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Yousef A. Alnakeeb E, Abdull Razis AF, Wei Chan K, Ling Tham C, Han Chan Y, Kalifa Kafo AS, Jambari NN, Rollin P, Djedaini-Pilard F. Antiallergic Effect of the Alpha-Cyclodextrin Moringin Complex in Rat Basophilic Leukaemia (RBL-2H3) Cell Line. Adv Pharmacol Pharm Sci 2024; 2024:8885068. [PMID: 39104427 PMCID: PMC11300081 DOI: 10.1155/2024/8885068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 03/19/2024] [Accepted: 06/25/2024] [Indexed: 08/07/2024] Open
Abstract
Allergic diseases (ADs) are a major concern when it comes to public well-being. Moringa oleifera Lam is a tropical plant that is used in traditional medicine due to the presence of isothiocyanate. The present study investigated the antiallergic properties of 4-(α-L-rhamnopyranosyloxy)-benzyl isothiocyanate or moringin isolated from Moringa oleifera seeds in the form of alpha-cyclodextrin-moringin (α-CD/MG) complex on rat basophilic leukaemia (RBL-2H3) cell line at both the early and late stages of an allergic reaction. The α-CD/MG complex was initially elucidated using nuclear magnetic resonance (NMR) followed by the 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium inner salt proliferation assay to evaluate the cytotoxicity and cell viability with respect to ketotifen fumarate (KF) and α-CD/MG. The release of beta-hexosaminidase (β-hexosaminidase) and histamine was used to determine the level of inhibition in the early stage while the suppression of the release of prostaglandin (PGD2), tumour necrosis factor-alpha (TNF-α), and interleukin (IL-4) was considered in the late stage. Higher concentrations of α-CD/MG (5 μM, p < 0.001) in mast cell degranulation significantly inhibited the expression of β-hexosaminidase, histamine, TNF-α, PGD2, and IL-4 in both the early and late stages. Thus, α-CD/MG can potentially be developed as an antiallergic drug as it has the ability to inhibit allergic responses in the late and early stages.
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Affiliation(s)
- Ebtisam Yousef A. Alnakeeb
- Natural Medicines and Products Research LaboratoryInstitute of BioscienceUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Ahmad Faizal Abdull Razis
- Natural Medicines and Products Research LaboratoryInstitute of BioscienceUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
- Laboratory of Food Safety and Food IntegrityInstitute of Tropical Agriculture and Food SecurityUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
- Department of Food ScienceFaculty of Food Science and TechnologyUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Kim Wei Chan
- Natural Medicines and Products Research LaboratoryInstitute of BioscienceUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Chau Ling Tham
- Department of Biomedical SciencesFaculty of Medicine and Health SciencesUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Yee Han Chan
- Department of Biomedical SciencesFaculty of Medicine and Health SciencesUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Anwar Salm Kalifa Kafo
- Department of PathologyFaculty of Medicine and Health SciencesUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Nuzul Noorahya Jambari
- Laboratory of Food Safety and Food IntegrityInstitute of Tropical Agriculture and Food SecurityUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
- Department of Food ScienceFaculty of Food Science and TechnologyUniversiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
| | - Patrick Rollin
- Université d'Orléans et CNRSICOA, UMR 7311, BP 6759, CEDEX 02, Orléans F-45067, France
| | - Florence Djedaini-Pilard
- LG2A UR 7378Université de Picardie Jules Verne33 rue Saint Leu—UFR des Sciences, Amiens F-80000, France
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Gugliandolo A, Calì G, Muscarà C, Artimagnella O, Rollin P, Perenzoni D, Iori R, Mazzon E, Chiricosta L. α-Cyclodextrin/Moringin Induces an Antioxidant Transcriptional Response Activating Nrf2 in Differentiated NSC-34 Motor Neurons. Antioxidants (Basel) 2024; 13:813. [PMID: 39061882 PMCID: PMC11274022 DOI: 10.3390/antiox13070813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 07/02/2024] [Accepted: 07/04/2024] [Indexed: 07/28/2024] Open
Abstract
Oxidative stress is a common feature of neurodegenerative diseases. Different natural compounds mediate neuroprotective effects by activating the Nrf2 antioxidant response. Some isothiocyanates are Nrf2 activators, including Moringin (MOR). In this study, the transcriptional profile of differentiated NSC-34 motor neurons was evaluated after treatment for 48 h and 96 h with concentrations of 0.5, 5, and 10 µM of a new MOR formulation obtained with α-cyclodextrin (α-CD). All the concentrations increased gene expression and cytoplasmic protein levels of Nrf2 at 96 h. However, the highest dose also increased nuclear Nrf2 levels at 96 h. Then, Nrf2 interactors were selected using STRING, and common biological process (BP) terms between the groups were evaluated. α-CD/MOR was able to modulate BP related to responses to oxidative stress, proteostasis, and autophagy. Specifically, the treatment with 10 µM of α-CD/MOR for 96 h induced genes involved in glutathione synthesis and proteasome subunits and reduced the expression of genes related to endoplasmic reticulum stress. Moreover, this group showed the lowest levels of the apoptotic markers Bax, cleaved caspase 9, and cleaved caspase 3. These results indicate the beneficial effects of prolonged α-CD/MOR supplementation that are mediated, at least in part, by Nrf2 activation. Then, α-CD/MOR could be a valuable treatment against neurodegenerative diseases, in particular motor neuron degeneration.
