Background
The nature-inspired therapies of various bacterially-driven infections based on herbals are one of the most current therapeutic trends in medicine [
1]. Nevertheless, more than 300.000 plant extracts need to be screened for their antioxidant and antimicrobial properties [
2‐
4]. Among these, a selection of Mediterranean plant extracts from olive (
Olea europaea), parsley (
Petroselinum crispum), oregano (
Origanum vulgare), thyme (
Thymus vulgaris), sage (
Salvia officinalis), mastic gum (
Pistacia lentiscus) and false yellowhead (
Inula viscosa) have shown a significant inhibitory activity against numerous bacteria [
5‐
7]. However, to elucidate the mechanisms relating to their complex biological behavior, the effect of pure plant-derived compounds on microorganisms has to be investigated [
8,
9].
The antimicrobial traits of plants can be attributed to the activity of natural antibiotics with low molecular weight (MW < 500), named phytoalexins, and synergistic action [
10,
11]. These well-studied antimicrobial stress-derived metabolites of plant origin include flavonoids, glycosteroids, terpenoids, and polyphenols [
12]. Furthermore, other specific defense mechanisms of plants are supported by the release of avirulence (Avr) gene-activated resistance (R) proteins or the secretion of a polysaccharide with (1–3)-ß-D-glucan subunits, namely callose, under the threat of the microbial invaders [
13,
14]. Finally, plants produce endogenous antimicrobial peptides with less than 100 amino acid residues, low acquisition of resistance and broad-spectrum antimicrobial features [
15].
Surprisingly, trillions of microbes are an integral part of the healthy human body and outnumber host cells by 10 to 1 [
16]. Although microbes could benefit humans by carrying 8 million health-related genes, they are also able to turn into pathogenic body inhabitants under specific circumstances [
17,
18]. The high pathogenicity of bacteria, viruses, and fungi can be demonstrated through the formation of antibiotic-resistant oral biofilms [
19]. The oral cavity is a representative ecological niche with more than 700 microbial residents, often organized in biofilm networks on teeth or gingiva [
20]. As a result, biofilm-associated oral diseases such as caries, gingivitis or periodontitis can occur [
21].
In recent years the research on the chemotherapeutic intransigence of microbial biofilms, whose antibiotic resistance is 1000 times higher compared to planktonic bacterial cells, has been intensified [
22]. In the oral cavity in particular, the antibiotic-resistant
Enterococcus faecalis detected in infected root canals expressed the endocarditis-related antigen A (
EfaA) [
23]. Due to the production of β-lactamases by
Prevotella spp.
, fusobacteria and capnocytophaga, an abundance of
blaTEM resistance genes could be identified in subgingival and tongue samples [
24]. Therefore, there is an urgent need for novel oral antimicrobials with low risk of provoking bacterial resistance to antibiotic monotherapy [
3]. In that context, the scenario of introducing novel phytopharmaceuticals has attracted attention lately [
25,
26]. The effectiveness of natural antimicrobial candidates can be attributed to their synergistic impact and broad pharmaceutical spectrum resulting from secondary metabolic reactions [
27,
28].
For this purpose, the present report focused on the antimicrobial behavior of natural compounds deriving from
Olea europaea L. (Oleaceae) and
Pistacia lentiscus L. (Anacardiaceae) against representative oral bacterial species. More specifically, eight different antimicrobial agents from olive leaves, table olive processing wastewater, olive oil and mastic gum were screened against eight representative bacterial inhabitants of the oral cavity, namely
Streptococcus mutans,
Streptococcus sobrinus,
Streptococcus oralis,
Enterococcus faecalis,
Porphyromonas gingivalis,
Parvimonas micra,
Prevotella intermedia,
Fusobacterium nucleatum and the yeast
Candida albicans. Among these
S. mutans and
S. sobrinus are related to dental caries [
29],
E. faecalis correlates with secondary endodontic infections [
30],
P. gingivalis,
P. micra and
P. intermedia are periodontal pathogens [
31]
, while C. albicans can cause oral infections in denture wearers [
32].Typical representatives of the intestinal and skin flora such as
Escherichia coli and
Staphylococcus aureus, respectively, were used as reference bacteria. In our previous report, an olive extract and total mastic extract from
P. lentiscus exhibited significant antimicrobial activity against oral microorganisms [
33]. The null hypothesis of this report was that the tested natural compounds from
O. europaea and
P. lentiscus have no antimicrobial effect on oral microbes. To assess this, two antimicrobial assays - the minimum bactericidal concentration (MBC) and the minimum inhibitory concentration (MIC) assay were applied.
