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Graphical Abstract

Summary of key findings: (1) Linolenic acid (αLA) was effective in killing , but not or . (2) Liposomes encapsulating αLA and amoxicillin had greatly enhanced bactericidal activity against , compared to liposomes containing just one of these components, or amoxicillin in solution. (3) Liposomes encapsulating αLA rapidly bound to at higher densities compared to liposomes without αLA. Created in BioRender. Robinson, K. (2025) a31l841 https://BioRender.com.

Abstract

Fatty acids have antimicrobial activity against a wide range of bacteria. We therefore aimed to incorporate omega-3 unsaturated -linolenic acid (αLA) into the membrane of antibiotic-loaded liposomes to create a system with dual antibacterial activity against . Liposomes containing 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine, cholesterol, sphingomyelin and the far-red fluorescent DiD label, with varying content of αLA (mol% to total lipid), were fabricated using the thin film evaporation method and hydrated with PBS or amoxicillin solution. The liposomes were characterized for αLA and amoxicillin content, particle size, membrane fluidity and permeability, prior to their addition to cultures of strains and clinical isolates. αLA-modified liposomes enhanced the antibacterial action of amoxicillin against , as determined using a viable count method. The liposomal formulation achieved a 3-log reduction in bacterial density, compared to a 1.5- to 2-log reduction by amoxicillin in solution. The application of imaging cytometry revealed a significantly increased association of αLA-modified liposomes with cells, compared to non-αLA control liposomes. In conclusion, this study demonstrated, for the first time, that the incorporation of αLA increased the attraction of the liposomes to and increased antibiotic potency. This suggests that αLA incorporation into liposomes may not only act as an antimicrobial, but also as a potential targeting strategy.

Funding
This study was supported by the:
  • NIHR Nottingham Biomedical Research Centre (Award NIHR203310)
    • Principal Award Recipient: NotApplicable
  • Wellcome Trust (Award 108876/Z/15/Z)
    • Principal Award Recipient: NotApplicable
  • This is an open-access article distributed under the terms of the Creative Commons Attribution License. This article was made open access via a Publish and Read agreement between the Microbiology Society and the corresponding author’s institution.
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2025-05-30
2026-01-19

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References

  1. Kabara JJ, Swieczkowski DM, Conley AJ, Truant JP. Fatty acids and derivatives as antimicrobial agents. Antimicrob Agents Chemother 1972; 2:23–28 [View Article]
    [Google Scholar]
  2. Khulusi S, Ahmed HA, Patel P, Mendall MA, Northfield TC. The effects of unsaturated fatty acids on Helicobacter pylori in vitro. J Med Microbiol 1995; 42:276–282 [View Article] [PubMed]
    [Google Scholar]
  3. Thompson L, Cockayne A, Spiller RC. Inhibitory effect of polyunsaturated fatty acids on the growth of Helicobacter pylori: a possible explanation of the effect of diet on peptic ulceration. Gut 1994; 35:1557–1561 [View Article] [PubMed]
    [Google Scholar]
  4. Yoon BK, Jackman JA, Valle-González ER, Cho N-J. Antibacterial free fatty acids and monoglycerides: biological activities, experimental testing, and therapeutic applications. Int J Mol Sci 2018; 19:1114 [View Article] [PubMed]
