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Harnessing Monoterpenes and Monoterpenoids as Weapons against Antimicrobial Resistance Cover

Harnessing Monoterpenes and Monoterpenoids as Weapons against Antimicrobial Resistance

Open Access
|Mar 2025

Figures & Tables

graphic/j_pjm-2025-010_ufig_001.jpg
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 compoundsTested pathogenMechanisms of actionReferences
EugenolStaphylococcus aureus
  • Inhibition of efflux pump

Macêdo et al. 2022
EugenolStaphylococcus aureus
  • Inhibition of norA efflux pump

Muniz et al. 2021
Eugenol α-Bromo-trans-cinnamaldehydeStaphylococcus aureus
  • Gene expression reduction linked to intracellular adhesion

Mastoor et al. 2022
EugenolMethicillin-resistant Staphylococcus aureus
  • Downregulation of luxS gene

  • Inhibition of biofilm production

  • Enhancement of secondary metabolites

  • Upregulation of argC protein

Buru et al. 2022
EugenolMethicillin-resistant Staphylococcus aureus
  • Downregulation of biofilm-related genes (sarA, icaA, icaD)

  • Reduction of polysaccharide accumulation and cell adhesion

El-Far et al. 2021
CarvacrolStaphylococcus aureus Pseudomonas fluorescens
  • Targeted extracellular polymeric substances

  • Disruption of biofilm structures

Wang et al. 2020b.
Eugenol GeraniolAcinetobacter baumannii
  • Reduction in exopolysaccharide production

  • Disruption and inhibition of biofilm

  • Downregulation of csuE gene

Choudhary et al. 2022
p-CymeneCampylobacter jejuni
  • Inhibition of efflux pump

Šimunović et al. 2020
CarvacrolPseudomonas aeruginosa Enterococcus faecalis
  • Cell membrane destruction

  • Leakage of the intercellular pool

  • Anti-biofilm properties

  • Increased extracellular K+ ions concentrations

Mechmechani et al. 2022
Carvacrol ThymolSalmonella 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
EugenolExtended-spectrum β-lactamases-quinoloneresistant strains of Klebsiella pneumoniae
  • Induced shrinkage of cell surfaces

  • Diminished cytoplasm

  • Triggered cellular stress and autolysis

Dhara and Tripathi 2020
EugenolCarbapenem-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
CarvacrolExtended-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 eugenolCandida albicans
  • Reduced proteinase production

Shaban et al. 2020
Carvacrol Thymol Eugenol Methyl eugenolCandida auris
  • Reduced proteinase production and host cell adherence

Shaban et al. 2020
CarvacrolCandida auris
  • Induced oxidative stress

  • Increased CAT, SOD and GPx enzyme activity

  • Decreased GR and GST enzyme activity

  • Caused membrane disintegration

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 pathogensChemical compoundsMIC/SensitivityReferences
Gram-positive bacteria
Bacillus subtilisLimonene0.048 μg/mlNoumi et al. 2023
Listeria monocytogenesLimonene0.048 μg/mlNoumi 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 aureusThymol
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 aureusCarvacrol
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 aureusCarvacrol
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 aureus1,8-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 aureus1,8-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 pseudintermediusThymol
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 suisCinnamaldehyde
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 baumanniiα-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 jejuniThymol
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 aerogenesβ-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 cloacaeα-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 coliCarvacrol
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 coliCarvacrol
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 oxytocaβ-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 pneumoniaeThymol
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 pachydermatisThymol
Carvacrol
Cinnamaldehyde
10–800 μg/ml
10–585 μg/ml
2.5–640 μg/ml
Schlemmer et al. 2019;
Sim et al. 2019
Salmonella entericaLimonene0.048 μg/mlNoumi 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 flexeneriLimonene0.048 μg/mlNoumi et al. 2023
Proteus mirabilisThymol
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 aeruginosaCarvacrol
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 aeruginosaThymol
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 aeruginosaLimonene
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 vulnificusLimonene0.048 μg/mlNoumi et al. 2023
Vibrio anguillarumThymol
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 harveyiThymol
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 albicansThymol
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 aurisCarvacrol
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 glabrataThymol
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 kruseiThymol
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 parapsilosisEugenol
(+)-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 tropicalisThymol
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
DOI: https://doi.org/10.33073/pjm-2025-010 | Journal eISSN: 2544-4646 | Journal ISSN: 1733-1331
Language: English
Page range: 1 - 18
Submitted on: Jul 12, 2024
Accepted on: Sep 16, 2024
Published on: Mar 7, 2025
Published by: Polish Society of Microbiologists
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Amanda Shen-Yee Kong, Swee-Hua Erin Lim, Wan-Hee Cheng, Mohd Hafis Yuswan, Ngai-Paing Tan, Kok-Song Lai, published by Polish Society of Microbiologists
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.