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Harnessing Monoterpenes and Monoterpenoids as Weapons against Antimicrobial Resistance

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07 mar 2025
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Fig. 1.

Chemical structures of monoterpenes discussed in this review, sourced from the PubChem database.
Chemical structures of monoterpenes discussed in this review, sourced from the PubChem database.

Fig. 2.

A schematic representation of mechanisms of action of monoterpenes targeting MDR bacteria.
The diagram was created using Inkscape 1.3.2.
A schematic representation of mechanisms of action of monoterpenes targeting MDR bacteria. The diagram was created using Inkscape 1.3.2.

Mechanism of action of monoterpenes against tested pathogens_

Chemical compounds Tested pathogen Mechanisms of action References
Eugenol Staphylococcus aureus

Inhibition of efflux pump

Macêdo et al. 2022
Eugenol Staphylococcus aureus

Inhibition of norA efflux pump

Muniz et al. 2021
Eugenol α-Bromo-trans-cinnamaldehyde Staphylococcus aureus

Gene expression reduction linked to intracellular adhesion

Mastoor et al. 2022
Eugenol Methicillin-resistant Staphylococcus aureus

Downregulation of luxS gene

Inhibition of biofilm production

Enhancement of secondary metabolites

Upregulation of argC protein

Buru et al. 2022
Eugenol Methicillin-resistant Staphylococcus aureus

Downregulation of biofilm-related genes (sarA, icaA, icaD)

Reduction of polysaccharide accumulation and cell adhesion

El-Far et al. 2021
Carvacrol Staphylococcus aureus Pseudomonas fluorescens

Targeted extracellular polymeric substances

Disruption of biofilm structures

Wang et al. 2020b.
Eugenol Geraniol Acinetobacter baumannii

Reduction in exopolysaccharide production

Disruption and inhibition of biofilm

Downregulation of csuE gene

Choudhary et al. 2022
p-Cymene Campylobacter jejuni

Inhibition of efflux pump

Šimunović et al. 2020
Carvacrol Pseudomonas aeruginosa Enterococcus faecalis

Cell membrane destruction

Leakage of the intercellular pool

Anti-biofilm properties

Increased extracellular K+ ions concentrations

Mechmechani et al. 2022
Carvacrol Thymol Salmonella Thyphimurium

Anti-inflammatory effects

Anti-oxidant properties

Enhanced epithelial barrier integrity

Reduction of bacterial translocation

Improved transepithelial electrical resistance

Inhibited bacterial growth

Giovagnoni et al. 2020
Eugenol Extended-spectrum β-lactamases-quinoloneresistant strains of Klebsiella pneumoniae

Induced shrinkage of cell surfaces

Diminished cytoplasm

Triggered cellular stress and autolysis

Dhara and Tripathi 2020
Eugenol Carbapenem-resistant Klebsiella pneumoniae (CRKP)

Disruption of cell membrane

Reduction in intracellular pH and ATP levels

Cell membrane hyperpolarization

Downregulation of biofilm-related genes (pgaA, luxS, wbbM, wzm)

Upregulation of mrkA gene

Qian et al. 2020
Carvacrol Extended-spectrum beta-lactamases Escherichia coli

Disintegration of bacterial cell membranes

Elevation of reactive oxygen species levels

Protected macrophage cells from bacterial invasion

Increased the release of K+ ions, ATP, and cellular DNA

Anti-biofilm properties

Khan et al. 2020
Carvacrol Thymol Eugenol Methyl eugenol Candida albicans

Reduced proteinase production

Shaban et al. 2020
Carvacrol Thymol Eugenol Methyl eugenol Candida auris

Reduced proteinase production and host cell adherence

Shaban et al. 2020
Carvacrol Candida auris

Induced oxidative stress

Increased CAT, SOD and GPx enzyme activity

Decreased GR and GST enzyme activity

Caused membrane disintegration

Ismail et al. 2022

Comprehensive summary of MIC values of monoterpenes against AMR pathogens, grouped as Gram-positive, Gram-negative, and fungal pathogens_

