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COMBATING MULTIDRUG
RESISTANT BACTERIA WITH
ESSENTIAL OILS
Miguel Diaz
MICROBIAL COMPETITION
http://www.livescience.com/
 Competition for limited resources
 Excretion of chemicals that are toxic
and inhibit growth
http://virtuallaboratory.colorado.edu
COEVOLUTION
 Intrinsic resistance
 Spontaneous mutations
http://learn.genetics.utah.edu/
PATHOGENS
 Disease causing organisms
www.cdc.gov
http://www.bacteriainphotos.com/bact
eria-photo-gallery.html
BACTERIA
 Bacterial Classification
 Gram Positive
 Gram Negative
DISCOVERY OF ANTIBIOTICS
 1928 Alexander Fleming discovered
Penicillin
 Antibiotics have had a significant
impact on human health and life
 Wonder drug
http://sciencenational.tumblr.com/
MODES OF ACTION
 Selective for bacterial cells
 Unique processes
 Metabolic pathways
 Bacteriostatic vs Bactericidal
 Narrow vs Broad Spectrum
ANTIBIOTICS
 Treat bacterial infections
 Life saving
 extending the human lifespan
 Naturally, Synthetic, Semi-Synthetic
 Zone of inhibition
 Minimum Inhibition Concentration
(MIC)
ERA OF ANTIBIOTICS
 Overuse
 Misuse
"The thoughtless person playing with penicillin
treatment is morally responsible for the death of
the man who succumbs to infection with the
penicillin-resistant organism.
A. Fleming
RESISTANCE
 Intrinsic Evolutionary event
 Genes chromosomal or plasmid
 HGT
 R plasmids
https://www.niaid.nih.gov
R-PLASMIDS
https://classconnection.s3.amazonaws.com
 Plasmids
 Non-chromosomal DNA
 Housekeeping genes
 Some carry resistant genes
 R-plasmids
ANTIBIOTIC RESISTANCE
MECHANISM OF RESISTANCE
 Modify and inactivate
 畉-lactams
 Penicillin
 Prevent drug uptake
 Chloramphenicol
 Pump it out
 Efflux Pump
 Tetracycline
HORIZONTAL GENE TRANSFER
 Sharing of genetic material
 across different genera
 3 mechanisms
 Transformation
 uptake of DNA from the
environment
 Transduction
 Virus mediated
 Conjugation
 cell to cell sharing
 type IV pili
MULTIDRUG RESISTANCE
http://www.moleculin.com/
Multidrug Efflux Pump
http://evolution.berkeley.edu/
 R-plasmid with many resistant genes
MULTIDRUG RESISTANCE
 ESKAPE Pathogens
 Enterococcus faecium (VRE)
 Staphylococcus aureus (MRSA)
 Klebsiella and Escherichia coli producing ESBL
 Acinetobacter baumannii
 Pseudomonas aeruginosa
 Enterbacteriaceae
POST ANTIBIOTIC ERA?
 Little research and development
 Mutations can happen quickly and
are easily shared
 What now?
 We are headed to a post antibiotic era, in which common infections and minor
injuries can once again kill WHO 2015
http://bk.asia-city.com
ESSENTIAL OILS
http://www.questnetproxy.com/
 Traditional medicine
 Topical or inhaled
 Some toxic if ingested
 Generally safe
 Chemotype
 Changes in chemical
phenotype
 Steam distillation
ESSENTIAL OIL: MODES OF ACTION
http://www.mdpi.com/pharmaceuticals
 Degrade cell wall
 Damage cytoplasmic membrane
 Increase permeability
 Leakage of cell contents
 Damage membrane proteins
 Coagulation of cytoplasm
 Depletion of proton motor force
TERPENOIDS
 Secondary plant metabolite
 Isoprene subunits
 Volatile Compounds
 Easley evaporated
 Give plants fragrance (essence)
MELALEUCA ALTERNIFOLIA
http://www.teamessence.com.my/
 Native to Australia
 Aboriginals use it for treating infections
 Know for its antiseptic, antibiotic
properties
 Main constituents
 terpinen-4-ol
 -terpineol
TEA TREE OIL
 Cell Membrane Permeability
 Leak K+
 E. coli and S. aureus
 Cell Respiration
 Decrease O2 consumption rate
TEA TREE
Lee et al. 2014
MENTHA PIPERITA
https://www.tuinplant.nl
 Native to Europe and Middle
East
 Menthol and Mentone
 Medicinal Uses
 Analgesic, cooling,
antiemetic
 muscle rubs
Bakkali et al. 2008
PEPPERMINT OIL
Singh et al. (2011)
PEPPERMINT OIL
Bazargani and Rohloff (2016)
 Anti-plasmid activity
 Menthol 96%
 In combo with promethazine 100%
Anti-biofilm
EUCALYPTUS CAMALDULENSIS
https://upload.wikimedia.org/wikipedia/commons/8/82/Eu
calyptus_trunk_zebra_pattern.jpg
 Indigenous to Australia
 Medicinal Purpose
 anesthetic, antiseptic, astringent
 Constitutes
 p-cymene (35.0%)
 cryptone (13.7%)
 tanins (11%)
 terpinen-4-ol (5.7%)
EUCALYPTUS
http://www.mdpi.com/molecules
Jazani et al. 2012
OTHER ESSENTIAL OILS
ESSENTIAL OILS AND MDRO
 Essential oils can reduce the use of antibiotic
 Preventative measures
 Reduce inflammation response
 Antiseptic
 Cleaning hospital surfaces
 Alternative treatments
 Effective against a broad spectrum of bacteria
 Synergistic effects
 In combination with antibiotics
 Decrease MIC
 Increase zone inhibition
REFRENCES
 Bazargani MM, Rohloff J. 2016. Antibiofilm activity of essential oils and plant extracts against Staphylococcus
aureus and Escherichia coli biofilms. Food Control 61:156164.
