S. P. De n y e r Department of Pharmaceutical Sciences, University of Nottingham, University Park, Nottingham NG7 2RD, UK ABSTRACT Detailed studies have clearly demonstrated that f ew biocides can be considered now as general cell poisons. Biocidal action may result through physicochemical interaction with microbial target structures, specific reac- tions with biological molecules, or disturbance of selected metabolic or energetic processes. Mechanism of action studies, i f intelligently applied, can provide direction to the development of novel biocides and biocidal systems. I NT RODUCT I ON Bi oci des c ompr i s e a he t e r oge ne ous gr oup of c he mi c a l agent s, of t en well char act er i s ed i n t hei r be ha vi our i n di verse appl i cat i ons but f r equent l y little u n d e r s t o o d i n t er ms of t he basi s for t hei r activity. Ther e is t hus a gr owi ng ne e d to est abl i sh me c h a n i s ms of act i on for bi oci des to assi st in t he des i gn of ne w c o mp o u n d s or c o mb i n a t i o n s of c o mp o u n d s , i n t he u n d e r s t a n d i n g of r esi st ance me c ha ni s ms , a nd to pr ovi de a focus for t oxi col ogi cal at t ent i on. Cer t ai nl y, me c h a n i s m of act i on st udi es have s hown t hat bi oci dal agent s can no l onger be c ons i de r e d as gener al cell poi s ons a n d t her ef or e t hei r act i vi t y ma y be opt i mi s e d by desi gn. The obj ect of t hi s s hor t review, is to i l l ust r at e ma j or me c h a n i s ms of act i on wi t h sel ect ed exampl es chos en f r om t he ant i bact eri al literature. Al t hough not al ways di r ect l y appl i cabl e, ma n y of t he pr i nci pl es cover ed will al so a ppl y to act i on agai ns t eukar yot i c cells. 89 International Biodeterioration 0265-3036/90/$03.50 -- 1990 Elsevier Science Publishers Ltd, England. Printed in Great Britain. 90 S. P Denyer CONSEQUENCES OF BIOCIDE INTERACTION Antibacterial agents may exert both bacteriostatic and bactericidal effects, often in a concentration-dependent manner. The mechanisms of action responsible for each effect may not necessarily be the same. Bacteriostatic events can be considered generally to result from some form of metabolic inhibition which is released upon removal of the biocide, while bactericidal action is caused by irreversible or irreparable damage to a vital structure or function of the cell (Fig. 1). In many instances, damage arising from interactions may theoretically be repairable, but unless appropriate repair processes can be successfully initiated at an early stage and the damaging event be halted then cell death will occur. Thus it is essential that in the study of mechanisms of action attention is paid to correct and effective methods for cell recovery and biocide inactivation. STAGES OF INTERACTION All biocides, irrespective of their final effect, undergo a number of stages of interaction embracing uptake, partition to target(s), and concentration at target(s), before finally eliciting the damaging event(s). The extent and kinetics of uptake are characterised by the sorption isotherm (Fig. 2) which identifies high affinity and Langmuir uptake (H and L, respectively; e.g. CTAB, chlorhexidine, dequadin), constant uptake and co-operative sorption (C and S, respectively; e.g. some phenols) and enhanced uptake (Z; e.g. 2-phenoxyethanol; Gilbert et al. (1978)). Consequent upon, and deriving from, biocide uptake is the phase of partition which differs in rapidity and extent depending upon the Selective permeability changes (uncoupling, transport inhibition) Interaction with nucleic acids Enzyme inhibition Structural damage Leakage Autolysis Bacteriostasis Inability to repair Lysis Cytoplasm coagulation Bactericidal Fig. 1. The consequence of biocide-induced damage. Mechanisms of action of biocides 91 a . b . c . d . e . J EQUiLiBRIUM f CONCENTRATION / # Fig. 2. Types of sorpt i on i sot herm (as pr oposed by Gi l es et al. (1960, 1974a, b), Giles & McKay (1965) and Giles & Toila (1964)): (a) S-shape; (b) L-shape: (c) H- shape: (d) C- shape: (e) Z-shape. physicochemical characteristics of the biocide, and nature of cellular barriers, and the extent of non-specific interactions arising with cellular components (Gilbert & Wright, 1987). The ability of the biocide to concentrate at specific sites within the bacterium then determine the potential sensitivity of individual targets to that agent and the eventual damaging event(s). POTENTIAL TARGETS AND TYPES OF DAMAGE Target regions for antibacterial agents can be classified very conveni- ently as the cell wall, cytoplasmic membrane and cytoplasm. Within these broad areas of the cell a further division of targets can be made into those of biochemical or structural significance. These divisions are created for convenience only and do not represent mutually exclusive areas for biocide interaction. Indeed, many of the biocides currently in use have more than one potential target within the bacterial cell (Table 1), and the strong interdependence of cellular functions cannot be ignored. Undoubtedly, the focus for many agents is the cytoplasmic membrane, interactions at this level frequently causing fundamental changes in both membrane structure (Fig. 3) and function. This has important implications for the entire cell biochemistry with disturbance of respiration, cellular energetics, transport processes, intracellular sub- strate reservoirs, and enzyme function arising. In such an event, and with such widespread resultant damage, care must be taken not to overlook the prime lesion. 92 S. P. Denyer 0 - 0 7 ~ -r- % <b % 0 oc n. . r - 0 . . ~ ~.~ ~ ~/.= " ~ = ,o . ~ o . ~ ",5 ~ < -~ ~ ~- ..~ ~ = . = = <a = < = ~ _ o ~ s ~ ~ . o ~ e"
