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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">891304</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.891304</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Remedial Aspect of Zinc Oxide Nanoparticles Against <italic>Serratia Marcescens</italic> and <italic>Enterococcus Faecalis</italic>
</article-title>
<alt-title alt-title-type="left-running-head">Djearamane et al.</alt-title>
<alt-title alt-title-type="right-running-head">Remedial Aspect of Zinc Oxide Nanoparticles</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Djearamane</surname>
<given-names>Sinouvassane</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/1704168/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Loh</surname>
<given-names>Zhe Chi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Jun Jie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wong</surname>
<given-names>Ling Shing</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1748738/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rajamani</surname>
<given-names>Ranjithkumar</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luque</surname>
<given-names>Priscy Alfredo</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1806063/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gupta</surname>
<given-names>Piyush Kumar</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1568628/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Sharolynne Xiao Tong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1706920/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Biomedical Science</institution>, <institution>Universiti Tunku Abdul Rahman (UTAR)</institution>, <addr-line>Kampar</addr-line>, <country>Malaysia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Faculty of Health and Life Sciences</institution>, <institution>INTI International University</institution>, <addr-line>Nilai</addr-line>, <country>Malaysia</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Viyen Biotech LLP</institution>, <addr-line>Coimbatore</addr-line>, <country>India</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Faculty of Engineering</institution>, <institution>Architecture, and Design</institution>, <institution>Autonomous University of Baja California</institution>, <addr-line>Mexicali</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Life Sciences</institution>, <institution>School of Basic Sciences and Research</institution>, <institution>Sharda University</institution>, <addr-line>Greater Noida</addr-line>, <country>India</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Department of Biotechnology</institution>, <institution>Graphic Era Deemed to be University</institution>, <addr-line>Dehradun</addr-line>, <country>India</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/583708/overview">Sourav Bhattacharjee</ext-link>, University College Dublin, Ireland</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/463849/overview">Vijayakumar Sekar</ext-link>, Shandong University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/591405/overview">Lilit Gabrielyan</ext-link>, University of Southern California, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Sinouvassane Djearamane, <email>sinouvassane@utar.edu.my</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Pharmacology of Infectious Diseases, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>891304</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Djearamane, Loh, Lee, Wong, Rajamani, Luque, Gupta and Liang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Djearamane, Loh, Lee, Wong, Rajamani, Luque, Gupta and Liang</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>Zinc oxide nanoparticles (ZnO NPs) have been widely used in biomedical applications due to their high biocompatibility and low toxicity to humans. The present work aimed to investigate the antibacterial effects of different concentrations of ZnO NPs on two opportunistic pathogens, <italic>Serratia marcescens</italic> and <italic>Enterococcus faecalis</italic>. The surface interaction between nanoparticles and bacterial cell wall, and the subsequent morphological alterations on the bacterial surface, were examined through Fourier transform infrared spectroscopy and scanning electron microscope. The energy dispersive X-ray analysis was used to confirm the elemental composition of ZnO NPs and the cellular accumulation of ZnO NPs in bacteria. The growth-inhibitory test demonstrated a dose-dependent growth inhibitory effect of ZnO NPs against both the test bacteria, as the higher concentration of nanoparticles caused the higher bacterial growth inhibition. The results showed that ZnO NPs caused a higher growth inhibition (63.50 &#xb1; 2.50%) on the Gram-positive bacterium <italic>E</italic>. <italic>faecalis</italic> compared to the Gram-negative bacterium <italic>S. marcescens</italic> (51.27 &#xb1; 4.56%). Fourier transform infrared spectrum revealed the possible involvement of hydroxyl, carboxyl, amides, methylene, and phosphate groups from the biomolecules of bacterial cell wall such as proteins, carbohydrates, lipids, and phospholipids in the interaction of ZnO NPs on bacterial cell surface. Energy dispersive X-ray analysis showed the higher accumulation of ZnO NPs in <italic>E. faecalis</italic> than <italic>S. marcescens</italic> analogous to the bacterial growth inhibition. Scanning electron microscopy images confirmed the antibacterial properties of ZnO NPs, showing the loss of integrity of cell membrane and distortion of bacterial cells. Hence, the potential of ZnO NP as an antibacterial agent against <italic>S. marcescens</italic> and <italic>E. faecalis</italic> has been confirmed.</p>
</abstract>
<kwd-group>
<kwd>zinc oxide nanoparticles</kwd>
