Synergistic Effect of Artemisia scoparia Extract and TiO2 Nanoparticles on Antibiotic Resistance of Klebsiella pnemoniae

Document Type : Original Research

Authors
1 Department of Biology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2 Department of Biology, Varamin Branch, Islamic Azad University, Varamin, Iran
Abstract
Backgrounds: This study aimed to assess antibacterial properties of Artemisia scoparia, Titanium dioxide nanoparticles, and their synergistic effect on clinical isolates of Klebsiella pneumonia.

Materials & Methods: In this experimental study, 30 isolates of K. pneumonia were collected from patients’ sputum in the microbiology lab of Masih Daneshvari hospital during 3 months. Then biochemical tests were performed for strain confirming. Moreover, genomic DNA was extracted from all the isolates, and hly gene was detected in the isolates via PCR method. The susceptibility of the isolates to 10 antibiotics was evaluated by the disk diffusion method. Then minimum inhibitory concentration (MIC) of all components (Artemisia extract, TiO2, and their combination) was assessed using the microdilution method against the isolates.

Findings: The results indicated that simultaneous use of hydro-alcoholic extract of A. scoparia and titanium dioxide nanoparticles exhibited a significant synergistic antibacterial effect on 25 clinical isolates in comparison with the use of extract or nanoparticles alone.

Conclusion: It seems that simultaneous use of Artemisia herbal extracts and nanoparticles is beneficial in increasing their antibacterial effect and may decrease antibiotics consumption.