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Affiliation(s)
- Agnese Gugliandolo
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
| | - Gabriella Calì
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
| | - Claudia Muscarà
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
| | - Osvaldo Artimagnella
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
| | - Patrick Rollin
- Institute of Organic and Analytical Chemistry (ICOA), Université d’Orléans, UMR 7311, BP 6759, F-45067 Orléans, Cedex 2, France
| | - Daniele Perenzoni
- Department of Food Quality and Nutrition, Research and Innovation Centre, Fondazione Edmund Mach (FEM), Via E. Mach 1, 38098 San Michele all’Adige, Italy
| | - Renato Iori
- Department of Food Quality and Nutrition, Research and Innovation Centre, Fondazione Edmund Mach (FEM), Via E. Mach 1, 38098 San Michele all’Adige, Italy
| | - Emanuela Mazzon
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
| | - Luigi Chiricosta
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy
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3
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Mayer BP, Kennedy DJ, Lau EY, Valdez CA. Evaluation of polyanionic cyclodextrins as high affinity binding scaffolds for fentanyl. Sci Rep 2023; 13:2680. [PMID: 36792632 PMCID: PMC9932099 DOI: 10.1038/s41598-023-29662-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 02/08/2023] [Indexed: 02/17/2023] Open
Abstract
Cyclodextrins (CDs) have been previously shown to display modest equilibrium binding affinities (Ka ~ 100-200 M-1) for the synthetic opioid analgesic fentanyl. In this work, we describe the synthesis of new CDs possessing extended thioalkylcarboxyl or thioalkylhydroxyl moieties and assess their binding affinity towards fentanyl hydrochloride. The optimal CD studied displays a remarkable affinity for the opioid of Ka = 66,500 M-1, the largest value reported for such an inclusion complex to date. One dimensional 1H Nuclear Magnetic Resonance (NMR) as well as Rotational Frame Overhauser Spectroscopy (2D-ROESY) experiments supported by molecular dynamics (MD) simulations suggest an unexpected binding behavior, with fentanyl able to bind the CD interior in one of two distinct orientations. Binding energies derived from the MD simulations work correlate strongly with NMR-derived affinities highlighting its utility as a predictive tool for CD candidate optimization. The performance of these host molecules portends their utility as platforms for medical countermeasures for opioid exposure, as biosensors, and in other forensic science applications.
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Affiliation(s)
- Brian P. Mayer
- grid.250008.f0000 0001 2160 9702Physical and Life Sciences Directorate, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA ,grid.250008.f0000 0001 2160 9702Nuclear and Chemical Sciences Division, Lawrence Livermore National Laboratory, 7000 East Avenue, Livermore, CA L-090 94550 USA ,grid.250008.f0000 0001 2160 9702Forensic Science Center, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA
| | - Daniel J. Kennedy
- grid.250008.f0000 0001 2160 9702Physical and Life Sciences Directorate, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA ,grid.250008.f0000 0001 2160 9702Nuclear and Chemical Sciences Division, Lawrence Livermore National Laboratory, 7000 East Avenue, Livermore, CA L-090 94550 USA ,grid.250008.f0000 0001 2160 9702Forensic Science Center, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA
| | - Edmond Y. Lau
- grid.250008.f0000 0001 2160 9702Physical and Life Sciences Directorate, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA ,grid.250008.f0000 0001 2160 9702Nuclear and Chemical Sciences Division, Lawrence Livermore National Laboratory, 7000 East Avenue, Livermore, CA L-090 94550 USA ,grid.250008.f0000 0001 2160 9702Biosciences and Biotechnology Division, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA
| | - Carlos A. Valdez
- grid.250008.f0000 0001 2160 9702Physical and Life Sciences Directorate, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA ,grid.250008.f0000 0001 2160 9702Nuclear and Chemical Sciences Division, Lawrence Livermore National Laboratory, 7000 East Avenue, Livermore, CA L-090 94550 USA ,grid.250008.f0000 0001 2160 9702Forensic Science Center, Lawrence Livermore National Laboratory, Livermore, CA 94550 USA
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Wen Y, Li W, Su R, Yang M, Zhang N, Li X, Li L, Sheng J, Tian Y. Multi-Target Antibacterial Mechanism of Moringin From Moringa oleifera Seeds Against Listeria monocytogenes. Front Microbiol 2022; 13:925291. [PMID: 35756047 PMCID: PMC9213813 DOI: 10.3389/fmicb.2022.925291] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 05/16/2022] [Indexed: 12/30/2022] Open
Abstract
