Antibacterial Effect of Sohamhyung-tang Against Methicillin-Resistant Staphylococcus aureus

소함흉탕(小陷胸湯)의 Methicillin 내성 Staphylococcus aureus에 대한 항균활성 연구

  • Yum, Dae Yul (Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Baek, Dong Ki (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Song, Yung Sun (Professional Graduate School of Oriental Medicine, Wonkwang University)
  • 염대열 (원광대학교 한의학전문대학원 제3의학과) ;
  • 백동기 (원광대학교 한의과대학 내과학교실) ;
  • 송용선 (원광대학교 한의학전문대학원 제3의학과)
  • Received : 2012.11.25
  • Accepted : 2012.12.21
  • Published : 2012.12.25

Abstract

Methicillin-Resistant Staphylococcus aureus (MRSA) is a cephalosporin and beta-lactam antibiotic-resistant strain. In most cases, MRSA is spread from infected patients and infection rates are growing increasingly. Furthermore, increased resistance to antibiotics is causing serious problems in the world. Staphylococcus aureus is responsible for both nosocomial and community-based infections that range from relatively minor skin and soft tissue infections to life-threatening systemic infections. Therefore, there is a need to develop alternative antimicrobial drugs for the treatment of infectious diseases. In this study, we investigated antimicrobial activity of oriental medicine prescription against MRSA. The minimum inhibitory concentration (MIC) of Sohamhyung-tang water extract against S. aureus strains ranged from 500 to 2,000 ${\mu}g/mL$, so we have it confirmed that a strong antibacterial effect. Also, the combinations of Sohamhyung-tang water extract and conventional antibiotics exhibited improved inhibition of MRSA with synergy effect. We suggest that Sohamhyung-tang water extract against MRSA have antibacterial activity, it has potential as alternatives to antibiotic agent. We suggest that the Sohamhyung-tang water extract lead the treatment of bacterial infection to solve the resistance and remaining side-effect problems that are the major weak points of traditional antibiotics.