Keywords

Subjects


1- Adams-Sapper S, Nolen S, Donzelli GF, Lal M, Chen K, Justo da Silva LH, et al. Rapid induction of high-level carbapenem resistance in heteroresistant KPC-producing Klebsiella pneumoniae. Antimicrob Agents Chemother. 2015;59(6):3281-9.
2- Bengoechea JA, Sa Pessoa J. Klebsiella pneumoniae infection biology: living to counteract host defences. FEMS microbiol rev. 2019 Mar;43(2):123-44.
3- Karabinis A, Paramythiotou E, Mylona-Petropoulou D, Kalogeromitros A, Katsarelis N, Kontopidou F, et al. Colistin for Klebsiella pneumoniae-associated sepsis. Clin Infect Dis. 2004; 38(1): 7-9.
4- Soltan Dalal MM, Miremadi SA, Sharifi Yazdi MK, Rastegar Lari AA, Rajabi Z, Avadis YS. Antimicrobial resistance trends of Klebsiella Spp. isolated from patient in Imam Khomeini Hospital. J Pavard Salamat 2012; 6(4): 275-281. (Full Text in Persian).
5- Behzadian Nejad Q, Abdollahi A, Najar Peerayeh SH, Forouhesh Tehrani H. Evaluationof bla-ctx-mtype Gene in Multi Drug Resistance Klebsiella pneumonia Species Isolated from Clinical Samples. J iran uni med sci. 2008; 15(60-61): 37-45. (Full Text in Persian).
6- Wyres KL, Lam MM, Holt KE. Population genomics of Klebsiella pneumoniae. Nature Rev Microbiol. 2020 Feb 13:1-6.
7- Shakeel M, Jabeen F, Shabbir S, Asghar MS, Khan MS, Chaudhry AS. Toxicity of nano-titanium dioxide (TiO2-NP) through various routes of exposure: a Review. Biol Trace Elem Res. 2016; 172(1):1-36.
8- Shi H, Magaye R, Castranova V, Zhao J. Titanium dioxide nanoparticles: a review of current toxicological data. Part Fibre Toxicol. 2013, 15;10:15.
9- Chellappa M, Anjaneyulu U, Manivasagam G, Vijayalakshmi U. Preparation and evaluation of the cytotoxic nature of TiO2 nanoparticles by direct contact method. Int J Nanomedicine. 2015; 1;10 Suppl 1:31-41.
10- Garcia-Contreras R, Scougall-Vilchis RJ, Contreras-Bulnes R, Ando Y, Kanda Y, Hibino Y, Nakajima H, Sakagami H. Effects of TiO2 nanoparticles on cytotoxic action of chemotherapeutic drugs against a human oral squamous cell carcinoma cell line. In Vivo. 2014; 28(2):209-15.
11- Khan ST, Ahmad J, Ahamed M, Jousset A. Sub-lethal doses of widespread nanoparticles promote antifungal activity in Pseudomonas protegens CHA0. Sci Total Environ. 2018;627:658-662.
12- Nam SY, Han NR, Rah SY, Seo Y, Kim HM, Jeong HJ. Anti-inflammatory effects of Artemisia scoparia and its active constituent, 3,5-dicaffeoyl-epi-quinic acid against activated mast cells. Immunopharmacol Immunotoxicol. 2018;40(1):52-58.
13- Ramezani M, Fazli-Bazzaz BS, Saghafi-Khadem F, Dabaghian A. Antimicrobial activity of four Artemisia species of Iran. Fitoterapia. 2004 1;75(2):201-3.
14- Sajid M, Rashid Khan MR, Shah NA, Waris TS, Younis T, Ullah S, Ahmed N. Evaluation of Artemisia scoparia for hemostasis promotion activity. Pak J Pharm Sci. 2017;30(5):1709-1713.
15- Cha JD, Jeong MR, Jeong SI, Moon SE, Kim JY, Kil BS, Song YH. Chemical composition and antimicrobial activity of the essential oils of Artemisia scoparia and A. capillaris. Planta medica. 2005;71(02):186-90.
16- Singh HP, Mittal S, Kaur S, Batish DR, Kohli RK. Chemical composition and antioxidant activity of essential oil from residues of Artemisia scoparia. Food chemistry. 2009 15;114(2):642-5.
17- Candan ED, Aksöz N. Klebsiella pneumoniae: characteristics of carbapenem resistance and virulence factors. Acta Biochimica Polonica. 2015 4;62(4).
18- Singh J. Maceration, percolation and infusion techniques for the extraction of medicinal and aromatic plants. Extraction technologies for medicinal and aromatic plants. 2008;67:32-5.
19- Martin RM, Bachman MA. Colonization, infection, and the accessory genome of Klebsiella pneumoniae. Frontiers in cellular and infection microbiol. 2018 22;8:4.
20- Ayati R, Dodi M, Karami M. Evaluation the effect of Tio2 nanoparticles on MDR Klebsiella pneumonia and Staphylococcus aureus strains resistant to multi antibiotics. 17th Iranian Biology conference 2012. . (Full Text in Persian).
21- Verdier, T.; Coutand, M.; Bertron, A.; Roques, C. Antibacterial Activity of TiO2Photocatalyst Alone or in Coatings on E. coli: The Influence of Methodological Aspects. Coatings 2014, 4, 670-686.
22- Tambekar DH, Dahikar SB. Antibacterial activity of some Indian Ayurvedic preparations against enteric bacterial pathogens. J Adv Pharm Technol Res. 2011;2(1):24–29.
23- Winnett V, Sirdaarta J, White A, Clarke FM, Cock IE, Inhibition of Klebsiella pneumoniae growth by selected Australian plants: natural approaches for the prevention and management of ankylosing spondylitis. Inflammopharmacol. 2017;25(2):223-235.
24- Gavanji S, Mohammadi E, Larki B, Bakhtari A. Antimicrobial and cytotoxic evaluation of some herbal essential oils in comparison with common antibiotics in bioassay condition. Integr Med Res. 2014;3(3):142–152.
25- Hacioglu M, Dosler S, Birteksoz Tan AS, Otuk G. Antimicrobial activities of widely consumed herbal teas, alone or in combination with antibiotics: an in vitro study. Peer J. 2017;5:e3467.