Moringin [4-(α-L-rhamnosyloxy) benzyl isothiocyanate] is an isothiocyanate from Moringa oleifera seeds. It is the bioactivated form of the glucosinolate precursor glucomoringin with various health benefits. However, few studies have examined the antibacterial activity of moringin. This study aimed to investigate the antimicrobial activity and mechanism of moringin against Listeria monocytogenes. The minimum inhibitory concentration (MIC), and growth curves were used to evaluate the bacteriostatic effect of moringin against L. monocytogenes. Transcriptome analysis by RNA sequencing was performed to elucidate the underlying mechanism of moringin against L. monocytogenes. The transcriptome results were validated. The results showed that moringin inhibited the growth of L. monocytogenes with a MIC of 400 μM. RNA sequencing results showed that the differences in the expression of genes related to the cell wall and membrane biosynthesis, phosphotransferase system (PTS), oxidative stress, energy metabolism, and DNA binding were significantly affected. As with the transcriptome results, the results of the mechanism verification found that moringin damaged the integrity of the cell wall and cell membrane, stimulated oxidative stress, interfered with energy metabolism and DNA replication, and finally led to the death of L. monocytogenes. The present study provides evidence that moringin exhibits strong antimicrobial activity against L. monocytogenes and insight into its potential mechanism.
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Affiliation(s)
- Yanlong Wen
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Wenyun Li
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Rongzhen Su
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China
| | - Min Yang
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Nan Zhang
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China
| | - Ximing Li
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Lingfei Li
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China.,Yunnan Engineering Research Center of Drug and Food Homologous Functional Food, Yunnan Agricultural University, Kunming, China
| | - Jun Sheng
- National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Yang Tian
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China.,Yunnan Engineering Research Center of Drug and Food Homologous Functional Food, Yunnan Agricultural University, Kunming, China
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5
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Kamal RM, Abdull Razis AF, Mohd Sukri NS, Perimal EK, Ahmad H, Patrick R, Djedaini-Pilard F, Mazzon E, Rigaud S. Beneficial Health Effects of Glucosinolates-Derived Isothiocyanates on Cardiovascular and Neurodegenerative Diseases. MOLECULES (BASEL, SWITZERLAND) 2022; 27:molecules27030624. [PMID: 35163897 PMCID: PMC8838317 DOI: 10.3390/molecules27030624] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 01/10/2022] [Accepted: 01/12/2022] [Indexed: 12/17/2022]
Abstract
Neurodegenerative diseases (NDDs) and cardiovascular diseases (CVDs) are illnesses that affect the nervous system and heart, all of which are vital to the human body. To maintain health of the human body, vegetable diets serve as a preventive approach and particularly Brassica vegetables have been associated with lower risks of chronic diseases, especially NDDs and CVDs. Interestingly, glucosinolates (GLs) and isothiocyanates (ITCs) are phytochemicals that are mostly found in the Cruciferae family and they have been largely documented as antioxidants contributing to both cardio- and neuroprotective effects. The hydrolytic breakdown of GLs into ITCs such as sulforaphane (SFN), phenylethyl ITC (PEITC), moringin (MG), erucin (ER), and allyl ITC (AITC) has been recognized to exert significant effects with regards to cardio- and neuroprotection. From past in vivo and/or in vitro studies, those phytochemicals have displayed the ability to mitigate the adverse effects of reactive oxidation species (ROS), inflammation, and apoptosis, which are the primary causes of CVDs and NDDs. This review focuses on the protective effects of those GL-derived ITCs, featuring their beneficial effects and the mechanisms behind those effects in CVDs and NDDs.
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Affiliation(s)
- Ramla Muhammad Kamal
- Natural Medicines and Products Research Laboratory, Institute of Bioscience, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia;
- Department of Pharmacology, Federal University Dutse, Dutse 720101, Jigawa State, Nigeria
| | - Ahmad Faizal Abdull Razis
- Natural Medicines and Products Research Laboratory, Institute of Bioscience, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia;
- Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
- Correspondence:
| | - Nurul Syafuhah Mohd Sukri
- Faculty of Applied Science and Technology, Universiti Tun Hussein Onn Malaysia, Batu Pahat 86400, Johor, Malaysia;
| | - Enoch Kumar Perimal
- Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia;
| | - Hafandi Ahmad
- Department of Veterinary Preclinical Sciences, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia;
| | - Rollin Patrick
- Université d’Orléans et CNRS, ICOA, UMR 7311, BP 6759, CEDEX 02, F-45067 Orléans, France;
| | - Florence Djedaini-Pilard
- LG2A UMR 7378, Université de Picardie Jules Verne, 33 rue Saint Leu—UFR des Sciences, F-80000 Amiens, France; (F.D.-P.); (S.R.)
| | - Emanuela Mazzon
- Laboratorio di Neurologia Sperimentale, IRCCS Centro Neurolesi "Bonino Pulejo", 98124 Messina, Italy;
| | - Sébastien Rigaud
- LG2A UMR 7378, Université de Picardie Jules Verne, 33 rue Saint Leu—UFR des Sciences, F-80000 Amiens, France; (F.D.-P.); (S.R.)
