Efflux Pump Inhibition-Based Screening and Anti-Infective Evaluation of Punica granatum Against Bacterial Pathogens

Samreen1, Iqbal Ahmad2, Shirjeel Ahmad Siddiqui1

  • 1Department of Agricultural Microbiology, Faculty of Agricultural Sciences, Aligarh Muslim University, Aligarh, 202002, Uttar Pradesh, India.

Current Microbiology
|December 27, 2023
PubMed

Insights

Pomegranate ethyl acetate fraction (PGEF) effectively inhibits bacterial efflux pumps and virulence factors in multiple pathogens. This natural compound shows promise as an anti-infective agent against drug-resistant bacteria and in vivo models.

Area of Science:

  • Microbiology
  • Pharmacology
  • Natural Products Chemistry

Background:

  • Bacterial multidrug resistance (MDR) is a growing threat, driven by efflux pumps that reduce antibiotic efficacy.
  • Efflux pumps also play roles in bacterial communication (quorum sensing) and biofilm formation, contributing to persistent infections.
  • Natural products, particularly from medicinal plants, are being explored as novel efflux pump inhibitors (EPIs).

Purpose of the Study:

  • To screen traditional Indian medicinal plants for efflux pump inhibitory activity.
  • To investigate the anti-infective and anti-virulence properties of a promising plant extract fraction.
  • To evaluate the in vivo efficacy of the active fraction against bacterial infections.

Main Methods:

  • Screening of 19 Indian medicinal plants against *Escherichia coli* TGI for efflux pump inhibition.
  • Fractionation of *Punica granatum* extract and identification of the active ethyl acetate fraction (PGEF).
  • Assessing PGEF's effect on virulence factors (violacein, pyocyanin, pyoverdine, protease, prodigiosin, exoprotease) and biofilm formation in *Chromobacterium violaceum*, *Pseudomonas aeruginosa*, and *Serratia marcescens*.
  • Evaluating PGEF's efficacy in a *Caenorhabditis elegans* infection model.

Main Results:

  • PGEF significantly reduced violacein production in *C. violaceum* (71.14%) and prodigiosin in *S. marcescens* (64.73%).
  • PGEF inhibited key virulence factors of *P. aeruginosa* including pyocyanin (64.72%), pyoverdine (48.17%), and protease (51.35%), as well as swarming motility (44.82%).
  • PGEF demonstrated broad-spectrum inhibition of biofilm development (≥50%) across tested pathogens and showed anti-infective efficacy in a *C. elegans* model.

Conclusions:

  • The *Punica granatum* ethyl acetate fraction (PGEF) exhibits potent efflux pump inhibitory and anti-virulence activities.
  • PGEF contains bioactive phytocompounds like ellagic acid and (-)-Epicatechin 3'-O-glucuronide, contributing to its efficacy.
  • PGEF represents a promising natural therapeutic agent for combating bacterial multidrug resistance and infections.

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