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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2025.1599113</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Silver nanoparticles as next-generation antimicrobial agents: mechanisms, challenges, and innovations against multidrug-resistant bacteria</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Khalifa</surname>
<given-names>Hazim O.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Oreiby</surname>
<given-names>Atef</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Mohammed</surname>
<given-names>Temesgen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2129611/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Abdelhamid</surname>
<given-names>Mohamed A. A.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/387276/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Sholkamy</surname>
<given-names>Essam Nageh</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Hashem</surname>
<given-names>Hamada</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Fereig</surname>
<given-names>Ragab M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University</institution>, <addr-line>Al Ain</addr-line>,&#xa0;<country>United Arab Emirates</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>United Arab Emirates University (UAEU) Center for Public Policy and Leadership, United Arab Emirates University</institution>, <addr-line>Al Ain</addr-line>,&#xa0;<country>United Arab Emirates</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Animal Medicine, Faculty of Veterinary Medicine, Kafrelsheikh University</institution>, <addr-line>Kafrelsheikh</addr-line>,&#xa0;<country>Egypt</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Biology Department, Faculty of Education and Arts, Sohar University</institution>, <addr-line>Sohar</addr-line>,&#xa0;<country>Oman</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Biotechnology and Bioinformatics, Korea University</institution>, <addr-line>Sejong</addr-line>,&#xa0;<country>Republic of Korea</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Department of Botany and Microbiology, College of Science, King Saud University</institution>, <addr-line>Riyadh</addr-line>,&#xa0;<country>Saudi Arabia</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Sohag University</institution>, <addr-line>Sohag</addr-line>,&#xa0;<country>Egypt</country>
</aff>
<aff id="aff8">
<sup>8</sup>
<institution>Division of Internal Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, South Valley University</institution>, <addr-line>Qena</addr-line>,&#xa0;<country>Egypt</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Irena Maliszewska, Wroc&#x142;aw University of Science and Technology, Poland</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Daniel Czyz, University of Florida, United States</p>
<p>Deepak Samuel Ipe, Phoenix Power Recyclers, Australia</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Hazim O. Khalifa, <email xlink:href="mailto:hazimkhalifa@uaeu.ac.ae">hazimkhalifa@uaeu.ac.ae</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>15</volume>
<elocation-id>1599113</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>03</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Khalifa, Oreiby, Mohammed, Abdelhamid, Sholkamy, Hashem and Fereig.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Khalifa, Oreiby, Mohammed, Abdelhamid, Sholkamy, Hashem and Fereig</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The escalating prevalence of multidrug-resistant (MDR) bacteria presents a critical global health challenge, necessitating the urgent development of alternative antimicrobial strategies. Silver nanoparticles (AgNPs) have emerged as promising antimicrobial agents due to their broad-spectrum activity, unique physicochemical properties, and multiple mechanisms of bacterial inhibition. Their nanoscale size, high surface area-to-volume ratio, and ability to generate reactive oxygen species (ROS) make them highly effective against both Gram-positive and Gram-negative bacteria. AgNPs exert their antimicrobial effects through diverse mechanisms, including membrane disruption, protein and DNA interactions, enzymatic inhibition, and interference with bacterial metabolic pathways. Despite their potent antibacterial activity, concerns regarding bacterial adaptation, cytotoxicity, and non-specific interactions have prompted extensive research into innovative delivery systems to enhance AgNP efficacy while minimizing adverse effects. This review comprehensively explores the synthesis methods and physical properties of AgNPs, emphasizing their antimicrobial mechanisms and emerging resistance patterns. Additionally, we discuss advanced targeted delivery approaches, including surface functionalization, biopolymer encapsulation, liposomal carriers, and stimuli-responsive nanoplatforms, which enhance the stability, selectivity, and controlled release of AgNPs. These strategies not only improve AgNP bioavailability but also reduce host toxicity and prevent bacterial resistance development. Furthermore, we highlight future directions in AgNP-based antimicrobial therapy, such as combinatorial treatments with antibiotics, advanced nanostructure modifications, and the integration of AgNPs into wound dressings, coatings, and biomedical devices. By synthesizing recent advancements, this review underscores the transformative potential of AgNPs as next-generation antimicrobial agents to combat MDR bacterial infections. Addressing the current limitations and optimizing AgNP formulations will be crucial for their successful clinical translation and for mitigating the global antibiotic resistance crisis.</p>
</abstract>
<kwd-group>
<kwd>silver nanoparticles</kwd>
<kwd>antimicrobial mechanisms</kwd>
<kwd>antibiotic resistance</kwd>
<kwd>multidrug resistance</kwd>
<kwd>targeted delivery</kwd>
<kwd>nanomedicine</kwd>
<kwd>controlled release</kwd>
</kwd-group>
<contract-sponsor id="cn001">United Arab Emirates University<named-content content-type="fundref-id">10.13039/501100006013</named-content>
</contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="201"/>
<page-count count="28"/>
<word-count count="12332"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Antibiotic Resistance and New Antimicrobial drugs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Antibiotics, which are substances effective against bacteria, were first discovered by Alexander Fleming in 1928 (<xref ref-type="bibr" rid="B61">Fleming, 1929</xref>). These drugs have since become indispensable in modern medicine, as well as in various other sectors, including agriculture and the food industry (<xref ref-type="bibr" rid="B38">Capita and Alonso-Calleja, 2013</xref>). Antimicrobial resistance (AMR) refers to the process by which microorganisms&#x2014;such as bacteria, viruses, fungi, and parasites&#x2014;develop resistance to the drugs designed to combat them. The primary driver of AMR is the excessive and improper use of antibiotics in humans, animals, and the environment (<xref ref-type="bibr" rid="B8">Ahmed et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B95">Khalifa et&#xa0;al., 2022a</xref>). This growing problem is largely attributed to the overuse of antibiotics in human and veterinary fields, which has become a critical global public health concern (<xref ref-type="bibr" rid="B97">Khalifa et&#xa0;al., 2021a</xref>; <xref ref-type="bibr" rid="B144">Oreiby et&#xa0;al., 2019</xref>). AMR makes infections harder to treat, increasing the risk of disease transmission, severe illness, and death (<xref ref-type="bibr" rid="B96">Khalifa et&#xa0;al., 2025</xref>; <xref ref-type="bibr" rid="B100">Khalifa et&#xa0;al., 2024b</xref>). According to a recent comprehensive study, bacterial AMR was linked to approximately 4.95 million deaths in 2019, with an estimated 1.27 million of those deaths directly caused by bacterial AMR (95% uncertainty interval: 0.911&#x2013;1.71 million) (<xref ref-type="bibr" rid="B141">Murray et&#xa0;al., 2022</xref>). Therefore, several international organizations, including the Food and Agriculture Organization (FAO), have begun publishing country-specific guidelines for antimicrobial use and raising awareness about this issue (<xref ref-type="bibr" rid="B80">Hegazy and Oreiby, 2024</xref>).</p>
<p>The demand for unconventional antibiotics has become an essential focus for modern antibiotic researchers, who are working to navigate the evolving challenges of bacterial pathogenesis, particularly in relation to Gram-negative bacteria (<xref ref-type="bibr" rid="B101">Khalifa et&#xa0;al., 2022b</xref>; <xref ref-type="bibr" rid="B13">Al-Hakkani et&#xa0;al., 2023</xref>). This approach aims to tackle problems that initially seem insurmountable. Encouragingly, a recent review of the global preclinical antibacterial pipeline reveals a significant surge in activity related to unconventional treatments (<xref ref-type="bibr" rid="B179">Theuretzbacher et&#xa0;al., 2019</xref>). Although nontraditional therapies show promise for the future, demonstrating their clinical effectiveness will require substantial funding. This is especially true given that many of the translational demands for small, direct-acting molecules are unlikely to align with the alternative development pathways. Moreover, unconventional treatments are more likely to be used alongside antibiotics than as stand-alone therapies. This can complicate clinical trials by making it difficult to attribute outcomes to the new agent, potentially affecting efficacy assessments and regulatory approval (<xref ref-type="bibr" rid="B180">Theuretzbacher and Piddock, 2019</xref>).</p>
<p>Currently, there is widespread evidence that nanoparticles could serve as a promising alternative to antibiotics, potentially offering significant help in tackling the issue of bacterial multi-drug resistance (<xref ref-type="bibr" rid="B152">Rai et&#xa0;al., 2012</xref>). In particular, AgNPs have attracted considerable attention within the scientific community (<xref ref-type="bibr" rid="B30">Baveloni et&#xa0;al., 2025</xref>; <xref ref-type="bibr" rid="B14">Aljowaie and Aziz, 2025</xref>; <xref ref-type="bibr" rid="B11">Al-Asbahi et&#xa0;al., 2024</xref>). In recent years, AgNPs have been viewed as particularly promising for the development of a new class of antibiotics, offering a novel approach to combat a variety of bacterial infections (<xref ref-type="bibr" rid="B36">Caniglia et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B84">Ibraheem et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B86">Iwuji et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B181">Tun&#xe7;, 2024</xref>; <xref ref-type="bibr" rid="B174">Soltani et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B196">Yi&#x11f;it et&#xa0;al., 2024</xref>). This review aims to provide an in-depth analysis of the potential of AgNPs as antimicrobial agents against multidrug-resistant (MDR) bacteria. It will explore the synthesis methods, physical properties, and antimicrobial activities of AgNPs. Furthermore, we will discuss the mechanisms by which AgNPs exert their bactericidal effects and address emerging concerns related to bacterial resistance to AgNPs. We will also review advanced strategies for targeted delivery, which aim to improve the selectivity and effectiveness of AgNPs while reducing cytotoxicity. Finally, we will highlight future directions for enhancing AgNP-based antimicrobial therapies, focusing on innovative methods to optimize their clinical use. Through this detailed review, we hope to offer valuable insights into the potential of AgNPs as a novel and effective solution for treating MDR bacterial infections.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Synthesis of AgNPs</title>
<p>The synthesis of AgNPs can be achieved through various approaches, including physical, chemical, and green synthesis methods.</p>
<sec id="s2_1">
<label>2.1</label>
<title>Physical and chemical synthesis</title>
<p>Physical methods, such as evaporation-condensation, spark discharge, and pyrolysis, offer rapid synthesis without hazardous chemicals but suffer from high energy consumption, low yield, and inconsistent particle distribution (<xref ref-type="bibr" rid="B111">Kruis et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B55">Elsupikhe et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>).</p>
<p>Chemical synthesis, which involves metal precursors, reducing agents, and stabilizers, follows either a &#x201c;top-down&#x201d; (mechanical grinding) or &#x201c;bottom-up&#x201d; (chemical reduction, electrochemical methods) approach (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>) (<xref ref-type="bibr" rid="B18">Amulyavichus et&#xa0;al., 1998</xref>; <xref ref-type="bibr" rid="B128">Mallick et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>). While this method provides high yield, it is costly, involves toxic reagents (e.g., citrate, borohydride), and requires additional purification steps to prevent contamination and aggregation (<xref ref-type="bibr" rid="B127">Malik et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B128">Mallick et&#xa0;al., 2004</xref>). Chemical methods include laser ablation, lithography, electrochemical reduction, thermal decomposition, and sono-decomposition (<xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>). Despite their efficiency, chemical synthesis poses environmental and biological risks due to toxic byproducts (<xref ref-type="bibr" rid="B74">Gurunathan et&#xa0;al., 2015</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Synthesis of silver nanoparticles can be categorized into two main approaches: the top-down and bottom-up methods. The top-down approach involves breaking down bulk metal materials into nanoparticles, whereas the bottom-up approach focuses on assembling nanoparticles from molecular components, leading to the formation of complex clusters. These approaches encompass various synthesis techniques, including physical, chemical, and biological methods, each employed separately. Adapted with modifications from (<xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1599113-g001.tif">
<alt-text content-type="machine-generated">Diagram of silver nanoparticle synthesis methods. The top-down approach involves reducing bulk material into powder and nanoparticles, using physical methods like laser ablation and ball milling. The bottom-up approach builds nanoparticles from atoms or molecules through nuclei formation, using chemical methods like reduction and photochemical methods, and biological methods involving plants and bacteria.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Green synthesis</title>
<p>To address the limitations of chemical methods, biological synthesis has emerged as an eco-friendly and cost-effective alternative. This method utilizes bacteria, fungi, plant extracts, and biomolecules like amino acids and vitamins to produce AgNPs in a controlled manner (<xref ref-type="bibr" rid="B73">Gurunathan et&#xa0;al., 2013</xref>, <xref ref-type="bibr" rid="B75">2014</xref>; <xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>). Early studies on bacterial bio-sorption of metals indicated the potential for nanoparticle synthesis, though initial results were aggregates rather than discrete nanoparticles (<xref ref-type="bibr" rid="B140">Mullen et&#xa0;al., 1989</xref>). Various microorganisms, including <italic>Pseudomonas stutzeri</italic> AG259, <italic>Lactobacillus</italic> species, <italic>Bacillus licheniformis</italic>, and <italic>Escherichia coli</italic>, as well as fungi like <italic>Fusarium oxysporum</italic> and <italic>Ganoderma neo-japonicum Imazeki</italic>, have been used for AgNP production (<xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>). Plant-based synthesis has been demonstrated with <italic>Allophylus cobbe, Artemisia princeps, and Typha angustifolia</italic> (<xref ref-type="bibr" rid="B75">Gurunathan et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B72">Gurunathan, 2015</xref>; <xref ref-type="bibr" rid="B74">Gurunathan et&#xa0;al., 2015</xref>). Additionally, biopolymers, starch, enzymes, and amino acids serve as reducing agents (<xref ref-type="bibr" rid="B116">Leung et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B48">Deepak et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B113">Kumar et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>).</p>
<p>Biological synthesis methods provide improved control over nanoparticle size and shape due to the presence of natural reducing and capping agents&#x2014;such as polyphenols, proteins, and flavonoids&#x2014;in plant extracts, which guide uniform nucleation and growth while eliminating the need for toxic chemicals or synthetic stabilizers (<xref ref-type="bibr" rid="B75">Gurunathan et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B158">Restrepo and Villa, 2021</xref>). The use of natural reducing agents allows for monodisperse, stable, and water-soluble nanoparticles (<xref ref-type="bibr" rid="B178">Thakkar et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>). Particle morphology influences bioactivity, with smaller, triangular nanoparticles exhibiting enhanced effects (<xref ref-type="bibr" rid="B137">Morones et&#xa0;al., 2005</xref>). Unlike chemical methods, biological synthesis allows optimization of reaction conditions to achieve desired nanoparticle characteristics (<xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>).</p>
