

Fig. 1.
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.
Table I
Mechanism of action of monoterpenes against tested pathogens.
| Chemical compounds | Tested pathogen | Mechanisms of action | References |
|---|---|---|---|
| Eugenol | Staphylococcus aureus |
| Macêdo et al. 2022 |
| Eugenol | Staphylococcus aureus |
| Muniz et al. 2021 |
| Eugenol α-Bromo-trans-cinnamaldehyde | Staphylococcus aureus |
| Mastoor et al. 2022 |
| Eugenol | Methicillin-resistant Staphylococcus aureus |
| Buru et al. 2022 |
| Eugenol | Methicillin-resistant Staphylococcus aureus |
| El-Far et al. 2021 |
| Carvacrol | Staphylococcus aureus Pseudomonas fluorescens |
| Wang et al. 2020b. |
| Eugenol Geraniol | Acinetobacter baumannii |
| Choudhary et al. 2022 |
| p-Cymene | Campylobacter jejuni |
| Šimunović et al. 2020 |
| Carvacrol | Pseudomonas aeruginosa Enterococcus faecalis |
| Mechmechani et al. 2022 |
| Carvacrol Thymol | Salmonella Thyphimurium |
| Giovagnoni et al. 2020 |
| Eugenol | Extended-spectrum β-lactamases-quinoloneresistant strains of Klebsiella pneumoniae |
| Dhara and Tripathi 2020 |
| Eugenol | Carbapenem-resistant Klebsiella pneumoniae (CRKP) |
| Qian et al. 2020 |
| Carvacrol | Extended-spectrum beta-lactamases Escherichia coli |
| Khan et al. 2020 |
| Carvacrol Thymol Eugenol Methyl eugenol | Candida albicans |
| Shaban et al. 2020 |
| Carvacrol Thymol Eugenol Methyl eugenol | Candida auris |
| Shaban et al. 2020 |
| Carvacrol | Candida auris |
| Ismail et al. 2022 |
Table II
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. | Thymol Carvacrol Geraniol Limonene Eugenol Cinnamaldehyde | 200–450 μg/ml 100–450 μg/ml 100–350 μg/ml 100–450 μg/ml 200–450 μg/ml 10–50 μg/ml | Caballero Gómez et al. 2022 |
| Vancomycin-sensitive Enterococcus (VSE) | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 593.37 μg/ml 19919562 μg/ml 35199850 μg/ml 8599475.4 μg/ml 17060082.9 μg/ml | Owen et al. 2019 |
| Vancomycin-resistant Enterococcus (VRE) | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 593369 μg/ml 79679730 μg/ml 8799962.5 μg/ml 8599475.4 μg/ml 17060082.9 μg/ml | Owen et al. 2019 |
| Staphylococcus sp. | Thymol Carvacrol Geraniol Limonene Eugenol Cinnamaldehyde | 200–400 μg/ml 200–400 μg/ml 100–400 μg/ml 100–400 μg/ml 300–400 μg/ml 10–50 μg/ml | Caballero Gómez et al. 2022 |
| Staphylococcus aureus | Thymol Carvacrol Limonene α-Pinene β-Pinene p-Cymene 1,8-Cineole Limonene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone Eugenol Linalyl acetate trans-Anethole Menthone | 72–800 μg/ml 256–3200 μg/ml 0.048 μg/ml 11.88 μg/ml 10.13 μg/ml 10.25 μg/ml 5.63–115100 μg/ml 2.63 μg/ml 4.25 μg/ml 2.88–6800 μg/ml 7.63 μg/ml 2.38 μg/ml 3.75 μg/ml 3.13 μg/ml 5.88 μg/ml 11.38 μg/ml 24–11100 μg/ml 46900 μg/ml 494000 μg/ml 27900 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 | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 297435.6 μg/ml 4979520 μg/ml 17599925 μg/ml 1075102.2 μg/ml 8529360.3 μg/ml | Owen et al. 2019 |