 www.cdc.gov
 Cox.S.D. 2000. The model of antimicrobial action of the essential oil of Melaleuca alternifolia. J. Appl.
Microbiol. 88:170175.
 Jazani NH, Mikaili P, Shayegh J, Haghighi N, Aghamohammadi N, Zartoshti M. 2012. The hydro-alcoholic
extract of leaves of Eucalyptus camaldulensis Dehnh. has antibacterial activity on multi-drug resistant bacteria
isolates. J. Appl. Biol. Sci. 6:3740.
 Knezevic P, Aleksic V, Simin N, Svircev E, Petrovic A, Mimica-Dukic N. 2016. Antimicrobial activity of
Eucalyptus camaldulensis essential oils and their interactions with conventional antimicrobial agents against
multi-drug resistant Acinetobacter baumannii. J. Ethnopharmacol. 178:125136.
 Lee RLP, Leung PHM, Wong TKS. 2014. A randomized controlled trial of topical tea tree preparation for MRSA
colonized wounds. Int. J. Nurs. Sci. 1:714.
 Singh R, Shushni MAM, Belkheir A. 2015. Antibacterial and antioxidant activities of Mentha piperita L. Arab. J.
Chem. 8:322328.

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Combating multidrug resistance bacteria with essential oils

  • 1. COMBATING MULTIDRUG RESISTANT BACTERIA WITH ESSENTIAL OILS Miguel Diaz
  • 2. MICROBIAL COMPETITION http://www.livescience.com/ Competition for limited resources Excretion of chemicals that are toxic and inhibit growth http://virtuallaboratory.colorado.edu
  • 3. COEVOLUTION Intrinsic resistance Spontaneous mutations http://learn.genetics.utah.edu/
  • 4. PATHOGENS Disease causing organisms www.cdc.gov http://www.bacteriainphotos.com/bact eria-photo-gallery.html
  • 5. BACTERIA Bacterial Classification Gram Positive Gram Negative
  • 6. DISCOVERY OF ANTIBIOTICS 1928 Alexander Fleming discovered Penicillin Antibiotics have had a significant impact on human health and life Wonder drug http://sciencenational.tumblr.com/
  • 7. MODES OF ACTION Selective for bacterial cells Unique processes Metabolic pathways Bacteriostatic vs Bactericidal Narrow vs Broad Spectrum
  • 8. ANTIBIOTICS Treat bacterial infections Life saving extending the human lifespan Naturally, Synthetic, Semi-Synthetic Zone of inhibition Minimum Inhibition Concentration (MIC)
  • 9. ERA OF ANTIBIOTICS Overuse Misuse "The thoughtless person playing with penicillin treatment is morally responsible for the death of the man who succumbs to infection with the penicillin-resistant organism. A. Fleming
  • 10. RESISTANCE Intrinsic Evolutionary event Genes chromosomal or plasmid HGT R plasmids https://www.niaid.nih.gov
  • 11. R-PLASMIDS https://classconnection.s3.amazonaws.com Plasmids Non-chromosomal DNA Housekeeping genes Some carry resistant genes R-plasmids
  • 13. MECHANISM OF RESISTANCE Modify and inactivate 畉-lactams Penicillin Prevent drug uptake Chloramphenicol Pump it out Efflux Pump Tetracycline
  • 14. HORIZONTAL GENE TRANSFER Sharing of genetic material across different genera 3 mechanisms Transformation uptake of DNA from the environment Transduction Virus mediated Conjugation cell to cell sharing type IV pili
  • 15. MULTIDRUG RESISTANCE http://www.moleculin.com/ Multidrug Efflux Pump http://evolution.berkeley.edu/ R-plasmid with many resistant genes
  • 16. MULTIDRUG RESISTANCE ESKAPE Pathogens Enterococcus faecium (VRE) Staphylococcus aureus (MRSA) Klebsiella and Escherichia coli producing ESBL Acinetobacter baumannii Pseudomonas aeruginosa Enterbacteriaceae