Keywords

References

  1. Lowy, F.D. Staphylococcus aureus infections. N Engl J Med. 339(8):520-532, 1998. https://doi.org/10.1056/NEJM199808203390806
  2. Baltch, A.L, Ritz, W.J., Bopp, L.H., Michelsen, P.B., Smith, R.P. Antimicrobial activities of daptomycin, vancomycin, and oxacillin in human monocytes and of daptomycin in combination with gentamicin and/or rifampin in human monocytes and in broth against Staphylococcus aureus. Antimicrob Agents Chemother. 51(4):1559-1562, 2007. https://doi.org/10.1128/AAC.00973-06
  3. Couto, I., Costa, S.S., Viveiros, M., Martins, M., Amaral, L. Efflux-mediated response of Staphylococcus aureus exposed to ethidium bromide. J Antimicrob Chemother. 62(3):504-513, 2008. https://doi.org/10.1093/jac/dkn217
  4. Otto, C.C., Cunningham, T.M., Hansen, M.R., Haydel, S.E. Effects of antibacterial mineral leachates on the cellular ultrastructure, morphology, and membrane integrity of Escherichia coli and methicillin-resistant Staphylococcus aureus. Ann Clin Microbiol Antimicrob. 9: 26, 2010. https://doi.org/10.1186/1476-0711-9-26
  5. Bycroft, B.W., Shute, R.E. The molecualr basis for the mode of action of beta-lactam antibiotics and mechanism of resistance. Pharm Res., pp 3-14, 1985.
  6. Al-Habib, A., Al-Saleh, E., Safer, A.M., Afzal, M. Bactericidal effect of grape seed extract on methicillin-resistant Staphylococcus aureus (MRSA). J Toxicol Sci. 35(3):357-364, 2010. https://doi.org/10.2131/jts.35.357
  7. Ifesan, B.O., Joycharat, N. Voravuthikunchai SP. The mode of antistaphylococcal action of Eleutherine americana. FEMS Immunol Med Microbial. 57(2):193-201, 2009. https://doi.org/10.1111/j.1574-695X.2009.00599.x
  8. Koga, T., Masuda, N., Kakuta, M., Namba, E., Sugihara, C., Fukuoka, T. Potent in vitro activity of tomopenem (CS-023) against methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa. Antimicrob Agents Chemother. 52(8):2849-2854, 2008. https://doi.org/10.1128/AAC.00413-08
  9. Kastoris, A.C., Rafailidis, P.I., Vouloumanou, E.K., Gkegkes, I.D., Falagas, M.E. Synergy of fosfomycin with other antibiotics for Gram-positive and Gram-negative bacteria. Eur J Clin Pharmaco. 66(4):359-368, 2010. https://doi.org/10.1007/s00228-010-0794-5
  10. 張仲景. 仲景全書, 서울, 大星文化史, pp 192-194, 2010.
  11. 蔡仁植. 傷寒論譯詮, 서울, 高文社, p 109, 468, 1985.
  12. 許浚. 東醫寶鑑, 서울, 南山堂, p 359, 1986.
  13. 李梴. 醫學入門, 서울, 高麗醫學, p 318, 1989
  14. 上海中醫學院. 中草藥學, 香港, 商務印書館, pp 195-200, 353-5, 460-462, 469-471, 478-480, 1975.
  15. 汪訒庵. 本草備要, 臺北, 文光圖書有限公社, pp 16, 19, 21-22, 58-60, 115-116, 1966.
  16. 楊維傑 外. 實用中醫方劑學, 臺北, 藥群出版公司, pp 236-237, 1983.
  17. 許鴻源 外. 圖解常用漢方方劑, 臺北, 華安出版社, pp 111-112, 1980.
  18. 한방약리학 교재편찬위원회 : 한방약리학, 서울, 도서출판 신일상사, pp 243-245, 2005.
  19. 이정구, 김연희, 이동녕, 김형준. 과루인이 자궁경부암세포의 성장억제 및 세포고사에 미치는 영향. 동의생리병리학회지 19(4):965-972, 2005.
  20. 김재은, 윤현정, 최달영, 박선동. 마우스 대식세포(RAW 264.7 cell)에 대한 소함흉탕의 항염증효과. 동의생리병리학회지 24(1):61-66, 2010.
  21. 李東元. 蘭室秘藏. 서울, 여강, 文淵閣四庫全書, 745卷, p 559, 1988.
  22. 송근. 소함흉탕 및 가미소함흉탕의 고지혈증에 대한 실험적 연구. 경희대학교 대학원. 1993.
  23. 은종원. 小陷胸湯 煎湯液이 실험동물의 진통, 소염에 미치는 영향. 원광대학교 대학원. 1991.
  24. 黃道淵. 方藥合編, 서울, 南山堂, p 307, 1984.
  25. Lee, Y.S., Kang, O.H., Choi, J.G., Oh, Y.C., Chae, H.S., Kim, J.H., Park, H., Sohn, D.H., Wang, Z.T., Kwon, D.Y. Synergistic effects of the combination of galangin with gentamicin against methicillin-resistant Staphylococcus aureus. J Microbiol. 46(3):283-288, 2008. https://doi.org/10.1007/s12275-008-0012-7