<p>Green synthesis of AgNPs has emerged as an environmentally friendly alternative to conventional physical and chemical methods. However, several challenges hinder its large-scale application and industrial adoption. One major limitation is the dependence on plant materials that are often geographically restricted or seasonally available. For instance, <italic>Lithodora hispidula</italic>, used for Pd NP synthesis, is only found in limited regions such as Cyrenaica and southern Turkey (<xref ref-type="bibr" rid="B182">Turunc et&#xa0;al., 2017</xref>). Similarly, plants like coconut, Acacia, and Andean blackberry, which have been employed in synthesizing Ag or Cu nanoparticles, are region-specific and not easily accessible worldwide (<xref ref-type="bibr" rid="B197">Ying et&#xa0;al., 2022</xref>). Seasonal constraints further complicate sourcing; materials like cotton leaves, peach blossoms, and <italic>Trigonella trifoliata</italic> seeds must be harvested during narrow windows, which limits continuous production (<xref ref-type="bibr" rid="B197">Ying et&#xa0;al., 2022</xref>). Moreover, some raw materials require additional processing or extraction steps, such as the case with carboxymethyl cellulose and tea polyphenols, which increases complexity and cost (<xref ref-type="bibr" rid="B189">Wang et&#xa0;al., 2017</xref>). These factors challenge the feasibility, cost-effectiveness, and scalability of green synthesis in industrial contexts.</p>
<p>In addition to raw material constraints, the synthesis process itself presents technical and environmental limitations. Many green synthesis protocols require excessive energy input, long reaction durations, or strict environmental controls, such as high-temperature treatments or inert atmospheres. For example, AgNPs have been synthesized using <italic>Ferula persica</italic> root extract at 600&#xb0;C for 3 hours (<xref ref-type="bibr" rid="B142">Nasiri et&#xa0;al., 2018</xref>), and <italic>Cystoseira baccata</italic> extract was stored at &#x2212;24&#xb0;C to retain its reactivity (<xref ref-type="bibr" rid="B69">Gonz&#xe1;lez-Ballesteros et&#xa0;al., 2017</xref>). These conditions contradict the principle of sustainability and elevate production costs. Furthermore, the resulting nanoparticles often exhibit high variability in size, morphology, and crystallinity. AgNPs synthesized using <italic>Nigella arvensis</italic> leaf extract, for example, ranged from 5 to 100 nm, while NZVI particles from grape seeds varied between 63 and 381 nm (<xref ref-type="bibr" rid="B65">Gao et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B40">Chahardoli et&#xa0;al., 2018</xref>). This inconsistency limits reproducibility and standardization required for commercial and biomedical applications. In many cases, yields and metal ion conversion rates remain low&#x2014;often below 50%&#x2014;which diminishes economic viability (<xref ref-type="bibr" rid="B197">Ying et&#xa0;al., 2022</xref>). The limited understanding of the underlying biosynthetic mechanisms further complicates optimization, as many studies only infer the roles of plant extracts (e.g., reducing, capping, or chelating agents) without detailing specific chemical pathways (<xref ref-type="bibr" rid="B197">Ying et&#xa0;al., 2022</xref>). Collectively, these limitations highlight the need for more systematic research to improve the reliability, efficiency, and industrial compatibility of green synthesis methods.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Physical properties of AgNPs in relation to antimicrobial effect</title>
<p>AgNPs possess unique physicochemical properties that make them highly effective as antimicrobial agents against MDR bacteria. Their physical characteristics&#x2014;including size, shape, surface charge, electrical conductivity, melting point, thermal conductivity, and optical properties&#x2014;strongly influence their biological interactions and antimicrobial efficacy.</p>
<sec id="s3_1">
<label>3.1</label>
<title>Size and surface area</title>
<p>The size of AgNPs is a critical determinant of their antimicrobial activity, as it directly affects their surface-area-to-volume ratio and interaction with bacterial cells. Smaller nanoparticles exhibit enhanced bioactivity due to their increased surface area, facilitating greater silver ion release and direct interaction with microbial membranes (<xref ref-type="bibr" rid="B104">Khan et&#xa0;al., 2021</xref>). Studies have shown that AgNPs attach to bacterial cell membranes, disrupting the lipid bilayer and increasing permeability, leading to cell death&#x2014;an effect more pronounced with smaller nanoparticles (<xref ref-type="bibr" rid="B118">Li et&#xa0;al., 2013</xref>). The size of AgNPs also influences their toxicity; for instance, nanoparticles below 10 nm have been shown to induce more significant cytotoxic effects in mammalian cells than larger particles. For example, AgNPs exhibit strong potency, possess small average diameters of approximately 10 nm, and demonstrate cytotoxicity in human lung cells (<xref ref-type="bibr" rid="B68">Gliga et&#xa0;al., 2014</xref>). Furthermore, <xref ref-type="bibr" rid="B59">Fern&#xe1;ndez et&#xa0;al., 2019</xref> examined the cytotoxic effects of 10 nm and 60 nm silver nanoparticles (AgNPs) in hepatic (HepG2) cells, a model chosen due to the liver&#x2019;s known tendency to accumulate AgNPs. Their findings showed that 10 nm AgNPs could enter the nucleus, whereas 60 nm particles remained aggregated in the cytoplasm. Proteomic analysis revealed that nearly 50 proteins were altered by each nanoparticle size, but only four showed similar regulation patterns, suggesting that distinct cellular pathways were triggered depending on particle size (<xref ref-type="bibr" rid="B59">Fern&#xe1;ndez et&#xa0;al., 2019</xref>). Complementing this, <xref ref-type="bibr" rid="B194">Wu et&#xa0;al., 2019</xref> studied AgNPs of various diameters (3.2, 20.7, 54.7, and 93.6 nm) in B16 mouse melanoma cells and found that nanoparticle size not only affected uptake efficiency but also dictated the endocytic pathways involved. These findings highlight the importance of nanoparticle size in determining both cellular entry routes and biological responses.</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Shape and antimicrobial efficacy</title>
<p>The morphology of AgNPs significantly affects their interaction with bacterial membranes and their overall antimicrobial properties. AgNPs can be synthesized in various shapes, including spherical, triangular, cubic, rod-shaped, and star-like structures (<xref ref-type="bibr" rid="B107">Khodashenas and Ghorbani, 2019</xref>). Studies have demonstrated that the shape of silver nanoparticles (AgNPs) plays a critical role in determining their antimicrobial efficacy. For instance, <xref ref-type="bibr" rid="B16">Alshareef et&#xa0;al. (2017)</xref> reported strong antibacterial activity of both rod- and spherical-shaped AgNPs. Similarly, <xref ref-type="bibr" rid="B44">Cheon et&#xa0;al. (2019)</xref> synthesized AgNPs in three shapes&#x2014;spherical, disc-shaped, and triangular&#x2014;and observed the highest bactericidal activity in spherical forms, followed by disc-shaped and then triangular nanoparticles. In contrast, other studies have highlighted the superior antibacterial properties of triangular nanoparticles due to their sharp edges, which enhance interactions with bacterial membranes and lead to mechanical disruption (<xref ref-type="bibr" rid="B119">Liao et&#xa0;al., 2019</xref>). These variations suggest that the antibacterial effectiveness of AgNPs may depend on multiple factors, including bacterial type, environment, and application. Additionally, comparative studies have shown that rod-shaped AgNPs penetrate bacterial biofilms more effectively than spherical particles, making them particularly useful for combating biofilm-associated MDR infections (<xref ref-type="bibr" rid="B188">Wang et&#xa0;al., 2021</xref>). Other studies have compared the antimicrobial activities of spherical, rod-shaped, and truncated triangular silver nanoplates against planktonic <italic>E. coli</italic> cells, revealing that truncated triangular AgNPs exhibit the strongest bactericidal effect. This enhanced activity is attributed to the greater number of facets on triangular nanoparticles, which allows for increased interaction with bacterial surfaces, leading to more extensive membrane damage (<xref ref-type="bibr" rid="B146">Pal et&#xa0;al., 2007</xref>). This difference is likely due to the higher aspect ratio of rod-shaped nanoparticles, which enhances their interaction with biofilms (<xref ref-type="bibr" rid="B173">Slomberg et&#xa0;al., 2013</xref>). This variation in antimicrobial activity is likely due to differences in silver ion release, which is influenced by the surface area of the nanoparticles. Consequently, they concluded that modifying the morphology of AgNPs can effectively regulate their antimicrobial efficacy.</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Surface charge and stability</title>
<p>Surface charge plays a crucial role in the stability and biological interactions of AgNPs. The zeta potential of AgNPs determines their colloidal stability, with highly positive or negative values preventing aggregation (<xref ref-type="bibr" rid="B32">B&#xe9;lteky et&#xa0;al., 2019</xref>). Positively charged AgNPs exhibit stronger interactions with bacterial cell membranes, which are typically negatively charged due to the presence of lipopolysaccharides and teichoic acids (<xref ref-type="bibr" rid="B62">Franco et&#xa0;al., 2022</xref>). This electrostatic attraction enhances bacterial membrane penetration and increases antimicrobial activity. For example, Abbaszadegan et&#xa0;al. investigated the impact of AgNP surface charge on antimicrobial activity against Gram-positive (<italic>S. aureus</italic>, <italic>S. mutans</italic>, and <italic>S. pyogenes</italic>) and Gram-negative (<italic>E. coli</italic> and <italic>P. vulgaris</italic>) bacteria (<xref ref-type="bibr" rid="B3">Abbaszadegan et&#xa0;al., 2015</xref>). Their findings revealed that positively charged AgNPs exhibited the strongest bactericidal effect against all tested strains, while negatively charged AgNPs demonstrated the weakest activity. Neutral AgNPs displayed an intermediate level of antibacterial effectiveness. Functionalization of AgNPs with biocompatible polymers such as chitosan or polyethyleneimine further improves stability and bioavailability while reducing cytotoxicity to human cells (<xref ref-type="bibr" rid="B119">Liao et&#xa0;al., 2019</xref>).</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Electrical conductivity and melting point</title>
<p>To date, numerous nanomaterials have been developed with the potential to serve as transducing elements, owing to their superior electrical conductivity, as well as enhanced thermal and optical properties (<xref ref-type="bibr" rid="B187">Ventura-Aguilar et&#xa0;al., 2023</xref>). AgNPs exhibit a reduced melting point compared to bulk silver due to their high surface energy and increased atom mobility (<xref ref-type="bibr" rid="B21">Asoro et&#xa0;al., 2009</xref>). This property is particularly beneficial in antimicrobial coatings for medical devices, as it enables the formation of conductive and biocidal nanocomposites at lower processing temperatures (<xref ref-type="bibr" rid="B2">Abbas et&#xa0;al., 2024</xref>). The high electrical conductivity of AgNPs also facilitates their integration into biosensors for rapid detection of bacterial infections (<xref ref-type="bibr" rid="B187">Ventura-Aguilar et&#xa0;al., 2023</xref>).</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Thermal conductivity</title>
<p>AgNPs exhibit remarkable thermal conductivity, making them highly suitable for heat-based antimicrobial applications. In previous studies, the researchers explored their potential as multifunctional agents to enhance hyperthermia, directly eliminate cancer and bacterial cells, or function as photothermal therapy agents (<xref ref-type="bibr" rid="B121">Liu S. et&#xa0;al., 2023</xref>). The findings demonstrated the effectiveness of AgNPs in eradicating both breast cancer cells and bacteria within the breast tumor microenvironment. Recent studies also have highlighted the role of AgNP-based nanocomposites in improving heat transfer efficiency in antimicrobial surface coatings, and reducing bacterial colonization on biomedical implants (<xref ref-type="bibr" rid="B162">Sahoo et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Optical properties and plasmon resonance</title>
<p>AgNPs exhibit unique optical properties due to localized surface plasmon resonance (LSPR), where conduction electrons oscillate in response to incident light (<xref ref-type="bibr" rid="B123">Loiseau et&#xa0;al., 2019</xref>). This property makes AgNPs highly effective in biosensing and antimicrobial photodynamic therapy (<xref ref-type="bibr" rid="B64">Gabudean et&#xa0;al., 2011</xref>). This phenomenon enhances the generation of ROS, which contribute to bacterial cell membrane disruption and oxidative stress-induced cell death (<xref ref-type="bibr" rid="B35">Canaparo et&#xa0;al., 2020</xref>). Additionally, LSPR facilitates photothermal and photodynamic effects, where AgNPs absorb light energy and convert it into localized heat, further aiding in bacterial eradication (<xref ref-type="bibr" rid="B122">Liu H. et&#xa0;al., 2023</xref>). The plasmonic properties of AgNPs can also be tuned by modifying their size, shape, and surrounding environment, allowing for optimized antimicrobial effects (<xref ref-type="bibr" rid="B185">Vasil&#x2019;kov et&#xa0;al., 2018</xref>). These optical characteristics make AgNPs promising candidates for developing light-activated antimicrobial therapies against multidrug-resistant bacteria.</p>
</sec>
</sec>
<sec id="s4">
<label>4</label>
<title>Antimicrobial activities of AgNPs</title>
<p>AgNPs have demonstrated potent antimicrobial effects against a wide range of pathogenic microorganisms, including both Gram-positive and Gram-negative bacteria, as well as fungi (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Their effectiveness varies based on their synthesis method, particle size, and microbial target. Most studies report spherical nanoparticles with sizes typically between 5&#x2013;100 nm. While antimicrobial effects were consistently observed across different concentrations and testing methods, detailed investigations into their mechanisms of action remain limited (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Characteristics, antimicrobial activities, and mechanism of action of silver nanoparticles.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Nanoparticles</th>
<th valign="middle" align="center">Description</th>
<th valign="middle" align="center">Shape</th>
<th valign="middle" align="center">Size (nm)</th>
<th valign="middle" align="center">Tested concentrations</th>
<th valign="middle" align="center">Species/Strain</th>
<th valign="middle" align="center">Method to evaluate antimicrobial effect</th>
<th valign="middle" align="center">Mechanism of action</th>
<th valign="middle" align="center">Method to evaluate the mechanism of action</th>
<th valign="middle" align="center">References</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">AgNPs were produced via a chemical synthesis method.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">24.3 &#xb1; 0.18</td>
<td valign="middle" align="center">0.02 &#x3bc;g/mL to 58.5 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>S. aureus</italic>, <italic>P. aeruginosa</italic>, and <italic>E. coli</italic>
</td>
<td valign="middle" align="center">Broth microdilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B30">Baveloni et&#xa0;al. (2025)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from Teucrium polium leaves</td>
<td valign="middle" align="center">Silver nanoparticles were green-synthesized using <italic>Teucrium polium</italic> leaf extract.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">41 to 61</td>
<td valign="middle" align="center" style="background-color:#fafaf5">500, 1,000, and 1,500 &#x3bc;g/mL&#x2009;</td>
<td valign="middle" align="center">
<italic>S. aureus</italic> (MTCC-29213), <italic>B. subtilis</italic> (MTCC-10400), <italic>S. epidermidis</italic> (MTCC-12228), <italic>E. coli</italic> (ATCC-25922), <italic>K. pneumoniae</italic> (MTCC-13883), and <italic>P. aeruginosa</italic> (MTCC-27853)</td>
<td valign="middle" align="center">Disk diffusion and broth dilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B14">Aljowaie and Aziz (2025)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">B-AgNPs, L-AgNPs, and LB-AgNPs</td>
<td valign="middle" align="center">AgNPs were biosynthesized using a combination of <italic>Lactobacillus</italic> sp. and <italic>Bacillus</italic> sp. growth.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">B-AgNPs: 11&#x2013;22.8, L-AgNPs: 7.97&#x2013;14.3, and LB-AgNPs: 4.65&#x2013;11.3</td>
