抗耐甲氧西林金黄色葡萄球菌(MRSA)天然产物的筛选及研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
金黄色葡萄球菌(Staphylococcus aureus)是引起化脓性感染和医院感染的常见病原菌,由于细菌本身的进化和药物的滥用导致其耐药性逐渐增强,特别是耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus, MRSA)严重影响人类健康,如何防治已成为全球关注的焦点。MRSA具有多重耐药的特性,对目前绝大多数的抗菌药耐药,甚至对目前临床最为有效的万古霉素也开始出现耐药,一旦MRSA发展到对万古霉素普遍耐药,MRSA感染患者将面临无药可治的危险境地,因此研究开发新的抗MRSA药物具有重大意义。
     中药中蕴藏着多种有效成份,天然化合物极具结构复杂性和多样性,是开发新药的一个巨大宝藏,也是我国新药开发的一个优势所在。许多中药都具有抗菌活性,如板蓝根、穿心莲、溪黄草、黄柏和鱼腥草等,其单体成分如小檗碱、大黄素、穿心莲内酯和去氢贝母碱是其抗菌活性成分等。多种耐药菌对中药的抗菌物质仍然敏感,提示中药在耐药菌株的治疗方面也有明显优势。
     本课题对几十种中草药提取物和中药单体进行了较为系统的研究,并对抗MRSA活性较强的中草药和中药单体进行了深入研究,旨在寻找到新的抗MRSA活性成分,为开发新的抗MRSA药物提供理论依据和实验基础。
     课题分为三个部分:
     一、对23种中草药提取物的抗MRSA活性进行了筛选
     采用96孔板法初步测定了23种中草药水提物和醇提物的抗MRSA活性,从中筛选出8种具有较强抗MRSA活性的中草药,分别为仙鹤草、蒲公英、夏枯草、半枝莲、侧柏叶、桑叶、木瓜、大血藤,且抑菌效果与浓度呈正相关性。进一步测定了这8种中草药提取物对11株MRSA的最低抑菌浓度(MIC)和最低杀菌浓度(MBC),其中仙鹤草水提取物和醇提物抗MRSA活性最强,其MIC和MBC的生药浓度均为6.25mg.mL-1。
     二、对33种中药单体的抗MRSA活性进行了研究
     采用96孔板法测定了33种中药单体对MRSA的抗菌活性,从中发现10种中药单体对MRSA具有抑制活性,分别为花旗松素、黄芩素、二氢杨梅素、原花青素、没食子酸、姜黄素、熊果酸、白秋李醇、水飞蓟宾、芦竹碱、杨梅苷,其MIC分别为50μg.mL-1、50gg.mL-1、1O0μg.mL1、1OOgg.mL"1、200gg.mL-1、400μg.mL-1、400μg.mL-1、400μg·mL-1、400μg.mL-1、400μg.mL-1、400μg.mL-1、800μg.mL-1。同时我们进一步研究了花旗松素、二轻杨梅素、原花青素3种抑菌作用相对较强的中药单体对常见抗菌素的增敏作用,实验结果结果表明这3种中药单体对氧氟沙星、头孢西丁钠、氯霉素、头孢唑啉钠等4种常见抗菌素的抗MRSA活性无显著的增敏作用。
     三、仙鹤草提取物抗MRSA有效成分的深入研究
     采用溶剂分离和柱层析相结合的方法对仙鹤草醇提物进行了分离,采用96孔板法逐步验证分离物的活性,结果石油醚萃取部分经硅胶柱层析(乙酸乙酯:石油醚=7:3洗脱),分得5个有较强抗MRSA活性的成分。
     通过实验确证了水提物中抗MRSA活性物质为鞣质,并对仙鹤草中鞣质的提取和纯化工艺进行了初步研究。
     本课题从中草药及中药单体入手进行了较为系统的抗MRSA活性物质筛选,得到了一些有价值的结果,为后续进一步的研究奠定了基础。研究结果也表明,许多中草药中的确含有抗MRSA活性物,但如何分离纯化得到抗菌效果好的活性物质,是下一步研究的重点和难点。
MRSA (methicillin-resistant Staphylococcus aureus), is a common pathogens to cause pyogenic infection and nosocomial infection. Because of the bacterium evolution and drug abuse, the resistance of bacteria has increased gradually, especially MRSA. It has become a global focus. MRSA has the characteristic of antimicrobial drug resistance, even began to resist to vancomycin which is considered the present most effective medicine. Once the MRSA resists vancomycin universally, a dangerous situation is appearing:patients who have infected MRSA will not be cured by any drugs. So it has a great significance to research and develop new drug for treatment of MRSA.
