Lipový B, Holoubek J, Vacek L, Růžička F, Nedomová E, Poštulková H, Vojtová L
Epidemiol Mikrobiol Imunol. 2018 Winter;67(4):166-174.
Materials for modern wound-management are a very broad and heterogeneous group. One of the most important representatives is natural materials, or more precisely polysaccharides isolated from various plants and animals. With the increasing resistance of pathogens to established antimicrobial agents, there is also an attempt to discover new mechanisms of the effects of these materials. Gum karaya (GK) is a very promising representative of the natural polysaccharides group and, since it is obtained from Sterculia urens as resin, it is also possible to assume its certain antimicrobial activity.
The antimicrobial potential of GK and chitosan (Ch) has been tested on several preselected strains to match the real epidemiological situation of the agents of infectious complications in the field of burned wounds. Tested strains included representatives of gram-positive and gram-negative bacteria as well as selected yeasts. Methicillin susceptible Staphylococcus aureus CCM 4223 (ATCC 29213), methicillin resistant Staphylococcus aureus CCM 4750 (ATCC 43300), Klebsiella pneumoniae CCM 4985 (ATCC 700603), Candida albicans CCM 8261 (ATCC 90028), Pseudomonas aeruginosa CCM 3955 (ATCC 27853) were obtained from the Czech Collection of Microorganisms. Pseudomonas aeruginosa FF 1, Pseudomonas aeruginosa FF 2 and Pseudomonas aeruginosa FF 3 (all multi-resistant clinical strains), Staphylococcus epidermidis A 013, Staphylococcus epidermidis A 117, and Candida parapsilosis BC 11 were obtained from the Collection of Microorganisms at the St. Annes University Hospital, Brno. Antimicrobial tests were performed using the disk diffusion test methodology. Another set of antimicrobial tests was obtained by measuring the growth curves.
Bacteriostatic activity testing showed 1% GK concentration and both 1% and 0.5% chitosan concentration effective against all pathogens tested. The combination of GK50/Ch50 in concentrations of 1% and 0.5% had similar or better effect. Lower concentrations of the combined material are poorly effective against tested strains. Bactericidal activity testing has not produced positive results, except for Candida spp., where only a partial effect of GK50/Ch50 was observed at 1% concentration. In the growth curve test, the efficiency of both GK alone and chitosan was found to be significantly higher in gram-positive bacteria compared to gram-negative ones. In the case of this experiment, only a one-tenth concentration was used compared to the disk diffusion test concentration. This results correspond with the data from the bacteriostatic activity testing.
This is the first publication that attempts to comprehensively define the potential for GK antimicrobial activity and also the possible potentiation of this activity with the use of chitosan. Further experiments are needed to extend the antimicrobial efficiency to gram-negative bacteria.
现代伤口管理材料种类繁多且性质各异。其中最重要的一类代表是天然材料,更确切地说是从各种植物和动物中分离出的多糖。随着病原体对现有抗菌剂的耐药性不断增强,人们也在尝试探索这些材料作用的新机制。刺梧桐树胶(GK)是天然多糖类中一个非常有前景的代表,由于它是从苹婆属植物中提取得到的树脂,因此可以推测它具有一定的抗菌活性。
为了匹配烧伤创面感染并发症病原体的实际流行病学情况,已对几种预选菌株测试了GK和壳聚糖(Ch)的抗菌潜力。测试菌株包括革兰氏阳性菌和革兰氏阴性菌的代表以及选定的酵母菌。甲氧西林敏感金黄色葡萄球菌CCM 4223(ATCC 29213)、甲氧西林耐药金黄色葡萄球菌CCM 4750(ATCC 43300)、肺炎克雷伯菌CCM 4985(ATCC 700603)、白色念珠菌CCM 8261(ATCC 90028)、铜绿假单胞菌CCM 3955(ATCC 27853)均来自捷克微生物菌种保藏中心。铜绿假单胞菌FF 1、铜绿假单胞菌FF 2和铜绿假单胞菌FF 3(均为多重耐药临床菌株)、表皮葡萄球菌A 013、表皮葡萄球菌A 117以及近平滑念珠菌BC 11均来自布尔诺圣安妮大学医院的微生物菌种保藏中心。抗菌测试采用纸片扩散法进行。另一组抗菌测试通过测量生长曲线获得。
抑菌活性测试表明,1%的GK浓度以及1%和0.5%的壳聚糖浓度对所有测试病原体均有效。浓度为1%和0.5%的GK50/Ch50组合具有相似或更好的效果。较低浓度的复合材料对测试菌株效果不佳。除念珠菌属外,杀菌活性测试未产生阳性结果,在念珠菌属中,仅在1%浓度下观察到GK50/Ch50有部分杀菌效果。在生长曲线测试中,发现单独使用GK和壳聚糖对革兰氏阳性菌的效率明显高于革兰氏阴性菌。在本实验中,与纸片扩散测试浓度相比,仅使用了十分之一的浓度。这些结果与抑菌活性测试的数据一致。
这是首次尝试全面界定GK抗菌活性潜力以及使用壳聚糖增强其活性可能性的出版物。需要进一步实验将抗菌效率扩展至革兰氏阴性菌。