<td valign="middle" align="center">10, 20, and 40 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic> and <italic>S. aureus</italic>
</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B11">Al-Asbahi et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs-PDA</td>
<td valign="middle" align="center">AgNPs were incorporated into biocompatible catecholamine-based polymers (PDA) through localized electrochemical deposition using a double potentiostatic method via scanning electrochemical cell microscopy (SECCM).</td>
<td valign="middle" align="center">Multiple shapes (truncated tetrahedral, dendritic, octahedral)</td>
<td valign="middle" align="center">Average particle size of 171 &#xb1; 4</td>
<td valign="middle" align="center">0.05 mmol L<sup>&#x2212;1</sup>
</td>
<td valign="middle" align="center">
<italic>E. coli</italic>
</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">The bacterial outer membrane exhibited structural changes, including increased hydrophilicity and reduced stiffness, when in close proximity to the AgNPs.</td>
<td valign="middle" align="center">Atomic force microscopy (AFM)-based force spectroscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B36">Caniglia et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">AgNPs were produced via a chemical synthesis method.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">58.3</td>
<td valign="middle" align="center">0.25 to 2.0 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>S. aureus</italic>, <italic>P. aeruginosa</italic>, and <italic>E. coli</italic>
</td>
<td valign="middle" align="center">Broth microdilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B86">Iwuji et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from Teucrium Parvifolium</td>
<td valign="middle" align="center">Green nanoparticles were synthesized from the aqueous extract of <italic>Teucrium Parvifolium</italic> plant seeds.</td>
<td valign="middle" align="center">Spherical and crystalline</td>
<td valign="middle" align="center">14</td>
<td valign="middle" align="center">2, 4, 8, 16, 32, 64, 128 mg/ml for disk diffusion assay and 128 mg/ml for broth dilution assay</td>
<td valign="middle" align="center">
<italic>E. coli</italic> O157:H7 (ATCC No. 25922), <italic>E. faecali</italic>s (ATCC No. 19433), <italic>P. aeruginosa</italic> (ATCC No. 27853), <italic>S. aureus</italic> (ATCC No. 25923).</td>
<td valign="middle" align="center">Disk diffusion and broth dilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B174">Soltani et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">AgNPs were phytosynthesized using <italic>Aloe vera</italic> extract.</td>
<td valign="middle" align="center">Spherical and scattered</td>
<td valign="middle" align="center">42.553 &#xb1; 12.855</td>
<td valign="middle" align="center">Up to 256 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli</italic>, <italic>P. aeruginosa</italic>, <italic>A. baumannii</italic>, and <italic>S. aureus</italic>
</td>
<td valign="middle" align="center">Broth dilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B196">Yi&#x11f;it et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs-PEG-NYS</td>
<td valign="middle" align="center">AgNPs were conjugated with PEG and Nystatin (AgNPs-PEG-NYS) using a chemical precipitation method.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">37.658, 52.328, and 71.525 for AgNPs, AgNPs-NYS, and AgNPs-PEG-NYS, respectively.</td>
<td valign="middle" align="center">50 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>S. aureus</italic> and <italic>E. coli</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B84">Ibraheem et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs and carboplatin-loaded silver nanoparticles (AgNPs-Car)</td>
<td valign="middle" align="center">AgNPs and AgNPs-Car were synthesized via a chemical method.</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">AgNPs: 6.5 and AgNPs-Car: 28.85 nm&#x2013; 43.82</td>
<td valign="middle" align="center">Up to 100 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli</italic> (ATCC 25922), <italic>K. pneumoniae</italic> (ATCC 13883), <italic>A. baumanii</italic> (ATCC 17978), <italic>P. aeruginosa</italic> (ATCC 27853), <italic>S. aureus</italic> (ATCC 29213), Methicillin-resistant <italic>S. aureus</italic> (ATCC 43300), <italic>E. faecalis</italic> (ATCC 29212), <italic>B. cereus</italic> (ATCC 11778), <italic>C. albicans</italic> (ATCC 10231), and <italic>C. tropicalis</italic> (ATCC 4563)</td>
<td valign="middle" align="center">Broth microdilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B181">Tun&#xe7; (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from Lepidium draba L. leaves</td>
<td valign="middle" align="center">Silver nanoparticles were green-synthesized using <italic>Lepidium draba L</italic>. leaves.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;35</td>
<td valign="middle" align="center">62.5&#x2013;1000 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>S. aureus</italic>, <italic>E. faecalis</italic>, <italic>C. albicans</italic>
</td>
<td valign="middle" align="center">Broth microdilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B77">Hajizadeh et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Polymer film/AgNPs</td>
<td valign="middle" align="center">A natural polymer film with AgNPs biosynthesized using aqueous plant root extracts of <italic>Symphyti radix</italic>.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">27.45</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>S. aureus</italic> (ATCC 25923), Beta-hemolytic <italic>streptococcus</italic> group b (&#x3b2;-<italic>streptococcus</italic>) ATCC 15185, <italic>S. epidermidis</italic> ATCC 12228, <italic>E. faecalis</italic> ATCC 29212, <italic>E. coli</italic> ATCC 25922, <italic>K. pneumoniae</italic> ATCC 13883, <italic>P. aeruginosa</italic> ATCC 27853, <italic>P. vulgaris</italic> ATCC 8427, <italic>B. cereus</italic> ATCC 11778, and <italic>C. albicans</italic> ATCC 10231</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B27">Balciunaitiene et&#xa0;al. (2024)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs_mPEG_AK</td>
<td valign="middle" align="center">AgNPs functionalized with mercaptopoly(ethylene glycol) carboxylic acid (mPEG-COOH) and amikacin (AK)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">17.02&#x2009;&#xb1;&#x2009;1.25</td>
<td valign="middle" align="center">AgNPs_mPEG at a final concentration of 12.5 mg/L Ag<sup>+</sup>; AgNPs_mPEG_AK containing 0.5 mg/L AK and 12.5 mg/L Ag<sup>+</sup>; a combination of AgNPs_mPEG (12.5 mg/L Ag<sup>+</sup>) with AK; and AK alone were each subjected to serial two-fold dilutions</td>
<td valign="middle" align="center">12 clinical multidrug-resistant /extensively drug-resistant isolates of <italic>A. baumannii</italic>, <italic>E. coli</italic>, <italic>K. pneumoniae</italic>, and <italic>P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Microdilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B147">Palau et&#xa0;al., 2023</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">OLAgNPs</td>
<td valign="middle" align="center">AgNPs were green-biogenically synthesized using polyphenolic extract of olive leaf wastes.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;45</td>
<td valign="middle" align="center">5, 25, 50, and 100 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>L. monocytogenes</italic>, <italic>B. cereus</italic>, <italic>S. aureus</italic>, <italic>E. coli</italic>, <italic>Y. enterocolitica</italic>, and C. jejuni</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B15">Alowaiesh et&#xa0;al. (2023)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">Different commercially available AgNPs</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">2.53&#x2009;&#xb1;&#x2009;1.71 and 3.06&#x2009;&#xb1;&#x2009;2.04</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, S. aureus, A. baumannii, Salmonella</italic> spp.<italic>, K. pneumoniae, and C. freundii</italic>
</td>
<td valign="middle" align="center">Microdilution assay</td>
<td valign="middle" align="center">Ag may bind bacterial fimbriae and affect cell permeability</td>
<td valign="middle" align="center">Transmission electron microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B50">Dove et&#xa0;al., 2023</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AN-AgNPs</td>
<td valign="middle" align="center">AgNPs were green-synthesized using <italic>Argyreia nervosa</italic> leaf extract.</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">10&#x2013;40</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Enteropathogenic <italic>E. coli</italic>
</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B149">Parvathalu et&#xa0;al. (2023)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNP-His</td>
<td valign="middle" align="center">AgNPs were biosynthesized using <italic>Lippia abyssinica</italic> plant leaf extract.</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">5&#x2013;14</td>
<td valign="middle" align="center">62.5 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>S. aureus</italic> ATCC 25926 and <italic>E. coli</italic> ATCC 25922</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B171">Shumi et&#xa0;al. (2023)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">Silver nanoparticles were biosynthesized using marine fungi: <italic>Penicillium simplicissimum</italic>, <italic>Aspergillus terreus</italic>, <italic>Aspergillus japonicus</italic>, and <italic>Aspergillus oryzae.</italic>
</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">3.8&#x2013;23</td>
<td valign="middle" align="center">2, 5, and 8 mM</td>
<td valign="middle" align="center">
<italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>P. vulgaris</italic>, <italic>S.</italic> Typhi, <italic>E. faecalis</italic>, <italic>S. aureus</italic> methicillin-resistant, <italic>S. hominis</italic>, and <italic>S. epidermidis</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B29">Basheer et&#xa0;al. (2023)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Citrus limon</italic> (L.)</td>
<td valign="middle" align="center">Biogenic synthesis using aqueous zest extract (<italic>Citrus limon</italic>)</td>
<td valign="middle" align="center">Spherical and cubic</td>
<td valign="middle" align="center">7&#x2013;28</td>
<td valign="middle" align="center">1 mg/mL</td>
<td valign="middle" align="center">
<italic>S. aureus, E. coli, C. albicans</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B106">Khane et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Gardenia thailandica</italic>
</td>
<td valign="middle" align="center">Green synthesis utilizing leaf extract (<italic>Gardenia thailandica</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">11.02&#x2013;17.92</td>
<td valign="middle" align="center">Up to 250 &#xb5;g/mL for microdilution assay</td>
<td valign="middle" align="center">
<italic>S. aureus</italic>
</td>
<td valign="middle" align="center">Microdilution and time-killing assays and <italic>in vivo</italic> study in rats</td>
<td valign="middle" align="center">Bacterial cell membrane disruption, leading to shape alteration</td>
<td valign="middle" align="center">Membrane permeability assay, SEM</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B22">Attallah et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">ML-AgNPs (<italic>Morinda lucida</italic>)</td>
<td valign="middle" align="center">Biosynthesis using leaf extract (<italic>Morinda lucida</italic>)</td>
<td valign="middle" align="center">Spherical and rough-edged crystallite</td>
<td valign="middle" align="center">11</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>Citrobacter</italic>, <italic>E. coli</italic>, <italic>P. vulgaris</italic>, <italic>S.</italic> Typhi, <italic>V. cholerae</italic>, <italic>E. faecalis</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B114">Labulo et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Myrsine africana</italic>
</td>
<td valign="middle" align="center">Green synthesis from leaf extract (<italic>Myrsine Africana</italic>)</td>
<td valign="middle" align="center">Spherical and oval</td>
<td valign="middle" align="center">28.32</td>
<td valign="middle" align="center">0.03, 0.05, 0.09, 0.11, and 0.13 mg/mL</td>
<td valign="middle" align="center">
<italic>P. aeruginosa, S. aureus, E. coli, K. pneumoniae</italic>,</td>
<td valign="middle" align="center">Agar well diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B164">Sarwer et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Syzygium cumini</italic>
</td>
<td valign="middle" align="center">Biosynthesis from fruit extracts (<italic>Syzygium cumini</italic>)</td>
<td valign="middle" align="center">Nearly spherical</td>
<td valign="middle" align="center">47</td>
<td valign="middle" align="center">25, 50, and 75 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>S. aureus, B. subtilis, P. aeruginosa, E. coli</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B41">Chakravarty et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Hypericum perforatum L.</italic>
</td>
<td valign="middle" align="center">Green synthesis utilizing aqueous extract (<italic>Hypericum perforatum L)</italic>
</td>
<td valign="middle" align="center">Spherical, monodisperse, face-centered cubic (fcc) crystal structures</td>
<td valign="middle" align="center">20&#x2013;40</td>
<td valign="middle" align="center">50 and 100 &#x3bc;g/well for well diffusion assay, up 100 &#x3bc;g/mL for broth dilution assay, and 1, 3, 6, 12, and 24 &#x3bc;g/mL for growth curve assays</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic>, <italic>K. pneumoniae</italic> (&#x3b2;-lactamase-producer), <italic>E. coli</italic> (ESBL-producers), <italic>E. coli</italic> (ATCC 25922), <italic>S. aureus</italic> (ATCC 43300), <italic>B. cereus</italic> (ATCC 11778), <italic>B. subtilis</italic> (ATCC 6633)</td>
<td valign="middle" align="center">Well diffusion, broth dilution, growth curve assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B10">Alahmad et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">GT AgNPs (<italic>Green tea</italic>)</td>
<td valign="middle" align="center">Green synthesis using tea leaf extract (<italic>Green tea</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">15&#x2013;33</td>
<td valign="middle" align="center">10, 20, and 50 mg/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, Klebsiella</italic> sp.</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B193">Widatalla et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs-LCg &amp; AgNPs-FCg (<italic>Calotropis gigantea</italic>)</td>
<td valign="middle" align="center">Phytosynthesis using leaf and flower extracts (<italic>Calotropis gigantea</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">163.5&#x2013;256.7, 188.35&#x2013;227.65</td>
<td valign="middle" align="center">2, 5, or 9 mM</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus</italic>, and <italic>C. albicans</italic>
</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B92">Kemala et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Chi/AgNPs</td>
<td valign="middle" align="center">Chitosan-stabilized AgNPs</td>
<td valign="middle" align="center">Nearly spherical</td>
<td valign="middle" align="center">9&#x2013;65</td>
<td valign="middle" align="center">Up to 200 &#x3bc;g/mL for broth dilution assay</td>
<td valign="middle" align="center">
<italic>S. aureus, P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Broth dilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B170">Shehabeldine et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">GCL-AgNPs (<italic>Glochidion candolleanum</italic>)</td>
<td valign="middle" align="center">Phytosynthesis using leaf extract (<italic>Glochidion candolleanum</italic>)</td>
<td valign="middle" align="center">Spherical and ellipsoidal</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">0.3, 0.5, and 1 mg/ml</td>
<td valign="middle" align="center">
<italic>B. subtilis, L. monocytogenes, S. aureus, E. coli, P. aeruginosa, S. enterica</italic>
</td>
<td valign="middle" align="center">Well diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B26">Balachandar et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Zingiber zerumbet</italic>
</td>
<td valign="middle" align="center">Green synthesis using wild ginger extract (<italic>Zingiber zerumbet</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">24.28&#x2013;153.2</td>
<td valign="middle" align="center">100 &#xb5;g/ml for agar well diffusion assay and Concentrations of 50, 25, 12.5, 6.25, 1.56, 0.78.0.39, 0.195, and 0.097 &#xb5;g/mL for broth microdilution assay</td>
<td valign="middle" align="center">
<italic>S. aureus, E. faecalis, E. mutans</italic>
</td>
<td valign="middle" align="center">Agar well diffusion and broth microdilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B155">Ramzan et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Rubus ellipticus Sm.</italic>
</td>