Tested pathogens Chemical compounds MIC/Sensitivity References
Gram-positive bacteria
Bacillus subtilis Limonene 0.048 μg/ml Noumi et al. 2023
Listeria monocytogenes Limonene 0.048 μg/ml Noumi et al. 2023
Enterococcus sp. ThymolCarvacrolGeraniolLimoneneEugenolCinnamaldehyde 200–450 μg/ml100–450 μg/ml100–350 μg/ml100–450 μg/ml200–450 μg/ml10–50 μg/ml Caballero Gómez et al. 2022
Vancomycin-sensitive Enterococcus (VSE) CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 593.37 μg/ml19919562 μg/ml35199850 μg/ml8599475.4 μg/ml17060082.9 μg/ml Owen et al. 2019
Vancomycin-resistant Enterococcus (VRE) CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 593369 μg/ml79679730 μg/ml8799962.5 μg/ml8599475.4 μg/ml17060082.9 μg/ml Owen et al. 2019
Staphylococcus sp. ThymolCarvacrolGeraniolLimoneneEugenolCinnamaldehyde 200–400 μg/ml200–400 μg/ml100–400 μg/ml100–400 μg/ml300–400 μg/ml10–50 μg/ml Caballero Gómez et al. 2022
Staphylococcus aureus ThymolCarvacrolLimoneneα-Pineneβ-Pinenep-Cymene1,8-CineoleLimoneneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvoneEugenolLinalyl acetatetrans-AnetholeMenthone 72–800 μg/ml256–3200 μg/ml0.048 μg/ml11.88 μg/ml10.13 μg/ml10.25 μg/ml5.63–115100 μg/ml2.63 μg/ml4.25 μg/ml2.88–6800 μg/ml7.63 μg/ml2.38 μg/ml3.75 μg/ml3.13 μg/ml5.88 μg/ml11.38 μg/ml24–11100 μg/ml46900 μg/ml494000 μg/ml27900 μg/ml Kwiatkowski et al. 2020;Sayout et al. 2020;Sousa Silveira et al. 2020;Macêdo et al. 2022;Noumi et al. 2023;Sharma et al. 2023
Methicillin-susceptible Staphylococcus aureus CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 297435.6 μg/ml4979520 μg/ml17599925 μg/ml1075102.2 μg/ml8529360.3 μg/ml Owen et al. 2019
Methicillin-resistant Staphylococcus aureus CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 148717.8 μg/ml9960522 μg/ml8799962.5 μg/ml2150204.4 μg/ml17060082.9 μg/ml Owen et al. 2019
Mupirocin-susceptible Staphylococcus aureus 1,8-cineoleEugenolCarvacrolLinalool(–)-MenthoneLinalyl acetatetrans-Anethole 307000 μg/ml2080 μg/ml950 μg/ml6800 μg/ml27910 μg/ml450500 μg/ml494000 μg/ml Kwiatkowski et al. 2019
Mupirocin-resistant Staphylococcus aureus 1,8-cineoleEugenolCarvacrolLinalool(–)-MenthoneLinalyl acetatetrans-Anethole 57560 μg/ml8340 μg/ml480 μg/ml2830 μg/ml6980 μg/ml450500 μg/ml494000 μg/ml Kwiatkowski et al. 2019
Staphylococcus pseudintermedius ThymolCarvacrol 100–200 μg/ml146–292 μg/ml Sim et al. 2019
β-haemolytic Streptococcus spp. ThymolCarvacrol 200–400 μg/ml146–292 μg/ml Sim et al. 2019
Streptococcus suis CinnamaldehydeCarvacrolThymol 156.25–312.5 μg/ml156.25 μg/ml156.25 μg/ml de Aguiar et al. 2019
