be coated
by other NM such as Ag and Au and their
magnetic effect can be utilized to penetrate and
destroy biofilms.
Nitric Oxide
 Nitric oxide (NO) NM differ from other metal NM
by specifically affecting reactive nitrogen species
(RNS), rather than ROS.
 NO NM were found to effectively kill methicillin-
resistant S. aureus (MRSA) in skin infections and
to enhance wound healing of normal and diabetic
mice.
 NO NM are also effective in biofilm eradication of
multiple bacterial species.
Aluminum Oxide
 It is not clear if aluminum oxide (Al2O3) nanoparticles are
suitable for antibacterial treatment.
 First, their bactericidal effect is relatively mild and they work
only at high concentrations unless in combination with other
NM such as Ag.
 Second and more disturbing is their ability to promote
horizontal transfer of multiresistance genes mediated by
plasmids across genera.
 The mechanism of action of aluminum NM, as recently
shown for E. coli, is by diffusion and accumulation inside the
cells, causing pit formation, perforation, and membrane
disorganization, leading to cell death .
REFERENCES
 https://www.ncbi.nlm.nih.gov/pubmed/25877087
 https://link.springer.com/chapter/10.1007%2F978-0-
387-78608-7_5
Biomedical applications of nanoparticles

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Biomedical applications of nanoparticles

  • 1. BIOMEDICAL APPLICATIONS OF NANOPARTICLES  By, Swathi . B 4th sem MSc (MB) RCASC  Guided by, Prof. Prasanna Kumar Dept of MB RCASC
  • 2. NANOPARTICLES  Nanoparticles are particles between 1 and 100 nanometers in size.  In nanotechnology , a particle is defined as a small object that behaves as a whole unit with respect to its transport and properties.  Nanomaterials hold immense promise for significantly improving existing diagnosis , therapy and designing novel approaches to treat a variety of human ailments.
  • 3. NANOPARTICLES While some of the applications of nanotechnology have been translated into clinical settings, many more potential uses of nanomedicines have been demonstrated in experimental systems.  Since a variety of materials can be nanosized, the scope of nanomedicine is also large and may even become larger.  At the same time, the impact of nanomaterials on cellular and animal models will need to be carefully evaluated under both acute and chronic exposures at toxicological and pharmacological doses.
  • 4. DIFFERENT NANOPARTICLES  Gold  Quantum dots  Iron oxide  Carbon nanotubes  Dendrimers  Polyelectrolyte complex nanoparticles  Calcium phosphate nanoparticles  Perfluorocarbon nanoparticles  Lipid-based nanoparticles
  • 5. GOLD  Inorganic nanoparticles are emerging as versatile tools in imaging as a result of their unique chemical, physical and optical properties .  Gold nanoparticles were discovered > 100 years ago and owing to their surface chemistry, projected biocompatibility, relatively low short-term toxicity, high atomic number and high X-ray absorption coefficient.  Gold nanoparticles have received significant interest recently for use in multiple imaging technologies.
  • 6. APPICATIONS OF GOLD NANOPARTICLES  Gold nanoparticles may be used in different domains, one of most important being the biomedical field.  They have suitable properties for :  controlled drug delivery cancer treatment  biomedical imaging  diagnosis and many others due to their excellent compatibility with the humans, low toxicity and tunable stability, small dimensions, and possibility to interact with a variety of substances.
  • 7. APPICATIONS OF GOLD NANOPARTICLES Gold nanoparticles are intensively studied in biomedicine, and recent studies revealed the fact that they can cross the blood-brain barrier, may interact with the DNA and produce genotoxic effects. Because of their ability of producing heat, they can target and kill the tumors, being used very often in photodynamic therapy. Gold nanoparticles have also emerged in diagnostics as colorimetric biosensors
  • 8. Quantum dots  Quantum dots (QDs) are fluorescent semiconductor nanocrystals (∼ 1 – 100 nm) with unique optical and electrical properties .  Quantum dots are increasingly used as fluorophores for in vivo fluorescence imaging.  Fluorescence imaging has several advantages compared with other imaging modalities because this method has good sensitivity and is non-invasive in nature, using readily available and relatively inexpensive instruments.  Being an optical technique, it is limited in terms of tissue penetration depth. A wide variety of in vivo studies have validated the potency of QDs.
  • 9. Iron oxide nanoparticles  Magnetic nanoparticles have received considerable attention because of their potential use in optical, magnetic and electronic devices.  Magnetic iron oxide nanoparticles have been functionalized with antibodies, nucleosides, proteins and enzymes for directing them to diseased tissues such as tumors.  MRI is a non-invasive medical imaging technique that is commonly used in clinical medicine to visualize the structure and function of tissues.  MRI is based on the behavior, alignment and interaction of protons in the presence of an applied magnetic field.
