Abstract
Biofilms—microbial communities—are present throughout the environment and interact with humans as part of the resident microbiome or when causing infection and disease. Antibiotics are commonly used to treat bacterial infections, including those due to biofilms. However, antimicrobial tolerance and resistance are common traits of these microbial communities. Resistance to antimicrobials is now widespread, and the search for alternative treatments, such as plant- or herbal-derived extracts, essential oils, and honey, is on the rise. Here, we investigated the effect of Biocidin®, a botanical supplement, on biofilms of Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Candida albicans. A single (bolus) dose of Biocidin® resulted in a significant decrease (> 2 Log) of biofilm and planktonic populations, while a 24-h continuous dose of 25% and 50% Biocidin® led to a typical biphasic killing curve, with the latter concentration resulting in biofilm eradication of P. aeruginosa, S. aureus, and E. coli. Exposure to sub-inhibitory concentrations of Biocidin® did not affect biofilm viability. Results from this work have implications for the use of Biocidin® as a treatment for biofilm-associated infections and as a supplement in natural medicine.
1 Introduction
The development and discovery of antimicrobials increased mostly until the 1960s (Powers, 2004)—the “golden era” of antimicrobial development. It was then thought that infectious diseases were under control (Coates et al., 2002). However, microorganisms can develop resistance through spontaneous mutation or by acquiring DNA from already resistant strains, contributing to widespread antimicrobial resistance (Lipsitch, 2001). In addition to increasing resistance, approximately 70% of infections, including most chronic infections and healthcare-associated infections (HAIs), are due to microbial biofilms (Sharma et al., 2023).
Biofilms constitute the major proportion of bacterial biomass in nature (De Kievit et al., 2001). Colonization and infection occur when microorganisms adhere to a specific surface and produce a matrix enveloping the anchoring microorganisms (the biofilm layer) (Costerton et al., 1994). Microbial biofilms are dynamic communities of cells adherent to inert (abiotic) or living surfaces that are enclosed in a self-produced polymeric matrix (Costerton et al., 1994; Costerton et al., 1995) and react to stimuli in a coordinated manner via intercellular and intracellular communication (Stoodley et al., 2002). The structure of a biofilm protects the cells and enables their survival in hostile environments (Costerton et al., 1999; Kobayashi, 2001). All biofilms share common features: they have a three-dimensional structure and reduced susceptibility to antimicrobials, creating challenges in clinical settings (Zegans et al., 2002). Biofilms are up to 1,000 times less susceptible to antimicrobials compared to their planktonic counterparts (Brown and Gilbert, 1993). However, when bacteria disperse from a biofilm, antimicrobial sensitivity is restored (Stewart, 2002).
In the last two decades, natural products have been explored as alternatives to available antimicrobial treatments. The use of natural products to treat infections is not new, as it has been described in many civilizations, including Mesopotamia and Egypt (Cimino et al., 2021). Most naturally derived products are isolated from plants (Verpoorte et al., 2005). Consequently, validation of their efficacy presents several challenges, ranging from product isolation to loss of concentration during product fractionation (Cos et al., 2006). Despite these setbacks, numerous studies on the antibiofilm activity of naturally derived products have been published in the last two decades, including research on various plants and fruits such as raspberry (Dutreix et al., 2018), cranberry (Bonifait and Grenier, 2010; Girardot et al., 2014), Gentiana lutea (Karalija et al., 2021), and garlic (Bakri and Douglas, 2005; Bjarnsholt et al., 2005; Shuford et al., 2005; Harjai et al., 2010).
In this work, we sought to better understand the effect of Biocidin® on microbial biofilms. Biocidin® is a botanical supplement composed of herbal and oil extracts, including bilberry fruit extract, grape seed extract, shiitake mushroom extract, goldenseal root, noni fruit extract, garlic bulb, white willow bark, milk thistle seed, Echinacea purpurea herb extract, Echinacea angustifolia root, raspberry fruit, black walnut hull, black walnut leaf, lavender oil, oregano oil, galbanum oil, tea tree oil, fumitory aerial parts extract, and Gentiana lutea root (Biocidin-Scientific Validation of botanical ingredients Bilberry extract (Vaccinium myrtillus)). The exact concentrations of each component are proprietary. This botanical supplement has previously been reported to have a broad spectrum of antimicrobial activity, including efficacy against Borrelia burgdorferi in vitro (Karvonen and Gilbert, 2019), treatment of Molluscum contagiosum infection (van der Wouden et al., 2017), reduction of pathogenic bacterial overgrowth in the oral cavity (Ebrahimian et al., 2025), efficacy in small intestinal bacterial overgrowth (Min et al., 2024), and maintenance of a balanced microbiome (van der Wouden et al., 2017).
Overall, we found a significant decrease (>2 log) in biofilm and planktonic populations upon exposure to a bolus dose of Biocidin®, while a 24-h continuous dose of 25% and 50% Biocidin® led to a typical biphasic killing pattern, with the latter concentration resulting in biofilm eradication of Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli. In addition, exposure to sub-inhibitory concentrations of Biocidin® did not affect biofilm viability. These results have implications for the use of Biocidin® as a treatment for biofilm-associated infections and as a supplement in natural medicine.
2 Materials and methods
2.1 Bacterial strains and growth conditions
Escherichia coli ATCC 11775, Pseudomonas aeruginosa ATCC 10752, Klebsiella pneumoniae ATCC 10273, Staphylococcus aureus ATCC 6538, and Candida albicans ATCC 20260 were used in this study. All overnight cultures were grown in brain heart infusion broth (BHI) in shake flasks at 37°C with shaking (220 rpm), unless indicated otherwise.
2.2 Minimum inhibitory concentrations
Minimum inhibitory concentrations (MICs) of each microorganism to Biocidin® (Biocidin Botanicals, FL), ciprofloxacin, tobramycin, fluconazole, and ampicillin were determined in 100% BHI at 37°C after a 24-h incubation. MICs were evaluated in 96-well plates using standard published methodologies (Andrews, 2001). Briefly, overnight microbial cultures were standardized to 0.5 McFarland, and subsequently, 20 μL of the standardized culture were introduced into 180 μL of previously prepared serial dilutions of the compound to be tested. Cultures were incubated at 37°C for 24 h. The MIC was defined as the lowest concentration of the agent that inhibited visible microbial growth. Three biological replicates were performed per condition.