Gram-negative bacteria
Acinetobacter baumannii α-PineneCampheneβ-Pinened-3-Carenep-Cymene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 11.88 μg/ml20.00 μg/ml13.50 μg/ml7.88 μg/ml5.13 μg/ml5.63 μg/ml5.25 μg/ml4.88 μg/ml1.06 μg/ml1.44 μg/ml10.17 μg/ml9.50 μg/ml0.94 μg/ml0.78 μg/ml4.70 μg/ml7.58 μg/ml Sayout et al. 2020
Campylobacter jejuni ThymolCarvacrolThymoquinonep-Cymeneγ-Terpinene 31.25 μg/ml31.25 μg/ml31.25 μg/ml1000 μg/ml1000 μg/ml Šimunović et al. 2020
Enterobacter aerogenes β-Pinene1,8-CineoleLimoneneγ–TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolVerbenoneCarvone 20.25 μg/ml2.81 μg/ml1.31 μg/ml4.88 μg/ml2.13 μg/ml1.44 μg/ml15.25 μg/ml2.38 μg/ml0.94 μg/ml2.94 μg/ml5.69 μg/ml Sayout et al. 2020
Enterobacter cloacae α-Pineneβ-PineneMyrcened-3-Carenep-Cymene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 11.88 μg/ml5.06 μg/ml7.75 μg/ml7.88 μg/ml4.10 μg/ml5.63 μg/ml2.63 μg/ml6.50 μg/ml1.70 μg/ml1.92 μg/ml6.10 μg/ml3.17 μg/ml1.50 μg/ml3.13 μg/ml3.36 μg/ml9.10 μg/ml Sayout et al. 2020
Ciprofloxacin-resistant Escherichia coli CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 297435.6 μg/ml1244880 μg/ml8799962.5 μg/ml1075102.2 μg/ml34120165.8 μg/ml Owen et al. 2019
Escherichia coli CarvacrolCuminaldehydeLinaloolp-Cymeneγ-TerpineneLimoneneα-PineneCampheneβ-PineneMyrcened-3-Carenep-Cymene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 297435.6 μg/ml311220 μg/ml8799962.5 μg/ml2150204.4 μg/ml34120165.8 μg/ml0.048 μg/ml11.88 μg/ml15.00 μg/ml5.06 μg/ml1.94 μg/ml7.88 μg/ml2.56 μg/ml2.81 μg/ml2.63 μg/ml4.88 μg/ml4.25 μg/ml2.88 μg/ml7.63 μg/ml4.75 μg/ml3.75 μg/ml3.13 μg/ml5.88 μg/ml11.38 μg/ml Owen et al. 2019; Sayout et al. 2020; Noumi et al. 2023
Klebsiella oxytoca β-Pinene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 13.50 μg/ml5.63 μg/ml2.63 μg/ml4.88 μg/ml2.13 μg/ml1.44 μg/ml10.17 μg/ml3.17 μg/ml2.5 μg/ml6.25 μg/ml5.88 μg/ml11.38 μg/ml Sayout et al. 2020
Klebsiella pneumoniae ThymolCarvacrolGeraniolα-PineneCampheneβ-PineneMyrcened-3-Carenep-Cymene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 780 μg/ml130–1910 μg/ml1740 μg/ml23.75 μg/ml30.00 μg/ml10.13 μg/ml15.50 μg/ml7.88 μg/ml10.25 μg/ml11.25 μg/ml2.63 μg/ml4.88 μg/ml2.13 μg/ml3.83 μg/ml5.08 μg/ml2.38 μg/ml0.47 μg/ml1.56 μg/ml3.36 μg/ml15.17 μg/ml Sayout et al. 2020;de Souza et al. 2021;Kwiatkowski et al. 2022
Malassezia pachydermatis ThymolCarvacrolCinnamaldehyde 10–800 μg/ml10–585 μg/ml2.5–640 μg/ml Schlemmer et al. 2019;Sim et al. 2019
Salmonella enterica Limonene 0.048 μg/ml Noumi et al. 2023
