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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Chem.</journal-id>
<journal-title>Frontiers in Chemistry</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Chem.</abbrev-journal-title>
<issn pub-type="epub">2296-2646</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">868234</article-id>
<article-id pub-id-type="doi">10.3389/fchem.2022.868234</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Chemistry</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Targeting Multiresistant Gram-Positive Bacteria by Ruthenium, Osmium, Iridium and Rhodium Half-Sandwich Type Complexes With Bidentate Monosaccharide Ligands</article-title>
<alt-title alt-title-type="left-running-head">Bal&#xe1;zs et al.</alt-title>
<alt-title alt-title-type="right-running-head">Antibacterial Activity of Platinum-Group Metal Complexes</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bal&#xe1;zs</surname>
<given-names>Bence</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="FN1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1565064/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>T&#xf3;th</surname>
<given-names>Zolt&#xe1;n</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="FN1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/917597/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kacsir</surname>
<given-names>Istv&#xe1;n</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sipos</surname>
<given-names>Adrienn</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bugly&#xf3;</surname>
<given-names>P&#xe9;ter</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1725469/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Soms&#xe1;k</surname>
<given-names>L&#xe1;szl&#xf3;</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1649244/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bokor</surname>
<given-names>&#xc9;va</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1720203/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kardos</surname>
<given-names>G&#xe1;bor</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/81417/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bai</surname>
<given-names>P&#xe9;ter</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/127113/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Metagenomics</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Organic Chemistry</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Doctoral School of Chemistry</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Medical Chemistry</institution>, <institution>Faculty of Medicine</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Inorganic and Analytical Chemistry</institution>, <institution>Faculty of Sciences and Technology</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>NKFIH-DE Lend&#xfc;let Laboratory of Cellular Metabolism</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Research Center for Molecular Medicine</institution>, <institution>Faculty of Medicine</institution>, <institution>University of Debrecen</institution>, <addr-line>Debrecen</addr-line>, <country>Hungary</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/777020/overview">Nuno Manuel Xavier</ext-link>, University of Lisbon, Portugal</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1224793/overview">&#xd3;scar L&#xf3;pez</ext-link>, Sevilla University, Spain</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/402583/overview">Vinod K. Tiwari</ext-link>, Banaras Hindu University, India</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: &#xc9;va Bokor, <email>bokor.eva@science.unideb.hu</email>; G&#xe1;bor Kardos, <email>kg@med.unideb.hu</email>; P&#xe9;ter Bai, <email>baip@med.unideb.hu</email>
</corresp>
<fn fn-type="equal" id="FN1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Medicinal and Pharmaceutical Chemistry, a section of the journal Frontiers in Chemistry</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>868234</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Bal&#xe1;zs, T&#xf3;th, Kacsir, Sipos, Bugly&#xf3;, Soms&#xe1;k, Bokor, Kardos and Bai.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Bal&#xe1;zs, T&#xf3;th, Kacsir, Sipos, Bugly&#xf3;, Soms&#xe1;k, Bokor, Kardos and Bai</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>Bacterial resistance to antibiotics is an ever-growing problem in heathcare. We have previously identified a set of osmium(II), ruthenium(II), iridium(III) and rhodium(III) half-sandwich type complexes with bidentate monosaccharide ligands possessing cytostatic properties against carcinoma, lymphoma and sarcoma cells with low micromolar or submicromolar IC<sub>50</sub> values. Importantly, these complexes were not active on primary, non-transformed cells. These complexes have now been assessed as to their antimicrobial properties and found to be potent inhibitors of the growth of reference strains of <italic>Staphylococcus aureus</italic> and <italic>Enterococcus faecalis</italic> (Gram-positive species), though the compounds proved inactive on reference strains of <italic>Pseudomonas aerugonisa, Escherichia