Effect of Lactoferrin in Combination with Penicillin on the Morphology and the Physiology of Staphylococcus aureus Isolated from Bovine Mastitis
M. S. Diarra 1, D. Petitclerc 1, and P. Lacasse 1
1 Dairy and Swine Research and Development Centre, Agriculture and Agri-Food Canada, Lennoxville, QC, Canada
The objective of the present study was to evaluate the therapeutic potential of bovine lactoferrin or lactoferricin in combination with penicillin G against Staphylococcus aureus. Minimal inhibitory concentrations of lactoferrin, lactoferricin, penicillin, and combinations of lactoferrin or lactoferricin with penicillin were determined for 15 S. aureus strains including several strains resistant to ß-lactam antibiotics. The fractional inhibitory concentration index indicated a synergistic effect between lactoferrin and penicillin. Combination of lactoferrin with penicillin increased the inhibitory activity of penicillin by two- to fourfold and reduced the growth rate in S. aureus strains tested, whereas the increase in the inhibitory activity of lactoferrin by penicillin was 16- to 64-fold. The addition of iron to the medium containing a combination of penicillin and lactoferrin had no effect on growth inhibition. Electron microscopy revealed that concentration below the minimal inhibitory concentrations of penicillin induced important ultrastructure alterations, which were further enhanced by the presence of lactoferrin. When S. aureuscells were grown in the presence of a combination of penicillin and lactoferrin, changes in the protein profile of the bacteria, including the disappearance of several protein bands due to the presence of lactoferrin, were observed. These data suggest that bovine lactoferrin or lactoferricin in combination with ß-lactam antibiotics can increase the antibacterial activity of these antibiotics against S. aureus resistant to antibiotics.
Synergistic effect of lactoferricin/amoxicillin associations against ``two canine'' amoxicillin-resistant Staphylococcus intermedius strains
Abstract number: 1733_200
Butty P., Manco B., Florent L.
Objectives: The bacteriostatic and bactericidal effects of lactoferricin/amoxicillin combinations against two S. intermedius strains (00-A519 and 00–5191) isolated from a dog infected by pyoderma and resistant to amoxicillin were compared to the effect of lactoferrin/amoxicillin combinations. The synergistic, addition or antagonistic activity was determined by calculating the fractional inhibitory concentration (FIC) index. The FIC-index value related to synergism must be 0.5 or less when the concentration for each antimicrobial and for the most favourable point is at least 4 times below the MIC obtained for each antimicrobial used alone.
Methods: Checkerboard array technique in liquid medium was used to assess the bacteriostatic activity of these combinations. The bactericidal activity was tested by sub-cultures on agar free-drug medium from the combination inhibitory concentrations. The concentrations tested for each antimicrobial were ranged from five dilutions below the minimal inhibitory concentration (MIC) to twice the MIC for amoxicillin and to the maximum possible concentration for lactoferricin and lactoferrin depending of their respective solubility.
Results: The tested strains showed a lactoferricin MIC of 1,280 mg/mL, a lactoferrin MIC equal to 51,200 mg/mL and an amoxicillin MIC ranging from 64–512 mg/mL. Lactoferricin/amoxicillin combinations showed synergic effect with FIC-index between 0.16 and 0.27 and amoxicillin MIC was reduced to 8 mg/mL. Concerning the lactoferrin/amoxicillin combinations, the synergistic effect was observed with FIC-index equal to 0.25. The respective concentrations of the lactoferricin/amoxicillin and lactoferrin/amoxicillin combinations showing the bacteriostatic effect correspond also to a bactericidal effect.
Conclusion: Considering that lactoferricin represents the purified active fraction of the lactoferrin in our approach, lactoferricin could be a good alternative to maximise the antibacterial activity of amoxicillin against emerging antibioresistant strains of canine S. intermedius.