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Published on: July 2, 2013
Synergic interaction between pomegranate extract and antibiotics against Staphylococcus aureus
L C Braga1, A A M Leite, K G S Xavier
1Departamento de Biologia Geral, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Brazil.
Pomegranate extract (PGME) synergizes with antibiotics against MRSA and MSSA. This natural compound enhances antibiotic effectiveness, potentially extending their lifespan and combating resistant bacteria.
Area of Science:
- Microbiology
- Pharmacology
- Natural Products
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant global health threat due to antibiotic resistance.
- Staphylococcus aureus exhibits resistance to various antibiotics, necessitating novel therapeutic strategies.
- Punica granatum (pomegranate) is recognized for its potential medicinal properties.
Purpose of the Study:
- To investigate the synergistic interaction between Punica granatum methanolic extract (PGME) and common antibiotics against clinical isolates of MRSA and MSSA.
- To evaluate the impact of PGME on antibiotic efficacy, including bactericidal activity and post-antibiotic effect.
- To explore the potential mechanisms of PGME's action, such as efflux pump inhibition.
Main Methods:
- Broth dilution method for susceptibility testing of PGME and antibiotics against 30 clinical isolates.
- Time-kill assays to assess the bactericidal activity of PGME in combination with ampicillin.
- Evaluation of post-antibiotic effect (PAE) and investigation of potential mechanisms like efflux pump modulation.
Main Results:
- Significant synergistic activity (38%-73%) was observed between PGME and five tested antibiotics (chloramphenicol, gentamicin, ampicillin, tetracycline, oxacillin).
- The combination of PGME and ampicillin demonstrated potent bactericidal effects, reducing MSSA and MRSA viability by 99.9% and 72.5%, respectively.
- PGME enhanced the post-antibiotic effect of ampicillin and showed potential to inhibit the NorA efflux pump or enhance drug influx.
Conclusions:
- Punica granatum methanolic extract significantly enhances the activity of tested antibiotics against both MRSA and MSSA.
- PGME offers a promising natural alternative for potentiating antibiotic efficacy and potentially extending the useful lifespan of existing antibiotics.
- The findings suggest PGME as a valuable adjunct therapy in combating challenging Staphylococcus aureus infections.
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