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Rigaud S, Mathiron D, Moufawad T, Landy D, Djedaini-Pilard F, Marçon F. Cyclodextrin Complexation as a Way of Increasing the Aqueous Solubility and Stability of Carvedilol. Pharmaceutics 2021; 13:1746. [PMID: 34834163 PMCID: PMC8620534 DOI: 10.3390/pharmaceutics13111746] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/13/2021] [Accepted: 10/15/2021] [Indexed: 11/24/2022] Open
Abstract
We studied the effect of several CDs on carvedilol's solubility and chemical stability in various aqueous media. Our present results show that it is possible to achieve a carvedilol concentration of 5 mg/mL (12.3 mM) in the presence of 5 eq of γCD or RAMEB in an aqueous medium with an acceptable acid pH (between 3.5 and 4.7). Carvedilol formed 1:1 inclusion complexes but those with RAMEB appear to be stronger (K = 317 M-1 at 298 K) than that with γCD (K = 225 M-1 at 298 K). The complexation of carvedilol by RAMEB significantly increased the drug's photochemical stability in aqueous solution. These results might constitute a first step towards the development of a novel oral formulation of carvedilol.
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Affiliation(s)
- Sébastien Rigaud
- Laboratoire de Glycochimie des Antimicrobiens et des Agroressources UMR 7378 CNRS, Université de Picardie Jules Verne, 33 Rue Saint-Leu, F-80039 Amiens, France;
| | - David Mathiron
- Plateforme-Analytique, Université de Picardie Jules Verne, 33 Rue Saint-Leu, F-80039 Amiens, France;
| | - Tarek Moufawad
- Unité de Chimie Environnementale et Interactions sur le Vivant (UCEIV, UR 4492), ULCO, F-59140 Dunkerque, France; (T.M.); (D.L.)
| | - David Landy
- Unité de Chimie Environnementale et Interactions sur le Vivant (UCEIV, UR 4492), ULCO, F-59140 Dunkerque, France; (T.M.); (D.L.)
| | - Florence Djedaini-Pilard
- Laboratoire de Glycochimie des Antimicrobiens et des Agroressources UMR 7378 CNRS, Université de Picardie Jules Verne, 33 Rue Saint-Leu, F-80039 Amiens, France;
| | - Frédéric Marçon
- Laboratoire AGIR UR4294, Université de Picardie Jules Verne, 1 Rue des Louvels, F-80039 Amiens, France;
- Pharmacie à Usage Intérieur, Centre Hospitalier Universitaire d’Amiens-Picardie, 1 Rue du Professeur Christian Cabrol, F-80054 Amiens, France
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Integrative Network Pharmacology of Moringa oleifera Combined with Gemcitabine against Pancreatic Cancer. Processes (Basel) 2021. [DOI: 10.3390/pr9101742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Gemcitabine (GEM) is the first-line chemotherapy drug for patients with advanced pancreatic cancer. Moringa oleifera (MO) exhibited various biological activities, including anticancer effects. Nevertheless, the effectiveness of their combination against pancreatic cancer has not yet been explored. This study evaluates the effect of MO and GEM against pancreatic cancer through network pharmacology. TCMSP, TCMID, and PubMed were used to identify and screen MO bioactive compounds. MO and GEM genes were predicted through DGIdb, CTD, and DrugBank. Pancreatic cancer genes were retrieved from OMIM and MalaCards. Protein–protein interaction (PPI) and compound-target-pathway network were established via STRING and Cytoscape. Gene ontology (GO) and pathway enrichment analysis were conducted using DAVID Bioinformatic Tools. Catechin, kaempferol, quercetin, and epicatechin that met the drug screening requirements, and three additional compounds, glucomoringin, glucoraphanin, and moringinine, were identified as bioactive compounds in MO. Catechin was found to be the main hub compound in MO. TP53, AKT1, VEGFA, and CCND1 from PPI network were discovered as hub genes to have biological importance in pancreatic cancer. GO and pathway analysis revealed that MO and GEM combination was mainly associated with cancer, including pancreatic cancer, through regulation of apoptosis. Combination therapy between MO and GEM might provide insight in pancreatic cancer treatment.