Results
O. europaea
Five compounds (oleuropein, maslinic acid, hydroxytyrosol, oleocanthal and, oleacein) isolated from
O. europaea by-products (leaves, table olives processing wastewater) and products (olive oil) were screened. Table
1 demonstrates the mean MIC and MBC values for each of the aforementioned
O. europaea compounds as well as the tested bacterial and fungal strains.
Table 1
Antimicrobial activity in μg mL-1 of compounds from O. europaea
Streptococcus mutans DSM 20523 | 625 | 625 | 312 | 312 | 1250 | 1250 | 1250 | 1250 | 19.5 | 156 | 6.00 | 25.00 |
Streptococcus sobrinus DSM 20381 | 625 | 1250 | 625 | 1250 | 312 | 1250 | 1250 | 1250 | 19.5 | 19.5 | 10.00 | 15.00 |
Streptococcus oralis ATCC 35037 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 19.5 | 19.5 | 10.00 | 10.00 |
Enterococcus faecalis ATCC 29212 | 1250 | 1250 | 1250 | 2500 | 1250 | 1250 | 1250 | 1250 | 39 | 312 | 15.00 | 25.00 |
Candida albicans DSM 1386 | 1250 | 1250 | 1250 | 2500 | 625 | 1250 | 1250 | 1250 | 1250 | 1250 | 8.00 | 8.00 |
Escherichia coli ATCC 25922 | 1250 | 1250 | 1250 | 2500 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 10.00 | 10.00 |
Staphylococcus aureus ATCC 25923 | 625 | 625 | 312 | 312 | 1250 | 1250 | 625 | 625 | 78 | 625 | 10.00 | 25.00 |
Porphyromonas gingivalis W381 | 625 | 625 | 156 | 312 | 156 | 312 | 312 | 625 | 4.9 | 9.8 | 12.5 | 12.5 |
Prevotella intermedia ATCC 25611 | NA | NA | 312(5d) | NA | NA | NA | 625 (5d) NA | | NA | NA | 3.12 (5d) | 3.12 |
Fusobacterium nucleatum ATCC 25586 | 625 | 312 | 312 | 312 | 312 | 312 | 156 | 156 | 312 | 25 | 6.25 | 6.25 |
Parvimonas micra ATCC 23195 | 1250 | 1250 | 1250 | 1250 | 312 | 312 | 1250 | 1250 | 9.8 | 9.8 | 6.25 (5d) | 12.5 |
Overall, maslinic acid was more effective than oleuropein, hydroxytyrosol, oleocanthal and oleacein. Maslinic acid was active against almost all anaerobic bacterial strains, with a mean concentration range of 4.9 μg mL− 1 (Porphyromonas gingivalis) to 312 μg mL− 1 (Fusobacterium nucleatum). The obligate anaerobe Parvimonas micra (9.8 μg mL− 1) were efficiently inhibited, whereas maslinic acid showed no inhibitory effect against Prevotella intermedia. For streptococci (Streptococcus mutans, Streptococcus sobrinus, Streptococcus oralis) the MIC value for maslinic acid was estimated at 19.5 μg mL− 1, for Enterococcus faecalis at 39 μg mL− 1, for Staphylococcous aureus at 78 μg mL− 1. The highest MIC value at 1.25 mg mL− 1 was detected for Escherichia coli and Candida albicans. For obligate anaerobes, maslinic acid showed low MBC values, which ranged from 9.8 μg mL− 1 (P gingivalis, P. micra) to 25 μg mL− 1 (F. nucleatum). Streptococci such as S. sobrinus and S. oralis (19.5 μg mL− 1) as well as S. mutans (156 μg mL− 1) were more easily eradicated when compared to facultative anaerobic E. faecalis (312 μg mL− 1) and S. aureus (625 μg mL− 1). The highest MBC value at 1.25 mg mL− 1 was detected for E. coli and C. albicans, while P. intermedia was not affected at all by maslinic acid.
