Nanocomposites against Pseudomonas aeruginosa biofilms: Recent advances, challenges, and future prospects.

Pseudomonas aeruginosa is an opportunistic bacterial pathogen that causes life-threatening and persistent infections in immunocompromised patients. It is the culprit behind a variety of hospital-acquired infections owing to its multiple tolerance mechanisms against antibiotics and disinfectants. Biofilms are sessile microbial aggregates that are formed as a result of the cooperation and competition between microbial cells encased in a self-produced matrix comprised of extracellular polymeric constituents that trigger surface adhesion and microbial aggregation. Bacteria in biofilms exhibit unique features that are quite different from planktonic bacteria, such as high resistance to antibacterial agents and host immunity. Biofilms of P. aeruginosa are difficult to eradicate due to intrinsic, acquired, and adaptive resistance mechanisms. Consequently, innovative approaches to combat biofilms are the focus of the current research. Nanocomposites, composed of two or more different types of nanoparticles, have diverse therapeutic applications owing to their unique physicochemical properties. They are emerging multifunctional nanoformulations that combine the desired features of the different elements to obtain the highest functionality. This review assesses the recent advances of nanocomposites, including metal-, metal oxide-, polymer-, carbon-, hydrogel/cryogel-, and metal organic framework-based nanocomposites for the eradication of P. aeruginosa biofilms. The characteristics and virulence mechanisms of P. aeruginosa biofilms, as well as their devastating impact and economic burden are discussed. Future research addressing the potential use of nanocomposites as innovative anti-biofilm agents is emphasized. Utilization of nanocomposites safely and effectively should be further strengthened to confirm the safety aspects of their application. [Display omitted] • P. aeruginosa has multiple antibiotic resistance mechanisms. • The anti-biofilm activities of metal-, metal oxide-, carbon-, polymer-, hydrogel/cryogel-, and MOF-based nanocomposites against P. aeruginosa biofilms are discussed. • Chemical composition, size, surface charge, and nanoarchitecture influence the anti-biofilm activity of nanocomposites. • Presence of sharp edges, spikes, pillars, or protrusions on the surface of nanocomposites enables piercing and rupturing of biofilms. • Nanocomposites are promising anti-biofilm agents against P. aeruginosa biofilms. [ABSTRACT FROM AUTHOR]