MSC-03176; No of Pages 8 Materials Science and Engineering C xxx (2011) xxx–xxx Contents lists available at SciVerse ScienceDirect Materials Science and Engineering C journal homepage: www.elsevier.com/locate/msec Antimicrobial activity of transition metal acid MoO3 prevents microbial growth on material surfaces ☆,☆☆ Cordt Zollfrank a,⁎, Kai Gutbrod a, Peter Wechsler b, Josef Peter Guggenbichler c a b c University of Erlangen-Nuremberg, Department of Materials Science and Engineering 3-Glass and Ceramics, Martensstr. 5, D-91058 Erlangen, Germany LEONI Kabel GmbH, Stieberstraße 5, D-91154 Roth, Germany Laboratory for the Development of Healthcare Products, Leitweg 23, A-6345 Kössen, Austria a r t i c l e i n f o Article history: Received 10 May 2011 Received in revised form 22 August 2011 Accepted 22 September 2011 Available online xxxx Keywords: Antimicrobial materials Transition metal acid Molybdenum oxide Antibacterial coating Sol–gel technique a b s t r a c t Serious infectious complications of patients in healthcare settings are often transmitted by materials and devices colonised by microorganisms (nosocomial infections). Current strategies to generate material surfaces with an antimicrobial activity suffer from the consumption of the antimicrobial agent and emerging multidrug-resistant pathogens amongst others. Consequently, materials surfaces exhibiting a permanent antimicrobial activity without the risk of generating resistant microorganisms are desirable. This publication reports on the extraordinary efficient antimicrobial properties of transition metal acids such as molybdic acid (H2MoO4), which is based on molybdenum trioxide (MoO3). The modification of various materials (e.g. polymers, metals) with MoO3 particles or sol–gel derived coatings showed that the modified materials surfaces were practically free of microorganisms six hours after contamination with infectious agents. The antimicrobial activity is based on the formation of an acidic surface deteriorating cell growth and proliferation. The application of transition metal acids as antimicrobial surface agents is an innovative approach to prevent the dissemination of microorganisms in healthcare units and public environments. © 2011 Elsevier B.V. All rights reserved. 1. Introduction Health care associated infections (nosocomial infections: NI) are the fourth leading cause of disease and the most common complication affecting hospitalised patients in addition to a minimum of 175,000 deaths every year in industrialised countries [1–2]. Reports from the US indicate that NI account for 2 million infections and 90,000 preventable deaths per year [3]. Transmission of pathogens and resulting biofilm growth has also gained increasing importance in industrial applications (e.g. cooling towers of power plants), water treatment and sanitation, food packaging and public environments (e.g. public transportation). An increasing number of highly vulnerable patients together with emerging antibiotic-resistant microbes, especially methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus species (VRE) and Gram-negative microorganisms producing an extended spectrum of beta-lactamases (ESBL) are encountered [4–7]. The situation is aggravated by the fact that in the future there will be few new antibiotics under development to compensate for the increasing resistance, because of the high costs of research and clinical testing as well as regulatory problems [8–11]. In view of increasing antibiotic resistance, ☆ The authors declare no competing financial interests. ☆☆ The authors are grateful to Dr. Carolin Körner (WTM, University of ErlangenNuremberg) for the kind gift of the titanium rods. ⁎ Corresponding author. Tel.: + 49 9131 85 27560; fax: + 49 9131 85 28311. E-mail address: cordt.zollfrank@ww.uni-erlangen.de (C. Zollfrank). this trend may be considered dramatic and is seen in the USA, Japan and particularly in Europe [12]. Unquestionably, barrier precautions like meticulous hygienic measures, hand washing remain the main goal in the prevention of NI. However, it has been described that the surfaces of the inanimate environment such as instruments, cables, switches, accessories, doorknobs, bed gear, blankets and sanitary installations can act as a reservoir for multi-resistant pathogens and in combination with invasive devices that bypass the body's natural lines of defence