<kwd>antibacterial agent</kwd>
<kwd>
<italic>S. marcescens</italic>
</kwd>
<kwd>
<italic>E. faecalis</italic>
</kwd>
<kwd>growth inhibition</kwd>
</kwd-group>
<contract-num rid="cn002">FRGS-1-2014-SG03-INTI-02-1</contract-num>
<contract-sponsor id="cn001">Universiti Tunku Abdul Rahman<named-content content-type="fundref-id">10.13039/501100002671</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Ministry of Higher Education, Malaysia<named-content content-type="fundref-id">10.13039/501100003093</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>New antimicrobial agents against pathogenic bacterial strains have become extremely challenging due to the antibiotic resistance and mutations that lead to new strains of the pathogen (<xref ref-type="bibr" rid="B23">Fair and Tor, 2014</xref>; <xref ref-type="bibr" rid="B57">Sirelkhatim et al., 2015</xref>; <xref ref-type="bibr" rid="B61">Ventola, 2015</xref>; <xref ref-type="bibr" rid="B5">Aslam et al., 2018</xref>; <xref ref-type="bibr" rid="B25">Fisher et al., 2020</xref>). The currently available antibiotics are designed to fight against bacteria through the inhibition of DNA replication, cell wall synthesis, and translational machinery; nevertheless, bacterial resistance might be developed against each of these antibiotics (Magiorakos et al., 2012; Li et al., 2013: Nurit et al., 2015). The field of nanotechnology, which provides nanoscale materials, can be an effective solution in controlling the bacterial infections. The unique chemical and physical attributes of nanoparticles (NPs) play a vital role in therapeutic applications in the biomedical field (Patra et al., 2018; Elena et al., 2020; <xref ref-type="bibr" rid="B43">Maheswaran et al., 2021</xref>). Generally, NPs have a larger surface area to volume ratio than bulk materials. Subsequently, the nanoscale size of materials allows more atoms to be exposed on the bacteria cell surface and thus can easily exert their bactericidal mechanisms to the target cell (<xref ref-type="bibr" rid="B55">Seil and Webster, 2012</xref>; <xref ref-type="bibr" rid="B14">Dadi et al., 2019</xref>; <xref ref-type="bibr" rid="B18">Dikshit et al., 2021</xref>).</p>
<p>Various metal nanoparticles such as zinc, silver, gold, titanium, manganese, platinum, copper, iron, and magnesium NPs have been reported as promising agents against the pathogenic microorganisms over commercial antibiotics (<xref ref-type="bibr" rid="B63">Wang et al., 2017</xref>; <xref ref-type="bibr" rid="B20">Djearamane et al., 2019</xref>; <xref ref-type="bibr" rid="B54">S&#xe1;nchez-L&#xf3;pez et al., 2020</xref>; <xref ref-type="bibr" rid="B64">Yaqoob et al., 2020</xref>). Among the metal nanoparticles, zinc oxide nanoparticles (ZnO NPs) have been invstigated for multiple biomedical applications due to their lower toxicity to humans (<xref ref-type="bibr" rid="B24">Fernando et al., 2018</xref>; <xref ref-type="bibr" rid="B62">Vijayakumar et al., 2018</xref>). ZnO NPs are reported to have antibacterial activity on various human and animal pathogenic bacteria (<xref ref-type="bibr" rid="B2">Alekish et al., 2018</xref>). The higher surface to volume ratio of ZnO NP is believed to be responsible for its greater bacteriostatic effects (<xref ref-type="bibr" rid="B56">Siddiqi et al., 2018</xref>). The treatment of bacteria with ZnO NPs causes induction of oxidative stress through increased production of reactive oxygen species and the subsequent peroxidation of lipid bilayer in cell membrane, disturbing the integrity of the bacterial cell wall (<xref ref-type="bibr" rid="B30">Kadiyala et al., 2018</xref>; <xref ref-type="bibr" rid="B59">Tiwari et al., 2018</xref>:; <xref ref-type="bibr" rid="B21">Djearamane et al., 2020</xref>). The attachment of ZnO NPs on the bacterial surface is also reported to cause damage to the cell membrane and leakage of cytoplasmic components, resulting in bacterial cell death (<xref ref-type="bibr" rid="B2">Alekish et al., 2018</xref>; <xref ref-type="bibr" rid="B41">Liang et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Dhanasekaran et al., 2022</xref>).</p>
<p>In this study, two multidrug resistant bacteria which commonly cause opportunistic infections, namely <italic>Serratia marcescens</italic> and <italic>Enterococcus faecalis</italic>, are used as the test organisms to explore the potential of ZnO NPs to be applied as an antibacterial agent against the infections caused by them.</p>
<p>
<italic>S. marcescens</italic> is a rod-shaped Gram-negative bacterium which is commonly associated with opportunistic infections, especially among immunocompromised patients, ranging from abscess formation, granulomatous lesions, to eye, respiratory, and urinary tract infections. If the infection is not diagnosed and treated early, it can lead to serious complications such as sepsis and meningitis (<xref ref-type="bibr" rid="B35">Kim et al., 2015</xref>; <xref ref-type="bibr" rid="B53">Ray et al., 2015</xref>; <xref ref-type="bibr" rid="B1">Abreo and Altier 2019</xref>). It is a Gram-negative bacteria that causes invasive burn wound infections and accounts for 11% of burn-related surgical wound infections (<xref ref-type="bibr" rid="B33">Khayyat et al., 2021</xref>). The ability of <italic>S. marcescens</italic> to produce &#x3b2;-lactamase facilitated the resistance towards broad-spectrum antibiotics including &#x3b2;-lactams, aminoglycosides, and fluoroquinolones, making the treatment and management of the infections caused by <italic>S. marcescens</italic> very complicated (<xref ref-type="bibr" rid="B17">Dhusia et al., 2019</xref>; <xref ref-type="bibr" rid="B33">Khayyat et al., 2021</xref>).</p>