  • 17. POST ANTIBIOTIC ERA? Little research and development Mutations can happen quickly and are easily shared What now? We are headed to a post antibiotic era, in which common infections and minor injuries can once again kill WHO 2015 http://bk.asia-city.com
  • 18. ESSENTIAL OILS http://www.questnetproxy.com/ Traditional medicine Topical or inhaled Some toxic if ingested Generally safe Chemotype Changes in chemical phenotype Steam distillation
  • 19. ESSENTIAL OIL: MODES OF ACTION http://www.mdpi.com/pharmaceuticals Degrade cell wall Damage cytoplasmic membrane Increase permeability Leakage of cell contents Damage membrane proteins Coagulation of cytoplasm Depletion of proton motor force
  • 20. TERPENOIDS Secondary plant metabolite Isoprene subunits Volatile Compounds Easley evaporated Give plants fragrance (essence)
  • 21. MELALEUCA ALTERNIFOLIA http://www.teamessence.com.my/ Native to Australia Aboriginals use it for treating infections Know for its antiseptic, antibiotic properties Main constituents terpinen-4-ol -terpineol
  • 22. TEA TREE OIL Cell Membrane Permeability Leak K+ E. coli and S. aureus Cell Respiration Decrease O2 consumption rate
  • 23. TEA TREE Lee et al. 2014
  • 24. MENTHA PIPERITA https://www.tuinplant.nl Native to Europe and Middle East Menthol and Mentone Medicinal Uses Analgesic, cooling, antiemetic muscle rubs Bakkali et al. 2008
  • 26. PEPPERMINT OIL Bazargani and Rohloff (2016) Anti-plasmid activity Menthol 96% In combo with promethazine 100% Anti-biofilm
  • 27. EUCALYPTUS CAMALDULENSIS https://upload.wikimedia.org/wikipedia/commons/8/82/Eu calyptus_trunk_zebra_pattern.jpg Indigenous to Australia Medicinal Purpose anesthetic, antiseptic, astringent Constitutes p-cymene (35.0%) cryptone (13.7%) tanins (11%) terpinen-4-ol (5.7%)
  • 30. ESSENTIAL OILS AND MDRO Essential oils can reduce the use of antibiotic Preventative measures Reduce inflammation response Antiseptic Cleaning hospital surfaces Alternative treatments Effective against a broad spectrum of bacteria Synergistic effects In combination with antibiotics Decrease MIC Increase zone inhibition
  • 31. REFRENCES Bazargani MM, Rohloff J. 2016. Antibiofilm activity of essential oils and plant extracts against Staphylococcus aureus and Escherichia coli biofilms. Food Control 61:156164. www.cdc.gov Cox.S.D. 2000. The model of antimicrobial action of the essential oil of Melaleuca alternifolia. J. Appl. Microbiol. 88:170175. Jazani NH, Mikaili P, Shayegh J, Haghighi N, Aghamohammadi N, Zartoshti M. 2012. The hydro-alcoholic extract of leaves of Eucalyptus camaldulensis Dehnh. has antibacterial activity on multi-drug resistant bacteria isolates. J. Appl. Biol. Sci. 6:3740. Knezevic P, Aleksic V, Simin N, Svircev E, Petrovic A, Mimica-Dukic N. 2016. Antimicrobial activity of Eucalyptus camaldulensis essential oils and their interactions with conventional antimicrobial agents against multi-drug resistant Acinetobacter baumannii. J. Ethnopharmacol. 178:125136. Lee RLP, Leung PHM, Wong TKS. 2014. A randomized controlled trial of topical tea tree preparation for MRSA colonized wounds. Int. J. Nurs. Sci. 1:714. Singh R, Shushni MAM, Belkheir A. 2015. Antibacterial and antioxidant activities of Mentha piperita L. Arab. J. Chem. 8:322328.