provide an easy route for infection [13,14]. Therefore, there is increased evidence for the occurrence of NI connected to the transmission from contaminated surfaces [15–17], indicating that the concept of prevention cannot be limited to hand washing or antimicrobial biomaterials. Germ free surfaces close to patients in sensitive areas assume highest priority. Therefore, effective strategies to reduce the number of NI by infection transmission through genuine bacteria free inanimate surfaces will increase the state of health in society. Current approaches to decrease microbial contamination on inanimate surfaces are either preventive or biocidal. The first category aims at preventing adhesion of the infectious agents on the surface through an anti-adhesive coating. These include poly(ethylene glycol) [18], diamond-like carbon [19], self-cleaning surfaces (Lotus effect) [20,21], and amphiphilic polymer coatings [22,23]. Since the infectious agents are not eliminated, their presence might be still a high risk for vulnerable patients. A more reliable approach is the use of biocidal coatings on materials surfaces [24]. Successfully applied technologies employ disinfectants such as Triclosan [25] or inorganic antimicrobials such as silver ions [26,27], 0928-4931/$ – see front matter © 2011 Elsevier B.V. All rights reserved. doi:10.1016/j.msec.2011.09.010 Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 2 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx copper ions [28] and photocatalytic agents (e.g. TiO2) [29,30]. Apart for photocatalytically active materials, the techniques make use of the diffusion properties of the respective antimicrobial from the surface to the attached microbes, hereby decreasing their viability rate. Existing antimicrobial modified surfaces suffer from a number of limitations, including the rapid release of the adsorbed antibiotic after implantation [24]. This results in a time limited antimicrobial activity [31]. An enhanced frequency of resistance of the infectious agents has to be encountered by increasing exposure. This is eminently true for antibiotics and some disinfectants where cross-resistance with antibiotics has been described. Microorganisms also developed resistance even to inorganic antimicrobials. For many existing antimicrobials e.g. copper and silver ions cytotoxicity has been reported on mammalian cells [32], which limits their application in biomedical devices and healthcare environments. Last but not least, these materials often lack cost efficiency. It seems therefore essential to develop a new materials concept to cope with problems encountered with current technologies. A cost-efficient method for the production of coatings with an antimicrobial effect might be the sol–gel technique. In a sol, small particles of a solid are dispersed in a liquid. Thereby, the precursors are metallic or metalloid elements, which are surrounded by several ligands. By hydrolysis and a condensation step, a three-dimensional network is formed. Thereby, the viscosity is changed and the sol is transformed to a gel and finally to a solid, which normally is an oxide ceramic [33]. The sol–gel technique is an often used method for the production of thin layers of different materials for several applications, such as optic [34], electrochromic [35], photocatalytic [36] and antibacterial [37–39] use. Thereby, the antibacterial effect of standard systems strongly correlates to silver particles dispersed in the coating. Upon contact with water, the silver will be dissolved by the formation of ions, which are responsible for the reduction of the bacteria concentration. Thus, the antibacterial effect is time limited and strongly correlates to the silver concentration. Herein, the authors report on the development of an innovative approach for an antimicrobial coating using the antibacterial effect of transition metal acids. Molybdenum oxides (MoOx, 2 b x b 3) and tungsten oxides (WOx, 2 b x b 3) in contact to water are exceptionally effective agents against nosocomial pathogens such as Staphyloccocus aureus and Pseudomonas aeruginosa. Although molybdenum and tungsten oxides are renowned for their gas sensing, [40] and electrochromic characteristics [35] in engineering applications, the anti microbial properties of these materials have not been investigated so far. Recently, the antimicrobial properties of molybdenum and tungsten oxides were shown for a number of substrates including polymers, metals, glasses and ceramics [41]. The investigated approach is a facile and cheap way to produce long-lasting antibacterial surfaces. It can be applied to most standard materials and thus can be a major goal for the reduction of NI in hospitals. 