<td valign="middle" align="center">Biogenic synthesis from root extract (<italic>Rubus ellipticus Sm</italic>)</td>
<td valign="middle" align="center">spherical and monodispersed</td>
<td valign="middle" align="center">13.85 - 34.30 with an average of 25.20 &#xb1; 7.01&#x2009;</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus, K. pneumoniae, E. faecalis</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B105">Khanal et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs-BM &amp; AgNPs-WM (<italic>Agaricus bisporus</italic>)</td>
<td valign="middle" align="center">Biosynthesis using brown &amp; white mushroom extracts (<italic>Agaricus bisporus</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">5 (BM), 11 nm (WM)</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>S. aureus, S. epidermidis, B. subtilis, E. coli, S.</italic> Typhi<italic>, P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B12">Al-Dbass et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">MOAgNPs (<italic>Moringa oleifera</italic>)</td>
<td valign="middle" align="center">Biogenic synthesis from aqueous leaf extract (<italic>Moringa oleifera</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">5&#x2013;50</td>
<td valign="middle" align="center" style="">10 and 20 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli, S. marcescens, S. aureus, B. subtilis</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B6">Abdel-Rahman et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">EC-AgNPs &amp; TA-AgNPs (<italic>Eucalyptus camaldulensis, Terminalia arjuna</italic>)</td>
<td valign="middle" align="center">Green synthesis using plant extracts (<italic>Eucalyptus camaldulensis, Terminalia arjuna</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">100 (EC), 35 (TA)</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>B. subtilis, S. aureus, E. coli, P. multocida</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B120">Liaqat et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">bAgNPs (<italic>Syzygium cymosum</italic>)</td>
<td valign="middle" align="center">Biogenic synthesis using plant extract (<italic>Syzygium cymosum</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">17.2&#x2013;35.3</td>
<td valign="middle" align="center">0.125, 0.25, 0.5, 1, 2, 3, 3.5, 5, and 6 &#x3bc;g/ml for broth dilution assay</td>
<td valign="middle" align="center">
<italic>B. subtilis, E. coli</italic> DH5&#x3b1;<italic>, E. coli</italic> K12<italic>, enteropathogenic E. coli, S.</italic> Typhi</td>
<td valign="middle" align="center">Disk diffusion, broth dilution</td>
<td valign="middle" align="center">Lipid peroxidation</td>
<td valign="middle" align="center">Lipid peroxidation assay</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B126">Mahmud et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs (Various sources)</td>
<td valign="middle" align="center">Phytosynthesis using extracts from apple, orange, potato, red pepper, onion, garlic, radish</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">9&#x2013;30</td>
<td valign="middle" align="center">0.004 to 42.25 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>S. aureus (ATCC 6538), B. cereus (ATCC 10987), E. coli (ATCC 11229)</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B192">Wasilewska et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs-KP (<italic>Klebsiella pneumoniae</italic>)</td>
<td valign="middle" align="center">Green synthesis from <italic>K. pneumoniae</italic>
</td>
<td valign="middle" align="center">Heterogeneous with rough surface</td>
<td valign="middle" align="center">38.9</td>
<td valign="middle" align="center">0.009 &#x2013;5000 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>K. pneumoniae</italic> carbapenemase-producing</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B46">Chuy et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Bio-AgNPs (<italic>Nocardiopsis dassonvillei</italic>)</td>
<td valign="middle" align="center">Biosynthesis using marine actinobacterium (<italic>Nocardiopsis dassonvillei</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">29.28</td>
<td valign="middle" align="center">50, 100, 150, and 200 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, CoNS, P. aeruginosa, ESBL-producing E. coli, Salmonella, K. pneumoniae, P. mirabilis</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B103">Khalil et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs (<italic>Aloe vera</italic>)</td>
<td valign="middle" align="center">Green synthesis using <italic>Aloe vera</italic> extract</td>
<td valign="middle" align="center">Hexagonals</td>
<td valign="middle" align="center">9.26&#x2013;31.18</td>
<td valign="middle" align="center">The tested concentrations were not identified, but MIC was 85 &#x3bc;g/ml and MBC was 127.5 &#x3bc;g/ml</td>
<td valign="middle" align="center">Multidrug-resistant <italic>E. coli</italic> U12</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Anti-biofilm activity, cell wall and membrane damage</td>
<td valign="middle" align="center">Electron microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B165">Selem et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs of <italic>Cymbopogon citratus</italic>
</td>
<td valign="middle" align="center">Biosynthesis of AgNPs with <italic>Cymbopogon citratus</italic> leaf extract</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">47</td>
<td valign="middle" align="center">50, 100, 150, 200, and 250 &#x3bc;g/mL for broth dilution</td>
<td valign="middle" align="center">
<italic>S.</italic> Typhi<italic>, B. cereus and S. flexneri</italic>
</td>
<td valign="middle" align="center">Agar well diffusion assay and broth dilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B153">Rakib-Uz-Zaman et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs of <italic>Talaromyces purpureogenus</italic>
</td>
<td valign="middle" align="center">Green synthesis of AgNPs using fungus <italic>Talaromyces purpureogenus</italic> isolated from Taxus baccata Linn.</td>
<td valign="middle" align="center">Spheric</td>
<td valign="middle" align="center">30&#x2013;60</td>
<td valign="middle" align="center">25, 50, 75, and 100 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli, S.</italic> Typhi<italic>, L. monocytogenes and S. dysenteriae</italic>
</td>
<td valign="middle" align="center">Disk diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B169">Sharma et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs of <italic>Anagallis monelli</italic>
</td>
<td valign="middle" align="center">AgNPs biosynthesized using <italic>Anagallis monelli</italic>
</td>
<td valign="middle" align="center">Face-centered cubic structure</td>
<td valign="middle" align="center">22</td>
<td valign="middle" align="center">The tested concentration not mentioned, but MIC values vary from 2.812 to 11.25 mg/mL</td>
<td valign="middle" align="center">
<italic>E. coli, K. pneumoniae, S. marcescens, S. aureus and M. luteus</italic>
</td>
<td valign="middle" align="center">Agar well diffusion and broth dilution assays</td>
<td valign="middle" align="center">various mechanisms such as bactericide, fungicide effects, lysozyme and anti-biofim activities as well as morphological modifications of cells</td>
<td valign="middle" align="center">Lysozyme activity determination, Anti-biofilm activity determination, and microscopic observation to detect effect on cell viability and morphology of Candida albicans</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B51">Dridi et&#xa0;al. (2022)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Acacia cyanophylla</italic>
</td>
<td valign="middle" align="center">Green synthesis using aqueous plant extract (<italic>Acacia cyanophylla</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">88.11</td>
<td valign="middle" align="center">0.0488&#x2013;50 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>E. coli</italic>
</td>
<td valign="middle" align="center">Broth dilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B88">Jalab et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Carthamus tinctorius</italic> L.</td>
<td valign="middle" align="center">Green synthesis utilizing safflower waste extract (<italic>Carthamus tinctorius</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">8.67 &#xb1; 4.7</td>
<td valign="middle" align="center">0.9&#x2013;250 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, P. fluorescens</italic>
</td>
<td valign="middle" align="center">Broth dilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B160">Rodr&#xed;guez-F&#xe9;lix et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ag-NC</td>
<td valign="middle" align="center">Nanocomposite incorporating silver nanoparticles stabilized by polysaccharides</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">15</td>
<td valign="middle" align="center">10&#x2013;160 &#xb5;g/ml for broth microdilution assay</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, S. aureus, B. subtilis</italic> as well as fungi including <italic>C. albicans</italic>, <italic>A. niger</italic>, <italic>A. terreus</italic>, <italic>A. flavus</italic>, and <italic>A. fumigatus</italic>
</td>
<td valign="middle" align="center">Disk diffusion and broth microdilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B78">Hasanin et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">P.yAgNPs (<italic>Pyropia yezoensis</italic>)</td>
<td valign="middle" align="center">Biogenic silver nanoparticles derived from <italic>Pyropia yezoensis</italic>
</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;22</td>
<td valign="middle" align="center">5, 25, 50 &#xb5;g/ml for agar well dilution assay and 5&#x2013;400 &#x3bc;g/ml for broth microdilution assay</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic> and <italic>S. aureus</italic>
</td>
<td valign="middle" align="center">Agar well dilution and broth microdilution assays</td>
<td valign="middle" align="center">Bacterial cell death via silver ion release, disrupting cellular signaling and integrity</td>
<td valign="middle" align="center">Fluorescence microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B183">Ulagesan et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">L-AgNPs</td>
<td valign="middle" align="center">Lignin-stabilized AgNPs via green synthesis</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">14.01</td>
<td valign="middle" align="center">0.1 mg/mL, 1 mg/mL, and 10 mg/mL</td>
<td valign="middle" align="center">
<italic>E. coli</italic> and <italic>C. albicans</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B37">Cao et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Cynara scolymus L.</italic>
</td>
<td valign="middle" align="center">Phytosynthesis from artichoke waste extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">28.78</td>
<td valign="middle" align="center">Up to 20&#x2009;&#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, E. coli, C. albicans, B. subtilis, P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B28">Baran et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Trigonella foenum-graecum</italic>
</td>
<td valign="middle" align="center">Biogenic silver nanoparticles synthesized using fenugreek seed extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">82.53</td>
<td valign="middle" align="center">5 and 15 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus, B. cereus</italic>
</td>
<td valign="middle" align="center">Agar well dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B23">Awad et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">CSE-AgNPs &amp; PAE-AgNPs</td>
<td valign="middle" align="center">Phytosynthesized AgNPs from <italic>Camellia sinensis</italic> and <italic>Prunus africana</italic> extracts</td>
<td valign="middle" align="center">Spherical, forming layers</td>
<td valign="middle" align="center">3&#x2013;98 (CSE), 4&#x2013;94 (PAE)</td>
<td valign="middle" align="center">0.1 gm of AgNPs was dissolved in 0.6 ml of sterile distilled de-ionized water, followed by two-fold serial dilution of 0.05 ml</td>
<td valign="middle" align="center">
<italic>E. coli, K. pneumoniae</italic>
</td>
<td valign="middle" align="center">Broth dilution assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B176">Ssekatawa et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from Dsr1KO, Dsr9KD, Dsr20KD</td>
<td valign="middle" align="center">Biosynthesis utilizing <italic>Deinococcus radiodurans</italic> mutants</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">10&#x2013;20</td>
<td valign="middle" align="center">5&#x2212;15 &#x3bc;g/mL for <italic>E. coli</italic> and <italic>P. aeruginosa</italic> and 30&#x2212;90 &#x3bc;g/mL for <italic>S. epidermidis</italic>
</td>
<td valign="middle" align="center">
<italic>P. aeruginosa, E. coli, S. epidermidis</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B43">Chen et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Nocardiopsis</italic> spp.</td>
<td valign="middle" align="center">Biogenic synthesis using <italic>Nocardiopsis</italic> strain MW279108</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">2&#x2013;10</td>
<td valign="middle" align="center">214 &#xb5;g/ml</td>
<td valign="middle" align="center">
<italic>B. subtilis, B. cereus, P. aeruginosa, S.</italic> Typhimurium<italic>, S. aureus, A. baumannii, E. coli</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B1">Abada et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Bacillus subtilis</italic>
</td>
<td valign="middle" align="center">Green synthesis of silver nanoparticles from <italic>B. subtilis</italic> metabolites</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">2&#x2013;26</td>
<td valign="middle" align="center">1&#x2013;64 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus, V. parahemolyticus, A. baumannii</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B199">Yu et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">OE-Ag</td>
<td valign="middle" align="center">Green synthesis via <italic>Olea europaea</italic> leaf extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">50 &#xb5;L of the sample solution at 250 &#xb5;g/mL<break/>concentration</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic>, <italic>K. pneumoniae</italic>, <italic>S. aureus, B. subtilis</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Disrupts bacterial cell membranes</td>
<td valign="middle" align="center">Live/Dead staining with confocal microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B166">Sellami et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNP-S, AgNP-F, AgNP-W</td>
<td valign="middle" align="center">Biogenic AgNPs derived from <italic>Carduus crispus</italic>
</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">131, 33, and 70</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, M. luteus</italic>
</td>
<td valign="middle" align="center">Agar well dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B184">Urnukhsaikhan et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Sp-AgNPs</td>
<td valign="middle" align="center">Phytosynthesis using <italic>Salvadora persica</italic> root extract</td>
<td valign="middle" align="center">Spherical and rod-like</td>
<td valign="middle" align="center">37.5</td>
<td valign="middle" align="center">0.19 &#xb5;g/mL to 25 &#xb5;g/mL</td>
<td valign="middle" align="center">
<italic>E. coli, S. epidermidis</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Bacterial membrane degradation</td>
<td valign="middle" align="center">Nuclear staining (Syto 16)</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B20">Arshad et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Bauhinia tomentosa Linn</italic>
</td>
<td valign="middle" align="center">Biogenic AgNPs from <italic>B. tomentosa</italic>
</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">32</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus, A. flavus</italic> and <italic>C. albicans</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Silver binding with microbial proteins (DNA gyrase, cytochrome P450, dihydrofolate reductase)</td>
<td valign="middle" align="center">Molecular docking</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B156">Renganathan et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Solanum xanthocarpum</italic>
</td>
<td valign="middle" align="center">Biogenic AgNPs from fruit extract (<italic>Solanum xanthocarpum</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">22.45</td>
<td valign="middle" align="center">0.08125 to 5 mg/ml for broth dilution assay</td>
<td valign="middle" align="center">
<italic>E. coli, Shigella</italic> spp.<italic>, P. aeruginosa, Aeromonas</italic> spp.</td>
<td valign="middle" align="center">Agar well dilution and broth dilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B151">Pungle et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs/EML, AgNPs/EMF, AgNPs/EMDS</td>
<td valign="middle" align="center">Green synthesis utilizing <italic>Morinda citrifolia L.</italic> (noni)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">3&#x2013;11</td>
<td valign="middle" align="center">7.5, 5.0, or 2.5 &#xb5;g</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus</italic>
