Combination of emodin with antibiotics against methicillin-resistant Staphylococcus aureus isolated from clinical specimens
Abstract— Emodin (3-methyl-1,6,8-trihydroxyanthraquinone), a natural anthraquinone compound, is an active compound derivative isolated from the rhizome of Rheum undulatum L, an herb widely used as a laxative in traditional Korean medicine. Emodin has been reported to have a variety of biological activities, such as anti-cancer, vasorelaxation, immunosuppressive, anti-inflammatory and wound healing properties. In this study, emodin was evaluated against 20 clinical isolates of MRSA, either alone or in combination with antibiotics. The emodin exhibited strong antibacterial activity against isolates MRSA with MICs/MBCs ranged between 64-256/64-512 μg/mL, for ampicillin 64-512/128-1024 μg/mL, and for oxacillin 8-64/16-64 μg/mL. The combination of emodin plus oxacillin or ampicillin was reduced by ≥4-fold against isolates MRSA tested, evidencing a synergistic effect as defined by a FICI of ≤ 0.5. Furthermore, a time-kill study evaluating the growth of the tested bacteria was completely attenuated after 2-6 h of treatment with the 1/2 MIC of emodin, regardless of whether it was administered alone or with oxacillin (1/2 MIC) or ampicillin (1/2 MIC). In conclusion, emodin exerted synergistic effects when administered with oxacillin or ampicillin and the antibacterial activity and resistant regulation of emodin against clinical isolates of MRSA might be useful in controlling MRSA infections.
Keywords— emodin, methicillin-resistant Staphylococcus aureus, minimum inhibitory concentrations, minimum bactericidal concentrations, time-kill curves, fractional inhibitory concentration.
AD Publications is a rapidly growing academic publisher in the fields of Engineering, Medical-Health, Environmental Science and Agriculture Research. AD Publications is a registered organization broad-based open access and publishes most exciting researches with respect to the subjects of our journals. The Journals is being indexed and abstracted by all major global current awareness and alerting services. The organization aims at undertaking, co- coordinating and promoting research and development. It provides professional and academic guidance in the field of basic education, Higher Education as well in the Technical Education. Our Aims is to Promote and support, High Quality basic, Scientific Research and development in fields of Engineering, Medical-Health, Environmental Science and Agriculture Research and to Generate Public awareness, provide advice to scholar's researchers and communicate research outcomes.