Digitized by the Internet Archive in 2010 with funding from Lyrasis IVIembers and Sloan Foundation http://www.archive.org/details/synergisticbioacOOheim Synergistic Bioactivity Testing of a Medicinal Herb From the United States Virgin Islands Jaime Heimbegner, B. S. 2004 Sweet Briar College Synergistic Bioactivity Testing of Extracts from a Medicinal Herb of the United States Virgin Islands A Senior Honors Thesis in the Department of Chemistry Sweet Briar College Jaime Lee Heimbegner Defended and Approved 09 April 2004 Awarded High Honors C34- 4/- / ^^ Prof. Jomr J. Beck Thesis Project Faculty Advisor Date ^:^ Prof. JlJlJsJ. Granger ^ ^ .-7 -ff->^ iC^ ^7^Ah Date f/jAi Mr. William G. Trankle, Eli Lilly Date TABLE OF CONTENTS Page ACKNOWLEDGEMENTS ii DEDICATION i" LIST OF FIGURES — iv LIST OF SCHEMES v LIST OF TABLES vi ABSTRACT 1 INTRODUCTION 2 RESULTS AND DISCUSSION 1 2 CONCLUSION -— 26 EXPERIMENTAL 27 FUTURE RESEARCH 32 REFERENCES 33 LIST OF APPENDIX A CONTENTS 36 APPENDIX A 35 LIST OF APPENDIX B CONTENTS 43 APPENDIX B 45 ~ ACKNOWLEDGEMENTS ~ The undertaking and completion of an Honors Thesis is a difficuh venture that is dependent upon many people. I would like to acknowledge just a few of the many people involved for their guidance and support along the way. First, my advisor, Dr. John Beck: Thank you for always being so eager to teach me and for pushing me to do my best. You have done an excellent job preparing me for my graduate school endeavors and I know that I will continue to make you proud. You are an excellent teacher and don't ever forget it! My parents, Nita Heimbegner and Errol Effatt: I will never be able to thank you two enough for all that you have done for me and for all of the support that you have given me throughout the years. You have both been role models and motivating forces in my life, and I cannot even begin to express how much you mean to me. I would also like to thank the facuhy of Sweet Briar College's Chemistry Department for always being so supportive and for helping me to realize my passion for chemistry. And, finally and most importantly. I would like to thank Sweet Briar College (Endeavor's Grant), the National Science Foundation MRI (Grant # 0216162), and the Commonwealth Health Research Board (Grant # 02-16) for funding my research. ~ DEDICATION ~ I would like to dedicate this work to my family, friends, and teachers who have played and integral role in its completion. I could not have made it through without their knowledge, guidance, and support. Thanks for always being there for me when I needed you. You are all much appreciated and 1 will never forget you. HI ~ LIST OF FIGURES ~ Page Figure 1. Aspirin 2 Figure 2. Quinine- 2 Figure 3. Quinacrine, Chloroquine, Primaquine— 3 Figure 4. Taxol'^ and Callipeltoside A 5 Figure 5. Stuctures of known compounds in lemongrass 8 Figure 6. Penicillin G 9 Figure 7. Ampicillin 9 Figure 8. Structure of peptidoglycan - 10 Figure 9. Structure of a lipopolysaccharide 1 1 Figure 10. Generic alkaloid in the (a) N-oxide, (b) free amine, and (c) protonated forms 14 Figure 11. Division of hexanes fractions by TLC— 17 Figure 12. Citral. Linalool, p-Elemene, P-Caryophyllene, and a-Humulene 21 IV ~ LIST OF SCHEMES ~ Page Scheme 1. Extraction of lemongrass 13 Scheme 2. Zinc reduction of alkaloids in N-oxide form 14 ~ LIST OF TABLES ~ Page Table 1. Average zones of inhibition (mm) for lemongrass crude extract 1 2 Table 2. Average zones of inhibition (mm) for lemongrass crude layer from the liquid/liquid partition 16 Table 3. Average zones of inhibition (mm) for synergistic testing of lemongrass crude layers from the liquid/liquid partition (reverse synergy) 16 Table 4. Average zones of inhibition (mm) for hexanes layer fractions 17 Table 5. Average zones of inhibition (mm) for synergistic testing of the hexanes fractions against B. subtilis 20 Table 6. Average zones of inhibition (mm) for synergistic testing of the hexanes fractions against S. aureus 20 Table 7. Average zones of inhibition (mm) for the ethyl acetate fractions 23 Table 8. Average zones of inhibition (mm) for synergistic testing of the ethyl acetate fractions against B .subtilis-- 24 Table 9. Average zones of inhibition (mm) for synergistic testing of the ethyl acetate fractions against S. aureus 25 Synergistic Bioactivity Testing of Extracts from a Medicinal Herb of the United States Virgin Islands Abstract: The research herein reports on the antibacterial activity of the medicinal herb lemongrass {Cymbopogon flexuosus) and possible