2. Materials and methods 2.1. Preparation of samples In a typical experiment, the respective inorganic powders (Mo: 3.8 μm; MoO2: 3.6 μm, and MoO3: 15.9 μm) were mixed with an acrylic resin powder (Transoptic, Buehler) attaining concentrations up to 50 wt.-%. These high concentrations of the transitions metal acids were selected at first to ensure a sufficient amount of the active inorganic particles displayed on the surface of the samples. The powder mixtures were pressed into small rods (2 cm in length, 1 cm in diameter) and subsequently cured. The PU tubes were manufactured by extrusion of a PU granulate. Various PU tubes containing different amounts of MoO3 filler particles (d50 = 0.8 μm) were fabricated. The MoO3 filled PU was prepared by mixing the PU granulate together with a given fraction of MoO3 particles (0.5, 2.0 and 5.0 wt.%). Unmodified and MoO3 filled PU tubes were manufactured on an existing industrial machine line. Ti rods from an electron melt process (Ti–6Al–4V) exhibiting a rough surface with a diameter of 2 mm were dip-coated in Mo containing sol, which was prepared by dissolution of metallic Mo in a mixture of acetic acid and hydrogen peroxide solution. The Mo oxide based gel coated Ti rods were air-dried and annealed at 300, 500 and 700 °C to assess the influence of the oxide phase formation during annealing of the Mo oxide coating. 2.2. Investigated microorganisms The antimicrobial activity of molybdenum oxide has been investigated with respect to S. aureus ATCC 25923 (MRSA) and P. aeruginosa ATCC 10145. 2.3. Investigation of antimicrobial activity The microorganisms are stored on slant agar at −25 °C single colonies have been grown on Columbia agar with the addition of 5% defibrinated sheep blood for 12 hours at 37 °C. The inoculum count was estimated according to the Mc Farland standard [42]. In addition the concentration was evaluated by a photometric method: an OD of 0.8 at 475 nm reveals a concentration of 109 CFU/ml of Staphylococcus aureus. Final concentrations were determined with several 1:10 dilutions until colonies were countable. A dispersion of 10 9 colony forming units (CFU)/ml in 1/4 N saline was prepared by harvesting bacteria of an overnight culture. The samples rods are incubated with a solution containing the 109 CFU/ml for 4 h. This time is sufficient that bacteria are colonising the surface of the sample and start biofilm formation. After incubation the samples were subsequently rolled onto an agar plate (OXOID TSB nutrient agar with the addition of 5% defibrinated sheep blood, OXOID) to document colonisation and then transferred into sterile 1/4 N saline. This procedure was repeated every three hours for a total of 12 hours. The agar plates were incubated at 37 °C for 24 h, Fig. 1a. At the same time negative controls were included in each experiment. By this method (“roll-on” culture method) not only the strength of adherence, proliferation but also the bactericidal activity of microorganisms colonising a surface is assessed [27,43–45]. Additionally, the investigation of antimicrobial activity was documented by a semi quantitative method [46]. A microplate lid was equipped with test probes forming a ‘comb’. The teeth of the ‘comb’ comprise the materials to be tested and fit precisely into the wells of a commercial 96-well microplate. The teeth are colonised by turning the lid upside down and filling it with a microbial dispersion. After removal of the “comb”, the growth of released daughter cells into the minimal medium was stimulated by addition of trypticase soy broth. Proliferation of microbes was followed online by optical density measurements at 578 nm using a kinetic detection mode. Plates were read with a microplate reader (Spectramax 250, Molecular Devices, Sunnyvale, California, USA). The processed data provided a time proliferation curve as testing result for each assay. If bacteria were partially or completely inactivated by the sample surface they were able to seed only few or even no cells resulting in lagging or absence of bacterial growth [47]. The time needed for a population to proliferate to an optical density (OD) of 0.2 is defined as the onset time tOD. The difference time tX of the onset time for the reference sample tOD,ref (no MoO3) and the onset time for the modified samples tOD,X were calculated with respect to the tOD,ref. An antimicrobial activity of the respective samples is defined for difference times larger than 6.0 corresponding to a threefold order of magnitude increase of onset of cell proliferation. 