    [Google Scholar]
  5. Borreby C, Lillebæk EMS, Kallipolitis BH. Anti-infective activities of long-chain fatty acids against foodborne pathogens. FEMS Microbiol Rev 2023; 47:fuad037 [View Article] [PubMed]
    [Google Scholar]
  6. Fischer CL. Antimicrobial activity of host-derived lipids. Antibiotics 2020; 9:75 [View Article] [PubMed]
    [Google Scholar]
  7. Fischer CL, Drake DR, Dawson DV, Blanchette DR, Brogden KA et al. Antibacterial activity of sphingoid bases and fatty acids against gram-positive and gram-negative bacteria. Antimicrob Agents Chemother 2012; 56:1157–1161
    [Google Scholar]
  8. Jung SW, Lee SW. The antibacterial effect of fatty acids on Helicobacter pylori infection. Korean J Intern Med 2016; 31:30–35 [View Article] [PubMed]
    [Google Scholar]
  9. Kumar P, Lee JH, Beyenal H, Lee J. Fatty acids as antibiofilm and antivirulence agents. Trends Microbiol 2020; 28:753–768
    [Google Scholar]
  10. Lowden MJ, Skorupski K, Pellegrini M, Chiorazzo MG, Taylor RK et al. Structure of vibrio cholerae toxt reveals a mechanism for fatty acid regulation of virulence genes. Proc Natl Acad Sci USA 2010; 107:2860–2865 [View Article] [PubMed]
    [Google Scholar]
  11. Park S, Lee JH, Kim YG, Hu L, Lee J. Fatty acids as aminoglycoside antibiotic adjuvants against Staphylococcus aureus. Front Microbiol 2022; 13:876932 [View Article] [PubMed]
    [Google Scholar]
  12. Baker LY, Hobby CR, Siv AW, Bible WC, Glennon MS et al. Pseudomonas aeruginosa responds to exogenous polyunsaturated fatty acids (PUFAs) by modifying phospholipid composition, membrane permeability, and phenotypes associated with virulence. BMC Microbiol 2018; 18:117 [View Article] [PubMed]
    [Google Scholar]
  13. Sun CQ, O’Connor CJ, Roberton AM. Antibacterial actions of fatty acids and monoglycerides against Helicobacter pylori. FEMS Immunol Med Microbiol 2003; 36:9–17 [View Article] [PubMed]
    [Google Scholar]
  14. Robinson K, Atherton JC. The spectrum of helicobacter-mediated diseases. Annu Rev Pathol 2021; 16:123–144
    [Google Scholar]
  15. White JR, Winter JA, Robinson K. Differential inflammatory response to Helicobacter pylori infection: etiology and clinical outcomes. J Inflamm Res 2015; 8:137–147 [View Article] [PubMed]
    [Google Scholar]
  16. Malfertheiner P, Megraud F, Rokkas T, Gisbert JP, Liou J-M et al. Management of Helicobacter pylori infection: the maastricht VI/Florence consensus report. Gut 2022gutjnl-2022-327745 [View Article] [PubMed]
    [Google Scholar]
  17. Katelaris P, Hunt R, Bazzoli F, Cohen H, Fock KM et al. Helicobacter pylori world gastroenterology organization global guideline. J Clin Gastroenterol 2023; 57:111–126 [View Article] [PubMed]
    [Google Scholar]
  18. Wang L, Yao H, Tong T, Lau K, Leung SY et al. Dynamic changes in antibiotic resistance genes and gut microbiota after Helicobacter pylori eradication therapies. Helicobacter 2022; 27:e12871 [View Article] [PubMed]
    [Google Scholar]
  19. Sjomina O, Vangravs R, Ļeonova E, Poļaka I, Pūpola D et al. Clarithromycin-containing triple therapy for Helicobacter pylori eradication is inducing increased long-term resistant bacteria communities in the gut. Gut 2024; 73:1214–1215 [View Article] [PubMed]
    [Google Scholar]
  20. Duggan AE, Atherton JC, Cockayne A, Balsitis M, Evison S et al. Clarification of the link between polyunsaturated fatty acids and Helicobacter pylori-associated duodenal ulcer disease: a dietary intervention study. Br J Nutr 1997; 78:515–522 [View Article] [PubMed]
