{'fraction_non_alphanumeric': 0.03251450830749662, 'fraction_numerical': 0.021702838063439065, 'mean_word_length': 4.962085308056872, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 2, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Bactericidal effect of iron oxide nanoparticles on Staphylococcus aureus.

In order to study the effects of iron oxide (IO) nanoparticles on Staphylococcus aureus, IO nanoparticles were synthesized via a novel matrix-mediated method using polyvinyl alcohol (PVA). The IO nanoparticles were characterized by transmission electron microscopy and dynamic light scattering. Further, S. aureus were grown in the presence of three different IO nanoparticle concentrations for four, 12, and 24 hours. Live/dead assays were performed and the results provide evidence that IO/PVA nanoparticles inhibited S. aureus growth at the highest concentration (3 mg/mL) at all time points.


Introduction
Iron oxide (IO) has been widely used in biomedical research because of its biocompatibility and magnetic properties. 1,2 Nanoparticles of IO, with sizes less than 100 nm, have been developed as contrast agents for magnetic resonance imaging (MRI), 3,4 as hyperthermia agents, 5,6 and as carriers for targeted drug delivery to treat several types of cancer. 7,8 It is further believed that through the use of magnetic nanoparticles, an optimal drug delivery system can be developed by using an external magnetic field to direct such nanoparticles to desirable sites (such as implant infection) for immediate treatment 9 (Figure 1).
Staphylococcus aureus is one of the most common human pathogens, and leads to many types of infection. 10 This bacterium is responsible not only for local infections, such as wounds or postoperative infection, but also for prosthetic infection (such as through the use of catheters, endotracheal tubes, and other biomaterials). [11][12][13] S. aureus is also known to possess an increasing ability to resist antibiotics [14][15][16] (such as penicillin, methicillin, tetracycline, erythromycin, and vancomycin). Thus, it is necessary to find an alternative treatment (perhaps without the use of antibiotics) for S. aureus infection that is directed to the site of infection, localized, and difficult for bacteria to formulate resistance.
Along this line, some have hypothesized that reactive oxygen species (ROS) generated by Fe 3 O 4 nanoparticles could kill bacteria without harming non-bacterial cells. 17 Specifically, Pareta et al cultured osteoblasts (bone-forming cells) with IO nanoparticles (at a concentration of 4.25 mg/mL) and found that cell density was greatly enhanced in the presence of IO nanoparticles compared with cells cultured without nanoparticles. 9 Polyvinyl alcohol (PVA) is a polymer commonly used in biomedical applications because of its biocompatibility. 18

Dovepress
in several studies focused on targeted drug delivery. [19][20][21] In the present study, PVA was used as a matrix to deliver nonagglomerated nanoparticles, as suggested by previous researchers. 22,23 The objectives of this study were to design, synthesize, and characterize PVA/IO nanoparticles and investigate the bactericidal activity of such nanoparticles when cultured with S. aureus.

Materials and methods
Iron oxide nanoparticle synthesis IO nanoparticles were synthesized in situ via a matrixmediated method using PVA similar to previously suggested processes. 24,25 Briefly, an aqueous solution of PVA (Acros Organics, Geel, Belgium) was mixed with equal volumes of ferrous/ferric aqueous solutions under ambient conditions. The iron-loaded PVA gels were soaked in stoichiometric amounts of warm aqueous solutions of NaOH. The resulting ferrosoferric hydroxide dehydrates gave brownish precipitations in the polymer solution.

Characterization of iron oxide/PVA
A droplet of IO nanoparticles was placed on a transmission electron microscopy (TEM) copper grid and allowed to dry. The imaging was carried out at 100 kV on a Philips EM420 TEM (Philips, Amsterdam, The Netherlands) and size calculations were carried out with ImageJ (version 1.42q; NIH, Bethseda, MD). To measure the hydrodynamic size of the nanoparticles, 100 µL of the particle solution was diluted with 1.5 mL of water and placed into a cuvette of a Zetasizer-nano instrument (Malvern, Philadelphia, PA). Experiments were conducted in triplicate to obtain an average number-size distribution. The same apparatus was used to measure zeta potentials.
X-ray diffraction (XRD) on dried IO nanoparticle powders was performed on a Siemens D500 (Siemens, Berlin, Germany) within a 2θ range of 20-80 degrees using Cu Kα radiation.
The magnetic properties of the dried nanoparticles were obtained using vibrating sample magnometry (VSM, LakeShore 7040) at room temperature.