synergistic activity between its extracts and the known antibiotics penicillin and ampicillin. The novel bioactive compounds of this medicinal herb are well known, thus this research focuses on confirming the plant's antibacterial activity, and more importantly, identifying possible synergistic activity. Disc susceptibility testing was performed against the bacteria Bacillus subtilis and Staphylococcus aureus to obtain background and synergistic bioactivity data. Critical analysis of the results led to the conclusion that an enhancement in bioactivity is exhibited by combining several plant extracts of Cymbopogon flexuousus with the known antibiotics penicillin and ampicillin. However, due to the lack of consensus pertaining to the issue of drug interaction, there are several equally valid models for evaluation of drug interaction. Since the definitions of drug synergism critically depend on the reference model for interaction, this research only reports the demonstration of enhanced bioactivity. ~ INTRODUCTION ~ Medicinal herbs contain substances known to modem and ancient civilizations for their healing properties. For centuries medicinal herbs have been an important source of remedies for assorted illnesses and injuries." Since the beginning of their usage, medicines have advanced from the simple employment for treatment of ailments to the isolation, identification, and synthesis of their active components so that they can be marketed as commercial drugs. One example is the use of willow tree bark as an effective treatment for reducing O^OH fever and relieving pain. The evolution of willow bark as a drug began in the [|^^ ^ eighteenth century with the isolation of the active component, salicin, by Figure 1. Aspinn Johann Buchner.' Salicin was subsequently converted into salicylic acid via hydrolysis and oxidation, and proved to be a very successful fever reducing agent." The use of salicylic acid, however, often led to severe gastrointestinal toxicity, which was later overcome when salicylic acid was converted into acetylsalicylic acid via acetylation.' hi the mid-nineteenth century, laboratory synthesis of the compound began and it was marketed under the trade name aspirin. Today, aspirin is the most widely used synthetic drug, with Americans alone consuming eighty million pills a day." Another example of the evolution of a drug in this manner is the use '^ of the bark of cinchona trees to reduce fever, relieve pain, and to induce uterine contractions during labor." Cinchona bark was brought to Europe from South America in the mid-seventeenth century and the active component, quinine, was isolated in the early nineteenth century by French chemists J. B. Caventou and P. J. Pelletier."* hi the mid-nineteenth century laboratory synthesis of quinine was achieved by American chemists R. B. Woodward and W. E. Doering; and before the recent development of more effective synthetic drugs such as quinacrine, chloroquine, and primaquine (See Figure 3), quinine was the specific agent in the treatment of malaria. ^0. ^ ^ y^i^^N. "N" ^^ "CI ^ ^ Quinacrine Chloroquine Primaquine Figure 3 Following World War II there was a considerable investment by companies in the search for new drugs from plants.^ However, after 1960 interest in the search began to fade and by 1974 only one pharmaceutical company in the United States was investigating plant-derived drugs. By 1980, the total pharmaceutical budget of the U.S. had grown from S723 milhon to S2 billion, yet not a single U.S. company was researching potential drugs from higher plants." The decrease in interest can be attributed to the introduction of automation, robotics, and personal computers to the drug discovery scene. ^ The introduction of this technology made chemistry the rate- limiting step in drug discovery programs.^ Less than a decade later, there was a renewed interest in investigating plants as a likely source of new commercial drugs. One reason for the dramatic reversal of attitude can be attributed to the successful trials on Taxol* and other plant compounds that have shown encouraging activity against cancer and diseases such as HIV. Some companies continue to investigate natural products as a source of life-improving pharmaceuticals. Bayer, Merck, and Wyeth are major drug companies that have remained committed to natural product drug discovery.