2.4. Cytotoxicity evaluation Cytotoxicity was monitored using the 3-(4,5-Dimethylthiazol-2yl)-2,5-diphenyltetrazolium bromide assay (MTT assay) [48]. This Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx 3 Fig. 1. a) Experimental protocol for the “roll-on” test to evaluate the antimicrobial activity of a materials surface. The sample rods were incubated with a bacteria dispersion and rolled over a nutrient agar plate. The growth of transferred bacteria on the agar plates was evaluated. This procedure was repeated every three hours for 12 h. Tested agar plates for S. aureus and P. aeruginosa for b) oxidised molybdenum, c) polymers modified with molybdenum metal, molybdenum dioxide MoO2 and molybdenum trioxide MoO3. assay measures the reducing potential of the cell using a colorimetric reaction and determines the metabolic activity of a cell. Viable cells will reduce the MTT reagent to a coloured formazan product, which can be measured by colorimetric techniques. This test system determines the metabolic activity of test cells and impairment by toxic substances. For the measurement, a 24 h eluate of a 10 cm2 surface in 10 ml physiologic saline was prepared. Dilutions 1:1, 1:2, 1:5 and 1:10 of the eluate with a dispersion of MRC5 mouse lung fibroblast cells were used as control dispersions with 5 × 105 MRC5 cells in 1/4 N saline. The number of test cells was adjusted to 5 × 105 cells in Dulbeccos modified Eagle Medium. Simultaneously two control media were added: as negative control for non-cytotoxicity 5 × 105 MRC5 mouse fibroblasts in 1/4 N saline and as positive control for cytotoxicity MRC5 cells with 0.1% copper sulphate. To 0.5 ml of these supernatants 10 μl of farmazan was given. The colour change was measured in a photometer as optical density (OD) at a wavelength of 475 nm after 4 h incubation at 37 °C. 3. Results 3.1. Investigation of antimicrobial activity The “roll-on” culture method was applied as a screening method for the assessment of the antimicrobial activity of our modified sample rods, Fig. 1. The results indicate, that pure surface oxidised Mo metal already showed antimicrobial activity, Fig. 1b. Very little colonies were visible at 3 h, after 6, 9 and 12 h virtually no microorganisms were detected. In contrast, negative controls showed unaffected growth of bacteria throughout the entire experiment. To further elucidate, which of the Mo phases are the active component, various Mo and MoOx (x= 2 or 3) loaded polymer samples were tested. Pure Mo did not show any antimicrobial activity for P. aeruginosa. S. aureus showed a decrease in the number of detectable colonies after 9 h, Fig. 1c. In contrast, MoO2 loaded polymer sample exhibited a noticeable antimicrobial activity. After 6 h most of the infectious agents were eradicated from the incubated sample surface. The surface of the sample was free of bacteria after 9 h. The antimicrobial activity drastically increased by the addition of MoO3 particles to the polymer matrix. No infectious agents could be transferred after 3 h in the roll-on test. This means, that the bacteria vanished or were inactivated by the MoO3 phase displayed on the surface of the polymer samples. This astonishing new effect of antimicrobial activity for transition metal acids gives rise for a completely new materials surface design to prevent transmission of infectious agents and thus to decrease the risk of NI. 3.2. Effect of MoO3 concentration The potential of our materials concept using antimicrobial active MoO3 particles was further evaluated on polyurethane (PU) hollow tubes, which are used as an isolation of electric cables. The outer surface of the PU tubes was subjected to the “roll-on” test to evaluate the antimicrobial activity, Fig. 2. Although, the entire polymer composite was filled with inorganic particles, part of the MoO3 filler particles were displayed on the surface of the PU tubes. A scanning electron microscopy (SEM) micrograph of an unfilled PU tube is shown in Fig. 2a. The pure PU surface did not show any antimicrobial activity. Colonies of S. aureus and P. aeruginosa were transferred from the incubated tubes even after 12 h. The MoO3 particles of the modified PU tubes are clearly detectable in SEM investigation (back-scattered electron mode, BSE) as white spots, Fig. 2b–d. Whereas the particles were hardly visible at a filler content of 0.5 wt.