2.3 Biofilm cultures
Microbial biofilms were developed in 24-well plates in a semi-batch system, as described previously (Davies and Marques, 2009; Amari et al., 2013; Marques et al., 2015). Briefly, overnight cultures were standardized to an optical density at 600 nm (OD600) of 1.0 in 10% BHI, and 0.9 mL were used to inoculate each well. Following 1 h of incubation at 37°C with shaking (200 rpm), the medium was replaced with 0.7 mL of fresh medium (10% BHI) to remove non-adherent microorganisms. Biofilms were then allowed to develop at 37°C with aeration for 5 days, with the medium replenished every 24 h.
2.4 Effect of Biocidin® on established biofilms
The response of mature biofilms to Biocidin® was assessed following 5 days of growth. The volume in each well was maintained at 0.7 mL throughout the experiment. On day 5, the medium was replaced with 0.7 mL of solutions containing the different antimicrobials or controls (medium alone). Biofilms were exposed to Biocidin® under the following conditions:
-
Exposure of 5-day biofilms to 0%, 25%, 50%, 75%, or 100% Biocidin® (in saline) for 4 h. Controls consisted of saline alone (carrier solution).
-
Exposure of 5-day biofilms to 25% and 50% Biocidin® (in 10% BHI) for 24 h, with sampling at 1, 3, 5, and 24 h. Controls consisted of 10% BHI alone (carrier solution).
-
Exposure of 5-day biofilms to 5% and 10% Biocidin® for 5 days in 10% BHI, with sampling at 24-h intervals. Controls consisted of 10% BHI alone (negative control) and a known antibiotic or antifungal (positive control). Media and treatments were replenished every 24 h.
For conditions (i) and (ii), following each exposure, planktonic cells (culture medium containing suspended cells) and biofilm cells (attached cells) were collected separately. For each sample, the medium containing planktonic cells was transferred into a microcentrifuge tube, homogenized for 20 s using a Tissue-Tearor homogenizer, serially diluted, plated onto BHI agar, and incubated at 37 °C for 24 h, after which cell viability was quantified as total colony-forming units (CFU). The remaining biofilms were scraped from each well using a cell scraper, resuspended in 1 mL of saline, and processed in the same manner as the planktonic fraction (adapted from (Marques et al., 2005; Marques and Nelson, 2019)).
For condition (iii), biofilm and planktonic samples were collected together and processed similarly to the other conditions to quantify cell numbers. All experiments were performed in at least triplicate.
2.5 Statistical analysis
Antimicrobial efficacy was assessed by monitoring cell viability and comparing treated wells with control wells. All conditions were performed in triplicate biological experiments. Samples were tested for normality using the Shapiro–Wilk test, after which a one-way analysis of variance (ANOVA) was performed for multivariate analysis, followed by Tukey’s or Dunnett’s multiple-comparison tests with correction for multiple comparisons, using GraphPad Prism version 6.0a.
3 Results
Biocidin® is currently available on the market and has been widely used by the general public, as well as tested in patients (Horowitz and Freeman, 2020). To determine the efficacy of Biocidin® in killing microbial biofilms, it was first necessary to establish the minimum inhibitory concentrations (MICs) of Biocidin®, which were found to be 6.25% for Escherichia coli and 12.5% for all other microbial species tested (Table 1).
Table 1
| Bacterial species | Minimum inhibitory concentration (MIC) | |
|---|---|---|
| Average | Standard deviation (SD) | |
| E. coli (ATCC 11775) | 6.25% | 0.2% |
| S. aureus (ATCC 6538) | 12.5% | 1.1% |
| P. aeruginosa (ATCC 10752) | 12.5% | 0.6% |
| K. pneumoniae (ATCC 10273) | 12.5% | 0.5% |
| C. albicans (ATCC 20260) | 12.5% | 0.3% |
Minimum inhibitory concentrations of Biocidin® against several microbial species.
3.1 A 4-hour bolus dose of Biocidin® is effective in reducing biofilm load
To determine the most efficient concentration of Biocidin® against biofilms, microorganisms were inoculated into wells of a 24-well plate and cultured for 5 days until a steady state was reached. On day 5, biofilms were exposed to concentrations of 25%, 50%, 75%, and 100% Biocidin®, diluted in saline, for 4 h (Figure 1).
Figure 1

Effect of a bolus concentration of Biocidin® on biofilms. Biofilms were cultured for 5 days and subsequently exposed to Biocidin® at various concentrations for 4h (A)Staphylococcus aureus, (B)Klebsiella pneumoniae, (C)Candida albicans, (D)Pseudomonas aeruginosa, and E Escherichia coli. Planktonic and biofilm samples were collected (1). Viable cells (total colony-forming units [CFU]). (2) Log reduction in cell viability. Values represent the mean of at least triplicate experiments, and error bars indicate standard deviation (SD). A two-way analysis of variance (ANOVA) with Tukey’s post hoc test was used to determine statistical differences: **p<0.001, ****p<0.0001.
Overall, both biofilm and planktonic cell populations were susceptible to Biocidin®, independent of concentration and microorganism tested (Figures 1A–E). However, killing efficacy varied by microorganism and population type (biofilm or planktonic). Planktonic cells were more susceptible to Biocidin® than biofilm populations, except for Pseudomonas aeruginosa (Figure 1D) and E. coli (Figure 1E), in which susceptibility was similar between the two populations. Staphylococcus aureus was the least susceptible microorganism, with a 1–2 log reduction in biofilm viability independent of Biocidin® concentration (Figure 1A) and a 2–3 log reduction in planktonic cell viability, except at 75%, which resulted in a 1-log reduction (Figure 1A2). Klebsiella pneumoniae was the most susceptible microorganism (Figure 1B), with planktonic populations decreasing by 6 log upon exposure to 75% and 100% Biocidin®, and biofilm populations decreasing by 4 log at 100% Biocidin® (Figure 1B2). The effect of Biocidin® on Candida albicans was consistent across concentrations (Figure 1C), with planktonic populations decreasing by 4–5 log and biofilm populations by 2–3 log (Figure 1C2). For P. aeruginosa, the effect of Biocidin® was similar for planktonic and biofilm populations, with killing increasing from 2 log at 25% to 4 log at 50% Biocidin® (Figure 1D2). E. coli susceptibility increased with increasing Biocidin® concentration, with planktonic killing reaching 3.6 log and biofilm killing reaching 2.8 log at 100% Biocidin® (Figure 1E2). A preliminary table of these findings was previously published by Biocidin® (Strand, 2022), albeit without additional interpretation.
3.2 Exposure to 25% Biocidin® for 24 h primarily affects bacteria shed from biofilms
Once it was established that lower concentrations of Biocidin® were effective in killing biofilms when delivered for 4 h (>2 log reduction, ~99%), the lowest effective concentration was selected for extended exposure. Biofilms were exposed to 25% Biocidin® for 24 h, and the viability of biofilm and planktonic cells (shed cells present in the bulk liquid) was monitored at 0, 1, 3, 6, and 24 h (Figure 2). Controls consisted of medium alone.