^ With the current increase of new viruses and diseases, the desire to find new drugs from plants is at is peak. In addition to the advent of new illnesses, the importance of new drug discovery fi-om plants is critical due to the rapid destruction of the world's vegetation, threatening the extinction of many species. As our natural resources are being consumed the window of opportunity for the discovery of new drugs from plants diminishes. It has been estimated that the number of plant species on Earth is well over 250,000, of which only about one percent have been investigated in any depth in terms of their bioactive potentials." With many active compounds yet to be discovered and fully evaluated, the investigation of natural resources in an effort to discover, manipulate, and synthesize new medicine, is of great importance to the pharmaceutical industry. It is estimated that twenty-five percent of prescription drugs contain plant-derived active ingredients and an even greater percentage is based on semi -synthetic or wholly synthetic ingredients originally isolated fi-om plants.' According to a recent survey by the National Cancer Institute, 61% of the 877 small-molecule new chemical compounds introduced as drugs worldwide during 1982-2002 can be traced to or were inspired by natural products. In 1985 2,618 new structures were isolated from plants, most of which were beyond the imagination of the most inventive chemists." Molecules such as Taxol® and callipeltoside A (Figure 4) are prime examples of compounds whose structural complexity still manage to keep chemists in awe. In addition to their complex structures these compounds are also of great interest to chemists because of the cytotoxic activity they exhibit against cancer cells. AcO p OH Ph NH O OHE OAc OBz CI Taxol'' Callipeltoside A Figure 4 Many chemists have been eager to research medicinal plants that exhibit antibacterial activity due to the recent health problem of increased bacterial resistance to antibiotics. Despite the fact that antibiotics dramatically transformed medical care by reducing illness and death from infectious diseases, the bacteria that they inhibit have developed a resistance to them over the decades. Excessive and inappropriate use of antibiotics promote this resistance, which occurs when the bacteria change in some way that reduces or eliminates the effectiveness of drugs or other agents designed to cure or prevent infections.^ As a result of the widespread use of antibiotics, virtually all common bacterial infections in the United States, and throughout the world, are becoming resistant towards treatment, and for this reason antibiotic resistance has become one of the world 's most pressing public health problems. In order to help combat antibiotic resistance, chemists have started to take a great deal of interest in drug synergism. Drug synergism is generally defined as the pharmacological effect of a drug combination that is greater than the effect of either agent alone. Because no clear consensus exists relative to the issue of drug interaction, there are several equally valid models for the evaluation of drug interaction.'^ As a consequence there are several definitions of what type of drug interaction constitutes drug synergism. However, there are two more common definitions of drug synergism; one states that drug synergism occurs when two drugs are combined so that the action of one drug aids or enhances the action of another. Using this definition, the effect of the drug combination does not need to exceed the sum of the individual effects in order to be considered synergistic but must only be greater than the effect of either agent alone. The second definition states that drug synergism occurs when the combined effect of two drugs exceeds the sum of their individual effects. '° By this definition, in order for a drug combination to be considered synergistic the effect of the combination must exceed the sum of the individual effects. Regardless of the reference model of drug interaction used, a prime example of drug synergism is the enhancement that occurs when certain drugs, such as the opiates codeine and morphine, are consumed with alcohol. The effect produced by the combination of the two is greater than the effect produced by either substance individually. Therefore, in theory, drug synergism between known antibiotics and plant extracts with antibiotic activity would allow for the use of minimal amounts of antibiotics, which in turn would result in reduced antibiotic resistance. ki order to find combinations of drugs that work synergistically, chemists rely on a relaUvely new method of testing both known and unknown compounds