    [Google Scholar]
  21. Desbois AP, Smith VJ. Antibacterial free fatty acids: activities, mechanisms of action and biotechnological potential. Appl Microbiol Biotechnol 2010; 85:1629–1642 [View Article] [PubMed]
    [Google Scholar]
  22. Thamphiwatana S, Gao W, Obonyo M, Zhang L. In vivo treatment of Helicobacter pylori infection with liposomal linolenic acid reduces colonization and ameliorates inflammation. Proc Natl Acad Sci USA 2014; 111:17600–17605 [View Article] [PubMed]
    [Google Scholar]
  23. Obonyo M, Zhang L, Thamphiwatana S, Pornpattananangkul D, Fu V et al. Antibacterial activities of liposomal linolenic acids against antibiotic-resistant Helicobacter pylori. Mol Pharm 2012; 9:2677–2685 [View Article] [PubMed]
    [Google Scholar]
  24. Jung SW, Thamphiwatana S, Zhang L, Obonyo M. Mechanism of antibacterial activity of liposomal linolenic acid against Helicobacter pylori. . PLoS One 2015; 10:e0116519 [View Article] [PubMed]
    [Google Scholar]
  25. Winter JA, Letley DP, Cook KW, Rhead JL, Zaitoun AA et al. A role for the vacuolating cytotoxin, VacA, in colonization and Helicobacter pylori-induced metaplasia in the stomach. J Infect Dis 2014; 210:954–963 [View Article] [PubMed]
    [Google Scholar]
  26. Garvey E, Rhead J, Suffian S, Whiley D, Mahmood F et al. High incidence of antibiotic resistance amongst isolates of Helicobacter pylori collected in Nottingham, UK, between 2001 and 2018. J Med Microbiol 2023; 72: [View Article] [PubMed]
    [Google Scholar]
  27. Bangham AD, De Gier J, Greville GD. Osmotic properties and water permeability of phospholipid liquid crystals. Chem Phys Lipids 1967; 1:225–246 [View Article]
    [Google Scholar]
  28. Wu GS, Stein RA, Mead JF. Autoxidation of phosphatidylcholine liposomes. Lipids 1982; 17:403–413 [View Article] [PubMed]
    [Google Scholar]
  29. Grit M, Crommelin DJ. Chemical stability of liposomes: implications for their physical stability. Chem Phys Lipids 1993; 64:3–18 [View Article] [PubMed]
    [Google Scholar]
  30. Gaus K, Zech T, Harder T. Visualizing membrane microdomains by Laurdan 2-photon microscopy. Mol Membr Biol 2006; 23:41–48 [View Article] [PubMed]
    [Google Scholar]
  31. Sengupta S, Karsalia R, Morrissey A, Bamezai AK. Cholesterol-dependent plasma membrane order (Lo) is critical for antigen-specific clonal expansion of CD4+ T cells. Sci Rep 2021; 11:13970 [View Article]
    [Google Scholar]
  32. Miles AA, Misra SS, Irwin JO. The estimation of the bactericidal power of the blood. J Hyg 1938; 38:732–749 [View Article] [PubMed]
    [Google Scholar]
  33. Parasassi T, De Stasio G, Ravagnan G, Rusch RM, Gratton E. Quantitation of lipid phases in phospholipid vesicles by the generalized polarization of laurdan fluorescence. Biophys J 1991; 60:179–189 [View Article] [PubMed]
    [Google Scholar]
  34. Semple SC, Leone R, Wang J, Leng EC, Klimuk SK et al. Optimization and characterization of a sphingomyelin/cholesterol liposome formulation of vinorelbine with promising antitumor activity. J Pharm Sci 2005; 94:1024–1038 [View Article] [PubMed]
    [Google Scholar]
  35. Slotte JP. Sphingomyelin-cholesterol interactions in biological and model membranes. Chem Phys Lipids 1999; 102:13–27 [View Article] [PubMed]
    [Google Scholar]
  36. Dilika F, Bremner PD, Meyer JJM. Antibacterial activity of linoleic and oleic acids isolated from Helichrysum pedunculatum: a plant used during circumcision rites. Fitoterapia 2000; 71:450–452 [View Article] [PubMed]
    [Google Scholar]
