Restoring Multidrug-Resistant Escherichia coli Sensitivity to Ampicillin in Combination with (−)-Epigallocatechin Gallate
2024

Restoring E. coli Sensitivity to Ampicillin with Green Tea Compound

Sample size: 40 publication 10 minutes Evidence: high

Author Information

Author(s): Kiddee Anong, Yosboonruang Atchariya, Siriphap Achiraya, Pook-In Grissana, Suwancharoen Chittakun, Duangjai Acharaporn, Praphasawat Ratsada, Suganuma Masami, Rawangkan Anchalee

Primary Institution: University of Phayao, Thailand

Hypothesis

Can (−)-epigallocatechin gallate (EGCG) restore the effectiveness of ampicillin against multidrug-resistant E. coli?

Conclusion

The combination of EGCG and ampicillin significantly enhances the effectiveness of ampicillin against multidrug-resistant E. coli.

Supporting Evidence

  • EGCG showed activity against all 40 MDR E. coli isolates.
  • The combination treatment reduced the required EGCG dose by up to 125-fold.
  • The bactericidal effect of the combination occurred within 2 hours.
  • EGCG disrupted membrane permeability and enhanced ampicillin's action.
  • The combination nearly eliminated biofilm biomass of MDR E. coli.

Takeaway

This study shows that a natural compound from green tea can help an old antibiotic work better against superbugs.

Methodology

The study used antimicrobial activity assays, checkerboard assays, time-kill assays, and scanning electron microscopy to evaluate the effects of EGCG and ampicillin on E. coli.

Limitations

The study focused on a specific strain of E. coli and may not generalize to all multidrug-resistant strains.

Participant Demographics

40 isolated multidrug-resistant E. coli strains from clinical settings.

Statistical Information

P-Value

0.009 to 0.018

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/antibiotics13121211

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