Figure 2

Effect of continuous exposure to 25% Biocidin® on biofilms. Biofilms were cultured for a period of 5 days and subsequently were exposed to 25% Biocidine for 24 hours. (A)P. aeruginosa, (B)E. coli, (C)K. pneumoniae, (D)C. albicans, and (E)S. aureus. Planktonic and biofilm samples were taken at various time intervals within the 24 hours of testing. Values consist of the average of at least triplicate experiments and error bars represent SD. A two-way ANOVA (Analysis of Variance) with Tukey's post-test was used to determine statistical differences * p<0.01, ***p<0.0001. Intermittent line indicates detection limit.
Overall, a reduction in planktonic microbial populations shed from biofilms was observed across all exposures. However, not all biofilm populations were reduced within 24 h (Figure 2). P. aeruginosa was the most susceptible organism, with planktonic and biofilm populations reduced by 3 log and 5 log, respectively, at 24 h relative to time 0 (Figure 2A).
E. coli (Figure 2B), K. pneumoniae (Figure 2C), and C. albicans (Figure 2D) exhibited biphasic killing. E. coli biofilm and planktonic populations decreased by approximately 3 log starting at 1 h of exposure (Figure 2B). Biofilm populations of K. pneumoniae (Figure 2C) and C. albicans (Figure 2D) decreased by 1 log at 24 h, while planktonic populations decreased by approximately 2.5 log beginning at 3 h.
S. aureus was the least affected organism following 24-h exposure to 25% Biocidin®, with planktonic viability decreasing by 1.5 log (Figure 2D).
3.3 S. aureus, P. aeruginosa, and E. coli biofilm viability decreases to or below detection limits after 24-h exposure to 50% Biocidin®
Given the promising results from bolus exposure to various Biocidin® concentrations, we were surprised to find that continuous exposure to 25% Biocidin® did not result in killing above 99.9% (Figure 2). Therefore, the effect of 50% Biocidin® was tested against S. aureus, P. aeruginosa, and E. coli (Figure 3).
Figure 3

Effect of continuous exposure to 50% Biocidin® on biofilms. Biofilms were cultured for a period of 5 days and subsequently were exposed to 50% Biocidin® for 24 hours. (A)P. aeruginosa, (B)E. coli, (C), S. aureus. Planktonic and biofilm samples were taken at various time intervals within the 24 hours of testing. Values consist of the average of at least triplicate experiments and error bars represent SD. A two-way ANOVA (Analysis of Variance) with Tukey's post-test was used to determine statistical differences * p<0.01, **p<0.001, ***p<0.0001. Intermittent line indicates detection limit.
P. aeruginosa (Figure 3A) and E. coli (Figure 3B) exhibited biphasic killing, whereas S. aureus (Figure 3C) showed exponential killing. P. aeruginosa biofilm and planktonic populations decreased by 3.5–4 log within 1 h of exposure (Figure 3A). Viability continued to decrease significantly (P < 0.001), reaching a plateau by 3 h and falling below the detection limit by 24 h (Figure 3A).
E. coli biofilms (Figure 3B) followed a similar pattern, with biofilm and planktonic populations decreasing by 2–2.5 log, respectively, and reaching the detection limit at 24 h. S. aureus biofilm viability did not plateau and was undetectable by 24 h (Figure 3C).
3.4 Continuous exposure to sub-inhibitory Biocidin® concentrations does not affect the viability of biofilms.
To determine whether Biocidin® concentrations below the MIC affected biofilms, 5-day mature biofilms were exposed to 5% and 10% Biocidin®. Antimicrobials known to be effective against each microorganism were used as positive controls, while carrier medium alone served as the negative control. Overall, these Biocidin® concentrations did not significantly affect microbial viability (Figure 4).
Figure 4

Effect of continuous exposure to sub-inhibitory Biocidin® concentrations on biofilms. Biofilms were cultured for a period of 5 days and subsequently were exposed to 5% and 10% Biocidin® in 10% BHI for further 5 days. Biofilm samples were taken daily. Controls consisted of 10% BHI alone - carrier solution (-) and a known antibiotic or antifungal (+). (A)P. aeruginosa, (B)E. coli, (C)K pneumoniae, (D)C. albicans, and (E)S. aureus. Values consist of the average of at least triplicate experiments and error bars represent SD. A two-way ANOVA (Analysis of Variance) with Tukey's post-test was used to determine statistical differences **p<0.001, ***p<0.0001. Intermittent line indicates detection limit.
In S. aureus, exposure to 5% and 10% Biocidin® resulted in a slight but not statistically significant increase in viability (P > 0.05) (Figure 4C). Ciprofloxacin and fluconazole were not effective in killing P. aeruginosa (Figure 4A) and C. albicans (Figure 4D) biofilms, respectively, at the concentrations tested.
4 Discussion
Natural products composed of concentrated herbal and oil extracts have been used for many centuries and have been shown to have medicinal benefits, including activity against infections.
The human microbiota is composed of a complex microbial community consisting not only of bacteria but also fungi, viruses, and eukaryotic parasites (Mahowald et al., 2009; Flandroy et al., 2018; O’Sullivan et al., 2019; Kennedy and Chang, 2020; Ruan et al., 2020). These microbial communities are commonly found as biofilms. The microbiota is largely beneficial; however, during disease states and following antimicrobial treatments, microbial communities can become imbalanced, resulting in dysbiosis, in which certain microorganisms become predominant while remaining in biofilm form (Kobayashi et al., 2015; Ochoa-Reparaz et al., 2017; Blicharz et al., 2021; Ancona et al., 2023; Zhan et al., 2023). Biofilms are known for their resilience to antimicrobials due to resistance, tolerance, and/or persistence mechanisms (Brown et al., 1988; Hoyle and Costerton, 1991; Brauner et al., 2016; Balaban and Liu, 2019; Sharma et al., 2023). These characteristics, together with the global rise in antibiotic resistance, have led to increased research into alternative or novel treatment strategies aimed at overcoming reduced antibiotic efficacy (de la Fuente-Nunez et al., 2023). Such strategies include the use of bacteriophages (Barr et al., 2013; Roszak et al., 2022; Biswas et al., 2024), honey (Maddocks and Jenkins, 2013; Albaridi, 2019), and naturally derived products such as plant extracts and oils (Butler and Buss, 2006; Cos et al., 2006; Mahady et al., 2008).