  37. Zheng CJ, Yoo J-S, Lee T-G, Cho H-Y, Kim Y-H et al. Fatty acid synthesis is a target for antibacterial activity of unsaturated fatty acids. FEBS Lett 2005; 579:5157–5162 [View Article] [PubMed]
    [Google Scholar]
  38. Bergsson G, Steingrímsson O, Thormar H. Bactericidal effects of fatty acids and monoglycerides on Helicobacter pylori. Int J Antimicrob Agents 2002; 20:258–262 [View Article] [PubMed]
    [Google Scholar]
  39. Norris DA, Puri N, Sinko PJ. The effect of physical barriers and properties on the oral absorption of particulates. Adv Drug Deliv Rev 1998; 34:135–154 [View Article] [PubMed]
    [Google Scholar]
  40. Wang Y, Jiang L, Shen Q, Shen J, Han Y et al. Investigation on the self-assembled behaviors of C18 unsaturated fatty acids in arginine aqueous solution. RSC Adv 2017; 7:41561–41572 [View Article]
    [Google Scholar]
  41. Sułkowski WW, Pentak D, Nowak K, Sułkowska A. The influence of temperature, cholesterol content and pH on liposome stability. J Mol Struct 2005; 744–747:737–747 [View Article]
    [Google Scholar]
  42. Muranushi N, Takagi N, Muranishi S, Sezaki H. Effect of fatty acids and monoglycerides on permeability of lipid bilayer. Chem Phys Lipids 1981; 28:269–279 [View Article] [PubMed]
    [Google Scholar]
  43. Rasti B, Jinap S, Mozafari MR, Yazid AM. Comparative study of the oxidative and physical stability of liposomal and nanoliposomal polyunsaturated fatty acids prepared with conventional and Mozafari methods. Food Chem 2012; 135:2761–2770 [View Article] [PubMed]
    [Google Scholar]
  44. Aguilar LF, Pino JA, Soto-Arriaza MA, Cuevas FJ, Sánchez S et al. Differential dynamic and structural behavior of lipid-cholesterol domains in model membranes. PLoS One 2012; 7:e40254 [View Article] [PubMed]
    [Google Scholar]
  45. de Meyer F, Smit B. Effect of cholesterol on the structure of a phospholipid bilayer. Proc Natl Acad Sci USA 2009; 106:3654–3658 [View Article]
    [Google Scholar]
  46. Kaddah S, Khreich N, Kaddah F, Charcosset C, Greige-Gerges H. Cholesterol modulates the liposome membrane fluidity and permeability for a hydrophilic molecule. Food Chem Toxicol 2018; 113:40–48 [View Article] [PubMed]
    [Google Scholar]
  47. Nyholm TKM, Engberg O, Hautala V, Tsuchikawa H, Lin K-L et al. Impact of acyl chain mismatch on the formation and properties of sphingomyelin-cholesterol domains. Biophysical J 2019; 117:1577–1588 [View Article] [PubMed]
    [Google Scholar]
  48. Seu KJ, Cambrea LR, Everly RM, Hovis JS. Influence of lipid chemistry on membrane fluidity: tail and headgroup interactions. Biophys J 2006; 91:3727–3735 [View Article] [PubMed]
    [Google Scholar]
  49. Small DM. Lateral chain packing in lipids and membranes. J Lipid Res 1984; 25:1490–1500 [PubMed]
    [Google Scholar]
  50. Edidin M. The state of lipid rafts: from model membranes to cells. Annu Rev Biophys Biomol Struct 2003; 32:257–283
    [Google Scholar]
  51. Epand RM, Epand RF, Ahmed N, Chen R. Promotion of hexagonal phase formation and lipid mixing by fatty acids with varying degrees of unsaturation. Chem Phys Lipids 1991; 57:75–80
    [Google Scholar]
  52. Ferreira TM, Coreta-Gomes F, Ollila OHS, Moreno MJ, Vaz WLC et al. Cholesterol and POPC segmental order parameters in lipid membranes: solid state 1H–13C NMR and MD simulation studies. Phys Chem Chem Phys 2013; 15:1976–1989 [View Article] [PubMed]
    [Google Scholar]
  53. Parasassi T, Di Stefano M, Loiero M, Ravagnan G, Gratton E. Influence of cholesterol on phospholipid bilayers phase domains as detected by laurdan fluorescence. Biophys J 1994; 66:120–132 [View Article] [PubMed]