coli, Candida albicans, Candida auris</italic> and <italic>Acinetobacter baumannii</italic> (Gram-negative species and fungi). Furthermore, clinical isolates of <italic>Staphylococcus aureus</italic> and <italic>Enterococcus</italic> sp. (both multiresistant and susceptible strains) were also susceptible to the organometallic complexes in this study with similar MIC values as the reference strains. Taken together, we identified a set of osmium(II), ruthenium(II), iridium(III) and rhodium(III) half-sandwich type antineoplastic organometallic complexes which also have antimicrobial activity among Gram-positive bacteria. These compounds represent a novel class of antimicrobial agents that are not detoxified by multiresistant bacteria suggesting a potential to be used to combat multiresistant infections.</p>
</abstract>
<kwd-group>
<kwd>platinum-group metal complexes</kwd>
<kwd>half-sandwich</kwd>
<kwd>glycosyl heterocycle</kwd>
<kwd>oxadiazole</kwd>
<kwd>triazole</kwd>
<kwd>gram positive</kwd>
<kwd>MRSA</kwd>
<kwd>VRE</kwd>
</kwd-group>
<contract-num rid="cn001">K123975</contract-num>
<contract-num rid="cn002">TKP2021-EGA-19</contract-num>
<contract-sponsor id="cn001">Nemzeti Kutat&#xe1;si Fejleszt&#xe9;si &#xe9;s Innov&#xe1;ci&#xf3;s Hivatal<named-content content-type="fundref-id">10.13039/501100011019</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Innov&#xe1;ci&#xf3;s &#xe9;s Technol&#xf3;giai Miniszt&#xe9;rium<named-content content-type="fundref-id">10.13039/501100015498</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Bacterial resistance to registered antibiotics is one of the biggest challenges of mankind (<xref ref-type="bibr" rid="B20">Hernando-Amado et al., 2019</xref>; <xref ref-type="bibr" rid="B37">Murray et al., 2022</xref>) that begs for the discovery of novel antibacterial compounds. There are multiple examples of antibacterial agents that were repurposed as anticancer drugs [e.g., Methenamine (<xref ref-type="bibr" rid="B2">Altinoz et al., 2019</xref>)], or anticancer medications being repurposed as antibacterial ones, such as platinum(II) remedies. Indeed, cisplatin and carboplatin do have bacteriostatic properties on <italic>Acinetobacter</italic>, <italic>Mycobacteria</italic>, and <italic>Pseudomonas aeruginosa</italic> (<xref ref-type="bibr" rid="B46">Zhang et al., 2011</xref>; <xref ref-type="bibr" rid="B32">McCarron et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Yuan et al., 2018</xref>) and other pathogens (<xref ref-type="bibr" rid="B21">Hummell and Kirienko, 2020</xref>). To complement the registered platinum-based anticancer agents, there is a thrust towards identifying novel complexes of transition metals with anticancer activity (<xref ref-type="bibr" rid="B24">Kenny and Marmion, 2019</xref>). Ruthenium complexes have emerged as anticancer agents, characterized by low toxicity (<xref ref-type="bibr" rid="B34">Melchart and Sadler, 2006</xref>; <xref ref-type="bibr" rid="B35">Mello-Andrade et al., 2018</xref>; <xref ref-type="bibr" rid="B12">Gano et al., 2019</xref>; <xref ref-type="bibr" rid="B28">Liu et al., 2019</xref>; <xref ref-type="bibr" rid="B36">Mihajlovic et al., 2020</xref>), good cellular entry properties (<xref ref-type="bibr" rid="B16">Graf and Lippard, 2012</xref>; <xref ref-type="bibr" rid="B42">Yadav et al., 2013</xref>) and with excellent targetability (<xref ref-type="bibr" rid="B3">Berger et al., 2008</xref>; <xref ref-type="bibr" rid="B19">Hanif et al., 2013</xref>; <xref ref-type="bibr" rid="B8">Florindo et al., 2014</xref>; <xref ref-type="bibr" rid="B45">Zeng et al., 2017</xref>; <xref ref-type="bibr" rid="B24">Kenny and Marmion, 2019</xref>; <xref ref-type="bibr" rid="B17">Hamala et al., 2020</xref>). In fact, a ruthenium complex, IT-139 has passed clinical phase I to be applied in colorectal cancer (<xref ref-type="bibr" rid="B6">Burris et al., 2016</xref>). Furthermore, rhodium (<xref ref-type="bibr" rid="B26">Leung et al., 2013</xref>; <xref ref-type="bibr" rid="B14">Gichumbi and Friedrich, 2018</xref>; <xref ref-type="bibr" rid="B40">&#x160;tarha and Tr&#xe1;vn&#xed;&#x10d;ek, 2019</xref>; <xref ref-type="bibr" rid="B30">M&#xe1;likov&#xe1; et al., 2021</xref>), osmium (<xref ref-type="bibr" rid="B13">Hartinger et al., 2011</xref>; <xref ref-type="bibr" rid="B18">Hanif et al., 2014</xref>; <xref ref-type="bibr" rid="B14">Gichumbi and Friedrich, 2018</xref>; <xref ref-type="bibr" rid="B25">Konkankit et al., 2018</xref>; <xref ref-type="bibr" rid="B33">Meier-Menches et al., 2018</xref>; <xref ref-type="bibr" rid="B40">&#x160;tarha and Tr&#xe1;vn&#xed;&#x10d;ek, 2019</xref>; <xref ref-type="bibr" rid="B38">Nabiyeva et al., 2020</xref>; <xref ref-type="bibr" rid="B27">Li et al., 2021</xref>) and iridium (<xref ref-type="bibr" rid="B26">Leung et al., 2013</xref>; <xref ref-type="bibr" rid="B29">Liu and Sadler, 2014</xref>; <xref ref-type="bibr" rid="B14">Gichumbi and Friedrich, 2018</xref>; <xref ref-type="bibr" rid="B25">Konkankit et al., 2018</xref>; <xref ref-type="bibr" rid="B40">&#x160;tarha and Tr&#xe1;vn&#xed;&#x10d;ek, 2019</xref>; <xref ref-type="bibr" rid="B27">Li et al., 2021</xref>) compounds were also described as anticancer agent candidates.</p>