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The Moringin/α-CD Pretreatment Induces Neuroprotection in an In Vitro Model of Alzheimer's Disease: A Transcriptomic Study. Curr Issues Mol Biol 2021; 43:197-214. [PMID: 34073287 PMCID: PMC8929117 DOI: 10.3390/cimb43010017] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/19/2021] [Accepted: 05/24/2021] [Indexed: 12/23/2022] Open
Abstract
Alzheimer’s disease (AD) is a progressive neurodegenerative disorder and represents the most common form of senile dementia. Autophagy and mitophagy are cellular processes that play a key role in the aggregation of β-amyloid (Aβ) and tau phosphorylation. As a consequence, impairment of these processes leads to the progression of AD. Thus, interest is growing in the search for new natural compounds, such as Moringin (MOR), with neuroprotective, anti-amyloidogenic, antioxidative, and anti-inflammatory properties that could be used for AD prevention. However, MOR appears to be poorly soluble and stable in water. To increase its solubility MOR was conjugated with α-cyclodextrin (MOR/α-CD). In this work, it was evaluated if MOR/α-CD pretreatment was able to exert neuroprotective effects in an AD in vitro model through the evaluation of the transcriptional profile by next-generation sequencing (NGS). To induce the AD model, retinoic acid-differentiated SH-SY5Y cells were exposed to Aβ1-42. The MOR/α-CD pretreatment reduced the expression of the genes which encode proteins involved in senescence, autophagy, and mitophagy processes. Additionally, MOR/α-CD was able to induce neuronal remodeling modulating the axon guidance, principally downregulating the Slit/Robo signaling pathway. Noteworthy, MOR/α-CD, modulating these important pathways, may induce neuronal protection against Aβ1-42 toxicity as demonstrated also by the reduction of cleaved caspase 3. These data indicated that MOR/α-CD could attenuate the progression of the disease and promote neuronal repair.
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Masike K, Stander MA, de Villiers A. Recent applications of ion mobility spectrometry in natural product research. J Pharm Biomed Anal 2021; 195:113846. [PMID: 33422832 DOI: 10.1016/j.jpba.2020.113846] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 12/08/2020] [Accepted: 12/08/2020] [Indexed: 12/15/2022]
Abstract
Ion mobility spectrometry (IMS) is a rapid separation technique capable of extracting complementary structural information to chromatography and mass spectrometry (MS). IMS, especially in combination with MS, has experienced inordinate growth in recent years as an analytical technique, and elicited intense interest in many research fields. In natural product analysis, IMS shows promise as an additional tool to enhance the performance of analytical methods used to identify promising drug candidates. Potential benefits of the incorporation of IMS into analytical workflows currently used in natural product analysis include the discrimination of structurally similar secondary metabolites, improving the quality of mass spectral data, and the use of mobility-derived collision cross-section (CCS) values as an additional identification criterion in targeted and untargeted analyses. This review aims to provide an overview of the application of IMS to natural product analysis over the last six years. Instrumental aspects and the fundamental background of IMS will be briefly covered, and recent applications of the technique for natural product analysis will be discussed to demonstrate the utility of the technique in this field.
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Affiliation(s)
- Keabetswe Masike
- Department of Biochemistry, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa
| | - Maria A Stander
- Department of Biochemistry, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa; Central Analytical Facility, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa
| | - André de Villiers
- Department of Chemistry and Polymer Science, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa.
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Lee JU, Lee SS, Lee S, Oh HB. Noncovalent Complexes of Cyclodextrin with Small Organic Molecules: Applications and Insights into Host-Guest Interactions in the Gas Phase and Condensed Phase. Molecules 2020; 25:molecules25184048. [PMID: 32899713 PMCID: PMC7571109 DOI: 10.3390/molecules25184048] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 08/29/2020] [Accepted: 09/02/2020] [Indexed: 12/13/2022] Open
Abstract
Cyclodextrins (CDs) have drawn a lot of attention from the scientific communities as a model system for host–guest chemistry and also due to its variety of applications in the pharmaceutical, cosmetic, food, textile, separation science, and essential oil industries. The formation of the inclusion complexes enables these applications in the condensed phases, which have been confirmed by nuclear magnetic resonance (NMR) spectroscopy, X-ray crystallography, and other methodologies. The advent of soft ionization techniques that can transfer the solution-phase noncovalent complexes to the gas phase has allowed for extensive examination of these complexes and provides valuable insight into the principles governing the formation of gaseous noncovalent complexes. As for the CDs’ host–guest chemistry in the gas phase, there has been a controversial issue as to whether noncovalent complexes are inclusion conformers reflecting the solution-phase structure of the complex or not. In this review, the basic principles governing CD’s host–guest complex formation will be described. Applications and structures of CDs in the condensed phases will also be presented. More importantly, the experimental and theoretical evidence supporting the two opposing views for the CD–guest structures in the gas phase will be intensively reviewed. These include data obtained via mass spectrometry, ion mobility measurements, infrared multiphoton dissociation (IRMPD) spectroscopy, and density functional theory (DFT) calculations.