    [Google Scholar]
  54. Stott BM, Vu MP, McLemore CO, Lund MS, Gibbons E et al. Use of fluorescence to determine the effects of cholesterol on lipid behavior in sphingomyelin liposomes and erythrocyte membranes. J Lipid Res 2008; 49:1202–1215
    [Google Scholar]
  55. van Blitterswijk WJ, van der Meer BW, Hilkmann H. Quantitative contributions of cholesterol and the individual classes of phospholipids and their degree of fatty acyl (un)saturation to membrane fluidity measured by fluorescence polarization. Biochemistry 1987; 26:1746–1756 [View Article] [PubMed]
    [Google Scholar]
  56. Makobongo MO, Einck L, Peek RM, Merrell DS. In vitro characterization of the anti-bacterial activity of SQ109 against Helicobacter pylori. PLoS One 2013; 8:e68917 [View Article] [PubMed]
    [Google Scholar]
  57. Villegas I, Rosillo , Alarcón-de-la-Lastra C, Vázquez-Román V, Llorente M et al. Amoxicillin and clarithromycin mucoadhesive delivery system for Helicobacter pylori infection in a mouse model: characterization, pharmacokinetics, and efficacy. Pharmaceutics 2021; 13:153 [View Article] [PubMed]
    [Google Scholar]
  58. Dore MP, Osato MS, Realdi G, Mura I, Graham DY et al. Amoxycillin tolerance in Helicobacter pylori. J Antimicrob Chemother 1999; 43:47–54 [View Article]
    [Google Scholar]
  59. Kim SW, Lee JS, Park SB, Lee AR, Jung JW et al. The Importance of porins and β-Lactamase in outer membrane Vesicles on the hydrolysis of β-lactam antibiotics. IJMS 2020; 21:2822 [View Article]
    [Google Scholar]
  60. Ghai I. A barrier to entry: examining the bacterial outer membrane and antibiotic resistance. Appl Sci 2023; 13:4238 [View Article]
    [Google Scholar]
  61. Akbarzadeh A, Rezaei-Sadabady R, Davaran S, Joo SW, Zarghami N et al. Liposome: classification, preparation, and applications. Nanoscale Res Lett 2013; 8:102–105 [View Article] [PubMed]
    [Google Scholar]
  62. Nii T, Ishii F. Encapsulation efficiency of water-soluble and insoluble drugs in liposomes prepared by the microencapsulation vesicle method. Int J Pharm 2005; 298:198–205 [View Article] [PubMed]
    [Google Scholar]
  63. Daraee H, Etemadi A, Kouhi M, Alimirzalu S, Akbarzadeh A. Application of liposomes in medicine and drug delivery. Artif Cells Nanomed Biotechnol 2016; 44:381–391 [View Article] [PubMed]
    [Google Scholar]
  64. Wang Z, Ma Y, Khalil H, Wang R, Lu T. Fusion between fluid liposomes and intact bacteria: study of driving parameters and in vitro bactericidal efficacy. Int J Nanomedicine 2016; 11:4025–4036
    [Google Scholar]
  65. Westmeier D, Posselt G, Hahlbrock A, Bartfeld S, Vallet C et al. Nanoparticle binding attenuates the pathobiology of gastric cancer-associated Helicobacter pylori. Nanoscale 2018; 10:1453–1463 [View Article] [PubMed]
    [Google Scholar]
  66. Scherer C, Müller K-D, Rath P-M, Ansorg RAM. Influence of culture conditions on the fatty acid profiles of laboratory-adapted and freshly isolated strains of Helicobacter pylori. J Clin Microbiol 2003; 41:1114–1117 [View Article] [PubMed]
    [Google Scholar]
  67. O’Toole PW, Clyne M. Cell envelope. In Helicobacter Pylori: Physiology and Genetics: ASM Press; 2001
    [Google Scholar]
  68. Wunder C, Churin Y, Winau F, Warnecke D, Vieth M et al. Cholesterol glucosylation promotes immune evasion by Helicobacter pylori. Nat Med 2006; 12:1030–1038 [View Article] [PubMed]
    [Google Scholar]
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