<p>The Gram-positive bacterium <italic>E. faecalis</italic> usually does not cause infection in healthy individuals. However, people with immunocompromised or underlying health conditions are more prone to <italic>E. faecalis</italic> infections including wound infections, urinary tract infections, bacteremia, endocarditis, and meningitis (<xref ref-type="bibr" rid="B6">Ayobami et al., 2020</xref>). <italic>Enterococcus</italic> species are reported to have a wide range of resistant genes which make them resistance to first-line antibiotics (<xref ref-type="bibr" rid="B29">Shiadeh et al., 2019</xref>). Recently, there has been an increase in the number of <italic>E. faecalis</italic> strains becoming multi-drug resistant (<xref ref-type="bibr" rid="B32">Kau et al., 2005</xref>; <xref ref-type="bibr" rid="B11">Castilho et al., 2013</xref>).</p>
<p>This study is aimed to determine the antibacterial effect of ZnO NPs against <italic>S. marcescens</italic> and <italic>E. faecalis</italic> by investigating the bacterial growth inhibition and the interaction between NPs and bacteria.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Chemicals and Nanoparticles</title>
<p>Zinc oxide nanoparticles with size &#x3c;100&#xa0;nm, phosphate buffer saline (PBS), 10 X, and glutaraldehyde were obtained from Sigma-Aldrich, United States of America. The antibiotics chloramphenicol and ampicillin were purchased from Bio Basic Inc., Canada. The bacterial culture medium Luria Bertani (LB) was purchased from Laboratories CONDA, Spain.</p>
</sec>
<sec id="s2-2">
<title>Characterization of ZnO NPs</title>
<p>Scanning electron microscope with energy dispersive X-ray (SEM- EDX) (JOEL JSM 6710F, Japan) was used to characterize the surface morphology and size of ZnO NPs through SEM operated at an acceleration voltage of 4&#xa0;kV with a working distance of 4.7 nm, while the elemental composition of ZnO NPs was studied by EDX analysis. X-ray diffractometer (XRD) (Lab X, SHIMADZU, XRD-6000, Japan), operated at an angle of 2&#x3b8; with 40 V and 30&#xa0;mA current, was applied to confirm the crystalline structure and size of the nanomaterial. Further, Fourier transform infrared (FTIR) spectroscopy (Perkin-Elmer Spectrum RX1, United States) was used to confirm the chemical composition of ZnO NPs.</p>
</sec>
<sec id="s2-3">
<title>Preparation of ZnO NPs Suspension</title>
<p>A stock solution of 320&#xa0;&#x3bc;g/ml ZnO NPs was prepared by suspending ZnO nanopowder in LB broth, mixed homogenously by vortex, and diluted with LB broth to prepare the working concentrations of ZnO NPs.</p>
</sec>
<sec id="s2-4">
<title>Bacterial Culture</title>
<p>The Gram-negative bacterium <italic>S. marcescens</italic> (ATCC 43862) and the Gram-positive bacterium <italic>E. faecalis</italic> (ATCC 29121) were obtained from the Faculty of Science, Universiti Tunku Abdul Rahman and then subcultured to the mid-log phase in LB broth for further utilization.</p>
</sec>
<sec id="s2-5">
<title>Exposure of Bacteria to ZnO NPs</title>
<p>A 5&#xa0;ml of mid-log phase suspension of <italic>S. marcescens</italic> with an optical density of 0.05&#xa0;at 600&#xa0;nm (OD600) was exposed to 5&#xa0;ml of ZnO NPs to obtain the final concentrations of 5, 10, 20, 40, 80, and 160&#xa0;&#x3bc;g/ml of ZnO NPs in 15&#xa0;ml centrifuge tubes and incubated for 24&#xa0;h at 37&#x00B0;C. Simlarly, the mid-log phase suspension of <italic>E. faecalis</italic> with the same OD600 of 0.05 was treated with various concentrations of ZnO NPs ranging from 5 to 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h, but incubated at 35&#x00B0;C. The bacterial suspension without ZnO NPs was used as the negative control. The suspension of <italic>S. marcescens</italic> treated with 0.8&#xa0;mg/ml of chloramphenicol and <italic>E. faecalis</italic> exposed to 1.0&#xa0;&#x3bc;g/ml of ampicillin was used as the positive control, respectively (<xref ref-type="bibr" rid="B13">Concei&#xe7;&#xe3;o et al., 2014</xref>; <xref ref-type="bibr" rid="B52">Ray et al., 2017</xref>).</p>
</sec>
<sec id="s2-6">
<title>Growth Inhibition Test</title>
<p>Turbidity test was conducted to investigate the antibacterial effect of ZnO NPs on <italic>S. marcescens</italic> and <italic>E. faecalis</italic> by determining the optical density of bacterial suspensions treated with 5, 10, 20, 40, 80, and 160&#xa0;&#x3bc;g/ml of ZnO NPs by spectrophotometer at 600&#xa0;nm (Libra S4, Biochrom, UK) along with negative and positive controls. LB broth was used as the blank. The absorbance from the respective concentration of ZnO NPs was subtracted from the test readings to avoid the interference by the NPs. Then, the absorbance values were compared to calculate the percentage of bacterial growth inhibition using equation 1 (Eq. 1).</p>
<p>Percentage of growth inhibition &#x3d; (OD600 negative control&#x2013;OD600 test)/OD600 negative control &#xd7; 100 (Eq.1).</p>
</sec>
<sec id="s2-7">
<title>Investigation of Surface Interaction of ZnO NPs on Bacterial Cell Wall</title>
<p>The FTIR spectroscopy was used to investigate the involvement of functional groups from the bacterial cell wall for the interaction of ZnO NPs on the bacterial surface. A volume of 25&#xa0;ml of the bacterial suspensions treated with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h, along with the negative control, were centrifuged for 10&#xa0;min at 6,000&#xa0;<italic>g</italic> to obtain the pellets. The pellets were then washed with 1X PBS three times to remove the unbound NPs, freeze-dried, and subjected to FTIR spectrum analysis at 4,000 to 400&#xa0;cm<sup>&#x2212;1</sup>.</p>
</sec>
<sec id="s2-8">
<title>Scanning Electron Microscopy With Energy Dispersive X-Ray Analysis</title>