  26. Bala, M., Ray, K., Gupta, S.M. Comparison of disc diffusion results with minimum inhibitory concentration (MIC) values for antimicrobial susceptibility testing of Neisseria gonorrhoeae. Indian J Med Res. 122(1):48-51, 2005.
  27. Veljic, M., Tarbuk, M., Marin, P.D., Ciric, A., Sokovic, M., Marin, M. Antimicrobial activity of methanol extracts of mosses from Serbia. Pharm Biol. 46(12):871-875, 2009.
  28. Shahverdi, A.R., Fakhimi, A., Zarrini, G., Dehghan, G., Iranshahi, M. Galbanic acid from Ferula szowitsiana enhanced the antibacterial activity of penicillin G and cephalexin against Staphylococcus aureus. Biol Pharm Bull. 30(9):1805-1807, 2007. https://doi.org/10.1248/bpb.30.1805
  29. Noble, W.C., Virani, Z., Cree, R.G. Co-transfer of vancomycin and other resistance genes from Enterococcus faecalis NCTC 12201 to Staphylococcus aureus. FEMS Microbiol Lett. 72(2):195-198, 1992.
  30. Timurkaynak, F., Can, F., Azap, O.K., Demirbilek, M., Ars lan, H. , Karaman, S.O. In vi t ro act ivi t ies of non-traditional antimicrobials alone or in combination against multidrug-resistant strains of Pseudomonas aeruginosa and Acinetobacter baumannii isolated from intensive care units. Int J Antimicrob Agents. 27(3):224-228, 2006. https://doi.org/10.1016/j.ijantimicag.2005.10.012
  31. Choi, J.G., Kang, O.H., Brice, O.O., Lee, Y.S., Chae, H.S., Oh, Y.C., Sohn, D.H., Park, H., Choi, H.G., Kim, S.G., Shin, D.W., Kwon, D.Y. Antibacterial activity of Ecklonia cava against methicillin-resistant Staphylococcus aureus and Salmonella spp. Foodborne Pathog Dis. 7(4):435-441, 2010. https://doi.org/10.1089/fpd.2009.0434
  32. Jung, H.J., Lee, D.G. Synergistic antibacterial effect between silybin and N,N'-dicyclohexylcarbodiimide in clinical Pseudomonas aeruginosa isolates. J Microbiol. 46(4):462-467, 2008. https://doi.org/10.1007/s12275-008-0138-7
  33. Irvin, R.T., MacAlister, T.J., Costerton, J.W. Tris(hydroxymethyl)aminomethane buffer modification of Escherichia coli outer membrane permeability. J Bacteriol. 145(3):1397-1403, 1981.
  34. Swallow, C.J., Grinstein, S., Rotstein, O.D. A vacuolar type H (+)-ATPase regulates cytoplasmic pH in murine macrophages. J Biol. Chem. 265(13):7645-7654, 1900.
  35. Barrett, F.F., McGehee, R.F. Jr, Finland, M. Methicillin-resistant Staphylococcus aureus at Boston City Hospital. Bacteriologic and epidemiologic observations. N Engl J Med. 279(9):441-448, 1968. https://doi.org/10.1056/NEJM196808292790901
  36. Parker, M.T., Hewitt, J.H. Methicillin resistance in Staphylococcus aureus. Lancet. 1(7651):800-804, 1970.
  37. Ghosh, A., Das, B.K., Roy, A., Mandal, B., Chandra, G. Antibacterial activity of some medicinal plant extracts. J Nat Med. 62(2):259-262, 2008. https://doi.org/10.1007/s11418-007-0216-x
  38. Aqil, F., Khan, M.S., Owais, M., Ahmad, I. Effect of certain bioactive plant extracts on clinical isolates of beta-lactamase producing methicillin resistant Staphylococcus aureus. J Basic Microbiol. 45(2):106-114, 2005. https://doi.org/10.1002/jobm.200410355
  39. 黃文東外: 實用中醫內科學, 上海, 上海科學技術出版社, pp 326-325, 405-423, 1986.
  40. Kong, W., Wei, J., Abidi, P., Lin, M., Inaba, S., Li, C., Wang, Y., Wang, Z., Si, S., Pan, H., Wang, S., Wu, J., Wang, Y., Li, Z., Liu, J., Jiang, J.D. Berberine is a novel cholesterol-lowering drug working through a unique mechanism distinct from statins. Nat Med. 10(12):1344-1351, 2004. https://doi.org/10.1038/nm1135