%, the MoO3 agglomeration could be undoubtedly identified at filler concentrations of 2.0 and 5.0 wt.%. The inset in Fig. 2c shows a magnification of the agglomerate in range of a few microns consisting of submicron-sized MoO3 particles. Evaluation of the “roll-on” test distinctly showed a considerable antimicrobial Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 4 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx Fig. 2. SEM micrographs (BSE mode) of the surfaces of extruded unmodified and MoO3 filled PU tubes and corresponding tested agar plates for S. aureus and P. aeruginosa: a) unmodified PU tube, b) 0.5 wt.% MoO3 (white circles highlight selected MoO3 particles), b) 2.0 wt.% MoO3 and c) 5.0 wt.% MoO3. activity for MoO3 filler concentration of 0.5 wt.%, Fig. 2b. A substantial amount of bacteria was still viable after 6 h on the MoO3 modified PU tube, so that colonies of S. aureus and P. aeruginosa could be detected on the agar plates. After 12 h colony density due to bacteria transfer was decreased. This means that the MoO3 exhibits an antimicrobial activity, but the modified PU tubes were not free of bacteria. Increasing the MoO3 fraction resulted in an increase of the microbial activity. Significant reduction of the bacteria on the PU surfaces was obtained for 2.0 wt.% MoO3. Some transferred S. aureus were still present after 6 h whereas P. aeruginosa was nearly absent. At 5.0 wt.% MoO3 filler concentration, the modified PU rods were virtually free of bacteria after 9 h. Both S. aureus and P. aeruginosa were hardly detectable after the “roll-on” test on the agar plates. A SEM investigation of S. aureus on unmodified surface of the PU tubes showed, that the cells are intact and do not show any degradation effects, Fig. 3a. Contrary, S. aureus on MoO3 filled PU tubes (5.0 wt.%) exhibited severe deterioration after 60 min of the cells, which resulted in cell death, and thus inactivation of the infectious agent, Fig. 3b. A similar SEM observation could be obtained on E. coli. The bacteria are fully intact on unmodified PU tube surfaces, Fig. 3c, whereas degradation of the cells was clearly visible on 5.0 wt.% MoO3 modified PU tubes after 10 min, Fig. 3d. As a result it could be distinctly shown, that MoO3 modified PU tubes, even at low concentration of MoO3 (0.5 wt.%) exhibit a distinct highly efficient antimicrobial activity. Increasing the filler concentration to 5.0 wt.% resulted in an enhanced Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx 5 Fig. 3. a) Individual cell of S. aureus on an unmodified surface of a PU tube (60 min), b) deteriorated cell of S. aureus on PU tube containing 5.0 wt.-MoO3 60 min after incubation, c) intact E. coli. on an unmodified surface of a PU tube (10 min), d) deteriorated cells of E. coli. on a PU tube containing 5.0 wt.-MoO310 min after incubation. antimicrobial activity of the modified PU tubes, which was sufficient to remove almost all bacteria after 9 h contact on the tube surface. The semi-quantitative method for the investigation of antimicrobial activity showed typical time-proliferation curves of microorganisms for the microplate proliferation assay of our samples, Fig. 4a. The unmodified samples were measured as a reference and the corresponding curve shows uninhibited growth. The curves of the MoO3 modified samples were shifted indicating a delayed proliferation. The calculated difference time t0.5 from the diagram for the 0.5 wt.% MoO3 modified was 13.5, and the calculated difference time for t2.0 and t5.0 were 17.5 and 33.0, respectively. Since these values are well above the threshold value of 6.0, the highly efficient antimicrobial activity of the MoO3 modified samples was independently confirmed. 