Salmonella spp. β-Pinene1,8-CineoleLimoneneγ-TerpineneFenchoneLinaloolCamphorcis-VerbenolTerpinen-4-olVerbenoneCarvone 8.10 μg/ml7.50 μg/ml2.63 μg/ml6.50 μg/ml1.70 μg/ml2.88 μg/ml6.10 μg/ml1.90 μg/ml3.13 μg/ml3.92 μg/ml22.75 μg/ml Sayout et al. 2020
Shigella flexeneri Limonene 0.048 μg/ml Noumi et al. 2023
Proteus mirabilis ThymolCarvacrol 200 μg/ml146–292 μg/ml Sim et al. 2019
Pseudomonas sp. ThymolCarvacrolGeraniolLimoneneEugenolCinnamaldehyde 100–300 μg/ml100–400 μg/ml100–400 μg/ml100–300 μg/ml300–400 μg/ml10–50 μg/ml Caballero Gómez et al. 2022
Ciprofloxacin-resistant Pseudomonas aeruginosa CarvacrolCuminaldehydeLinaloolp-Cymeneγ-Terpinene 4749956.4 μg/ml39840606 μg/ml140799400 μg/ml8599475.4 μg/ml34120165.8 μg/ml Owen et al. 2019
Pseudomonas aeruginosa ThymolCarvacrolCuminaldehydeLinaloolp-Cymeneγ-TerpineneLimoneneβ-Pinene 400–800 μg/ml585–1120 μg/ml39839124 μg/ml35199850 μg/ml8599475.4 μg/ml68240331.6 μg/ml0.048 μg/ml10.13 μg/ml Owen et al. 2019;Sim et al. 2019;Noumi et al. 2023
Pseudomonas aeruginosa LimoneneFenchoneLinaloolCamphorcis-VerbenolBorneolTerpinen-4-olVerbenoneCarvone 2.63 μg/ml1.70 μg/ml1.92 μg/ml6.10 μg/ml1.58 μg/ml1.88 μg/ml3.13 μg/ml4.70 μg/ml9.10 μg/ml Owen et al. 2019;Sim et al. 2019;Noumi et al. 2023
Vibrio vulnificus Limonene 0.048 μg/ml Noumi et al. 2023
Vibrio anguillarum ThymolCarvacrolEugenolGeraniolCinnamaldehyde 282413.6 μg/ml282413.6 μg/ml308696 μg/ml1156875 μg/ml555750 μg/ml Rossi et al. 2021
Vibrio harveyi ThymolCarvacrolEugenolGeraniolCinnamaldehyde 141206.8 μg/ml141206.8 μg/ml308696 μg/ml1156875 μg/ml278616 μg/ml Rossi et al. 2021
Fungal pathogens
Candida albicans ThymolCarvacrolEugenolMethyl eugenol(+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 195–625 μg/ml43.75–250 μg/ml500–2000 μg/ml1250 μg/ml51767.4–1716498 μg/ml858249–54927936 μg/ml213881.1–13731984 μg/ml8173.8–6865992 μg/ml8173.8–13731984 μg/ml3578600–6787000 μg/ml1789300–28628800 μg/ml459734.6–7355753.6 μg/ml239762.25–3732679.6 μg/ml473193–3785544 μg/ml473193–3785544 μg/ml494747.5–3957980 μg/ml49360–1665900 μg/ml49360–1665900 μg/ml221889.2–7125456 μg/ml221889.2–7125456 μg/ml Sharifzadeh et al. 2019;Iraji et al. 2020;Shaban et al. 2020;Stringaro et al. 2022;Biernasiuk et al. 2022
Candida auris CarvacrolThymolEugenolMethyl eugenol 125 μg/ml312 μg/ml625 μg/ml1250 μg/ml Shaban et al. 2020
Candida dubliniensis (+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 103534.8–1716498 μg/ml858249–27463968 μg/ml103534.8–6865992 μg/ml12260.7–3432996 μg/ml12260.7–1716498 μg/ml223662.5–6787000 μg/ml894650–14314400 μg/ml919469.2–7355753.6 μg/ml112650.2–3732679.6 μg/ml114167.2–1892772 μg/ml114167.2–1892772 μg/ml246612.6–1978990 μg/ml24680–208237.5 μg/ml24680–208237.5 μg/ml53128.4–3562728 μg/ml53128.4–3562728 μg/ml Iraji et al. 2020