Oleacein exhibited a milder inhibitory activity against oral microorganisms. The lowest MIC values of oleacein were observed for obligate anaerobes and were between 156 μg mL− 1 (F. nucleatum) and 1.25 mg mL− 1 (P. micra). The anaerobic P. gingivalis showed also a satisfactory MIC value of 312 μg mL− 1 and P. intermedia could be inhibited only by oleacein (625 μg mL− 1) after 5 days of culture. All other bacterial strains (streptococci, E. faecalis, E. coli) and C. albicans had MIC and MBC values of 1.25 mg mL− 1. The MBC values of oleacein for obligate anaerobia were substantially lower ranging from 156 μg mL− 1 (F. nucleatum), 625 μg mL− 1 (P. gingivalis) to 1.25 mg mL− 1 (P. micra).
Oleocanthal also showed an inhibitory effect on oral bacteria. The lowest MIC values of oleocanthal were detected for S. sobrinus (312 μg mL− 1) as well as obligate anaerobes and varied between 156 μg mL− 1 (P. gingivalis) and 312 μg mL− 1 (F. nucleatum, P. micra). C. albicans was eradicated at 625 μg mL− 1, whereas the streptococci and reference strains had MIC and MBC values of 1.25 mg mL− 1. Obligate anaerobes (P. gingivalis, F. nucleatum, P. micra) showed the lowest MBC value (312 μg mL− 1), while P. intermedia did not respond to the treatment with oleocanthal.
Concerning hydroxytyrosol, the lowest compound concentrations of 156 μg mL− 1 (P. gingivalis), 312 μg mL− 1 after 5 days of culture (P. intermedia, F. nucleatum) exerted bactericidal effect mainly on strict anaerobic, Gram-negative bacteria. From the streptococci, S. mutans and S. sobrinus presented also satisfactory inhibitory values of 312 μg mL− 1 and 625 μg mL− 1, respectively. The highest MIC value of hydroxytyrosol (1.25 mg mL− 1) was observed for the reference strains, C. albicans. E. faecalis and P. micra. The lowest MBC value of hydroxytyrosol was estimated at 312 μg mL− 1 (P. gingivalis, F. nucleatum, S. mutans), while 99.9% of E. faecalis, S. aureus and C. albicans were eradicated by 2.5 mg mL− 1 of hydroxytyrosol.
Finally, oleuropein had the mildest antimicrobial impact on the oral pathogens. The MIC and MBC values of the eradicated microbial strains for oleuropein were between 625 μg mL− 1 (S. mutans, S. aureus, P. gingivalis) to 1.25 mg mL− 1 (S. oralis. E. faecalis, E. coli, P. micra, C. albicans). The lowest MBC value of oleuropein (312 μg mL− 1) was observed for F. nucleatum, whereas P. intermedia was not inhibited by this compound.