<p>We synthesized a set of half-sandwich complexes of ruthenium(II), osmium(II), iridium(III) and rhodium(III) incorporating real <italic>C</italic>- and <italic>N</italic>-glycopyranosyl azole type N,N-bidentate ligands (<xref ref-type="fig" rid="F1">Figure 1</xref>) (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). To get the 1,3,4-oxadiazole type <bold>L</bold>-<bold>1</bold>&#x2013;<bold>L</bold>-<bold>3</bold> ring-transformation of <italic>C</italic>-glycosyl tetrazoles I with picolinic acid was performed (<xref ref-type="bibr" rid="B4">Bokor et al., 2017</xref>), while for 1,2,3-triazole-based chelator <bold>L</bold>-<bold>4</bold> copper(I) catalyzed azide alkyne cycloadditon (CuAAc) (<xref ref-type="bibr" rid="B1">Agrahari et al., 2021</xref>) of glucosyl azide II was used. The ligands were reacted with dimeric chloro-bridged platinum-group metal complexes in the presence of TlPF<sub>6</sub> to result in complexes <bold>Ru-1&#x2012;Ru-4</bold>, <bold>Os-1&#x2012;Os-4</bold>, <bold>Ir-1&#x2012;Ir-4</bold> and <bold>Rh-1&#x2012;Rh-4</bold> (<xref ref-type="fig" rid="F1">Figures 1</xref>, <xref ref-type="fig" rid="F2">2</xref>). These complexes were identified to show cytostatic properties on carcinomas (representative data listed in <xref ref-type="table" rid="T1">Table 1</xref>), sarcomas and lymphomas in the low micromolar or submicromolar range, but have no bioactivity on primary, non-transformed fibroblasts (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). The compounds exert their cytostatic activity through inducing oxidative stress (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). The cytostatic activity of the compounds can be alleviated by vitamin E, an apolar, membrane antioxidant (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>) suggesting that the compounds likely target the cell membrane or other apolar compartments in the cells. On the analogy of the bacteriotoxic activity of platinum or palladium compounds (<xref ref-type="bibr" rid="B39">Quirante et al., 2011</xref>; <xref ref-type="bibr" rid="B41">Vieites et al., 2011</xref>; <xref ref-type="bibr" rid="B46">Zhang et al., 2011</xref>; <xref ref-type="bibr" rid="B32">McCarron et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Yuan et al., 2018</xref>; <xref ref-type="bibr" rid="B21">Hummell and Kirienko, 2020</xref>; <xref ref-type="bibr" rid="B44">Yufanyi et al., 2020</xref>; <xref ref-type="bibr" rid="B11">Frei et al., 2021</xref>; <xref ref-type="bibr" rid="B31">Mansour, 2021</xref>) we set out to assess whether the above cytostatic complexes <bold>Ru-1&#x2012;Ru-4</bold>, <bold>Os-1&#x2012;Os-4</bold>, <bold>Ir-1&#x2012;Ir-4</bold> and <bold>Rh-1&#x2012;Rh-4</bold> in <xref ref-type="fig" rid="F2">Figure 2</xref> (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>), might have bacteriostatic properties. For comparative studies, the precursors of these complexes (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>), such as the chloro-bridged platinum-metal dimeric complexes (<bold>Ru-dimer</bold>, <bold>Os-dimer</bold>, <bold>Ir-dimer</bold> and <bold>Rh-dimer</bold>) and the glycosyl heterocyclic N,N-bidentate ligands (<bold>L-1&#x2012;L-4</bold>), as well as, the reference platinum-based anticancer drugs (cisplatin, carboplatin, oxaliplatin) were also planned to be tested (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Outline of the syntheses of the compounds to be tested in this study (the precise structures of the compounds are shown in <xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
</caption>
<graphic xlink:href="fchem-10-868234-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Selected compounds to be tested for antimicrobial activity.</p>
</caption>
<graphic xlink:href="fchem-10-868234-g002.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The IC<sub>50</sub> values [(&#xb5;M)] of the selected compounds on A2780 ovarian cancer cells in (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>).</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">
<bold>L-1</bold>
</td>
<td align="left">
<bold>L-2</bold>
</td>
<td align="left">
<bold>L-3</bold>
</td>
<td align="left">
<bold>L-4</bold>
</td>
<td align="left">
<bold>Ru-Dimer</bold>
</td>
<td align="left">
<bold>Os-Dimer</bold>
</td>
<td align="left">
<bold>Ir-Dimer</bold>
</td>
<td align="left">
<bold>Rh-Dimer</bold>
</td>
</tr>
<tr>
<td align="left">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
</tr>
<tr>
<td align="left">
<bold>Ru-1</bold>
</td>
<td align="center">
<bold>Ru-2</bold>
</td>
<td align="center">
<bold>Ru-3</bold>
</td>
<td align="center">
<bold>Ru-4</bold>
</td>
<td align="center">
<bold>Os-1</bold>
</td>
<td align="center">
<bold>Os-2</bold>
</td>
<td align="center">
<bold>Os-3</bold>
</td>
<td align="center">
<bold>Os-4</bold>
</td>
</tr>
<tr>
<td align="left">6.2</td>
<td align="center">4.3</td>
<td align="center">8.5</td>
<td align="center">0.9</td>
<td align="center">2.5</td>
<td align="center">3.2</td>
<td align="center">2.8</td>
<td align="center">0.7</td>
</tr>
<tr>
<td align="left">
<bold>Ir-1</bold>
</td>
