Antibacterial Properties of Ag-Cu Alloy Nanoparticles Against Multidrug-Resistant Through Inhibition of Quorum Sensing Pathway and Virulence-Related Genes.

: To evaluate the application of Ag-Cu NPs as quorum sensing (QS) inhibitors and attenuate virulence expression to overcome the global crisis of multidrug-resistant (MDR) . : Ag-Cu NPs were synthesized by co-reduction of silver-nitrate and copper-nitrate (Ag:Cu = 1:1 0.75 M). In this cross-sectional study, a total of eighty clinical strains of were collected from patients with burns. The antibacterial and resistance pattern of the clinical isolated was determined using the microdilution and Kirby Bauer disk methods. The effect of sub-MIC of Ag-Cu NPs on the expression of lasI, exoS and toxA in five clinical isolates of imipenem-resistant was performed using qRT-PCR. : The characterization methods confirm the formation of the Ag-Cu alloy NPs with agglomerated spherical morphology and particle sizes of about 30-40 nm. We observed that the MIC and MBC of Ag-Cu alloy NPs against MDR was found to be 2.5 and 5 g ml, respectively. The effects of a sub-inhibitory concentration of Ag-Cu NPs on MDR QS and virulence-related genes showed that the expression level of QS regulatory and virulence genes significantly decreased in both MDR and reference strain under Ag-Cu sub-MIC treatment. : Ag-Cu NPs could be potentially used as a promising QS inhibitor and anti-virulence compound against .