     There are a variety of effective components in Chinese traditional medicine. For the structural complexity and diversity, natural compounds are great treasures to develop new drugs, which are also the advantages of our country.Many herbs have antimicrobial activities, such as Radix Isatidis, Andrographis paniculata(Burm.f.) Nees, Herba corydalis Bungeanae, Phellodendron amurense and Houttuynia cordata Thunb. Their components such as berberine, emodin, andrographolide and peiminine are the effective constituent. Chinese medicines remain to be sensitive to multiple drug resistance bacteria, which suggest the obvious advantages in treatment of resistant strains.
     Traditional Chinese medicine monomer, which has strong activities against MRSA, has been made deep researches. The aim of our research is to find a new anti-MRSA active ingredients and provide a theoretical basis and experimental base for the development of new drug for treatment of MRSA.
     There are three parts in the study:
     (I)23kinds of Chinese herbs extracts against MRSA were screened
     Anti-MRSA activities among23kinds of Chinese herbal medicine water and ethanol extracts were determinated by96well plates initially. Eight species which have strong anti-MRSA activities are obteined, they are:Grimonia pilosa Ledeb, Taraxacummongolicum Hand. Mazz,Prunella vulgaris L, Scutellaria barbata D. Don, Platycladu orientalis, Chaenomeles sinensis, Sargentodoxa cuneata, Morus alba L, and the inhibitory effect was positively correlated with concentration. The minimum inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) of8kinds of Chinese herbs extracts against11strains MRSA are determined. The water extract and alcohol extract of G rimonia pilosa Ledeb has the strongest activity in anti-MRSA, and the MIC and MBC of the drug concentration was6.24mg.ml-1.
     (Ⅱ) The anti-MRSA activities of33kinds of traditional Chinese medicine monomer were studied
     33kinds of Chinese herbal monomer were detected anti-MRSA activities, and10kinds of traditional Chinese medicine monomers which have inhibitory activity on MRSA were found. They are:Taxifolin, Noroxylin, Dihydromyricetin, proanthocyanidins, gallic acid, Curcumin, Vrsolic Acid, Patchouialcohol, Silymarin, Gramine, and Myricetrin. The MIC of these monomers is:50μg.mL-1,50μg.mL-1,100μg.mL-1,100μg.mL-1,200μg.mL-1,400μg.mL-1,400μg.mL-1,400μg.mL-1,400μg.mL-1,400μg.mL-1,400μg.mL-1,800μg.mL-1respectively. At the same time, the Taxifolin, Dihydromyricetin, proanthocyanidins, bacteriostasis, which had relatively strong ant-MRSA activities, were investigated. The results showed that with these3kinds of traditional Chinese medicine monomers, the anti-MRSA activities of ofloxacin, cefoxitin sodium, chloramphenicol and cefazolin sodium were not getting stronger.
     (Ⅲ) Effective components of Grimonia pilosa Ledeb extracts on MRSA were researched
     Solvent separation and column chromatography combination were used to separete acohol extracts from Grimonia pilosa Ledeb, and the activities of associative detachments were tested with96well plates.5strong anti-MRSA activity components from petroleum ether portion by silica gel column chromatography was obtained (ethyl acetate:petroleum ether=7:3elution).
     It was confirmed that anti-MRSA activities in water extracts was Tanni. And tannin extraction and purification process were studied preliminary.
     Screening anti-MRSA substance from Chinese herbal medicine and traditional Chinese medicine monomer was the first step and some valuable results were obtained, which made further research foundation. The results also showed that, many Chinese herbal medicines contain antioxidant MRSA, but how to get good antibacterial substance, how to separate and purify, is emphasis and difficulty for the next step research.
引文
[1]陈文伟,肖丽英.8种中草药对耐药金葡菌的最小抑菌浓度检测[J].广东药学,2010.
    [2]田应彪,陈泽慧,杨名慧,胡永林,刘清亮,刘隆忠.16种中药水煎液对MRSA和MSSA体外抑菌试验观察[J].中国医院药学杂志,2009,29(11):897-899.
    [3]左国营,余巍,徐贵丽,王根春.18种中草药提取物抗金葡菌作用的筛选研究[J].中国药师,2005,8(7):606-608.
    [4]杨明炜,陆付耳,徐丽君,刘艳娟,陈茹.20种清热解毒中药对耐甲氧西林金黄色葡萄球菌抗药性的影响[J].中草药,2004,35(7):799-800.
    [5]杨明炜,陆付耳,徐丽君,刘艳娟.18种清热解毒中药对耐甲氧西林金黄色葡萄球菌体外抑菌的初步观察[J].中国药师,2006,9(2):141-142.
