Pistacia vera L. oleoresin and levofloxacin is a synergistic combination against resistant Helicobacter pylori strains

The increasing multidrug resistance in Helicobacter pylori , also correlated to its biofilm‐forming ability, underlines the need to search novel strategies to improve the eradication rate. Natural compounds are proposed as antibiotic-resistant-breakers capable to restore the efficacy of conventional...

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Veröffentlicht in:Scientific reports 2019-03, Vol.9 (1), p.4646, Article 4646
Hauptverfasser: Di Lodovico, Silvia, Napoli, Edoardo, Di Campli, Emanuela, Di Fermo, Paola, Gentile, Davide, Ruberto, Giuseppe, Nostro, Antonia, Marini, Emanuela, Cellini, Luigina, Di Giulio, Mara
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container_title Scientific reports
container_volume 9
creator Di Lodovico, Silvia
Napoli, Edoardo
Di Campli, Emanuela
Di Fermo, Paola
Gentile, Davide
Ruberto, Giuseppe
Nostro, Antonia
Marini, Emanuela
Cellini, Luigina
Di Giulio, Mara
description The increasing multidrug resistance in Helicobacter pylori , also correlated to its biofilm‐forming ability, underlines the need to search novel strategies to improve the eradication rate. Natural compounds are proposed as antibiotic-resistant-breakers capable to restore the efficacy of conventional drugs. Aim of this work was to evaluate the capability of Pistacia vera L. oleoresin (ORS) to synergize with levofloxacin (LVX) against resistant H . pylori strains. The antimicrobial activity of P . vera L. ORS and LVX and their combinations was determined by MIC/MBC (in neutral and acidic environments) and checkerboard tests. The anti-biofilm effect was determined by biomass quantification. In vivo Galleria mellonella model was used to confirm in vitro data. Pistacia vera L. ORS and LVX MICs ranged respectively from 780 to 3120 mg/l and from 0.12 to 2.00 mg/l, at pH 7.0 and 5.5. MBCs were similar to MICs. Pistacia vera L. ORS was able to synergize with LVX, restoring its effectiveness in LVX resistant strains. Pistacia vera L. ORS, LVX and their synergistic combinations displayed significant biofilm reduction. Pistacia vera L. ORS and LVX, showed protective effect against H . pylori infection on G . mellonella (62% and 63% of survival, respectively). Pistacia vera L. ORS can be considered a promising potentiator to restore the effectiveness of LVX tackling the H . pylori antibiotic resistance phenomenon.
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subjects 14/34
631/326/22/1434
631/326/421
631/326/46
64
Anti-Bacterial Agents - pharmacology
Anti-Infective Agents - pharmacology
Antibiotic resistance
Antibiotics
Antimicrobial activity
Biofilms
Biofilms - drug effects
Drug Resistance, Bacterial - drug effects
Drug Synergism
Eradication
Helicobacter Infections - drug therapy
Helicobacter pylori
Helicobacter pylori - drug effects
Helicobacter pylori - metabolism
Helicobacter pylori - pathogenicity
Humanities and Social Sciences
Humans
Levofloxacin
Levofloxacin - pharmacology
Microbial Sensitivity Tests
Minimum inhibitory concentration
multidisciplinary
Multidrug resistance
Oleoresins
Pistacia - metabolism
Pistacia vera
Science
Science (multidisciplinary)
Synergism
title Pistacia vera L. oleoresin and levofloxacin is a synergistic combination against resistant Helicobacter pylori strains
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