Momordica charantia L. with Oxy Combination of Momordica charantia L. with oxytetracycline enhanced antibacterial and antibiofilm activities against some multidrug-resistant bacteria
Main Article Content
Abstract
Background: Momordica charantia L., the common name for bitter gourd, frequently used as a vegetable and in traditional medicine to treat wounds, peptic ulcers, parasites, and worms. Regarding of finding alternative ways to cure nosocomial infection caused by multidrug-resistant bacteria, bitter gourd in combination with some antibiotics may be a practical choice to reduce the cost of therapy and be devoid of side effects from antibiotics.
Objective: This study aimed to determine the antimicrobial, antibiofilm, and synergy effects of ethanol extract from bitter gourd in combination with conventional antibiotics, ampicillin, and oxytetracycline against some drug-resistant bacteria.
Materials and methods: The antimicrobial activity was tested by broth microdilution, and the lowest concentration that inhibits the visible growth of each microorganism was recorded as MIC. A checkerboard microdilution assay was designed to test the synergistic effect of bitter gourd extract. A crystal violet staining assay was carried out to test antibiofilm activity
Results: The bitter gourd extracted by ethanol revealed antibacterial activity with a MIC range of 1.25-80 mg/mL. Synergistic effects of bitter gourd extract with ampicillin and oxytetracycline were effective against P. mirabilis and drug-resistant P. aeruginosa growth by FICI at 0.141 and 0.63, respectively. The results found that bitter gourd exhibited antibiofilm activities against E. coli ATCC 25922, drugresistant P. aeruginosa, and Methicillin-Resistant Staphylococcus aureus (MRSA) at 2-4 hours after starting inoculum and the inhibitory efficacy values were 37.62%, 71.14%, and 69.87%, respectively.
Conclusion: The ethanol extract from bitter gourd had antibacterial effect, synergy effect when mixed with ampicillin and oxytetracycline.
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Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
References
References
Jia S, Shen M, Zhang F, Xie J. Recent Advances in Momordica charantia: Functional Components and Biological Activities. Int J Mol Sci. 2017; 18(12): 2555. doi: 10.3390/ijms18122555.
Saeed, F, Afzaal, M, Niaz, B, Arshad, MU, Tufail, T, Hussain, MB, et al. Bitter melon (Momordica charantia): a natural healthy vegetable. Int. J. Food Prop. 2018; 21(1): 1270-90. doi: 10.1080/109429 12.2018.1446023.
Deng Y, Tang Q, Zhang Y, Zhang R, Wei Z, Tang X, et al. Protective effect of Momordica charantia water extract against liver injury in restraintstressed mice and the underlying mechanism. Food Nutr. Res. 2017; 61(1): 1348864. doi: 10.1080/ 16546628.2017.1348864.
Yue J, Sun Y, Xu J, Cao, J, Chen G, Zhang H, et al. Cucurbitane triterpenoids from the fruit of Momordica charantia L. and their anti-hepatic fibrosis and antihepatoma activities. Phytochem. 2019; 157: 21-7. doi: 10.1016/j.phytochem.2018.10.009.
Jagessar RC, Mohamed A, Gomes G. An evaluation of the antibacterial and antifungal activity of leaf extracts of Momordica charantia against Candida albicans, Staphylococcus aureus and Escherichia coli. Nat. Sci. 2008; 6(1): 1-14.
Ingle A, Kapgatte R. Phytochemical screening and anti-microbial activity of Momordica charantia Linn. Int. J. Pharm. Res. 2018; 8(7): 63-5. doi: 10.74: 39/ijpr.
Evary YM, Masyita A, Kurnianto AA, Asri RM, Rifai Y. Molecular Docking of Phytochemical Compounds of Momordica charantia as Potential Inhibitors against SARS-CoV-2. Infect. Disord. Drug Targets. [serial online]. 2022; 22(3): e130122200221. doi: 10.2174/ 1871526522666220113143358.
Gayathry, KS, John, JA. A comprehensive review on bitter gourd (Momordica charantia L.) as a gold mine of functional bioactive components for therapeutic foods. Food Prod. Process. Nutr. 2022; 4(1): 1-14. doi: 10.1186/s43014-022-00089-x.
Reygaert WC. An overview of the antimicrobial resistance mechanisms of bacteria. AIMS Microbiol. 2018; 24(3): 482-501. doi: 10.3934/microbiol.2018. 3.482.
Cheesman MJ, Ilanko A, Blonk B, Cock IE. Developing new antimicrobial therapies: are synergistic combinations of plant extracts/compounds with conventional antibiotics the solution? Phcog Rev. 2017; 11(22): 57- 72. doi: 10.4103/phrev.phrev_21_17.