  • 10. Carbon nanotubes  CNT’s are used as field emission devices, tips for scanning microscopy, nanoscale transistors, or components for composite materials.  A few bioimaging applications using CNTs have been developed for cancer cell destruction, detection and dynamic imaging.  SWNTs(single walled carbon nanotubes) covalently linked to visible-wavelength fluorophores have been imaged in cells using confocal microscopy .
  • 11. Dendrimers  Dendrimers are well-defined, highly branched molecules that are synthesized with precise structural control and low polydispersity .  Magnevist, a gadolinium(III)- diethylenetriaminepentaacetic acid (Gd-DTPA) complex, is a commonly used contrast agent for MRI.
  • 12. Polyelectrolyte complex nanoparticles  Polyelectrolyte complex nanoparticles have attractive properties for imaging and drug delivery.  PECs have been established as potential materials for gene delivery because of their relatively efficient transfection efficiency and simple formulation .  More recently, these nanocarriers have proved effective for entrapping and delivering small molecules, peptides, RNAs and even large proteins .  Few reports are also available on their use in biomedical imaging applications and also as therapeutic agents.
  • 13. Calcium phosphate nanoparticles  Calcium phosphate nanoparticles have received attention because of reports of low toxicity, biocompatibility and solubility in cells.  Calcium phosphate has been used as a delivery vehicle for DNA and has been studied as a nanoparticle for gene delivery.  Also, these particles have been used for the encapsulation of organic molecules, fluorescent dyes and chemotherapeutic drugs, suggesting the potential for in vivo biomedical imaging and drug delivery applications.
  • 14. Perfluorocarbon nanoparticles  Perfluorocarbon nanoparticles (PFCNPs) have received considerable attention for their applications in molecular imaging and targeted drug delivery applications.  PFCNPs act as a platform to carry contrast-enhancing agents or chemotherapeutic drugs.  Functionalized PFCNPs are compatible with several molecular imaging modalities, including MRI and CT.  Functionalized PFCNP contrast agents have been used as molecular imaging agents in MRI assessments of tumor angiogenesis, cellular tracking and atherosclerosis .
  • 15. Lipid-based nanoparticles  Lipid-based nanoparticles such as liposomes and micelles have been developed for pharmaceuticals and aim to address the traditional boundaries to drug delivery .  Mulder et al. pioneered the use of lipid-based nanoparticles for contrast-enhanced MRI and molecular imaging applications .  Koole et al. recently developed paramagnetic lipid-coated silica nanoparticles containing a quantum dot core as a contrast agent for multimodal imaging (fluorescence and MRI) of αvβ3-integrin expression on cultured endothelial cells.
  • 16. Lipid-based nanoparticles  Also, Cressman et al. recently developed an RGD- labeled lipid incorporated into liposomal nanoparticles and studied trafficking in cultured endothelial cells.  Senarath-Yapa et al. furthered this work by reporting the use of poly(lipid)-coated, fluorophore-doped silica nanoparticles for biolabeling and cellular imaging applications .
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  • 19. Toxicity considerations  Owing to the rapid growth of nanoparticle use in biomedical research, the toxicity of these materials should be considered in detail .  Complete characterization of size , shape, charge , surface chemistry and material properties is important when correlating toxicity.  Nanomaterials may agglomerate in vitro or in vivo and may chemically degrade, making it difficult to relate systematically nanoparticle toxicity to such a diverse set of materials.  Detailed studies of biodistribution, pharmacokinetics and local and systemic toxicity for each type of nanoparticle, will be important in overall toxicity evaluations.
  • 20. ANTIMICROBIAL NANOPARTICLES  Despite numerous existing potent antibiotics and other antimicrobial means, bacterial infections are still a major cause of morbidity and mortality.  Moreover, the need to develop additional bactericidal means has significantly increased due to the growing concern regarding multidrug- resistant bacterial strains and biofilm associated infections.  Consequently, attention has been especially devoted to new and emerging nanoparticle-based materials in the field of antimicrobial chemotherapy.
  • 21. ANTIMICROBIAL NANOPARTICLES  Metals and metal oxides have been widely studied for their antimicrobial activities.  Metal oxide nanoparticles, well known for their highly potent antibacterial effect, include silver (Ag), iron oxide (Fe3O4), titanium oxide (TiO2), copper oxide (CuO), and zinc oxide (ZnO).  Most metal oxide nanoparticles exhibit bactericidal properties through reactive oxygen species (ROS) generation although some are effective due to their physical structure and metal ion release.