<p>The SEM images were obtained to investigate the morphological damage caused by ZnO NPs on treated bacteria, while EDX was performed to identify the accumulation of ZnO NPs in bacterial cells. A volume of 25 ml of the bacterial suspensions treated with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24 h, along with the negative control, were centrifuged for 10&#xa0;min at 6,000&#xa0;g to obtain the pellets. The pellets were then washed with 1X PBS three times and treated with 2.5% of glutaraldehyde in 1X PBS for overnight fixing. The next day, the samples were centrifuged and washed three times with 1X PBS for 10&#xa0;min at 6,000&#xa0;<italic>g</italic>. This washing process was repeated using distilled water. Then, the samples were dehydrated by a series of different concentrations of ethanol (25%, 50%, 75%, 95%, and 100%). The dehydration process with 100% ethanol was repeated three times, followed by critical point drying and sputter coating. The samples were then analyzed under SEM-EDX (JOEL JSM 6710F, Japan).</p>
</sec>
<sec id="s2-9">
<title>Statistical Analysis</title>
<p>Statistical analysis was conducted to identify the variances when different concentrations of ZnO NPs interacted with <italic>S. marcescens</italic> and <italic>E. faecalis.</italic> The tests were done in triplicates (n &#x3d; 3), and the data are presented as mean &#xb1; standard deviation. All data were analyzed by one-way analysis of variance (ANOVA) and the statistical significance was reported at <italic>p</italic> &#x3c; 0.05.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<sec id="s3-1">
<title>Characterization of ZnO NPs</title>
<p>The surface morphology and elemental composition of ZnO NPs were analysed by SEM-EDX. <xref ref-type="fig" rid="F1">Figure 1(a)</xref> shows that the ZnO NPs were spherical particles with a mixture of rods, while the particle size ranged from 42.8 to 79.6&#xa0;nm with a mean size of 59.1&#xa0;nm. The EDX spectrum depicted in <xref ref-type="fig" rid="F1">Figure 1(b)</xref> confirmed the presence of ZnO NPs by the peaks of zinc and oxygen molecules. The presence of zinc, oxygen, and carbon elements from EDX analysis indicated that ZnO NPs used in the present study were free from impurities. The carbon that appeared in the EDX spectrum may be from the carbon tape used for sample preparation (<xref ref-type="bibr" rid="B60">Varadavenkatesan et al., 2019</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>SEM-EDX of ZnO NPs. SEM analysis showing the spherical and rod-shaped NPs <bold>(a)</bold> and EDX analysis showing the presence of zinc and oxygen in ZnO NPs <bold>(b)</bold>.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g001.tif"/>
</fig>
<p>The strongest diffraction peaks at 31.7&#xb0;, 34.36&#xb0;, and 36.19&#xb0; and also the peaks at 47.05&#xb0;, 56.09&#xb0;, 62.38&#xb0;, 65.90&#xb0;, 67.45&#xb0;, and 68.60&#xb0; displayed in the XRD spectrum of ZnO NPs (<xref ref-type="fig" rid="F2">Figure 2</xref>) corresponded to the characteristic hexagonal wurtzite crystalline structure of ZnO NPs, according to the JCPDS database card number [01-070-2551] (<xref ref-type="bibr" rid="B51">Ramesh et al., 2015</xref>; <xref ref-type="bibr" rid="B37">Kumar and Gautam, 2019</xref>; <xref ref-type="bibr" rid="B46">Muhammad et al., 2019</xref>). The XRD spectrum of ZnO NPs was also utilized to calculate the crystalline size of ZnO NPs using Scherrer&#x2019;s equation. The crystalline size was found to be at the range of 40&#x2013;47&#xa0;nm with a mean size of 43&#xa0;nm. In addition, FITR spectrum of ZnO NPs was used to confirm the composition of ZnO NPs. As shown in <xref ref-type="fig" rid="F3">Figure 3</xref>, FTIR spectrum of ZnO NPs obtained in this study illustrated the peak absorbance at 3332.45, 1636.59, and 671.88 cm<sup>&#x2212;1</sup>. Earlier studies have reported Zn-O stretching at 1634.00 cm<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B36">Kumar and Rani, 2013</xref>), stretching of ZnO NPs at the range of 400&#x2013;800&#xa0;cm<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B51">Ramesh et al., 2015</xref>), and stretching of H-O-H vibrations between 3400&#xa0;cm<sup>&#x2212;1</sup> and 3600&#xa0;cm<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B58">Sukri et al., 2019</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>XRD spectrum of ZnO NPs.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>FTIR spectrum of ZnO NPs.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g003.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Growth Inhibition</title>
<p>The absorbance of the bacterial suspensions were measured at 600&#xa0;nm upon treatment with different concentrations of ZnO NPs from 5 to 160&#xa0;&#x3bc;g/ml for 24&#xa0;h, along with the negative and positive controls for the respective bacteria. The treatment of ZnO NPs resulted in a dose-dependent bacterial growth inhibition, as the higher the concentrations of ZnO NPs, the greater the percentage of growth inhibition on <italic>S. marcescens</italic> (<xref ref-type="fig" rid="F4">Figure 4</xref>) and <italic>E. faecalis</italic> (<xref ref-type="fig" rid="F5">Figure 5</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Percentage of growth inhibition of <italic>S. marcescens</italic> after treatment with different concentrations of ZnO NPs for 24&#xa0;h at 37&#xb0;C in LB broth. &#x2a; denotes the significant difference between the negative control and the bacterial suspension treated with different concentrations of ZnO NPs at <italic>p</italic> &#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g004.tif"/>
</fig>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Percentage of growth inhibition on <italic>E. faecalis</italic> upon treatment with different concentrations of ZnO NPs for 24&#xa0;h at 35&#xb0;C in LB broth. &#x2a; indicates the significant difference between the negative control and the bacterial suspension treatment with different concentrations of ZnO NPs at <italic>p</italic> &#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g005.tif"/>
