Abstract:Background Staphylococcus aureus is a common harmful bacterium that endangers human health. It is readily to attach both non-biological and biological surfaces to form biofilms during its growth. Consequently, S. aureus is prone to developing drug resistance in clinical practice, which poses a challenge to clinical treatment.Objective To decipher the mechanism of Turkish gall extract in inhibiting S. aureus ATCC 6538 for the development of plant-derived bacteriostatic agents.Methods The in vitro model of the S. aureus biofilm was established by Congo red plate and crystal violet staining. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of Turkish gall extract against S. aureus biofilms and the biofilm growth curve were determined by the 96-well plate micro-dilution method. The effects of Turkish gall extract on the cell membrane integrity, cell wall structure, and energy metabolism of viable bacteria in the biofilm were assessed based on the leakage of extracellular components, alkaline phosphatase (AKP) activity, adenosine triphosphate (ATP) content, and cell viability. Additionally, the impact of Turkish gall extract on bacterial biomacromolecules was investigated via DNA electrophoresis and quantification of bacterial DNA and protein concentrations. Concurrently, the performance of Turkish gall extract in eradicating mature biofilms was evaluated by scanning electron microscopy and transmission electron microscopy, on the basis of which the diverse inhibitory mechanisms of Turkish gall extract against S. aureus biofilms were deciphered.Results The MIC and MBC of Turkish gall extract against S. aureus were 56.25 μg/mL and 112.5 μg/mL, respectively. The Turkish gall extract inhibited the biofilm of S. aureus in a concentration-dependent manner. It destroyed the cell structure, causing obvious wrinkles and breakage of the bacteria and the leakage of intracellular components such as sugars and proteins, which diminished energy metabolism and overall cell viability. The extract inhibited the biofilm formation and destroyed mature biofilm components, hence inhibiting bacterial growth.Conclusion Turkish gall extract demonstrates the ability to inhibit the biofilm formation of S. aureus through multiple mechanisms. This study provides a theoretical basis for the further application of plant-derived natural products and clinical prevention and treatment of S. aureus biofilms.