  • 22. Silver  Of the metal nanoparticles, silver nanoparticles have been widely used as an effective antimicrobial agent against bacteria, fungi, and viruses .  Ag and its compounds have long been used for the disinfection of medical devices and water purification.  In medicine, Ag compounds are commonly applied to treat burns, wounds, and a variety of infectious diseases .  Although the Ag nanoparticle mechanism of action is still not clear, small diameter Ag nanoparticles have a superior antimicrobial effect to those of a larger diameter .
  • 23. Titanium Oxide  Titanium dioxide (TiO2) is another metal oxide that has been extensively studied for its antimicrobial activities .  TiO2 has long been known for its ability to kill both Gram-positive and Gram-negative bacteria .  More recent reports have shown its efficiency against various viral species and parasites.
  • 24. Titanium Oxide  Titanium dioxide (TiO2) NM as antibacterial compounds have been on the market for quite some time .  They are photocatalytic, their toxicity induced by visible light, near-UV or UV , stimulates ROS burst.  The ROS damage the membrane, DNA, and many other macromolecules and functions of the bacterial cell .  TiO2 is effective against many bacteria including spores of Bacillus , which is the most resistant organism known.  As with other NM, combinations of Ti or TiO2 with other NM such as Ag were found to have a synergistic effect and to enhance their activity.
  • 25. Zinc Oxide  Additional broad spectrum bactericidal NM are ZnO-based nanoparticles .  ZnO nanoparticles were shown to have a wide range of antimicrobial activity against various microorganisms, which is significantly dependent on the chosen concentration and particle size
  • 26. Zinc Oxide  ZnO nanoparticles were shown to inhibit the growth of methicillin-sensitive S. aureus (MSSA), methicillin-resistant S. aureus (MRSA), and methicillin-resistant S. epidermidis (MRSE) strains and proved to be effective bactericidal agents that were not affected by the drug-resistant mechanisms of MRSA and MRSE .
  • 27. Zinc Oxide  Zinc oxide (ZnO) NM are of relatively low cost and effective in size dependency against a wide range of bacteria .  These include pathogens such as Klebsiella pneumonia , Listeria monocytogenes, Salmonella enteritidis , Streptococcus mutans, Lactobacillus and E. coli with low toxicity to human cells.
  • 28. Zinc Oxide  Their white color, UV-blocking, and ability to prevent biofilm formation makes them suitable for fabric and glass industries as coating materials designated for medical and other devices.  Furthermore, treatment using zinc was approved by the FDA and nowadays Zn is available as a food additive .  ZnO NM affect bacterial cells by binding to membranes, disrupting their potential and integrity, and by inducting ROS production .  In addition and as a result, Zn NM are also weak mutagens.
  • 29. Iron Oxide and Gold  Fe3O4 nanoparticles and gold (Au) represent an additional class of antimicrobial materials that are being researched for their use in health care .  Microbiological assays have proved that surfaces modified using Fe3O4 nanoparticles demonstrate antiadherent properties and significantly reduce both Gram-negative and Gram-positive bacterial colonization .  Au nanoparticles and nanorods have been reported to be bactericidal when photothermally functionalized.
  • 30. Magnesium Oxide  Nano-magnesium oxides (MgO) are additional antibacterial metal oxide NM that have been shown to exhibit bactericidal activity.  Nano-MgO particles were reported to exhibit efficient antimicrobial activity against bacteria (both Gram- positive and Gram-negative), spores, and viruses.  Magnesium (Mg) can be used in various NM in the form of MgO or MgX2 (e.g., MgF2) .  In addition to inducing ROS, Mg-containing NM may directly inhibit essential enzymes of the bacteria . MgF2 NM were found to prevent biofilm formation of E. coli and S. aureus .
  • 31. Superparamagnetic Iron Oxide  Superparamagnetic iron oxide (SPION) represents a relatively new approach using magnetic particles that cause local hyperthermia in the presence of a magnetic field or alternatively, they can be coated by other NM such as Ag and Au and their magnetic effect can be utilized to penetrate and destroy biofilms.
  • 32. Nitric Oxide  Nitric oxide (NO) NM differ from other metal NM by specifically affecting reactive nitrogen species (RNS), rather than ROS.  NO NM were found to effectively kill methicillin- resistant S. aureus (MRSA) in skin infections and to enhance wound healing of normal and diabetic mice.  NO NM are also effective in biofilm eradication of multiple bacterial species.
  • 33. Aluminum Oxide  It is not clear if aluminum oxide (Al2O3) nanoparticles are suitable for antibacterial treatment.  First, their bactericidal effect is relatively mild and they work only at high concentrations unless in combination with other NM such as Ag.  Second and more disturbing is their ability to promote horizontal transfer of multiresistance genes mediated by plasmids across genera.  The mechanism of action of aluminum NM, as recently shown for E. coli, is by diffusion and accumulation inside the cells, causing pit formation, perforation, and membrane disorganization, leading to cell death .