P. lentiscus
Table
2 summarizes the MIC and MBC values of the three compounds (24Z-isomasticadienolic acid, oleanolic acid, and oleanonic aldehyde) isolated from
P. lentiscus for all screened microbial strains.
Table 2
Antimicrobial activity in μg mL-1 of compounds from P. lentiscus
Streptococcus mutans DSM 20523 | 78 | 156 | 19.5 | 39 | 1250 | 1250 | 6.00 | 25.00 |
Streptococcus sobrinus DSM 20381 | 39 | 1250 | 19.5 | 39 | 1250 | 1250 | 10.00 | 15.00 |
Streptococcus oralis ATCC 35037 | 39 | 78 | 19.5 | 78 | 1250 | 1250 | 10.00 | 10.00 |
Enterococcus faecalis ATCC 29212 | 156 | 1250 | 78 | 312 | 1250 | 1250 | 15.00 | 25.00 |
Candida albicans DSM 1386 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 8.00 | 8.00 |
Escherichia coli ATCC 25922 | 1250 | 1250 | 1250 | 1250 | 1250 | 1250 | 10.00 | 10.00 |
Staphylococcus aureus ATCC 25923 | 1250 | 1250 | 78 | 1250 | 1250 | 1250 | 10.00 | 25.00 |
Porphyromonas gingivalis W381 | 2.4 | 9.8 | 9.8 | 9.8 | 625 | 1250 | 12.50 | 12.50 |
Prevotella intermedia ATCC 25611 | NA | NA | NA | NA | NA | NA | 3.12 (5d) | 3.12 |
Fusobacterium nucleatum ATCC 25586 | 625 | 625 | 625 | 625 | 1250 | 1250 | 6.25 | 6.25 |
Parvimonas micra ATCC 23195 | 2.4 | 9.8 | 625 | 1250 | 1250 | 1250 | 6.25 (5d) | 12.50 |
Among all mastic gum compounds, oleanolic acid was the most effective against almost all microorganisms with MIC values ranging from 9.8 μg mL− 1 (P. gingivalis) to 625 μg mL− 1 (F. nucleatum, P. micra) for obligate anaerobes. The MIC value for maslinic acid was estimated at 19.5 μg mL− 1 for streptococci (S. mutans, S. sobrinus, S. oralis), at 78 μg mL− 1 for E. faecalis and S. aureus. The highest MIC and MBC value of oleanolic acid (1.25 mg mL− 1) was detected for E. coli and C. albicans, whereas P. intermedia was not affected at all by oleanolic acid. The mean MBC values for strict anaerobic bacteria were 9.8 μg mL− 1 (P. gingivalis), 625 μg mL− 1 (F. nucleatum) and 1.25 mg mL− 1 (P. micra), whereas higher MBC values were estimated for streptococci at 39 μg mL− 1 (S. mutans, S. sobrinus) and 78 μg mL− 1 (S. oralis).
Another compound, the 24Z-isomasticadienolic acid also presented a substantial antimicrobial effect against the screened microorganisms. In its presence, a mean inhibitory concentration range of 2.4 μg mL− 1 (P. gingivalis, P. micra) to 625 μg mL− 1 (F. nucleatum) was observed for strict anaerobia. The MIC value for 24Z-isomasticadienolic acid was estimated between 39 μg mL− 1 (S. sobrinus, S. oralis) and 78 μg mL− 1 (S. mutans) for streptococci, while E. faecalis had a MIC value of 156 μg mL− 1. The highest MIC and MBC value of 24Z-isomasticadienolic acid (1.25 mg mL− 1) was detected for E. coli, S. aureus and C. albicans, whereas P. intermedia did not respond to the treatment. The lowest MBC value (9.8 μg mL− 1) were determined for the obligate anaerobia P. gingivalis and P. micra, while 78 μg mL− 1 and 156 μg mL− 1 of the compound killed 99.9% of S. oralis and P. micra and S. mutans, respectively.
Oleanonic aldehyde presented the lowest antimicrobial activity compared to the other two mastic gum compounds. The lowest MIC value of 625 μg mL− 1 was found for P. gingivalis, whereas all other tested bacterial and fungal strains presented MIC and MBC value of 1.25 mg mL− 1. Oleanonic aldehyde proved to be ineffective against P. intermedia.