<td align="center">
<bold>Ir-2</bold>
</td>
<td align="center">
<bold>Ir-3</bold>
</td>
<td align="center">
<bold>Ir-4</bold>
</td>
<td align="center">
<bold>Rh-1</bold>
</td>
<td align="center">
<bold>Rh-2</bold>
</td>
<td align="center">
<bold>Rh-3</bold>
</td>
<td align="center">
<bold>Rh-4</bold>
</td>
</tr>
<tr>
<td align="left">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">1.6</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">ND</td>
<td align="center">25.3</td>
</tr>
<tr>
<td colspan="2" align="left">Cisplatin</td>
<td colspan="2" align="center">Oxaliplatin</td>
<td colspan="2" align="center">Carboplatin</td>
<td rowspan="2" colspan="2" align="center">ND: no effect</td>
</tr>
<tr>
<td colspan="2" align="left">1.2</td>
<td colspan="2" align="center">0.1</td>
<td colspan="2" align="center">28.0</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Chemical Compounds</title>
<p>All compounds (including cisplatin, carboplatin and oxaliplatin) were from Sigma-Aldrich (St. Louis, MO, United States). Ligands <bold>L-1&#x2012;L-4</bold>, complexes <bold>Ru-1&#x2012;Ru-4</bold>, <bold>Os-1&#x2012;Os-4</bold>, <bold>Ir-1&#x2012;Ir-4</bold>, <bold>Rh-1&#x2012;Rh-4</bold> were published in (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). The <bold>Os-dimer</bold> was published in (<xref ref-type="bibr" rid="B15">God&#xf3; et al., 2012</xref>), <bold>Ru-dimer</bold> was from Strem Chemicals (Newburyport, MA, United States), <bold>Ir-dimer</bold> was from Acros Organics (Gael, Belgium) and the <bold>Rh-dimer</bold> was from Alfa Aesar (Ward Hill, MA, United States). Compounds were dissolved in DMSO. In experiments the highest DMSO concentration was 0.04%, therefore, control cells were treated with 0.04% DMSO.</p>
</sec>
<sec id="s2-2">
<title>Synthesis of the Compounds Tested</title>
<p>Synthesis and assessment of structural integrity of the sugar-based compounds (<bold>L-1&#x2012;L-4, Ru-1&#x2012;Ru-4, Os-1&#x2012;Os-4, Ir-1&#x2012;Ir-4, Rh-1&#x2012;Rh-4</bold> used in the manuscript (<xref ref-type="fig" rid="F1">Figures 1</xref>, <xref ref-type="fig" rid="F2">2</xref>) were described in (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>) and (<xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>).</p>
</sec>
<sec id="s2-3">
<title>Reference Strains</title>
<p>For testing we used the following reference strains: <italic>Pseudomonas aeruginosa</italic> (ATCC27853), <italic>Escherichia coli</italic> (ATCC25922), <italic>Staphylococcus aureus</italic> (ATCC11007), <italic>Candida albicans</italic> (SC5314), <italic>Candida auris</italic> (ATCC21092) and <italic>Enterococcus faecalis</italic> (ATCC29112). All were purchased from ATCC (Manassas, VA, United States).</p>
</sec>
<sec id="s2-4">
<title>Clinical Isolates of <italic>S. aureus</italic> and <italic>E. Faecium</italic>
</title>
<p>We used a set of clinical isloates of <italic>S. aureus and E. faecium</italic> that were collected at the Medical Center of the University of Debrecen (Hungary) between 01.01.2018. &#x2012; 31.12.2020. (<xref ref-type="table" rid="T2">Table 2</xref>). We also included a multiresistant clinical isolate of <italic>Acinetobacter baumannii.</italic> These were identified using a Microflex MALDI-TOF mass spectrometer (Bruker, Billerica, MA, United States). Antibiotic susceptibility of the isolates was tested following the European Committee on Antimicrobial Susceptibility Testing (<xref ref-type="bibr" rid="B7">EUCAST, 2021</xref>) guidelines valid at the time of collection.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Clinical isolates used in the study: MSSA&#x2013;methicillin-susceptible <italic>Staphylococcus aureus</italic>, MRSA&#x2013;methicillin-resistant <italic>Staphylococcus aureus</italic>, VSE&#x2013;vancomycin-susceptible <italic>Enterococcus</italic>, VRE - vancomycin-resistant <italic>Enterococcus</italic>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">&#xa0;</th>
<th align="center">Species</th>
<th align="center">
</th>
<th align="center">Year</th>
<th align="center">Sample</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">20276</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Wound</td>
</tr>
<tr>
<td align="left">20478</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Bronchial</td>
</tr>
<tr>
<td align="left">20559</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Wound</td>
</tr>
<tr>
<td align="left">20627</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Ear</td>
</tr>
<tr>
<td align="left">20650</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Nasal</td>
</tr>
<tr>
<td align="left">20904</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MSSA</td>
<td align="center">2018</td>
<td align="left">Abscess</td>
</tr>
<tr>
<td align="left">20426</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2020</td>
<td align="left">Blood</td>
</tr>
<tr>
<td align="left">24035</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2018</td>
<td align="left">Wound</td>
</tr>
<tr>
<td align="left">24268</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2018</td>
<td align="left">Throat</td>
</tr>
<tr>
