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Table 2 Overview of key features of various antimicrobial nanoformulations

From: Advances in sepsis diagnosis and management: a paradigm shift towards nanotechnology

Nanosystem

Characterization

Target pathogens

Key findings/ outcomes

References

Active

Nanocarriers

Zeta-potential

Shape / Size

LC/ EE (%)

In vitro

In vivo (Model)

Antibiotic nanoformulations

Meropenem

CH with tripolyphosphate (TPP) crosslinker

17.1 ± 2.3 to19.8 ± 2.6 mV

Spherical

261.8 ± 37.5 nm

EE = 

71.5–76.3

E. coli

K.pneumoniae

MRSA

MSSA

K. pneumoniae

(Systemic infection/ sepsis in rat)

Two-fold lower MIC

Improved survival

[91]

Vancomycin (VCM)

Peptide (CARG)-conjugated Porous silicon nanoparticles

 ~ 180 nm

LC = 12

S. aureus

MRSA

P. aeruginosa

S. aureus

(Lung infection

model in mice)

Targeted binding to S. aureus by CARG

Reduced systemic dose in vivo

[89]

Ciprofloxacin and TPCA‐1

Block copolymer Biotin-PEGb-PAE

(-g-PEG-b-DSPE)-b-PEG-Biotin

 − 6.81 mV at pH 7.4

 + 7.35 mV at pH 6.5

Spherical 120 nm

LC = 

9.2 ± 0.2

EE = 

53.7 ± 1.3

P. aeruginosa

P. aeruginosa

(Acute lung bacterial infection in mouse)

Targeted on-demand delivery in response to IMEs

Enhanced therapeutic efficacy and survival

[94]

Sparfloxacin and Tacrolimus

γ3 peptide grafted on poly (lactide-co-glycolide acid) (PLGA)

− 40 mV

Spherical 183.7 ± 9.4 nm

(SFX 5 mg/ml)

EE = 

84.7 (SFX) 85.6 (TAC)

P. aeruginosa

S. aureus

P. aeruginosa

(Acute lung infection in mice)

Increased binding to inflamed cells by γ3 peptide

Decreased inflammation and immune response in vivo

[95]

Ciprofloxacin

Lipid emulsion of chitosan and sodium deoxycholate

 + 28.2 ± 2

225 to 325 nm

EE = 

93.7 ± 2.3

E. coli

E-coli

(Peritonitis or abdominal sepsis model in rats)

Decreased TNF-α and NO production

Improved survival

[97]

Moxifloxacin and Rutin

Poly-caprolactone

 − 22.63 ± 0.55 mV

173.63 ± 3.90 nm

LC = 

7.49 ± 0.31 EE = 

72.64 ± 1.06

E. coli

Suppressed LPS released from bacteria

[98]

Antimicrobial peptide and other nanoformulations

S-thanatin with levofloxacin

Liposome prepared with HSPC, CHO and Ts-PEG2000-DSPE

 + 5.3

152.5 ± 3.2

LEV EE = 

76

MDR K. pneumonia

MDR K. pneumonia

(Septic shock model in mice)

2–16-dilution lower MIC than free drug

Improved efficacy on bacteria clearance

[101]

Structurally nanoengineered antimicrobial peptide polymers (SNAPPs)

Poly(amido amine)

Star-shaped S16 = 

7.8 ± 1.2 nm

S32 = 

7.5 ± 1.6 nm

Streptococcus mutans

S. aureus

E. coli

P. aeruginosa

K. pneumoniae

A. baumannii

A. baumannii

(Peritonitis model in mouse)

Superior antibacterial activity against colistin-resistant and MDR pathogens

Higher therapeutic indices

[100]

Antimicrobial peptide and cathepsin B (AMP-CatB) mRNA

Vitamin lipid nanoparticles (VLNPs)

 ~ 22 mV

 ~ 140 nm

EE =  ~ 90

MDR

S. aureus

MDR

S. aureus

MDR E. coli

(MDR bacteria-induced sepsis in mice with immune-suppression)

Demonstrated adoptive transfer of MACs

Improved recovery of immune-compromised septic mice

[107]

Mixtures of Carvacrol and Eugenol, Cinnamaldehyde and/or β-Caryophyllene

Lipidic nanocapsules

− 16 ± 2 mV

66 ± 4 nm

LC = 20

EE = 49

A. baumannii

A. baumannii

(Pathogen induced sepsis in mice)

Synergistic antimicrobial activities in combination

Improved survival

[109]

Silver based nanoparticles

Carbon quantum dots

− 52.12 ± 6.81 mV

13.23 ± 4.03 nm

S. aureus

E. coli

P. aeruginosa

(High-grade sepsis in mice by Cecal ligation and puncture)

Ameliorated inflammation in the heart, liver, spleen, lungs, and kidney

[112]