</td>
<td valign="middle" align="center">Agar well dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B135">Morales-Lozoya et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Cynodon dactylon</italic>
</td>
<td valign="middle" align="center">Biogenic synthesis using <italic>C. dactylon</italic> leaf extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">15</td>
<td valign="middle" align="center">0%, 5%, 10% and 15% per hundred parts of polymer</td>
<td valign="middle" align="center">
<italic>P. fluorescens</italic>
</td>
<td valign="middle" align="center">Agar diffusion test and colony count method</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B188">Wang et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Carissa carandas L.</italic>
</td>
<td valign="middle" align="center">Phytosynthesis via <italic>C. carandas</italic> leaf extract</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>S. flexneri, Citrobacter</italic> spp., <italic>S.</italic> Typhimurium<italic>, E. faecalis, Gonococos</italic> spp.</td>
<td valign="middle" align="center">Agar well dilution and broth microdilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B172">Singh et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Sb-AgNP</td>
<td valign="middle" align="center">Green synthesis using <italic>Scutellaria barbata</italic> extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;40</td>
<td valign="middle" align="center">20, 40 and 60 &#xb5;g/ml for disc diffusion</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, S. aureus, K. pneumoniae</italic>
</td>
<td valign="middle" align="center">XTT reduction and disc diffusion assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B186">Veeraraghavan et&#xa0;al. (2021)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Phyllanthus emblica</italic>
</td>
<td valign="middle" align="center">Biosynthesis using fruit extract (<italic>Phyllanthus emblica</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">19&#x2013;45</td>
<td valign="middle" align="center">10 &#x3bc;g, 20 &#x3bc;g, 30 &#x3bc;g, 40 &#x3bc;g and 50 &#x3bc;g</td>
<td valign="middle" align="center">
<italic>K. pneumoniae, S. aureus</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B157">Renuka et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Lysiloma acapulcensis</italic>
</td>
<td valign="middle" align="center">Green synthesis using <italic>L. acapulcensis</italic> extract</td>
<td valign="middle" align="center">Spherical and quasi-spherical</td>
<td valign="middle" align="center">1.2&#x2013;62</td>
<td valign="middle" align="center">0.1&#x2013;5 &#xb5;g/mL for chemical nanoparticles and 0.02&#x2013;1 &#xb5;g/mL for biogenic nanoparticles for broth microdilution assay</td>
<td valign="middle" align="center">
<italic>C. albicans, E. coli, S. aureus, P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Disk diffusion and broth microdilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B66">Garibo et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Penicillium oxalicum</italic>
</td>
<td valign="middle" align="center">Biogenic AgNPs derived from fungal metabolites</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">60&#x2013;80</td>
<td valign="middle" align="center">5/10, 10/20, 15/30, and 20/40 &#x3bc;g/&#x3bc;l of<break/>the AgNPs dilutions of 1, 3, and 5 mM for Agar well diffusion and 1, 3, and 5 mM for broth dilution assays</td>
<td valign="middle" align="center">
<italic>S. aureus, S. dysenteriae, S.</italic> Typhi</td>
<td valign="middle" align="center">Agar well diffusion, broth dilution assays</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B60">Feroze et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Padina</italic> spp.</td>
<td valign="middle" align="center">Phytosynthesis using marine algae extract (<italic>Padina</italic> spp.)</td>
<td valign="middle" align="center">Spherical and oval-shaped while some observed to be irregular-shaped and polydis-persed</td>
<td valign="middle" align="center">25&#x2013;60</td>
<td valign="middle" align="center">0.25 mg/ml, 0.50 mg/ml, 0.75 mg/ml, and 1.00 mg/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, B. subtilis, P. aeruginosa, S.</italic> Typhi<italic>, E. coli</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B33">Bhuyar et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Aloe vera</italic>
</td>
<td valign="middle" align="center">Green synthesis using <italic>Aloe vera</italic> extract</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, Enterobacter</italic> spp.<italic>, S. aureus</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B19">Anju et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">MOF-AgNPs</td>
<td valign="middle" align="center">AgNPs synthesized using <italic>Moringa oleifera</italic> flower extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>K. pneumoniae, S. aureus</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B34">Bindhu et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Bacillus subtilis</italic>
</td>
<td valign="middle" align="center">Biosynthesis using <italic>B. subtilis</italic> isolates</td>
<td valign="middle" align="center">Spherical, hexagonal, and irregular</td>
<td valign="middle" align="center">20</td>
<td valign="middle" align="center">21&#x2013;170 mg/ mL</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus, P. aeruginosa, B. cereus, S.</italic> Typhi, <italic>Candida albicans</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B54">El-Bendary et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Gelidium corneum</italic>
</td>
<td valign="middle" align="center">Phytosynthesis via marine red algae extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;50</td>
<td valign="middle" align="center">0.08&#x2009;-32.7&#x2009;&#x3bc;g /ml</td>
<td valign="middle" align="center">
<italic>E. coli</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Damage to membrane and cell wall</td>
<td valign="middle" align="center">Transmission electron microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B198">Y&#x131;lmaz &#xd6;zt&#xfc;rk et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Shewanella</italic> spp. ARY1</td>
<td valign="middle" align="center">Biogenic synthesis from <italic>Shewanella</italic> culture supernatant</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">38</td>
<td valign="middle" align="center">20 &#x3bc;L of different concentrations (20, 30 and 40 &#x3bc;g/mL) for disk diffusion</td>
<td valign="middle" align="center">
<italic>E. coli, K. pneumoniae</italic>
</td>
<td valign="middle" align="center">Disk diffusion and broth dilution assays</td>
<td valign="middle" align="center">Cell lysis and membrane disruption</td>
<td valign="middle" align="center">Transmission electron microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B134">Mondal et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">SA-AgNPs, GL-AgNPs, BR-AgNPs</td>
<td valign="middle" align="center">AgNPs biosynthesized from <italic>Semecarpus anacardium, Glochidion lanceolarium, Bridelia retusa</italic>
</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">62.72, 93.23, 74.56</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>P. aeruginosa, E. coli, S. aureus</italic>
</td>
<td valign="middle" align="center">Broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B133">Mohanta et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Cestrum nocturnum</italic>
</td>
<td valign="middle" align="center">Phytosynthesis using <italic>C. nocturnum</italic> extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20</td>
<td valign="middle" align="center">0-256 &#x3bc;g/ml for broth dilution assays</td>
<td valign="middle" align="center">
<italic>Citrobacter, E. faecalis, S.</italic> Typhi<italic>, E. coli, P. vulgaris, V. cholerae</italic>
</td>
<td valign="middle" align="center">Disk diffusion and broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B93">Keshari et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Cp-AgNPs</td>
<td valign="middle" align="center">AgNPs synthesized using <italic>Cucumis prophetarum</italic> leaf extract</td>
<td valign="middle" align="center">Polymorphic</td>
<td valign="middle" align="center">30&#x2013;50</td>
<td valign="middle" align="center">20, 50, and 75 &#x3bc;g/ml</td>
<td valign="middle" align="center">
<italic>S. aureus, S.</italic> Typhi</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B81">Hemlata et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">bAgNPs</td>
<td valign="middle" align="center">Biogenic AgNPs from <italic>Caesalpinia digyna</italic>
</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">11.3&#x2013;45.4</td>
<td valign="middle" align="center">15, 30, and 60 &#x3bc;g for disk diffusion</td>
<td valign="middle" align="center">
<italic>B. subtilis, E. coli</italic> DH5&#x3b1;<italic>, E. coli</italic> K12, enteropathogenic <italic>E. coli, S.</italic> Typhi</td>
<td valign="middle" align="center">Disk diffusion and broth dilution</td>
<td valign="middle" align="center">Fatty acid oxidation, interaction with cellular macromolecules</td>
<td valign="middle" align="center">Lipid peroxidation assay</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B143">Niloy et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Phingobium</italic> spp. MAH-11</td>
<td valign="middle" align="center">Biogenic synthesis via <italic>Phingobium</italic> extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">7&#x2013;22</td>
<td valign="middle" align="center">30 ul at 500 ppm and 1000 ppm for disk diffusion</td>
<td valign="middle" align="center">
<italic>S. aureus, E. coli</italic>
</td>
<td valign="middle" align="center">Disk diffusion, broth dilution</td>
<td valign="middle" align="center">Irregular, wrinkled, deformed cell wall</td>
<td valign="middle" align="center">Field emission scanning electron microscopy</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B9">Akter and Huq (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Nigella sativa, Piper nigrum</italic> L.</td>
<td valign="middle" align="center">Green synthesis using aqueous extracts</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;50</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>B. megaterium, B. subtilis, S. aureus, E. coli, K. oxytoca, P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B125">Mahfouz et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Citrus limetta</italic>
</td>
<td valign="middle" align="center">Phytosynthesis via <italic>C. limetta</italic> peel extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">18</td>
<td valign="middle" align="center">107 &#x3bc;g/mL for agar well diffusion and 4.28-107 &#x3bc;g/mL &#x3bc;g/mL for broth dilution assay</td>
<td valign="middle" align="center">
<italic>M. luteus, S. mutans, S. epidermidis, S. aureus, E. coli</italic>
</td>
<td valign="middle" align="center">Agar well diffusion, broth dilution</td>
<td valign="middle" align="center">Anti-biofilm, membrane permeabilization, morphological deformities</td>
<td valign="middle" align="center">SEM analysis</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B52">Dutta et&#xa0;al. (2020)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Berberis vulgaris</italic>
</td>
<td valign="middle" align="center">Green synthesis using leaf and root extracts (<italic>Berberis vulgaris</italic>)</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">30&#x2013;70</td>
<td valign="middle" align="center">1, 3, 5 mM nanoparticles for broth dilution assay</td>
<td valign="middle" align="center">
<italic>E. coli, S. aureus</italic>
</td>
<td valign="middle" align="center">Disk diffusion, broth dilution</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B31">Behravan et&#xa0;al. (2019)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Sapindus mukorossi</italic>
</td>
<td valign="middle" align="center">Biogenic synthesis via <italic>S. mukorossi</italic> fruit extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">17.3</td>
<td valign="middle" align="center">60, 30, and 15 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>P. aeruginosa, S. aureus</italic>
</td>
<td valign="middle" align="center">Agar disc and agar well-diffusion methods</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B83">Huong and Nguyen (2019)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">OV-AgNPs</td>
<td valign="middle" align="center">AgNPs derived from <italic>Origanum vulgare L.</italic>
</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">2&#x2013;25</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, S.</italic> Typhi<italic>, S. sonnei, M. luteus, S. epidermidis, MRSA, S. aureus, A. flavus, P. alba, P. variotii</italic>
</td>
<td valign="middle" align="center">Well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B168">Shaik et&#xa0;al. (2018)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Azadirachta indica</italic>
</td>
<td valign="middle" align="center">Green synthesis using <italic>A. indica</italic> extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">65</td>
<td valign="middle" align="center">2, 4, 8, 16 &#x3bc;g/mL</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Disk diffusion</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B167">Senthilkumar et&#xa0;al. (2018)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs from <italic>Punica granatum</italic>
</td>
<td valign="middle" align="center">Phytosynthesis using <italic>P. granatum</italic> bark extract</td>
<td valign="middle" align="center">Spherical</td>
<td valign="middle" align="center">20&#x2013;40</td>
<td valign="middle" align="center">25, 50, 75, and 100 &#x3bc;L</td>
<td valign="middle" align="center">
<italic>E. coli, P. aeruginosa, P. vulgaris, S.</italic> Typhi<italic>, S. aureus, S. epidermidis, K. pneumoniae</italic>
</td>
<td valign="middle" align="center">Well diffusion assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B49">Devanesan et&#xa0;al. (2018)</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">AgNPs</td>
<td valign="middle" align="center">Commercial 10 nm AgNPs</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">10</td>
<td valign="middle" align="center">Different concentrations of 10 nm AgNPs (5.0, 1.25, and 0.156 &#xb5;g/mL)</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic>
</td>
<td valign="middle" align="center">Time Killing assay</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">Not determined</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B163">Salomoni et&#xa0;al., 2017</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s4_1">
<label>4.1</label>
<title>Synthesis and broad-spectrum antibacterial activity</title>
<p>AgNPs have been widely studied for their antibacterial properties. Green-synthesized AgNPs using <italic>Teucrium polium</italic> leaf extract exhibited strong antimicrobial effects against multiple bacterial strains, including <italic>Staphylococcus aureus</italic>, <italic>Bacillus subtilis</italic>, <italic>E. coli</italic>, <italic>Klebsiella pneumoniae</italic>, and <italic>Pseudomonas aeruginosa</italic>. The antimicrobial activity was evaluated using both disk diffusion and broth dilution assays, showing significant inhibition of bacterial growth (<xref ref-type="bibr" rid="B14">Aljowaie and Aziz, 2025</xref>). Similarly, AgNPs synthesized from <italic>Teucrium Parvifolium</italic> seeds demonstrated high efficacy against <italic>E. coli O157:H7</italic>, <italic>Enterococcus faecalis</italic>, <italic>P. aeruginosa</italic>, and <italic>S. aureus</italic> using similar evaluation methods (<xref ref-type="bibr" rid="B174">Soltani et&#xa0;al., 2024</xref>).</p>
<p>Plant extracts have been widely documented for their diverse therapeutic applications (<xref ref-type="bibr" rid="B4">Abd El-Hafeez et&#xa0;al., 2018</xref>, <xref ref-type="bibr" rid="B5">2022</xref>). Green-synthesized AgNPs using various plant extracts have shown significant antibacterial properties (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). AgNPs derived from <italic>Olive leaf wastes</italic> exhibited notable activity against <italic>Listeria monocytogenes</italic>, <italic>Bacillus cereus</italic>, <italic>S. aureus</italic>, <italic>E. coli</italic>, <italic>Yersinia enterocolitica</italic>, and <italic>Campylobacter jejuni</italic> (<xref ref-type="bibr" rid="B15">Alowaiesh et&#xa0;al., 2023</xref>). Similarly, AgNPs synthesized from <italic>Argyreia nervosa</italic> leaf extract effectively inhibited enteropathogenic <italic>E. coli</italic> (EPEC) (<xref ref-type="bibr" rid="B149">Parvathalu et&#xa0;al., 2023</xref>). AgNPs derived from <italic>Citrus limon</italic> zest extract demonstrated inhibitory effects against <italic>S. aureus</italic>, <italic>E. coli</italic>, and <italic>C. albicans</italic> via disk diffusion assays (<xref ref-type="bibr" rid="B106">Khane et&#xa0;al., 2022</xref>). Furthermore, <italic>Gardenia thailandica</italic>-synthesized AgNPs exhibited strong antibacterial activity against <italic>S. aureus</italic>, as confirmed by both disk diffusion and <italic>in vivo</italic> antibacterial studies in rats (<xref ref-type="bibr" rid="B22">Attallah et&#xa0;al., 2022</xref>). The efficacy of phytosynthesized AgNPs was further highlighted in a study by <xref ref-type="bibr" rid="B77">Hajizadeh et&#xa0;al. (2024)</xref>, where AgNPs synthesized from <italic>Lepidium draba</italic> leaves exhibited potent antimicrobial activity against <italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>S. aureus</italic>, <italic>E. faecalis</italic>, and <italic>Candida albicans</italic>.</p>
