Antibacterial activity of zinc oxide nanoparticles (ZnO-NPs) has received significant interest worldwide particularly by the implementation of nanotechnology to synthesize particles in the nanometer region. Many microorganisms exist in the range from hundreds of nanometers to tens of micrometers. ZnO-NPs exhibit attractive antibacterial properties due to increased specific surface area as the reduced particle size leading to enhanced particle surface reactivity. ZnO is a bio-safe material that possesses photo-oxidizing and photocatalysis impacts on chemical and biological species. This review covered ZnO-NPs antibacterial activity including testing methods, impact of UV illumination, ZnO particle properties (size, concentration, morphology, and defects), particle surface modification, and minimum inhibitory concentration. Particular emphasize was given to bactericidal and bacteriostatic mechanisms with focus on generation of reactive oxygen species (ROS) including hydrogen peroxide (H₂O₂), OH⁻ (hydroxyl radicals), and O₂ ⁻² (peroxide). ROS has been a major factor for several mechanisms including cell wall damage due to ZnO-localized interaction, enhanced membrane permeability, internalization of NPs due to loss of proton motive force and uptake of toxic dissolved zinc ions. These have led to mitochondria weakness, intracellular outflow, and release in gene expression of oxidative stress which caused eventual cell growth inhibition and cell death. In some cases, enhanced antibacterial activity can be attributed to surface defects on ZnO abrasive surface texture. One functional application of the ZnO antibacterial bioactivity was discussed in food packaging industry where ZnO-NPs are used as an antibacterial agent toward foodborne diseases. Proper incorporation of ZnO-NPs into packaging materials can cause interaction with foodborne pathogens, thereby releasing NPs onto food surface where they come in contact with bad bacteria and cause the bacterial death and/or inhibition.

Application of ZnO is widely used in many industries, such as in optoelectronic devices, automotive, textile, cosmetics, medical and dentistry. In this study, emphasis was given on ZnO-eugenol (ZOE) that has been used in dental restoration. ZOE contained 80% ZnO and 20% eugenol. ZOE exhibited selective toxicity that could kill bacteria but safe on human cells. The safety of ZOE on humans is critically important. Two types of ZnO with different morphology, namely ZnO-A and ZnO-K were used to make ZOE (ZOE-A and ZOE-K) and the cytotoxicity level on human gingival fibroblast (HGF) cell line were evaluated. Both ZnO were characterized for its morphology and structural using Field Emission Scanning Electron Microscopy (FESEM) and X-ray Diffraction (XRD), respectively. The cytotoxicity level was evaluated using CCK-8 assay where the percentage of viable cells after 72 h were observed. The result showed ZnO-A, containing mostly rod-like shape with a crystallite size of 37.5 nm, had a higher percentage of viable cells after 72 h. Sample ZnO-K, containing irregular shape morphology with bigger crystallite size of 42.2 nm, had a lower percentage of viable cells after 72 h. The HGF cell line was treated with extract dilution of ZOE-A and ZOE-K at 5, 10 and 15%, respectively. At 15% of extracts dilution, 97.3% of the HGF cells survived (for ZOE-A) while the survival percentage of ZOE-K was only 88.1%. This fact was probably due to the larger surface-to-volume ratio of ZnO-A that gave better interlocking bond in ZOE-A. This interlocking bond can prevent the ZnO and eugenol elements leaching out from the ZOE matrix thereby decrease in cytotoxicity effects on HGF.

In this study, we investigated physico-chemical properties of zinc oxide nanoparticles (ZnO NPs)-based discs and their toxicity on human cervical cancer HeLa cell lines. ZnO NPs (80 nm) were produced by the conventional ceramic processing method. FESEM analysis indicated dominant structure of nanorods with dimensions 100-500 nm in length, and 20-100 nm in diameter. The high content of ZnO nanorods in the discs probably played significant role in toxicity towards HeLa cells. Structural defects (oxygen vacancies and zinc/oxygen interstitials) were revealed by PL spectra peaks at 370-376 nm and 519-533 nm for the ZnO discs. The structural, optical and electrical properties of prepared sample have influenced the toxicological effects of ZnO discs towards HeLa cell lines via the generation of reactive oxygen species (ROS), internalization, membrane damage, and eventually cell death. The larger surface to volume area of the ZnO nanorods, combined with defects, stimulated enhanced toxicity via ROS generation hydrogen peroxide, hydroxyl radicals, and superoxide anion. The preliminary results confirmed the ZnO-disc toxicity on HeLa cells was significantly associated with the unique physicochemical properties of ZnO NPs and to our knowledge, this is the first cellular study for treatment of HeLa cells with ZnO discs made from 80 nm ZnO particles.