POTENTIATION OF CIPROFLOXACIN ACTIVITY BY CHALCONES BY MODULATING EFFLUX PUMP AND BIOFILM REGULATORY GENE IN STAPHYLOCOCCUS AUREUS

Authors

  • BHAWANDEEP KAUR Department of Medical Laboratory Sciences, School of Allied Medical Sciences Lovely Professional University Phagwara (Punjab), India https://orcid.org/0000-0002-4401-4522
  • SHASHIKANTA SAU Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research. Hyderabad, India https://orcid.org/0000-0003-3728-5110
  • SUMAN K. JANA Department of Medical Laboratory Sciences, School of Allied Medical Sciences Lovely Professional University Phagwara (Punjab), India https://orcid.org/0009-0009-7784-9612
  • NITIN PAL KALIA Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research. Hyderabad, India
  • GOPAL LAL KATHIK Department of Medicinal Chemistry, National Institute of Pharmaceutical Education and Research, Raebareli, India
  • ASHISH SUTTEE Department of Pharmacognosy, Lovely Professional University, India https://orcid.org/0000-0003-3539-281X
  • SARIKA SHARMA Department of Sponsored Research, Lovely Professional University, India
  • SANDEEP SHARMA Department of Medical Laboratory Sciences, School of Allied Medical Sciences Lovely Professional University Phagwara (Punjab), India https://orcid.org/0000-0001-9172-8512

DOI:

https://doi.org/10.22159/ijap.2025v17i4.54253

Keywords:

Chalcones, Efflux pump inhibition, Biofilm inhibition, Antibiotic resistance, Agr gene expression, S. aureus

Abstract

Objective: Natural and synthetic compounds with dual activity to inhibit efflux pumps and biofilm production in Staphylococcus aureus (S. aureus) were investigated in this study. Chalcones emerged as potential compounds with the possibility to inhibit efflux pump and biofilm production at once.

Methods: We performed pre-clinical screenings of different chalcones-ciprofloxacin combinations with a NorA overexpressing S. aureus strain. Chalcones inhibition of the NorA

efflux pump and Agr gene expression, a major regulator of biofilm formation, were tested. In silico modeling was also used to confirm the dual inhibitory activity of chalcones.

Results: Chalcones effectively modulated the action of ciprofloxacin by reducing the MIC by 2-8 fold and improving the time kill study, also inhibiting the NorA efflux pump and suppressing Agr gene expression, resulting in increased antibacterial activity and decreased biofilm formation.

Conclusion: The present research brings to the limelight chalcones as dual-function inhibitors aiming at efflux-based antibiotic resistance and biofilm formation in S. aureus with a potential strategy to repress drug-resistant infections.

References

Taylor TA, Unakal CG. Staphylococcus aureus infection. In: Treasure Island, (FL): StatPearls Publishing; 2023 Jul 17. PMID 28722898.

Karmakar A, Dua P, Ghosh C. Biochemical and molecular analysis of staphylococcus aureus clinical isolates from hospitalized patients. Can J Infect Dis Med Microbiol. 2016;2016:9041636. doi: 10.1155/2016/9041636, PMID 27366185, PMCID PMC4904573.

C MB, Pv PB, Jyothi P. Drug resistance patterns of clinical isolates of staphylococcus aureus in Tertiary Care Center of South India. Int J Pharm Pharm Sci. 2015 Jul;7(7):70-2.

Sharma S, Bhandari U, Oli Y, Bhandari G, Bista S, Gc G, Shrestha B, Bhandari NL. Identification and detection of biofilm-producing staphylococcus aureus and its antibiogram activities. Asian J Pharm Clin Res. 2021 Apr;14(4):150-6. doi: 10.22159/ajpcr.2021.v14i4.40728.

Michaelis C, Grohmann E. Horizontal gene transfer of antibiotic resistance genes in biofilms. Antibiotics (Basel). 2023 Feb 4;12(2):328. doi: 10.3390/antibiotics12020328, PMID 36830238, PMCID PMC9952180.

Ranjbar R, Alam M. Antimicrobial resistance collaborators (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Evid Based Nurs. 2023 Jul;27(1):2022-103540. doi: 10.1136/ebnurs-2022-103540, PMID 37500506.

Costa SS, Junqueira E, Palma C, Viveiros M, Melo Cristino J, Amaral L. Resistance to antimicrobials mediated by efflux pumps in staphylococcus aureus. Antibiotics (Basel). 2013 Mar 13;2(1):83-99. doi: 10.3390/antibiotics2010083, PMID 27029294, PMCID PMC4790300.