</fig>
<p>The percentage of growth inhibition at 5, 10, 20, 40, 80, and 160&#xa0;&#x3bc;g/ml of ZnO NPs against <italic>S. marcescens</italic> were 1.34 &#xb1; 0.32, 5.65 &#xb1; 0.04, 16.03 &#xb1; 1.54, 21.73 &#xb1; 3.6, 32.1 &#xb1; 0.34, and 51.27 &#xb1; 4.56% respectively. Similarly, ZnO NPs caused 5.42 &#xb1; 1.27, 16.69 &#xb1; 0.88, 23.74 &#xb1; 1.23, 32.07 &#xb1; 1.65, 54.73 &#xb1; 2.15, and 63.50 &#xb1; 2.50% of growth inhibition at 5, 10, 20, 40, 80, and 160&#xa0;&#x3bc;g/ml of ZnO NPs respectively on <italic>E. faecalis</italic>. The percentage of growth inhibition in positive control was 82.78 &#xb1; 1.08% and 83.93 &#xb1; 0.18% for <italic>S. marcescens</italic> (with 0.8 mg/ml of chloramphenicol) and <italic>E. faecalis</italic> (with 1.0&#xa0;&#x3bc;g/ml of ampicillin), respectively.</p>
<p>The results demonstrated a significant (<italic>p</italic> &#x3c; 0.05) bacterial growth inhibition from 10 to 160&#xa0;&#x3bc;g/ml of ZnO NPs, however, no significant growth inhibition was detected at 5&#xa0;&#x3bc;g/ml of ZnO NPs for <italic>S. marcescens</italic>. Whereas, the treatment of ZnO NPs caused significant (<italic>p</italic> &#x3c; 0.05) growth inhibition on <italic>E</italic>. <italic>faecalis</italic> for all the tested concentrations from 5 to 160&#xa0;&#x3bc;g/ml.</p>
<p>Our results indicate a better antibacterial activity of ZnO NPs on Gram-positive bacterium compared with Gram-negative bacterium as the highest concentration of ZnO NPs (160&#xa0;&#x3bc;g/ml) caused 63.50 &#xb1; 2.50% of growth inhibition on <italic>E</italic>. <italic>faecalis</italic> compared to 51.27 &#xb1; 4.56% on <italic>S. marcescens</italic> as the maximum growth inhibition. Supporting the present results, <xref ref-type="bibr" rid="B8">Azam et al. (2012)</xref> reported a higher tolerance of Gram-negative bacteria over Gram-positive bacteria to ZnO NPs as the treatment of ZnO NPs caused 16 and 24% lower inhibition zone sizes on Gram-negative bacterial strains of <italic>P. aeruginosa</italic> and <italic>E. coli</italic> compared to Gram-positive bacterial strains of <italic>S. aureus</italic> and <italic>B. subtilis</italic>. Further, <xref ref-type="bibr" rid="B50">Premanathan et al. (2012)</xref> evidenced a more profound effect of ZnO NPs on Gram-positive bacterial strains compared to Gram-negative bacterial strains. Earlier studies by <xref ref-type="bibr" rid="B12">Chandra et al. (2019)</xref> and <xref ref-type="bibr" rid="B27">Gunalan et al. (2012)</xref> reported the growth inhibition of <italic>S. marcescens</italic> by ZnO NPs with the minimum inhibitory concentration of 64&#xa0;&#x3bc;g/ml and 1.6 mM, respectively, at 24&#xa0;h through disc diffusion assay.</p>
<p>Similar to our present results, previous studies have demonstrated a dose-dependent growth inhibition on <italic>E. faecalis</italic> using agar diffusion by gelatin-coated ZnO NPs and ZnO NPs, respectively (<xref ref-type="bibr" rid="B22">Dowlatababdi et al., 2017</xref>; <xref ref-type="bibr" rid="B19">Divya et al., 2018</xref>; <xref ref-type="bibr" rid="B58">Sukri et al. (2019)</xref> confirmed a higher antibacterial potential of green synthesized ZnO NPs on <italic>E. faecalis</italic> by reporting 22.09&#xa0;&#x3bc;g/ml of ZnO NPs as the minimum inhibitory concentration inhibiting 50% growth for <italic>E. faecalis</italic> compared to 64.53&#xa0;&#x3bc;g/ml for Gram-negative bacterium <italic>E. coli</italic>. A study by <xref ref-type="bibr" rid="B48">Nilavukkarasi et al. (2020)</xref> demonstrated a more effective antibacterial action of ZnO NPs on Gram-positive bacterium <italic>S. epidermidis</italic> than <italic>S. paratyphi</italic>, which is a Gram-negative bacterium.</p>
<p>Simlar to the present results, our earlier studies also demonstrated a dose-dependent bacterial growth inhibition by ZnO NPs with a higher growth inhibition of 81.18% on Gram-positive bacterium <italic>S. pyogenes</italic> compared to 65.73% on Gram-negative bacterium <italic>P. aeruginosa,</italic> respectively, when treated with 100 &#x3bc;g/ml of ZnO NPs for 24&#xa0;h (<xref ref-type="bibr" rid="B41">Liang et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Dhanasegaran et al., 2022</xref>).</p>
<p>The structural and functional differences between the cell wall of Gram-positive and Gram-negative bacteria have been proposed as the major reason for the higher sensitivity of Gram-positive bacteria to ZnO NPs than Gram-negative bacteria (<xref ref-type="bibr" rid="B7">Aysa and Salman, 2016</xref>; <xref ref-type="bibr" rid="B26">Getie et al., 2017</xref>; <xref ref-type="bibr" rid="B58">Sukri et al., 2019</xref>; <xref ref-type="bibr" rid="B15">Demissie et al., 2020</xref>). The more complex cell wall of Gram-negative bacteria with the outer liposaccharide membrane makes the cell wall impermeable to antibacterial agents, whereas the peptidoglycan layer present in the Gram-positive bacteria is not an effective barrier against antibacterial agents, thus making them more susceptible to antimicrobials.</p>
</sec>
<sec id="s3-3">
<title>Surface Interaction of ZnO NPs on Bacterial Cell Wall</title>
<p>The FTIR spectrums displayed in <xref ref-type="fig" rid="F6">Figure 6</xref> and <xref ref-type="fig" rid="F7">Figure 7</xref> show the involvement of several functional groups for the interaction of ZnO NPs onto the cell wall of <italic>S. marcescens</italic> (<xref ref-type="table" rid="T1">Table 1</xref>) and <italic>E. faecalis</italic> (<xref ref-type="table" rid="T2">Table 2</xref>), respectively.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>FTIR spectrum of <italic>S. marcescens</italic> as negative control (black line) and <italic>S. marcescens</italic> treated with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h (blue line).</p>
</caption>