S. aureus culture
S. aureus were obtained in frozen form from the American Type Culture Collection (ATCC; ATCC 25923). The bacteria were thawed on ice for 20 minutes before being plated on an agar plate. The plate was dried before incubation for 16 hours in a standard cell culture environment (37°C, 5% CO 2 , and 95% air). A single colony of S. aureus was selected using a 10 µL loop (Sigma, St. Louis, MO) and inoculated into centrifuge tubes containing 5 mL of tryptic soy broth. Bacteria in centrifuge tubes were then incubated at 37°C under agitation at 200 rpm for another 16 hours. At that point, the bacteria solution was diluted in tryptic soy broth to an optical density of 0.52 at 562 nm using a microplate reader (Spectra-Max300; Molecular Devices, Sunnyvale, CA). According to the standard curve correlating bacteria number with optical density, this value was equivalent to 5 × 10 6 cells/mL. The cells were further diluted in tryptic soy broth to 5 × 10 4 cells/mL before being added to a new centrifuge tube at 3 mL/tubes. Concentrated IO nanoparticles in solution were added to bacteria tubes at different doses [30 µg/mL (low dose), 300 µg/mL (medium dose), and 3 mg/mL (high dose)]. A tube of bacteria without nanoparticles served as a control. The IO solution was also added to tubes containing only tryptic soy at the same concentration as above and this served as a particle control. Bacteria were then incubated under agitation for four hours, 12 hours, and 24 hours before a 200 µL bacteria solution was transferred to a 96-well plate for optical density readings at 562 nm using a microplate reader.

S. aureus live/dead assay
After four, 12, and 24 hours of incubation, 100 µL of the bacteria suspension was transferred into a 96-well plate. A live/dead assay was performed according to manufacturer's instructions (Live/Dead BacLight, L7007; Invitrogen, Carlsbad, CA). Briefly, two solutions containing SYTO 9 dye and propidium iodide were mixed and diluted with double distilled water before being added to a bacteria solution at 100 µL/well. The plate was incubated at room temperature in the dark for 15 minutes. Fluorescence intensities for live cells (excitation: 485 nm, emission: 530 nm) and dead cells (excitation: 485 nm, emission: 630 nm) were measured using a fluorescence microplate reader (SpectraMax M5; Molecular Devices). The two intensities were divided and reported as the ratio of live/dead bacteria. Antibacterial effects of iron oxide nanoparticles Dovepress submit your manuscript | www.dovepress.com

Statistical analysis
All experiments were conducted in triplicate and repeated at least three times. Differences between means were determined using a Student's t-test.

Results and discussion
Nanoparticle synthesis and characterization TEM images of the synthesized PVA-coated IO nanoparticles ( Figure 2) showed that the size of the nanoparticles was 9 nm ± 4 nm. The nanoparticles formed necklace-like chains with a typical length of approximately 100-200 nm.
A similar formation was reported in an earlier study, in which IO nanoparticles were believed to precipitate along the polymer chain of PVA. 22 The nanoparticle solution was a clear brownish color and no major types of aggregation were visible after months from synthesis.
The hydrodynamic diameter measurement results ( Figure 3) showed that with the PVA coating, the IO chain-like particles had an average size of 140 nm.
The measured average zeta potential was −19 mV ( Figure 4). This low value suggested that the nanoparticle solution was stable mostly because of steric repulsion but not electrostatic repulsion. The long hydrophilic chains of the PVA associated with water molecules, thus, preventing agglomeration.
The XRD pattern confirmed that the final product was a mixture of Fe 3 O 4 and γ-Fe 2 O 3 ( Figure 5). The existence of γ-Fe 2 O 3 was common and was because of the oxidation of Fe 3 O 4 during synthesis. 26 According to the VSM results ( Figure 6), the negligible coercivity of IO nanoparticles showed properties of superparamagnetic materials, meaning that these nanoparticles do not retain any magnetism after removal of a magnetic field. The high magnetization and superparamagnetic properties are highly desirable for biomedical applications because larger magnetic particles form aggregates after exposure to a magnetic field. 2 The saturation magnetization of the synthesized IO nanoparticles was 15 emu/g. As expected, because of the PVA coating saturation, magnetization of nanoparticles was lower than that of bulk phase magnetite (∼90 emu/g).