Sionov RV, Steinberg D. Targeting the holy triangle of quorum sensing biofilm formation and antibiotic resistance in pathogenic bacteria. Microorganisms. 2022 Jun 16;10(6):1239. doi: 10.3390/microorganisms10061239, PMID 35744757, PMCID PMC9228545.

Kaatz GW, Seo SM. Effect of substrate exposure and other growth condition manipulations on nora expression. J Antimicrob Chemother. 2004 Aug;54(2):364-9. doi: 10.1093/jac/dkh341, PMID 15231765.

Dickgiesser N, In der Stroth S, Wundt W. Synergism of ciprofloxacin with beta-lactam antibiotics gentamicin minocycline and pipemidic acid. Infection. 1986;14(2):82-5. doi: 10.1007/BF01644449, PMID 2940188.

Mourad T, Alahmad S. A computational study of ciprofloxacin metabolites and some natural compounds against resistant methicillin staphylococcus aureus (MRSA). Int J Pharm Pharm Sci. 2022 Aug;14(8):22-8. doi: 10.22159/ijpps.2022v14i8.44560.

Permatasari L, Muliasari H, Rahman F. Characterization of isolated crystals from mangrove leaves (Avicennia marina and Sonneratia alba) and their antibacterial activity against staphylococcus aureus. Int J App Pharm. 2024;16(5):77-82. doi: 10.22159/ijap.2024v16s5.52480.

Salehi B, Quispe C, Chamkhi I, El Omari N, Balahbib A, Sharifi Rad J. Pharmacological properties of chalcones: a review of preclinical including molecular mechanisms and clinical evidence. Front Pharmacol. 2020 Jan 18;11:592654. doi: 10.3389/fphar.2020.592654, PMID 33536909, PMCID PMC7849684.

Talia JM, Debattista NB, Pappano NB. New antimicrobial combinations: substituted chalcones oxacillin against methicillin resistant staphylococcus aureus. Braz J Microbiol. 2011 Apr;42(2):470-5. doi: 10.1590/S1517-838220110002000010, PMID 24031657, PMCID PMC3769842.

Xedzro C, Tano Debrah K, Nakano H. Antibacterial efficacies and time-kill kinetics of indigenous ghanaian spice extracts against Listeria monocytogenes and some other food-borne pathogenic bacteria. Microbiol Res. 2022 May;258:126980. doi: 10.1016/j.micres.2022.126980, PMID 35158300.

Sharma S, Kumar M, Sharma S, Nargotra A, Koul S, Khan IA. Piperine as an inhibitor of Rv1258c, a putative multidrug efflux pump of mycobacterium tuberculosis. J Antimicrob Chemother. 2010 Aug;65(8):1694-701. doi: 10.1093/jac/dkq186, PMID 20525733.

Nair S, Desai S, Poonacha N, Vipra A, Sharma U. Antibiofilm activity and synergistic inhibition of staphylococcus aureus biofilms by bactericidal protein P128 in combination with antibiotics. Antimicrob Agents Chemother. 2016 Nov 21;60(12):7280-9. doi: 10.1128/AAC.01118-16, PMID 27671070, PMCID PMC5119008.

Chino T, Nukui Y, Morishita Y, Moriya K. Morphological bactericidal fast acting effects of peracetic acid a high-level disinfectant against staphylococcus aureus and pseudomonas aeruginosa biofilms in tubing. Antimicrob Resist Infect Control. 2017 Dec 1;6:122. doi: 10.1186/s13756-017-0281-1, PMID 29214017, PMCID PMC5709933.

Letters. Corrections and clarifications. Science. 2007;317(5845):1682. doi: 10.1126/science.317.5845.1682.

Zarate SG, Morales P, Swiderek K, Bolanos Garcia VM, Bastida A. A molecular modeling approach to identify novel inhibitors of the major facilitator superfamily of efflux pump transporters. Antibiotics (Basel). 2019 Mar 15;8(1):25. doi: 10.3390/antibiotics8010025, PMID 30875968, PMCID PMC6466568.

Waterhouse A, Bertoni M, Bienert S, Studer G, Tauriello G, Gumienny R. Swiss Model: homology modelling of protein structures and complexes. Nucleic Acids Res. 2018 Jul 2;46(W1):W296-303. doi: 10.1093/nar/gky427, PMID 29788355, PMCID PMC6030848.

Kalia NP, Mahajan P, Mehra R, Nargotra A, Sharma JP, Koul S. Capsaicin a novel inhibitor of the nora efflux pump reduces the intracellular invasion of staphylococcus aureus. J Antimicrob Chemother. 2012 Oct;67(10):2401-8. doi: 10.1093/jac/dks232, PMID 22807321.

