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Review | Publishing Language: Chinese | Open Access

Research Progress on the Effect of Benzalkonium Chloride Adaptation on the Virulence of Foodborne Pathogens

Hongmei NIU1 Yanhong LI1Linlin XIAO2Yuan WANG3Lei FANG4Xingxing HU1Qingli DONG5 ( )
College of Health Management, Shanghai Jian Qiao University, Shanghai 201306, China
Department of Laboratory Medicine, Affiliated Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai 201499, China
School of Food and Pharmacy, Shanghai Zhongqiao Vocational and Technical University, Shanghai 201514, China
Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
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Abstract

Benzalkonium chloride (BAC) is a quaternary ammonium disinfectant widely applied in food processing and environmental sanitation. Repeated exposure to sub-inhibitory residue levels of BAC induces adaptive responses in foodborne pathogens and reshapes their virulence phenotype across multiple aspects. Existing studies indicate that BAC-adapted strains exhibit diverse alterations in key virulence traits, including biofilm formation, toxin production, hemolytic activity, adhesiveness, invasiveness, and host lethality, most of which are enhanced to varying extents. These phenotypic shifts are underpinned by multi-layered mechanisms, such as modulation of virulence gene expression, genetic mutations and horizontal gene transfer, remodeling of membrane composition, activation of efflux pumps, enhancement of quorum-sensing signals, and induction of viable but non-culturable states. Such adaptive responses not only enhance bacterial persistence along the food chain but also potentially elevate pathogenicity in hosts, posing potential food safety risks. This paper systematically summarizes the correlation between BAC adaptation and changes in typical virulence factors of foodborne pathogens. It helps to reveal the evolutionary patterns of pathogen virulence driven by disinfectant residues, providing a theoretical basis and technical references for optimizing disinfectant usage strategies, developing targeted inhibitors, and improving microbial risk assessment frameworks.

CLC number: TS201.3 Document code: A Article ID: 1002-6630(2026)02-0376-10

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Food Science
Pages 376-385

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Cite this article:
NIU H, LI Y, XIAO L, et al. Research Progress on the Effect of Benzalkonium Chloride Adaptation on the Virulence of Foodborne Pathogens. Food Science, 2026, 47(2): 376-385. https://doi.org/10.7506/spkx1002-6630-20250813-096

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Received: 13 August 2025
Published: 25 January 2026
© Beijing Academy of Food Sciences 2026.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).