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Onyango LA, Liang J. Manuka honey as a non-antibiotic alternative against Staphylococcus spp. and their small colony variant (SCVs) phenotypes. Front Cell Infect Microbiol 2024; 14:1380289. [PMID: 38868298 PMCID: PMC11168119 DOI: 10.3389/fcimb.2024.1380289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 03/21/2024] [Indexed: 06/14/2024] Open
Abstract
The antibiotic resistance (ABR) crisis is an urgent global health priority. Staphylococci are among the problematic bacteria contributing to this emergency owing to their recalcitrance to many clinically important antibiotics. Staphylococcal pathogenesis is further complicated by the presence of small colony variants (SCVs), a bacterial subpopulation displaying atypical characteristics including retarded growth, prolific biofilm formation, heightened antibiotic tolerance, and enhanced intracellular persistence. These capabilities severely impede current chemotherapeutics, resulting in chronic infections, poor patient outcomes, and significant economic burden. Tackling ABR requires alternative measures beyond the conventional options that have dominated treatment regimens over the past 8 decades. Non-antibiotic therapies are gaining interest in this arena, including the use of honey, which despite having ancient therapeutic roots has now been reimagined as an alternative treatment beyond just traditional topical use, to include the treatment of an array of difficult-to-treat staphylococcal infections. This literature review focused on Manuka honey (MH) and its efficacy as an anti-staphylococcal treatment. We summarized the studies that have used this product and the technologies employed to study the antibacterial mechanisms that render MH a suitable agent for the management of problematic staphylococcal infections, including those involving staphylococcal SCVs. We also discussed the status of staphylococcal resistance development to MH and other factors that may impact its efficacy as an alternative therapy to help combat ABR.
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Affiliation(s)
- Laura A. Onyango
- Department of Biology, Trinity Western University, Langley, BC, Canada
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Hulea A, Obiștioiu D, Cocan I, Alexa E, Negrea M, Neacșu AG, Hulea C, Pascu C, Costinar L, Iancu I, Tîrziu E, Herman V. Diversity of Monofloral Honey Based on the Antimicrobial and Antioxidant Potential. Antibiotics (Basel) 2022; 11:antibiotics11050595. [PMID: 35625239 PMCID: PMC9137981 DOI: 10.3390/antibiotics11050595] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 02/06/2023] Open
Abstract
This study aimed to investigate the antioxidant profile and the antimicrobial activity of four different types of monofloral honey (manuka (MH), brassica rapeseed (BH), acacia (AH), and linden honey (LH)) against some bacterial/fungal ATCC strains and some multidrug-resistant strains isolated from chronic otitis in dogs. For the characterisation of the antioxidant profile of each honey, we extracted the honey samples by hydroalcoholic extraction and analysed them in terms of total polyphenols (TPC), total flavonoids (TFC), and 2,2-diphenyl-1-picrylhydrazyl (DPPH) using the spectrophotometric method. The antimicrobial activity was determined using the microdilution method at concentrations of 10%, 15%, and 20%, with the results expressed in OD (optical density) calculated as BIR% (bacterial inhibition rate)/MIR% (mycelial inhibition rate). The antioxidant characterisation of the analysed honey samples showed the highest antioxidant activity and concentrations of TPC and TFC in MH, followed by LH. MH was proven to be the most effective on most clinical isolates concerning the antimicrobial activity in comparison with BH, AH, and LH. Except for B. cepacia and P. vulgaris, all the clinical isolates were sensitive to the antibacterial activity of honey. Regarding the ATCC strains, MH 10% was the most effective in inhibiting all the strains tested except for P. aeruginosa. In conclusion, the efficacy classification in our study was MH > BH > AH > LH.
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Affiliation(s)
- Anca Hulea
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Diana Obiștioiu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
- Correspondence: (D.O.); (I.C.)
| | - Ileana Cocan
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
- Correspondence: (D.O.); (I.C.)
| | - Ersilia Alexa
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
| | - Monica Negrea
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
| | - Alina-Georgeta Neacșu
- Faculty of Agriculture, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300641 Timisoara, Romania;
| | - Călin Hulea
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Corina Pascu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Luminita Costinar
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Ionica Iancu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Emil Tîrziu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Viorel Herman
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
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