3.3. Cytotoxicity measurements The high measured OD of the negative references and our modified MoO3 samples indicates, that the MoO3 modified samples are noncytotoxic, in contrast to the copper containing positive samples, where the low observed OD values points to the expected high cytotoxicity, Fig. 4b. 3.4. Temperature treatment Further evidence of the antimicrobial activity of MoO3 and the active phases was obtained on modified titanium (Ti) rods, Fig. 5. The Mo oxide based yellow gel coating is clearly visible on the as-prepared dip-coated Ti rods, Fig. 5c and d. According to X-ray diffraction, the nearly amorphous gel coating consisted of a mixture of molybdates containing [Mo3O10]2− ions and hydrated MoO3, Fig. S1. After annealing the gel layer was transformed into slightly blue crystalline MoO3 with broad peaks consisting of a mixture of monoclinic and orthorhombic crystal structures. The appearance of the coating did not change. The antimicrobial properties were assessed using the “roll-on” test. The Mo oxide gel coating on the Ti rods treated at 300 °C exhibited an excellent antimicrobial activity against P. aeruginosa. Transmission of the bacteria was no longer observed after 3 hours indicating a bacteria free materials surface, Fig. 3e. The annealing treatment resulted in further crystallisation of the gel product. The fraction of MoO3 orthorhombic phase was increased. However, a significant decrease of the antimicrobial activity was observed for samples treated at 500 °C. There was a considerable transmission of bacteria even after 12 h. A distinct antimicrobial activity could no longer be observed for the samples treated at 700 °C. The samples were fully infectious after 12 h. After annealing at 700 °C, the nearly white MoO3 was well crystallised and consisted almost exclusively of the orthorhombic crystal phase. For reason of comparison, a silver containing Ti-alloy, which was expected to show an enhanced antimicrobial activity was also tested, Fig. 5f. The results indicated extensive transmission of bacteria after 12 h. As a result, Ti metal alloy, even if it contains silver, does not show a noticeable antimicrobial activity. On the other hand, it could be definitely shown, that the sol–gel derived Mo oxide coating on Ti alloy exhibits an extraordinary effective antimicrobial activity after annealing at 300 °C. By further annealing and transformation into crystalline Mo oxide phases, the antimicrobial activity is lost. The crystal structure development with temperature indicates, that the monoclinic phase might be correlated with the antimicrobial activity. It could be, however, shown for the first time, that sol–gel derived Mo oxide coatings are efficient coatings to prevent growth of bacteria on inanimate surfaces. Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 6 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx [49–52]. Thus, this mechanism is fairly non-specific (active against a broad spectrum of gram-positive and gram-negative bacteria) and, in contrast to antibiotics, does not produce bacteria resistant to this mode of action. The acidic surface inhibits in many cases proliferation of the cells and the formation of biofilms leading to elimination of the infectious agents within six to nine hours. The acid activity refers to the diffusion of H3O+ ions through the cell membranes. This results in a distortion of the sensitive pH-equilibrium as well as the enzyme and transport systems of the cell [53]. There is also a disruption of the DNA helix [54]. Furthermore, energy is required from the cell to adjust the distorted pH-equilibrium resulting in further weakening of the cell [55]. Microorganisms growing in an acidic environment experience also an efficient blockage of adherence and biofilm formation. However, the direct contact of the microorganism with the acidic materials surface appears to be important. As described above, it is necessary for the antibacterial effect that the material is in contact with water. Despite this, leaching and dissolution of MoO3 is not relevant in our approach since we are dealing with inanimate materials surface that is not exposed to a permanent aqueous environment. The only contact with water might be through touching the surfaces (e.g. healthcare staff, patients) as well as general humidity. Under such “dry” static conditions leaching or dissolution of the MoO3 from the materials surface will only occur to a small amount, if any at all, and will only be of minor relevance. Additionally, it is well known, that MoO3 exhibits water-solubility only at high pH-values. The solubility of MoO3 in water at neutral pH is 56.0 ±0.1 mg/l [56], and thus very low. Interestingly, an antimicrobial activity of a MoO3 particle dispersion in water could not be confirmed [57]. It was shown, that MoO3 up to a concentration of 1 g/l had no effect on cell counts of Acinetobacter sp. and several other bacteria. These results indicate the low cytotoxicity and the importance of a direct contact between the bacterium and the material surface. 