| Methicillin-resistant Staphylococcus aureus | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 148717.8 μg/ml 9960522 μg/ml 8799962.5 μg/ml 2150204.4 μg/ml 17060082.9 μg/ml | Owen et al. 2019 |
| Mupirocin-susceptible Staphylococcus aureus | 1,8-cineole Eugenol Carvacrol Linalool (–)-Menthone Linalyl acetate trans-Anethole | 307000 μg/ml 2080 μg/ml 950 μg/ml 6800 μg/ml 27910 μg/ml 450500 μg/ml 494000 μg/ml | Kwiatkowski et al. 2019 |
| Mupirocin-resistant Staphylococcus aureus | 1,8-cineole Eugenol Carvacrol Linalool (–)-Menthone Linalyl acetate trans-Anethole | 57560 μg/ml 8340 μg/ml 480 μg/ml 2830 μg/ml 6980 μg/ml 450500 μg/ml 494000 μg/ml | Kwiatkowski et al. 2019 |
| Staphylococcus pseudintermedius | Thymol Carvacrol | 100–200 μg/ml 146–292 μg/ml | Sim et al. 2019 |
| β-haemolytic Streptococcus spp. | Thymol Carvacrol | 200–400 μg/ml 146–292 μg/ml | Sim et al. 2019 |
| Streptococcus suis | Cinnamaldehyde Carvacrol Thymol | 156.25–312.5 μg/ml 156.25 μg/ml 156.25 μg/ml | de Aguiar et al. 2019 |
| Gram-negative bacteria | |||
| Acinetobacter baumannii | α-Pinene Camphene β-Pinene d-3-Carene p-Cymene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 11.88 μg/ml 20.00 μg/ml 13.50 μg/ml 7.88 μg/ml 5.13 μg/ml 5.63 μg/ml 5.25 μg/ml 4.88 μg/ml 1.06 μg/ml 1.44 μg/ml 10.17 μg/ml 9.50 μg/ml 0.94 μg/ml 0.78 μg/ml 4.70 μg/ml 7.58 μg/ml | Sayout et al. 2020 |
| Campylobacter jejuni | Thymol Carvacrol Thymoquinone p-Cymene γ-Terpinene | 31.25 μg/ml 31.25 μg/ml 31.25 μg/ml 1000 μg/ml 1000 μg/ml | Šimunović et al. 2020 |
| Enterobacter aerogenes | β-Pinene 1,8-Cineole Limonene γ–Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Verbenone Carvone | 20.25 μg/ml 2.81 μg/ml 1.31 μg/ml 4.88 μg/ml 2.13 μg/ml 1.44 μg/ml 15.25 μg/ml 2.38 μg/ml 0.94 μg/ml 2.94 μg/ml 5.69 μg/ml | Sayout et al. 2020 |
| Enterobacter cloacae | α-Pinene β-Pinene Myrcene d-3-Carene p-Cymene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 11.88 μg/ml 5.06 μg/ml 7.75 μg/ml 7.88 μg/ml 4.10 μg/ml 5.63 μg/ml 2.63 μg/ml 6.50 μg/ml 1.70 μg/ml 1.92 μg/ml 6.10 μg/ml 3.17 μg/ml 1.50 μg/ml 3.13 μg/ml 3.36 μg/ml 9.10 μg/ml | Sayout et al. 2020 |
| Ciprofloxacin-resistant Escherichia coli | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 297435.6 μg/ml 1244880 μg/ml 8799962.5 μg/ml 1075102.2 μg/ml 34120165.8 μg/ml | Owen et al. 2019 |
| Escherichia coli | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene Limonene α-Pinene Camphene β-Pinene Myrcene d-3-Carene p-Cymene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 297435.6 μg/ml 311220 μg/ml 8799962.5 μg/ml 2150204.4 μg/ml 34120165.8 μg/ml 0.048 μg/ml 11.88 μg/ml 15.00 μg/ml 5.06 μg/ml 1.94 μg/ml 7.88 μg/ml 2.56 μg/ml 2.81 μg/ml 2.63 μg/ml 4.88 μg/ml 4.25 μg/ml 2.88 μg/ml 7.63 μg/ml 4.75 μg/ml 3.75 μg/ml 3.13 μg/ml 5.88 μg/ml 11.38 μg/ml | Owen et al. 2019; Sayout et al. 2020; Noumi et al. 2023 |
| Klebsiella oxytoca | β-Pinene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 13.50 μg/ml 5.63 μg/ml 2.63 μg/ml 4.88 μg/ml 2.13 μg/ml 1.44 μg/ml 10.17 μg/ml 3.17 μg/ml 2.5 μg/ml 6.25 μg/ml 5.88 μg/ml 11.38 μg/ml | Sayout et al. 2020 |