called synergistic testing. Synergistic testing examines the bioactivity of a plant extract (or any compound) and determines if the bioactivity is increased when mixed with a known drug and/or compound. The application of this method for the testing of both known and unknown herbal extracts not only allows researchers to identify new drug mixtures for treatment of illnesses and diseases but also to identify combinations of known drugs and natural products that can be particularly effective for combating bacteria that have become resistant to known antibiotics. An example of a product that exhibits drug-drug synergy is the dietary supplement "Fen- phen." Fen-phen is the off-label combination of the appetite suppressants fenfluramine and phentermine. The term "off-label" refers to the use of a drug for purposes not specifically approved by the Food and Drug Administration's (FDA). The synergism of this combination of drugs results in the suppression of appetite and body weight, the reduction of brain serotonin levels, pulmonary vasoconstriction, and heart valve disease." The rationale for this combination of drugs was that they exerted independent actions on brain satiety mechanisms so that it was possible to use lower dosages of each drug and yet retain a common action on suppressing appetite while minimizing adverse drug effects. In an effort to contribute to the research and discovery of active components of plants and their pharmaceutical uses, the research herein investigated a plant that has demonstrated medicinal properties and performed synergistic testing with its bioactive components and the known antibiotics penicillin and ampicillin. A search of the chemical literature indicates that synergistic activity between plant extracts has been investigated^" but no literature references on possible synergistic activity between plant extracts and known pharmaceuticals were found. In an investigation of multi-drug resistance pumps, Stermitz et. al. found that two plant-derived compounds that do not exhibit bioactivity by themselves potentiated growth inhibitory activity of the natural antibacterial alkaloid berberine.'"^ This discovery by Stermitz et. al, and the promising results of the synergistic testing discussed in this thesis, are significant to the pharmaceutical industry because they have opened the door for the discovery of a new category of drugs that can be used to combat the ever-increasing threat of antibiotic resistance. The synergistic testing performed in this investigation involved a plant commonly known as lemongrass (Cymbopogon flexuosus). Lemongrass is a medicinal herb from the family Gramineae that is widely cultivated in the tropics and subtropics.'"* It has exhibited antimicrobial activity in previous research'" and has been used to treat a variety of conditions such as acne and flatulence.'^ Lemongrass oil has been found to be an important source of citral (1 in Figure 5.) which is used for the production of ionones and vitamin A.'^ The chemical literature reports that this family of plants has a history of containing compounds that could explain the plants' purported bioactivities and in a few instances the structures for known compounds are identified (see Figxire 5). Due to the extensive research performed by others to characterize the novel bioactive compounds of lemongrass, this research is able to investigate the plant's antibacterial activity and more importantly possible synergistic activity with known antibiotics. la Citral a/ Geranial (Z-isomer) lb Citral b/ Neral (£-isomer) O ^O 2 Geraniol 3 Citronellol 4 Citronellyl acetate 0. ^0^ 6 Isoeugenol ether 7 Methyl eugenol ether Figure 5 H The two known antibiotics combined with the plant extracts for r J o .X-N^V^ synergistic testing in this investigation were penicilhn and // ampiciUin. Penicillin was used as one of the co-biotics in an Figure 6. Penicillin G effort to provide possible alternate drug therapy treatment to patients with mild reactions to penicillin. The first drug-quality penicillin was produced in 1940 and has since become the drug of choice for most common NH2 ^ bacterial infections due to its liigh activity rate and lack of ^^:^~-.^^^-K.^H^ s IT X toxicity.'^ Due to the specificity of penicillin's bioactivity, ^==5^ ° o'^^^^^'^ I ampiciUin was used as a second co-biotic in order to provide a HO Figure 7. AmpiciUin broader range of activity.'