<td align="left">24272</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2018</td>
<td align="left">Throat</td>
</tr>
<tr>
<td align="left">24328</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2018</td>
<td align="left">Throat</td>
</tr>
<tr>
<td align="left">24408</td>
<td align="left">
<italic>S. aureus</italic>
</td>
<td align="left">MRSA</td>
<td align="center">2018</td>
<td align="left">Bronchial</td>
</tr>
<tr>
<td align="left">28046</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VSE</td>
<td align="center">2021</td>
<td align="left">Abdominal</td>
</tr>
<tr>
<td align="left">28386</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VSE</td>
<td align="center">2021</td>
<td align="left">Urine</td>
</tr>
<tr>
<td align="left">25051</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2018</td>
<td align="left">Nephrostoma</td>
</tr>
<tr>
<td align="left">25342</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2021</td>
<td align="left">Urine</td>
</tr>
<tr>
<td align="left">25498</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2018</td>
<td align="left">Rectal swab for screening for multiresistant pathogens</td>
</tr>
<tr>
<td align="left">27085</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2018</td>
<td align="left">Wound</td>
</tr>
<tr>
<td align="left">28209</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2021</td>
<td align="left">Urine</td>
</tr>
<tr>
<td align="left">28085</td>
<td align="left">
<italic>E. faecium</italic>
</td>
<td align="left">VRE</td>
<td align="center">2021</td>
<td align="left">Urine</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-5">
<title>Broth Microdilution</title>
<p>Microdilution experiments were performed according to the standards of EUCAST (<xref ref-type="bibr" rid="B7">EUCAST, 2021</xref>). The bacterial isolates to be tested were grown in Mueller-Hinton broth. <italic>Candida</italic> species were grown in RPMI (Roswell Park Memorial Institute) -1,640 medium. Inoculum density of bacteria or fungi was set at 5.0 &#xd7; 10<sup>5</sup>&#xa0;CFU/ml in microtiter plates in a final volume of 200&#xa0;&#xb5;l Mueller-Hinton broth (for bacteria) or in RPMI (for fungi). Tested concentration range was 0.08&#x2013;40&#xa0;&#xb5;M (10 concentrations, two-fold serial dilutions), drug-free growth control and inoculum-free negative control were included. The inoculated plates were incubated for 24&#xa0;h at 37&#xb0;C then were assessed visually. Minimum inhibitory concentration (MIC) was defined as the lowest concentration with 50% &#x2264; inhibitory effect. All experiments were performed at least twice in duplicates.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>The Complexes Can Inhibit the Growth of Gram-Positive Bacteria</title>
<p>First, we tested the ruthenium(II), osmium(II), iridium(III) and rhodium(III) complexes (<bold>Ru-1&#x2012;Ru-4, Os-1&#x2012;Os-4, Ir-1&#x2012;Ir-4, Rh-1&#x2012;Rh-4</bold>; <xref ref-type="fig" rid="F2">Figure 2</xref>) identified in the studies by <xref ref-type="bibr" rid="B23">Kacsir et al. (2021)</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). These compounds were not active on the reference strains of Gram-negative bacteria, such as <italic>Pseudomonas aerugonisa</italic> (ATCC27853), <italic>Escherichia coli</italic> (ATCC25922), or a clinical isolate of <italic>Acinetobacter baumannii</italic>, nor on fungi as <italic>Candida albicans</italic> (SC5314) and <italic>Candida auris</italic> (ATCC21092). Nevertheless, the Gram-positive <italic>Staphylococcus aureus</italic> (ATCC11007) and <italic>Enterococcus faecalis</italic> (ATCC29112) were susceptible to <bold>Ru-1, Os-1, Ru-2, Os-2, Ru-3, Os-3, Ru-4, Os-4</bold> and <bold>Ir-4</bold>, the best being osmium and ruthenium complexes and the complexes of the free ligand <bold>L-4</bold> (<xref ref-type="fig" rid="F3">Figure 3</xref>). Cisplatin, carboplatin and oxaliplatin were included in the study as controls, as they were reported to have antibacterial activity (<xref ref-type="bibr" rid="B46">Zhang et al., 2011</xref>; <xref ref-type="bibr" rid="B32">McCarron et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Yuan et al., 2018</xref>; <xref ref-type="bibr" rid="B21">Hummell and Kirienko, 2020</xref>). Cisplatin inhibited the growth of <italic>P. aurigenosa</italic> at a high MIC value of 40&#xa0;&#x3bc;M, carboplatin and oxaliplatin had no effect suggesting that the effects of platinum complexes were fundamentally different from that of the organometallic bidentate complexes. Neither the free ligands (<bold>L-1&#x2012;L-4</bold>), the Ru(II)/Os(II) hexahapto <italic>p</italic>-cymene dimer (<bold>Ru-dimer</bold> and <bold>Os-dimer</bold>), or the Rh(III)/Ir(III) pentahapto arenyl dimer (<bold>Ir-dimer</bold> and <bold>Rh-dimer</bold>), <bold>Ir-1&#x2012;Ir-3</bold> and <bold>Rh-1&#x2012;Rh-4</bold> complexes had any bacteriostatic activity.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>The effects of the complexes on the reference strains of <italic>S. aureus</italic> (ATCC11007) and E. <italic>faecalis</italic> (ATCC29112). Bacterial reference strains were subjected to microdilution assays (repeated at least twice in duplicates) as described in Materials and Methods.</p>