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Affiliation(s)
- Jae-ung Lee
- Department of Chemistry, Sogang University, Seoul 04107, Korea;
| | - Sung-Sik Lee
- Department of Applied Chemistry, Kyung Hee University, Gyeonggi 17104, Korea;
| | - Sungyul Lee
- Department of Applied Chemistry, Kyung Hee University, Gyeonggi 17104, Korea;
- Correspondence: (S.L.); (H.B.O.); Tel.: +82-31-201-2423 (S.L.); +82-2-705-8444 (H.B.O.)
| | - Han Bin Oh
- Department of Chemistry, Sogang University, Seoul 04107, Korea;
- Correspondence: (S.L.); (H.B.O.); Tel.: +82-31-201-2423 (S.L.); +82-2-705-8444 (H.B.O.)
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11
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Borgonovo G, De Petrocellis L, Schiano Moriello A, Bertoli S, Leone A, Battezzati A, Mazzini S, Bassoli A. Moringin, A Stable Isothiocyanate from Moringa oleifera, Activates the Somatosensory and Pain Receptor TRPA1 Channel In Vitro. Molecules 2020; 25:molecules25040976. [PMID: 32098328 PMCID: PMC7070407 DOI: 10.3390/molecules25040976] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/19/2020] [Accepted: 02/20/2020] [Indexed: 12/13/2022] Open
Abstract
Moringa oleifera Lam. is a tropical plant widely used in traditional medicines and as a food supplement. It is characterized by the presence of glucosinolates and isothiocyanates; the stable isothiocyanate 4-[(α-l-rhamnosyloxy)benzyl]isothiocyanate (moringin) has been widely studied for its bioactivity as hypoglycemic, antimicrobial, anticancer and in particular for its involvement in nociception and neurogenic pain. Moringa extracts and pure moringin were submitted to in vitro assays with the somatosensory TRPA1 ion channel, proving that moringin is a potent and effective agonist of this receptor involved in nociceptive function and pain states. Moringin do not activate or activates very weakly the vanilloids somatosensory channels TRPV1,2,3 and 4, and the melastatin cooling receptor TRPM8. The comparison of moringin’s activity with other known agonists of natural origin is also discussed.
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Affiliation(s)
- Gigliola Borgonovo
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
| | - Luciano De Petrocellis
- Endocannabinoid Research Group-Institute of Biomolecular Chemistry-CNR, Pozzuoli, I-87078 Napoli, Italy; (L.D.P.); (A.S.M.)
| | - Aniello Schiano Moriello
- Endocannabinoid Research Group-Institute of Biomolecular Chemistry-CNR, Pozzuoli, I-87078 Napoli, Italy; (L.D.P.); (A.S.M.)
- Epitech Group SpA, Saccolongo, 35030 Padova, Italy
| | - Simona Bertoli
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
| | - Alessandro Leone
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
| | - Alberto Battezzati
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
| | - Stefania Mazzini
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
| | - Angela Bassoli
- Department of Food, Environment and Nutrition-DeFENS, University of Milan, Via Celoria 2, I-20133 Milano, Italy; (G.B.); (S.B.); (A.L.); (A.B.); (S.M.)
- Correspondence: ; Tel.: +39-0250316815
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12
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Oliva E, Mathiron D, Rigaud S, Monflier E, Sevin E, Bricout H, Tilloy S, Gosselet F, Fenart L, Bonnet V, Pilard S, Djedaini-Pilard F. New Lipidyl-Cyclodextrins Obtained by Ring Opening of Methyl Oleate Epoxide Using Ball Milling. Biomolecules 2020; 10:E339. [PMID: 32093153 PMCID: PMC7072689 DOI: 10.3390/biom10020339] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 02/14/2020] [Accepted: 02/15/2020] [Indexed: 01/11/2023] Open
Abstract
Bearing grafts based on fatty esters derivatives, lipidyl-cyclodextrins (L-CDs) are compounds able to form water-soluble nano-objects. In this context, bicatenary biobased lipidic-cyclodextrins of low DS were easily synthesized from a fatty ester epoxide by means of alternative methods (ball-milling conditions, use of enzymes). The ring opening reaction of methyl oleate epoxide needs ball-milling and is highly specific of cyclodextrins in solventless conditions. L-CDs are thus composed of complex mixtures that were deciphered by an extensive structural analysis using mainly mass spectrometry and NMR spectroscopy. In addition, as part of their potential use as vectors of active drugs, these products were submitted to an integrity study on in vitro model of the blood-brain-barrier (BBB) and the intestinal epithelium. No toxicity has been observed, suggesting that applications for the vectorization of active ingredients can be expected.