*^ AmpiciUin is a semi-synthetic antibiotic and a member of the beta-lactam family. It is active against all penicillin-sensitive bacteria and has shown to be a versatile and relatively well-tolerated antibiotic. Both penicillin and ampiciUin hinder the cell wall synthesis of sensitive bacteria; hence they are classified as bactericidal. ' The synergy of the plant extracts and the known antibiotics were evaluated by testing their bioactivity against bacteria plated on agar. The strains of bacteria used were B. subtilis and Staphylococcus aureus. B. subtilis is a gram-positive, rod-shaped bacterium found in soil and decomposing plant residue.'*^ It is a non-pathogenic bacterium to humans, animals, and plants. S. aureus is also a gram-positive bacterium, but, unlike B. subtilis, it is a spherical-shaped bacterium, and is commonly found on the skin or in the mucous membranes of healthy people. It can cause minor skin infections and food poisoning but can also cause serious and sometimes fatal infections such as bloodstream infections, surgical wound infections, and pneumonia."" Bacteria are classified as either gram-positive or gram-negative. These two main groups of bacteria can be distinguished through a staining technique devised in 1884 by the Danish physician Hans Christian Joachim Gram. Gram found that when different types of bacteria were stained with aniline dye methyl violet followed by an iodine solution, the bacteria could be divided into two groups according to whether or not the addition of alcohol removed the dye (Gram-negative group) or remained fixed to the cells (Gram-positive group) Gram-positive bacteria, such as those used in this investigation, are characterized as having a cell wall structure comprised mainly of peptidoglycan.^'* Peptidoglycan is a unique polymer that provides much of the strength and rigidity possessed by bacterial cell walls. It is a linear polymer with a backbone that consists of ahemating subunits of N-acetyl glucosamine (NAG) and N-acetyl muramic acid (NAM). Attached to each NAM subunit is a side chain of four amino acids. ^" Gram-positive bacteria do not possess an outer membrane. NAM T T 0H-. .o^^ i -A • c) V" r^ b, OH I ''v^ NH MH J L_o NAG= X-aceri gkicosaiiiiiie i^H o XArvI=N'-acer.-lmuraniic add On M'OH OH NH 1 1 ^ ^OH Figure 8. Structure of peptidoglycan 10 Gram-negative bacteria are characterized as having a cell wall structure comprised mainly of lipopolysaccharides.^'*Lipopolysaccharides are large, complex molecules that contain both lipids and carbohydrates.^' The cell wall of gram-negative bacteria is a thinner structure than that of gram-positive bacteria, with an outer layer that is more like a cytoplasmic membrane.^'* Lipid A HN HN 0-antigen repeat 40 units Core pdysaccharide Disaccharjde diphosphate Fatty acids Figure 9. Structure of a lipopolysaccharide 11 ~ RESULTS AND DISCUSSION ~ Due to the humid chmate of the United States Virgin Islands (USVI), the plant material of lemongrass (Cymbopogon flexiwsus) was oven-dried (40.5 °C), as opposed to air-dried, to prevent molding. Once received, the oven-dried plant material was extracted via the 3 x 24 h extraction method with methanol and concentrated in vacuo. The crude extract was tested for bioactivity and exhibited antibacterial activity against the two bacteria to be used for the entire investigation. Bacillus subtilis and Staphylococcus aureus. The bioassays were duplicated and the averages of the zones of inhibition are shown in Table 1 . All replications can be found in Appendix A-01. As the data in Table 1 shows, the crude extract of lemongi-ass was only partially active against the two bacteria. S. aureus was observed to be more susceptible to the crude plant extract than B. subtilis based on the larger zones of inhibition exhibited. Previous research investigating the antibacterial activity of lemongrass supports these results." The chemical literature not only shows that lemongrass exhibits antibacterial activity against the two bacteria, but it also shows that S. aureus is more susceptible to the plant extract. Table 1. Average zones of inhibition (mm) for lemongrass crude extract Bacillus subtilis Staphylococcus aureus \ Blank Penicillin (Ctrl) lOfig lOOjig lOOO^g Blank Penicillin (Ctrl) lOjig loo^g lOOO^ig 31.3 *4 8.5 32.8 8.5 12 * Average of 8 mm and mm because one of the discs fell off during testing A portion of the crude extract was subjected to an acid/base extraction, and another portion was subjected to a liquid/liquid extraction. The process used for the extraction of lemongrass is shown in Scheme 1. 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