Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach

Background The growing concern of antibiotic-resistant microbial strains worldwide has prompted the need for alternative methods to combat microbial resistance. Biofilm formation poses a significant challenge to antibiotic efficiency due to the difficulty of penetrating antibiotics through the stick...

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Main Authors: Omar K. Alduaij, Rageh K. Hussein, Sharif Abu Alrub, Sabry A. H. Zidan
Format: Article
Language:English
Published: PeerJ Inc. 2024-09-01
Series:PeerJ
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Online Access:https://peerj.com/articles/17809.pdf
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author Omar K. Alduaij
Rageh K. Hussein
Sharif Abu Alrub
Sabry A. H. Zidan
author_facet Omar K. Alduaij
Rageh K. Hussein
Sharif Abu Alrub
Sabry A. H. Zidan
author_sort Omar K. Alduaij
collection DOAJ
description Background The growing concern of antibiotic-resistant microbial strains worldwide has prompted the need for alternative methods to combat microbial resistance. Biofilm formation poses a significant challenge to antibiotic efficiency due to the difficulty of penetrating antibiotics through the sticky microbial aggregates. Drug repurposing is an innovative technique that aims to expand the use of non-antibiotic medications to address this issue. The primary objective of this study was to evaluate the antimicrobial properties of Diltiazem HCl, a 1,5-benzothiazepine Ca2+ channel blocker commonly used as an antihypertensive agent, against four pathogenic bacteria and three pathogenic yeasts, as well as its antiviral activity against the Coxsackie B4 virus (CoxB4). Methods To assess the antifungal and antibacterial activities of Diltiazem HCl, the well diffusion method was employed, while crystal violet staining was used to determine the anti-biofilm activity. The MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) colorimetric assay was utilized to evaluate the antiviral activity of Diltiazem HCl against the CoxB4 virus. Results This study revealed that Diltiazem HCl exhibited noticeable antimicrobial properties against Gram-positive bacteria, demonstrating the highest inhibition of Staphylococcus epidermidis, followed by Staphylococcus aureus. It effectively reduced the formation of biofilms by 95.1% and 90.7% for S. epidermidis, and S. aureus, respectively. Additionally, the antiviral activity of Diltiazem HCl was found to be potent against the CoxB4 virus, with an IC50 of 35.8 ± 0.54 μg mL−1 compared to the reference antiviral Acyclovir (IC50 42.71 ± 0.43 μg mL−1). Conclusion This study suggests that Diltiazem HCl, in addition to its antihypertensive effect, may also be a potential treatment option for infections caused by Gram-positive bacteria and the CoxB4 viruses, providing an additional off-target effect for Diltiazem HCl.
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spelling doaj-art-ee14d069744b4815ac8ec22c749b2d622025-08-20T01:55:12ZengPeerJ Inc.PeerJ2167-83592024-09-0112e1780910.7717/peerj.17809Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approachOmar K. Alduaij0Rageh K. Hussein1Sharif Abu Alrub2Sabry A. H. Zidan3Department of Physics, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi ArabiaDepartment of Physics, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi ArabiaDepartment of Physics, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi ArabiaDepartment of Pharmacognosy, Faculty of Pharmacy, Al-Azhar University, Assiut-Branch, Assiut, EgyptBackground The growing concern of antibiotic-resistant microbial strains worldwide has prompted the need for alternative methods to combat microbial resistance. Biofilm formation poses a significant challenge to antibiotic efficiency due to the difficulty of penetrating antibiotics through the sticky microbial aggregates. Drug repurposing is an innovative technique that aims to expand the use of non-antibiotic medications to address this issue. The primary objective of this study was to evaluate the antimicrobial properties of Diltiazem HCl, a 1,5-benzothiazepine Ca2+ channel blocker commonly used as an antihypertensive agent, against four pathogenic bacteria and three pathogenic yeasts, as well as its antiviral activity against the Coxsackie B4 virus (CoxB4). Methods To assess the antifungal and antibacterial activities of Diltiazem HCl, the well diffusion method was employed, while crystal violet staining was used to determine the anti-biofilm activity. The MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) colorimetric assay was utilized to evaluate the antiviral activity of Diltiazem HCl against the CoxB4 virus. Results This study revealed that Diltiazem HCl exhibited noticeable antimicrobial properties against Gram-positive bacteria, demonstrating the highest inhibition of Staphylococcus epidermidis, followed by Staphylococcus aureus. It effectively reduced the formation of biofilms by 95.1% and 90.7% for S. epidermidis, and S. aureus, respectively. Additionally, the antiviral activity of Diltiazem HCl was found to be potent against the CoxB4 virus, with an IC50 of 35.8 ± 0.54 μg mL−1 compared to the reference antiviral Acyclovir (IC50 42.71 ± 0.43 μg mL−1). Conclusion This study suggests that Diltiazem HCl, in addition to its antihypertensive effect, may also be a potential treatment option for infections caused by Gram-positive bacteria and the CoxB4 viruses, providing an additional off-target effect for Diltiazem HCl.https://peerj.com/articles/17809.pdfDiltiazem HClDrug repurposingStaph epidermidisStaph aureusantibiofilmMTT
spellingShingle Omar K. Alduaij
Rageh K. Hussein
Sharif Abu Alrub
Sabry A. H. Zidan
Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
PeerJ
Diltiazem HCl
Drug repurposing
Staph epidermidis
Staph aureus
antibiofilm
MTT
title Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
title_full Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
title_fullStr Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
title_full_unstemmed Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
title_short Antimicrobial activities of Diltiazem Hydrochloride: drug repurposing approach
title_sort antimicrobial activities of diltiazem hydrochloride drug repurposing approach
topic Diltiazem HCl
Drug repurposing
Staph epidermidis
Staph aureus
antibiofilm
MTT
url https://peerj.com/articles/17809.pdf
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