| Klebsiella pneumoniae | Thymol Carvacrol Geraniol α-Pinene Camphene β-Pinene Myrcene d-3-Carene p-Cymene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 780 μg/ml 130–1910 μg/ml 1740 μg/ml 23.75 μg/ml 30.00 μg/ml 10.13 μg/ml 15.50 μg/ml 7.88 μg/ml 10.25 μg/ml 11.25 μg/ml 2.63 μg/ml 4.88 μg/ml 2.13 μg/ml 3.83 μg/ml 5.08 μg/ml 2.38 μg/ml 0.47 μg/ml 1.56 μg/ml 3.36 μg/ml 15.17 μg/ml | Sayout et al. 2020; de Souza et al. 2021; Kwiatkowski et al. 2022 |
| Malassezia pachydermatis | Thymol Carvacrol Cinnamaldehyde | 10–800 μg/ml 10–585 μg/ml 2.5–640 μg/ml | Schlemmer et al. 2019; Sim et al. 2019 |
| Salmonella enterica | Limonene | 0.048 μg/ml | Noumi et al. 2023 |
| Salmonella spp. | β-Pinene 1,8-Cineole Limonene γ-Terpinene Fenchone Linalool Camphor cis-Verbenol Terpinen-4-ol Verbenone Carvone | 8.10 μg/ml 7.50 μg/ml 2.63 μg/ml 6.50 μg/ml 1.70 μg/ml 2.88 μg/ml 6.10 μg/ml 1.90 μg/ml 3.13 μg/ml 3.92 μg/ml 22.75 μg/ml | Sayout et al. 2020 |
| Shigella flexeneri | Limonene | 0.048 μg/ml | Noumi et al. 2023 |
| Proteus mirabilis | Thymol Carvacrol | 200 μg/ml 146–292 μg/ml | Sim et al. 2019 |
| Pseudomonas sp. | Thymol Carvacrol Geraniol Limonene Eugenol Cinnamaldehyde | 100–300 μg/ml 100–400 μg/ml 100–400 μg/ml 100–300 μg/ml 300–400 μg/ml 10–50 μg/ml | Caballero Gómez et al. 2022 |
| Ciprofloxacin-resistant Pseudomonas aeruginosa | Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene | 4749956.4 μg/ml 39840606 μg/ml 140799400 μg/ml 8599475.4 μg/ml 34120165.8 μg/ml | Owen et al. 2019 |
| Pseudomonas aeruginosa | Thymol Carvacrol Cuminaldehyde Linalool p-Cymene γ-Terpinene Limonene β-Pinene | 400–800 μg/ml 585–1120 μg/ml 39839124 μg/ml 35199850 μg/ml 8599475.4 μg/ml 68240331.6 μg/ml 0.048 μg/ml 10.13 μg/ml | Owen et al. 2019; Sim et al. 2019; Noumi et al. 2023 |
| Pseudomonas aeruginosa | Limonene Fenchone Linalool Camphor cis-Verbenol Borneol Terpinen-4-ol Verbenone Carvone | 2.63 μg/ml 1.70 μg/ml 1.92 μg/ml 6.10 μg/ml 1.58 μg/ml 1.88 μg/ml 3.13 μg/ml 4.70 μg/ml 9.10 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 | Thymol Carvacrol Eugenol Geraniol Cinnamaldehyde | 282413.6 μg/ml 282413.6 μg/ml 308696 μg/ml 1156875 μg/ml 555750 μg/ml | Rossi et al. 2021 |
| Vibrio harveyi | Thymol Carvacrol Eugenol Geraniol Cinnamaldehyde | 141206.8 μg/ml 141206.8 μg/ml 308696 μg/ml 1156875 μg/ml 278616 μg/ml | Rossi et al. 2021 |
| Fungal pathogens | |||
| Candida albicans | Thymol Carvacrol Eugenol Methyl eugenol (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 195–625 μg/ml 43.75–250 μg/ml 500–2000 μg/ml 1250 μg/ml 51767.4–1716498 μg/ml 858249–54927936 μg/ml 213881.1–13731984 μg/ml 8173.8–6865992 μg/ml 8173.8–13731984 μg/ml 3578600–6787000 μg/ml 1789300–28628800 μg/ml 459734.6–7355753.6 μg/ml 239762.25–3732679.6 μg/ml 473193–3785544 μg/ml 473193–3785544 μg/ml 494747.5–3957980 μg/ml 49360–1665900 μg/ml 49360–1665900 μg/ml 221889.2–7125456 μg/ml 221889.2–7125456 μg/ml | Sharifzadeh et al. 2019; Iraji et al. 2020; Shaban et al. 2020; Stringaro et al. 2022; Biernasiuk et al. 2022 |