</caption>
<graphic xlink:href="fchem-10-868234-g003.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Complexes Are Active on Multiresistant <italic>Staphylococcus aureus</italic> and <italic>Enterococcus isolates</italic>
</title>
<p>Subsequently, we assessed whether the compounds were active on the clinical isolates of <italic>Staphylococcus aureus</italic> [6 methicillin susceptible (MSSA) and six methicillin resistant (MRSA)] and <italic>Enterococcus</italic> sp [2 vancomycin susceptible (VSE) and six vancomycin resistant (VRE)] (<xref ref-type="fig" rid="F4">Figure 4</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>). MSSA, MRSA, VSE and VRE growth was inhibited by the complexes <bold>Os-2&#x2012;Os-4</bold> and <bold>Ir-4</bold> in all isolates (<xref ref-type="fig" rid="F4">Figures 4</xref>, <xref ref-type="fig" rid="F5">5</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>). <bold>Ir-1&#x2012;Ir-3</bold>, <bold>Ru-1&#x2012;Ru-4</bold> and <bold>Os-1</bold> were active only on a subset of isolates (<xref ref-type="fig" rid="F4">Figures 4</xref>, <xref ref-type="fig" rid="F5">5</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>). The best activity was observed for the osmium, ruthenium and iridium complexes of <bold>L-4</bold> (<bold>Os-4, Ru-4, Ir-4</bold>) showing MIC values in the low micromolar range (MIC&#x3c;10&#xa0;&#xb5;M) and being active on most or all clinical isolates tested, as well as, on the reference strains (<xref ref-type="fig" rid="F3">Figures 3</xref>, <xref ref-type="fig" rid="F4">4</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>). <bold>Rh-4</bold> was active only on <italic>Enterococcus</italic> isolates (both VSE and VRE), but not on MSSA or MRSA isolates (<xref ref-type="fig" rid="F4">Figures 4</xref>, <xref ref-type="fig" rid="F5">5</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>). <bold>Rh-1&#x2012;Rh-3</bold> complexes were inactive (<xref ref-type="fig" rid="F4">Figures 4</xref>, <xref ref-type="fig" rid="F5">5</xref>; <xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T6">6</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>The effects of the complexes on clinical isolates of <italic>S. aureus</italic> and E. <italic>faecium</italic>. MICs were determined by microdilution assays (repeated at least twice in duplicates) as described in Materials and Methods. Abbreviations: MSSA&#x2013;methicyllin-susceptible <italic>Staphylococcus aureus</italic>, MRSA&#x2013;methicyllin-resistant <italic>Staphylococcus aureus</italic>, VSE&#x2013;vancomycin-susceptible <italic>Enterococcus</italic>, VRE&#x2013;vancomycin-resistant <italic>Enterococcus</italic>.</p>
</caption>
<graphic xlink:href="fchem-10-868234-g004.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>MIC values [(&#xb5;M)] of the complexes against MSSA isolates.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Strain</th>
<th align="center">Ru-1</th>
<th align="center">Os-1</th>
<th align="center">Ru-2</th>
<th align="center">Os-2</th>
<th align="center">Ir-2</th>
<th align="center">Ru-3</th>
<th align="center">Os-3</th>
<th align="center">Ir-3</th>
<th align="center">Ru-4</th>
<th align="center">Os-4</th>
<th align="center">Ir-4</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">20627</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">10</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">1.25</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">0.3</td>
<td align="center">0.60</td>
</tr>
<tr>
<td align="left">20559</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">0.60</td>
<td align="center">10</td>
<td align="center">5</td>
<td align="center">0.60</td>
<td align="center">1.25</td>
</tr>
<tr>
<td align="left">20650</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">0.60</td>
<td align="center">5</td>
<td align="center">5</td>
<td align="center">0.60</td>
<td align="center">0.30</td>
</tr>
<tr>
<td align="left">20904</td>
<td align="center">40</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">2.50</td>
<td align="center">&#x3e;40</td>
<td align="center">5</td>
<td align="center">2.5</td>
<td align="center">5</td>
</tr>
<tr>
<td align="left">20276</td>
<td align="center">20</td>
<td align="center">10</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">1.25</td>
<td align="center">10</td>
<td align="center">2.50</td>
<td align="center">1.25</td>
<td align="center">1.25</td>
</tr>
<tr>
<td align="left">20478</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">2.50</td>
<td align="center">20</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>MIC values [(&#xb5;M)] of the complexes against MRSA isolates.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Strain</th>
<th align="center">Ru-1</th>
<th align="center">Os-1</th>
<th align="center">Ir-1</th>
<th align="center">Ru-2</th>
<th align="center">Os-2</th>
<th align="center">Ir-2</th>
<th align="center">Ru-3</th>
<th align="center">Os-3</th>
<th align="center">Ir-3</th>
<th align="center">Ru-4</th>
<th align="center">Os-4</th>