To further explore the potential of natural products as alternative treatments for biofilm-associated infections, we investigated Biocidin®, a botanical supplement composed of a mixture of herbal and oil extracts. This supplement was tested against Escherichia coli, which is responsible for a variety of diseases, including gut-related disorders (Mirsepasi-Lauridsen et al., 2019; Pakbin et al., 2021; Geurtsen et al., 2022); three ESKAPE pathogens—Pseudomonas aeruginosa, Staphylococcus aureus, and Klebsiella pneumoniae—which are major contributors to healthcare-associated infections (HAIs) (Pendleton et al., 2013; Santajit and Indrawattana, 2016; De Oliveira et al., 2020); and Candida albicans, which is associated with oral and vaginal thrush, as well as opportunistic infections following antibiotic treatment (Tuss, 1981; Morales and Hogan, 2010; Nobile and Johnson, 2015). Biofilms were exposed to either a bolus treatment or a 24-h continuous treatment with 25% or higher concentrations of Biocidin®. In addition, biofilms were continuously exposed to sub-inhibitory concentrations of Biocidin® for 5 days.
Both continuous and bolus exposure of 5-day-old biofilms to Biocidin® resulted in significant killing of biofilms formed by S. aureus, E. coli, P. aeruginosa, K. pneumoniae, and C. albicans (Figures 1–3). A 4-h bolus exposure to Biocidin® at concentrations of 25% or higher resulted in a significant (P < 0.01) reduction of ≥2 log in both biofilm and planktonic populations of S. aureus, P. aeruginosa, K. pneumoniae, and C. albicans (Figure 1). Increased killing was observed following 24-h exposure to 25% Biocidin®, which also included E. coli (Gram-negative) (Figure 2), with the exception of S. aureus (Figure 2E). Furthermore, continuous exposure of P. aeruginosa, E. coli, and S. aureus biofilms to 50% Biocidin® for 24 h resulted in biofilm killing to the point of eradication or below the detection limit (Figure 3).
These findings complement previous reports demonstrating that Biocidin® is effective in killing Borrelia burgdorferi, the causative agent of Lyme disease (Karvonen and Gilbert, 2019). The broad-spectrum antimicrobial activity and high efficacy in reducing biofilm viability observed in this study were anticipated based on the herbal composition of Biocidin®. Antimicrobial activity has previously been demonstrated for all major components of Biocidin®, including bilberry extract (Vučić et al., 2013), grape seed extract (Han et al., 2021; Krasteva et al., 2023), shiitake mushroom extract (Hearst et al., 2009; Kupcová et al., 2018), goldenseal root (Gao et al., 2024), noni fruit extract (Rae et al., [[NoYear]]; Jahurul et al., 2021), garlic bulb (Bakri and Douglas, 2005; Bjarnsholt et al., 2005; Shuford et al., 2005; Harjai et al., 2010; Bhatwalkar et al., 2021), milk thistle seed (Doğan et al., 2022; Kucharska et al., 2024), Echinacea purpurea herb extract (Ismali, 2022; Yazdanian et al., 2022; Burlou-Nagy et al., 2023), Echinacea angustifolia root (Ismali, 2022), raspberry fruit (Dutreix et al., 2018; Gomathi et al., 2024), black walnut (D’angeli et al., 2021; Ho et al., 2023), lavender oil (Ciocarlan et al., 2021; Mesic et al., 2021; Speranza et al., 2023), oregano oil (Lee et al., 2017; Lu et al., 2018; Hacioglu et al., 2021; Lu et al., 2022), tea tree oil (Kabir Mumu and Mahboob Hossain, 2018; Puvača et al., 2019), and Gentiana lutea root (Karalija et al., 2021; Subašić et al., 2022).
In contrast, sub-inhibitory concentrations of Biocidin® did not significantly affect biofilms of P. aeruginosa, S. aureus, E. coli, or C. albicans, even after 5 days of continuous exposure (Figure 4). This finding suggests that at low concentrations, Biocidin® does not impair microbial viability. However, it may exert effects at the molecular level, potentially reducing microbial virulence—an effect that has been observed for several herbal extracts (Subašić et al., 2022; Křížkovská et al., 2023; Muñoz-Cázares et al., 2023).
Overall, Biocidin® demonstrated significant in vitro antimicrobial activity against biofilms formed by E. coli, S. aureus, P. aeruginosa, K. pneumoniae, and C. albicans when present at concentrations of 25% or higher. Although Biocidin® has been commercially available since 1989 with no reported adverse effects associated with long-term use, cytotoxicity data for these concentrations are currently lacking. Furthermore, limited clinical evidence suggests that Biocidin® may promote tissue healing, as demonstrated in a case report involving a child with Molluscum contagiosum and in a case report evaluating gingival and periodontal health (van der Wouden et al., 2017). While Biocidin® is generally regarded as well tolerated at recommended doses, the concentrations required for biofilm eradication in this study exceed those likely achievable within the gastrointestinal tract and other internal organs. However, such concentrations may be attainable in localized oral or topical applications, as supported by a recent case study reporting reduced pathogenic bacterial overgrowth in the oral cavity following Biocidin® use (Ebrahimian et al., 2025).
Statements
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
Author contributions
AM: Investigation, Writing – original draft, Formal analysis. AW: Writing – original draft, Formal analysis, Investigation. KK-M: Writing – review & editing, Resources. JS: Writing – review & editing, Resources. CM: Methodology, Data curation, Project administration, Conceptualization, Supervision, Investigation, Resources, Funding acquisition, Software, Formal analysis, Writing – original draft, Writing – review & editing.
Funding
The author(s) declared that financial support was received for this work and/or its publication. This research was funded by Biocidin Botanicals.
Conflict of interest
Author CM is the CEO of Excelsior Biofilms LLC and was on the Biocidin Botanicals Scientific board from 2022-2023. Author JS is employed by Biocidin Botanicals.
The author(s) declared that this work received funding from Biocidin Botanicals. The funder had the following involvement in the study: writing the manuscript and decision to publish.
Generative AI statement
The author(s) declared that generative AI was not used in the creation of this manuscript.
Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.
Publisher’s note
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.
