Evidence map›Paper›PMID 41733704›Full record

ArticleMolecular biology reports2026

Enhanced antibiofilm and gene-suppressive effects of cinnamon nanoemulsion against multidrug-resistant Enterococcus faecalis.

Pourya Gholizadeh, Reyhaneh Rahimzadeh, Behnam Mohammadi-Ghalehbin, Mohesn Arzanlou, Narges Soozangar, Hadi Feizi

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Article in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pourya GholizadehZoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran. poorya.gholizadeh@gmail.com.
Reyhaneh RahimzadehDigestive Diseases Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Behnam Mohammadi-GhalehbinZoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Mohesn ArzanlouZoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Narges SoozangarZoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Hadi FeiziResearch and Innovation Hub, Iranian Social Security Organization, Ostad Aali-Nasab Hospital, Tabriz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnterococcus faecalis is a major cause of persistent endodontic infections due to its strong biofilm-forming ability and resistance to conventional disinfectants. Cinnamon (Cinnamomum zeylanicum) essential oil (EO) has been recognized for its antimicrobial properties; however, its poor solubility and stability limit its clinical application. This study evaluated the antibacterial efficacy of cinnamon EO and its nanoemulsion (EM) against multidrug-resistant E. faecalis and its biofilm-associated gene expression.

methodsCinnamon EO was extracted via Soxhlet and emulsified using combined low- and high-energy methods. The physicochemical properties were characterized by GC–MS, FTIR, dynamic light scattering, and zeta potential. Antimicrobial activity was assessed by agar well diffusion, MIC/MBC determination, growth curve analysis, and crystal violet biofilm assay. Gene expression changes (fsrB, luxS, ebpR, ace, esp, epaA, and bopD) were quantified by RT-qPCR.

resultsGC–MS identified trans-cinnamaldehyde (70.5%) as the main component of the essential oil. EM showed a mean droplet size of 231.4 nm and a zeta potential of − 39.2 mV, indicating high stability. EM had MIC/MBC of 0.049% (v/v) relative to the 20% stock solution, and significantly reduced bacterial growth and biofilm biomass. RT-qPCR showed significant downregulation of quorum-sensing genes (fsrB, luxS), adhesion genes (ebpR, ace), and other biofilm-related genes (esp, epaA, bopD) after EM treatment.

conclusionCinnamon EO nanoemulsion demonstrated better antibiofilm activity than native EO, likely due to improved solubility, stability, and bioavailability of trans-cinnamaldehyde. Its capacity to inhibit growth, disrupt quorum-sensing, and reduce adhesion-related gene expression supports its potential as a natural adjunct for treating biofilm-related endodontic infections.

Indexed as

BiofilmsCinnamomum zeylanicumEnterococcus faecalisAcroleinAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialEmulsionsGene Expression Regulation, BacterialMicrobial Sensitivity TestsOils, VolatileAcroleinAnti-Bacterial AgentscinnamaldehydeEmulsionsOils, VolatileAntibacterial ActivityEnterococcus faecalisEssential Oil EmulsionGene expressionPhytotherapy

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.