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Interaction of insulin with Burkholderia pseudomallei may be caused by a preservative

A J Simpson1, V Wuthiekanun

  • 1Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. fnajs@diamond.mahidol.ac.th

Abstract

Insights

The preservative m-cresol, not pure insulin, inhibited Burkholderia pseudomallei growth in vitro. Previous findings on insulin-B. pseudomallei interactions may be due to this common preservative.

Area of Science:

  • Microbiology
  • Pharmacology

Background:

  • Previous in vitro studies reported an interaction between insulin and Burkholderia pseudomallei.
  • A potential confounding factor suggested was the presence of m-cresol, a preservative in commercial insulin preparations.

Purpose of the Study:

  • To investigate the in vitro interaction between insulin and Burkholderia pseudomallei.
  • To determine if m-cresol, a preservative in insulin, is responsible for previously observed interactions.

Main Methods:

  • Broth culture studies were conducted using Burkholderia pseudomallei.
  • Cultures were treated with and without m-cresol and various insulin preparations, including pure insulin and commercial formulations.

Main Results:

  • m-Cresol inhibited the growth of Burkholderia pseudomallei at concentrations found in pharmaceutical insulin.
  • The commercial insulin preparation Humulin R also inhibited bacterial growth.
  • Pure insulin did not demonstrate inhibitory effects on Burkholderia pseudomallei growth.

Conclusions:

  • The preservative m-cresol likely explains the previously reported in vitro interaction between insulin and Burkholderia pseudomallei.
  • Results from prior experiments investigating insulin-B. pseudomallei interactions may have been confounded by the presence of m-cresol.

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