Discussion
The present report introduced and screened eight antimicrobial compounds originating from
O. europaea and
P. lentiscus against nine representative oral pathogens. The efficacy of three different extracts from the aforementioned plants against oral microorganisms was highlighted in a previous own study [
33]. To the best of our knowledge, this is the first study on the inhibition of oral microbial growth induced by the antimicrobial agents of
O. europaea and
P. lentiscus.
In this study, maslinic acid isolated from leaves of
O. europaea proved to be highly effective, even in very low concentrations in the range of 9.8–25 μg mL
− 1, against oral streptococci and anaerobic pathogenic bacteria such as
Porphyromonas gingivalis,
Fusobacterium nucleatum and
Parvimonas micra. These results confirm the findings of a previous report, which also provided evidence of the high antimicrobial potential of maslinic acid (MIC = 15–30 μg mL
− 1; MBC = 25–50 μg mL
− 1) against
S. aureus,
E. coli,
E. faecalis and
Pseudomonas aeruginosa [
41]. Maslinic acid belongs to natural pentacyclic triterpenoids, which are able to damage the cell envelope of both Gram-positive and Gram-negative bacteria [
42]. Furthermore, carbon-associated R stereochemistry within this organic compound and the production of synthetic maslinic acid derivatives with the presence of sulfur and chlorine atoms and extra hydroxyl group seem to enhance its antimicrobial capacity [
41]. In another report, maslinic acid demonstrated improved antibacterial effects (0.9 μg mL
− 1) compared to the antibiotic kanamycin (0.9 μg mL
− 1) toward the Gram-positive
Bacillus thuringiensis and a substantial inhibitory activity against the Gram-negative
E. coli,
Salmonella enterica and
Shigella dysenteria [
43]. Nevertheless, maslinic acid failed to eradicate Gram-negative bacteria such as
E. coli,
P. aeruginosa and
Klebsiella pneumoniae in an earlier study [
44]. In addition to its inhibitory effect, maslinic acid has proven antioxidant, antitumor and antidiabetogenic activity [
45].
The other three compounds isolated from
O. europaea, namely oleuropein, oleocanthal, hydroxytyrosol and oleacein presented more moderate inhibitory effects compared to maslinic acid against the Gram-negative anaerobic
P. gingivalis and
F. nucleatum. Oleuropein is a oleosidic ester of 3,4-dihydroxyphenylethanol [
46] isolated from olive leaves. Indeed
, there are many reports on the high-level antibacterial activity of oleuropein using various microorganisms [
47‐
49]. Recently
, Bisignano et al. highlighted also the antibacterial action of an oleuropein derivative, namely 3,4-DHPEA-EA, against Gram-positive ATCC strains, food and clinical isolates of
Staphylococcus epidermidis and
S. aureus [
50]. One possible mechanism of action involves the prevention of the activity repression of lactoperoxidase mediated by hydrogen peroxide (H
2O
2). As a result, the increased release of its oxidation product named hypothiocyanite (
−OSCN), which can penetrate microbial biofilms, leads to enhanced bacteriostatic features [
51,
52]. Interestingly, to strengthen its antibacterial behavior lactic acid bacteria such as
Lactobacillus plantarum are able to hydrolyze and subsequently convert oleuropein into hydroxytyrosol [
53]. The phenolic compound hydroxytyrosol was most effective against Gram-negative anaerobic bacteria. This fact is of high importance in oral infections, since Gram negative bacteria such as
P. gingivalis are associated with periodontal disease while Gram positive microorganisms correlate with periodontal health [
54]. In a previous study, 4-hydroxytyrosol also exerted bactericidal activity against the Gram-positive
S. aureus as well as the virulent staphylococcal enterotoxin A [
55]. The antibacterial behavior of hydroxytyrosol (400 μg mL
− 1) and the combination hydroxytyrosol/gallic acid against
E. coli,
Klebsiella pneumoniae,
Streptococcus pyogenes and
S. aureus was confirmed in another recent report [
56].