<th align="center">Ir-4</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">20426</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">5</td>
<td align="center">5</td>
</tr>
<tr>
<td align="left">24408</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">10</td>
<td align="center">2.5</td>
<td align="center">20</td>
<td align="center">2.5</td>
<td align="center">2.5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
</tr>
<tr>
<td align="left">24268</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
</tr>
<tr>
<td align="left">20328</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">20</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">5</td>
</tr>
<tr>
<td align="left">24272</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">10</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
</tr>
<tr>
<td align="left">24035</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">&#x3e;40</td>
<td align="center">40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">5</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>MIC values [(&#xb5;M)] of the complexes against VSE isolates.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Strain</th>
<th align="center">Ru-1</th>
<th align="center">Os-1</th>
<th align="center">Os-2</th>
<th align="center">Ru-3</th>
<th align="center">Os-3</th>
<th align="center">Ru-4</th>
<th align="center">Os-4</th>
<th align="center">Ir-4</th>
<th align="center">Rh-4</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">28386</td>
<td align="center">20</td>
<td align="center">10</td>
<td align="center">10</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">1.25</td>
<td align="center">40</td>
</tr>
<tr>
<td align="left">28046</td>
<td align="center">20</td>
<td align="center">40</td>
<td align="center">40</td>
<td align="center">40</td>
<td align="center">10</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">&#x3e;40</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T6" position="float">
<label>TABLE 6</label>
<caption>
<p>MIC values [(&#xb5;M)] of the complexes against VRE isolates.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Strain</th>
<th align="center">Ru-1</th>
<th align="center">Os-1</th>
<th align="center">Ir-1</th>
<th align="center">Os-2</th>
<th align="center">Ru-3</th>
<th align="center">Os-3</th>
<th align="center">Ru-4</th>
<th align="center">Os-4</th>
<th align="center">Ir-4</th>
<th align="center">Rh-4</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">25051</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">2.50</td>
<td align="center">1.25</td>
<td align="center">&#x3e;40</td>
</tr>
<tr>
<td align="left">25085</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">2.50</td>
<td align="center">1.25</td>
<td align="center">&#x3e;40</td>
</tr>
<tr>
<td align="left">25498</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">5</td>
<td align="center">&#x3e;40</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">&#x3e;40</td>
</tr>
<tr>
<td align="left">25342</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">&#x3e;40</td>
<td align="center">5</td>
<td align="center">&#x3e;40</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">&#x3e;40</td>
</tr>
<tr>
<td align="left">28209</td>
<td align="center">&#x3e;40</td>
<td align="center">20</td>
<td align="center">20</td>
<td align="center">10</td>
<td align="center">20</td>
<td align="center">5</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">40</td>
</tr>
<tr>
<td align="left">28085</td>
<td align="center">10</td>
<td align="center">10</td>
<td align="center">&#x3e;40</td>
<td align="center">10</td>
<td align="center">20</td>
<td align="center">10</td>
<td align="center">2.50</td>
<td align="center">2.50</td>
<td align="center">1.25</td>
<td align="center">&#x3e;40</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Effects of the complexes on the reference strains and clinical isolates.</p>
</caption>
<graphic xlink:href="fchem-10-868234-g005.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>We assessed a set of half-sandwich type ruthenium(II), osmium(II), rhodium(III) and iridium(III) complexes of monosaccharide derivatives bearing bidentate N,N-chelating sets. The compounds discussed in the study and compounds with similar structure were identified earlier as anticancer agents (<xref ref-type="bibr" rid="B8">Florindo et al., 2014</xref>; <xref ref-type="bibr" rid="B10">Florindo et al., 2015</xref>; <xref ref-type="bibr" rid="B9">Florindo et al., 2016</xref>; <xref ref-type="bibr" rid="B17">Hamala et al., 2020</xref>; <xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). From the perspective of the current study it is important to note that the complexes were not active on primary human fibroblasts up to 33.3&#xa0;&#xb5;M (i.e., their IC<sub>50</sub> values were higher than 33.3&#xa0;&#xb5;M), but only had activity on neoplastic cell lines in low micromolar to submicromolar range (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>) and here we show that these compounds have antimicrobial effects. These suggest that the complexes would be selective towards bacteria and neoplastic cells, which may be an advantageous feature in a clinical setting. The type of the central metal ion and the ligands, the stability and kinetic behavior as well as hydrolytic properties and the lipophilicity of a complex contribute significantly to its biological activity.</p>