5. Conclusions Fig. 4. a) Evaluation of the antimicrobial activity using a semi quantitative microplate assay, [48] b) assessment of the cytotoxicity of the MoO3 modified samples. 4. Discussion The antimicrobial principle of transition metal oxides (MoO3) can be related to an acidic surface reaction (release of hydroxonium ions) according to the following reactions (1) and (2): MoO3 þ H2 O⇄H2 MoO4 ð1Þ þ 2− H2 MoO4 þ 2H2 O⇄2H3 O þ MoO4 ð2Þ First molybdic acid in the hydrated form of molybdenum trioxide is formed on the surface of the modified materials, reaction (1). The simplest solid form is the monohydrate MoO3 × H2O (H2MoO4), but the dihydrate MoO3 ×2H2O is also known. Hydroxonium ions (H3O+) will be released from H2MoO4 in the presence of water forming the corresponding molybdates (MoO42 −). In the equilibrium state, the molybdates will be retransformed into molybdic acid H2MoO4. Acidic surfaces are well known to generally slow down bacterial and fungal growth and effectively kill microorganisms at pH values of 3.5– 4.0 (e.g. staphylococci, streptococci, enterococci, Legionella pneumophila, Lactobacillus acidophilus spp., Candida spp., Aspergillus spp.). Many gramnegative microorganisms are killed at even higher pH values up to 5.5 (e.g. E. coli, Pseudomonas aeruginosa, Clostridia, Campylobacter) We presented a novel materials concept to permanently prevent growth of infectious agents (bacteria) on various materials surfaces, which were modified with transition metal oxides that can release hydronium ions in contact with water. We confirmed, that MoO3 exhibits a highly efficient antimicrobial activity towards severe infectious agents such as S. aureus and P. aeruginosa. Polymers (PU) and metal (Ti) surfaces modified with MoO3 particles or sol–gel based coatings were virtually free of bacteria within 6 h after incubation with an infectious solution. We could show, that the MoO3 modified samples are not cytotoxic. The antimicrobial activity of transition metal acid MoO3 is related to their surface acidity involving the intermediate formation of molybdic acid. Our developed materials concept is applicable to almost any materials surface, because the antimicrobial active agents can be introduced using conventional processing extrusion or in coatings. Materials with an antimicrobial coating are important to decrease the transfer and spreading of infectious agents wherever public interaction is involved. The modification of materials surfaces with antimicrobial MoO3 might be therefore important for materials used in public transportation and other frequented locations. The decrease of nosocomial pathogens such as S. aureus and P. aeruginosa is extremely relevant in healthcare environments, where transfer of infectious agents can cause severe infections of already weakened patients. Our developed MoO3 based antimicrobial materials concept is of general importance to decrease the risk of health care associated infections, which is one of the most important causes of disease at present. Therefore, the modification of materials surfaces with antimicrobial active transition metal acid is also of general interest to decrease transmission of infectious agents in public environments. Supplementary materials related to this article can be found online at doi:10.1016/j.msec.2011.09.010. Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 C. Zollfrank et al. / Materials Science and Engineering C xxx (2011) xxx–xxx 7 Fig. 5. SEM micrographs of the a and b) Ti rods and c and d) MoO3 gel coated Ti rods, e) antimicrobial activity of the MoO3 gel coated Ti rods after annealing at 300, 500 and 700 °C, f) antimicrobial evaluation of a reference titanium alloy sample. Please cite this article as: C. Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010 8 C. 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Zollfrank, et al., Materials Science and Engineering C (2011), doi:10.1016/j.msec.2011.09.010