<p>Biosynthesized AgNPs using bacterial strains have also shown effective antimicrobial action. AgNPs derived from <italic>Lactobacillus</italic> and <italic>Bacillus</italic> species demonstrated strong inhibition against <italic>P. aeruginosa</italic> and <italic>S. aureus</italic>, as confirmed by disk diffusion assays at concentrations of 10, 20, and 40 &#x3bc;g/mL (<xref ref-type="bibr" rid="B11">Al-Asbahi et&#xa0;al., 2024</xref>). Furthermore, <xref ref-type="bibr" rid="B29">Basheer et&#xa0;al. (2023)</xref> reported the biosynthesis of AgNPs using marine fungi (<italic>Penicillium simplicissimum</italic>, <italic>Aspergillus terreus</italic>, <italic>A. japonicus</italic>, and <italic>A. oryzae</italic>), which displayed significant antimicrobial effects against <italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>P. vulgaris</italic>, <italic>S.</italic> Typhi, <italic>E. faecalis</italic>, <italic>S. aureus</italic> (methicillin-resistant <italic>S. aureus</italic> (MRSA)), <italic>S. hominis</italic>, and <italic>S. epidermidis</italic> using the agar well diffusion assay at 2, 5, and 8 mM concentrations. Similarly, <xref ref-type="bibr" rid="B171">Shumi et&#xa0;al. (2023)</xref> synthesized AgNPs from <italic>Lippia abyssinica</italic> plant extract, which exhibited antimicrobial activity against <italic>S. aureus</italic> and <italic>E. coli</italic> at a concentration of 62.5 &#x3bc;g/mL using the agar well diffusion method.</p>
<p>AgNPs produced via chemical synthesis have also been assessed for their antibacterial potency (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). For instance, <xref ref-type="bibr" rid="B30">Baveloni et&#xa0;al. (2025)</xref> synthesized spherical AgNPs (~24.3 nm) that exhibited significant antimicrobial activity against <italic>S. aureus</italic>, <italic>P. aeruginosa</italic>, and <italic>E. coli</italic> using the broth microdilution assay at concentrations ranging from 6.74 to 117 &#x3bc;g/mL. Similarly, <xref ref-type="bibr" rid="B86">Iwuji et&#xa0;al. (2024)</xref> reported chemically synthesized AgNPs (~58.3 nm) demonstrating potent inhibition against the same bacterial species, further confirming their broad-spectrum efficacy.</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Enhanced antibacterial efficacy through nanoparticle modifications</title>
<p>Nanoparticle modifications have been explored to enhance antimicrobial properties. AgNPs conjugated with polyethylene glycol (PEG) and nystatin (AgNPs-PEG-NYS) exhibited superior antibacterial activity against <italic>S. aureus</italic> and <italic>E. coli</italic> compared to non-functionalized AgNPs, as evidenced by agar well diffusion assays (<xref ref-type="bibr" rid="B84">Ibraheem et&#xa0;al., 2024</xref>). Furthermore, AgNPs integrated with catecholamine-based polymers (PDA) displayed notable antibacterial activity against <italic>E. coli</italic> (<xref ref-type="bibr" rid="B36">Caniglia et&#xa0;al., 2024</xref>). <xref ref-type="bibr" rid="B36">Caniglia et&#xa0;al. (2024)</xref> synthesized AgNPs incorporated into catecholamine-based polymers (AgNPs-PDA) using a double potentiostatic method, which exhibited significant structural modifications in <italic>E. coli</italic> membranes, leading to bacterial inhibition. Additionally, <xref ref-type="bibr" rid="B27">Balciunaitiene et&#xa0;al. (2024)</xref> developed a polymer film embedded with biosynthesized AgNPs using <italic>Symphyti radix</italic> root extracts, demonstrating strong antibacterial activity against <italic>S. aureus</italic>, &#x3b2;-hemolytic <italic>streptococcus</italic>, <italic>S. epidermidis</italic>, <italic>E. faecalis</italic>, <italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>P. aeruginosa</italic>, <italic>P. vulgaris</italic>, <italic>B. cereus</italic>, and <italic>C. albicans</italic>.</p>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Fungal inhibition</title>
<p>Apart from their efficacy against bacteria, AgNPs have exhibited antifungal activity (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). AgNPs synthesized using <italic>Lepidium draba</italic> L. leaves demonstrated strong inhibitory effects against <italic>C. albicans</italic> (<xref ref-type="bibr" rid="B77">Hajizadeh et&#xa0;al., 2024</xref>). Furthermore, <xref ref-type="bibr" rid="B181">Tun&#xe7; (2024)</xref> reported significant antifungal activity of chemically synthesized AgNPs and carboplatin-loaded AgNPs (AgNPs-Car) against <italic>C. albicans</italic> and <italic>C. tropicalis</italic> using broth microdilution assays. Similarly, <xref ref-type="bibr" rid="B27">Balciunaitiene et&#xa0;al. (2024)</xref> showed inhibition of <italic>C. albicans</italic> by AgNPs incorporated into a natural polymer film biosynthesized with <italic>Symphyti radix</italic> extract. In another green synthesis approach, <xref ref-type="bibr" rid="B37">Cao et&#xa0;al. (2021)</xref> evaluated lignin-stabilized AgNPs (L-AgNPs) and observed inhibition of <italic>C. albicans</italic> growth via disk diffusion. Broader antifungal activity was noted by <xref ref-type="bibr" rid="B78">Hasanin et&#xa0;al. (2021)</xref>, who reported activity of AgNP-based nanocomposites (Ag-NC) against multiple fungal strains including <italic>C. albicans</italic>, <italic>A. niger</italic>, <italic>A. terreus</italic>, <italic>A. flavus</italic>, and <italic>A. fumigatus</italic>. Additionally, <xref ref-type="bibr" rid="B156">Renganathan et&#xa0;al. (2021)</xref> identified antifungal activity of AgNPs from <italic>Bauhinia tomentosa</italic> against <italic>C. albicans</italic> via molecular docking, indicating potential interactions with fungal protein targets. This may be indicated as an efficient approach develop new therapies to combat the emerging antifungal resistance (<xref ref-type="bibr" rid="B98">Khalifa et&#xa0;al., 2024a</xref>; <xref ref-type="bibr" rid="B102">Khalifa et&#xa0;al., 2024c</xref>).</p>
</sec>
</sec>
<sec id="s5">
<label>5</label>
<title>Antimicrobial mechanisms of AgNPs</title>
<p>The capacity of AgNPs to inhibit microbial growth has been thoroughly investigated, with ongoing efforts to elucidate the underlying processes. Research indicates that several mechanisms are associated with AgNPs. It can attach to and subsequently breach bacterial cell walls, leading to cell membrane damage and the release of internal components (<xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>). Moreover, AgNPs can disrupt vital internal cellular functions, such as interfering with the respiratory pathway, disrupting DNA duplication, and halting cell proliferation (<xref ref-type="bibr" rid="B191">Wang et&#xa0;al., 2016</xref>). The processes by which AgNPs combat bacteria are depicted in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>. In this section, we will discuss the major mechanisms associated with the antimicrobial effects of AgNPs.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>A schematic representation illustrating the antibacterial mechanisms of silver nanoparticles (AgNPs), highlighting the disruption of cell membrane integrity, reactive oxygen species (ROS)-dependent pathway, DNA damage, protein denaturation, enzyme inactivation, and modulation of bacterial signal transduction.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1599113-g002.tif">
<alt-text content-type="machine-generated">Diagram illustrating the effects of silver nanoparticles on bacterial cells. Silver nanoparticles cause cell membrane disruption, leading to reactive oxygen species (ROS) generation. This results in DNA damage, enzyme inactivation, protein denaturation, and modulation of bacterial signal transduction.</alt-text>
</graphic>
</fig>
<sec id="s5_1">
<label>5.1</label>
<title>Disruption of bacterial cell membrane integrity</title>
<p>One of the primary antimicrobial mechanisms of AgNPs involves their interaction with bacterial cell walls and membranes. AgNPs exhibit strong affinities for bacterial membranes due to their positive charge, which facilitates electrostatic interactions with negatively charged bacterial surfaces (<xref ref-type="bibr" rid="B132">Mikhailova, 2024</xref>). Upon attachment, AgNPs can cause structural disintegration of the cell membrane, leading to increased permeability and leakage of cytoplasmic contents. This process ultimately compromises bacterial viability and initiates cell death (<xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>). The antimicrobial efficacy of AgNPs is significantly influenced by the structural differences in bacterial cell walls. Gram-negative bacteria, such as <italic>E. coli</italic>, tend to be more vulnerable to AgNPs than Gram-positive bacteria like <italic>S. aureus</italic>. This is primarily due to variations in peptidoglycan composition and thickness. Gram-positive bacteria possess a substantially thicker peptidoglycan layer (~30 nm), which serves as a protective barrier, whereas Gram-negative bacteria have a thinner peptidoglycan layer (~3&#x2013;4 nm) (<xref ref-type="bibr" rid="B152">Rai et&#xa0;al., 2012</xref>). The negatively charged peptidoglycan in Gram-positive bacteria can also bind silver ions, limiting their penetration and reducing their antimicrobial effectiveness (<xref ref-type="bibr" rid="B58">Feng et&#xa0;al., 2000</xref>). Conversely, Gram-negative bacteria are more susceptible to AgNPs due to their thinner cell wall and the presence of lipopolysaccharides (LPS), which not only contribute to membrane stability but also facilitate AgNP adhesion through electrostatic interactions. This enhanced attachment leads to greater bacterial inhibition, even at lower AgNP concentrations (<xref ref-type="bibr" rid="B146">Pal et&#xa0;al., 2007</xref>). Several studies confirm that AgNPs preferentially accumulate on the surface of Gram-negative bacteria due to LPS, increasing their antimicrobial susceptibility (<xref ref-type="bibr" rid="B146">Pal et&#xa0;al., 2007</xref>). These structural and compositional differences explain why <italic>S. aureus</italic> exhibits greater resistance, while <italic>E. coli</italic> is significantly inhibited by AgNPs, establishing a clear relationship between AgNP concentration and bacterial cell wall properties (<xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>).</p>
</sec>
<sec id="s5_2">
<label>5.2</label>
<title>Generation of ROS</title>
<p>AgNPs have been shown to induce oxidative stress in bacterial cells by generating ROS, including hydroxyl radicals (<sup>&#x2022;</sup>OH), superoxide anions (O<sub>2</sub>
<sup>&#x2022;&#x2212;</sup>), and hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) (<xref ref-type="bibr" rid="B79">He et&#xa0;al., 2011</xref>). These ROS are highly reactive and can cause significant cellular damage by oxidizing lipids, proteins, and DNA. Silver ions (Ag<sup>+</sup>) interfere with the function of the respiratory electron transport chain by inhibiting key respiratory enzymes, leading to its uncoupling from oxidative phosphorylation. This disruption affects the efficiency of cellular respiration, ultimately impairing energy production (<xref ref-type="bibr" rid="B82">Holt and Bard, 2005</xref>; <xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>). The excessive accumulation of free radicals resulting from this process causes direct oxidative damage to the mitochondrial membrane, inducing necrosis and ultimately leading to cell death. Additionally, increased ROS levels contribute to the oxidation of essential biomolecules, including lipids, proteins, and DNA, further exacerbating cellular damage (<xref ref-type="bibr" rid="B90">Juan et&#xa0;al., 2021</xref>). Free radicals also interact with lipid molecules, which are abundant in cellular membranes, triggering lipid peroxidation. This process generates lipid hydroperoxides as an initial step in ROS formation, particularly affecting polyunsaturated fatty acids (<xref ref-type="bibr" rid="B42">Chandimali et&#xa0;al., 2025</xref>). AgNP-mediated ROS production also affects the activity of various antioxidant enzymes, including NADPH-dependent flavoenzyme, catalase, glutathione peroxidase, and superoxide dismutase, disrupting the balance between ROS generation and detoxification (<xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>).</p>
</sec>
<sec id="s5_3">
<label>5.3</label>
<title>Interaction with intracellular components and processes</title>
<p>Following penetration of the bacterial cell, AgNPs interfere with various intracellular processes. They can bind to essential enzymes and proteins, leading to the inhibition of critical metabolic pathways (<xref ref-type="bibr" rid="B136">More et&#xa0;al., 2023</xref>). Additionally, AgNPs can displace essential metal ions, such as zinc and iron, from bacterial proteins, thereby disrupting enzyme functions and cellular homeostasis (<xref ref-type="bibr" rid="B67">Girma, 2023</xref>).</p>
<p>Another critical antimicrobial mechanism of AgNPs is their ability to interact with bacterial nucleic acids. AgNPs can directly bind to bacterial DNA, causing structural distortions that hinder replication and transcription. Ag<sup>+</sup> ions intercalate between purine and pyrimidine base pairs, disrupting the hydrogen bonds between the complementary DNA strands and thereby destabilizing the double-helix structure (<xref ref-type="bibr" rid="B109">Klueh et&#xa0;al., 2000</xref>). Additionally, AgNPs induce structural changes in DNA, causing it to transition from a relaxed to a condensed state, which ultimately inhibits its ability to replicate (<xref ref-type="bibr" rid="B58">Feng et&#xa0;al., 2000</xref>).</p>
<p>Furthermore, Ag<sup>+</sup> has been shown to interact with functional groups in proteins, leading to their deactivation. Specifically, Ag<sup>+</sup> ions bind to thiol (-SH) groups in membrane-associated proteins, forming stable Ag&#x2013;S bonds that disrupt protein function (<xref ref-type="bibr" rid="B56">Fahim et&#xa0;al., 2024</xref>). These proteins play essential roles in transmembrane ATP production and ion transport across the cell membrane (<xref ref-type="bibr" rid="B109">Klueh et&#xa0;al., 2000</xref>). Both AgNPs and Ag<sup>+</sup> ions can alter the three-dimensional structure of proteins, disrupt disulfide bonds, and block active binding sites, ultimately impairing bacterial proliferation and contribute to AgNP-mediated cytotoxicity (<xref ref-type="bibr" rid="B124">Lok et&#xa0;al., 2006</xref>).</p>
</sec>
<sec id="s5_4">
<label>5.4</label>
<title>Modulation of bacterial signaling transduction pathways</title>
<p>Recent studies suggest that AgNPs can interfere with bacterial quorum sensing (QS) and signal transduction pathways (<xref ref-type="bibr" rid="B7">Aflakian and Hashemitabar, 2025</xref>). Quorum sensing is a critical communication mechanism that bacteria use to regulate gene expression and coordinate collective behaviors, including biofilm formation and virulence. AgNPs have been shown to inhibit quorum sensing by disrupting signaling molecules, thereby preventing the establishment of biofilms and reducing bacterial pathogenicity (<xref ref-type="bibr" rid="B24">Awadelkareem et&#xa0;al., 2023</xref>). Studies have demonstrated that AgNPs serve as effective anti-QS agents, inhibiting biofilm formation and reducing violacein production in <italic>Chromobacterium violaceum</italic> (<xref ref-type="bibr" rid="B87">Jagtap and Priolkar, 2013</xref>). Additionally, green-synthesized AgNPs have shown significant potential in managing microbial infections. Research indicates that AgNPs can interfere with the synthesis of QS signaling molecules by inhibiting the LasI and RhlI synthases, thereby disrupting bacterial communication and virulence regulation (<xref ref-type="bibr" rid="B115">Lahiri et&#xa0;al., 2021</xref>). Furthermore, AgNPs have been shown to downregulate quorum sensing-related genes. In <italic>P. aeruginosa</italic>, green-synthesized AgNPs exhibited a dose-dependent inhibition of pyocyanin production, a key virulence factor (<xref ref-type="bibr" rid="B165">Selem et&#xa0;al., 2022</xref>). Pyocyanin, a blue redox-active secondary metabolite, plays a crucial role in biofilm development and significantly contributes to bacterial evasion of the host immune system. By suppressing pyocyanin synthesis, AgNPs can weaken bacterial pathogenicity and enhance susceptibility to antimicrobial treatments (<xref ref-type="bibr" rid="B24">Awadelkareem et&#xa0;al., 2023</xref>). Beyond quorum sensing inhibition, AgNPs can also modulate bacterial signal transduction pathways by interfering with phosphorylation-based signaling cascades (<xref ref-type="bibr" rid="B136">More et&#xa0;al., 2023</xref>). Many bacterial regulatory systems rely on histidine kinases and response regulators to sense environmental changes and control adaptation (<xref ref-type="bibr" rid="B39">Capra and Laub, 2012</xref>). Furthermore, analyzing the phosphotyrosine profile of bacterial proteins in both Gram-positive and Gram-negative bacteria provides valuable insight into how AgNPs influence bacterial signal transduction pathways. These pathways regulate essential cellular functions, including growth and metabolism. The reversible phosphorylation of tyrosine residues in key protein substrates, such as RNA polymerase sigma factor (RNA pol &#x3c3; factor), single-stranded DNA binding proteins (ssDBPs), and UDP-glucose dehydrogenase, is crucial for their activation (<xref ref-type="bibr" rid="B131">Mijakovic et&#xa0;al., 2006</xref>). Once phosphorylated, these proteins play significant roles in DNA replication, recombination, metabolism, and cell cycle regulation. Consequently, AgNP-mediated inhibition of protein phosphorylation disrupts enzymatic activity, ultimately hindering bacterial growth and survival (<xref ref-type="bibr" rid="B47">Dakal et&#xa0;al., 2016</xref>).</p>