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Affiliation(s)
- Estefania Oliva
- LG2A UMR CNRS 7378, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (E.O.); (V.B.)
| | - David Mathiron
- Plateforme Analytique, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (D.M.); (S.R.); (S.P.)
| | - Sébastien Rigaud
- Plateforme Analytique, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (D.M.); (S.R.); (S.P.)
| | - Eric Monflier
- Univ. Artois, CNRS, Centrale Lille, Univ. Lille, UMR 8181–UCCS–Unité de Catalyse et Chimie du Solide, F-62300 Lens, France; (E.M.); (H.B.); (S.T.)
| | - Emmanuel Sevin
- LBHE EA 2465, Université d’Artois, 62307 Lens CEDEX, France; (E.S.); (F.G.); (L.F.)
| | - Hervé Bricout
- Univ. Artois, CNRS, Centrale Lille, Univ. Lille, UMR 8181–UCCS–Unité de Catalyse et Chimie du Solide, F-62300 Lens, France; (E.M.); (H.B.); (S.T.)
| | - Sébastien Tilloy
- Univ. Artois, CNRS, Centrale Lille, Univ. Lille, UMR 8181–UCCS–Unité de Catalyse et Chimie du Solide, F-62300 Lens, France; (E.M.); (H.B.); (S.T.)
| | - Fabien Gosselet
- LBHE EA 2465, Université d’Artois, 62307 Lens CEDEX, France; (E.S.); (F.G.); (L.F.)
| | - Laurence Fenart
- LBHE EA 2465, Université d’Artois, 62307 Lens CEDEX, France; (E.S.); (F.G.); (L.F.)
| | - Véronique Bonnet
- LG2A UMR CNRS 7378, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (E.O.); (V.B.)
| | - Serge Pilard
- Plateforme Analytique, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (D.M.); (S.R.); (S.P.)
| | - Florence Djedaini-Pilard
- LG2A UMR CNRS 7378, Université de Picardie Jules Verne, 80039 Amiens CEDEX, France; (E.O.); (V.B.)
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13
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Recent advances in mass spectrometry studies of non-covalent complexes of macrocycles - A review. Anal Chim Acta 2019; 1081:32-50. [DOI: 10.1016/j.aca.2019.06.029] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 06/10/2019] [Accepted: 06/11/2019] [Indexed: 12/29/2022]
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14
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Mammana S, Gugliandolo A, Cavalli E, Diomede F, Iori R, Zappacosta R, Bramanti P, Conti P, Fontana A, Pizzicannella J, Mazzon E. Human gingival mesenchymal stem cells pretreated with vesicular moringin nanostructures as a new therapeutic approach in a mouse model of spinal cord injury. J Tissue Eng Regen Med 2019; 13:1109-1121. [PMID: 30942960 PMCID: PMC6771565 DOI: 10.1002/term.2857] [Citation(s) in RCA: 50] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 02/19/2019] [Accepted: 03/15/2019] [Indexed: 01/12/2023]
Abstract
Spinal cord injury (SCI) is a neurological disorder that arises from a primary acute mechanical lesion, followed by a pathophysiological cascade of events that leads to further spinal cord tissue damage. Several preclinical and clinical studies have highlighted the ability of stem cell therapy to improve long-term functional recovery in SCI. Previously, we demonstrated that moringin (MOR) treatment accelerates the differentiation process in mesenchymal stem cells inducing an early up-regulation of neural development associated genes. In the present study, we investigated the anti-inflammatory, anti-apoptotic, and regenerative effects of gingival mesenchymal stem cells (GMSCs) pretreated with nanostructured liposomes enriched with MOR in an animal model of SCI. SCI was produced by extradural compression of the spinal cord at levels T6-T7 in ICR (CD-1) mice. Animals were randomly assigned to the following groups: Sham, SCI, SCI + GMSCs (1 × 106 cell/i.v.), SCI + MOR-GMSCs (1 × 106 cell/i.v.). Our data show that MOR-treated GMSCs exert anti-inflammatory and anti-apoptotic activities. In particular, MOR-treated GMSCs are able to reduce the spinal cord levels of COX-2, GFAP, and inflammatory cytokines IL-1β and IL-6 and to restore spinal cord normal morphology. Also, MOR-treated GMSCs influenced the apoptotic pathway, by reducing Bax, caspase 3, and caspase 9 expressions.