| Candida auris | Carvacrol Thymol Eugenol Methyl eugenol | 125 μg/ml 312 μg/ml 625 μg/ml 1250 μg/ml | Shaban et al. 2020 |
| Candida dubliniensis | (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 103534.8–1716498 μg/ml 858249–27463968 μg/ml 103534.8–6865992 μg/ml 12260.7–3432996 μg/ml 12260.7–1716498 μg/ml 223662.5–6787000 μg/ml 894650–14314400 μg/ml 919469.2–7355753.6 μg/ml 112650.2–3732679.6 μg/ml 114167.2–1892772 μg/ml 114167.2–1892772 μg/ml 246612.6–1978990 μg/ml 24680–208237.5 μg/ml 24680–208237.5 μg/ml 53128.4–3562728 μg/ml 53128.4–3562728 μg/ml | Iraji et al. 2020 |
| Fungal pathogens | |||
| Candida glabrata | Thymol Carvacrol Eugenol (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 390 μg/ml 62.50–195 μg/ml 1000–2000 μg/ml 51767.4–1716498 μg/ml 858249–54927936 μg/ml 103534.8–1716498 μg/ml 50405.1–3432996 μg/ml 50405.1–3432996 μg/ml 447325–7157200 μg/ml 1789300–14314400 μg/ml 1838938.4–14711507.2 μg/ml 232911.9–3732679.6 μg/ml 114167.2–3785544 μg/ml 114167.2–3785544 μg/ml 59369.7–989495 μg/ml 49360–208237.5 μg/ml 49360–208237.5 μg/ml 26564.2–445341 μg/ml 26564.2–445341 μg/ml | Sharifzadeh et al. 2019; Iraji et al. 2020; Biernasiuk et al. 2022; Stringaro et al. 2022 |
| Candida krusei | Thymol Carvacrol Eugenol (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 390 μg/ml 87.50–125 μg/ml 250–1000 μg/ml 51767.4–858249 μg/ml 858249–1716498 μg/ml 103534.8–429124.5 μg/ml 8173.8–6865992 μg/ml 8173.8–429124.5 μg/ml 447325–3578600 μg/ml 3578600–7157200 μg/ml 919469.2–7355753.6 μg/ml 112650.2–933169.9 μg/ml 114167.2–1892772 μg/ml 114167.2–1892772 μg/ml 246612.6–3957980 μg/ml 100262.5–832950 μg/ml 100262.5–1665900 μg/ml 100006.4–445341 μg/ml 53128.4–445341 μg/ml | Sharifzadeh et al. 2019; Iraji et al. 2020; Biernasiuk et al. 2022; Stringaro et al. 2022 |
| Candida parapsilosis | Eugenol (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 500–100 μg/ml 51767.4–429124.5 μg/ml 429124.5–1716498 μg/ml 213881.1–431849.1 μg/ml 50405.1–429124.5 μg/ml 50405.1–213881.1 μg/ml 107975–1789300 μg/ml 894650–14314400 μg/ml 3677876.8–14711507.2 μg/ml 479524.5–3732679.6 μg/ml 473193–7571088 μg/ml 473193–7571088 μg/ml 59369.7–1978990 μg/ml 49360–416475 μg/ml 49360–416475 μg/ml 53128.4–890682 μg/ml 53128.4–445341 μg/ml | Iraji et al. 2020; Biernasiuk et al. 2022 |
| Fungal pathogens | |||
| Candida tropicalis | Thymol Carvacrol (+)-α-Pinene (–)-α-Pinene β-Pinene (+)-Limonene (–)-Limonene (+)-Menthone (–)-Menthone Thujone Piperitone (+)-Carvone (–)-Carvone Camphor (+)-Citronellol (–)-Citronellol (+)-Menthol (–)-Menthol | 390 μg/ml 97.5 μg/ml 429124.5–1716498 μg/ml 6865992–27463968 μg/ml 103534.8–3432996 μg/ml 213881.1–3432996 μg/ml 213881.1–1716498 μg/ml 447325–1789300 μg/ml 1789300–14314400 μg/ml 919469.2–7355753.6 μg/ml 112650.2–3732679.6 μg/ml 114167.2–1892772 μg/ml 114167.2–1892772 μg/ml 246612.6–989495 μg/ml 24680–100262.5 μg/ml 24680–100262.5 μg/ml 100006.4–445341 μg/ml 100006.4–445341 μg/ml | Iraji et al. 2020; Stringaro et al. 2022 |