References
1
Albaridi N. A. (2019). Antibacterial potency of honey. Int. J. Microbiol.2019, 2464507. doi: 10.1155/2019/2464507
2
Amari D. T. Marques C. N. H. Davies D. G. (2013). The putative enoyl-coenzyme A hydratase DspI is required for production of the Pseudomonas aeruginosa biofilm dispersion autoinducer cis-2-decenoic acid. J. Bacteriol195, 4600–4610. doi: 10.1128/JB.00707-13
3
Ancona G. Alagna L. Alteri C. Palomba E. Tonizzo A. Pastena A. et al . (2023). Gut and airway microbiota dysbiosis and their role in COVID-19 and long-COVID. Front. Immunol.14, 1080043. doi: 10.3389/fimmu.2023.1080043
4
Andrews J. M. (2001). Determination of minimum inhibitory concentrations. J. Antimicrob. Chemother.48, 5–16. doi: 10.1093/jac/48.suppl_1.5
5
Bakri I. M. Douglas C. W. I. (2005). Inhibitory effect of garlic extract on oral bacteria. Arch. Oral. Biol.50, 645–651. doi: 10.1016/j.archoralbio.2004.12.002
6
Balaban N. Q. Liu J. (2019). Evolution under antibiotic treatments: Interplay between antibiotic persistence, tolerance, and resistance. Persister Cells Infect. Dis., 1–17.
7
Barr J. J. Auro R. Furlan M. Whiteson K. L. Erb M. L. Pogliano J. et al . (2013). Bacteriophage adhering to mucus provide a non-host-derived immunity. Proc. Natl. Acad. Sci. U.S.A.110, 10771–10776. doi: 10.1073/pnas.1305923110
8
Bhatwalkar S. B. Mondal R. Krishna S. B. N. Adam J. K. Govender P. Anupam R. (2021). Antibacterial properties of organosulfur compounds of garlic (Allium sativum). Front. Microbiol.12, 613077. doi: 10.3389/fmicb.2021.613077
9
Biswas S. K. Sumon M. M. H. Ahmed S. Ruma R. A. Parvin A. Paul D. K. et al . (2024). Beyond antibiotics: exploring the potential of bacteriophages and phage therapy. Phage5, 186–202. doi: 10.1089/phage.2024.0005
10
Bjarnsholt T. Jensen PØ Rasmussen T. B. Christophersen L. Calum H. Hentzer M. et al . (2005). Garlic blocks quorum sensing and promotes rapid clearing of pulmonary Pseudomonas aeruginosa infections. Microbiology151, 3873–3880. doi: 10.1099/mic.0.27955-0
11
Blicharz L. Rudnicka L. Czuwara J. Waśkiel-Burnat A. Goldust M. Olszewska M. et al . (2021). The influence of microbiome dysbiosis and bacterial biofilms on epidermal barrier function in atopic dermatitis—an update. Int. J. Mol. Sci.22, 8403. doi: 10.3390/ijms22168403
12
Bonifait L. Grenier D. (2010). Cranberry polyphenols: potential benefits for dental caries and periodontal disease. J. Can. Dent. Assoc. (Tor).76, a130.
13
Brauner A. Fridman O. Gefen O. Balaban N. Q. (2016). Distinguishing between resistance, tolerance and persistence to antibiotic treatment. Nat. Rev. Microbiol.14 (5), 320–30. doi: 10.1038/nrmicro.2016.34
14
Brown M. R. W. Allison D. G. Gilbert P. (1988). Resistance of bacterial biofilms to antibiotics: a growth-rate related effect? J. Antimicrobial Chemotherapy22, 777–780. doi: 10.1093/jac/22.6.777
15
Brown M. R. Gilbert P. (1993). Sensitivity of biofilms to antimicrobial agents. J. Appl. Bacteriol74 Suppl, 87S–97S. doi: 10.1111/j.1365-2672.1993.tb04345.x
16
Burlou-Nagy C. Bănică F. Negrean R. A. Jurca T. Vicas L. G. Marian E. et al . (2023). Determination of the bioactive compounds from EChinacea purpurea (L.) moench leaves extracts in correlation with the antimicrobial activity and the in vitro wound healing potential. Molecules 2023 Vol 28 Page5711 28, 5711. doi: 10.3390/molecules28155711
17
Butler M. S. Buss A. D. (2006). Natural products - The future scaffolds for novel antibiotics? Biochem. Pharmacol.71, 919–929. doi: 10.1016/j.bcp.2005.10.012
18
Cimino C. Maurel O. M. Musumeci T. Bonaccorso A. Drago F. Souto E. M. B. et al . (2021). Essential oils: pharmaceutical applications and encapsulation strategies into lipid-based delivery systems. Pharmaceutics13, 327. doi: 10.3390/pharmaceutics13030327
19
Ciocarlan A. Lupascu L. Aricu A. Dragalin I. Popescu V. Geana E. I. et al . (2021). Chemical composition and assessment of antimicrobial activity of lavender essential oil and some by-products. Plants10, 1829. doi: 10.3390/plants10091829
20
Coates A. Hu Y. Bax R. Page C. (2002). The future challenges facing the development of new antimicrobial drugs. Nat. Rev. Drug Discov.1, 895–910. doi: 10.1038/nrd940
21
Cos P. Vlietinck A. J. Vanden B. D. Maes L. (2006). Anti-infective potential of natural products: how to develop a stronger in vitro “proof-of-concept. J. Ethnopharmacol106, 290–302. doi: 10.1016/j.jep.2006.04.003
22
Costerton J. W. Lewandowski Z. Caldwell D. E. Korber D. R. Lappin-Scott H. M. (1995). Microbial biofilms. Annu. Rev. Microbiol.49, 711–745. doi: 10.1146/annurev.mi.49.100195.003431
23
Costerton J. W. Lewandowski Z. DeBeer D. Caldwell D. Korber D. James G. (1994). Biofilms, the customized microniche. J. Bacteriol176, 2137–2142. doi: 10.1128/jb.176.8.2137-2142.1994
24
Costerton J. W. Stewart P. S. Greenberg E. P. (1999). Bacterial biofilms: a common cause of persistent infections. Science284, 1318–1322. doi: 10.1126/science.284.5418.1318
25
D’angeli F. Malfa G. A. Garozzo A. Volti G. L. Genovese C. Stivala A. et al . (2021). Antimicrobial, antioxidant, and cytotoxic activities of Juglans regia L. pellicle extract. Antibiotics 2021 Vol 10 Page159 10, 159. doi: 10.3390/antibiotics10020159
26
Davies D. G. Marques C. N. H. (2009). A fatty acid messenger is responsible for inducing dispersion in microbial biofilms. J. bacteriology191, 1393–1403. doi: 10.1128/JB.01214-08
27
De Kievit T. R. Parkins M. D. Gillis R. J. Srikumar R. Ceri H. Poole K. et al . (2001). Multidrug efflux pumps: expression patterns and contribution to antibiotic resistance in Pseudomonas aeruginosa biofilms. Antimicrob. Agents Chemother.45, 1761–1770. doi: 10.1128/AAC.45.6.1761-1770.2001
28
de la Fuente-Nunez C. Cesaro A. Hancock R. E. W. (2023). Antibiotic failure: Beyond antimicrobial resistance. Drug Resistance Updates71, 101012. doi: 10.1016/j.drup.2023.101012
29
De Oliveira D. M. P. Forde B. M. Kidd T. J. Harris P. N. A. Schembri M. A. Beatson S. A. et al . (2020). Antimicrobial resistance in ESKAPE pathogens. Clin. Microbiol. Rev.33 (3), e00181-19. doi: 10.1128/CMR.00181-19
30
Doğan G. Kara N. Gür S. Bagcı E. (2022). Chemical composition and biological activity of milk thistle seeds (Silybum marianum (L.) Gaertn.). Int. J. Nat. Life Sci.6, 90–98. doi: 10.47947/ijnls.1124453
31
Dutreix L. Bernard C. Juin C. Imbert C. Girardot M. (2018). Do raspberry extracts and fractions have antifungal or anti-adherent potential against Candida sppInt. J. Antimicrob. Agents52, 947–953. doi: 10.1016/j.ijantimicag.2018.08.020
32
Ebrahimian A. Manske S. D’Adamo C. R. Klos-Maki K. (2025). Effectiveness of botanical oral health products in reducing pathogenic bacterial overgrowth and improving gingival health: a case report. Altern. Ther. Health Med.24, AT11549.