<graphic xlink:href="fphar-13-891304-g006.tif"/>
</fig>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>FTIR spectrum of negative control (black line) and <italic>E. faecalis</italic> treated with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h (red line).</p>
</caption>
<graphic xlink:href="fphar-13-891304-g007.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The functional groups possibly involved in the binding of ZnO NPs onto the cell wall of <italic>S. marcescens</italic>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Peak shift (Wave Number, cm<sup>&#x2212;1</sup>)</th>
<th align="center">Molecular motion</th>
<th align="center">Functional group/biomolecule assignment</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">3296.21 3282.52</td>
<td align="left">O&#x2015;H stretching</td>
<td align="left">Hydroxyl group</td>
</tr>
<tr>
<td align="left">1644.84 1641.65</td>
<td align="left">C&#x3d;O stretching</td>
<td align="left">Amide I</td>
</tr>
<tr>
<td align="left">1531.69 1540.4</td>
<td align="left">C&#x2015;N stretching</td>
<td align="left">Amide II</td>
</tr>
<tr>
<td align="left">1384.71 1399.24</td>
<td align="left">COO&#x2015; stretching</td>
<td align="left">Carboxyl group</td>
</tr>
<tr>
<td align="left">1028.17 1023.06</td>
<td align="left">C&#x2015;O stretching</td>
<td align="left">&#x3b2; 1,4 Glucans</td>
</tr>
<tr>
<td align="left">830.46 844.3</td>
<td align="left">&#x3b1;-Glycosidic linkage vibrations</td>
<td align="left">Carbohydrates</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>The functional groups possibly involved in the binding of ZnO NPs onto the cell wall of <italic>E. faecalis</italic>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Peak shift (Wave number, cm<sup>&#x2212;1</sup>)</th>
<th align="center">Molecular motion</th>
<th align="center">Functional group/biomolecule assignment</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">3284.05 3288.62</td>
<td align="left">O-H stretching</td>
<td align="left">Hydroxyl group</td>
</tr>
<tr>
<td align="left">2927.34 2924.12</td>
<td align="left">Stretching of CH<sub>2</sub>
</td>
<td align="left">Methylene group</td>
</tr>
<tr>
<td align="left">1634.38 1644.95</td>
<td align="left">C&#x3d;O stretching</td>
<td align="left">Amide I</td>
</tr>
<tr>
<td align="left">1538.35 1539.05</td>
<td align="left">N&#x2013;H and C&#x2013;N vibrations</td>
<td align="left">Amide II</td>
</tr>
<tr>
<td align="left">1401.25 1398.11</td>
<td align="left">COO<sup>&#x2212;</sup> symmetric stretching</td>
<td align="left">Carboxyl group</td>
</tr>
<tr>
<td align="left">1231.96 1234.66</td>
<td align="left">PO<sub>2</sub>
<sup>&#x2212;</sup> asymmetric stretching</td>
<td align="left">Phosphate</td>
</tr>
<tr>
<td align="left">1060.29 1041.55</td>
<td align="left">COH deformation</td>
<td align="left">Mannans</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The ZnO NPs treated <italic>S. marcescens</italic> showed the peak shifts from 3282.52 to 3296.21 cm<sup>&#x2212;1</sup>, 1641.65 to 1644.84 cm<sup>&#x2212;1</sup>, 1540.4 to 1531.69 cm<sup>&#x2212;1</sup>, 1399.24 to 1384.71 cm<sup>&#x2212;1</sup>, 1023.06 to 1028.17 cm<sup>&#x2212;1</sup>, and 844.3 to 830.46 cm<sup>&#x2212;1</sup> corresponding to the stretching of O&#x2015;H, C&#x3d;O, C&#x2015;N, COO&#x2015;, C&#x2015;O, and &#x3b1;-glycosidic linkage vibrations respectively.</p>
<p>A broad peak shift between 3282.52 and 3296.21 cm<sup>&#x2212;1</sup> indicated the O-H stretching due to the presence of the hydroxyl group (<xref ref-type="bibr" rid="B47">Nandiyanto et al., 2019</xref>). According to <xref ref-type="bibr" rid="B28">Ifeanyichukwu et al. (2020)</xref>, the hydroxyl group on the bacterial cell surface can facilitate the binding of Zn ions to the bacterial surface. The peak shifts between 1641.65 to 1644.84 and 1531.69 to 1540.4 were associated with amide I and amide II from proteins, while the peak shift from 1384.71 to 1399.24 cm<sup>&#x2212;1</sup> corresponed to the carboxyl group of fatty acids and aminoacids (<xref ref-type="bibr" rid="B49">Ojeda et al., 2008</xref>; <xref ref-type="bibr" rid="B42">Liyanage et al., 2017</xref>; <xref ref-type="bibr" rid="B47">Nandiyanto et al., 2019</xref>). The peak shift beween 1023.06 and 1028.17&#xa0;cm<sup>&#x2212;1</sup> exhibited the C-O stretching coupled with C-O bending of the C-OH of carbohydrates (<xref ref-type="bibr" rid="B47">Nandiyanto et al., 2019</xref>), especially &#x3b2; 1,4 glucans, and the shift from 844.3 to 830.46 cm<sup>&#x2212;1</sup> was possibly due to the &#x3b1;-glycosidic linkage vibrations of carbohydrates (<xref ref-type="bibr" rid="B10">Burattini et al., 2008</xref>).</p>
<p>Meanwhile, the peaks that shifted in ZnO NPs treated <italic>E</italic>. <italic>faecalis</italic> at 24&#xa0;h were 3284.05&#x2013;3288.62 cm<sup>&#x2212;1</sup> with O-H stretching, 2927.34 to 2924.12 cm<sup>&#x2212;1</sup> with CH<sub>2</sub> stretching, 1634.38 to 1644.95 cm<sup>&#x2212;1</sup> with C&#x3d;C stretching, 1231.96 to 1234.66 cm<sup>&#x2212;1</sup> with PO<sub>2</sub>
<sup>&#x2212;</sup> asymmetric stretching, and 1060.29 to 1041.55 cm<sup>&#x2212;1</sup> due to COH deformation. The possible involvement of hydroxyl (3288.62 cm<sup>&#x2212;1</sup>), methylene (2924.12 cm<sup>&#x2212;1</sup>) group from lipids and proteins, amide I (1644.95 cm<sup>&#x2212;1</sup>) from proteins, phosphate (1234.66 cm<sup>&#x2212;1</sup>) from phospholipids and phosphated proteins, and mannans (1041.55 cm<sup>&#x2212;1</sup>) (<xref ref-type="bibr" rid="B10">Burattini et al., 2008</xref>; <xref ref-type="bibr" rid="B42">Liyanage et al., 2017</xref>; <xref ref-type="bibr" rid="B47">Nandiyanto et al., 2019</xref>) of bacterial cell wall in the interaction of ZnO NPs onto the bacterial cell surface were determined.</p>