</sec>
<sec id="s5_5">
<label>5.5</label>
<title>Induction of apoptotic-like cell death</title>
<p>In addition to oxidative stress and metabolic disruption, AgNPs can trigger apoptosis-like responses in bacteria. Some studies have demonstrated that AgNPs activate bacterial self-destruction pathways, akin to programmed cell death in eukaryotic cells. Research has demonstrated that AgNPs can inhibit the growth of <italic>E. coli</italic> and trigger apoptosis-like cell death (<xref ref-type="bibr" rid="B108">Kim and Lee, 2021</xref>). However, the exact mechanism underlying AgNP-induced apoptosis-like death, as well as its potential link to DNA damage-inducible protein F (DinF), a key component of the SOS response, remains unclear (<xref ref-type="bibr" rid="B108">Kim and Lee, 2021</xref>).</p>
</sec>
</sec>
<sec id="s6">
<label>6</label>
<title>Antimicrobial resistance to AgNPs</title>
<p>Microbial resistance to nanoparticles develops through various adaptive mechanisms, including efflux pumps, biofilm formation, exopolysaccharide overproduction, genetic mutations, and metabolic alterations as shown in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref> (<xref ref-type="bibr" rid="B91">Kamat and Kumari, 2023</xref>). AgNPs are among the most widely used nanomaterials in commercial products, particularly in personal care items. Consequently, it is not surprising that bacteria have developed resistance to them. Studies have demonstrated that chronic exposure to AgNPs leads to the emergence of bacterial resistance. For example, <italic>E. coli</italic> K-12 MG1655 exhibited resistance to citrate-coated AgNPs after 225 generations, linked to mutations in <italic>cusS, purI, rpoB</italic>, and <italic>ompR</italic> (<xref ref-type="bibr" rid="B70">Graves et&#xa0;al., 2015</xref>). Similarly, <italic>E. coli</italic> BW25113 &#x394;yhaK developed resistance through the overproduction of exopolysaccharides, which likely hinder nanoparticle penetration (<xref ref-type="bibr" rid="B89">Joshi et&#xa0;al., 2012</xref>). Another notable adaptation is the production of flagellin, observed in <italic>E. coli</italic> O13 and <italic>P. aeruginosa</italic> CCM 3955, which promotes nanoparticle aggregation and reduces their antimicrobial effectiveness (<xref ref-type="bibr" rid="B148">Pan&#xe1;&#x10d;ek et&#xa0;al., 2018</xref>). Additionally, prolonged exposure to silver sulfide-coated nanoparticles in <italic>E. coli</italic> resulted in the upregulation of MDR genes and copper efflux transporters, further enhancing bacterial survival under nanoparticle stress (<xref ref-type="bibr" rid="B117">Li et&#xa0;al., 2019</xref>). Furthermore, <xref ref-type="bibr" rid="B130">McNeilly et&#xa0;al. (2021)</xref> reported that the prolonged use of AgNO<sub>3</sub> and AgNPs against <italic>E. coli</italic> led to the development of resistance to Ag<sup>+</sup>, driven by the induction of endogenous mutations.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Common resistance mechanisms to silver nanoparticles.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Type of <break/>Nanoparticle</th>
<th valign="middle" align="center">Resistant Microorganism</th>
<th valign="middle" align="center">Resistance Emergence (Generations/Days)</th>
<th valign="middle" align="center">Observed Genetic, Cellular, or <break/>Phenotypic Adaptations</th>
<th valign="middle" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">Citrate-coated silver nanoparticles</td>
<td valign="middle" align="center">
<italic>E. coli</italic> K-12 MG1655</td>
<td valign="middle" align="center">225 generations</td>
<td valign="middle" align="center">Mutations identified in <italic>cusS, purI, rpoB, ompR</italic>
</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B70">Graves et&#xa0;al., 2015</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Silver nanoparticles</td>
<td valign="middle" align="center">
<italic>E. coli</italic> BW25113 &#x394;yhaK</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Increased exopolysaccharide production</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B89">Joshi et&#xa0;al., 2012</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Silver nanoparticles</td>
<td valign="middle" align="center">
<italic>E. coli</italic> O13, <italic>P. aeruginosa</italic> CCM 3955, <italic>E. coli</italic> CCM 3954</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Adhesive flagellum protein (<italic>flagellin</italic>) production, leading to nanoparticle aggregation</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B148">Pan&#xe1;&#x10d;ek et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Silver sulfide-coated silver nanoparticles</td>
<td valign="middle" align="center">
<italic>E. coli</italic>
</td>
<td valign="middle" align="center">More than 200 days</td>
<td valign="middle" align="center">Upregulation of multidrug resistance (MDR) genes and copper efflux transporter genes</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B117">Li et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Silver nanoparticles</td>
<td valign="middle" align="center">Environmental or clinical microbiota model (<italic>E. coli</italic> and <italic>Bacillus</italic> spp.)</td>
<td valign="middle" align="center">Not specified</td>
<td valign="middle" align="center">Altered Z-ring division septum formation, increased expression of cytoprotective genes, permease components, and efflux proteins</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B71">Gunawan et&#xa0;al., 2013</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Mechanisms of microbial resistance to nanoparticles. Microorganisms employ various strategies to resist the effects of nanoparticles. <bold>(a)</bold> Biofilm formation occurs when bacteria produce exopolysaccharides that create a protective biofilm or facilitate nanoparticle aggregation. <bold>(b)</bold> Motility adaptations enable hypermotile bacteria to evade nanoparticles and optimize nutrient uptake. <bold>(c)</bold> Morphological alterations allow bacteria to change their shape, such as transitioning from rod-shaped to oval forms, through modifications in fatty acids, membrane lipids, and proteins, helping them filter out nanoparticles. <bold>(d)</bold> Efflux systems contribute to resistance by overexpressing efflux pump complexes that actively expel nanoparticles from bacterial cells. <bold>(e)</bold> Operon activation plays a role in resistance by triggering cytoprotective mechanisms through specialized operons and resistance genes. <bold>(f)</bold> Cell division interference occurs when nanoparticle-induced stress disrupts cell cycle regulation, further enhancing microbial resistance. These mechanisms collectively allow bacteria to withstand nanoparticle exposure, posing challenges for antimicrobial treatments. Reproduced with permission from (<xref ref-type="bibr" rid="B91">Kamat and Kumari, 2023</xref>), under License CC BY 4.0.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1599113-g003.tif">
<alt-text content-type="machine-generated">Digram showing mechanisms of microbial resistance to nanoparticles. Microorganisms use several strategies to survive nanoparticle exposure. (a) Biofilm formation protects cells by producing exopolysaccharides or causing nanoparticle clumping. (b) Enhanced motility allows bacteria to move away from nanoparticles and access nutrients. (c) Morphological changes, such as shifting from rod to oval shapes, help bacteria reduce nanoparticle penetration. (d) Efflux pumps actively transport nanoparticles out of the cell. (e) Activation of specific operons triggers protective genetic responses. (f) Disruption of cell division due to nanoparticle stress enhances resistance.</alt-text>
</graphic>
</fig>
<p>The environmental persistence of AgNPs also contributes to resistance development. In mixed microbiota models including <italic>E. coli</italic> and <italic>Bacillus</italic> species, exposure to AgNPs led to significant genetic and phenotypic changes, such as modifications in cell division machinery and upregulation of cytoprotective genes, permease components, and efflux proteins (<xref ref-type="bibr" rid="B71">Gunawan et&#xa0;al., 2013</xref>). Long-term presence of AgNPs in natural ecosystems raises concerns about their role in promoting co-selection of antibiotic resistance genes. Studies have reported that bacteria exposed to AgNPs can develop cross-resistance to multiple antibiotics, including penicillin, kanamycin, ciprofloxacin, and gentamicin (<xref ref-type="bibr" rid="B117">Li et&#xa0;al., 2019</xref>). This phenomenon is linked to oxidative stress responses that drive the overexpression of efflux pump genes such as <italic>marA</italic> and <italic>acrAB-tolC</italic>, enabling bacteria to expel both silver ions and antibiotics effectively. Additionally, silver-resistant <italic>E. coli</italic> strains have been found to carry resistance genes for multiple antibiotics, including beta-lactams (<italic>blaCTX-M</italic>), quinolones (<italic>oqxAB</italic>), and aminoglycosides (<italic>aac-Ib-cr</italic>) (<xref ref-type="bibr" rid="B57">Fang et&#xa0;al., 2016</xref>). Furthermore, environmental studies highlight the impact of AgNPs on microbial communities in soil and water. The release of nanosilver into these environments may lead to co-selection for antibiotic resistance determinants, increasing the persistence of resistant pathogens in nature (<xref ref-type="bibr" rid="B145">Pal et&#xa0;al., 2017</xref>). This underscores the importance of evaluating nanoparticle waste disposal and the long-term effects of nanosilver on microbial ecosystems.</p>
</sec>
<sec id="s7">
<label>7</label>
<title>Targeted delivery systems to enhance the antimicrobial efficacy of AgNPs</title>
<p>The application of targeted delivery systems has significantly enhanced the antimicrobial activity of AgNPs, particularly against MDR bacteria. Despite their well-established bactericidal properties, conventional AgNPs suffer from limitations such as non-specific interactions, rapid aggregation, and toxicity to mammalian cells (<xref ref-type="bibr" rid="B119">Liao et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B85">Ipe et&#xa0;al., 2020</xref>). These challenges necessitate the development of targeted strategies that can improve AgNP selectivity, stability, and controlled release while minimizing adverse effects. Advanced approaches, including surface functionalization, biopolymer encapsulation, liposomal carriers, stimuli-responsive systems, and antibody-conjugated AgNPs, have been extensively explored to optimize AgNP delivery and enhance their therapeutic potential (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Targeted delivery systems for enhanced AgNP antimicrobial efficacy.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Delivery Strategy</th>
<th valign="middle" align="center">Mechanism</th>
<th valign="middle" align="center">Targeted Pathogen</th>
<th valign="middle" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">Surface functionalization</td>
<td valign="middle" align="center">Functionalized with chitosan for enhanced bacterial adhesion and mucoadhesion</td>
<td valign="middle" align="center">
<italic>E. coli</italic>, MRSA, <italic>S. aureus</italic>
</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B110">Krishnaraj et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B150">Peng et&#xa0;al., 2017</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Biopolymer encapsulation</td>
<td valign="middle" align="center">Encapsulated within alginate, PLGA, and gelatin for controlled silver ion release</td>
<td valign="middle" align="center">
<italic>P. aeruginosa</italic>, <italic>S. aureus</italic>, <italic>S. pyogenes</italic>
</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B177">Stevanovi&#x107; et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B175">Srichaiyapol et&#xa0;al., 2022</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Liposomal carriers</td>
<td valign="middle" align="center">Liposomal encapsulation enhances bioavailability and prevents premature degradation</td>
<td valign="middle" align="center">
<italic>E. coli</italic>, <italic>P. aeruginosa</italic>, <italic>S. aureus</italic>
</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B112">Kumar et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B53">Eid and Azzazy, 2014</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Stimuli-responsive systems</td>
<td valign="middle" align="center">pH-sensitive hydrogels trigger AgNP release in response to bacterial microenvironment</td>
<td valign="middle" align="center">Gram-positive and Gram-negative wound pathogens</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B76">Haidari et&#xa0;al., 2021</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Enzyme-responsive systems</td>
<td valign="middle" align="center">ANAs collapse in response to SplB enzyme activity, increasing MRSA targeting</td>
<td valign="middle" align="center">MRSA</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B201">Zuo et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="middle" align="center">Antibody-conjugated AgNPs</td>
<td valign="middle" align="center">Functionalized with bacterial-specific antibodies for precision targeting</td>
<td valign="middle" align="center">
<italic>S. aureus</italic>, Gram-negative bacteria</td>
<td valign="middle" align="center">
<xref ref-type="bibr" rid="B17">Al-Sharqi et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B154">Ram&#xed;rez Saenz et&#xa0;al., 2024</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s7_1">
<label>7.1</label>
<title>Surface functionalization for enhanced targeting</title>
<p>One of the most effective methods for improving AgNP targeting is surface functionalization with biocompatible ligands, which facilitates selective bacterial adhesion and penetration (<xref ref-type="bibr" rid="B63">Fu et&#xa0;al., 2024</xref>). Among the various functionalization approaches, chitosan-coated AgNPs have demonstrated superior mucoadhesive properties, allowing for stronger electrostatic interactions with negatively charged bacterial membranes (<xref ref-type="bibr" rid="B110">Krishnaraj et&#xa0;al., 2022</xref>). For instance, Wang et&#xa0;al. developed a chitosan/oxidized konjac glucomannan hydrogel incorporating AgNPs for the treatment of irregular wounds. The hydrogel exhibited self-healing properties, strong tissue adhesion, and potent antibacterial activity (<xref ref-type="bibr" rid="B190">Wang et&#xa0;al., 2020</xref>). Another example is chitosan-coated AgNPs, which have proven effective in treating wounds infected with MRSA (<xref ref-type="bibr" rid="B150">Peng et&#xa0;al., 2017</xref>). Furthermore, research by <xref ref-type="bibr" rid="B138">Mostafa et&#xa0;al. (2022)</xref> demonstrated that chitosan-silver conjugates exhibit promising broad-spectrum anti-biofilm activity against <italic>B. subtilis</italic>, <italic>P. aeruginosa</italic>, <italic>S. aureus</italic>, and <italic>E. coli</italic> (<xref ref-type="bibr" rid="B138">Mostafa et&#xa0;al., 2022</xref>). Similarly, AgNPs conjugated with antimicrobial peptides (AMPs), such as LL-37, help overcome their inherent limitations. This combination shows promise as a potential therapeutic agent against antibiotic-resistant bacteria, particularly MRSA (<xref ref-type="bibr" rid="B129">Masimen et&#xa0;al., 2022</xref>). Additionally, functionalizing AgNPs with folic acid has demonstrated promising antibacterial activity against both Gram-negative (<italic>E. coli</italic>) and Gram-positive (<italic>S. aureus</italic>) bacteria (<xref ref-type="bibr" rid="B45">Chowdhuri et&#xa0;al., 2015</xref>). These modifications enable AgNPs to achieve higher bacterial selectivity while reducing unintended cytotoxicity to human cells.</p>
</sec>
<sec id="s7_2">
<label>7.2</label>
<title>Biopolymer encapsulation for controlled release</title>