33
Flandroy L. Poutahidis T. Berg G. Clarke G. Dao M. C. Decaestecker E. et al . (2018). The impact of human activities and lifestyles on the interlinked microbiota and health of humans and of ecosystems. Sci. Total Environ.15, 1018–1038. doi: 10.1016/j.scitotenv.2018.01.288
34
Gao Y. Swiggart E. Wolkiewicz K. Liyanapathiranage P. Baysal-Gurel F. Avin F. A. et al . (2024). Goldenseal (Hydrastis canadensis L.) extracts inhibit the growth of fungal isolates associated with american ginseng (Panax quinquefolius L.). Molecules29, 556. doi: 10.3390/molecules29030556
35
Geurtsen J. de Been M. Weerdenburg E. Zomer A. McNally A. Poolman J. (2022). Genomics and pathotypes of the many faces of Escherichia coli. FEMS Microbiol. Rev.46 (6), fuac031. doi: 10.1093/femsre/fuac031
36
Girardot M. Guerineau A. Boudesocque L. Costa D. Bazinet L. Enguehard-Gueiffier C. et al . (2014). Promising results of cranberry in the prevention of oral Candida biofilms. Pathog. Dis.70, 432–439. doi: 10.1111/2049-632X.12168
37
Gomathi R. Umamaheswari T. N. Prethipa R. (2024). Evaluation of antioxidant, anti-inflammatory, and antimicrobial activities of raspberry fruit extract: an in vitro study. Cureus16, e54045. doi: 10.7759/cureus.54045
38
Hacioglu M. Oyardi O. Kirinti A. (2021). Oregano essential oil inhibits Candida spp. biofilms. Z Naturforsch. C J. Biosci.76, 443–450. doi: 10.1515/znc-2021-0002
39
Han H. W. Kwak J. H. Jang T. S. Knowles J. C. Kim H. W. Lee H. H. et al . (2021). Grapefruit seed extract as a natural derived antibacterial substance against multidrug-resistant bacteria. Antibiotics10, 85. doi: 10.3390/antibiotics10010085
40
Harjai K. Kumar R. Singh S. (2010). Garlic blocks quorum sensing and attenuates the virulence of Pseudomonas aeruginosa. FEMS Immunol. Med. Microbiol.58, 161–168. doi: 10.1111/j.1574-695X.2009.00614.x
41
Hearst R. Nelson D. McCollum G. Millar B. C. Maeda Y. Goldsmith C. E. et al . (2009). An examination of antibacterial and antifungal properties of constituents of Shiitake (Lentinula edodes) and Oyster (Pleurotus ostreatus) mushrooms. Complement Ther. Clin. Pract.15, 5–7. doi: 10.1016/j.ctcp.2008.10.002
42
Ho K.V. Hsieh H. Y. Roy A. Foote S. McDonald P. Coggeshall M. V. et al . (2023). Quantification and characterization of biological activities of glansreginin A in black walnuts (Juglans nigra). Sci. Rep.13, 1 13:1–1 1310. doi: 10.1038/s41598-023-46134-8
43
Horowitz R. I. Freeman P. R. (2020). Efficacy of double-dose dapsone combination therapy in the treatment of chronic lyme disease/post-treatment lyme disease syndrome (PTLDS) and associated co-infections: a report of three cases and retrospective chart review. Antibiotics9, 725. doi: 10.20944/preprints202009.0009.v1
44
Hoyle B. D. Costerton J. W. (1991). Bacterial resistance to antibiotics: the role of biofilms. Prog. Drug Res.37, 91–9105. doi: 10.1007/978-3-0348-7139-6_2
45
Humphreys C. Kasa A. Katzinger J. (2022). Biocidin-Scientific Validation of botanical ingredients Bilberry extract (Vaccinium myrtillus). West Palm Beach, FL, USA: Biocidin Botanicals.
46
Ismali A. (2022). The antifungal properties of a combination of EChinacea purpurea and EChinacea angustifolia mother tinctures on clinically relevant strains of Candida in vitro – ProQuest.
47
Jahurul M. H. A. Patricia M. Shihabul A. Norazlina M. R. Ramlah George M. R. Noorakmar A. W. et al . (2021). A review on functional and nutritional properties of noni fruit seed (Morinda citrifolia L.) and its oil. Food Biosci.41, 101000. doi: 10.1016/j.fbio.2021.101000
48
Kabir Mumu S. Mahboob Hossain M. (2018). Antimicrobial activity of tea tree oil against pathogenic bacteria and comparison of its effectiveness with eucalyptus oil, lemongrass oil and conventional Antibiotics. Am. J. Microbiol. Res.6, 73–78. doi: 10.12691/ajmr-6-3-2
49
Karalija E. Ćavar Zeljković S. Dahija S. Bešta-Gajević R. Parić A. (2021). Phenolics of aerial parts of Gentiana lutea L. their Biol. activity. Agron. 2021 Vol 11 Page1442 11, 1442. doi: 10.3390/agronomy11071442
50
Karvonen K. Gilbert L. (2019). Effective killing of Borrelia burgdorferi in vitro with novel herbal compounds. Gen. Med. Open2 (6).