Bactericidal activity of PVA-coated IO
After four hours of incubation, the optical density measurements (Figure 7) showed that there was no significant difference in bacteria numbers in the presence of IO nanoparticles.

Dovepress
However, and more importantly, the results from the live/dead assay demonstrated that after four hours, the ratio of live/dead bacteria was significantly lower in the solution with the highest dose (3 mg/mL) of IO nanoparticles compared with the control sample as well as the low and medium dose samples; the same trend was observed after 12 hours and 24 hours (Figure 8).
There are several factors that caused the presently studied IO nanoparticles to be bactericidal. The main mechanism by which antibacterial drugs and antibiotics work is via oxidative stress generated by ROS. 27 ROS, including superoxide radicals (O 2 − ), hydroxyl radicals (−OH), hydrogen peroxide (H 2 O 2 ), and singlet oxygen ( 1 O 2 ), can cause damage to proteins and DNA in bacteria. 28 Park et al also demonstrated an antibacterial activity from silver metals because of ROS generation. 29 In this case, metal oxide Fe 3 O 4 could be the source that created ROS leading to the inhibition of S. aureus. A similar process was described by Keenan et al in which Fe 2+ reacted with oxygen to create hydrogen peroxide. 30 This H 2 O 2 consequently reacted with ferrous irons via the Fenton Antibacterial effects of iron oxide nanoparticles Dovepress submit your manuscript | www.dovepress.com Dovepress reaction and produced hydroxyl radicals which are known to damage biological macromolecules. 17 Other research has demonstrated that the small size of nanoparticles can also contribute to bactericidal effects. For example, Lee et al reported that the inactivation of Escherichia coli by zero-valent iron nanoparticles 31 could be because of the penetration of the small particles (sizes ranging from 10-80 nm) into E. coli membranes.
Nano-Fe 0 could then react with intracellular oxygen, leading to oxidative stress and eventually causing disruption of the cell membrane. Several other studies on ZnO and MgO nanoparticles also concluded that antibacterial activity increased with decreasing particle size. [32][33][34] In this study, the concentration of nanoparticles was a major contribution to S. aureus activity inhibition. A similar concentration-dependent behavior was observed by Kim et al when they investigated the antimicrobial effects of Ag and ZnO nanoparticles on S. aureus and E. coli. 32,35 In a study of bactericidal effects of IO nanoparticles on S. epidermidis, Taylor et al also reported concentrationdependent bacteria inhibition. 36 Briefly, S. epidermidis density progressively decreased at time points of 12, 24, and 48 hours when incubated with 100 µg/mL, 1 mg/mL, and 2 mg/mL IO.
It is also important to note that IO nanoparticles do not negatively influence all cells. Specifically, osteoblast (boneforming cell) proliferation was enhanced in the presence of Fe 2 O 3 nanoparticles (at 4.25 mg/mL, the same order of magnitude which inhibited bacteria in this study). 9 Such results showed that IO nanoparticles could have a dual therapeutic function which can enhance bone growth and inhibit bacteria infection. Lastly, this present study provided evidence that with an appropriate external magnetic field, IO magnetic particles may be directed to kill bacteria as needed throughout the body.