    [6]肖丽英,黄焯坡.23种中草药对耐药金葡菌的敏感性探讨[J].时珍国医国药2001,12(10):878-879.
    [7]左国营,王根春,徐贵丽,余巍,彭虎,邝文喜.30种中草药提取物体外抗MRSA的筛选研究[J].中国现代应用药学杂志,2006,8(23):293-295.
    [8]刘俊,梅文莉,崔海滨,吴娇,戴好富.白木香种子挥发油的化学成分及抗菌活性研究[J].中药材,2008,3(31):340-343.
    [9]栾耀芳,孔祥山,吴国英.黄芩等8味中药对MRSA的抑菌性研究[J].山东医药,2005,45(11),74.
    [10]G.Y. Zuo, GC.Wang, Y.B. Zhao. Screening of Chinese medicinal plants for inhibition against clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA). Journal of Ethnopharmacology 120,287-290.
    [11]Toshio Fukai,Kiyoshi Kaitou, Sumio Terad. Antimicrobial activity of 2-arylbenzofurans from Morus species against methicillin-resistant Staphylococcus aureus. Fitoterapia 76,708-711.
    [12]Doris Lechner,Michael Stavri, Moyosoluwa Oluwatuyi.The anti-staphylococcal activity of Angelica dahurica (Bai Zhi).Phytochemistry 65,331-335.
    [13]Dandan Liu, Zheng Hua, Zhigang Liu. Chemical composition and antimicrobial activity of essential oil isolated from the cultured mycelia of Ganoderma japonicum. Journal of Nanjing Medical University,2009,23(3):168-172.
    [14]Wen Li Mei, YanBoZeng, Jiao Wu. Chemical composition and anti-MRSA activity of the essential oilom Chinese eaglewood. Journal of Chinese Parma ceutical Sciences,225-229.
    [15]宋振民,梁永广,赵秀杰.穿心莲提取物对凝固酶阴性葡萄球菌的体外抗菌活性研究[J].中国处方药,2008,61-64.
    [16]徐青青,李耀荣.对耐药金黄色葡萄球菌敏感的18种中草药初步研究[J].药物研究,2006, 15(5):49.
    [17]杨明.黄芩和黄柏对耐甲氧西林金葡萄球菌的疗效对比观察[J].中国医药指南,2010,8(19):199-200.
    [18]魏金凤,张倩,赵琳.苗药芭蕉体外抗菌活性研究[J].中国实验方剂学杂志,2010,16(17):69-71.
    [19]汪雅萍,陈同钧.十一种中草药对细菌的体外抑菌作用分析[J].上海医学检验杂志,1999,14(4):206-207.
    [20]李仲兴,张立志,王秀华.五倍子对224株耐甲氧西林葡萄球菌(MRSA和MRSE)的抑菌效果观察[J].中国中医药信息杂志,2001,8(12):32~34.
    [21]和生琦,李军,吴种等.以PBP2a为靶点应用生物传感器技术筛选拮抗MRSA中药[J].解放军药学学报,2007,23(5):353~356.
    [22]董燕,李斌,罗平等.以可溶性PBP2a为靶点筛选拮抗MRSA中药的实验研究[J].中华医院感染学杂志,2008,18(4):451-453.
    [23]董燕,王仙园,周红等.中草药对MRSA临床株的抑菌作用研究[J].护理研究,2008,22(4):863-866.
    [24]蔡启娟,汪辉,陈向东.中药对临床耐药菌株体外抗菌活性的研究[J].药物生物技术,2009,16(6):568-572.
    [25]张玉妥,张艳芳,季建军等.中药对耐甲氧西林葡萄球菌体外抑菌作用的研究[J].江苏中医,2001,22(3):43-44.
    [26]Simon WJ Gould, Mark D Fielder, Alison F Kelly and Declan P Naughton. Anti-microbial activities of pomegranate rind extracts:enhancement by cupric sulphate against clinical isolates of S. aureus, MRSA and PVL positive CA-MSSA.Complementary and Alternative Medicine 2009, 923.
    [27]张倩,康文艺.芭蕉根活性成分研究[J].中国中药杂志,2010,35(18):2424-2426.
    [28]张兴,梅文莉,曾艳波,刘建,戴文君,戴好富.槟榔果实的酚类化学成分与抗菌活性的初步研究[J].热带亚热带植物学报,2009,17(1):74~76。
    [29]佐藤阳一.从生药成分中开发抗MRSA感染的药物:关于半枝莲的抗菌活性成分[J].日本细菌学杂志,1997,52(1),243.
    [30]佐藤阳一.对MRSA有抗菌活性的生药成分的分离精制[J],日本细菌学杂志,1996,51(1).
