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Published on: April 18, 2019
Antimicrobial Synergy between Aminoglycosides and Licorice Extract in Listeria monocytogenes
Myungseo Park1, Liz Horn2, Victoria Lappi2
1Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.
Abstract:
Listeria monocytogenes is a foodborne pathogen that can develop serious invasive infections. Among foodborne pathogens, L. monocytogenes exhibits the highest case fatality despite antibiotic treatment, suggesting the current therapy should be improved. Although ampicillin and gentamicin are used as a combination therapy to treat listeriosis, our results showed there is no synergy between the two antibiotics. We discovered that aqueous extract of licorice generated significant antimicrobial synergy when combined with aminoglycosides, such as gentamicin, in L. monocytogenes. In the presence of 1 mg/mL licorice extract, for instance, the minimum inhibitory concentration (MIC) of gentamicin was reduced by 32-fold. Moreover, antimicrobial synergy with licorice extract made gentamicin-resistant clinical isolates of L. monocytogenes susceptible to gentamicin. Given the common use of licorice as a food sweetener in Western countries and a herb in Oriental medicine, our findings suggest that licorice extract can be potentially used as an antibiotic adjuvant to improve the efficacy of antimicrobial treatment of listeriosis.
Insights
Licorice extract enhances gentamicin
Area of Science:
- Microbiology
- Pharmacology
- Food Science
Background:
- Listeria monocytogenes causes severe infections with high fatality rates, necessitating improved treatments.
- Current therapies for listeriosis, like ampicillin and gentamicin, lack proven synergy.
- There is a need for novel strategies to combat antibiotic resistance in L. monocytogenes.
Purpose of the Study:
- To investigate the potential synergistic antimicrobial effects of licorice extract with aminoglycosides against Listeria monocytogenes.
- To evaluate if licorice extract can restore susceptibility to gentamicin in resistant L. monocytogenes strains.
Main Methods:
- Determined the minimum inhibitory concentration (MIC) of gentamicin alone and in combination with aqueous licorice extract against L. monocytogenes.
- Tested the efficacy of the combination therapy on gentamicin-resistant clinical isolates of L. monocytogenes.
Main Results:
- Aqueous licorice extract demonstrated significant antimicrobial synergy with gentamicin against L. monocytogenes.
- The minimum inhibitory concentration (MIC) of gentamicin was reduced by 32-fold in the presence of 1 mg/mL licorice extract.
- Licorice extract resensitized gentamicin-resistant L. monocytogenes clinical isolates to gentamicin.
Conclusions:
- Licorice extract acts as a potent adjuvant, enhancing the efficacy of gentamicin against Listeria monocytogenes.
- This combination therapy holds promise for improving the treatment of listeriosis, especially in cases involving antibiotic resistance.
- The findings support the potential use of licorice extract as a complementary agent in antimicrobial strategies for listeriosis.
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