<p>With respect to the central metal ion of the complex, osmium compounds were the most efficient on bacteria, followed by ruthenium complexes both in terms of the number of active complexes, as well as, their MIC values, while the iridium and rhodium complexes showed less activity. These findings are similar to our data on cancer cells (<xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). In other words, when comparing the Ru(II) and Os(II) complexes with hexahapto <italic>p</italic>-cymene ligand to the pentahapto arenyl-containing Ir(III) and Rh(III) complexes, the former ones were found to show better activity. There are multiple chemical features that can explain this finding. For the mentioned two pairs of metal ions in Ru and Os complexes, the hexahapto coordinated <italic>p</italic>-cym ligand provides less electron densitiy than the Cp&#x2a; arenyl in the corresponding Rh or Ir compounds and their steric hindrance is different. Kinetic differences may also provide an explanation, as it is widely accepted that the half-sandwich type Os and Ir complexes, in general, exhibit much lower ligand exchange rates than the Ru and Rh analogues (<xref ref-type="bibr" rid="B5">Bruijnincx and Sadler, 2009</xref>). When comparing the IC<sub>50</sub> values for cancer cells with the MIC values against bacteria, it is apparent that the MIC values of the active complexes are higher than their IC<sub>50</sub> values on the most sensitive cancer cell model [e.g., for <bold>Os-4</bold> IC<sub>50</sub> &#x3d; 0.7&#xa0;&#xb5;M on 2780 ovarian cancer cells (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>) vs. MIC range &#x3d; 0.3&#x2013;5&#xa0;&#xb5;M on multiresistant bacteria]. When comparing the MIC values of the complexes we found similar trends as a function of the central metal ion or the ligand as the IC<sub>50</sub> values of the complexes on cancer cells. Complexes of <bold>L-4</bold> were considerably more effective than complexes of <bold>L-3, L-2</bold> or <bold>L-1</bold>. These findings are also in good correlation with our observations on cancer cells (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>) and may support the importance of the high hydrophobicity of the complexes. Importantly, for the complexes with good bacteriostatic activity (e.g., <bold>Os-4</bold>) there was no difference in the MIC value on the reference strains, the susceptible (MSSA, VSE) or the multiresistant isolates (MRSA, VRE). The activity of the complexes in previous antineoplastic studies was dependent on the apolar character of the compounds (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Kacsir et al., 2022</xref>). We provided experimental evidence the carbohydrate moiety has a key role in bringing about the apolar character of the molecules by harboring multiple OBz groups. The replacement of the carbohydrate moiety with one single aromatic group largely hampered or eliminated the biological activity of the complexes (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>). Therefore, the complexes supposedly affect the cell membrane that may be the case in bacteria as well. It is also of note that the exact target of the complexes has not been identified yet. Taken together, we identified osmium, ruthenium, iridium and rhodium complexes that exhibit antibacterial effects. The complexes have multiple advantageous properties, they are stable over extended periods [2&#xa0;days were assessed in (<xref ref-type="bibr" rid="B23">Kacsir et al., 2021</xref>)], their MIC and IC<sub>50</sub> values are in the low micromolar or submicromolar range, respectively, and they are not active on non-transformed cells. As noted earlier, the active complexes have similar MIC values against multiresistant clinical isolates of MRSA and VRE and on sensitive isolates or reference strains suggesting a novel, yet unidentified target in Gram-positive bacteria that is not detoxified by existing resistance mechanisms. These findings suggest that the complexes studied here and similar ones may represent a novel class of antibiotics against multiresistant Gram-positive bacteria.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>BB, ZT and AS performed experiments, IK synthesized the compounds, PBu, LS, &#xc9;B, GK and PBa conceptualized and supervised research, wrote the paper and contributed to the manuscript editing.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>Our work was supported by the National Research, Development and Innovation Office of Hungary (grants K123975 and FK125067), the University of Debrecen and by the Thematic Excellence Programme (TKP2021-EGA-19 and TKP2021-EGA-20) of the Ministry for Innovation and Technology in Hungary.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<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 sec-type="disclaimer" id="s9">
<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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