Fungal pathogens
Candida glabrata ThymolCarvacrolEugenol(+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 390 μg/ml62.50–195 μg/ml1000–2000 μg/ml51767.4–1716498 μg/ml858249–54927936 μg/ml103534.8–1716498 μg/ml50405.1–3432996 μg/ml50405.1–3432996 μg/ml447325–7157200 μg/ml1789300–14314400 μg/ml1838938.4–14711507.2 μg/ml232911.9–3732679.6 μg/ml114167.2–3785544 μg/ml114167.2–3785544 μg/ml59369.7–989495 μg/ml49360–208237.5 μg/ml49360–208237.5 μg/ml26564.2–445341 μg/ml26564.2–445341 μg/ml Sharifzadeh et al. 2019;Iraji et al. 2020;Biernasiuk et al. 2022;Stringaro et al. 2022
Candida krusei ThymolCarvacrolEugenol(+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 390 μg/ml87.50–125 μg/ml250–1000 μg/ml51767.4–858249 μg/ml858249–1716498 μg/ml103534.8–429124.5 μg/ml8173.8–6865992 μg/ml8173.8–429124.5 μg/ml447325–3578600 μg/ml3578600–7157200 μg/ml919469.2–7355753.6 μg/ml112650.2–933169.9 μg/ml114167.2–1892772 μg/ml114167.2–1892772 μg/ml246612.6–3957980 μg/ml100262.5–832950 μg/ml100262.5–1665900 μg/ml100006.4–445341 μg/ml53128.4–445341 μg/ml Sharifzadeh et al. 2019;Iraji et al. 2020;Biernasiuk et al. 2022;Stringaro et al. 2022
Candida parapsilosis Eugenol(+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 500–100 μg/ml51767.4–429124.5 μg/ml429124.5–1716498 μg/ml213881.1–431849.1 μg/ml50405.1–429124.5 μg/ml50405.1–213881.1 μg/ml107975–1789300 μg/ml894650–14314400 μg/ml3677876.8–14711507.2 μg/ml479524.5–3732679.6 μg/ml473193–7571088 μg/ml473193–7571088 μg/ml59369.7–1978990 μg/ml49360–416475 μg/ml49360–416475 μg/ml53128.4–890682 μg/ml53128.4–445341 μg/ml Iraji et al. 2020;Biernasiuk et al. 2022
Fungal pathogens
Candida tropicalis ThymolCarvacrol(+)-α-Pinene(–)-α-Pineneβ-Pinene(+)-Limonene(–)-Limonene(+)-Menthone(–)-MenthoneThujonePiperitone(+)-Carvone(–)-CarvoneCamphor(+)-Citronellol(–)-Citronellol(+)-Menthol(–)-Menthol 390 μg/ml97.5 μg/ml429124.5–1716498 μg/ml6865992–27463968 μg/ml103534.8–3432996 μg/ml213881.1–3432996 μg/ml213881.1–1716498 μg/ml447325–1789300 μg/ml1789300–14314400 μg/ml919469.2–7355753.6 μg/ml112650.2–3732679.6 μg/ml114167.2–1892772 μg/ml114167.2–1892772 μg/ml246612.6–989495 μg/ml24680–100262.5 μg/ml24680–100262.5 μg/ml100006.4–445341 μg/ml100006.4–445341 μg/ml Iraji et al. 2020;Stringaro et al. 2022
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Scienze biologiche, Microbiologia e virologia