<p>Carboxylic groups on the cell wall contribute to the negative charge on the surfaces of bacteria cells. The strong electrostatic force at the negatively charged bacterial cells attracts the positively charged Zn ions to produce oxidative stress (<xref ref-type="bibr" rid="B34">Kim et al., 2020</xref>). Previous studies have acknowledged the existence of several functional groups such as carboxyl, hydroxyl, and amine groups on the bacterial cell surface which are predicted to bind with Zn ions (<xref ref-type="bibr" rid="B45">Yusof et al., 2020</xref>), and the involvement of proteins, polysaccharides, and lipids from the bacterial cell wall in the interaction of hematite-coated germanium crystal on bacteria (<xref ref-type="bibr" rid="B49">Ojeda et al., 2008</xref>). In this study, the hydroxyl, carboxyl, amides, methylene, and phosphate groups from the biomolecules such as proteins, carbohydrates, lipids, and phospholipids of bacterial cell wall are identified to be possibly involved in the interaction of ZnO NPs on the bacterial cell surface.</p>
</sec>
<sec id="s3-4">
<title>Energy Dispersive X-Ray Analysis</title>
<p>The cellular accumulation of ZnO NPs on the treated bacteria was analyzed by EDX. The results demonstrated a higher accumulation of Zn in Gram-positive bacterium <italic>E. faecalis</italic> (<xref ref-type="fig" rid="F8">Figure 8</xref>) compared to Gram-negative bacterium <italic>S. marcescens</italic> (<xref ref-type="fig" rid="F9">Figure 9</xref>). The cellular accumulation of Zn corresponds to the bacterial growth inhibition reported in the present study. The higher percentage of growth inhibition reported on <italic>E. faecalis</italic> may be due to the higher accumulation of ZnO NPs in <italic>E. faecalis</italic>.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>EDX spectrum of negative control of <italic>E. faecalis</italic> <bold>(A)</bold> and <italic>E. faecalis</italic> treated with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h <bold>(B)</bold>.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g008.tif"/>
</fig>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>EDX spectrum of negative control of <italic>S. marcescens</italic> <bold>(A)</bold> and <italic>S. marcescens</italic> after treatment with 160&#xa0;&#x3bc;g/ml of ZnO NPs for 24&#xa0;h <bold>(B)</bold>.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g009.tif"/>
</fig>
<p>A study by Manda et al. (2016) reported a higher accumulation of silver NPs in <italic>E. faecalis</italic> compared to Gram-negative bacterium <italic>P. vulgaris</italic>. The less negative zeta potential charge on the cell wall of Gram-positive bacteria was reported to be responsible for the higher accumulation of silver NPs in Gram-positive bacteria compared to Gram-negative bacteria, which have more negative charge in the cell wall (<xref ref-type="bibr" rid="B4">Arakha et al., 2015</xref>; Manda et al. (2016). Similarly, ZnO NPs have negative zeta potential charge (Berg et al., 2009; El-Waseif, 2019), hence the occurence of less electrostatic repulsion between NPs and Gram-positive bacteria can cause higher uptake of NPs and subsequently higher growth inhibition in Gram-positive bacteria.</p>
</sec>
<sec id="s3-5">
<title>Scanning Electron Microscopy</title>
<p>The SEM image from the negative control of <italic>S. marcescens</italic> showed it as a rod-shaped smooth cell with intact cell wall. On the contrary, <italic>S. marcescens</italic> treated with ZnO NPs (160&#xa0;&#x3bc;g/ml) for 24&#xa0;h displayed the attachment of NPs on bacterial surface, rupture of cell membrane, and distortion of bacterial cells (<xref ref-type="fig" rid="F10">Figure 10</xref>). Likewise, the negative control of <italic>E. faecalis</italic> showed smooth spherical cells with complete membrane, while <italic>E. faecalis</italic> treated with ZnO NPs showed attachment of NPs on bacteria, corrugations of cell membrane, and cell distortion (<xref ref-type="fig" rid="F11">Figure 11</xref>).</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>SEM image from negative control of <italic>S. marcescens</italic> with smooth surface and intact cell wall <bold>(A)</bold>. <italic>S. marcescens</italic> upon treatment with 160&#xa0;&#x3bc;g/ml of ZnO NPs at 24&#xa0;h <bold>(B,C)</bold> and <bold>(D)</bold> showing the attachment of NPs (blue arrow), wrinkled cell surface (red arrow), rupture of cell membrane (black arrow), and cell distortion (yellow arrow).</p>
</caption>
<graphic xlink:href="fphar-13-891304-g010.tif"/>
</fig>
<fig id="F11" position="float">
<label>FIGURE 11</label>
<caption>
<p>SEM image of negative control for <italic>E. faecalis</italic> with smooth surface and intact cell wall <bold>(A)</bold>. <italic>E. faecalis</italic> upon treatment with 160&#xa0;&#x3bc;g/ml of ZnO NPs at 24&#xa0;h <bold>(B,C)</bold> and <bold>(D)</bold> showing attachment of NPs (blue arrow), wrinkled cell surface (red arrow), rupture of cell membrane (black arrow), and cell distortion (yellow arrow).</p>
</caption>
<graphic xlink:href="fphar-13-891304-g011.tif"/>
</fig>
<p>The SEM images confirm the attachment of ZnO NPs on the bacterial cell surface and the subsequent disturbance to the integrity of bacterial cell membrane, which resulted in cell wrinkling and distortion. Similar findings were reported in the treatment of ZnO NPs, which caused cell membrane damage in <italic>E. coli</italic> (<xref ref-type="bibr" rid="B4">Arakha et al., 2015</xref>), cell shrinkage in <italic>E. coli</italic> and <italic>S. enterica</italic> (<xref ref-type="bibr" rid="B9">Bakur et al., 2019</xref>), membrane distortion, membrane blebbing, and leakage of cellular contents of <italic>E. coli</italic> and <italic>P. mirabilis</italic> (<xref ref-type="bibr" rid="B44">Maruthupandy et al., 2018</xref>).</p>