51
Kennedy M. S. Chang E. B. (2020). The microbiome: composition and locations. Prog. Mol. Biol. Transl. Sci.176, 1. doi: 10.1016/bs.pmbts.2020.08.013
52
Kobayashi H. (2001). Airway biofilm disease. Int. J. Antimicrob. Agents17, 351–356. doi: 10.1016/S0924-8579(01)00310-7
53
Kobayashi T. Glatz M. Horiuchi K. Kawasaki H. Akiyama H. Kaplan D. H. et al . (2015). Dysbiosis and Staphylococcus aureus colonization drives inflammation in atopic dermatitis. Immunity42, 756–766. doi: 10.1016/j.immuni.2015.03.014
54
Krasteva D. Ivanov Y. Chengolova Z. Godjevargova T. (2023). Antimicrobial potential, antioxidant activity, and phenolic content of grape seed extracts from four grape varieties. Microorganisms11, 395. doi: 10.3390/microorganisms11020395
55
Křížkovská B. Hoang L. Brdová D. Klementová K. Szemerédi N. Loučková A. et al . (2023). Modulation of the bacterial virulence and resistance by well-known European medicinal herbs. J. Ethnopharmacol312, 116484. doi: 10.1016/j.jep.2023.116484
56
Kucharska E. Grygorcewicz B. Spietelun M. Olszewska P. Bobkowska A. Ryglewicz J. et al . (2024). Potential role of bioactive compounds: in vitro evaluation of the antioxidant and antimicrobial activity of fermented milk thistle. Appl. Sci.14, 4287. doi: 10.3390/app14104287
57
Kupcová K. Štefanová I. Plavcová Z. Hošek J. Hrouzek P. Kubec R. (2018). Antimicrobial, cytotoxic, anti-inflammatory, and antioxidant activity of culinary processed shiitake medicinal mushroom (Lentinus edodes, Agaricomycetes) and its major sulfur sensory-active compound-lenthionine. Int. J. Med. Mushrooms20, 165–175. doi: 10.1615/IntJMedMushrooms.2018025455
58
Lee J. H. Kim Y. G. Lee J. (2017). Carvacrol-rich oregano oil and thymol-rich thyme red oil inhibit biofilm formation and the virulence of uropathogenic Escherichia coli. J. Appl. Microbiol.123, 1420–1428. doi: 10.1111/jam.13602
59
Lipsitch M. (2001). The rise and fall of antimicrobial resistance. Trends Microbiol.9, 438–444. doi: 10.1016/S0966-842X(01)02130-8
60
Lu M. Dai T. Murray C. K. Wu M. X. (2018). Bactericidal property of oregano oil against multidrug-resistant clinical isolates. Front. Microbiol.9, 2329. doi: 10.3389/fmicb.2018.02329
61
Lu M. Wong K. I. Li X. Wang F. Wei L. Wang S. et al . (2022). Oregano oil and harmless blue light to synergistically inactivate multidrug-resistant Pseudomonas aeruginosa. Front. Microbiol.13. doi: 10.3389/fmicb.2022.810746
62
Maddocks S. E. Jenkins R. E. (2013). Honey: a sweet solution to the growing problem of antimicrobial resistance? Future Microbiol.8, 1419–1429. doi: 10.2217/fmb.13.105
63
Mahady G. B. Huang Y. Doyle B. J. Locklear T. (2008). Natural products as antibacterial agents. Stud. Natural Products Chem.35, 423–444.
64
Mahowald M. A. Rey F. E. Seedorf H. Turnbaugh P. J. Fulton R. S. Wollam A. et al . (2009). Characterizing a model human gut microbiota composed of members of its two dominant bacterial phyla. Proc. Natl. Acad. Sci. U.S.A.106 (14), 5859–64. doi: 10.1073/pnas.0901529106
65
Marques C. Davies D. Sauer K. (2015). Control of biofilms with the fatty acid signaling molecule cis-2-decenoic acid. Pharmaceuticals8, 816–835. doi: 10.3390/ph8040816
66
Marques C. N. H. Nelson S. M. (2019). Pharmacodynamics of ciprofloxacin against Pseudomonas aeruginosa planktonic and biofilm-derived cells. Lett. Appl. Microbiol.68, 350–359. doi: 10.1111/lam.13126
67
Marques C. N. H. Salisbury V. C. Greenman J. Bowker K. E. Nelson S. M. (2005). Discrepancy between viable counts and light output as viability measurements, following ciprofloxacin challenge of self-bioluminescent Pseudomonas aeruginosa biofilms. J. Antimicrob. Chemother.56, 665–671. doi: 10.1093/jac/dki285
68
Mesic A. Mahmutović-Dizdarević I. Tahirović E. Durmišević I. Eminovic I. Jerković-Mujkić A. et al . (2021). Evaluation of toxicological and antimicrobial activity of lavender and immortelle essential oils. Drug Chem. Toxicol.44, 190–197. doi: 10.1080/01480545.2018.1538234
69
Min M. Nadora D. Chakkalakal M. Afzal N. Subramanyam C. Gahoonia N. et al . (2024). An oral botanical supplement improves small intestinal bacterial overgrowth (SIBO) and facial redness: results of an open-label clinical study. Nutrients16. doi: 10.3390/nu16183149
70
Mirsepasi-Lauridsen H. C. Vallance B. A. Krogfelt K. A. Petersen A. M. (2019). Escherichia coli pathobionts associated with inflammatory bowel disease. Clin. Microbiol. Rev.32 (2), e00060-18. doi: 10.1128/CMR.00060-18
71
Morales D. K. Hogan D. A. (2010). Candida albicans interactions with bacteria in the context of human health and disease. PloS Pathog.6, e1000886. doi: 10.1371/journal.ppat.1000886
72
Muñoz-Cázares N. Peña-González M. C. Castillo-Juárez I. Díaz-Núñez J. L. Peña-Rodríguez L. M. (2023). Exploring the anti-virulence potential of plants used in traditional Mayan medicine to treat bacterial infections. J. Ethnopharmacol317, 116783. doi: 10.1016/j.jep.2023.116783
73
Nobile C. J. Johnson A. D. (2015). Candida albicans biofilms and human disease. Annu. Rev. Microbiol.69, 71–92. doi: 10.1146/annurev-micro-091014-104330
74
O’Sullivan J. N. Rea M. C. O’Connor P. M. Hill C. Ross R. P. (2019). Human skin microbiota is a rich source of bacteriocin-producing Staphylococci that kill human pathogens. FEMS Microbiol. Ecol.95, 1–10. doi: 10.1093/femsec/fiy241
75
Ochoa-Reparaz J. Magori K. Kasper L. H. (2017). The chicken or the egg dilemma: Intestinal dysbiosis in multiple sclerosis. Ann. Transl. Med.5 (6), 145. doi: 10.21037/atm.2017.01.18
76
Pakbin B. Brück W. M. Rossen J. W. A. (2021). Virulence factors of enteric pathogenic escherichia coli: a review. Int. J. Mol. Sci.22, 9922. doi: 10.3390/ijms22189922
77
Pendleton J. N. Gorman S. P. Gilmore B. F. (2013). Clinical relevance of the ESKAPE pathogens. Expert Rev. Anti Infect. Ther.11, 297–308. doi: 10.1586/eri.13.12
78
Powers J. H. (2004). Antimicrobial drug development–the past, the present, and the future. Clin. Microbiol. Infect.10 Suppl 4, 23–31. doi: 10.1111/j.1465-0691.2004.1007.x
79
Puvača N. Čabarkapa I. Petrović A. Bursić V. Prodanović R. Soleša D. et al . (2019). Tea tree (Melaleuca alternifolia) and its essential oil: antimicrobial, antioxidant and acaricidal effects in poultry production. Worlds Poult Sci. J.75, 235–246.