<p>Encapsulation within biodegradable polymeric matrices represents another promising approach for controlled AgNP release and prolonged antimicrobial effects. Natural and synthetic biopolymers, including alginate, poly(lactic-co-glycolic acid) (PLGA), and gelatin, have been utilized as nanocarriers to enhance AgNP stability and mitigate toxicity. For example, a hydrogel incorporating tannic acid-stabilized AgNPs (TA-AgNPs/alginate) exhibited strong antibacterial activity against <italic>S. pyogenes, S. aureus</italic>, and <italic>P. aeruginosa.</italic> Additionally, it showed promising potential for treating complex wound biofilms (<xref ref-type="bibr" rid="B175">Srichaiyapol et&#xa0;al., 2022</xref>). <xref ref-type="bibr" rid="B161">Rugaie et&#xa0;al. (2022)</xref> developed a straightforward, single-step method to coat AgNPs using polymeric stabilizers, specifically polyvinylpyrrolidone (PVP) and ethyl cellulose (EC) (<xref ref-type="bibr" rid="B161">Rugaie et&#xa0;al., 2022</xref>). Their investigation demonstrated that these coated AgNPs effectively inhibited biofilm formation by clinical isolates of <italic>E. coli</italic> on urinary catheters. Notably, AgNPs coated with PVP exhibited significantly greater biofilm inhibition compared to those stabilized with EC. Furthermore, PLGA-encapsulated AgNPs ensure a controlled and sustained release of silver ions, offering prolonged and enhanced antimicrobial activity while reducing host toxicity (<xref ref-type="bibr" rid="B177">Stevanovi&#x107; et&#xa0;al., 2012</xref>). Moreover, gelatin-PVA-AgNPs hydrogel has been explored for wound healing applications, demonstrating accelerated tissue regeneration while maintaining potent antimicrobial activity (<xref ref-type="bibr" rid="B25">Bag et&#xa0;al., 2022</xref>). The incorporation of AgNPs into polymeric matrices not only enhances their therapeutic efficacy but also facilitates localized drug delivery, thereby reducing systemic toxicity.</p>
</sec>
<sec id="s7_3">
<label>7.3</label>
<title>Liposomal carriers for improved bioavailability</title>
<p>Liposomal carriers have emerged as effective nanocarriers for improving AgNP bioavailability and stability. Liposomal encapsulation shields AgNPs from premature degradation and enhances their circulation time in the biological environment. Liposomes are spherical vesicles with a phospholipid bilayer capable of encapsulating various chemical compounds (<xref ref-type="bibr" rid="B112">Kumar et&#xa0;al., 2023</xref>). Their unique bilayer structure enables the efficient entrapment of both hydrophilic and hydrophobic drugs, making them a versatile and promising platform for drug delivery applications (<xref ref-type="bibr" rid="B112">Kumar et&#xa0;al., 2023</xref>). Previous research has shown nanoliposomes loaded with AgNPs exhibit potent broad-spectrum antimicrobial activity against various pathogens, including <italic>E. coli, S. enterica, P. aeruginosa</italic>, and <italic>S. aureus</italic> (<xref ref-type="bibr" rid="B53">Eid and Azzazy, 2014</xref>). Additionally, these formulations have shown potential in promoting wound healing. This finding is reinforced by studies indicating that encapsulating antimicrobial agents, such as AgNPs, within nanoliposomes enhances their stability and targeted delivery. Additionally, nanoliposomes have demonstrated the ability to transport encapsulated agents directly to target bacteria in both <italic>in vitro</italic> and <italic>in vivo</italic> settings (<xref ref-type="bibr" rid="B139">Mozafari et&#xa0;al., 2021</xref>). The use of liposomal nanocarriers not only enhances AgNP stability but also reduces toxicity by preventing direct interaction with mammalian cells.</p>
</sec>
<sec id="s7_4">
<label>7.4</label>
<title>Stimuli-responsive AgNP delivery systems</title>
<p>In addition to passive targeting mechanisms, stimuli-responsive AgNP delivery systems offer an advanced strategy for spatiotemporal control over silver ion release. These systems are designed to respond to specific bacterial microenvironmental cues, such as pH variations, enzymatic activity, or oxidative stress levels. For example, a pH-responsive hydrogel has been developed to enable the controlled, pH-triggered release of AgNPs. This system is designed to detect changes in environmental pH and release AgNPs when the pH shifts from acidic to alkaline, a condition associated with pathogenic bacterial presence in wounds (<xref ref-type="bibr" rid="B76">Haidari et&#xa0;al., 2021</xref>). This innovative hydrogel shows promise as an effective material for treating infected wounds, demonstrating the ability to eliminate both Gram-negative and Gram-positive bacteria without causing toxicity to mammalian skin cells. Additionally, enzyme-responsive silver nanoparticle assemblies (ANAs) have been developed to selectively target MRSA (<xref ref-type="bibr" rid="B201">Zuo et&#xa0;al., 2020</xref>). These assemblies undergo a stable-to-collapsed transition upon encountering MRSA due to the decomposition of branched copolymers&#x2014;used as macrotemplates in ANA synthesis&#x2014;triggered by serine protease-like B (SplB) enzyme proteins. This structural transition significantly enhances the targeting affinity and efficiency of ANAs against MRSA. These smart nanoplatforms allow for on-demand silver release, minimizing toxicity while maximizing antibacterial efficacy.</p>
</sec>
<sec id="s7_5">
<label>7.5</label>
<title>Antibody-conjugated AgNPs for bacteria-specific targeting</title>
<p>A highly specific approach to AgNP targeting involves antibody-conjugated AgNPs, which are engineered to selectively bind to bacterial surface markers. This strategy enables highly targeted antimicrobial action while reducing off-target toxicity. For example, AgNPs functionalized with a specific antibody can be combined with laser radiation as an innovative treatment to selectively target resistant bacteria, particularly <italic>S. aureus</italic>, while minimizing effects on the normal microflora (<xref ref-type="bibr" rid="B17">Al-Sharqi et&#xa0;al., 2020</xref>). Similarly, AgNPs conjugated with BK510Lys endolysin at a concentration of 0.01 mg/mL, in a 2:1 ratio, at 40&#xb0;C, and pH 5, exhibited a stronger inhibitory effect than AgNPs alone (0.5 &#xb5;g/mL) against over 65% of the Gram-negative bacteria tested, indicating it highly specific alternative drugs for super-resistant Gram-negative bacteria (<xref ref-type="bibr" rid="B154">Ram&#xed;rez Saenz et&#xa0;al., 2024</xref>). By harnessing the high specificity of monoclonal antibodies, antibody-functionalized AgNPs hold great potential for precision antimicrobial therapy against MDR pathogens.</p>
</sec>
</sec>
<sec id="s8">
<label>8</label>
<title>Future directions</title>
<p>AgNPs have emerged as promising antimicrobial agents MDR bacteria. However, to maximize their therapeutic potential and overcome current limitations, several future directions should be considered. These approaches focus on enhancing efficacy, reducing toxicity, improving stability, and preventing bacterial resistance development.</p>
<sec id="s8_1">
<label>8.1</label>
<title>Surface functionalization and conjugation</title>
<p>Enhancing the antimicrobial activity of AgNPs can be achieved by functionalizing their surface with bioactive molecules, polymers, or targeting ligands. For instance, conjugating AgNPs with antimicrobial peptides, antibodies, or small molecules can improve specificity and reduce non-specific interactions (<xref ref-type="bibr" rid="B17">Al-Sharqi et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B154">Ram&#xed;rez Saenz et&#xa0;al., 2024</xref>). Additionally, coating AgNPs with biocompatible polymers such as PEG can enhance stability and bioavailability while reducing toxicity (<xref ref-type="bibr" rid="B175">Srichaiyapol et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B84">Ibraheem et&#xa0;al., 2024</xref>).</p>
</sec>
<sec id="s8_2">
<label>8.2</label>
<title>Synergistic combinations with antibiotics and natural compounds</title>
<p>Combining AgNPs with conventional antibiotics or natural antimicrobial agents may enhance their efficacy and prevent resistance development. Studies have shown that AgNPs can potentiate the effects of antibiotics by disrupting bacterial membranes and increasing drug uptake (<xref ref-type="bibr" rid="B50">Dove et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B136">More et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B147">Palau et&#xa0;al., 2023</xref>). For instance, recent studies have demonstrated that AgNPs conjugated with antibiotics such as amikacin (e.g., AgNPs_mPEG_AK) displayed enhanced antibacterial activity against MDR strains, including <italic>E. coli</italic>, <italic>K. pneumoniae</italic>, <italic>P. aeruginosa</italic>, and <italic>A. baumannii</italic> (<xref ref-type="bibr" rid="B147">Palau et&#xa0;al., 2023</xref>). These hybrid nanomaterials achieved notable activity at lower antibiotic concentrations, suggesting a dose-sparing effect. Moreover, integrating AgNPs with plant-derived bioactive compounds, such as flavonoids and essential oils, could provide a dual mechanism of action, improving antimicrobial potency and reducing cytotoxicity (<xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>). Additionally, AgNPs synthesized using plant extracts&#x2014;such as those from <italic>Teucrium polium</italic>, <italic>Teucrium parvifolium</italic>, <italic>Lepidium draba L.</italic>, and <italic>Moringa oleifera</italic>&#x2014;have shown synergistic antimicrobial activity when paired with natural compounds like flavonoids, polyphenols, and essential oils. These green-synthesized AgNPs offer dual mechanisms: physical disruption of bacterial membranes and bioactive-mediated interference in bacterial metabolism, while also exhibiting reduced cytotoxicity compared to chemically synthesized counterparts (<xref ref-type="bibr" rid="B14">Aljowaie and Aziz, 2025</xref>; <xref ref-type="bibr" rid="B174">Soltani et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B15">Alowaiesh et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B6">Abdel-Rahman et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s8_3">
<label>8.3</label>
<title>Controlled and targeted release systems</title>
<p>Developing advanced delivery systems, such as pH-responsive, enzyme-triggered, or temperature-sensitive nanocarriers, can help achieve controlled and targeted release of AgNPs. This approach can enhance antibacterial efficacy while minimizing exposure to healthy cells. For example, hydrogels or liposomes loaded with AgNPs have shown promising results in wound infections and biofilm-associated bacterial resistance (<xref ref-type="bibr" rid="B139">Mozafari et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B190">Wang et&#xa0;al., 2020</xref>). Additionally, nanocarriers designed for site-specific release can reduce the required dosage and mitigate potential cytotoxic effects.</p>
</sec>
<sec id="s8_4">
<label>8.4</label>
<title>Modulation of size, shape, and surface charge</title>
<p>The physicochemical properties of AgNPs, including size, shape, and surface charge, play a crucial role in their antimicrobial efficacy. Smaller nanoparticles exhibit greater surface area and enhanced bacterial interaction, while specific shapes, such as triangular or rod-shaped nanoparticles, have demonstrated improved antimicrobial effects compared to spherical ones (<xref ref-type="bibr" rid="B119">Liao et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B159">Rodrigues et&#xa0;al., 2024</xref>). Moreover, tuning the surface charge of AgNPs can influence their interaction with bacterial membranes, optimizing their antibacterial activity while reducing toxicity to mammalian cells (<xref ref-type="bibr" rid="B32">B&#xe9;lteky et&#xa0;al., 2019</xref>).</p>
</sec>
<sec id="s8_5">
<label>8.5</label>
<title>Biosynthesis and green nanotechnology approaches</title>
<p>To improve the biocompatibility and environmental sustainability of AgNPs, green synthesis methods utilizing plant extracts, fungi, or bacteria have been explored. These eco-friendly approaches reduce the use of toxic chemical agents and enhance the biological properties of AgNPs (<xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>). Future research should focus on optimizing these biosynthetic techniques to ensure reproducibility, scalability, and clinical applicability.</p>
</sec>
<sec id="s8_6">
<label>8.6</label>
<title>Combating bacterial resistance to AgNPs</title>
<p>Although AgNPs exhibit broad-spectrum antimicrobial activity, there is a growing concern about bacterial adaptation and resistance. To mitigate this risk, researchers should investigate combination strategies, adaptive dosing regimens, and mechanisms to prevent bacterial efflux of silver ions. Additionally, integrating AgNPs with nanomaterials that disrupt bacterial communication systems, such as quorum sensing inhibitors, could reduce the likelihood of resistance development (<xref ref-type="bibr" rid="B24">Awadelkareem et&#xa0;al., 2023</xref>).</p>
</sec>
<sec id="s8_7">
<label>8.7</label>
<title>
<italic>In vivo</italic> studies and clinical trials</title>
<p>Despite extensive <italic>in vitro</italic> research, the clinical translation of AgNP-based antimicrobials remains limited. Future studies should focus on <italic>in vivo</italic> models to evaluate pharmacokinetics, biodistribution, and long-term safety. Clinical trials are necessary to validate their effectiveness against MDR bacterial infections while assessing potential side effects (<xref ref-type="bibr" rid="B200">Zhang et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B195">Xu et&#xa0;al., 2020</xref>). Regulatory guidelines must also be established to ensure the safe application of AgNPs in medical and pharmaceutical settings.</p>
</sec>
</sec>
<sec id="s9" sec-type="conclusions">
<label>9</label>
<title>Conclusion</title>
<p>In the era of emerging threats such as AMR, antifungal resistance, and global pandemics like COVID-19 (<xref ref-type="bibr" rid="B94">Khalifa and Al Ramahi, 2024</xref>), the search for effective infection therapies remains a critical challenge. Therefore, the development of alternative antimicrobial agents has become a priority in modern medicine (<xref ref-type="bibr" rid="B99">Khalifa et&#xa0;al., 2021b</xref>). AgNPs have demonstrated significant potential as next-generation antimicrobial agents due to their broad-spectrum antibacterial activity, unique physicochemical properties, and multiple mechanisms of bacterial inhibition. Their ability to disrupt bacterial membranes, interfere with essential biomolecules, and induce ROS production positions them as promising candidates for combating MDR bacterial infections.</p>
<p>Despite their advantages, concerns regarding bacterial adaptation, cytotoxicity, and environmental impact necessitate further optimization of AgNP formulations. Advanced delivery strategies, including surface functionalization, biopolymer encapsulation, and stimuli-responsive nanoplatforms, have shown promise in enhancing AgNP stability, selectivity, and controlled release. Additionally, integrating AgNPs with conventional antibiotics or incorporating them into biomedical applications, such as wound dressings and medical coatings, may provide innovative solutions to counteract bacterial resistance while minimizing adverse effects.</p>
<p>Future research should focus on optimizing AgNP synthesis methods, improving their biocompatibility, and conducting rigorous clinical trials to validate their safety and efficacy. Addressing these challenges will be crucial for translating AgNP-based therapies into clinical practice and mitigating the global antibiotic resistance crisis. By harnessing the potential of nanotechnology, AgNPs could play a transformative role in the development of novel antimicrobial strategies, offering a sustainable and effective approach to combat MDR bacterial infections.</p>
</sec>
</body>
<back>
<sec id="s10" sec-type="author-contributions">
<title>Author contributions</title>
<p>HK: Investigation, Methodology, Writing &#x2013; review &amp; editing, Software, Funding acquisition, Conceptualization, Writing &#x2013; original draft, Supervision, Data curation, Visualization, Formal Analysis, Resources, Validation, Project administration. AO: Methodology, Data curation, Writing &#x2013; review &amp; editing, Software. TM: Writing &#x2013; review &amp; editing, Methodology, Investigation, Data curation. MA: Investigation, Data curation, Writing &#x2013; review &amp; editing, Methodology. ES: Methodology, Writing &#x2013; review &amp; editing, Investigation, Data curation. HH: Methodology, Writing &#x2013; review &amp; editing, Formal Analysis, Investigation, Data curation. RF: Methodology, Data curation, Investigation, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s11" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This work was supported by the United Arab Emirates University (UAEU) Strategic Research Program 2024 grant (proposal number 3702; fund code 12R310) and UAEU Start-Up grant, (proposal number 3219; fund code 12FO58) for HK.</p>
</sec>
<sec id="s12" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s13" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s14" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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