    [31]阙东枚,梅文莉,吴娇.见血封喉根中类黄酮的结构鉴定[J].有机化学,2009,29(9):1371-1375.
    [32]刘树玲,左国营,徐贵丽.抗耐药菌中草药成分的研究进展[J].药学综述,2009,15(6):930-934.
    [33]杨锐,谷建明,雒军平.磷霉素联合中药栀子金花汤治疗耐甲氧西林金黄色葡萄球菌感染的疗效分析[J].甘肃医药,2009,28(5):366~367.
    [34]刘延麟,邓旭明,王大成等.土耳其桔子化学成分及抑菌活性的研究[J].林产化学与工业,2008, 28(4):44~48.
    [35]沈亮亮,叶元康,潘胜利.五环三萜类柴胡皂苷单体抗耐MRS A活性研究[J].同济大学学报(医学版),2008,29(3):15~46.
    [36]Biol Pharm Bull,2008,31(9):1794-1797.
    [37]Ivan R. Green,Felismino E. Tocoli,Sang Hwa Lee. Molecular design of anti-MRSA agents based on the anacardic acid scaold. Bioorganic & Medicinal Chemistry 15 (2007):6236-6241.
    [38]Doris Lechner, Michael Stavri et al."The anti-staphylococcal activity of Angelica dahurica (Bai Zhi)".Phytochemistry.2004,(65):331-335.
    [39]彭青,侯冰,华德兴,钱元恕.6种中药单体对耐甲氧西林金黄色葡萄球菌的抗菌作用[J].中国热带医学,2010,10(6):665-666.
    [40]Yu L,Xiang H, Fan J et al. Global transcriptional response of Staphylococcus aureus to rhein, a natural plant product [J]. J Biotechnol,2008,135 (3):304-308.
    [41]Yi ZB, Yan Y, Liang YZ, Bao Z. Evaluation of the antimicrobial mode of berberine by LC/ESI-MS combined with principal component analysis [J]. J Pharm Biomed Anal,44 (2007),301-304.
    [42]李永军,李巍伟,王鑫,时东彦.白藜芦醇对葡萄球菌抗菌活性研究[J].中国实验诊断学,2008,1(12):58-60.
    [43]闻平,俞晓丽,陈蕾等.黄芩素对耐甲氧西林金黄色葡萄球菌的体外抗菌活性研究[J].抗感染药学,2007,4(4):161-163.
    [44]Nat Prod Res,2009,123(2):101-111.
    [45]Phytother ReS.2009 Mar 13.
    [46]庄令,洪葵.24株深海链霉菌耐(嗜)盐性及抗MRSA活性的初步研究[J].生物技术通报,2009,402~404.
    [47]李益,唐金山,高昊,林海鹏,洪葵,姚新生.海洋放线菌Micromonospora sp.(No.69)抗MRSA活性成分研究[J].中国海洋药物杂志,2010,29(5):16~21.
    [48]邢莹莹,程沁园,马毅敏,马益华,奚涛.海洋放线菌WB-F5发酵液抗菌活性及活性物质分离纯化的研究[J].药物生物技术,2010,17(4):304-307.
    [49]崔海滨,梅文莉,韩壮等.海洋真菌095407的抗菌活性代谢产物的研究[J].中国药物化学杂志,2008,18(2):131-134.
    [50]崔海滨,梅文莉,缪承杜等.红树植物卤蕨内生真菌Penicillium sp.0935030中的抗菌活性成分研究[J].中国抗生素杂志,2008,33(7):407~410.
    [51]卓锦明,徐兰,林永勉等.抗MRSA抗生素FW99501的分离纯化、结构鉴定和生物学活性[J].海峡药学,2006,18(2):153-156.
    [52]戴文君,张秀环,黄贵修等.见血封喉内生真菌的分离鉴定及抑菌活性研究[J].中草药,2009, 40(6):955-957.
    [53]江红,江宏磊,林如等.抗MRSA抗生素FW99608的研究[J].海峡医学,2006,15(3):69-72.
    [54]黎晶晶,康银花,马忠良.抗MRSA链霉菌NJ0510的抑菌活性及发酵影响因素的研究[J].药物生物技术,2007,14(1):39~42.
    [55]Chem pharm Bull.2007,55(9):1404-1405.
    [56]Jong-Moon Hur, Chun-Ho Yang, Seung-Ho Han. Antibacterial effect of Phellinus linteus against ethicillin-resistant Staphylococcus aureus,Fitoterapia75,603-605.
    [57]姚领萍,胡蓓娟.六种微藻的抗MRSA活性筛选[J].天然产物研究与开发,2008,20:534~536.