. = ~ 8 - 2 - E 0 I= ' ~ #o.o o o . _ ~ - = ~
Mechanisms of action of biocides 93 . (7", x o ~ " ~ ~--~ ~= o - - 4 C~ 0 . - 0 c~ ~ o ~ ~ o-~ - ~ - ~ ~ ~-~ o~ o .~ -c o ~-~ ~ 0 = ~ . ~ o ~ o ~ . ~ . = o = . ~ & ' ~ . . _ = o ~ 0 ~ =~ ~. ~ I=~ ~ ~ E c~ 0 (a) O 0 0 O O O @ O 0 0 (b) 94 S. P. Denyer (c) @ 0 0 @ 0 0 @ 0 0 0 @ 0 0 @ 0 0 @ 0 0 0 ( d) @O0@OO@O00 ooooooDJt oo oooooo~I I . OO o o o o o ~ ~ o o o o o o ~ ~ o ooD~oo~~o ooooo~~o o c ~ o ~ o o o I I o o ~ o o oo I ~ 3 o p . o o o c ~ n O 0 0 0 o O ~ I D O ~ O O 0 ~ . ~ D O O O 0 0 o o o i o o oo -,4 o - - o o o o o o 0 0 0 @ 0 0 0 @ 0 0 O F O . @ ~ O 0 . 0 0 . . 0 0 . 0 0 ~0 ( e ) 0 0 ~ 0 0 .o,.,o .~o..~o,,.,. 0 0 ~ 0 0 o .o,.., ,~o.,,o,,,,, O O l l l ~ - - - O l ~ , o o , , , @ 0 0 0 0 0 O 0 [] ..o,o,. 0 0 @ 0 @ 0 @ 0 0 0 0 0 0 0 0 0 0 0 0 @ @ 0 0 @ 0 @ 0 @ 0 0 0 0 @ 0 0 0 0 0 0 0 O 0 0 @ O 0 0 l O 0 0 @ 0 0 @ @ 0 0 @ 0 Fig. 3. Biocide interactions with the cytoplasmic membrane: (a) Insertion of positively- charged biocide into phosphol i pi d bilayer and attraction of negatively-charged phosphol i pi ds e.g. CTAB; (b) reorganisation of phosphol i pi d distribution through surface interaction with biocide possessing multiple positively-charged centres e.g. pol ymeri c biguanides; (c) di spl acement of phosphol i pi ds and disorganisation of membr ane architecture e.g, phenols; (d) pore format i on through biocide self-association e.g. low concentrations of sodium dodecyl sulphate; (e) solubilisation of membr ane- bound protein (and phosphol i pi d) e.g. high concentrations of anionic detergents. Mechanisms of action of biocides 95 TABLE 2 Some Synergistic Combi nat i ons of Biocides Where a Mechani sm of Synergy Has Been Proposed (modified from Denyer & King, 1988) Synergistic combinations Proposed mechanism Reference Phenyl mercuri c acetate and 3-cresol or benzal koni um chloride Lipophilic weak acids and fatty alcohols Chl orhexi di ne and Bronopol Acetate and lipophilic weak acids N-chloramines and diazolidinyl urea (Germal l 2) Chlorocresol and 2-phenylethanol Permeabilisation Permeabilisation and bi ochemi cal enhancement Permeabilisation Biochemical enhancement Permeabilisation and bi ochemi cal enhancement Biochemical enhancement Hugbo (1977) Comer (1981) Woznia k-Pamowska & Krowczynski (1981) Moon (1983) Llabres & Aheam (1985) Denyer et al. (1986) APPLI CATI ON OF MECHANI SMS OF ACTION TO BI OCI DE DESI GN Recognition of the specific target for a biocide allows determination of those features necessary to enable that agent to reach, and interact with, that target. Through this knowledge, quantitative structure-activity relationships may be sought in groups of related compounds in order to optimise activity. By underst andi ng the biochemical basis of action, it is also possible to identify potentially synergistic combi nat i ons of biocides, i. e. those offering enhanced activity upon combi nat i on (Table 2). Here, the mutual interrelationship between bi ochemi cal and biophysical functions of the cell is exploited by selecting biocides that can mi ni mi se cellular recovery and maximise breadt h of damage (biochemical synergy). Further, some biocides can increase cellular permeability and can therefore be used to advantage in enhanci ng the action of intracellularly-active agents (permeabilisation synergy). Ext endi ng this latter concept, it is possible to couple intracellularly-acting biocidal agents to actively transported substrates in order to exploit the nat ural concentrating potential of the cell (portage transport). Int racel l ul ar cleavage of biocide from substrate will t hen permit biocidal activity. Such an approach offers potential selective toxicity advantages to biocide systems (Table 3). 9 6 S. P. Denyer e ~ c ~ _a o = E < L2 O~ o ~ ~ ~ ~ 0 0 0 0 ~ ' ~ . ~ . ~ . ~ . ~ . . . . . . 0 o o ; ; ~b b ' ~ u o o o = _ . ~ . _ ~ , _ ~ . - ~ , ~ .~ ~ - o ~ o ~ Mechanisms of action of biocides 97 RE F E RE NCE S Bloomfield, S. F. (1974). The effect of the phenol i c ant i bact eri al agent Fent i chl or on energy coupl i ng in Staphylococcus aureus. Journal of Applied Bacteriology, 37, 117-31. Broxton, P., Woodcock, P. M. & Gilbert, P. (1983). A st udy of the antibacterial activity of some pol yhexamet hyl ene bi guani des t owards Escherichia coli ATCC 8739. Journal of Applied Bacteriology, 54, 345-53. Chawner, J. A. & Gilbert, P. (1989). A comparat i ve st udy of the bactericidal and growth i nhi bi t ory activities of the bi sbi guani de alexidine and chlor- hexidine. 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