Álvarez-Martínez FJ, Barrajón-Catalán E, Herranz-López M, Micol V. Antibacterial plant compounds, extracts and essential oils: An updated review on their effects and putative mechanisms of action. Phytomedicine. [serial online]. 2021; 90: 153626. doi: 10.1016/j. phymed.2021.153626.
Mulani MS, Kamble EE, Kumkar SN, Tawre MS, Pardesi K.R. Emerging strategies to combat ESKAPE pathogens in the era of antimicrobial resistance: A review. Front. Microbiol. 2019; 10: 539. doi: 10.3389/ fmicb.2019.00539.
Nehme D, Li XZ, Elliot R, Poole K. Assembly of the MexAB-OprM multidrug efflux system of Pseudomonas aeruginosa: identification and characterization of mutations in mexA compromising MexA multimerization and interaction with MexB. J. Bacteriol. 2004; 186(10): 2973-83. doi: 10.1128/ jb.186.10.2973-2983.2004.
Tan SP, Parks SE, Stathopoulos CE, Roach PD. Extraction of flavonoids from bitter melon. Food and Nutrition Sciences. 2014; 5(5): 458-65. doi: 10.4236/ fns.2014.55054.
CLSI. Performance standards for antimicrobial susceptibility testing. 27th Ed., Suppl. M100. Wayne, PA, Clinical and Laboratory Standards Institute; 2017.
Hall MJ, Middleton RF, Westmacott D. The fractional inhibitory concentration (Fic) index as a measure of synergy. J. Antimicrob. Chemother. 1983; 11: 427-33. doi 10.1093/jac/11.5.427.
Zheng X, Chen L, Zeng W, Liao W, Wang Z, Tian X, et al. Antibacterial and anti-biofilm efficacy of chinese dragon’s blood against Staphylococcus aureus isolated from infected wounds. Front. microbiol. 2021; 12: 672943. doi: 10.3389/fmicb.2021.672943.
Torre VE, Guarniz WS, Silva-Correa C, Cruzado-Razco L, Raúl Siche R. Antimicrobial Activity and Chemical Composition of Momordica Charantia: A Review. Pharmacog J. 2020; 12: (1)213-22.
doi: 10.5530/ pj.2020.12.32
Guarniz W, Canuto K, Ribeiro P, Dodou H, Magalhaes K, Sa K. Momordica Charantia L. variety from Northeastern Brazil: Analysis of Antimicrobial Activity and Phytochemical Components. Pharmacog J. 2019; 11(6):1312-24. doi: 10.5530/pj.2019.11.203.
Wagner H, Ulrich-Merzenich G. Synergy research: Approaching a new generation of Phytopharmaceuticals. Phytomedicine. 2009; 16: 97-110. doi: 10.1016/j. phymed.2008.12.018.
Al-Bayati, FA. Synergistic antibacterial activity between Thymus vulgaris and Pimpinella anisum essential oils and methanol extracts. J. Ethnopharmacol. 2008; 116: 403-6.
doi: 10.1016/j.jep.2007.12.003.
Bonincontro G, Scuderi SA, Marino A, Simonetti G. Synergistic effect of plant compounds in combination with conventional antimicrobials against biofilm of Staphylococcus aureus, Pseudomonas aeruginosa, and Candida spp. Pharmaceuticals. 2023; 16(11): 1531. doi: 10.3390/ph1611153.
Novy P, Rondevaldova J, Kourimska L, Kokoska L. Synergistic interactions of epigallocatechin gallate and oxytetracycline against various drug resistant Staphylococcus aureusstrainsin vitro. Phytomedicine. 2013; 20(5): 432-5. doi: 10.1016/j.phymed.2012.12.010.
Song YJ, Yu HH, Kim YJ, Lee NK, Paik HD. Antibiofilm activity of grapefruit seed extract against Staphylococcus aureus and Escherichia coli. L. Microbial. Biotechnol. 2019; 29(8): 1177-83.
doi: 10.1041/jmb.1905.05022.
Vipin M, Mujeeburahiman K, Saptami, AB, Arun PD, Rekha PD. Synergistic interactions of quercetin with antibiotics against biofilm associated clinical isolates of Pseudomonas aeruginosa in vitro BioRxiv. [Internet]. 2019; Available from: https://doi. org/10.1101/601336.
Chokki M, Cheikna Z, Dah-Nouvlessounon D, BabaMoussa F. (2020). Phytochemical screening and antimicrobial activity of Momordica charantia L. and Morinda lucida Benth extracts from Benin. Afr. J. Microbiol. Res. 2020; 14(8): 426-35. doi: 10.5897/AJMR2020.9347.