80
Rae M. Perdana G. Hermanto B. Koendhori E. B. (2022). Antibacterial activity of Noni fruit extract (Morinda citrifolia) against Staphylococcus aureus ATCC 25923 and methicillin resistant Staphylococcus aureus (MRSA). Int. J. Res. Publications115, 76–80.
81
Roszak M. Dołe B. Cecerska-Heryc Z. Heryc H. Serwin N. Jabłonska J. et al . (2022). Bacteriophage–ciprofloxacin combination effectiveness depends on Staphylococcus aureus–Candida albicans dual-species communities’ growth model. Microb. Drug Resist.28, 613–622. doi: 10.1089/mdr.2021.0324
82
Ruan W. Engevik M. A. Spinler J. K. Versalovic J. (2020). Healthy human gastrointestinal microbiome: composition and function after a decade of exploration. Dig Dis. Sci.65, 695–705. doi: 10.1007/s10620-020-06118-4
83
Santajit S. Indrawattana N. (2016). Mechanisms of antimicrobial resistance in ESKAPE pathogens. BioMed. Res. Int.2016, 2475067. doi: 10.1155/2016/2475067
84
Sharma S. Mohler J. Mahajan S. D. Schwartz S. A. Bruggemann L. Aalinkeel R. (2023). Microbial biofilm: a review on formation, infection, antibiotic resistance, control measures, and innovative treatment. Microorganisms11, 1614. doi: 10.3390/microorganisms11061614
85
Shuford J. A. Steckelberg J. M. Patel R. (2005). Effects of fresh garlic extract on Candida albicans biofilms. Antimicrob. Agents Chemother.49, 473. doi: 10.1128/AAC.49.1.473.2005
86
Speranza B. Guerrieri A. Racioppo A. Bevilacqua A. Campaniello D. Corbo M. R. (2023). Sage and lavender essential oils as potential antimicrobial agents for foods. Microbiol. Res.14, 1089–1113. doi: 10.3390/microbiolres14030073
87
Stewart P. S. (2002). Mechanisms of antibiotic resistance in bacterial biofilms. Int. J. Med. Microbiol.292, 107–113. doi: 10.1078/1438-4221-00196
88
Stoodley P. Sauer K. Davies D. G. Costerton J. W. (2002). Biofilms as complex differentiated communities. Annu. Rev. Microbiol.56, 187–209. doi: 10.1146/annurev.micro.56.012302.160705
89
Strand J. (2022). Distinctive Detoxification: The case for including the microbiome in detox strategy. Integr. Medicine: A Clinician’s J.21, 26.
90
Subašić E. A. Hrkić M. Murtić M. (2022). Antimicrobial and antioxidant properties of Gentiana lutea L. roots. Agric. Forestry68, 59–68.
91
Tuss C. O. (1981). The role of Candida albicans in human illness. J. Orthomolecular Psychiatry4, 228–238.
92
van der Wouden J. C. van der Sande R. Kruithof E. J. Sollie A. van Suijlekom-Smit L. W. A. Koning S. (2017). Interventions for cutaneous Molluscum contagiosum. Cochrane Database Systematic Rev.2017, 44. doi: 10.1002/14651858.CD004767.pub4
93
Verpoorte R. Choi Y. H. Kim H. K. (2005). Ethnopharmacology and systems biology: a perfect holistic match. J. Ethnopharmacol100, 53–56. doi: 10.1016/j.jep.2005.05.033
94
Vučić D. M. Petković M. R. Rodić-Grabovac B. B. Stefanović O. D. Vasić S. M. Čomić L. R. (2013). Antibacterial and antioxidant activities of bilberry (Vaccinium myrtillus L.) in vitro. Afr. J. Microbiol. Res.7, 5130–5136. doi: 10.5897/AJMR2013.2524
95
Yazdanian M. Rostamzadeh P. Alam M. Abbasi K. Tahmasebi E. Tebyaniyan H. et al . (2022). Evaluation of antimicrobial and cytotoxic effects of EChinacea and Arctium extracts and Zataria essential oil. AMB Express12, 1–13. doi: 10.1186/s13568-022-01417-7
96
Zegans M. E. Becker H. I. Budzik J. O’Toole G. (2002). The role of bacterial biofilms in ocular infections. DNA Cell Biol.21, 415–420. doi: 10.1089/10445490260099700
97
Zhan D. Zho Y. Yanling M. Che P. Tan J. Yan B. et al . (2023). Gut microbiota dysbiosis correlates with long COVID-19 at one-year after discharge. J. Korean Med. Sci.38 (15), e120. doi: 10.3346/jkms.2023.38.e120
Summary
Keywords
antimicrobials, Biocidin®, biofilms, natural derived products, prevention of biofilms
Citation
Mundanchira AV, Wong A, Klos-Maki K, Strand J and Marques CNH (2026) Activity of Biocidin® against microbial biofilms. Front. Antibiot. 4:1692653. doi: 10.3389/frabi.2025.1692653
Received
26 August 2025
Revised
16 December 2025
Accepted
23 December 2025
Published
28 January 2026
Volume
4 - 2025
Edited by
Mayra Mendez-Encinas, University of Sonora, Mexico
Reviewed by
Vineet Kumar, The University of Texas at Austin, United States
Mohamed Zeineldin, Benha University, Egypt
Updates
Copyright
© 2026 Mundanchira, Wong, Klos-Maki, Strand and Marques.
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.
*Correspondence: Cláudia N. H. Marques, cmarques@binghamton.edu
Disclaimer
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.