<p>The underlying reason that contributed to the cell rupture might be the production of reactive oxygen species due to the interaction of ZnO NPs on the bacterial cell surface, which can cause the loss of bacterial cell wall integrity by oxidizing the glutathione of bacterial cells to suppress their immune defense towards oxygen radicals (<xref ref-type="bibr" rid="B56">Siddiqi et al., 2018</xref>; <xref ref-type="bibr" rid="B21">Djearamane et al., 2020</xref>; <xref ref-type="bibr" rid="B54">S&#xe1;nchez-L&#xf3;pez et al., 2020</xref>). According to <xref ref-type="bibr" rid="B31">Kairyte et al. (2013)</xref>, treatment of ZnO NPs on <italic>L. monocytogenes</italic> resulted in bleb formation, which subsequently caused shrinkage of bacterial cells and intracellular component leakage, and eventually the death of bacterial cells. Further, our earlier studies have reported that the disruption in the cell wall integrity by the treatment of ZnO NPs caused cell death in <italic>S. Pyogenes</italic> and <italic>P. aeruginosa,</italic> respectively (<xref ref-type="bibr" rid="B41">Liang et al., 2020</xref>, and Dhanasekran et al., 2022).</p>
<p>Researchers have proposed various feasible mechanisms for the antibacterial properties of the metal and metal oxide NPs as illustrated in <xref ref-type="fig" rid="F12">Figure 12</xref> (<xref ref-type="bibr" rid="B66">Shaikh et al., 2019</xref>). Firstly, an increase in the production of reactive oxygen species by the interaction of NPs on bacteria can cause suppression of enzyme activity and ribosome disassembly, and lead to inactivation of protein synthesis, structural modification of essential proteins, and DNA damage, which eventually can result in the destruction of cellular components and cell death. Secondly, the disturbance in the cell membrane integrity due to the attachment of NPs on bacteria can increase the internalization of NPs and cause subsequent celluar damage (<xref ref-type="bibr" rid="B66">Shaikh et al., 2019</xref>; <xref ref-type="bibr" rid="B38">Lallo da Silva et al., 2019</xref>; <xref ref-type="bibr" rid="B65">Jiang et al., 2020</xref>). Finally, the dissolution of Zn ions from ZnO NPs can decrease the aminoacid metabolism and disturb the enzyme system, and cause loss in cell viability (<xref ref-type="bibr" rid="B40">Li et al., 2011</xref>; <xref ref-type="bibr" rid="B39">da Silva et al., 2019</xref>). Hence, the destruction of the bacteria cell wall observed from the present study might be due to the interaction of ZnO NPs on the bacterial surface and the subsequent induction of oxidative stress which resulted in the death of bacterial cells.</p>
<fig id="F12" position="float">
<label>FIGURE 12</label>
<caption>
<p>Antibacterial mechanisms of ZnO NPs.</p>
</caption>
<graphic xlink:href="fphar-13-891304-g012.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Conclusion and Further Studies</title>
<p>The present study demonstrated a dose-dependent growth inhibitory effect of ZnO NPs on <italic>S. marcescens</italic> and <italic>E. faecalis</italic> at 24&#xa0;h. The treatment of ZnO NPs caused a higher growth inhibition of 63.50 &#xb1; 2.50% on the Gram-positive bacterium <italic>E</italic>. <italic>faecalis</italic> compared with the Gram-negative bacterium <italic>S. marcescens</italic>, which had 51.27 &#xb1; 4.56% of growth reduction. The resuts also reported a higher accumulation of ZnO NPs on <italic>E</italic>. <italic>faecalis</italic> over <italic>S. marcescens</italic> which is believed to be the reason for the higher growth inhibition of <italic>E. faecalis.</italic> FTIR analysis identified the possible involvement of hydroxyl, carboxyl, amides, methylene, and phosphate groups from the biomolecules such as proteins, carbohydrates, lipids, and phospholipids of bacterial cell wall in the interaction of ZnO NPs on the bacterial surface. In addition, the morphological observations demonstrated that the exposure of <italic>S. marcescens</italic> and <italic>E. faecalis</italic> to ZnO NPs caused the rupture of cell membrane, corrugations, and distortion of cells that sequentially might have lead to cell death and growth inhibition. The present study findings propose the potential utilization of ZnO NPs as an antibacterial agent in treating infections caused by <italic>S. marcescens</italic> and <italic>E. faecalis</italic>. Further research is recommended to study the induction of oxidative stress in our test bacteria when exposed to ZnO NPs by investigating the level of reactive oxygen species and lipid peroxidation to correlate with the bacterial growth inhibition reported in this study. Further, the measurement of zeta potential is suggested to justify the occurence of less electrostatic repulsion between Gram-positive bacteria and ZnO NPs compared to Gram-negative bacteria.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>SD, ZC, and JJ contributed to the conception and design of the study and wrote the first draft of the manuscript. LS, RR, PA, PG, and SX wrote sections of the manuscript. All authors contributed to manuscript preparation and revision, and approved the final version.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This research work was funded by Universiti Tunku Abdul Rahman Research Fund (UTARRF/2020-C2/S06) and Ministry of Education, Malaysia (Grant No. FRGS-1-2014-SG03-INTI-02-1).</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>
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<sec id="s10">
<title>Abbreviations</title>
<p>NPs, nanoparticles; Zn, zinc; ZnO NPs, zinc oxide nanoparticles; SEM, scanning electron microscope; EDX, energy dispersive X-ray; XRD, X-ray diffractometer; FTIR, Fourier transform infrared; LB, Luria-Bertani; PBS, phosphate buffer saline.</p>
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