    [58]周义文,申萍,涂植光等.家蝇抗菌肽分子结构及抗菌谱研究[J].中国抗生素杂志,2007,21(11):653~656.
    [59]韦世秀,刘成军,李盛文,桑国优,温红侠,李牡艳,吴华.从海洋生物鲎血中提取超氧化物歧化酶及其抗菌作用的研究[J].蛇志,2008,20(2):99~104.
    [60]刘炯宇,张砺,江建平.无指盘臭蛙皮肤抗菌肽对5种常见病原菌的体外抑菌活性研究[J].中药材,2009,32(12):1807-1810.
    [61]Jesse A. Stoff, David E. Nix, and D.W. DeYoung. A Pilot Study of an anti-MRSA Bio-Engineered Lacteal Complex (anti-MRSA BLC) in a Murine Septicemia Model. Immunopharmacology and Immunotoxicology,28:1-7,2006.
    [62]华德兴,许晓玲,彭青,姚芬,钱元恕.表儿茶素没食子酸酯与四环素协同抗金黄色葡萄球菌作用及机制[J].中国新药与临床杂志,2009,28(12):935-939.
    [63]杨再昌,杨小生,王伯初,郝小江.从中药筛选金黄色葡萄球菌耐抗菌素抑制剂[J].天然产物研究与开发,2005,17(6),700~703.
    [64]陈勇川,谢林利,熊丽蓉等.黄芩苷/黄芩素对耐甲氧西林金黄色葡萄球菌抗药性的逆转作用研究[J].中药研究,2008,19(9):644-646.
    [65]华德兴,许晓玲,彭青.绿茶浸出物与头孢唑啉合用抗耐甲氧西林金黄色葡萄球菌的作用机制[J].中国新药杂志,2010,19(19):1807~1810.
    [66]姜珂,覃容欣,朱仝飞等.山楂活性组分与β-内酰胺类抗生素的联合抑菌作用[J].第三军医大学学报,2009,31(19):1887-1889.
    [67]任书青,曹德英,杨继章等.五倍子、黄芩和黄连联合应用对MRSA的体外抗菌活性研究[J].2010,21(3):198~199.
    [68]刘莉,姜庆城,李桂侠.中药提取物与碘协同抗菌效果的研究[J].中国消毒学杂志,2010,27(6):670-672.
    [69]段德军,温桂兰.丹参酮与万古霉素联合应用对MRSA的抑制作用[J].实用全科医学,2008,(4):363-364.
    [70]J Microbiol,2008,46(3):283-288.
    [71]松井键一郎.补中益气汤对耐甲氧西林金黄色葡萄球菌感染动物的抗菌作用[J],日本东洋医学杂志,1997,48(3):357~367.
    [72]绪方佑子.当归六黄汤对MRSA感染宿主的作用[J].日本东洋医学杂志一,1994,44(5)-155.
    [73]齐元富.汉方药对MRSA感染的疗效[J].国外医学中医中药分册,2000,22(2):76-82.
    [74]陈林娜,李波,刘玲等.耐甲氧西林金黄色葡萄球菌对多种中药制剂敏感性研究[J].武汉大学学报(理学版),2009,259~262.
    [75]周立勤,王汉敏,陈林娜等.透射电镜下中药制剂对耐药菌株的抑菌作用观察[J].湖北中医学院学报,2—6,3(8):13~15.
    [76]宋志香.中药痰热清注射液治疗MRSA感染的研究进展[J].中华医院感染学杂志,2010,20(3):445-447.
    [77]陈红涛,陈林娜,周立勤.中药致耐药菌微细结构变化的电镜观察[J].中华医院感染学杂志,2009,19(13):1722-1724.
    [78]翟如波,王禹,朱荔清.逆转耐甲氧西林金黄色葡萄球菌多耐药性作用的中药筛选初探[J].沈阳部队医药,2007,20(1):23-24.
    [79]杨明炜,陆付耳,徐丽君.紫花地丁联用苯唑西林对质粒介导的耐甲氧西林金黄色葡萄球菌(MRSA)感染小鼠败血症的治疗作用[J].中西医结合研究,2010,2(5):233-234.
    [80]Santosh D. Diwakar, Sachin S. Bhagwat, Murlidhar S. Shingare, Charansing H. Gill. Substituted 3-((Z)-2-(4-nitrophenyl)-2-(1H-tetrazol-5-yl)vinyl)-4H-chromen-4-ones as novel anti-MRSA agents:Synthesis, SAR,and in-vitro assessment. Bioorganic & Medicinal Chemistry Letters 18, 4678-4681.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700