Oleocanthal and oleacein constitute two aldehydic compounds of olive oil with great structural similarity [
57]. To date, both substances have proven to be natural non-steroidal, antioxidant and anti-inflammatory compounds [
58,
59]. Scotece et al. elucidated the active anti-inflammatory role of oleocanthal [
60]. In particular, oleocanthal interferes with the activity of lipopolysaccharide (LPS)-stimulated macrophages and chondrocytes hindering nitric oxide (NO), interleukin (IL-6, IL-1β) and tumor necrosis factor α (TNF-α) production [
60]. Oleacein was documented to protect the cardiovascular system by decreasing the progression of atherosclerosis and repairing angiotensin II-affected endothelial progenitor cells [
59,
61]. With regard to its antibacterial traits, the present study is the first report on the moderate, yet effective inhibitory activity of oleocanthal and oleacein, especially against anaerobic oral pathogens. However, oleanonic aldehyde as well as the other tested extracts proved to be ineffective against the anerobic
P. intermedia.
Among all tested triterpenoid acids, oleanolic acid was the most active natural pentacyclic triterpenoid (MIC, MBC = 9.8 μg mL
− 1-1.25 mg/mL
− 1) of
P. lentiscus. The tree provides a resinous exudate named mastic gum [
62]. With reference to the biological behavior of oleanolic acid, it seems to beneficially modulate the peroxisome proliferator-activated receptors (PPAR) which are activated in several diseases e.g. diabetes mellitus, dyslipidemia and metabolic syndrome [
63]. In a recent microbiological study, oleanolic acid synergized with the ß-lactam antibiotics ampicillin and oxacillin against the Gram-positive
S. aureus,
S. epidermidis and
Listeria monocytogenes [
42]. This can be attributed to the inhibition of the release of ß-lactamase, allowing for the easier eradication of methicillin-resistant
S. aureus by ß-lactams [
64]. Nevertheless, Shin et al. showed that oleanolic acid can act solely in synergy with aminoglycoside antibiotics such as kanamycin and cannot enhance the effectiveness of other antimicrobial agents e.g. tetracycline, norfloxacin and rifampicin against
Acinetobacter baumannii. In that case the possible mechanism of action involves alteration in energy metabolism pathways and cell membrane susceptibility [
65]. Another report underlined the superior inhibitory effects of oleanolic acid (MIC = 30 μg mL
− 1-80 μg mL
− 1 compared to several triterpene acids against oral streptococci and
E. faecalis [
66]. Interestingly, it seems that the interference of oleanolic acid with cell envelope, the structure and location of the acyl group on ring A results in a wide-spectrum antimicrobial action against Gram-positive and Gram-negative microorganisms [
41,
42]. This was also confirmed in an earlier report on a novel pentacyclic triterpene, namely 3-oxo-olean-12(13),18(19)-dien-29α-carboxylic acid [
67].
The natural tetracyclic triterpenoid 24Z-isomasticadienolic acid showed an enhanced inhibitory activity compared to oleanonic aldehyde against Gram-positive and Gram-positive anaerobic oral pathogens as well as streptococci. 24Z-isomasticadienolic acid has proven to possess anti-inflammatory traits against acute and chronic infections. In particular, 24Z-isomasticadienolic acid completely abolished the release of leukotriene B4 (LTB
4) from polymorphonuclear leukocytes [
68]. 24Z-isomasticadienolic (MBC = 0.2 mg/ml) and it exerted significant antibacterial effects against
Helicobacter pylori strains (MBC = 0.35 mg/ml) [
37]. Since there are no available data on the antimicrobial properties of oleanonic aldehyde, a pentacyclic triterpene, the current study contains the first promising results against oral bacteria.