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Affiliation(s)
- Santa Mammana
- Department of Experimental NeurologyIRCCS Centro Neurolesi Bonino‐PulejoMessinaItaly
| | - Agnese Gugliandolo
- Department of Experimental NeurologyIRCCS Centro Neurolesi Bonino‐PulejoMessinaItaly
| | - Eugenio Cavalli
- Department of Experimental NeurologyIRCCS Centro Neurolesi Bonino‐PulejoMessinaItaly
| | - Francesca Diomede
- Stem Cells and Regenerative Medicine Laboratory, Department of Medical, Oral, and Biotechnological SciencesUniversity “G. d'Annunzio”ChietiItaly
| | - Renato Iori
- Consiglio per la Ricerca in Agricoltura e l'Analisi dell'Economia AgrariaCentro di Ricerca Agricoltura e Ambiente (CREA‐AA)BolognaItaly
| | | | - Placido Bramanti
- Department of Experimental NeurologyIRCCS Centro Neurolesi Bonino‐PulejoMessinaItaly
| | - Pio Conti
- Immunology Division, Postgraduate Medical SchoolUniversity “G. d'Annunzio”ChietiItaly
| | | | - Jacopo Pizzicannella
- Department of Medical, Oral and Biotechnological SciencesUniversity “G. d'Annunzio”ChietiItaly
| | - Emanuela Mazzon
- Department of Experimental NeurologyIRCCS Centro Neurolesi Bonino‐PulejoMessinaItaly
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15
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Silion M, Fifere A, Lungoci AL, Marangoci NL, Ibanescu SA, Zonda R, Rotaru A, Pinteală M. Mass Spectrometry as a Complementary Approach for Noncovalently Bound Complexes Based on Cyclodextrins. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2019; 1140:685-701. [PMID: 31347079 DOI: 10.1007/978-3-030-15950-4_41] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
An important and well-designed solution to overcome some of the problems associated with new drugs is provided by the molecular encapsulation of the drugs in the cyclodextrins (CDs) cavity, yielding corresponding inclusion complexes (ICs). These types of non-covalent complexes are of current interest to the pharmaceutical industry, as they improve the solubility, stability and bioavailability of the guest molecules. This review highlights several methods for cyclodextrin ICs preparation and characterization, focusing mostly on the mass spectrometry (MS) studies that have been used for the detection of noncovalent interactions of CDs inclusion complexes and binding selectivity of guest molecules with CDs. Furthermore, the MS investigations of several ICs of the CD with antifungal, antioxidants or fluorescent dyes are presented in greater details, pointing out the difficulties overcome in the analysis of this type of compounds.
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Affiliation(s)
- Mihaela Silion
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania.
| | - Adrian Fifere
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Ana Lacramioara Lungoci
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Narcisa Laura Marangoci
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Sorin Alexandru Ibanescu
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Radu Zonda
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Alexandru Rotaru
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
| | - Mariana Pinteală
- Advanced Research Centre for Bionanoconjugates and Biopolymers, "Petru Poni" Institute of Macromolecular Chemistry of Romanian Academy, Iasi, Romania
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Romeo L, Lanza Cariccio V, Iori R, Rollin P, Bramanti P, Mazzon E. The α-Cyclodextrin/Moringin Complex: A New Promising Antimicrobial Agent against Staphylococcus aureus. Molecules 2018; 23:molecules23092097. [PMID: 30134562 PMCID: PMC6225138 DOI: 10.3390/molecules23092097] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 08/18/2018] [Accepted: 08/18/2018] [Indexed: 01/08/2023] Open
Abstract
Antimicrobial resistance is one of the major clinical concerns, making the discovery of new antimicrobial drugs desirable. Moringin (MOR), the major isothiocyanate produced from Moringa oleifera seeds, could represent an alternative therapeutic strategy to commonly used antibiotics. The aim of our study was to investigate the antimicrobial effect of MOR conjugated with α-cyclodextrin (MOR/α-CD), a complex with an improved solubility and stability in aqueous solutions. Our data demonstrated that MOR/α-CD was able to exert antimicrobial activity against the S. aureus reference strains (ATCC 25923, ATCC 6538, and ATCC BAA-977). Moreover, MOR/α-CD showed bacteriostatic effects (MIC = minimum inhibitory concentration = 0.5 mg/mL) and bactericidal properties (MBC = minimum bactericidal concentration = 1 mg/mL) against the overall assessed strains. In addition, MOR/α-CD showed bactericidal activity against the S. aureus strain ATCC BAA-977 after treatment with erythromycin (Ery), which induced clindamycin-resistance on the erm (A) gene. This evidence led us to assume that MOR/α-CD could be a promising antimicrobial agent against strains with the clindamycin-resistant phenotype (CC-resistant).
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Affiliation(s)
- Letizia Romeo
- IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.
| | - Veronica Lanza Cariccio
- IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.
| | - Renato Iori
- Consiglio per la Ricerca in Agricoltura e l'Analisi dell'Economia Agraria, Centro di Ricerca Agricoltura e Ambiente (CREA-AA), Via di Corticella 133, 40128 Bologna, Italy.
| | - Patrick Rollin
- Institute of Organic and Analytical Chemistry (ICOA), Université d'Orléans et the French National Center for Scientific Research (CNRS), Pôle de chimie, rue de Chartres, BP 6759, 45067 Orléans, CEDEX 2, France.
| | - Placido Bramanti
- IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.
| | - Emanuela Mazzon
- IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.
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