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Inactivation of the antibacterial and cytotoxic properties of silver ions by biologically relevant compounds

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Mulley, Geraldine, Jenkins, A. Tobias A. and Waterfield, Nicholas R. (2014) Inactivation of the antibacterial and cytotoxic properties of silver ions by biologically relevant compounds. PLoS One, Volume 9 (Number 4). Article number e94409. doi:10.1371/journal.pone.0094409

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Official URL: http://dx.doi.org/10.1371/journal.pone.0094409

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Abstract

There has been a recent surge in the use of silver as an antimicrobial agent in a wide range of domestic and clinical products, intended to prevent or treat bacterial infections and reduce bacterial colonization of surfaces. It has been reported that the antibacterial and cytotoxic properties of silver are affected by the assay conditions, particularly the type of growth media used in vitro. The toxicity of Ag+ to bacterial cells is comparable to that of human cells. We demonstrate that biologically relevant compounds such as glutathione, cysteine and human blood components significantly reduce the toxicity of silver ions to clinically relevant pathogenic bacteria and primary human dermal fibroblasts (skin cells). Bacteria are able to grow normally in the presence of silver nitrate at >20-fold the minimum inhibitory concentration (MIC) if Ag+ and thiols are added in a 1:1 ratio because the reaction of Ag+ with extracellular thiols prevents silver ions from interacting with cells. Extracellular thiols and human serum also significantly reduce the antimicrobial activity of silver wound dressings Aquacel-Ag (Convatec) and Acticoat (Smith & Nephew) to Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli in vitro. These results have important implications for the deployment of silver as an antimicrobial agent in environments exposed to biological tissue or secretions. Significant amounts of money and effort have been directed at the development of silver-coated medical devices (e.g. dressings, catheters, implants). We believe our findings are essential for the effective design and testing of antimicrobial silver coatings.

Item Type: Journal Article
Subjects: R Medicine > RM Therapeutics. Pharmacology
Divisions: Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Microbiology & Infection
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Silver -- Therapeutic use, Silver -- Physiological effect, Anti-infective agents
Journal or Publication Title: PLoS One
Publisher: Public Library of Science
ISSN: 1932-6203
Official Date: 11 April 2014
Dates:
DateEvent
11 April 2014Published
16 March 2014Accepted
17 February 2013Submitted
Volume: Volume 9
Number: Number 4
Number of Pages: 9
Article Number: Article number e94409
DOI: 10.1371/journal.pone.0094409
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: Seventh Framework Programme (European Commission) (FP7)
Grant number: #211436 (FP7)

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