Costa LM, De Macedo EV, Oliveira FA, Ferreira JH, Gutierrez SJ, Pelaez WJ. Inhibition of the nora efflux pump of staphylococcus aureus by synthetic riparins. J Appl Microbiol. 2016 Nov;121(5):1312-22. doi: 10.1111/jam.13258, PMID 27537678.

CM, SAS, VPA, PPN. Factors that favour the spread of bacterial resistance. Int J Curr Pharm Sci. 2021 Sep;13(5):108-9. doi: 10.22159/ijcpr.2021v13i5.1905.

Rammohan A, Reddy JS, Sravya G, Rao CN, Zyryanov GV. Chalcone synthesis properties and medicinal applications: a review. Environ Chem Lett. 2020;18(2):433-58. doi: 10.1007/s10311-019-00959-w.

Holler JG, Slotved HC, Molgaard P, Olsen CE, Christensen SB. Chalcone inhibitors of the nora efflux pump in staphylococcus aureus whole cells and enriched everted membrane vesicles. Bioorg Med Chem. 2012 Jul 15;20(14):4514-21. doi: 10.1016/j.bmc.2012.05.025, PMID 22682300.

Da Silva PT, Da Cunha Xavier J, Freitas TS, Oliveira MM, Coutinho HD, Leal AL. Synthesis spectroscopic characterization and antibacterial evaluation of chalcones derived from acetophenone isolated from croton anisodontus mull. Arg. J Mol Struct. 2021;1226(B):129403. doi: 10.1016/j.molstruc.2020.129403.

Siqueira MM, Freire PT, Cruz BG, De Freitas TS, Bandeira PN, Silva Dos Santos H. Aminophenyl chalcones potentiating antibiotic activity and inhibiting bacterial efflux pump. Eur J Pharm Sci. 2021 Mar 1;158:105695. doi: 10.1016/j.ejps.2020.105695, PMID 33383131.

Rezende Junior LM, Andrade LM, Leal AL, Mesquita AB, Santos AL, Neto JS. Chalcones isolated from arrabidaea brachypoda flowers as inhibitors of NorA and MepA multidrug efflux pumps of staphylococcus aureus. Antibiotics (Basel). 2020 Jun 20;9(6):351. doi: 10.3390/antibiotics9060351, PMID 32575738, PMCID PMC7345224.

Rana P, Supriya MS, Kalam A, Eedulakanti C, Kaul G, Akhir A. Synthesis and antibacterial evaluation of new naphthalimide coumarin hybrids against multidrug-resistant S. aureus and M. tuberculosis. J Mol Struct. 2024 Jul 5;1307:137957. doi: 10.1016/j.molstruc.2024.137957.

Nargotra A, Sharma S, Koul JL, Sangwan PL, Khan IA, Kumar A. Quantitative structure-activity relationship (QSAR) of piperine analogs for bacterial NorA efflux pump inhibitors. Eur J Med Chem. 2009 Oct;44(10):4128-35. doi: 10.1016/j.ejmech.2009.05.004, PMID 19523722.

Aboelnaga N, Elsayed SW, Abdelsalam NA, Salem S, Saif NA, Elsayed M. Deciphering the dynamics of methicillin resistant staphylococcus aureus biofilm formation: from molecular signaling to nanotherapeutic advances. Cell Commun Signal. 2024 Mar 22;22(1):188. doi: 10.1186/s12964-024-01511-2, PMID 38519959, PMCID PMC10958940.

Wang B, Muir TW. Regulation of virulence in staphylococcus aureus: molecular mechanisms and remaining puzzles. Cell Chem Biol. 2016 Feb 18;23(2):214-24. doi: 10.1016/j.chembiol.2016.01.004, PMID 26971873, PMCID PMC4847544.

Published

07-07-2025

How to Cite

KAUR, B., SAU, S., JANA, . S. K., KALIA, N. P., KATHIK, G. L., SUTTEE, A., … SHARMA, S. (2025). POTENTIATION OF CIPROFLOXACIN ACTIVITY BY CHALCONES BY MODULATING EFFLUX PUMP AND BIOFILM REGULATORY GENE IN STAPHYLOCOCCUS AUREUS. International Journal of Applied Pharmaceutics, 17(4), 290–298. https://doi.org/10.22159/ijap.2025v17i4.54253

Issue

Section

Original Article(s)

Similar Articles

<< < 5 6 7 8 9 > >> 

You may also start an advanced similarity search for this article.